Despite my tissue mistyping, I learned
today that a donor had eventually been selected on the basis of the
CTLP tests. There were three potential candidates each of whom had
their blood mixed separately with mine. Only one of the CTLP results
were favourable therefore the donor selection was pretty straight
forward. That was a great piece of news, and finally to know where
you stand which respect to the bone marrow transplant (BMT).
It turned out that Polish register that the hospital were also investigating
produced no matches. So who is this donor? I know that it is a German
woman with 2 children who is CMVneg. This means she hasn't got the
smallpox virus, which is a good thing as I am also CMVneg. The only
thing against her was that she'd been pregnant. Women who have not
been pregnant are considered better than pregnant women. This is not
because of hormonal changes, but due to some changes in her immune
system. When a woman is pregnant her child's blood system is interconnected
with her own. But, her child doesn't have the same typing as the mother;
it has a mixture of the father and mother's typing. The ability for
these two immune systems to coexist causes some changes in the mother's
immune system that means her bone marrow isn't quite as suitable for
a BMT as before she was pregnant. These differences aren't vast, but
nonetheless they are still noted. Anyway, as long as I don't start
sprouting breasts and talking German following the BMT, I'm happy
to have her as a donor.
We had to decide upon a date for the operation, and finally decided
upon January after the Christmas holidays. Rest and preparation are
vital before a BMT, and I wanted to visit my parents in Abu Dhabi
and have a relaxing holiday before returning to deal with the BMT.
Although the date wasn't set, we would work towards a January date
as close to my return as possible. An appointment also had to be set
up for a pre-BMT work-up day, where various tests are carried out
to server as a reference to how well my body was before the radiotherapy
runined it.