The Center for Bloodless Medicine & Surgery at Pennsylvania Hospital
 

Winter 2001

Multiple Myeloma
Bloodless Stem Cell Transplant
Bloodless Medicine & Surgery - A Growing Trend
Fighting Anemia
 

My Struggle with Multiple Myeloma

Winter 2001

"Anthony L., we believe that you have multiple myeloma, a form of bone cancer." These words, spoken by my hematologist-oncologist changed my life on May 6, 1999. This was the same cancer that took the life of my father in 1988. I was informed that no cure has been found for multiple myeloma, but it would be possible for me to live longer by accepting certain treatments - a blood transfusion, a bone marrow transplant, or a peripheral stem cell transplant.

As a Jehovah's Witness, my conscience would not permit me to accept blood transfusions. When I was advised that a bone marrow transplant involved the use of blood, I also refused that. My physician advised me that she could not perform the stem cell transplant without blood and referred me to the Center for Bloodless Medicine & Surgery (CBMS) at Pennsylvania Hospital. Dr. Patricia Ford, medical director for the Center, agreed to perform the procedure without the use of blood. She is the only physician on the East Coast to have successfully performed this operation on several patients.

In December 1999, I traveled to the CBMS at Pennsylvania Hospital from my home in Pittsburgh where I underwent a peripheral stem cell collection - commonly referred to as a cell harvest. We returned to Pittsburgh to wait until my blood count returned to a satisfactory level in order to complete the stem cell procedure in Philadelphia. Upon my return to Pittsburgh, my kidneys failed, and I became too sick to return to Philadelphia. The multiple myeloma started to aggressively take over again, so my hematologist-oncologist started cytoxan chemotherapy, and albumin pheresis for my kidneys. My wife and I returned to Philadelphia on January 17, 2000 and started high dose chemotherapy, then the peripheral stem cell infusion. We remained in Philadelphia until February 15, 2000.

During this process my red blood count dropped to five. I experienced breathing problems, diarrhea, loss of appetite, hair loss, and heart problems. Despite my ill health, I did not give in to depression or despair. My beloved wife was there by my side for the duration, ever watchful, and always attentive to my every need. The CBMS staff provided constant support during my stay at Pennsylvania Hospital. A staff member was always available to assist us with flight and hotel arrangements, and someone from the Center stopped in every morning to provide encouragement. The physicians and nurses at Pennsylvania Hospital treated us like royalty, explaining procedures in detail, checking on us and attending to our every need.

Today my wife and I are back in Pittsburgh. My blood count is back to normal, the stem cells have done their job, and I am feeling better. My only complaint is that my hair hasn't started to grow back yet, and my head is cold! While there is no cure for multiple myeloma, my disease is considered a "stable disease". Without the stem cell transplant my disease would have progressed. If I couldn't have had it without blood transfusions, I would have never considered the transplant. I take life one day at a time, always grateful for the opportunity the CBMS at Pennsylvania Hospital has given me.

 


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