Being the Match, Part IV

In Part I, I discussed how and why I joined the Bone Marrow Registry.
In Part II, I discussed the selection process and how I was tested.
in Part III, I discussed how I began to let the world know and the reaction that had on me.

Now began the preparations to get my body ready to donate some bone marrow in top form!

I would be given 5 days of injections of a drug called Neupogen to increase my blood cell counts. They said I should expect to get sore, but should have no other side effects (nausea, vomiting, etc.)

I didn't really know what increasing my blood counts meant until I was in the hospital on donation day, and the nurse told me what my numbers were (pre-donation), and after receiving my final injection:

Normal Platelet count: Approximately 100,000
My Platelet count:  Approximately 192,000

Normal WBC (White Blood Cell): Between 3 and 10
My WBC:  60

I was turbo charged!!

At any rate, they said I should expect to get increasingly, or cumulatively more, sore as the weekend went on leading up to Donation Day, because of the injections.

The first injection took place at the hospital - Thursday, May 11th.
I went in to work early to get some stuff done, before I headed up to the hospital.

It was a rough morning at work.

I only had about 4 hours of sleep and since I wasn't sure if caffeine was allowed as I started the injections and donation process, I cut out my daily cup of coffee which made me feel even worse.

Then, I felt like I got chewed out at work, but I realized it was my tiredness wreaking havoc with my emotions and taking stuff personally.

At 7am, I left for the hospital to receive the first of the 5 injections to boost my stem cell production. The 1st would be done in the hospital, the following 3 at home by a Visiting Nurse each morning, and then the final one Monday Morning at the hospital, before the donation procedure.

While there, I asked if i could have coffee or if I needed to stay away from caffeine. To my extreme joy, they told me I could infact have coffee, and then even brought me a cup. 
Ahhhhh, heaven!!.

While waiting for the injections to come up from the hospital pharmacy, the nurses and I chatted about why I was donating and how I came to be on the registry. 

It was here that I found out there were nearly 15 million people on the Bone Marrow Registry, and I was in awe that out of 15 million people, I was a match for this one person.

After the rocky morning at work, the highlight of my day came from a patient in a bed near me (who I found out was a bone marrow recipient from a donor) and his wife, who, when they overheard and realized why I was there, came up to me, and thanked me for saving someone's life.  


There was this instant kinship between us, even though we had never met - the same that my Father says he experiences with another cancer patient.  It was the first of many indications I received (in hindsight) that I was in the middle of experiencing what my Dad and other patients go thru as cancer patients daily, but I didn't realize it yet. (More on that in the next post in this series)

The injection themselves (there were 2 of of them) went off without a hitch - no reaction, just a pinch, less pain than checking your blood sugar in your finger. 

Because why shouldn't the Universe throw everything at me at once..the weekend I prepared to donate also included family members travelling to visit, and the annual Chandler Relay for Life
that we participate in.

My Dad with his own medical issues, had me worried. 
Last year, he and Mom left before or at midnight because he had Chemo all that week.
This year, his energy level was just not where it should be and I was concerned the impact of being in the sun and out for all those hours would have on him. I really hoped he could stay most of the night to fit my image of what normal was, but reality was that this probably was not possible.

Additionally, with the threat of being sore from the injections, I was already starting (this was now Friday afternoon) to feel some soreness (it settled in my back and in upper legs) - almost as if you had walked or biked 15 miles every day. This was going to be an interesting night of walking.

Even though some things were a bit different than years past, when Relay day rolled around, somehow I wasn't fighting the change. I saw the day as an opportunity to be truly thankful for what I was allowed to experience. To completely cherish, enjoy and live in the moment instead of worrying about what used to be or what may be, or what was different.

For as much as I could in all what was going on, I relaxed and was so incredibly grateful:
That the 4 hours my Dad spent with us at Relay were better than no time spent at all.

I saw the day as a precious gift to be savored. A day to CELEBRATE LIFE.

The Visiting Nurse came again Friday AM (before Relay), Saturday AM (after Relay), and Sunday AM.  2 injections each time, boosting my numbers. The Saturday AM visit was fun...after I had only been asleep for about 45 minutes. I felt completely incoherent and don't remember much of that visit - even which side of my stomach the injections went on that day.

Sunday we went to the zoo to visit some other family members, because why shouldn't I walk around and get another 10,000 steps in while I'm sore...LOL

There was nothing more to do...I increased my calcium intake by having a glass of milk daily, and took the OTC pain stuff the hospital and Bone Marrow Foundation suggested.  I was mentally and physically ready to donate.

Being the Match, Part III

In Part II, I described the testing to determine, and after, I was determined to be a match for a bone marrow patient.

I was finally cleared to donate and received word on Monday, May 1st, 2017.

"It's a go.  You cleared Friday!"

WOO HOO!
I was so excited.
I had only shared my plans with a few close friends - I didn't want to have to explain that I wasn't chosen or, if I had a medical issue - I didn't want to worry others unnecessarily.

I called my parents, and texted a few friends, and I was all smiles all day.
That night was a Relay Meeting Night and in pictures taken that night, I realized I hadn't smiled so well in quite a long time. I was missing joy in my life, and the fact that I was confirmed as a donor, gave me the joy back.

Here is one of the pictures from that night:

And so I began sharing my story - with family and friends alike:
I have some news I am ready to share.

Around 5 years ago, after Dad was diagnosed with Bone Marrow Cancer, I was tested and went on the Bone Marrow Donor Registry.

In March, I received a phone call asking me if I would consider further testing for a cancer patient needing a bone marrow donor, a 61 year old male.

For a little more than the past two months, I've been in the process of getting poked, prodded, and tested as a possible bone marrow donor. I am indeed a match and will be donating bone marrow anonymously (I don't know who he is and he doesn't know who I am) on the Monday after Relay.

If I cannot save my own Dad, then I am extremely honored and happy to have the chance to save someone else's.

With Dad being off Chemo the next few weeks, we will definitely be taking some time to celebrate life and continuing to cherish the little things.

My Dad was so proud, he shared the story in a local Chandler Facebook group, where the post exploded:
My wife and I are so proud of our son Jeffrey Zaben. In the next few weeks he will be donating his bone marrow to save the life of a 61 year old man. Jeff was tested when I was diagnosed with bone marrow cancer more than 5 years ago. He was not a match for me but now he is a match for someone. Saving another person's life is what, in Yiddish, we say is a mitzvah.

100 Comments and 1400 Likes Later, I finally had a chance to process some of the comments that were made:
Hi Everyone, I am the son in question. To say I am overwhelmed and in awe of your comments and expressions of emotion does not even begin to describe what I am feeling. I am so thankful for the enormous support and love you have shown me and my family.

I went on the Bone Marrow Registry in the hopes of saving someone since I cannot (am not a match for) my Dad, and now my dream is on verge of becoming reality.

Thank You again.

I was completely overwhelmed by the outpouring of affection - not only from this post, but from those made by Dad, and my good friend Lynne who posted the following and made me cry:
Dear friend who is a match to donate bone marrow to a stranger. You are my hero today. I love sharing this corner of the world with you! To love is to choose to be inconvenienced. What big love you have.

Some of the comments off the Facebook post that really affected me, so much so, that I typed them out which resulted in a 5 page document. On my days where I am feeling down in the dumps, I know exactly where to look now.
Here are some of the them:

Without my donor I would not be here today.  I hope your post will reach many to become an organ donor.

What a blessing this is…for your son to give,,for this man to receive.<3

Bless your son..:-) for the person he is for giving unselfishly to another and for you, parents, to raising and instilling the principles of life and giving.

It is what we say in every language “amazingly unselfish.”  Your son is someone you, I’m sure, are proud of and someone we all can look up to.  Good stuff, Jeff!!

Wow! I just gain faith in humanity again.  This is a huge mitzvah.  Power to your son!  God bless him!

God Bless your son.  It was a bone marrow donor that saved my mommy’s life.  She was given 2 months to live and the bone marrow saved her life (and mine). God Bless him!

Oh my gosh!  You must be soooo proud.  I am…and I don’t even know him.  You are amazing!

This brought me to tears.  He is a true Mensch!

You are amazing and quite the blessing.  Thank God for your.  Hugs and Luvs!!!

You are an awesome person, Jeffrey.  May G-d Bless you and your recipient, always.

I too am proud of your son, sir though we’ve never met.  You obviously raised a secure, compassionate child who knows the true meaning of life!

Wow, what a great gift and the angels will watch over Jeffrey.  You have truly instilled compassion for others in your son, be proud.

The pain of the surgery will go away, but the reward of saving someone’s life is forever.  Your gift is amazing!

Being the Match, Part II

In Part I, I described how and why I joined the National Bone Marrow Registry, or Be the Match.
Part I

On March 2, 2017 I received the following email:

Jeffrey,

You’ve been identified as a possible marrow match for a 61-year-old Male in need of a transplant. The patient’s doctor is trying to determine treatment options as quickly as possible.

Please call me immediately  to tell me if you’re willing and able to become a donor.

WHAT?
OH MY GOD!

After discussing with my parents, I called back and agreed to be tested.
What would that entail?

I called back after work on that same day and was questioned for 45 minutes in a very detailed manner on my health, medicines I take, and even my sexual history and where had I traveled to in the past year outside the country. For as sarcastic as I can be, there are times I get quite shy, but surprisingly, this time wasn't one of them. I had nothing to hide, and everything to gain. None of the questions really bothered me.

I guess I passed the first test because I was scheduled for Initial Labwork at Labcorp, to further determine my elgibility as a donor candidate for the patient in question.

I did the initial labwork and then 15 days later, I received the following email:
I’m contacting you from Be the Match. The transplant center confirmed that you and their patient are a match. The patient’s doctors have selected you to be the donor. They are requesting Peripheral Blood Stem Cells. The timeframe they feel would give the transplant the best chance of success is mid-May. Before you could donate, you would have to be physically assessed several weeks before by one of our doctors, to make sure you are healthy enough to undergo the procedure.  I would coordinate the physical exam appointment, and collection. There is one Apheresis Center in AZ; I will check with them first to see if they can accommodate a collection Mid – May.

DOUBLE WOW!

Again, through this process I was questioned (the same questions as the first time) two more times - I guess to confirm my answers!

I went through 2 or 3 more sets of labwork with 12 vials of blood taken each time (Talk about sucking Dracula dry), and I had a physical exam and a tour of the facility where the donation procedure will occur as well. The physical exam was for a doctor associated with Be The Match to clear me and ensure I was healthy enough to donate. It was quite clear they were just as concerned with the donor as well as the recipient.

This is really the only part I was nervous about. Throughout the calls and emails, I had expressed my only concern; that my Dad's Health or Chemo schedule might interfere with my donation. They were extremely accommodating and said I just needed to let them know ahead of time,and if my circumstances changed, I was free to remove myself as a donor at any time. 

By the time of my physical exam, I had already made the decision and had started making healthier food choice decisions and walking more, although I hadn't returned to the gym yet at this time. Upon my arrival, they took more labwork, weighed me, and took my blood pressure. I was a little worked up because I thought for sure my weight would disqualify me, but no one really mentioned my weight as a factor, much to my surprise. I didn't like the number on the scale, either! But, I figured, at least I was already working towards making that better. My Blood Pressure was high, and it was checked two different times that day, both registering around 140/90. For the most part, as stressed as I can get, my blood pressure generally stays in the "normal" range but, Dad had fallen just a few weeks earlier and was still recovering, and I also attributed this to being in a hospital which is nerve wracking (for me) it itself. Again, to my surprise, no one mentioned the High BP. Of course, seeing a high BP made me even more nervous so i immediately how to lower blood pressure.

I almost had to laugh because it said:
1..spend time in the sun (Vitamin D)
2..exercise
3..watch your diet
All of which I was already doing! Oy Vey!
I did decide that 3 cups of coffee was too much, and cutting coffee out entirely was not an option. So, I decided the cup of coffee I enjoyed the most was the one on the way to work and so that's the one I kept, and after I would switch to water to try and lower the Blood Pressure.

The Doctor came in for a consultation, and we talked for quite a bit about my history and my Father's history with cancer. He was especially concerned with the MDS and the fact I had stated Dad has historic low platelets; He said that was a risk factor for me, because my labwork showed my hemoglobin was slightly low and at this point he could not clear me for the procedure based on that. Of course, that made me even more anxious so again I googled how to increase hemoglobin - Eat bananas and leafy green vegetables like broccoli, it said. 

So before, the next 2 sets of bloodwork, in an attempt to increase my hemoglobin numbers, before the labwork, I would eat 2 bananas and one time I even ate a bag of frozen (heated up) broccoli for lunch. Hey, whatever works, right!

I was scheduled for another set of labwork to determine if the low hemoglobin was a fluke or an issue that needed to be investigated further.

Thankfully, two sets of labs later, (I had the last ones done on April 24)..My curiosity was killing me. I was finally cleared to donate and received word on Monday, May 1st, 2017.
"It's a GO.  You cleared Friday!"

To be continued in Part III...

Being the Match, Part I

Approximately 285 Chemo Treatments ago, or 5 years ago,  my Dad was diagnosed with Myelodysplastic Syndrome, or MDS, a precursor to leukemia. At some point after his treatment started, we decided to obtain a second opinion so off we went to the Mayo Clinic for the day, where they ran a bunch of tests and then chatted with us.

It was as a result of this appointment at Mayo, that I signed up with BeTheMatch to determine if I was a possible match or donor for my Father. I figured, why shouldn't I be? I'm his son!  

On February 20th 2013, the day of the Mayo Appointment, and after we returned home..I went on the computer and officially joined the National Bone Marrow Registry, or BeTheMatch. Within a few days or weeks, I was mailed a kit with basically a long QTip and a secure envelope with the instructions to swab my cheek, seal the envelope and mail it back. So i swabbed, thinking the whole time, I'm probably not doing this right and screwing it up. Who knew!

On May 12, 2013, almost 4 years to the day of what would later become my planned donation date, I received an email from Be The Match advising that they had received my results and I was officially on the registry and could expect a call if I was determined to be a match. (I am a saver and I kept the emails)

We found out from Mayo that that neither I, nor my father's closest blood relatives - both of who were tested in a similar manner - were matches for my Dad. Although through the Bone Marrow Registry, they did locate a 100% match for him. Unfortunately, a bone marrow transplant and the risks therein, deemed him not a good choice for a transplant.

So, then I decided I would stay on the registry, and I really hoped I would someday be called. Throughout the next 5 years, I would constantly think "If I can't save my own Dad, then I want to save someone else."  And I meant it. 

I really didn't have any idea what donating bone marrow meant, other than, helping to save someone's life. That's all that really mattered to me.

On March 2, 2017 I received the following email:

Jeffrey,

You’ve been identified as a possible marrow match for someone in need of a transplant. The patient’s doctor is trying to determine treatment options as quickly as possible.

Please call me immediately  to tell me if you’re willing and able to become a donor.

WHAT?
OH MY GOD!

After discussing with my parents, I called back and agreed to be tested.
What would that entail?

To be continued...