Thursday, May 26, 2011

MS Walk and Research Study


To all our incredible donors: Team Glazier thanks you!

As we mentioned previously on this blog, Chris and I decided to participate in the Ottawa MS Walk this year. We feel a huge amount of gratitude to the MS Society, who  funded the stem cell transplant trial, as well as the research study that Chris is now participating in.

We also feel a huge amount of gratitude to our friends and family that signed up to join our MS Walk team,Team Glazier, and generously donated. In total, we raised approximately $6,500.

For anyone still interested, we can still accept donations for the MS Walk until June 13
http://msofs.mssociety.ca/2011WALK/SponsorTeam.aspx?&PID=1246591&L=2

At the walk, I was interviewed by CTV News about Chris' experience (they had read our blog!). Now some people claim they saw me getting emotional, but I still stand by the fact that I was cool and calm.


While the walk was such a great day, Chris did have some difficulty walking the 5 km. Chris finds that especially in the cold his muscles in his left leg seem to contract and it puts a lot of pressure on his hip. For the last 1 km Chris was definitely in a lot of discomfort, but he pushed through and finished the walk. Chris has been doing so well since the procedure, we sometimes forget that it is not an instant fix.

Finally, we have received Chris' schedule for the MS Research Clinic. Chris will be spending the morning at the clinic on June 13 (exactly 6 months following his transplant). He will also be getting an MRI on June 17.  This means we will have a much better idea on how this procedure has affected his MS.

Monday, May 2, 2011

4 1/2 Month Update


Chris had a week full of appointments this last week.

Last Tuesday, we went to his last transplant appointment. Chris is recovering so well that he has been moved to the MS clinic and will be monitored by Dr. Atkins. His blood work came back much better this month and were all within the "normal range" for a transplant patient.

Next, on the weekend Chris went and had his IVIG transfusion. Unfortunately, I came down with a really bad flu (Chris was taking care of me this time!), so Chris had to go to the appointment alone. The good news is even though he was around me all weekend, he hasn't yet shown any signs of feeling sick. This new immune system he has seems to be immune to my germs.


Chris today vs. Chris in  January. This would have been the difference
 Dr. Atkins would have seen today.

Finally, today Chris had his first appointment with Dr. Atkins and the nurse co-ordinator with the MS clinic. Dr. Atkins had not seen Chris since he was an out-patient in January and when he walked in the door he was really surprised with how great Chris looked.  If you look at the pictures it is a pretty huge difference. We went over Chris' progress to date and it really is great to talk about how far Chris has come in such a short time period. He really is back to feeling how he did before the transplant.

We also learned about a post-transplant study that Chris will start taking part in. In 2010, the Multiple Sclerosis Society of Canada funded a research grant for "Long Term Outcomes Following Immunoablative Therapy and Autologous Stem Cell Transplant for Poor Prognosis MS." This study will follow any MS patients that have undergone a transplant to see if this transplant stops the progression of MS in the long term.

To date, all of the participants in the study have not progressed. Also, they want to see if any of the participants have improved EDSS scores. This is the system that is used to determine the level of disability with MS patients. This means that starting in June Chris will go in for a number of tests and an MRI to track his MS. The test includes a timed walking test, a math test, a vision test, a peg test (you need to place plastic pegs in holes) and, of course blood tests!

While Chris has never had a formal EDSS evaluation, but his neurologist did say he was about a 3.5 on a scale of 10. To give perspective on what that number means, a person with a  5 on scale is able to walk 200 meters without aid or rest, a person with a 7 is completely restricted to a wheelchair , a person with a 9 is completely restricted to a bed, but is able to eat and talk. 

There are people that have undergone the transplant that have improved substantially on the EDSS scale, sometimes going all the way down to 0.5, which means while there are still signs on the MRI scan there are no disabilities present.

We will now be using the blog to update you on Chris' progress, so hopefully the next time we blog in June, we will be able to tell you if Chris is improving!

 

Tuesday, March 29, 2011

Day +106

A lot has changed over the last month, especially in terms of Chris' health.

Since I am his wife I might be biased, but I think
Chris is looking pretty good! Look at that hair!

After having such a positive appointment last month, Chris went back to work on March 7 (less than three months after his transplant). Since his doctor recommended that he take a graduated approach, Chris worked three days that week, four the following week and then worked a full week last week. Really, looking back, we figure that Chris could have just gone back full-time. He has never really felt that tired (no more than usual after a work day) and has been able to jump right back into things.

A lot of his clients (Chris works in engineering) didn't know that he had been on a leave of absence. Since the majority of Chris' construction projects take place in the spring and summer, it is not uncommon for Chris not to meet with anyone during the winter. On his first week back he met with one of his main clients and they commented on his lack of hair by asking if Chris had lost a bet. I am assuming this because they had no idea what Chris had been through and thought his buzz cut had been a personal choice. The protective wife in me, however, would like to give them a hard time for being so insensitive. I think he looks pretty cute.

Chris is still working out, but has slowed it down a bit since his knee started to hurt him. He was up to doing 80 minutes on the elliptical, but is only doing weights until his knee is back to normal. The knee that hurts is, of course, his left knee (the leg that was affected by his MS).

On Sunday, Chris went in for his monthly IVIG treatment and since his regular BMT appointment was today, they ended up doing some blood work, so that we would have his results for his appointment.

Despite feeling better, Chris' bloodwork through us for a loop. We had already been told that they were going to discharge Chris from the BMT program and send him to the MS clinic. However, when they went to check his bloodwork the whole computer screen was full of red numbers. All of Chris' counts were MUCH lower:

White blood cells: 2.1 (normal 4.3 -10.8)
Platelets: 77 (normal 150-450)
And then remember that we stopped listing his neutrophils because they were so high that it didn't matter, well they had crashed down to 0.8 (1.8 -7). Chris wasn't allowed to leave the hospital until they were 0.5.
So needless to say we were a little concerned at first.

They retested Chris' blood again today and his white blood cells and platelets were higher than Sunday (3.5 and 85) and we are still waiting to get his neutrophil count, which will have likely risen too.

His doctors weren't 100 per cent sure why his counts were low. The one explanation is Chris had a mild allergic reaction to my paren't dog when we went to visit last weekend, and if he had any inflammation his body could have attacked and caused a drop in his counts. But since they aren't sure and Chris' counts are still low, we did not get to leave the BMT program and will need to wait to transfer to MS clinic.

The main reason we wanted Chris to be transferred to MS clinic is that we are really excited for him to have an MRI, so that we can see if there are any early signs of it working. Chris had an MRI of his head right after of the transplant when they were concerned he might have a brain infection, so we will really be able to see if anything has progressed since the transplant. While Chris has not had any visible relapses, it is nice to have the proof that this procedure was really worth it.

In other news, there have been a couple of exciting announcements in MS research that we thought we would share for those who are interested:

- The Canadian government launched a national monitoring program for MS patients in Canada to better gauge how MS progresses and which treatments work and don't work. It will be really interesting if this system will monitor Canadians that undergo this treatment.
http://www.thestar.com/news/canada/article/959100--ottawa-to-set-up-national-ms-surveillance-system?bn=1

- The first oral MS treatment, Gilenya,  has been approved in Canada. While not a cure, this is a disease-modifying drug that has been shown to reduce the relapses by 54 per cent. While Chris is no longer on any treatment plan, this news is really exciting for MS patients that require and respond to disease-modifying treatments as I remember how much Chris hated taking three needles a week.

Chris' doctors are still working on their report on their clinical trial. While Chris will not be included in the report, he did undergo the identical protocol, so we are really interested to see the report (and will be posting it on here!) to see how successful it was for everyone else.

It will also likely get more publicity for this procedure, which I think has gone under the radar. It wasn't until we were desperately searching the Internet that we find out about this procedure and even then, it was not clear that this was an option for Chris. There has been a lot of media coverage on the CCSVI procedure, so it would be great if this procedure became more well known to allow MS patients to understand their options

Tuesday, March 1, 2011

Day +78

A lot has happend since our last post. Chris had his third IVIG treatment on Sunday and had his blood tested again (White Blood Cells was 5.1!). We also hit a huge milestone on Sunday: 10,000 hits on our blog from over 20 countries!

Today was Chris' monthly check up and it went exceptionally well. As you can see, Chris is still recovering really fast (the last two photos are less than two weeks apart!).

In fact, he was approved to go back to work next week, which is WAY ahead of schedule. His doctor told us that transplant patients usually require three to six months before returning back to work, with most patients taking closer to six months to be ready. However, she really looked impressed when Chris told her that he was working out on the elliptical for an hour each day and lifting weights. She assured us that as long as Chris was feeling up to it, there was no health risk for Chris going back to work this early.

However, while Chris is feeling much better, he did get a little push last week in the form of a letter from SunLife Financial. Chris was denied long-term disability covereage due to a condition we didn't know about in their policy. Chris' work changed their coverage on long-term disability last June. SunLife Financial has a pre-existing condition that once an employee gets long-term disability coverage, they need to have a 13 week period in the first year when they do not require medical treatment.

Well Chris had an appointment to get information about the transplant in July, which was 12 weeks and 4 days before he started the procedure. Even though Chris wasn't "treated" for anything at the time, SunLife Financial includes all physican consultations as treatments and denied Chris coverage. It was definetly a set back, but luckily Chris was close to the point that going back to work was a possibility. In the meantime, Chris is working on writing an "I hate SunLife Financial" song that we can post on YouTube that will surely go viral.

Finally, our last update is about the MS Walk that we are participating in this May. Chris and I, in addition to some of our friends and family members, will be walking 5 km to raise money for the Multiple Sclerosis Society of Canada. The MS Society  is responsible for the funding of this MS trial and for other research funding in Canada. Last May, there was no way that Chris could walk 5km due to a severe relapse, and we are really excited that he will be able to participate.

We just wanted to post a link to our fundraising page to anyone that is interested in donating to the MS Society. It would really mean a lot to us if you can donate anything, and it will mean even more to the other 75,000 Canadians with MS.

Here is the link to our Team Glazier MS Walk  fundraising page:
http://msofs.mssociety.ca/2011WALK/SponsorTeam.aspx?&PID=1246591&L=2

Thursday, February 17, 2011

Two month update

Chris on Day +66 after his transplant and
feeling great!
Chris was officially two month post-transplant on Sunday (February 13). He has really improved leaps and bounds from our last update. He does 30 minutes of cardio each day and is starting to lift weights again (and  much more than 5 lbs now!) He can even keep up with me when I go on shopping trips, which is an accomplishment for any man, bone marrow transplant or not.

We have his next appointment on March 1 and Chris is going to discuss with his doctor about going back to work soon. Originally they had discussed June 2011 as a probable timetable, but at the rate he is going, it is hard to imagine being at home for another three months.

Even though he has made such hugh improvements in his endurance and strength, he is mostly proud about his hair growth. His hair is officially growing back on his head (lot of fine hair!) and for some reason his facial hair, especially his moustache, is growing back thicker than before. He needs to shave it almost every day now! Weird.

In terms of his MS symptoms we are trying to be alert of any signs of relapses or progression and maybe even  some signs of improvements. No relapses, no progression. In fact, Chris' last relapse would have been April/May 2010 (he had mitoxantrone in July to try and prevent relapses and progression prior to transplant). I get super excited just thinking about this.

 In terms of improvement, we are actually starting to pick up on little things. Prior to the transplant, if Chris used the elliptical, his muscle in his left leg would spasm and shake. Since he has started working out on the elliptical again after the transplant, he hasn't experienced any muscle spasms on his left leg.  It may seem really minimal, but it is such a hopeful sign for us.


Monday, January 31, 2011

Day +49


Chris' progression over the last six months. Top left: Chris looking healthy at the beginning of
August. Top right: Chris not long after his first dose of Cyclophosphamide in October.
Bottom left: Chris one month post-transplant (January 13). Bottom right: Chris at his IVIG
transfusion (January 30).

Chris went in to have his IVIG yesterday. It was our first time in the Medical Day Care unit since he had his stem cell collection back in October. The IVIG is used to help immune recovery after a bone marrow transplant and can also help prevent infection. We were told that it isn't crucial, but when they started this study on MS patients ten years ago they incorporated IVIG transfusions into the protocol. Since they are trying to keep all of the MS patients on the same treatment plan, Chris will get these transfusions every month for likely the next six months. At the same time we were told that if we need to delay a transfusion because we are going away for a weekend or have important plans, it is not a big deal.

The first transfusion was a breeze for Chris. The only possible side effect was headaches and Chris didn't even get that. His only real complaint is that he is seriously getting sick  of needles. Taking into account that Chris was getting two needles every hour for some days while in the hospital, we think that he may been poked over 500 times during this procedure. A consideration for anyone thinking about doing this procedure, be prepared to have a lot of needles.

A lot of the nurses that work in the Medical Day Care unit also work in the unit that Chris was admitted to (5 West). A bunch of the nurses recognized Chris and commented on how much better he was looking (we included some photos that show Chris' progression.) They also relived some of Chris' finer moments. I don't know how much Chris likes being referred to as the patient that had "those weird reactions to the drugs" and having some of the nurses joke about his drug induced escapades. I, however, enjoyed it thoroughly.




Wednesday, January 26, 2011

Day +44

So it looks like it will be awhile before we blog again.

Chris went in for his doctor's appointment yesterday and he moved from once a week appointment to once a month. He is recovering really well and as long as he remains negative for CMV, he can continue to have monthly appointments and monthly IVIG treatments. Chris' second IVIG treatment will be in February, but we don't have the day yet.

His doctor really emphasized that Chris needed to start doing some cardio. The problem with it being the winter (it was -30 this week) is that it is really unappealing to go outside. I have suggested that shovelling the driveway is great cardio, but I don't think he is buying it. 

Chris's white blood cell count was down on Tuesday: 5.4 This is still in the normal range, but not as shockingly high as before.

Platelets: 150, which are now in the normal range. I can now go back to punching him when he says things that make me mad.

Hemoglobin: 118

Chris still has not shown any new signs of his MS. It was around this time last year that we realized how bad Chris' MS was becoming. We had gone skating on the Rideau Canal, Canada's largest outdoor skating rink and Chris for the first time was unable to skate. Chris had played hockey for ten years. He had even taught me how to skate on our first date. But when we went to skate that day he was holding on to me for support. He fell pretty badly a few times and we ended up giving up halfway and taking a cab back to our car. It was after that day that we became obsessed with figuring out a way to stop this from progressing more. It's crazy to think the difference a year can make.