Life after a SCT - A Survivor's Guide

  • 580 replies
  • 25 subscribers
  • 577196 views

Let's see if we can collect some helpful information and real life experience that we can signpost folks to after they have come home from their Stem Cell Transplant.

A couple of useful things I found were:

My Consultant told me that going through treatments like these was like doing a boxing match and a marathon every day over the months of treatments and this was done without any training.

Think doing the London Marathon without any training and you had to finish it as your life depended on it……. this is the journey you have been on so it most likely will take much longer than you would think to get back to some normality - it took me a good 2 years and I was 60 at the start of my recuperation.

Yes some folks bounce back quickly post treatment but more than often folks take a considerable amount of time to recover.  6 months is the average recovery time…… at 3 months post my second SCT I was just out of my wheelchair and able to do a few steps with my walking sticks…. I was not able to feed myself due to my bad Peripheral Neuropathy and even then I was not eating much……. Your body has been through far more then you imagine so be kind to yourself, give yourself a break as you are doing good and honestly this will pass.

There are sign everywhere in my local Heamatology ward and clinic saying a week in bed is like ageing physically by 10 years

My consultant gave me this basic percentage scale for classifying where I was on the recover journey.

50% = when in the hospital going through the transplant process.

60% = significant medical/physical issues that do not allow any physical activity apart from a shower and short walk and not able to prepare food. Reliant of others for preparation of food.

70% = Significant medical/physical issues that do not allow any specific physical activity (not including a shower) but short walks and making a pot of soup. Will nap after the task.

80% = Physical issues that limits you to one activity per day. (not including shower) Able to prepare some food for a couple of people but most likely still taking a nap after activities.

90% = Some physical issues remaining (weak legs etc) but able to do a few tasks and may not be fully fit for permanent work but could do part time work. May have to .take a nap after doing tasks or work.

100% = No physical after effects and able to do multiple tasks including being back to work.

She also said on average recovery time-line is about 6 months with your recovery improving about 10-15% per month post SCT

This is an average time-line….. with general acceptance that when in the hospital going through the SCT process we are physically at about 50%…… any less would indicated some comorbidity issues like pre-existing health conditions that may reduce the 50% starting point and possibly add a month or so onto the recovery end…..

For example I have Asbestosis so this was looked at very closely and due to my prognosis was seen as an accepted comorbidity……  so I went back a good 10%…… other issues could be blood cancer type specifics, genetics…..

A web page by the Anthony Nolan Trust - The First year post SCT (link)

A web document by Dr Peter Harvey - Life after Treatment (link)

  • Hi Jaymacab,

    Daughter tried to build up a bit, knowing she’d lose some ground, ate healthily but also had the naughty extras we all normally try to avoid, cream buns and stuff! 

    I suspect supplements really need to be checked over with your team, and those which might be needed like nutrition drinks, would get prescrived by the dietician if they are needed.

    I’ve heard too, that turmeric is a useful culinary spice to aid cancer-killing drugs but for cancer-relieving alone might need to be in large quantities, probably not that palatable! 

    Hugs xxx

    Moomy

  • Hi I'm just over 5 months on and not losing anymore weight but not putting any back on ,though I haven't been weighed since 29th Jan. I'm back in my old clothes as I purposely put weight on before SCT I was 63 kilos, I'm now 53 kilos. I am still having the odd night where I'm sick all night, then I'm tired the day after then after that I feel much better than I did before. It's very strange I went to Zumba this morning and was as fit as I was before I went in. I had a slight cold a few weeks ago followed by shingles. But I'm fine now, I just have a bit of phlegm that bothers me late afternoon till I sort it. I no longer feel like I've been kicked everywhere and my jaw feels better. My teeths sensitivity is much better thanks to Colgate and I'm eating much better.

    As for clothes the waist has gone two sizes, I've bought a few new ones. Though I'm doing Zumba 4 sessions a week most weeks, I still need to build the muscles up in my legs and arms. I feel very well may it continue

    Sue 

  • FormerMember
    FormerMember in reply to Orson

    After my allo I seemed to feel the cold more. Wondered if it was due to loss of weight or change of metabolism. Spent all summer in fleeces and woolly hats. Eight months on I'm back to normal- ish though not put on the weight. So guess it was metabolism.

    Tessa

  • Ooooh, yes, Tessa! 

    Daughter got home partway through October and even when we all piled up there for Christmas, she had heating full on, wood burner going full blast, a fleece round her and wearing lots of jumpers, we were in tee shirts taking time out to pop outside to cool off!!!!!!

    I suspect that it affects your internal thermostat! 

    Hugs xxx

    Moomy

  • Lol moomy, when I was in hospital over this past New Year with Pneumonia I just felt so cold in my little aircon room so I had a fleece and blanket round me. My wife came in and proceeded to remove all her layers then my nurse came in and did my obs then proceeded to remove my blanket, gave my fleece to my wife to take home and turned up the aircon and went and got an electric fan.......... I was absolutely frozen for about 3-4 days :) :)

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • Yes, of course we did check daughter’s temp! 

    But we had all this with son as a baby and toddler, he used to get febrile convulsions and so getting calpol or whatever into him, often antibiotic but then a warm bath and a fan in his bedroom was the way to get his temp down! 

    So I sympathise with your memory....

    Hugs xxx

    Moomy

  • I came across this during a desk tidy today so thought it would be interesting to put up on this thread but remember your own SCT Team will have their own Vaccination Schedule.

    I do hope you are having a relaxing Saturday but as the Scotland v England 6 Nations is on I think its not going to be ;)

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • Thanks Mike,

    But of course most SCT units will normally send their schedule straight through to the patient’s GP. 

    It’s really useful to have it ‘on file’ though.

    Hugs xxx

    Moomy

  • That is very true moomy and yes my schedule was sent direct to my surgary who are very good but with the amount of letters and reports they get in I still had to prompt to have all the vaccinations done at the correct times.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • FormerMember
    FormerMember in reply to Thehighlander

    Hello all

    Today I had an outpatients review with a different doctor, and I learnt a few things, or maybe I didn't quite absorb them first time round. He said that if we have any problems in the body, that's where GvHD is most likely to strike. So dry skin may attract it there, or drinking alcohol may attract it to the liver.

    I am 9 months post allo transplant. My overall chimerism is still over 90%, but my T cells which are a particular component seem to have gone down from the 80s to the 70s despite having a top up of stem cells (donor lymphocyte infusion). They took another chimerism test today and I'm due another DLI in six weeks. They measure my immunity with something called a CD4 count. Seems mine has gone down a notch from 0.23 to 0.18. Normal is 0.3. So still on neutropenic diet, boiling drinking water, not allowed to do gardening and be careful of mixing with people. (I have to say I have started visiting gardens as a substitute to getting my own hands dirty.)  It's all very complex and I don't really understand it all. I'm just telling you so you might see what to expect at this stage. Those further down the path will know!

    I got into conversation with two people in the waiting room. One had his transplant eleven years ago, and still has to do outpatients every month. In my limited experience this seems unusual, as I have spoken to people with much more recent transplants (and on this forum) who have dropped to six weeks and then 3 months then 6 months.

    Another person was 22 months post transplant (very precise!) and was doing well until last autumn. Then an infection put his chimerism down to 8% and he needed a large DLI and then had GvHD.

    I hope that doesn't scare people. But it just shows how individual each person's experience is, and what a rollercoaster it is (as Highlander often says).

    Tessa