Munira Version 3.0

November 19, 2019 – As I walked into the Autologous Transplant Day Hospital on the 14th Floor of the Princess Margaret Cancer Centre, I was overcome with emotion as I saw many familiar faces from over six years ago when I had my first stem cell transplant.

I saw Aileen who was very pregnant when she oversaw my first stem cell infusion. Joanne reminded me that she had helped shave my head while I was in hospital six years ago. I saw Ana who gave me a big hug and said, “welcome back Premji”. And then there was Tasha, one of my all-time favourite nurses. Tasha is representative of the incredible nurses that work in the Autologous Transplant unit – experienced, competent and caring. She then proceeded to give me warm and personalized care throughout the day and answered all of Nagib’s questions about the countless medications I have to take over the next month. I continue to be amazed with the grace with which Tasha and her colleagues look after their patients.

Then we met LeePing, the nurse practitioner assigned to me, who was overall in charge of my care.  LeePing is unapologetically herself.  She is a cross between Boss Lady, regally in command, and Mother Hen, highly protective of her patients.  She is smart, confident in her approach, funny and collaborative in decision-making. 

 

The first step of the stem cell process is where I was given Melphalan, a very high-dose chemotherapy, to get rid of the residual cancer in my body.  This chemo is so strong that it destroys the bone marrow, which is where blood cells are made.  To ensure that the chemo does not affect my mouth and cause mouth sores, I had to stuff my mouth with ice chips for 15 minutes prior to the chemo, during the chemo and 15 minutes after the chemo.

 

In the midst of the chemotherapy, Nagib gets a text and says to me, “I have such good news.  I don’t even know how to tell you.”  With my mouth full of ice, I signal to him to share this good news.  The text was from Shayne saying that he was coming to Toronto the next day, for 10 days, to support us through the stem cell process.  Against all odds, I was at the airport the next day to pick my son up!

 

 

After one day of rest, I was back at the hospital for the stem cell transplant.  Since you cannot live without blood cells, it is critical that the high-dose chemo be followed by a stem cell transplant within a day or so to allow the bone marrow to grow back and start making blood cells again.

 

Millie, the Supervisor of the Cell Processing Lab, brought my stem cells that had been collected and frozen more than six years ago.  We watched as she thawed six bags of stem cells and then handed them, one by one, to Tasha to infuse into my body.  They worked efficiently as thawed stem cells need to be infused into the body within 10 minutes or they are rendered useless.  With the magic of technology, Sabrina and Afzal watched the whole stem cell transplant process from Kuwait via video chat.

 

 

The following three weeks were the most difficult days I faced in my life.  I felt like I was hit by a bus. All my counts went down to zero from the chemotherapy, and the stem cell needed time to take root and multiply.  I required multiple blood and platelets transfusions and operated on very low blood pressure.  Unfortunately, I also ended up with two infections in the bloodstream that required strong antibiotics.  There were days when I was not sure if I would make it through.  At one point, I needed to be hospitalized for four days so that the infections could be dealt with aggressively with antibiotics infused by IV. During this time, Shayne had to leave to attend a Directors course in Singapore. It was a tearful goodbye on a stormy Sunday afternoon.

 

 

The next day, while still in the hospital, Nagib announced, “I have a special visitor for you.”  I cringed as I was not in the mood to see any visitors.  The next thing I know, Sabrina storms through the door with a big smile, surprising us with an earlier than expected visit.  I was operating on empty and welcomed Sabrina with open and tired arms, so grateful for her presence.

 

 

I was subsequently discharged from the hospital but had to continue receiving antibiotics through the IV, administered daily at home by a nurse from LHIN (Local Health Integration Network, formerly known as CCAC).

 

Christmas was a wonderful time with family – Sabrina, Afzal, Shayne and Cherrelle were home, and we cooked and played games and watched movies, and cuddled and caught up on the goings-on in their busy and active lives. And then they left, and the house became empty again. Throughout this time, I had to make hospital visits to get my Hickman line removed and get bloodwork done. My platelets have been taking their sweet time to get back up to acceptable levels, and my white cells, although above critical levels, have been lower than normal as well. As a result, my recovery has been much slower than last time.

 

 

It’s been two weeks since I was formally released from Day Hospital, and 50 days since my stem cell transplant and I am now finally on the road to recovery, feeling like I have joined the land of the living. My 100-day post-transplant follow-up will be in the third week of February when we know for sure if I have achieved a Complete Response (i.e. the cancer cells in my bone marrow are reduced to 5% or less).

 

In the meantime, I’m trying to get comfortable with the new me – Munira Version 3.0.  I really liked the original Munira, which was my life pre-cancer when life was simpler and everything seemed possible.  In February 2013, I had to learn to adapt to Munira Version 2.0 until I embraced her – she was a kinder, more loving and caring version of me.  I am curious as to what Munira Version 3.0 will turn out to be and look forward to exploring her with all her vulnerabilities and idiosyncrasies as she slowly comes into her own.

 

28 Comments

  • Anonymous , January 15, 2020

    sending you prayers for a full recovery with love

  • Anonymous , January 15, 2020

    Love you! 😘

  • Jennifer Paton Smith , January 15, 2020

    Congratulations Munira 3.0! Wishing you good health and a complete recovery!

  • David Sapper , January 14, 2020

    I’ve been thinking of you Munira, and appreciate the updates you shared here. You also continue to be included in our weekly M’sheberach healing prayer. Wishing you love, health and peace as you get to know Munira 3.0 in 2020.

    • Munira Premji , January 15, 2020

      I am so blessed to share the same sky with you friend. And I follow with joy all the wonderful things that are happening in your life. From the bottom of my heart, I thank you for continuing to include me n your weekly healing prayers.

  • Rehmat & Moosa , January 14, 2020

    YAM Mukhianimaa.
    Its a miracle and wonderful recovery. We always prayed for your recovery.
    Everything happened with your courage family support and your dedication

    • Munira Premji , January 15, 2020

      Thank you for connecting Moosabhai – Amen for your prayers. Yes, my family has been instrumental in my healing….

  • Anis & Naj Hirani , January 14, 2020

    Welcome, Munira Mukhiani Version 3.0. Wishing an upgrade that is filled with all life’s BEST with LOVE and HAPPINESS. Our heartfelt prayers for a bigger, better, best YOU and a blessed family. Having read your blog, might we say “been there and done it” through a journey that was so closely linked with you and Nagib Mukhi. Thank You for your strength, support, focus, and inspiration on a positive mindset through life’s trajectory.

    • Munira Premji , January 15, 2020

      So grateful for your support, advice, insights Anis Kamadiani and Naj Hirani during this time. You shared such good info with us because you have been there and done it. Big prayers for kamadianima to regain 100% health and vitality….

  • Swati , January 13, 2020

    My thoughts and prayers are with you Munira. Wishing you a speedy recovery. Love, Swati

    • Munira Premji , January 15, 2020

      Thanks for connecting Swati! Thoughts and prayers accepted!

  • Cheryl A Lake , January 13, 2020

    Congratulations Muni. You have accomplished so much through such adversity. My best wishes and prayers are for your continued recovery. With love, Cheryl.

    • Munira Premji , January 15, 2020

      I have been thinking about you Cheryl and am so thrilled that you wrote! Time for us to get together; its been far too long. So much to catch up on. What dates work for you in Jan? Love, love, love, Munira

  • Salwa , January 13, 2020

    Sending loving energy your way. You are so inspiring! Your smile is strength, your smile is compassion, your smile is love, your smile is LIFE!

    • Munira Premji , January 15, 2020

      Hi Salwa! I welcome your loving energy! I keep missing you in khane. Will come and find you next time!

  • Anonymous , January 13, 2020

    OMG Where do you get the strength to smile my friend. Our prayers are with you all the way. Mowla is with you all the way holding your hand. You are such an inspiration.
    Thank you for not posting email address.

  • Anonymous , January 13, 2020

    Hoping that your recovery continues to go well and that you’ll be feeling so much better very soon. 🤗

    • Munira Premji , January 15, 2020

      The body is such an incredible thing – – feeling stronger every day! Thanks for your good wishes.

  • Elia (Mary G.’s friend) , January 13, 2020

    Munira your post brought tears to my eyes. You are a true example of strength and courage. In my thoughts and prayers. Xox

    • Zubeda , January 13, 2020

      Munira you are a wonderful person may mualla give you lots of strength and courage pray for your fast recovery.
      Ameen

      • Munira Premji , January 15, 2020

        Ya Ali countessma! Amen for your beautiful prayers!

    • Mary Gemmiti , January 13, 2020

      Hi Munira. Your post has brought me so many memories. Continue this incredible courageous journey you’re walking. You got this! I look forward to seeing Munira 3.0 Version very soon! xoxo

      • Munira Premji , January 15, 2020

        I get so much energy from you Mary “Premji” Gemmiti!

    • Munira Premji , January 15, 2020

      Hi Elia! Did we meet in Mary’s kitchen at Wasaga? I so appreciate your taking the time to connect and for your thoughts and prayers….

  • Gulshan harjee , January 13, 2020

    Congrats Munira. You are an inspiration to many. Sending you prayers and good wishes for full recovery again.

    • Munira Premji , January 15, 2020

      I love hearing from you Gulshan Harjee! I feel your love and prayers…..

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