Latest Bone Marrow Biopsy

Yesterday in clinic I had to get another Bone Marrow Biopsy. The purpose - to assure that my chemotherapy is placing me in the full remission that they think I am in and is sufficiently killing the cancer in my bone marrow. All of my numbers and counts are fantastic right now - my neutrophils (also call granulocytes) are good. Neutrophils fight bacteria infections by patroling the body via the bloodstream or lymph system, seeking out and destroying harmful bacteria. I am not considered to be neutropenic right now, meaning that I am not as prone to infection, catching colds, etc. as I was just weeks ago. It does not mean however that I can throw caution to the wind and go back to my old ways. I am able to go outside unmasked if I feel that the time and place are right (although I don't do it much - why take the chance) and I must be vigilant about washing my hands and touching others.

In regard to my bone marrow biopsy yesterday - the results (which will be available in about a week) will determine whether or not my May 26th transplant date can be locked in or whether or not it will have to be delayed a month. A delay is not something I want to even think about, but things have to be at the best possible place in order for them to proceed. If the chemo has not had enough time to decrease the cancer in my bone marrow then there is little sense in proceeding. The trouble with waiting is that one never knows how long the chemo will continue to do it's job and it's best if my transplant takes place in my first remission. Every minute the cancer is fighting the chemo and is determined to win! So you see, timing is crucial.

As you may know, bone marrow biopsies are not the most pleasant procedures to have. They are usually given with only a topical anesthesia and a really long needle. I am certainly glad it's over and that I'm on my way to getting things finalized. They also removed an actual piece of bone marrow for evaluation and feel they got a good specimen. Obviously, my hip is sore, but even more unsettling is this emotional roller coaster I seem to be on right now. I have a plan, but don't really have a plan. I knew this was going to be hard at times, and am fully prepared for the ups and downs, but I have to admit, I am often taken back by how emotional this whole ride has turned out to be.