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Cindy

DX Aplastic Anemia 1987 Remission

My world was turned upside down in the Fall of 1987.  I went from working full-time at St. Paul’s Hospital, to being a patient there in the course of one day.  I had gone to work that day a little frustrated because I’d had a difficult time eating my breakfast that morning.  I had what I thought were cold sores on my tongue, which made it very difficult to chew my food.  I also had noticed what I thought was a rash on my lower legs.  I was quite tired and had developed some large bruises on my body that I couldn’t account for.  Soon after I got to work, I went to visit the Employee Health Nurse.  She looked at the sores on my tongue, “rash” on my legs and bruises, and told me that I had something systemic and something topical.  She said that I should go to see my family doctor as soon as my doctor’s office opened, and ask to be seen as soon as she could.

My family doctor’s office was just across the street from St. Paul’s Hospital, so I walked over there, told the receptionist that I had been sent by the Employee Health Nurse, and had a seat in the waiting room.  I only had to wait about half an hour before my doctor was able to see me.  She took one look at the sores on my tongue, “rash” on my legs and bruises, asked me some questions, and ordered a blood test for me.  She said that I could go back to work after the blood test, and she would call me once she had the results.  I worked for about an hour or two until she called me.  She said that all my blood counts were low, that I should stop working, and wait for a call from a haematologist.  Not too much later the haematologist called me, and said that she wanted me to go to the emergency department, because she wanted to admit me to hospital.  So I thought I had better call my parents to let them know what was happening.  My Dad answered the phone, and in telling him what was happening, I started to cry.  I didn’t really understand why I was being admitted to hospital, and the shock of it all hit me as I was explaining it to my Dad.

 After the phone call, I headed to the emergency department, where I sat waiting for what would happen next, whatever that might be.  Eventually a nurse came and had me exchange my clothes for a hospital gown, then had me lay down on a stretcher.  I waited there until an intern came and took my medical history.  Later on the haematologist came to talk to me.  It didn’t take too long until I was transferred to a medical ward.  There I received two units of red blood cells.  The haematologist came to visit me on the ward, and said that I would be having a bone marrow biopsy the next day.  She also explained that the “cold sores” on my tongue were actually hematomas or blood blisters, and the “rash” on my legs was something called petechiae, which occurs when small superficial capillaries burst. 

That next day I had the bone marrow biopsy, and later on that day the haematologist came to tell me that I had been diagnosed with a very rare blood disorder called Aplastic Anemia.  The cause of this blood disorder is often unknown, as it was in my case.  Aplastic Anemia occurs when your bone marrow stops producing all three blood cell types.  These include your red blood cells, white blood cells and platelets.  When your red cells are low, so it your energy level; when your white cells are low, you are more prone to infections; and when your platelets are low, you bruise easily and may have spontaneous bleeding.

The haematologist said that they would see if my sister, who is my only sibling, would be compatible as a bone marrow donor.  They would do a bone marrow transplant if she was compatible.  It turned out that she wasn't a compatible bone marrow donor, and at that time there wasn't an Unrelated Bone Marrow Registry, so a bone marrow transplant wasn't an option any longer.  They next tried various drug therapies to stimulate my bone marrow into working again.  After my first two nights in the hospital in a 4-bed room, I was transferred to a private room with reverse isolation precautions.  Everyone had to wash their hands before they entered my room, and the room had a special filter that kept out all micro-organisms, so that I wouldn't develop any infections due to my low white cells.

During my two month stay in hospital, I received two different intravenous drug therapies.  Neither or these worked, and each had very unpleasant side effects.  Throughout my stay in hospital, and for another seven months afterwards, I required both red cell and platelet transfusions to sustain my life.  I received these transfusions weekly and sometimes twice a week.  After my discharge from the hospital, I was started on an experimental oral medication.  I spent two months convalescing at my parents' home, and then returned to work on a part-time basis.  I resumed working full-time after another two months, and have continued to do so.  The oral medication eventually started my bone marrow working again.

 I am currently working as a Pharmacy Technician at Lions Gate Hospital.  One of the primary reasons that I joined the Speakers' Bureau, was to have the opportunity to thank people like yourselves who donate blood.  I will never know the blood donors who donated blood for me, but want to tell the blood donors that I do meet, how much their selfless contribution of themselves means to me.  I wouldn't be here today, if it weren't for the people who took the time to donate blood.  I am sincerely grateful to those who gave of themselves, so that I could live.

 

 


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