Doctor insights on:
How Long After Bone Marrow Transplant Does A Patient Stay In The Hospital
Depends: It depends on things such as the type of transplant (autologous with the patient's own cells or allogeneic with a donor's cells), chemotherapy regimen used for the transplant, the patient's health status, and also the transplant center. At some centers a transplant can be done as an outpatient. For inpatient transplants the stay is generally 3-6 weeks. Discuss with your bmt physician. ...Read more
In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more
Varies alot: It depends upon engraftment (when the blood count rises enough to be safe) and on complications. Usually no less than about 3 weeks. ...Read more
This varies: With many of the peripheral blood stem cell transplants, some programs do the whole procedure as an outpatient, keeping the patient close to the center because they will need daily followup for awhile. Other programs have the patients in hospital for about 2 weeks. Patients with other serious problems may end up staying for longer times...4-6 weeks, but this is not as common as it used to be. ...Read more
If I am coming from another city for a bone marrow transplant, how long do I need to stay near the hospital?
Speak with Team: You really need to speak directly with the team doing your bone marrow transplant for their advice and recommendations. ...Read more
Not Necessarily: Following autologous bone marrow/stem cell transplantation, no immunosuppressive drugs are prescribed because there is no risk of graft-versus-host disease (gvhd). However, after an allogeneic (donor) bone marrow-stem cell transplantation, immunosuppressive medications are given generally for up to 1 year. An attempt is made to taper these off by the end of 1 year especially if no gvhd is seen. ...Read more
Adjust immune meds: We don't have much options when it comes to bk virus - it doesn't cause much robles except when it comes to transplants. The simplest solution most teams will consider attempting, is to adjust the medications used for immunosuppression - however, this will be weighed against the risk of the organ being rejected. Hope this explanation helps! ...Read more
Intense regimen...: Typically bone marrow transplants completely destroy (ablate) your marrow, usually using a combination of intense chemo and radiation. The new marrow is infused by iv, and you must wait in hospital for these cells to repopulate your marrow (engraftment). Possible complications include infection and graft versus host disease (gvhd). You will spend alot of time in hospital and have close follow-up. ...Read more
It's complicated.: There are different protoclos but generally it starts with drugs to supress or destroy recipient bone marrow, and drugs to block the immune system so the graft can "take". Blood counts are low, and infections occur, transfusions needed. Once engrafted, worry is graft vs host disease and powerful immunosupressive drugs are given to prevent or treat gvhd. Sites are lung, liver, skin, GI tract. ...Read more
Recover?: What do you mean by recover? A bone marrow or stem cell transplant can be part of the therapy for lymphomas. For some types of lymphoma it can help improve the chances of curing the cancer. It's role is depedent on many factors that would need to be discussed with an oncologist. ...Read more
No: Bone marrow transplants are generally reserved for younger, otherwise healthy patients. Such patients who have an excellent response to induction and favorable molecular/cytogenetic risk may be able to avoid a transplant from a donor and may be able to just get high dose consolidation chemotherapy or an reinfusion of their own stem cells. ...Read more
We have a patient suffering from secondary myelofibrosis requiring bone marrow transplant. Donor is refusing on accounts of side effects?
What is the question: Can you rephrase your question? What kind of side effects that the donor is afraid of. Perhaps, better understanding and communication about the procedure, the possible aes to the donor and answering the question will help the donor understand the situation. However, if the donor does not want to help- then nobody can force the donor. Other option is to use mud (matched unrelated donor) or cord blood. Meanwhile, jakafi (ruxolitinib) can be considered for symptoms relief. ...Read more
Thalessemic patient with hypersplenism want to undergo bone marrow transplant do u advice splenectomy if difficult to maintain his hb above 7-8?
If the patient have no brother and sister then bone marrow transplant is possible? If possible then who can be?
If a stage four lung cancer patient is spread to the bones, would having a bone marrow transplant increase the likelihood of survival?
No: Bone marrow transplant would not treat the primary tumor and would be ineffective. A bone marrow transplant would introduce such high risks that it would most likely hasten the patient's demise. ...Read more
Varies a lot: The hospitalization duration for a bone marrow transplant varies a lot, depending on the type of complications, such as infections and graft vs. Host reactions, one has after the transplant. A rough estimate is 6-12 weeks. Sometimes, problems occur after leaving discharge, and a patient has to go right back into the hospital. ...Read more
There are more than: More than one hospitals in the us are set up to do a bone marrow transplant (bmt). Most of these are big cancer centers like md anderson (houston), memorial sloan kettering cancer center (now york city) and fred hutchinson cancer center in seattle, washington and few others like johns hopkins cancer center (baltimore). ...Read more
Is it typical to get graft vs. Host digestive problems in first 90 days after bone marrow transplant? How does this affect long term prognosis?
How long does it take to treat the bone marrow in an autologous bone marrow transplant (ow long does it take to cure with agents before infusion)?
4-6 weeks: The treating doctors would answer simple questions like this....but you have got to ask them what you need to know. ...Read more
Infections and GVHD: Common complications after a bone marrow transplant include being susceptible to a wide range of infectious agents (viruses, bacteria and fungi). In addition, graft versus host disease (gvhd) can occur where the immune cells from the donor recognize the host (patient) as foreign. Gvhd can range from a mild skin rash and a little nausea to being chronically debilitating or fatal. ...Read more
Too much.: A bmt and all of the aftercare needed would be very expensive, easily in the hundreds of thousands of dollars if paid for at "standard rates." insurance companies negotiate rates for transplants on behalf of their beneficiaries, but it still is very expensive. Sometimes academic will agree to give charity care, but a bmt would be beyond what they usually do. ...Read more
Balancing act: Certainly one wants to try standard therapy first in most cases because it has less complications. If this approach is unsuccessful or the patient is very high risk, transplant is considered. The decision to go forward is complicated by such things as the patient's performance status, their prior treatments and the amount of disease. These way into the final decision of when it can be helpful. ...Read more
Please provide more details.
The answer to this is dependent on many factors which you did not provide--what type of transplant was done, who was the donor or was it the patient's own cells, what specifically was the cause of failure (recurrent cancer, bone marrow never grew, loss of the graft). ...Read more
Can be curative: There are a small percentage of hodgkin lymphoma patients who do not respond to standard therapy or relapse after it. For those, stem cell transplant may be an option that can provide cure. We have learned to offer the transplant earlier in the course before a patient has too many failed treatments because there are more complications and a higher death rate in late treatment. ...Read more
Donor: Hi. Are they planning autologous BMT (she donates blood stem cells to herself) or allogeneic BMT (someone else is the blood stem cell donor)? If allogeneic, you may be a suitable donor since you're her child. Otherwise, after the BMT, she could use your help in all sorts of ways including love & emotional, errands, help around the house, etc. Good luck to her! ...Read more
How common for person to have consistent fevers from chemo, just before having a bone marrow transplant?
Depends: It depends on the type of chemotherapy you are getting and the type of cancer that is being treated. Although some types of cancers, like leukemias, can cause fevers themselves, it usually isn't a good sign that you are having fevers. Sometimes this is expected but almost always needs a closer look by your doctor. Please call your doctor as soon as possible. Hope this helps. ...Read more
Yes it does: Stem cell transplant is a more accurate and the modern name for bone marrow transplant! ...Read more
This refers to using chemotherapy and/or radiation therapy to treat patients and then replacing their bone marrow cells with their own stem cells (autologous transplant) or a donors stem cells (allogeneic transplant). Bone marrow transplant generally refers to using bone marrow cells but is often used when using stem cells collected ...Read more
Bone marrow is the flexible tissue found in the interior of bones. In humans, red blood cells are produced in the heads of long bones, in a process known as hematopoesis. On average, bone marrow constitutes 4% of the total body mass of humans; in an adult weighing 65 kilograms (140 lb), bone marrow accounts for approximately ...Read more
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