100 days and beyond

Today is T+105

It’s been a week since I last updated. About an hour after the last blog was posted we were informed by the doctor that Herbie could go home after 24 hours observation without TAZ. This went down like a lead balloon with Herbie. Dr Ed, who was given the unpleasant task of passing on the information, knew what the reaction would be and asked me to go to the nurses station to talk to him out of Herbie’s earshot. Whilst we were chatting Herbie appeared by my side shouting “I’m going home you know , I’m not staying here!”
It took a long time to calm him down but he eventually he realised, one more sleep and he could go home.
That night I asked our nurse , Amy , if she could get our blood results completed in our shared care folder ready to go home in the morning. Later the doctor arrived with the folder, she wanted to ‘give me the heads up about the bloods.” It all sounded a little ominous.
This is what she was worrying about…
On arrival Herbie’s bloods were as follows
HB 11.8
WBC 4.67
Neutrophils 3.56
Lymphocytes 0.42
Platelets 81

Over the last few weeks he has had a lot of TAZ and this can drop his counts which we have seen. So after another 50+ hours of TAZ it wasn’t a surprise to see they had dropped again but it was a worry.

HB 10.5
WCC 1.73
Neutrophils 0.95
Lymphocytes 0.29
Platelets 72

The dr said that GOS and Prof Pollard were aware but happy for us to still go in the morning. I won’t lie to you, I was shocked to see how low everything was. It was not unlike the days in GOS in the early days after transplant. I hadn’t expected to see numbers that low again.
We agreed that another blood sample be sent in the morning before we left to see if the trend was continuing downwards.

T+99 we were ready to go home rather early! Herbie was dressed and packed up at 7am. The blood results came in and they were not what I had hoped.
HB 9.9
WCC 1.38
Neutrophils 0.61
Lymphocytes 0.29
Platelets 69

The neutrophils were now well under 1 and close to needing GCSF, something we hadn’t needed since early June. We returned home wondering how this would all pan out and hoping that by Tuesday, when the next bloods were due the trend would reverse.

Herbie settled back at home and Dan and I wondered how long we would get this time.
Things have settled down this past week and the bloods picked right back up on Tuesday as follows…
HB 11.5
WBC 4.74
Neutrophils 3.56
Lymphocytes 0.47
Platelets 81

Herbie still has a 1600ml fluid target but thankfully since returning home we have not needed water boluses over night and the pump has stayed well and truly in the cupboard (which is just where we like it! )
We have almost weaned the steroid and the MMF now so things are moving forward and despite how completely mad this roller coaster ride seems to us GOS say that are extremely pleased with his progress post BMT!

One day this week we were concerned that Herbie’s temperature might be rising again but his body seemed to control it going from 37.6 back down to 36.8 without the need for calpol or a call to the BMT on all reg.
He’s been bouncy and happy and just a little stir crazy, can’t wait to get him out and about!

So as the new school term approaches I greet it with mixed emotions. My first born Lily, so seriously ill last summer, starts secondary school with her twin sister. She is happy, healthy and a completely different girl to the one who suffered so much last year. Last year she returned to Year 6 with a cushingoid face, tiny frame, almost unrecognisable from who she is today. For that I am so so grateful.
This time last year I was starting to get excited about my new class, home visiting etc. They were a fabulous class, with so much promise. I hoped to be in school all year, unlike the year before, and was confident about that.
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He was an excited 4 year old boy who couldn’t wait to join his siblings at the local primary school. November the 15th 2013 was the last real day he attended. He’s done a few sessions since but literally a handful. He won’t return to school to rejoin his class mates in September and my class of 2013-14 have moved on to the next teacher and my new class will remain names on a list until Herbie is well enough for me to return. That makes both of us sad. However Herbie will get to see his lovely outreach teacher again which makes us happy!

I have so much hope for the future though, things are going in the right direction, we will keep going.
I received a lovely gift from a friend’s mum this week…couldn’t have been more apt…thank you
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Oh no he isn’t ! Oh yes he is!

The last few days since we left the JR have been lovely. Herbie has been on top form and we finally started to get into the swing again of being a family of 6 in the summer holidays.
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I won’t lie, reading about everybody enjoying sunny weeks abroad or by the sea in this country did make me sad that it was once again something we couldn’t do. Even days out are impossible. The summer holidays are flashing by and to me they feel like I haven’t started them yet.
Being at home, as great as it is, is not without it’s glitches. Firstly there is the feeling of Groundhog Day . Every day mirrors the one before. Medicine times rule your life. Meds are 8am, 1pm, 3pm, 6pm and 11pm & Community nurses come daily for a few hours leaving time from 8am -12.30 and 3-6pm to do anything.
Another problem is acclimatising the children to being back together. Herbie is now a more demanding 5 year old, wanting his own way and expecting to get it! This is particularly difficult for Rufus, being only 6, to accept or tolerate.
However, despite all of this I know all of us would rather be at home which was why, on Tuesday, 6 days after we were discharged , T+95, we were gutted to be back in hospital for the 3rd time since discharge from GOS.

The morning is a telltale sign with Herbie. He wakes full of beans and if he doesn’t alarm bells sound. He woke complaining his tummy hurt. It seemed to get worse and he wouldn’t eat or drink. A hot water bottle was hastily filled and it was rubbish to see him laid out on the sofa obviously in pain.

A call to GOS helped ease the worry. We were to give paracetamol as he was afebrile , 36.4, and see how it went. If it happened a gain we were to call back.
The calpol did the trick and for a few hours he was happy although certainly something wasn’t quite right.
The pain returned and this time when I took his temperature I was sad to see 37.7. Now although it’s not a temperature per se , his temperature had not gone above 37 in the last 10+ days. Something was brewing.
Another call to GOS. We were to retake in half an hour and call back. In half an hour it was 38.1. Automatically starting the GOS protocol of TAZ/PIP starting and being given for 48 hours and line cultures taken. This meant going back to hospital for the third time since transplant. None of us were happy.
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On arrival we were met by our nurse and then a doctor from the Acute Team who didn’t know him that well at all and a doctor from the ID team , who knew him very well, had made the plan with GOS but was on his way home.
Frustrated I had to go through everything again with someone who doesn’t know him but pleased our usual team had liaised with GOS and knew the plan.
So fast forward to today, day T+98. We are still in our local, despite GOS saying 48 hours on Tuesday, despite no abdominal pain since Tuesday evening, despite no fever since early Weds morning, despite nothing growing. The reason is that his CRP was 80 or something similar and had increased slightly since the day before. I am no medic but from conversations etc I know that CRP is a marker for inflammation and infection and is usually under 10. I also know that it lags behind the clinical picture.
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Herbie is now so fed up with hospital stays, he’s becoming increasingly grumpy, shouting at doctors to get out of his room and asking everyone who comes in if he can go home yet.
Yesterday Dr Ed suggested time outside. Herbie was thrilled to venture to the park opposite that thankfully was empty. It really is so boring sitting in a room day after day especially if you have done that for approximately 16 weeks so far this year!
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Fun on the swing
Fun on the swing
Outside!
Outside!
Escaping from the hospital
Escaping from the hospital

On our return it was confirmed that we would stay again last night which made everyone feel flat. To cheer Herbie up we waited until 9.30pm when most of the ward were asleep and headed to the , normally out of bounds, outside playroom.
Herbie enjoyed being able to go there once more.
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Sadly another child arrived and although the parent said they would stay in the inside playroom Herbie became anxious that he might come in and he might ‘get sick’
Back in the room we amused ourselves with games and iPads
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And some Ninja exercises apparently!
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Finally I persuaded him that sleep might be good, it was midnight!
Today we are just sitting here waiting for news, will bank holiday be spent in hospital or at home?

The wonderful Play Specialists here make life more manageable for us both. Today he was allowed to have the first go on a new acquisition of a motorised tractor. Grace and Sam arranged for him to take it down the back corridors and in the Community Paeds outside area. He had a fab time!
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They are also fundraising for more resources and asked Herbie to feature on the poster! He was thrilled!
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In other related news, it has been decided that I can’t go back to work in. September despite really wanting to. I can’t offer assurances that I will be there permanently yet and that isn’t fair on my colleagues, the new children or Herbie and my family. I am very sad as I miss teaching so much but I was also relieved that my wonderful colleagues took the decision from me. It was one less pressure.

Herbie continues to get gifts, post etc.
Another wonderful holiday letter from Hope, presents for both Herb and Ru from Old family friends Diane & Derek and from Texas, a parcel containing a plethora of goodies and this amazing tshirt from Try and her family. The tshirt is from Counting on Hope, https://www.facebook.com/CountingOnHope.
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Donuts from Vic & family!
One thing we are not short on is love, friendship and support!

Is he going to be out for bank holiday weekend?
I hear shouts of
“Oh no he isn’t!”
“Oh yes he is!”
I really feel like we are living a pantomime!

Should I stay or should I go now?

T+87/ 88/89

The last few days have been very busy. Days 87 & 88 were the new pattern of sleeping at the JR and leaving as soon as possible in the morning after the dose of TAZ. Herbie has been on great form and full of energy. During his time at home we have seen him dressing up, like he used to, in his fox outfit for renditions of “what does the fox say?”

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He was actually ok about returning to room 5 of BHD every night. He was often greeted by notes from the play specialists.

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He enjoyed these and I guess he’s really enjoyed the attention from the nurses, doctors and play specialists. He’s enjoyed watching his DVD’s and having one of his parents giving him their undivided attention. However, it’s not all great, he’s missed his siblings, evenings on the sofa singing and dancing and laughing. He tried to recreate it with the nurses and showed them his dancing and singing. His energy levels have been great and his laughter infectious!

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T+88 was much like the previous days apart from whilst our nurse Maz was busy giving Herb his TAZ the doctor, Ralph , arrived to check him over. He seemed very pleased with him and said his bloods were looking good and CRP was now 7. He would be talking to Professor Pollard about when Herbie could go home. I returned home feeling optimistic. Hopefully not much longer in hospital. as usual the day passed by very quickly and before I knew it Herbie was returning to Room 5 and his Park view.

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Dan was going back with him for the night and I dropped them before returning home. As I was driving back my  phone rang. It was Dan (don’t worry I was hands free obviously!) he called to say that one of the ID team, Dr Manesh, had popped in. Only that day we had been talking about how we hadn’t seen him for ages. Dan told me that he was pleased with Herbie’s blood results and that things were good. I could tell Dan was keeping something though, good news before bad? My instincts were correct…Professor Pollard wanted Herbie to do 2 weeks of TAZ to be on the safe side which meant this part time hospital thing would continue until next Monday!  (Almost another week). I can’t  begin to explain how angry and disappointed I felt. The summer holidays were supposed to be our family time after the 9 weeks at GOS but we had spent most of it in the JR. I felt like this was crippling us more than the actual transplant. I admit I went home and called Dan again to vent my anger. The tough thing is that we know and trust Professor Pollard, we assumed that this had all been done in consultation with our BMT team, who are ultimately our care team for the 6 months post transplant, and realised we would just have to get on with it!

T+89 : Our trip to GOS for our second outpatient appointment was today. I collected Herbie and Dan from the JR at 9.30am and we headed to London. I was quite excited about the appointment as Herbie seemed well & I hoped they would feel the same. We arrived with time to spare and ate lunch in the park by the hospital that we had spent so many hours in during the transplant.

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Then it was off to GOS to book in & wait for ultrasound. This is one of Herbie’s least favourite things but we reassured him it would only be a quick one this time as he’d had two at Oxford already.

Not happy to be back
Not happy to be back

I should have learnt by now not to make promises. The ultrasound was a full abdominal one , it took a while and although he was unhappy he contained his frustration. “All done” the doctor said and Herbie started to wipe the jelly off. The dr went off and returned just as Herbie put his T-shirt back on  and dropped down from the bed ,announcing  he needed more pictures! This was enough to send Herbie into a rage. He refused to get back on the bed or remove his tshirt and he really kicked off. Dan lifted him onto the bed and he was kicked! I seriously have NEVER seen Herbie this upset. After the ultrasound he was not calmed down either.

Lashing out during ultrasound
Lashing out during ultrasound

The tantrum got worse and all the way to Safari Outpatients on level 9, including the time in the lift, Herbie was lashing out and shouting. It really was something I have never witnessed before.

Once  in the outpatients waiting room it continued, he refused to co operate with obs, his heart rate registered 165 and he was asked to calm down as this is not good for him. The lovely HCA realised he was fighting a losing battle and told us to go back out and sit down. He’d try again when he was calm. However the calm didn’t arrive. Dan was the target of the abuse and left the waiting room in an attempt to help him calm down. A nurse arrived to take blood, she also mentioned an NPA, which I advised her was his least favourite thing and would not calm him but make him worse!

She got the blood and much to my annoyance and dismay the other admin staff there thrust 3 (yes 3!) questionnaires in front of my regarding my experience today to complete! Herbie got a stitch from all of the yelling, he was in pain and very upset. Juliet & Sebastien, two BMT buddies were there for their appointment but before we could chat properly  Dr Robert, one of our favourite BMT specialist doctors, came out to call us for consultation. He was kind and calm with Herbie , offering him the bed in the consultation room to rest on. Finally Herbie calmed down and fell asleep.

The appointment went really well. He’s very pleased with how quickly the haemorraghic cystitis cleared as apparently it can be long and painful (although not dangerous). His bloods looked good previously and immunity was getting better. Last time we were there the engraftment bloods showed he is still 100% engrafted with Ru’s cells!  It’s time to wean off of the steroids and MMF, both suppressants of the immune system. Yippee, a plan was made. He asked why we were still in our local, we explained the decision made by prof Pollard. He said there was no need for the TAZ to continue & we could go straight home!

We had to go home via the JR for the iv’s and whilst there we had a call from Netty , one of the BMT clinical nurse specialists, confirming the TAZ could stop.  Maz came to tell us they had had the call too. The doctors were not happy that GOS had over ridden their decision but we decided to let them fight that one out. Herbie was thrilled to be finally going home.

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We waited for Dan to get the car,

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Finally we were home. It’s time to get some relaxation now. Herbie’s fluid target is reduced to 1600ml & things are looking positive but wow, what a headache Dan and I suffered that night!

This BMT malarkey sure is exhausting!

We keep backing and forwarding don’t we mummy

T+85

The first couple of days of “The Compromise” have gone to plan. Yesterday Dan came home by around 9am with Herbie. The Fab Four were happily reunited, singing commenced, laughter, tears and general normal family mayhem ensued.

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The hours flew by, community nurse Morag arrived for iv’s, Dan cleaning and cooking, me sorting and putting washing on and then putting it away. We ate dinner together and then it was time to gather our things to return to Room 5 for the night shift.

To be honest I think it was hard for everyone except Herbie , he accepted what had to happen and actually planned his TV viewing and game playing! I longed to stay in my own house, sleep in my own bed but I smiled and went off to the car with a fake bounce in my step!

We settled down for the evening. It was quiet on the 16 bed ward, only 6 beds occupied and the majority at the other end of the ward.

The downside of the excitement of going home was that he’d struggled to drink as he was too busy playing.this meant he’d had only a few hundred mls so he had some catching up to do! In true Herbie fashion , by bedtime he was only 30mls short and so I topped him up with water via the peg.

Anne, our nurse for the day, left with promises of “see you in the morning” and “we’ll get you out of here ASAP ” and Tracey arrived for the night shift. Herbie asked for his Hickman Line Dressing to be changed again (despite not being due) as the loop had fallen. Tracey obliged and then it was time for bed.

I settled down in the dark with my secret cup of tea and Netflix to drown out the battering of Hurricane Bertha and numb the longing for home.

T+86

A great start, I got up and prepped the meds, Herbs woke full of the joys of spring and whilst Anne gave the TAZ I ran off to bring the car to the front to try to avoid the lashing of the rain. We were heading towards home by 8.25am.

The others all went for an early morning swim leaving Small & I home alone. This gave rise to some of his usual humorous comments and some of his more wet eye moment ones.

Did I think that he had let Mrs Hill (his teacher at school) down this year? I replied that of court he hadn’t. I’m sure she really was sad that I missed all of the plays, especially the Christmas one he said. I let Mrs Morgan down too as she said she hoped I’d be better for Christmas and I wasn’t .

Had I noticed that he could run fast now? It was because he had Rufus’s cells now wasn’t it?

Then after a huge sigh he announced ” I expect you are fed up with all this backing and forwarding all of the time?” I smiled but inside I was laughing out loud. What a noodle he is!

The day almost felt like a normal Sunday. Herbie drank well towards his 2.2 litre target and ate a large dinner.
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However 4.30pm soon came round again and we had to pack our bag, collect the meds and head back to the hospital for the night.
Herbie ran through the car parks and insisted on taking the two flights of stairs to Level 0 instead of the lift. He was absolutely bursting with energy!
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We arrived back to the ward. We settled down for the evening and by 7pm Herbie was saying he was ready for bed. He fell asleep early and left me to a long night with the ipad and a box set on Netflix.
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I went to sleep hoping that we are not going to do have to do this for much longer.

So let’s say we compromise?

T+84

With the carrot well and truly dangled just out of reach yesterday our minds were filled with ways around the problem. So clearly last time when the TAZ stopped and we went home the fevers returned. Now from a parent point of view this could be two things,
A) he needed a longer course of TAZ to completely get rid of a bacterial problem
B) he picked up a new bug whilst in hospital

To both Dan and I the former seemed more likely. With that in mind, although we desperately wanted him home we also didn’t want to be back in hospital in just a few days post discharge as before. This meant hanging in there for a few more days but how many we didn’t know. The school summer holiday that we had envisaged being our ‘time as a family’ was being eaten into, the return to school adverts were everywhere, friends were returning from sunny holidays in far away places and we were still waiting for our ‘fun times’ to begin!
These past few weeks were not what we had hoped for. The grandparents , aunties & uncles and friends had all done their bit to amuse the other three but we really needed to be together as a family.

As far as Herbie was concerned he was still fever free, all obs were great and his haemorraghic cystitis appeared resolved. He has a residual cough and is on occasion snotty, no doubt why he coughs, but it’s all very much upper respiratory. To be absolutely sure another chest X-ray was ordered. We waited to be called around 12.30. However there were delays and I was so desperate for a cup of tea that when Sam and Grace, the play specialists, offered to play with Herb for an hour I checked nobody had called from radiology for us and then headed to the League of Friends Cafe. As I sat down with my lovely mug of tea one of the ward HCA’s arrived, Herbie had been called to come down straight away! I didn’t even get a sip!

The X-ray was done very quickly, Herbie knows the drill and obliges. He couldn’t wait to get back to some messy play with Sam and Grace!
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He really had a great time and I think Sam and Grace did too.

Professor Pollard arrived to see if we had arranged the training for the iv’s. I explained the discussions that had been had with the nurses and he said that he felt we should get day release as a compromise so that we could finish the course of TAZ . He wouldn’t commit on how long the course would be saying probably 7-10 days, we were really only at 3-4 days in so it was a big commitment. He wanted to see the CRP come down and stay down. We also have a GOSH appointment, including bladder ultrasound, on Wednesday so they would input then too. Gosh had reduced his fluid target again to 2200mls with 1000mls to continue on an overnight feed to space it out. This is good, although Herbie always manages to hit his fluid target daily? He’s eating well and drinking well and his fluid output is good and he is full of energy. Surely this madness will stop soon? This shared care does work on the whole but sometimes it is incredibly frustrating, especially when both hospitals are very good and want to take charge!
So anyway, Prof Pollard said we could start the day release probably from Monday as it was a bit late to contact the Community Nurses to reinstate the amik and Micafungin iv visits for tomorrow. When they had gone however the nurses said we would go home on Saturday at 8.15am and they would contact the CN Team.
Later it transpired that they hadn’t yet contacted them so I sent texts/emails to see how viable it was. Lovely CN Sarah replied saying they could help out , music to our ears. The compromise would be a reality from Saturday!
I left Dan and Herbie to head home for the night knowing that we would be together tomorrow, albeit for a few hours.

Today’s BMT Fact
Why a donor’s age matters

When it comes to identifying a marrow donor, doctors weigh many factors. One factor is the age of the donor. Medical research has shown that cells from younger donors lead to better long-term survival for patients after transplant. Doctors request donors in the 18-44 age group over 90% of the time.

Dangling a carrot

T+83

It’s incredibly hard being in hospital when Herbie appears so well! He’s bouncy, reasonably happy (apart from the being in hospital bit!) and drinking well and eating too (although GOSH BMT kitchen food is streaks ahead of the JR).

Dan spent most of the day with Herbie in Room 5 on Bellhouse Drayson. Not much happened apart from the clown arrived to make a balloon sword and a balloon motorbike (apparently!)
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When I arrived  he was thrilled that I was clutching his copy of Rio 2 and that joined his viewing list!

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It was a slow day news wise. He managed the whole day without a fever. It seemed obvious to me that the TAZ had been stopped too early previously. I was chatting to Dan about it and saying maybe it wasn’t viral after all when Professor Pollard and Dr. Truck from the ID team arrived. Prof Pollard then said exactly what I had said to Dan! He said he felt whatever it was was bacterial and TAZ sensitive so he wanted to make sure he got enough BUT he wanted to get us home, he hoped if we were willing to learn to administer the TAZ that it would be tomorrow. Yippee! He said it could be something in the chest or sinuses, an x ray tomorrow could rule out the chest.

However the excitement was soon dampened, the dangling carrot seemed a little farther away after a chat with our nurse who said learning to give the iv needed a specialist teacher and time, she felt home tomorrow was unrealistic. (As I had also suspected!)

When I was coming back up the stairs to the ward after visiting the shop I bumped into Dr Kelly, another of my favourite doctors and one that has been through most of this journey with us. He is such a kind and gentle doctor and I always feel so at ease talking to him. We chatted about Herbie, transplant, Lily etc. I do feel lucky that we have such a great local team.

Herbie had his Hickman Line dressing changed on his request and then settled down to a few dvd’s.

View from our bedroom window
View from our bedroom window

I spent the evening watching Netflix (the TV goes off just before 8pm here so the ipad, Netflix, iplayer etc are essential!)

Can’t believe that yesterday was my 100th post on the blog! I guess I need to end this one with another interesting fact, you will like this I think…

Blood has a gender: a quick school biology refresher: In humans, whether a person is male or female is determined by their two sex chromosomes. Females have two X chromosomes and males have an X chromosome and a Y chromosome. Gender is present in the immune system and blood-forming cells, so if a male has blood from a female their blood is now female.

Apparently a female patient with a male donor has a lower risk of graft-vs.-host disease than other gender combinations. A male patient with a female donor, in contrast, is more likely to get GVHD because the transplanted female cells can recognize the male recipient’s tissues carrying a Y chromosome as foreign and attack the tissues.

Herbie had an optimal transplant of same gender, family donor and same blood group! His blood stayed male but I know that most of the other transplanted children I met had the opposite to themselves. So interesting!

Another day of hanging around hospitals

T+82

Only 18 days until the 100 day marker! Wow!
I woke early and felt completely shattered. A lot had gone on last night and although I wasnt actually required during the night I slept badly.

When the platelets had arrived and were about to be given, around 2am, Maz (the nurse looking after Herb) said she had felt him & he felt warm. He didnt have a temperature but he was heading towards one. During the transfusion of the wonderful Bristol O- platelets, obs were done, as is standard practice , to ensure no reactions however Herbie did spike a temperature meaning the transfusion had to be paused whilst a doctor reviewed him. All other obs were great so Herb finally got his platelets.
And some much needed sleep!

At 8.00am he spiked again! He had to wait until 8.45am before he was allowed more Calpol but he slept. When Dr Ed arrived with an entourage of other doctors there was much frowning and a little raspberry blowing. Then an arm pointed to the door! “Dont you all know I need a poo!” Herb announced! Oh dear!

The day passed by uneventfully but slowly and thankfully , after the initial spike, fever free! Whoop whoop!
The play specialists, Sam & Grace, came in and played games and danced & sang to Everything is Awesome with him.

Prof Pollard & Dr Truck checked in briefly and left again.

On the walls around Room 5 were an increasing number of notes!!!

First there had been the one Dr Liam had put up. That one had evolved overnight to this…
This made me giggle.
There was also this on the whiteboard…

Which Dr Liam had changed to this

And Laura, one of our community nurses , had added to it too.
Herbie was thrilled to get another note from Hope about her holiday. He loved the train cards Hope and the holiday sounded amazing! He particularly liked the sound of the sweetie jars in the caravan. Thank you!
Two other things I have meant to mention.
Firstly the Well child award nomination. You may remember he was nominated before transplant. Herb didnt win but got shortlisted. We were very proud of him x

Secondly how lovely people have been. Herbie received a party invite with a covering letter explaining that they knew he couldnt come but he was invited & he would get cake! How sweet! Thank you Oscar xx (and Rachel!)
Dan arrived to take over. I was so tired that I fell asleep and needed a gentle reminder to go home!

Fingers crossed he stays fever free over night!

Today’s BMT fact is about being the donor…

Because only 1 to 5%  percent or less of your marrow is needed to save the patient’s life, your immune system stays strong. After 4-6 weeks your immune system is back to normal again.
1% of you could give 100% to the recipient, how stunning a statistic is that?

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