And then there was Plan C

So I met up with the Professor who had my latest bone marrow results

Last time my blasts had gone up to 7% - which is not good

So the idea was to give me Azacitidine three times and get the blast to below 5%
Plan A - if less than 5% - they straight for a transplant
Plan B - if greater than 5% then have heavy duty pre-conditioning chemo, a rest for two weeks for body to recover and then have transplant

So all very clear. Well perhaps not

The problem was that my blasts had only come down to 6% - which is better but not good enough
And my cellularity is only 15%, which means that it would be quite risky to go for plan B

So Plan C it is!!

He has therefore specified the following firm process After this week's full Azacitidine is finished on Wednesday have three more full doses starting 9th Sept, 7th Oct and finally 4th Nov 

Then a bone marrow test on 26th or 27th Nov

He expects the blasts to be on or below 5% and cellularity much the same as it is now

(but cellularity will not now be critical - see below)

Have all the tests to ensure heart, liver etc are OK

Then 4 to 6 weeks after the bone marrow test, start a transplant with 4 days of special chemo (rather than 2 days which folk normally have on Plan A) immediately prior to giving me the stem cells.

Ie transplant late Dec or early Jan

These bodies we have are very complex and it requires real judgement a lot of the time.

Luckily the message got to Plymouth just before they ordered the stem cells.

The good news is that the extra time will enable me to get fitter, get over the bruising and sprained ankle from the mad cow, do dental work etc