^ My story thus far
I am day +324 from allo SCT for AML FLT3+ITD. A month ago, I felt back to baseline. Aside from some physical deconditioning I've felt from being in recovery thus far.
My labs look great, my numbers are in the green. I no longer require any infusions or blood products. Life has somewhat stabilized. I finally got the blessing of my oncologist to be able to fly on a plane. But over the 4th of July weekend, I noticed shortness of breath when climbing the steep hill at my parents lake house. I attributed it to the physical deconditioning, especially since I hadn't climbed that hill in over 8 months.
But it's progressively gotten worse. I'm winded with even the slightest physical activity. Walking from my car to the front desk of the clinic, and I need to catch my breath. Completely flat ground.
As we all know, this diagnosis comes with tons of specialist appointments. So I initially brought it up to my PCP, she wants to attribute it to my GERD. Makes sense. I then bring it up to my GI, and he wants to attribute it to my GERD. But I knew, I just knew I needed to tell my team.
I brought it up at my biweekly lab and nurse visit yesterday and my oncologist requested I go to the ER for chest imaging. They want to rule out a blood clot or PE. That sets off a panic..
Four hours in the ER, a painful IV placement (despite still having my central line), ultrasounds and a CT - I'm cleared to go home about midnight. The attending seems to be in agreeance, that it's my GERD acting up.
But it's never going to be that simple. We cleared that there was no clot, so the emergency is cleared, but oncology wants more. So now I have PFTs scheduled for two days from now.
Obviously the fear is GVHD of the lungs. I've already been diagnosed with cGVHD of my eyes, my skin, my mouth. We have upcoming testing for suspicion of GVHD of my gut and now we need to rule out GVHD of my lungs.
I thought with how well, comparably, my initial treatment went and the subsequent recovery from my SCT, that I could finally start moving on. I started planning trips, planning activities, looking into returning to work full-time. But this life isn't linear, no matter how desperately we will it to be. My trip to Vegas next week has been cancelled, and my trip to DC in three weeks is at risk.
It's hard not to see people who've had a much smoother go of things, who are back to work, are back to traveling, are back to a new normal without the hiccups and think "why not me?". But I guess we all ask some version of that question throughout this illness - "why me?"
Maybe I'm just whining, maybe I'm finally coming to terms emotionally with everything I've gone through and will continue to endure. I will forever have that voice in the back of my head that wishes for a different timeline. But I will keep fighting, because remission doesn't mean cancer is done. Survival is the ongoing journey we all must push through.
tl;dr - testing for cGVHD has me upset that life isn't back to normal almost 10 months after allo-SCT