An Optimistic Doctor

Jim is seen daily by the doctor in the oncology practice that does rounds at the hospital for that week. Yesterday, his own doctor also visited him to have a chat and give him some encouragement. Jim’s doctor is certain that the problem he had with cellulitis was caused by the leukemia and not necessarily caused by a bacterial infection. He went on to explain that leukemia can attack the soft tissues. This would explain the swelling in Jim’s legs as well as the swelling that occurred in his right arm when he was admitted both last year and currently. What that means is that there is only one illness to treat and not other complicating problems as well, which is very good news.

He also talked to Jim about the bone marrow transplant. Very interestingly, once a donor is identified, one of the ways the donation is done is through a series of blood draws. The donor is given a shot that increases their white blood count and produces stem cells. Over a period of days, blood is given and the stem cells are then separated from the rest of the blood. Those stem cells are what Jim will receive, much like a transfusion of platelets or hemoglobin that he currently receives. If this is indeed the way that Jim’s transplant will occur, it is obviously much easier for the donor to tolerate. The doctor was also very encouraging to tell Jim that a large percentage of patients who have bone marrow transplants are long term survivors.

Jim is doing great. Other than feeling a little worn out, he is feeling well. He is beginning to have some mild mouth sores but has been taking medicine to help with that. He remains optimistic and pleasant to be around. The doctor predicted possibly another 10 days or so in the hospital. By that time, his counts should begin to rise. Once it is determined that he is in remission, he will be referred to IU Med Center to begin the process for the bone marrow transplant.

It was a good day. We are once again encouraged and thankful that Jim is receiving such wonderful care by both the doctors and nurses.