Paul’s Story

Site created on May 10, 2023

Welcome to Paul Womble's CaringBridge Website. We are using this site to keep our family and friends updated in one place.  We sincerely appreciate all the prayers, positive thoughts, encouragement, amazing support and love for Paul and our family during this very challenging time in our lives.  


Here's the scoop:


While operating in July of 2021, Paul had a "needle stick" occurrence.  Routine lab work by the occupational health department  found no blood-borne pathogens but incidentally noted Paul to be anemic.  Follow-up for Paul's anemia led to many more lab tests, a bone marrow biopsy and  hematology/oncology consults, which determined Paul has a rare bone marrow cancer called Myelofibrosis (MF) and an extremely rare blood disorder called Paroxysmal Nocturnal Hemoglobinuria (PNH).  Paul is being treated for his PNH with twice weekly self-administered infusions he does at home.  Unfortunately, there is NO treatment for his rare bone marrow cancer.  


Paul has been living with chronic anemia since his diagnoses.  His anemia has worsened over the last six months, with his hemoglobin averaging 7-8 (normal hemoglobin for men ranges from 13.5-17.5).   A repeat bone marrow biopsy last October indicated Paul's myelofibrosis is advanced at a +3/most severe.  Paul has been evaluated at both Duke Blood Cancer Center in Durham, NC and MD Anderson Cancer Center in Houston, TX by their hematology/oncology specialists and Bone Marrow Transplant Teams. Both facilities have recommended Paul proceed with a stem cell transplant due to his advanced/severe myelofibrosis (bone marrow cancer).  A stem cell transplant is Paul's only chance at a cure...his only chance at survival.  


Paul will have his stem cell transplant at MD Anderson Cancer Center in Houston, TX.  Paul will depart Sunday, June 18th, for his Houston vacay of 4.5-5 months (clearly not a vacay, just seeing if y'all are still following).  Paul will receive testing and a central line placement (for his chemo, IV meds and lab draws) and then start chemotherapy as an outpatient for two weeks.  Paul will be admitted Monday, July 3rd, as an inpatient in the Stem Cell Transplant Unit at MD Anderson Cancer Center for the remainder of his myeloablative chemotherapy (high-intensity chemo to destroy his current bone marrow).  


On Tuesday, July 11th, Paul will be infused with donated stem cells.  This day is considered his REBIRTHDAY!  The donated stem cells (by an unrelated anonymous donor who matched 10/10)  will replace Paul's damaged stem cells with new, healthy stem cells, thus creating a new immune system and the most generous gift of life for Paul and our family.  Paul will remain as an inpatient for about 2-3 weeks after his transplant date.  Once discharged from inpatient care, Paul must live locally, within a few miles of MD Anderson.  Upon discharge, Paul must have a caregiver 24/7 and live in strict isolation.  He will remain in temporary housing near MD Anderson for at least 100 days after his discharge.  He will visit the outpatient Stem Cell Transplant Unit daily for close monitoring and care.  


I (Susan, Paul's wife) and our 4 adorable children (Gianna 9 y/o, Natalie 8 y/o, James 6 y/o and Brody 4 y/o) will remain in Mount Pleasant, SC (where we currently live) while Paul is in Houston for his stem cell transplant.  Paul cannot be around his children during his inpatient stay/transplant and the first 100 days after hospital discharge.  I plan to visit once/twice a month, pending childcare.  Paul's brother (Matt) and sister (Laurin) will rotate as Paul's full-time caregivers once Paul is discharged from the inpatient unit.  


Stem Cell Transplant is a long, intense, aggressive and complicated experience...with many risks and complications during, post-transplant and in the years to follow BUT it gives Paul a chance to survive!!!  


***Ways You Can Help***


1. PRAYERS


2. MORE PRAYERS 


***3. If you work at a VA Hospital and/or for any Veterans Affairs Department and accrue ANY leave time, consider donating leave time to Paul.  Paul cannot work for at least 6-8 months.  ANY AMOUNT OF DONATED LEAVE TO PAUL WILL IMMENSELY HELP PAUL AND OUR FAMILY!!! Please feel free to share this information and spread the word for VA employees to donate leave time to Paul Womble.  A link will be provided soon for leave donations...but for now, please contact Paul Womble at (843) 637-1489 or paulwomble@gmail.com if you can donate any leave time to Paul. ***


4.  Susan will need lots of help with the kids as she solo-parents for the duration of time Paul is in Houston (4.5-5 months).  If you can help with childcare or can recommend any babysitters/nannies, please call, text or email Susan at (913) 515-3151 or susanemma@hotmail.com
I will need LOTS and LOTS of help with the kids!  


5.  Gift cards to help with meals and offset increased costs for our family during this time are greatly appreciated:  Whole Foods Market, Trader Joes, Costco, Harris Teeter, Publix, Target, Wal-Mart, Chick-Fil-A, Firehouse Subs, East Bay Deli, Healthy Thyme Meals, Paisanos, Come Back Shack, Square Onion are some of our favorites we frequent for groceries/meals.  
Gift card suggestions for Paul while in Houston:  Instacart, Grubhub, Uber Eats and DoorDash.  
Gift cards can be dropped off at our house or mailbox, emailed to susanemma@hotmail.com and/or paulwomble@gmail.com, or directly mailed to us at:
Susan and Paul Womble
75 Secession Street
Mount Pleasant SC  29464


6. TEXT and EMAIL Paul often with words of encouragement, prayers, poems, jokes, songs...Paul will be lonely and isolated.  Dropping a quick text or email will provide much joy and happiness.  PAUL'S cell is (843) 637-1489, and email is paulwomble@gmail.com


7. If you would like to donate any funds to our family to help offset the costs of travel to/from Houston,  housing and living costs in Houston and any and all incidentals during this challenging time, a GoFundMe page has been created by our dear friends from Guam, the Castro family, see attached link:
https://gofund.me/91dbcb4a


8.  Please consider becoming a Bone Marrow Donor through BE THE MATCH.  The cure for many people with blood and bone marrow cancers is in the hands of us.  If you qualify to be a donor and match, you can save someone's life!  Please consider joining BE THE MATCH in their mission to save lives.  It is free to register as a donor.  Please visit their website for more information about becoming a donor at  https://bethematch.org
If you are unable to become a donor, please consider a monetary donation to the organization!  


9.  DONATE BLOOD.  Please, please, please consider donating blood if you are able!  If you live in the Charleston area and need someone to hold your hand while you donate blood, I will personally come and hold your hand during your blood donation.  Paul (and many other blood and bone marrow cancer patients and stem cell transplant patients) receive MANY blood products during the course of their inpatient/outpatient care.  Please contact the American Red Cross or your local blood bank to inquire about donating blood or hosting a blood drive in your community.  https://www.redcrossblood.org
If you are unable to donate blood, please consider a monetary donation to the American Red Cross or your local community blood bank.  


10.  Spread the word!  Please share our story!  It can be helpful for us and others going through similar situations to share our stories and help each other!  


THANK YOU ALL FOR YOUR PRAYERS, SUPPORT, HELP, KINDNESS AND GRACE DURING THIS EXTREMELY DIFFICULT AND CHALLENGING TIME IN OUR LIVES.  GOD BLESS YOU ALL.  PLEASE CHECK OUR SITE OFTEN FOR UPDATES!!!





Newest Update

Journal entry by Paul Womble

I have started this post several times over the last month and apologize for taking so long send it out.  It has been a massively eventful time and I will do my best to capture it for you here. 

As September was wrapping up, my doctor at MD Anderson, Dr. Popat, said that I was doing so well that I could head home before I reached +100 days after transplant.  So, he set me up to remove my central line, meet with the survivorship team (thoroughly reviewing all the risks and symptoms of graft vs host disease), get my necessary lab work, and undergo my bone marrow biopsy by the time I reached +80 days.  I was obviously ecstatic at the prospect of being home with my family so soon but will admit to initially having some anxiety about leaving the comfort zone at Halo House and the proximity to MD Anderson. Nonetheless, as I progressed through the last week in Houston and was reassured about my progress and prognosis, my anxiety was steady relieved and replaced with the overwhelming joy of being home!  

I completed my bone marrow biopsy on 28 September and my sister, Laurin, and I hit the road the next day!  In addition to all the medical appointments leading up to this, it was a tremendously busy week as we sorted and packed my stuff, donated things to Halo House for others to use, and shared some extra food with friends.  Several dear friends had get togethers and it was delightful to be able to share our time together and celebrate the turning of this page.  I remain incredibly inspired by so many people I have met along this journey.  What a true pleasure it was to be surrounded by my heroes and friends at this time!! 

The trip from Houston to home took us two days and fortunately went smoothly.  Exhausted after finalizing our packing in the morning and making the longer of our two legs of the journey, I collapsed in the hotel bed in Montgomery, AL after our first day of travel.  The second day went much smoother and we arrived Saturday night to an overjoyed bunch of kids and my glowing wife!!  As I walked into my house for the first time it felt like I had been away for ages.  It was surreal, but the joy and love overwhelmed it all with laughter and wonderfully happy tears!! 

Since I’ve been home I’ve appreciated that my energy level has improved.  My morning walks in Houston were wonderful but the energy required for the remainder of the day was limited.  Coming home to a busy house full of energetic kids found me fatigued in the afternoons—I hadn’t trained for the sustained continuous energy.  I appreciated so much more the steady and constant pace our family sustains and deeply appreciate how steadfast Susan had carried this, day in and day out, for months.  She is a loving mom, strong and resilient, and is the love of my life!!  

I’ve now been plugged into the MUSC bone marrow transplant team as my local docs who will continue to follow my progress closely.  Labs continue to be relatively stable with my hemoglobin bouncing around 11-12, platelets between 50-60 thousand and WBC (white count) still hovering in the 2-2.5 range.  I’m anxiously waiting for continued progress on these numbers but understand from my doctors that I need to be patient as it will likely improve more but will take some time.  Until I reach the 6 month mark (January 2024) I cannot receive any vaccines.  Until then I am like a newborn without any vaccines, and require some cautious restrictions in my activities.  So far this hasn’t been too much of a challenge as I’ve been able to start some remote working to keep my mind sharp and I’ve relished in the joy of being home with family as I continue to get stronger.  

Finally, I’d like to give an update on the blood drive.  We successfully reached 21 units of blood donated over the last 100 days. What an incredible response from so many and my hat’s off to those who donated multiple times!! Truly amazing!!  Blood donations kept me alive and can help so many others—you can literally save a life.  Please consider donating and/or encourage others to go or even join you.  There are many ways to donate but redcrossblood.org can help you find the closest Red Cross blood drive.  

I have now reached 105 days after transplant and continue to feel so incredibly blessed!!  Thank you all for continued prayers, love, encouragement and support!  Your messages, notes, phone calls and texts have help boost me through tough days, elevating my spirit and helping me keep my chin up and eyes forward.  God bless each of you!! 
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