Conditioning Chemo, Day -5

We are finally here.  In some ways you can look at this transplant as the hopeful end to a story, or the beginning of another -- either way, we're finally here to complete this form of treatment.

I was admitted yesterday (Wednesday) and had a small surgery in which a medical team placed a triple lumen catheter  (basically like my port but it has three different access points for fluids, chemo, and antibiotics to travel through) in my chest.  My site is pretty sore and tender; however, it's very helpful.

I've just completed my first round of in-patient conditioning chemo.  Today is considered day -5 in the transplant world, -4, -3, -2, -1 will also be conditioning chemo days.  Once we hit zero, next Tuesday, we will celebrate my rebirthday since it'll be the day Jacob donates his stem cells to me and my whole immune system will be completely brand new.

As for the transplant and recovery time itself, I have many, many fears about the future, graft versus host disease, surviving, and quality of life.  But, for now, I'm attempting to put all of those fears in a small box and up on a shelf.  Right now, I'm looking at this journey through very specific lenses.  I want and need to take things a day, or even an hour at a time, and all I can do is just that.  Take each day as it comes.

Luckily, yesterday and today have been extremely easy.  The brand new Columbia Prespyterian Hospital's BMT unit is gorgeous -- if such a thing can be possible.  It is an 18 patient unit on the 11th floor over looking the city and the Hudson River.  At night the city lights are mesmerizing, during the day you can watch Ferry boats pass through the waters… The floor itself is extremely quiet, everyone is very respectful, caring and attentive. The 46 flat screen TV, personal chef and menu (just for BMT patients), smoothie carts, caregivers futon, and beautifully tiled bathrooms don't make it that bad either ;)

My favorite PA is on this week, and the nurses have been an absolute breath of fresh air.  They check in on us every hour, without fail.  I find BMT nurses to be the best of the best, most of them have an awesome sense of humor and are brutally sarcastic.  I imagine you have to be, working in this field.  Everything I've needed from nausea to pain meds have been given without questions.  They trust me, and my needs, which is so empowering as a patient facing such a huge obstacle, such as transplant.  The social workers appear to know their shit, which is always helpful, and everyone in general gives off lots of positive vibes.  And most importantly, the areas surrounding the hospitals all are filled with tulip beds… red, white, and purple tulips everywhere. Good signs.

For now, it is smooth sailing.  The Flubaradine (chemo) that I received today and will receive the next four days went well.  No side effects to speak of yet (knock on wood), and hopefully it'll be well tolerated.  Most allo-transplanters say this is the easy part, the chemotherapy and treatment, it's really the recovery when your counts are non existent from Day 0 and on…. that are the darkest and most difficult.  But we will see.

One day at a time.  One hour at a time.  One minute at a time.
That's how we'll roll these days :)

In addition, I just wanted to take the time to endlessly thank ALL of you.  Your love, laughter, pictures, reminders, strong positive vibes, and caring words motivate me every single minute of the day.  I am so, so lucky to have every single one of you in my life.  You care for me, empower me, and love me -- and for that, I thank you.

This next year we'll be kicking off our fundraising goals into high gear to pay for this transplant.  Right now if you'd like to help out with the financial journey, or just buy some cool and delicious things, to check out my fundraising page at HelpHopeLive where most of the fundraisers will be listed.  Right now there is a 5k 'Stepping out for Support' that my in-laws are participating in, which you can sponsor donations as they dedicate their walk to me.  There is also a carmel-chocolate covered pretzel sale going on (possibly a great gift for momma's day!).  And we have a few more days that you're able to pick up your own B-Strong T-shirt or B-Strong Sweatshirt .  The T-shirts/sweatshirt sales will end on May 12th, so get 'em while their hot!  My fundraising team and I encourage you to share all of these goodies with friends and family too :)

Preview of the delicious pretzels that you're going to buy :)

Also, if any of you are one of those fabulous motivated people, we are looking for individuals to fundraise in their areas.  There is no time limit here.  We will fundraise for years if we have to -- what fun, right! ;)  So think carefully and simply: could you throw a car wash? a bake sale? hold a jeans day at your work? Go to a local bar and present them with my story/information/flyers (all of which we can provide you) to ask for a percentage of proceeds on a specific night? Do you belong to a gym? -- could you ask them to add five dollars to a class offered at the gym, and those proceeds go towards my fund?.  Are you running or participating in another athletic event -- if you are, would you mind asking friends and family to donate 5 dollars a mile to save a life? Do you have a vacation home or time share? -- can you raffle off a weekend (10 or 20 dollars a ticket) to your friends/family/coworkers and donate the proceeds to my fund?

My fundraising team has SO many ideas, so if you are stuck, no worries, we can help you find something.  If you want to run your own fundraiser, or need help thinking of an idea, please email one of my best friends, Karen, who's helping coordinate all of this at TrueBeautyFundraising@gmail.com.
She will give you all the information needed, she will direct/help you set up a flyer with HelpHopeLive, and then we can advertise it on my blog so others can help out too.  It's an easy process, and doesn't take too much energy but will go a LONG way.  So think about it :) Again, there is no time constraint.  Also, please remember all donations to my HelpHOPELive fund are tax-deductible.  You can find most of the fundraisers, and direct donations to my HelpHOPELive fund by clicking HERE.

So my hope? My hope for you today is if you live in the PA area is to go exercise on May 17th :) Join my in-laws on their 5k walk 'Stepping out for Support.'  If you don't live in PA, go clothe yourself already! ;) With one of our cool T-shirts/sweatshirts.  And above all, go treat someone you love to something sweet and send them some chocolate…or order some for just you -- you deserve it!

Any questions about the above: please email TruebeautyFundraising@gmail.com.
Sending love to all of you,
xoxox,
B.

Green Light.

After my small Florida retreat, Rich and I hit the ground running with pre-transplant appointments.  From heart, to lungs, bone marrow biopsies to teeth and eyes, and more. Oy vey, it's been a very long and painful two weeks.  But we are almost there. Although the plan of attack was to do one more round of chemo and then transplant, things have changed. Due to being in remission and some appointments finishing up on time it looks like we'll (possibly) be moving into my allogeneic stem-cell transplantation in April.  So get ready… cause here we go.

I have officially been cleared on all fronts except for my teeth.  Last week I had a ton of dental work done (chemo completely destroys teeth, even if you take incredible care of them).  I had molars extracted, fillings, and so much more -- fun times.

On Monday, I'll go in to the dentist to make sure I'm officially 'healed' and cleared for transplant.  From then, we'll have an eye appointment Tuesday morning and I will finally be cleared.  If for some reason my dentist does not feel I've healed well enough -- this time line might change.  However, this is what we're looking at as of now...

Bekah's Transplant Timeline: 

• Monday, April 21st: Final Dental Appointment (and a hopeful clearance from the dentist)
• Tuesday, April 22nd: Optomology Appointment (hopeful clearance)
• Wednesday April 23rd: Clinic Appointment with Dr. Zain and team, admittance to hospital that afternoon/evening
• Thursday April 24th --  Monday, April 28th: Conditioning Chemotherapy for five days of Flubaradine and Melphalan chemo, this will bring all of my blood counts down to zero.
• Sunday April 28th, 29th and/or 30th: Jacob (my hero of a brother) will begin/complete his stem cell collection
• Tuesday April 29th OR Wednesday April 30th: My Re-Birthday, I will intravenously be infused with Jacob's stem cells. 
• May 1st -- and beyond: Hospital Isolation until cells have completely engrafted and then Release Day. This usually takes 15 to 30 days till I'll officially be released from the bone marrow unit.

After the cells have been infused, we wait for my cells to 'engraft' or to 'take' -- meaning, that Jacob's cells will take over my immune system, and I will have his cells and his DNA.  Please send positive thoughts that Jacob will feel little to no pain during his collection, that engraftment will be a success, and that my cell/blood counts will begin to rise after this small but powerful infusion of Jacob's cells.

As we've found out in the last month, things can change on a dime.  So, although this is a hopeful timeline we've learned to roll with the punches, and go with whatever changes are needed.  If you don't see an update, this is how the timeline will stay.  If there is a major change, I will update you all as needed.

Mentally, I feel prepared.  We've been preparing for this since we left for Seattle almost a year ago.  With a remission in our back pocket, a blessing from Dr. O and his team, a ridiculsouly supportive partner, loving family and just kick-ass friends.  I am so grateful for all the support, emotionally, physically, and financially that has been given to us.  We hear you, we're receiving your vibes, and thoughts, and we really do love you all for everything you've done for us through this process.

For communication purposes and support through this process:  The best way to communicate directly with me is through text message or through email (RebekahFurey@mac.com).  But please do not expect a timely response.  If you are looking for updates we will update through the blog and through the True-Beauty-Never-Hurries Facebook as much as we can when we feel there needs to be a crucial update.  If you need to know something specific or check-in with us in need of a timely response, please call, text or email Rich.  We will do our best to respond and send out updates when needed.


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Supporting someone and their caregiver can be difficult through the transplant process so here are some small bullet points that I thought might help all of us:

What helps through transplant…

• Research: First things first, it may help you to know know what I'm about to go through: Read some quick cliff notes on what a stem-cell transplant or others call it a bone marrow transplant.  Click here to learn about stem-cell transplant.  Mine will be an allogeneic transplant (stem cells from another donor -- my brother).  I already had an auto-transplant (my own stem cells rein fused into me) in 2007/2008.

• Mentally:  As most of you know this is not my first rodeo.  What really helped in the past and through the last few years is text or email messages reminding me that you're still thinking of us, and cheering for us through this very difficult procedure.  A small "thinking of you…." or "I'm sending you big hugs or healing vibes" goes a long, long way for a patient's mentality. As well as the caregivers.  Send us your love -- we welcome it with open arms.  And it keeps us moving forward. It really does…

• Financially:  Rich is currently not working due to being my full-time caretaker, and our medical and daily bills are piling up.  Please visit my tax-deductible fundraising website: HelpHopeLive to donate money directly.  Or pick up a cool 'B.Strong' sweatshirt OR 'B.Strong' T-shirt (both have different designs and are on different websites) the proceeds will go directly towards funding my transplant.  They are being sold through May 12th.

         I am so, so, grateful towards those who have donated thus far; however, Medicare will only cover  
         80% of this stem-cell transplant, so we are in desperate need of funds.  Again we thank all of you
         who have donated already, and those who participated in our recent Stella & Dot fundraiser
         (you raised 800 dollars!).  I truly can't thank you all enough…

• Physically: Cards, emails and your words.  Once we have our hospital address, we will let all of you know.  If you are interested in sending something, please email Rich and he will send it to you.  Or you are welcome to send me an email: RebekahFurey@mac.com.  Once we are allowed visitors (after Jacob's donation) we'll be welcoming home-cooked meals in the hospital (and after release day), as well as those who love to clean to use your cleaning skills to clean our apartment before I am released back home -- it must be 100% germ free (help!)

• Above all, we ask you to support other warriors in the most important way possible… 

Pay it Forward:  Join the Bone Marrow Registry.  

       
         I am so, so incredibly lucky that Jacob is a perfect 10/10 HLA match to move forward with my

         transplant.  However, not all Lymphoma and Leukemia patients are as lucky.  

         Join 'Be The Match', join the bone marrow registry for FREE.  Just fill out some forms, they will 

         send a kit for you to swab inside your cheek and you could literally donate your stem cells (it's    
         just like giving blood) to a stranger, and save his or her life.  Think about it -- then do it.  I have
         many, many friends right now waiting for their perfect match -- it could be you.    

What does not help through transplant….

• Expecting a response.  I always tell my friends and family they are free and welcome to send messages (hopefully uplifting ones!) through this process.  But please know this is a different ball game.  This is life or death here and it can be a very stressful process.  We will do our best to notify those with updates when it is necessary.  For us, we really try to take everything a day at a time.  Sometimes that means shutting off our phones, sometimes that means just not responding to the outside world, sometimes that means just taking things an hour at a time.  We will do our best to respond to everyone in a timely manner, but we just ask for as much space and patience as you're willing to give us.

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This is the first step to what we hope will be a very long journey of healing… once the donation of cells are complete, it is truly only the beginning.  We have great fears and great hopes, but the outcome of this process is completely unknown.  We could receive a remission from Refractory Hodgkin's Lymphoma (HL) and the Myelodysplastic Syndrome (MDS), or I could relapse with both diseases and even be diagnosed with a a third Graft verse Host Disease (GvHD).  I may survive, or I may not.  Whatever the outcome, we will take this new path one day at a time.  And remain hopeful.  Very, hopeful.

You will find the most recent updates on my Facebook Page, feel free to click here and add me as a friend as family and friends will be updating throughout this process to keep everyone informed too.
Click here: https://www.facebook.com/truebeauty.neverhurries

Please send positive vibes that we'll receive clearance on Monday and Tuesday so we can get the ball rolling and start.  Today, and everyday as we move forward we're choosing hope.  We ask you to please remain hopeful with us too, no matter how challenging these next few weeks and months will be. We choose hope.

And as we all know, life can be sweet -- 

even in the broken places… 

Sending all of you so much love and light,

B.

Choices

As life hands each of us challenges, we begin to realize it is not the challenge that will mold us into the characters we are, but how we choose to react to these challenges.

Last week through a pathology, oncologists did confirm that the Hodgkins Lymphoma has returned. My choice is to continue with treatment. This treatment will consist of four parts.

1. ICE chemotherapy:

• ICE chemo is on a twenty one day cycle. This means, I will be admitted to the hospital (in-patient) for three consecutive days of infusions and fluids. After these three days, I will then be released and have eighteen days to recover.
  
• We will most likely do three cycles of this treatment. Over a three to four month period.
  

2. Stem Cell Collection:

• Stem cells will be retreived (since my bone marrow is clean, I will be using my own stem cells for this process). Once doctors have retrieved enough cells from my blood, they will harvest them until they are ready to go back into my body.

3. BEAM Chemotherapy:

• After all three rounds of ICE and the stem cells have been collected, there will be a week or two of recovery before I am admitted back into the hospital.
  
• I will then undergo five consecutive days of infusions of this specific chemotherapy. In cancer terms we consider this 'day -5,-4,-3,-2,-1.'
• During these days, the BEAM will wipe out my entire immune system as well as my bone marrow. In hopes that the cancer will never return
  

4. Stem Cell Transplant

• On 'Day zero' I will then receive the harvested stem cells back into my body. This is considered your re-birthday. My immune system, and cells are basically starting over.
  
• During this time in the hospital we wait till my cells engraft, form, and blood levels resume to a normal level. This usually takes two to three weeks, and this part of the treatment is in isolation.
  

I realize this seems incredibly overwhelming. But, I choose to take things one day at a time -- that is all we can really do for now. I am so grateful for all of you, and your on-going support through this tough time. This will not be an easy battle, but I assure you - it is doable. Especially with all of your love and comfort to push me through.

I will be meeting with my oncologist team this Thursday to confirm dates on ICE. I will update when we have confirmed these specific dates, as to when I will be in the hospital, what days I will be able to talk on the phone, and times I will be unavailable to speak.

All my love, to all of you,
B

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Today I miss: my life in boston
Today I smile for: knowing that there is still a cure
Today I am grateful for: all of you.