We have an updated stem cell transplant schedule due to insurance approval issues. Hopefully all has been resolved. Below is the updated schedule both for Mama Pham and her brother, Cau Thanh, the donor.Mama Pham:
- January 17th: Palifermin 60 micrograms/kg in OPD
- January 18th: Palifermin 60 micrograms/kg in OPD
- January 19th: Palifermin 60 micrograms/kg in OPD; Hospital Admission
- January 20th: IMRT x 2 (Intensity Modulated Radiation Therapy)
- January 21st: IMRT x 2 (Intensity Modulated Radiation Therapy)
- January 22nd: IMRT x 2 (Intensity Modulated Radiation Therapy
- January 23rd: IMRT x 2 (Intensity Modulated Radiation Therapy)
- January 24th: IMRT x 2 (Intensity Modulated Radiation Therapy)
- January 25th: Etoposide 60 mg/kg (ADJ BW)
- January 26th: Nothing
- January 27th: Cyclophosphamide 100 mg/kg (IBW)
- January 28th: Start Tacrolimusl Loading dose of Sirolimus
- January 29th: Continue Tacrolimus and Sirolimus maintenance
- January 30th / DAY ZERO: INFUSE FRESH DONOR PBSC
- January 31st: Palifermin 60 micrograms/kg
- February 1st: Palifermin 60 micrograms/kg
- February 20th: CMV qPCR draw every Mon & Thurs; consider PCP Prophylaxis
The day of Stem Cell infusion is called Day Zero.Cau Thanh:
- January 25th - January 28th: Neupogen shots to stimulate WBC production
- January 29th, 7:30am: Stem Cell Harvesting!