Myelofibrosis- GVHD graft, versus, host, disease. - MPN Voice

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Myelofibrosis- GVHD graft, versus, host, disease.

FreemanSaviors profile image
12 Replies

Hi, thanks for accepting me onto your site. My name is Gary, I am 64 years old and was diagnosed with Myelofibrosis in July, 2024.

It all started when I began to feel lethargic and very tired, I had no inspiration to do anything.

I was a taxi driver and was only managing to work one or two days a week.

My wife prompted me to go to my local GP to get checked over and maybe get help with what we thought was depression.

After bloods were taken and a quick examination I was later told I was anaemic, I also had a hardened prostrate.

I was referred to a urologist at my local hospital who after examining me, said she felt a palpable mass in my stomach, which I now know was my enlarged spleen (a classic sign of having MF)

The urologist organised for me to have scans, from which I was referred to haematology.

By this time I was very lethargic and breathless and sometimes falling down on the spot because my legs wouldn't keep me up.

After giving many different blood samples at haematology I was told my haemoglobin was at 66 which apparently is very low. I needed an immediate blood transfusion.

On my next consultation with the haemotologist and further blood tests, I was told that I had Myelofibrosis, a rare form of bone marrow cancer. He said it was terminal but treatable. My lights were knocked in of course, I wasn't expecting anything of the sort.

I was prescribed ruxolitinib (Jakafi) to try and get my spleen down. It was huge, stretching across my stomach. I had put the swollen gut down to having IBS. I also know now that I've had the swollen stomach for at least a year before I was diagnosed, always putting it down to IBS.

From this point on I was receiving a blood transfusion every week, with my haemoglobin level hovering between 70 and 80.

After six months of transfusions every week, I began to think I was becoming transfusion dependent.. which isn't really a good sign.

The ruxolitinib wasn't working and my spleen was getting larger.

I was then (miraculously) put onto a team of haemotologists at a top hospital in my area. I'll not mention the hospitals or doctors names, I'm not sure where I stand on that.

Cutting a very long story short, I was put forward for a stem cell transplant and was waiting a good match from doners around the world. The doctors and professors assured me they would find a doner from the bank, which gave me lots of hope. It was my only choice being given one to two years, even months if we don't go ahead. Of course it was a none brainer. I felt privileged they were taking me under their wing at my age.

Sure enough, by February they had found a doner 10/10 match...unbelievable. My own two sons would have only been 50% or slightly more.

A date for the transplant was set... 7th February. In the meantime I would need a week of radiation treatment followed by being admitted into an isolation cubicle on a special transplant ward for an intense chemotherapy course. This would last a week. It knocked me for six. So much so I can't remember the doctors telling me my kidneys were failing and the transplant might have to be postponed. My family told me of all the anguish they were going through, not knowing when and if another doner would be available. I was none of the wiser.

The doctors kept me and my kidneys monitored and just two days before my scheduled transplant date the doctors gave me the good news that my kidneys were on the mend and the transplant is going ahead. (which is basically very much like having a blood transfusion) and only takes a few hours.

After another week or so I was back home which is good going apparently. Two weeks later I was re admitted with the virus

C -diff. I was put into an isolated cubicle as the condition is contagious and my immunity system was nil. While getting treat for C diff and other tests they told my I also had GVHD graft, versus, host, disease. 40 to 50 % of transplant patients can get gvhd.

It started off by attacking my skin, with a red blotchy rash all over my body which then began to peel off, especially the palms of my hands and the soles of my feet. I spent two weeks in quarantine and further re admissions with C diff and other viruses. I was re admitted with C diff again with other viruses and bacteria attacking my gut.

The GVHD is now in my gut and I can't put sny weight on, being 9 and a half stone at the moment.. I'm normally 12 and a half.

Anyways I'm back home at the moment, enjoying every good day that comes along.

Sorry for the rambling

Has any one else with Myelofibrosis suffered a large spleen months before diagnosis?

Where there any symptoms of Myelofibrosis similar to mine before diagnosis? Anyone in a similar situation?

Thanks

Gary

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FreemanSaviors
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12 Replies
crapaud profile image
crapaud

Hello Gary,

I had a SCT in 2015 for PMF - however I didn’t suffer with my spleen.

gvhd , skin rash, liver problems that were solved with Ruxolitinib (secondary use of Jakavi since cortisol didn’t resolve the issue for me)… 8 years on I’m doing well🙂 so fingers crossed 🤞for you.

All the best from Gary (not a typo my name is Gary!!)

FreemanSaviors profile image
FreemanSaviors in reply tocrapaud

Thanks for the reply Gary.. glad to hear you're doing good 8 years on, that gives me hope.It's took me a while to reach out to other people with similar conditions and I'm glad I have.

I look at life with a different perspective now taking each day as it comes and not thinking too far ahead. Stories like yours gives other sufferers optimism and hope.

Thanks Gary

Simon96 profile image
Simon96

Hi Gary,

I am 5 and half years post SCT and did have a few similarities to you - very large spleen, similar weight loss and full body skin GVHD. It is amazing how much skin a body can shed.

My spleen was massive leading up to transplant. It felt like it it could burst. I could slip 1 finger between my left hip and spleen. 2 fingers, almost 3, between my right hip and spleen. Palpating my spleen for a year or so after transplant reminded me of a slowly deflating ball. At the 3 and half year mark post transplant, it's length measured 20.4 cm by ultra sound. Now, I can no longer feel it.

I am not aware of my spleen causing me any additional issues while it shrunk, much to my relief.

Best wishes for getting on top of your GVHD of the gut. Sounds most unpleasant.

Simon

FreemanSaviors profile image
FreemanSaviors in reply toSimon96

Hi SimonWe definitely have had similar things going on with us. I thought my spleen was big, your's was huge. I think the radiation treatment prior to intense chemo and transplant may have helped shrink mine. Almost can't feel it now.

Thanks for the reply and good wishes Simon. I can sense your positivity. 👍

Mishie14 profile image
Mishie14

My MPN journey to date is not close to SCT level so cannot comment on that aspect. I do want to pass along my respect for how you have handled the challenges that MPN and SCT treatment brought. I cannot imagine the courage you had to muster and thankfully having support from family to keep up the good fight. It looks like the worst is behind you and praying it stays that way. Hoping as others commented that good things will replace the challenges to make this all worthwhile. Stay safe!

FreemanSaviors profile image
FreemanSaviors in reply toMishie14

Hi MishieThanks for the reply and your kind words. You're right about family, they keep you going and have more courage than me, especially my wife. Not forgetting the fantastic medical team who are looking after me.

I'm hoping the worst is behind me.. and I hope you're coping with your condition.. look after yourself

Strumin210 profile image
Strumin210

Gary glad you are here. I am in the early stages of mf and et . Sounds Like you have had a lot of complications, but you are still going which brings me hope . I pray that it brings you hope too. I will remember you in my thoughts and prayers from here in south Alabama. Much peace my friend.

FreemanSaviors profile image
FreemanSaviors in reply toStrumin210

Hi StruminI'll be here a while I hope.. too much to do heheh..

You're right I'm still going strong.. as you are, we are all in this together.

At this moment Im feeling positive with lots of hope. Thanks for keeping me in your thoughts

Likewise my friend

Scaredy_cat profile image
Scaredy_cat

I went from diagnosed et to mf several years later. I can't remember how different they felt. I just knew something was different which was confirmed by a blood test. My spleen was large and ruxolitinib failed to reduce it so my transplant started with radiotherapy on it. The pathway I've followed is a bit different from you. I was kept in hospital for c 6 weeks and then released to a flat near the hospital until my 100 days were up. I didn't get bad gvhd. My anti rejection treatment lasted about 6 months . It has been about 18 months since my transplant.

FreemanSaviors profile image
FreemanSaviors in reply toScaredy_cat

Hi.. don't know your name sorryI was on Ruxolitinib 5-6 months prior to my stem cell transplant. Like you, the drug did not reduce my spleen size. Just glad it's not the massive lump it used to be.

You're doing good it seems almost two years on from transplant. Well done, keep up that fighting spirit

Gary

ETinNYC profile image
ETinNYC

Hey Gary, can't comment on transplant or spleen or GVHD as I've got ET and haven't had a transplant. But I just wanted to wish you well on your post-transplant journey and hope your GVHD resolves soon. Hang in there, stay positive and take it a day at a time. Sending hugs from NYC.

FreemanSaviors profile image
FreemanSaviors in reply toETinNYC

Hi, thanks for the kind words and nice thoughts. Staying positive as you are yourself with your ET condition. I hope your getting well looked after over the pond in New York. I'm sure you are, we have some top doctors around the world who are saving our lives and keeping us going. Sending hugs back over to you

Take care.. Gary

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