Martin’s Story

Site created on August 27, 2023

Why "Dusk 'til Dawn Dance?"
Well, I'm entering a darker period where I won't be able to dance with my friends very much. Instead, I'll be learning new dances with names like "Chemotherapy" and "Stem Cell Transplant." But I'm committed to learning those new dances, and dancing them with verve and as much joy as I can muster, until the day dawns once more, and I can dance with my friends again.   -- MARTIN
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Martin has leukemia (blood cancer). He is being treated at OHSU (Oregon Health Sciences University), which is a major cancer center that happens to be about 7 miles from our house in Portland.

NEW: As of January 2024, the leukemia is in remission after a stem cell (bone marrow) transplant . The recovery from the transplant is nonetheless quite gnarly, with many possible failure points still to come.  He's quarantined for at least the first 100 days after transplant so he can grow a new immune system from scratch. There are lab numbers that show it's growing, but at quite a below-average speed, which seems likely to extend the quarantine.

The transplant is considered "high risk, high reward." It is the only way to get permanent remission (although even then it is not guaranteed).

Yale Medicine says, "Over 100 different types of blood cancers are now recognized." This allows doctors to better choose a protocol. And treatments have advanced greatly in recent decades. Many of us are old enough to have heard horror stories about leukemia, but if they are from more than a few years ago, they are no longer as relevant (and childhood leukemia is quite different, sadly).
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This CaringBridge site  is maintained by his wife, Nancy Wirsig McClure (I/me). Comments are very welcome.
 
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Photos are in the Gallery section. Comments are welcome there. You can upload your own photos by making a Tribute (which, alas, requires donation).

To see ALL updates ( journal entries) back to the start, click on the Pencil in the menu above.

Please do not donate to us. Our financial situation is secure.
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Newest Update

Journal entry by Nancy McClure

Martin is doing fine, according to the doctor. Today he met with her to hear partial results from the Day-100 bone marrow biopsy (more results next week).

The biopsy report says that engraftment (integration of the new) is complete or near complete! Also, blasts (the "cancer cells" in the marrow) are below a measurable level.**

Tomorrow he begins tapering the Big Drug (tacrolimus, rejection preventer). That means he can also start to reduce magnesium infusions and blood pressure pills (both of which treat the Drug side effects). In a few weeks, they expect to remove the central line that penetrates his chest and runs through his jugular.

Beyond the medical....

He's been going to a handful of dance events, still only participating in a few dances. But usually someone or other is sitting out a dance, and they are people he likes to chat with.

He still sleeps about 11 hours a day (between night-time and a nap). His hair continues to grow in.

More medical details for the information-hungry....

Still monitoring some of the less-than-ideal trend lines of his platelets and other cells (but the changes are slow).

Vaccinations generally start at month 6, and various ones go through month 24. Before those dates, vaxes apparently don't get retained (or something like that). Covid vaccination studies, being young, are ambiguous on when it would be worth doing -- but given Martin's dancing they'll do one soon even if it may give only partial protection.

** Leukemia is when the bone marrow produces abnormal blast (stem) cells that fail to mature properly. These begin to take over the bone marrow and spill into the blood and prevent the production of enough regular blood cells.
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