Two Years Today Since Transplant 2.0

Dear Family and Friends,

Today is the second anniversary of Barry’s second transplant.  We met with David Miklos yesterday and I asked if Barry was “cured”.  (Barry was not happy about this question. He thinks it’s a jinx.)

First David said, jokingly, “I always consider my patients cured until they’re not.”  He then amended his sarcastic statement with this very meaningful one.

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Update — all good

Dear Family & Friends,

It is almost 18 months since Barry’s second transplant and he is cancer-free.  (He’d rather I write that “the doctors believe he is cancer-free”.)  The reason the docs know this is that he has chronic Graft vs. Host Disease (cGVHD).  There would be no GVHD without an H.  It manifests itself in his skin, red and sclerotic, and he has been treated for this with the dreaded Prednisone, a miracle drug, with very nasty emotional and physical side effects.  They are (finally, after much begging) tapering down on the Prednisone and Barry will start in a clinical trial with Nilotinib to treat the cGVHD. (Nilotinib is Gleevec 2.0 because Gleevec is out of patent — don’t we love the drug companies…)  The trial is here if you’re interested http://med.stanford.edu/profiles/frdActionServlet?choiceId=showClinicalTrial&&studyId=6317&fid=6165. David Miklos is the principal investigator.

Barry asked the other day why cGVHD is such a big deal if he doesn’t really mind the skin problems. Read the rest of this entry »

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Barry’s new first birthday

Dear Friends and Family,

Today is the one year anniversary of Barry’s second transplant.  Many people count that date as another birth date.  Barry’s health is good.  He has some minor GVHD (graft vs. host disease) but that is a good thing because he has a graft.  He never fully engrafted with the first transplant.  He is on steroids (not a lot of fun) but we are hoping that he will be able to get off of them in the future.

We met his amazing and generous (two-time) donor.  Here’s a photo of them together, taken a few weeks ago. Read the rest of this entry »

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Much to be thankful for

Dear Family & Friends,

This has been a great week.  Results from last week’s biopsy show no disease and that Barry is almost completely engrafted.  Read the rest of this entry »

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What a week — The Good (really really good), The Great (Giants win the Series for the first time in SF), and the Ugly (except for our fair state)

Dear Family & Friends,

What a wild ride we’ve been on health-wise.  Last time I wrote, Barry’s engraftment was dropping.  Last week his white blood count and absolute neutrophil count (neutrophils fight infection) plummeted and he wasn’t feeling well.  After four shots of Neupogen, his counts recovered, and in the meantime, they did another chimerism (engraftment) test.   Read the rest of this entry »

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