I Have Great Lungs

In addition to the whole multiple myeloma thing, regular readers may recall that about a year ago I suddenly developed breathing difficulties. Things have improved since then, but I still have regular spells of shortness of breath. In fact, I’m going through one right now, which is likely contributing to all my other woes.

I mention this because today was the last of my pre-stem-cell-transplant workups, which happened to be a lung test. And just as always, I passed with flying colors. It even included a blood draw directly from an artery, which confirmed that my hemoglobin count is outstanding and the oxygen content of the blood in my extremities is normal or even a little above normal. And my lung volume? Better than 100 percent, whatever that means.

So the mystery continues. My lungs are getting plenty of air; they’re producing plenty of oxygen; my heart is pumping perfectly; and the oxygen content of my blood is just peachy. Almost by definition, it sounds like there can’t be anything wrong. Except that there is. Go figure.

In any case, all my tests are complete, and as far as I know there were no red flags. Next Wednesday I spend the day at City of Hope getting oriented. On Friday I get a nice big bonus round of chemotherapy, after which I spend a week injecting myself with a drug that stimulates white cell production. Then I get a Hickman port installed in my shoulder. Following that, I spend three or four days at City of Hope, where they draw blood through the port, centrifuge it, keep the stem cells, and send the rest back. When they have enough stem cells, they process and freeze them and send me home for a week of rest.

Then comes the stem cell transplant itself. I get a gigantic blast of chemotherapy that kills everything in its path—which includes all the remaining cancerous cells in my bone marrow but also all my non-cancerous plasma stem cells. That would kill me too, so the next day they unfreeze my stem cells and pump them into my body. Then I spend several weeks recuperating.

That’s the short version. More later. Despite everything, it appears that all systems are go.