I started to post last night but was interrupted by something. Since I've slept since then, I can't even remember what was more important than updating the blog!

The count numbers were good at the clinic yesterday. Nice jump in platelets again. White cells and hemoglobin holding steady. I still feel really good. Yesterday Mom and I went shopping and hit 3 stores. And I still had energy to come home and fix supper. Most of the pains in my mid-section have eased so I can exercise again. It seems like every exercise I have on the list affects the "core."

Janet, physical therapist, called yesterday while I was at the clinic and told me she had the flu along with 3 of her 4 kids. She said "I might feel good enough by tomorrow afternoon to come see you..." I replied, "Don't come to MY house tomorrow!" yikes! Don't come for 2 weeks. I told her I have plenty of exercises and I will keep up with them. The balance is improving but I still can't stand on one leg for any amount of time. sigh.

When I looked in the mirror this morning, I recognized the face. The puffy moon face is just about gone and the hairline is improving. Sideburns fading, sidewalls filling in. I've even put on makeup a couple of times. Wearing some of my familiar clothes--none of the britches alas. It all feels good.

And the big news I can share today is that Conor & Annie are going to have another [planned] baby in May. We're all hoping for a girl but don't know for sure yet. I'm super excited. Also, I'm planning to go to Chicago (where they live) for Christmas. They want to have Harrison wake up in his own house for Christmas and I totally concur. My mother was the same way. I remember the commotion of going to Granny's for Christmas one time when we were growing up. Our car was a big station wagon but it was not big enough to haul probably 5 kids at the time and all the Christmas paraphernalia to treat them.

So, continuing to improve and feel good and gain strength.

~Cathi

Counts R up!

At the clinic today my blood counts were up way beyond my expectations. I am excited!
WBC 4.2
Hg 8.5
Platelets 42

Still kind of low on the platelets but they are the last to rise. And they're higher than last Wednesday. You don't get a jump in hemoglobin from 6.7 to 8.5 from a transfusion. You MIGHT get 1 point, but you don't get 1.8. That comes from the factory.

And I'm satisfied with the factory.

I have been feeling great. So great that I did all the PT exercises for my arms with weights and pulled a muscle in my right side (the arm that can lift the most.) THAT hurt! Still hurts a little bit. I've still been doing the stairs, but haven't been on the treadmill much because I've been "out." Lots of walking when you go "out." To the grocery store, to the clinic, to the art gallery, even cooking a meal.

So today I had confirmation that the inside matches the outside. And I had a little bit of wine with dinner to celebrate.

~Cathi

I'm getting a rash!

This is great news. This is more graft v. host. So far I have it on my upper back and midriff. It itches a lot, but I have some cream to put on it that stops the itching. The immune suppressant is down to .5 mg twice a day.

Yesterday I did a lot of walking around the Nelson Art Gallery. Before I went I went through all the arm exercises with weights. And Hallelujah, I am very sore today. Before getting off the prednisone, I could just barely do the exercises, and they didn't seem to make a difference; no pain, no gain...literally. As if the prednisone numbs my muscles.

An old friend, Sandy Kramer, took me to lunch at the Grand Street Cafe and then to the Nelson. The new Bloch wing has a permanent space for curated collections out of the Hallmark photographs. The Hallmark photography collection is fabulous, includes photos of all kinds and types from the beginning of very primitive cameras up through today. The photos are printed in different ways (silver, platinum, chromocholor.) Yesterday's display focused on children. I am not so great a photographer, but I love looking at other photographers' good works.

It was a good way to get my mind looking outward at the things that interest me. Today I am having lunch with Skip Peavey, a scout friend. If I'm not too tired after lunch, Mom and I might take in the Grand Canyon IMAX show at Union Station.

So I must go smear cream on my rash to be able to sit through lunch. The rash is exciting!
~Cathi

Different news today

My hemoglobin was so low today that I got a unit of blood. I haven't had a transfusion of blood or platelets for months. My platelets also dropped drastically. Ironically the white count is up. I still feel great though and gained 5# this week.

Dr Abhyankar is worried because of the 5q- that was present in that .8% of the bone marrow that was still Cathi. So we are speeding up getting off the Prograf (immune suppressant). They will check the counts again Monday. If they're still low the action speeds up even more.

If counts are low Monday we will stop the Prograf that day and do another biopsy. Then we'll be looking at a leukocyte booster from my favorite donor brother.

Nurse Amy came in and said "we're not going there yet. It could be any number of things causing this." Nurse Wendy said "Let's face it Cathi. You haven't been ordinary since you got here." Everyone is worried though. Dr. A kept shaking his head as if "dang! we were almost home."

I am reminding myself that I have a champion team treating me.
and that they have been very creative about coming up with options.
and my white count is up so I can still go out.

If I need to get my mind off the situation the physical therapist has given me enough exercises to stay busy all day if I do them all in one day, which is impossible. And I'm reading a David Sedaris book ("When You Are Engulfed in Flames") which is amusing.

~Cathi

Pumpkins and the house on Craig Dr.

I'm comfortable at M&D's house, but I spent the weekend at my house. I had a fabulous time. I was really nervous about going to bed Friday night. I had a little headache. And the last time I stayed at my house I woke up terribly sick and spent over a month in the hospital. Happily I woke up healthy. Peggy stayed with me Friday night and Mark came up Saturday and stayed the rest of the weekend.

Friday I went to lunch with my friend, Lisa, whose wedding I was in last May. Just like a regular person!

Mark installed my new dishwasher (Kenmore Elite) and hung a second railing on the steps so I can get up and down easier. And yes, I have continued to go up and down the stairs at M&D's 5x most days. I am going to make sure Dr. McGuirk knows this flight of stairs has 14 steps instead of the usual 11. I think that should count.

Sunday, Mark and I went to Louisburg Cider Mill to partake of some fun, cider and donuts. I actually had root beer--nothing unpasteurized yet. The place was packed with kids and pumpkins and straw bales and I really enjoyed watching them. Conor and Annie took Harrison to the pumpkin patch Sunday too, so I'm posting two photos here, Mark and Harrison in the pumpkin patches.























No photos of me yet but the fat face is getting closer to normal. PT was today and we worked on balance. I have just about none. So now I have a list of "exercises" to do to improve my balance. No hair to speak of.

I looked for some specific things at my house unsuccessfully. I remember Dad telling me when they finished neutering my house, "your entire life is in bags in the garage." Mom and my sisters have put a lot of it back in the house, but there are still quite a few bags out there. Hopefully one of them has a quilt top that I started in the 80s. And one has my favorite goto recipes.

Tomorrow I go to the clinic. I've no idea what I will find out but I'd like to know there is more information coming my way. Look for news.

~Cathi

5x without stopping....

I climbed the stairs 5x without stopping. Holy cow. I could hardly walk the rest of the day.

Today I had physical therapy AND climbed the stairs 5x without stopping. Good grief.

Two days without prednisone have also been two days without insulin. My blood sugar went to normal levels almost immediately.

I also have pain that McGuirk called graft v. host before the prednisone squelched it. So the GVH is still in there...a hopeful sign. It's not so bad that I want pain killers.

Sleep is not so good but my sisters who lived through my getting off steroids last summer will be disappointed to know I'm not doing or saying anything crazy, just lying awake. Mom has been reminding me of some of them. I think Mari pulled the straw for the worst night where I apparently attempted impossible things like moving beyond the reach of the IV pole without moving the pole.

I am looking forward to spending this weekend at my house. My friend Peggy and my son Mark are pulling the duty to look after me. I have a list of things for Mark to do for me--I hope he gets through it all!

I am moving forward with my 100% donor marrow as if it is an actual 100%. I think that acting healthy and well will lead my body to the healthiest spot. When I put on my dew rag in the mornings I imagine myself in Nedra's sidecar, the two of us riding wickedly through Oklahoma City. It makes me laugh.

~C

100 day results - a mixed bag

I saw Dr. McGuirk this morning at the clinic and he was bursting with the news that my chimerism was 100% donor. "Well 92.8% but that's 100% because there is a 1.2% margin of error." The entire clinic was dancing. Even the cleaning ladies were hugging me (a sure sign I've been there too long.)

It was a celebratory morning. Lots of privileges like road trips and hotels and staying with other people as long as they aren't sick. Even said I could live alone. Dad could work in his shop. No gardening, but movement!

He went on to say he had asked for the determination of 5q- and didn't have those results yet but to call him this afternoon and he would have them. So Mom and I went to the Starbucks drive-through for what has become the traditional celebratory drink (tall soy latte, hers with carmel) and to the grocery store. For the first time I went into the grocery store without a mask and could carry my coffee with me...a lot of freedom.

The phone rang as we were checking out and it was the clinic. Dr. McGuirk told me that there was still 14% 5q- cells. "Stop the steroids, start tapering the immune suppressant. We'll get it," he said with confidence.

So over the rest of the afternoon I've gone from tears to cheers to fears and back again. Here is (with apologies to Paul Harvey) the rest of the story.

The actual explanation is 14% of the .8% Cathi cells remaining in my bone marrow have 5q-. Dad has worked that out to 99.9112% (or something) healthy cells which is a nice number. ("5q-" is the bone marrow disorder I had for years before it converted to Leukemia which it wasn't supposed to do, but life has a way of happening.)

The plan is to immediately begin tapering off the immune suppressant drugs to allow Walt's cells the freedom to overtake the last .8% of Cathi cells left. On the up side, to taper off the immune suppressants I have to stop all the steroids. So muscle building here I come!

We still have options. and options have been good to us this time around. One option in the transplant protocol this time around was to taper the immune suppressants very early in the game (like day 42) to incite graft vs. host disease. We didn't have to do that because I developed a good case of graft vs. host right from the transplant. A good case of graft vs. host is a good omen for longer term survival. So we have that in the can. A good case of graft vs host will hammer the host cells when the immune suppressants go away.

We can get a leukocyte booster from Walt--essentially hit him up for some T-cells.

So this will be a watch and wait process with regular checkpoints. We're on safari looking for those 5q- cells floating around. We're energizing Walt's donor cells to knock 'em out. And we're maintaining a healthy body for the action to take place.

One of the things McGuirk said to do today was go up and down the stairs 5x without stopping. I'll be sure and let you know if that happens! holy cow!

~Cathi

I'll know it when I see it

Day 101. I don't know what I'm counting now. I guess I am just continuing to exercise and get stronger. Take all the meds and stay healthy. Count carbs and keep the blood sugar somewhat even.

The goal might be somewhat like "I'll know it when I see it."

I went to Sears and bought a new dishwasher for my house. One that has a stainless steel interior so it gets real hot and sanitizes the dishes. I promise I will never look at cleanliness the same way again. Will I be able to go anywhere without disinfectant wipes? I dunno. I sure can't go an hour without washing my hands. Every hour "drink a glass of water", "wash your hands."

I also spent some time working on this quilt I started somewhere about 1978 or 79. It's a beautiful quilt if somewhat dated by the color choices. I have a new dew rag straight from Sturgis, SD. Says "Biker Babe 2009" on it. Fits like a dream. I'm considering remodeling some of less well fitting scarves I have into a similar pattern.

And I picked up a David Sedaris book to pass the time. Time on the treadmill, time in the chair, time. I still have idle time. But choices are good. It's great to have choices.

~Cathi

Day 100 - second time around

Today is Day 100. October 7th. 100 days from the 2nd transplant on June 29, 2009.

I've been through all the appointments at the clinic and the hospital. We are all most anxious to hear the results of the bone marrow biopsy, but it will be at least a week before those results start to trickle in. I have an appointment on the 21st to get results of today's tests, but I hope to get some clues at my next clinic appt on Oct 13th. The only thing I have an idea about after today is the pulmonary function test which went fine.

Meantime, I've developed a sinus infection. Dr. Abhyankar asked me yesterday "what do you have in the home pharmacy for the sinus infection?" ha ha... Not surprisingly, I had a couple of options. The daily pill bundle promises to get smaller and smaller though. I can stop taking one when the prednisone goes, another a couple weeks after the prednisone, etc.

I've continued walking a lot and the physical therapy resumed this week. She has me putting weights on my ankles and doing some things with the left rotator cuff damaged by the PICC line.

I am exhausted by the sinus infection. I am spending my time shopping on-line, but not buying anything, and working crosswords.

~Cathi

Looking Up!

Not only is my outlook brightening, but my body is feeling better too. Mom came home from Paris with guns ablazing and she has been shooting my feet making me exercise, exercise, get outside, treadmill, go anywhere she can think of. She has also been following all my physical symptoms closely and making suggestions. She is very hard to ignore. (Treadmill music - "Gershwin plays Gershwin.")


So the result is I can tell I am gaining strength in my legs, and I've had a few days where my stomach wasn't sour all day. A sour stomach makes it difficult to eat, to move, to do anything. I just want to get comfortable in the recliner and not move. Dad is in his hometown of Winfield for a few days and I've even been cooking for Mom and I!


I can't tell you how great it feels to walk outside. I am still wobbly enough that I have to hold someone's hand for the trek around the cul-de-sac, but a little 15 minute spin really clears my head. I begin to believe I will be able to camp in the wilderness for a few days in the future. Speaking of wilderness, I watched all 12 hours of the National Park film by Ken Burns this week. The history was fascinating. I think of all the people who were personally moved by John Muir and described in the movie, and I wonder how many more people he encountered who didn't go on to become movers and shakers but were still convinced that National Parks were a good idea.


I ended up at the clinic this morning unexpectedly because my blood sugar reached a threshold level. They changed the sliding scale dose for insulin and gave me some more "education" about diabetes. I ask questions sometimes about how I miss these "educations" and the nurses all say "but you're smart--you just know this stuff." Well apparently diabetes, even the temporary kind, dulls one's brain. One thing I did read in the literature that I carted home was that it can cause depression. So I'm blaming the recent long funk on blood sugar, and the more recent uptick on managing it.


The blood sugar should level out post prednisone, which I will be taking through the 1st week of Nov. The high blood pressure is leveling out now with meds, but I think it is caused by Prograf, the immune suppressant I take and will likely take through the end of the year.


One field trip Mom dreamed up this week was to Nebraska Furniture Mart. We got there at the opening bell Friday morning and checked out couches. Hardly anyone around. I found a couch but I have some time to decide if I'm going to buy it. But it was great fun shopping and measuring and sitting. One the way out, we wandered through the lamps and I found a funky floor model marked way down that they marked down more at the register so I felt like that was a steal. (Nothing like the garage sale steals my sisters report every week, but satisfying to me.)


I checked out the Sunday paper ads today looking for a mullet wig since Barry had some trouble with the term. I didn't see that specific description, nor for that matter did I see a mullet wig. But think Elvis. Lump on top + lump in the back= mullet.



For some early trick or treat exposure the doctors at the clinic held a scooter race to raise money for the Light the Night walk, a fundraiser for the Leukemia and Lymphoma society. They dressed up, Dr. Abhyankar arrived on the back of motorcycle wearing a bicycle helmet, a black cape and cigarette in his mouth. They raced in heats and Dr. Abhyankar won the crown of Dr. Speed. In this photo, they are left to right Ganguly, Abhyankar, Aljitawi and McGuirk. My team. They are the primo doctors in this field and they believe in me.