Remission after allogeneic stem cell transplant and clinical trials

When Sandra Hurley was diagnosed with chronic lymphocytic leukemia (CLL) back in 1997,
an Ohio-based oncologist gave her two to four more years to live and
bluntly told her to get her affairs in order.

“After I went through the shock, tears and ‘woe is me’ stages, I
just thought, ‘This is unacceptable,’” Sandra says. “I was only in my
mid-40s at the time. And my kids had just graduated from high school
and entered military academies, so I still had lots to do.”

Thankfully, Sandra didn’t take that doctor’s advice. Instead, she
came to MD Anderson for a second opinion –
and ultimately a successful allogeneic stem cell transplant

Identifying Sandra’s stem cell donor

During her first visit to MD Anderson,
Sandra met with Michael Keating, M.D.

“Dr. Keating was just so positive,” Sandra recalls. “He said,
‘That’s a bunch of bunk. You’re not going to die.’ He told me I was
going to have to go through some bad times, but that there were so
many new treatments we could try. And we’d just keep working at it.”

Under Keating’s care, Sandra participated in a number of clinical trials involving different chemotherapy combinations. After more than a
decade of those treatments, she received an allogeneic stem cell
transplant. But locating a good bone marrow donor was a challenge.

“I’ve only got one sister, and neither she nor my kids were a
match,” Sandra says. “So, the doctors conducted a worldwide search. It
turned out a 26-year-old male was almost a perfect match. And he was
willing to do this for a complete stranger, which I’m just in awe of.”

Allogeneic stem cell transplant side effects

Sandra’s allogeneic stem cell transplant took place on May 26, 2010.
After the procedure, debilitating fatigue proved to be one of the
hardest side effects to deal with.

“I remember getting up in the mornings and willing myself to stay
awake until after lunch,” Sandra says. “That’s when I would finally
let myself take a nap.”

Weight loss also posed a significant challenge. “I was about 110
pounds my whole life,” Sandra says. “But after the transplant, I had
no appetite, and if I hit 104 pounds, it was a good day. I used to put
rolls of pennies in my pockets when I would come in for my check-ups,
because psychologically, I just could not handle going below 100.”

But the most emotionally wrenching side effect for Sandra was losing
her hair. She dealt with it by cutting her dark-brown tresses super
short right before the allogenic stem cell transplant, and afterwards
by embracing the curly gray locks that grew back.

“The hair loss was more than vanity,” Sandra says. “It was about the
realization that I was sick. Walking out of the salon with no hair was
traumatic. But after my first haircut, my hair started coming in dark
brown again. I’m back to myself.”

Advice for other leukemia patients

One way Sandra stayed positive throughout her cancer journey was by
connecting with other leukemia survivors.

“A woman who lived about 20 miles north of us had had CLL for 20
years,” she says. “She was a lot older than I was when she was
diagnosed, but I started talking to her and she gave me hope.”

A man Sandra befriended in the waiting area of Keating’s office also
had CLL, and his disease progressed much faster than hers.

“So, I would call him and ask, ‘What should I expect?’” Sandra says.
“We are still friends to this day.”

Now, she shares that same encouragement with other patients through
myCancerConnection, MD
Anderson’s
one-on-one support program for patients and caregivers.

“I tell people just three things: watch your stress levels, keep a
positive attitude and find some kind of faith,” Sandra says. “Trust
that everything is OK. With CLL, you’re never really considered
‘cured,’ but I am in total remission now, almost 20 years later. And
that’s about as good as you’re going to get.”


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