A Message From Tim We had no idea what to do? Where to go? Nor How to do it? We just knew that we had to find a donor that would give Pia the Gift of Life. I remember going to the pharmacy that evening to get started right away on antibiotics and Antifungal drugs…looking at the pharmacist as she was wonder why Pia needed such powerful drugs after being in remission for almost two years. Well a year later, things are different. First we were told to spend whatever time we had left together, to take it. As a match was is not in our cards anytime soon. Well for all those institutions that told me that, obviously did know me, or what I stand for. No hard feelings, but to I write to you all in mixed emotions of happiness and sadness. You see yes, we beat the odds so far and found Pia a match, an IDENTICAL match. She survived the transplant, as today is DAY 203, although suffering daily stomach pains (that affects what she eats causes her daily pain), SHE IS ALIVE, and grateful for every breathe of air she inhales everyday. Today is also another milestone, as Rajan is going into transplant, and getting the chance for a new life (WE ASK YOU ALL TO PRAY FOR HIN AND HIS FAMILY TO CARRY THEM THROUGHT JOURNEY). It just can’t be a better day of hope. That make 6 matches, and 6 transplants that we have been able to facilitate since the start of our campaign. We are also so proud of all of our patients and patient families. Moreover the continuing “Act of Kindness” that we receive from all the strangers that joined the Registry to become a potential Live Saver. On this day, Pia and I also celebrate the lives of all those patients that are no longer here with us on this earth, but with us in our hearts and minds. Nitha, Sagarika, Gurdeep, Anupama, and Varun. You and all your families have become our families. Today and everyday we will celebrate what all your lives meant to us on this earth, as you continue to watch over all your families and all those patients that still need our help. There is a special song that Pia and I have for each other, however, it so fitting to be shared for all the patients in our campaign, whether they are here or in heaven.
I pray you'll be our eyes, and watch us where we go. And help us to
be wise in times when we don't knowLet this be our prayer, when we lose
our way I pray we'll find your light and hold it in our hearts. When stars go out each night, The light you have I pray we'll find your light will be in the heart and hold it in our hearts to remember us that When stars go out each night, you are eternal star when shadows fill our day How much faith there's Let this be our prayer in my prayer when shadows
fill our day
We dream a world without violence a world of justice and faith. Everyone
gives the hand to his neighbours Symbol of peace, of fraternity The force his gives us We ask that life be kind is wish that and watch
us from above Need to find a place, guide us with your grace Give us faith so we'll
be safe Our families were so honored to have been able to sponsor god’s blessings in hosting and servicing (god’s blessed food), on a very religious and auspicious day (Ramnami), at one of our most dedicated temples in New Jersey (Durga Mandir). This blessing was such a great opportunity to provide the post-ceremonial meal for a 1000+of some of the greatest volunteers and potential donors that believed in us, and joined our campaign. Most rewarding was the opportunity to have the elders in the community who helped us, meet Pia for the first time (for a brief moment, as Pia couldn’t expose Pia to large crowds, in the attempt to prevent any infections). As some may know, in our Hindu culture, getting blessing from elders, can be compared to getting blessings from God. So many elders were proud of Pia and the cause for not just saving Pia’s life, but for potentially saving other members in the community too. What a REAL honor that day was for us. Then there was Pia’s birthday, almost a year ago, we were told that she may never see her 30th., birthday and enjoy whatever time left you have with Pia. Well, we listened to those individuals, respected what they said, but would not accept their outcome. Almost a year later, Pia is here surviving everyday, continuing to help us advocate for all the other patients in need. Some say it wasn’t her time, others say it was luck to get a match, we say it was determination and the willingness of a community to not give up the fight for her life. The birthday was a real treat, as so many members of our family were in tears to see Pia make it to that day. And the lovely emails we still get everyday, just confirms our original notion of if you educate humanity, humanity will rise to the occasion and help to save lives. Thank you to all again, for these wonderful wishes and cheery messages you send everyday. It is the consistent support of all of you that makes our commitment to this cause even greater. With every cause there is such greatness to people in need, get the help they need. With that in mind, I would like to congratulate the Vyas family for all their handwork and dedication to Rajan. Yes, Rajan has a MATCH!!! He will be going into transplant June 17. We are ever so grateful to the wonderful mother who had the foresight to donate her cordblood to the National Cord Blood Program in New York. I want to personally thank Dr. Rubinstein and Clan Stevens for personally making sure this unit was ready for Rajan. In addition, very grateful to Hiral (Rajan’s aunt, who was our daily point person on this campaign and worked with us to ensure we found the right match for Rajan…Hiral what can I say you are AWSOME!!! Never stop the drive and commitment you have to Rajan). This Friday June 17th., please continue to pray for Rajan and his family, as they enter the next phase of their journey. Lastly, I would share my heartfelt condolences with Deepak and Ramya, for the loss of their beautiful son Varun. You see, Varun was a very inspirational little boy. Upon starting a campaign for Pia last year, he and his family were one of the first patient families to join Matchpia’s awareness campaign. From the onset both our families bonded and relied on each other for support through this journey. What can I say, Deepak, you and Ramya showed all of us in the community the importance of what parents will do to fight for their precious child. You fought from day one to the day Varun commenced his journey to heaven. I honor you both for sharing all your experiences with Varun’s treatment through your website. As we discussed, there is nothing I can do or say to bring Varun back in you mind, but I will tell you, you’ve made so many parents hug their children and understand how valuable life really is. Some say when an adult passes, their memory stay on the gravestone, but when a child passes, their memories don’t stay at the gravestone, but in the hearts of all those who loved them. Deepak, we will never forget the love and awareness Varun brought to
all of us, nor will Pia and I forget all the phone call we’ve
had with you and Ramya the last 10 months. We join you two in celebrating
Varun’s life for the strong happy boy he is. These are the experiences
in life that will make us continue to bring further awareness to this
cause, while helping to save lives for all those patients in need of
a transplant. It’s interesting to see how life and death, has a way to help prioritize what really matters in life. Some say it is a second chance, others say it’s a gift from above and there are some others who say it’s a miracle. Whatever it may be, we are grateful to all those who in someway touched us all the way, and remain to. Hence, I think that is why we continue to touch all those families that ask for our help (as we know what it was like, when there was NO ONE to help guide us as we started our journey). Today is Day 161, Pia is doing well, as we still continue to integrate back to where we left off before her transplant in Seattle. The doctor appointments are still ongoing, and various tests are still conducted weekly to ensure the donor engraftment is still functioning the way we expected. It has been so remarkable to see Pia so supportive of the cause, and understanding all my involvement. You see there are a lot of calls in the late hours of the night, or during dinnertime or just about all hours of the day from patient families in need (whether they need help with their treatment or they just need someone to talk, when things are looking bleak…from all around the world). I just realized, that our involvement and dedication to this cause, are just part of our life’s now, it’s totally natural just to have conversations with patients all day on donor search and the transplant process (weird huh? somehow we’re getting accustomed to it). It has been so great to know that there are 5 patients from our campaign who we’ve worked with to identify donor matches (whether it be bone marrow or cord blood). Four of those patients have had a transplant, and the last patient will go into transplant on May 11th. We are so proud to work and empower these families to go the distance for their loved ones. As for each family that goes through this process, they realize the gift of knowledge that was bestowed upon them, and it is the same knowledge they too will bestow upon the next family in need. Eventually, this cause will continue to thrive on the all the forefronts of every community, in every country. As a result, we will continue to increase and diversifying the pool of donors in all the Registry’s around the world, which will provide the opportunity for donors to have EQUAL ACCESS to life saving transplants everywhere.
After tremendous outreach to the community, we were able to achieve that level of understanding for Pia. Today, we continue our campaign to further educate our community of the importance of being a committed donor for all those patients that are still in need. Today is day 147, and Pia is continuing to heal and get readjusted to the east coast. As strange as it is, any little deviation from being a normal person, just alarms us. Anytime she sneezes of coughs, we always think twice weather if it’s just a sneeze of cough, or whether it’s something serious (like Pia’s immune system being compromised). With this in mind, we continue to support all those families that seek our help during their journeys through finding a donor, and having a successful transplant. We ask everyone to support all the families on our website, as they all need the same chance Pia got (the same support the community provided). I ask everyone to pray for Little Varun, as his health has suddenly started to deteriorated in the last few days (although he is starting to being heading back in the right direction, his body is under severe stress), while his parents fight for his life (Deepak & Ramya, we are all praying for you, and proud of all the hardwork you’ve both done to get Varun to transplant). Please continue to pray for Varun in his time of need. Then there is Renu, who has done so much for our community as a Senior UN Officer (she played a significant part in the aparti movement in Africa). So far away from her home, and a way from her family and friends, she fights hard to make it to another day of hope. Renu, you can do it…you have the determination it takes to go the distance. Please continue to Pray for Renu as she fights to get into remission. Also, there is a very special little boy (Rajan), who just turned seven
days ago, and has inspired our community to come together very quickly
to get donors tested all throughout the country. Although we have not
meet Rajan, we know his aunt Hiral (doctor herself), who we’ve
had the honor of working with the last several weeks. Rajan, our team
is very proud of you and your families for helping our community to
further bring this cause to the forefront of society at large. Please
continue to pray for Rajan’s safe passage to remission, and finding
a donor. Finally, the day came (India Day Parade), where she stood on line and filled the “donor form”, and proceeded to get her blood tested. “It was simple, and now I know how empowering it could be”. Proclaimed Geeta. The story doesn’t end there, 8 months later, Geeta got called to be a potential match for a female patient with leukemia. “I went in to the donor center to give another sample of blood, and really see if I am a match…I hope I am…”, said Geeta. She concludes, by saying “Good bless you and Pia, for allowing me the honor of potentially saving a life” I thank you Geeta, as we are all proud of you for sharing your story with our team. It is not always one can be so selfless in saving someone. As Geeta shared her story with us, I encourage anyone who has been contacted by the NMDP or Donor Center contact us, and let us know if you have any questions about the matching or donation process. Sometimes that will be the only way we know how many matches we are getting in our community. Today is Day 142, and I really feel good knowing Pia is doing ok (she
is slowly getting used to the east coast again), and everyone around
us have been so supportive to the cause. It is very evident to me, more
and more people are getting to know about this cause, hence, more people
have been questioning how important this cause has become to our community,
and how they can help. Whether it’s donating volunteering time,
monetary donations, donation of services (like donating printing of
posters and flyers or refreshments at drives), the word is getting out
there, and the momentum is getting greater everyday… So to everyone…thank
you for spreading the word, getting tested and doing drives…there
are a lot of other patients who still need our help. Lastly, PLEASE watch Good Morning America (GMA) on ABC Network next
Monday April 18th. (Yes, it was rescheduled again…please check
the website to see the exact time). And don’t forget to send GMA
an email, letting them now that how important it is to see stories like
this, especially, since they deal with the severe health disparities
of the minority community. Send your comments to: NETAUDR@abc.com It was amazing to see the pure enjoyment this now soon to be adult displayed, and her enthusiasm in giving back to society, and helping those that are less fortunate. She recited several quotes during her presentation to the audience, as she entered her adulthood experience (“It takes courage for a man to listen to his goodness and act on it”-Norman Cousins, and even honored Pia for all her teachings, and quoted Margaret Mead “Never doubt that a small group of thoughtful, committed citizens can change the world: Indeed it’s the only that ever does” ). As I watched tears running down Pia’s eyes, knowing how proud Pia was of her former student (now dear family friend). It was amazing to see an example of a child, entering the “Right of Passage”, knowing the importance of giving to those in need. We are proud of you Hannah…and both Lois and Stuart for raising Hannah to appreciate all those in the world. Today is Day 140, and Pia is fighting hard to regain the confidence
of a patient, going back to a place that was once home. It is very tough
and a challenging to know that you’re going to be safe, away from
the doctors who cared for you and gave you safe passage through your
transplant. So with great gratitude and strength, we continue to stay
cautious and focused as continue to “travel this road less traveled”. I would like to take this opportunity to update everyone on Pia’s condition and other Matchpia.org initiatives. To start off, I would like to commend our donor in the UK, for her “SELFLESS ACT OF COURAGE”, and warmth in giving Pia a “SECOND CHANCE at life”. In reality, she also gave all of us a “SECOND CHANCE” to get to know Pia better now, and in the years to come. With this, I am happy to share GOOD NEWS, Pia will be discharged very soon (in the next week or so), from the care of the Fred Hutch Cancer Center in Seattle. Yes, that means we are heading home to pick up, where we left off in our lives (although, we are not out of the woods yet, we will continue to be cautious from keeping Pia infection free for the next 5 years). There is additional the GOOD NEWS, about one of our team members, and South Asian patient, Meagan Jacob. Meagan has a match, and has undergone her transplant in Houston, Texas. I am happy to report that Megan is doing quite well, thanks to the efforts of our community coming together to support our national campaign. We are very proud of Megan and her family in continuing to fight so hard for her life. Then there is Varun (we rarely call him “baby” Varun, as he is now one years old, and has grown up in front of our eyes, teaching many of us adults how precious life really is), who is STILL DOING WELL, and STAYING the COURSE to recovery. We are very proud of Deepak and Ramya (his parents for continuing to fight for his recovery). These are some of the great updates of our patients who are still on course for recovery. However, I would like to stress the deep IMPORTANCE of all the other South Asian and Minority patients who we work with everyday, that are still in need of a donor match. We as a community have risen together to help Pia, Megan and Varun, and we cannot FORGET the other “FACES of HOPE”, that still need our help. It is this reason, both Pia and I , along with many volunteers, continue this cause to help those in need, as we were once in their same shoes looking for a match. Our campaign has continued to grow more than ever, we are getting about 6,000 hits to our website everyday (from various states in the United States, and over 38 different countries around the world). We still need all your help…please get tested to be a potential donor match, continue to tell everyone you know the importance of getting tested, and help us conduct donor drives in your areas… With everyone’s’ help we can make the National Donor Registry better represented for South Asians and Minorities by increasing the chance of donor matches foe every patient in need. Thank you all again, for your continued support in saving LIVES in
our community. Pia’s CMV is still present, and alarming for us to be very cautious of the affects of the treatment. It’s so interesting to see that sometimes the discipline of medicine is so hard to be predictable. Being on Ganciclovir for 5 weeks, has caused Pia’s counts to be low, so we may need to change to a different drug, that may not affect her counts as much, but still be strong enough to enable the CMV to be dormant in Pia’s body. As of now, her body is still like an enfant with no immunizations (very susceptible to infections disease). It’s amazing to see the smile of courage on her face everyday, knowing that deep down inside, we don’t know what tomorrow brings. It’s this strength as a caregiver that makes me “Stay the Course” in working with the doctors and nurse everyday, to challenge the notions of “Have we done everything in our power?” ….”What else can we do proactive?”…”What are the options?” So the days go on until we get more results that give us an indication that it’s OK to go home. A lot of our supporters have asked “You did it, 100 Days have gone by, Your done right?” Unfortunately, 100 days is the standard duration for stem-cell transplants, but to be on the safe side, it may take more time and patience to know that this leg of the journey is over, and the next step of the journey begins (usually another 2 to 5 yrs, before a patient is really out of the woods). So yes, we made milestone of 8640000 seconds, 144000 minutes, 2400 hours or 100 DAYS, but the journey continues, the treatment continues, and so does the awareness and hope for everyone to find a donor match. As we continue to spread awareness and education of this crisis in ours and all the other minority communities, I ask everyone to keep spreading the importance of this cause to everyone you know, as knowledge will be a determinate to ignorance. I would like to thank you all for all your lovely letters and emails,
care packages, and all the love and prayers you’ve all shared
for us and all the other patient families. It’s truly remarkable
how so many people can come together from various races and various
places to help those in need. I have never been so proud of my community,
and hope we can all foster this sense of pride in everything we do make
this world a better place. Pia’s overall counts are looking good, however, we still need to ensure that her T-Cells (the cells that help to fight off foreign bodies that enter the bloodstream), counts are at an inappropriate (so far we are baffled that they are not), level. It troubles me to know to that we are in a wait and see state, especially since day 100 is coming around the corner (tomorrow). Other this big mystery, everything is going good, Pia is eating well, doing a lot of yoga, talking a lot of walks and spending time meditating and plying with Alli. Today is Day 99, and it seems like this cat and mouse chase never ends, you help one patient family and do a search for a match, a donor drive, help them find doctor or transplant center and most important and time consuming of all, is to be there for them everyday as they go through their ups and downs (be cause you’ve witnessed those same feelings yourself during your journey). Call it a Task Force, call it a Support Group, or call it for what it is, Patient Families helping Patient Families…..that’s what a Community has become. And that’s what over 600 of you “direct volunteers” have helped us to create. As for me, it seems like sleeping has become like an annual holiday like Thanksgiving or Christmas. Sleeping has come down to 3-4 hours a day of just closing my eyes and waiting for the sun to come up. I’ve noticed that the number of hours in a day are just too short, as compared to all the work we need to accomplish in helping all these patients. Someone said to me, just “hire a few people”…unfortunately, there isn’t enough funding to pay anyone, as I and my family have already spent over $200,000 to get the awareness out. And you can only ask people to volunteer their time and heart to the cause. So the journey continues … as we hope to get some more news on
for Day 100. Yesterday was a remembrance of all the hope that carried us through finding a donor, to us continuing to recover today, tomorrow and into the next five years (5 years is usually considered the milestone, where a patient is considered cured). In addition, yesterday was Valentines Day (a day for the exchange of tokens of affection), for of us, and everyone else around the world, who celebrates it. I can tell you, that in the four Valentines Days I spent with Pia, this was by far the “Bestest” ever. This year we are grateful for all that life brought us. For this year, we share Valentine’s Day with a new person in Pia’s lives, as well as our new relationship with that someone special (the selfless donor, who saved Pia’s life). So whoever said “Two’s company and Three’s a Crowd”, must of forgot, that rule doesn’t apply to a patient who receives stem cells from a donor, as a donor can never, or ever be looked at, as an outsider to a patient, or patient family. Although the day was well spent at the clinics getting blood tests, a bone marrow biopsy and skin biopsy, Pia was able to get home to get some rest before we started out for dinner. Dinner is always a limited choice outside the house, as you have to be very careful to go to places you know the food will be prepared from fresh products, as well as knowing that the food is handled properly and cooked fully. So going to new places on the whim is something that just doesn’t happen in our lives anymore. Dinner was short, but tasteful. I think that we were both happier to be home, just resting watching a movie, knowing that Alli was nearby. So off we went home and exchanged our Valentines cards and gifts for each other (we both know, that the gifts were just a token of our gesture for the celebration of Valentines, but know that this day was just another day of celebrating our love for each other). Before you knew it, the night just turned into a regular night of taking
medicines and watching Pia fall asleep to the beeping noise of her hydration
pump. So this was the closure Day 82. That is often the case for all of us trying to find hope in this journey for a donor. Today is day 79, and it is these questions, I ask myself as a caregiver everyday. It is these questions I ask every patient family to ponder on, for it could mean the difference between doing all you can and going the distance, vs., being complacent and accepting a gloomish outlook of the disease. The CMV is still present in Pia, and still a concern for all of us. Watching her take the high dose of Ganciclovir, gets a little troubling for me, as Pia gets very tired and sleepy (reminds me of the days when she was on very strong chemo doses…it’s sad to see someone you love so weak and tired). This week has been very busy, as Day 80 is a big milestone for a transplant patient (as they start to get a lot of tests done, before the 100 Day release date). Hopefully this weekend will bring some rest for Pia. Interesting milestone, as of today, our global cause has involved talking
to patient and patient families in 19 different countries in 5 different
continents. As they say in the Wizard of Oz, somehow, it feels like
“we’re no longer in Kansas anymore”. Cancer is the
same wherever you go, it’s the treatment that’s different.
As we learned, cancer doesn’t discriminate by race, but it’s
the treatment that discriminates by race and socioeconomics (clearly,
one can see the difference between the haves and have-nots). So how
does the minority communities compensate for these deficiencies? Knowledge…it’s
the thing that always sustains us , and allows us to be part of an “equal
level playing field”, in any culture. Yesterday, the SCCA determined that Pia needed to start a new drug called Ganciclovir (an antiviral drug which slows the growth and spread of cytomegalovirus –CMV), to treat the new virus called CMV found in Pia’s white blood cells. You see, prior to transplant, Pia went under a very rigorous conditioning program here, where they learned everything about her body before the transplant (they established a baseline), and if any viruses existed, they would treat them prior to transplant, hoping to prevent and further complications during and after transplant. It’s actually very common to have CMV as a normal person (over 505 of the population in the United States have CMV). The only thing that makes us concerned, is that Pia’s immune system is still suppressed so her donor cell continue to engraft. So if the CMV isn’t treated, Pia can get an infection and be really endangered for survival. The doctors are cautious of this new finding, but know it was a matter of time before she would get CMV (we know Pia didn’t have CMV prior to transplant, but her donor did, so it passes onto Pia). By all means, we are not upset at our Donor, it’s a very common to have CMV. Actually most people get it very young, usually when they are exposed to a other little kids, who are sick in a daycare setting. I must say though, we are very lucky to have some of the best health care professionals at the SCCA. Out lead nurse Pat, has been here since the first “unrelated transplant” in 1979 (when doctor Thomas and his team conducted the first transplant of this kind, right here in Seattle), and not only takes care of all our medical stuff, but treats us as, her own family. Our doctors her are also very attuned to every little thing that needs to be addressed (attending doctors rotate one month at a time). One of the coolest things I heard during this whole treatment, was when one of the nurses yesterday, told us that the attending doctor was reviewing every patient in rounds, and when it came to Pia, paused and reminded the whole team, the importance of how patients really fight for the right to survive. He was so touched by the efforts it took a community, to find Pia an identical match. He mentioned “It took the Heart and Soul of one man in Love with a woman, to start a campaign which still continues far after her match and transplant”. He went on about what determination and strength it took this young man to overcome so many individuals that told him it could not be done, let alone, increasing the chances of finding a match for all the other South Asian patients lives’ that can be saved from this campaign. After everyone listened in total silence, he concluded, that it is this “Heart and Soul” that we should learn from, and carry on in everything we do as medical practitioners. I watched the nurse tell us this, as I saw tears in Pia’s eye’s drip down her faintly red cheeks, while the nurse said, “You’ve set a good example for all of us to follow”. In sheer gratitude, I smiled and was so touched that one of the world’s leading doctors in transplants really took the time out to understand our community’s plea for help. Not only is he one of the world’s best known doctors, but one of the founding fathers of the NMDP. Thank you John, for all your guidance and support, you’ve given us from the first visit at Fred Hutch, to present day, for all your help and support to both of us during this journey. You have everyday, demonstrated your deep understanding for what patients/families really go through, while enabling us to better understand our treatment. That evening, as I was really thinking about what “Heart and Soul” meant, and it reminded me of Billy Joel’s song “All about soul”. I realized that Pia is really my Heart and Soul, and the struggle of this journey gives us even more strength everyday to go on and continue to bring further awareness of this cause. I often think, maybe it is the Heart and Soul that keeps me focused everyday and night (as I strive to get more than 4 hours of sleep a day). It’s late (1:00am), in the morning, and Pia has fallen a sleep the forth night in a row with her hydration pump on (it usually make an awful loud beep when all the fluids are done). As the light blinks and beeps, it’s usually my cue to disconnect the hydration from her Hickman catheter, and flush both her lines with saline and heparin (keep it very sanitized and infection free). As I looked at her innocent face, in deep sleep, I just started remembering the words to Billy Joel’s song… She waits for me at night, she waits for me in silence It's all about soul She turns to me sometimes and asks me what I'm dreaming It's all about soul There are people who have lost every trace of human kindness It's all about soul
So it is this New Years Eve, I take the time to be grateful to GOD, my family, friends and COMPLETE strangers whom become the thick branches of our tree of HOPE. It is these branches that not only help us to grow, but help us to spread our message all throughout the US and the world. For it is my heartfelt thanks that immeasurable gratitude I take this moment to convey my indebt ness to you all. -All mine and Pia’s family, friends and colleagues, who sacrifice every waking moment the past 7 months, to focus on find a match (all sacrificed birthdays, anniversaries, weddings, bridal showers, baby showers and all the other parties), for Pia and all the other patients. -All the volunteers all around the US and around the World -My Team Leaders in New Jersey/New York, Connecticut, Atlanta, Chicago, Boston, Virginia, Maryland, Washington DC, Florida, Tennessee, The Carolina’s, Alabama, St. Louis, San Jose, Freemont, LA, San Francisco, Dallas, Houston, Colorado, Louisiana, New Mexico, Massachusetts, New Hampshire, Maine, Rhode Island, Illinois, Ohio, Michigan, Minnesota, Kansas, Washington, Oregon, California and all the other States and Cities that worked with our Team on this campaign. And all the other countries around the world that “Spread the Word” -All the Donor Centers of NMDP, several of the cooperative leaders of NMDP, and certainly, some of the supportive Board members of the NMDP, who embraced our efforts -Our South Asian Celebrities, who have become ambassadors of this cause: Manu Narayan - Lead actor from the award winning Broadway show “Bombay Dreams” Ayesha Dharker - Lead actress from the award winning Broadway show “Bombay Dreams” The Cast of Bombay Dreams – All the wonderful actors and actresses Kalpen Modi - Talented South Asian actor, from movies like: Harold and Kumar Goes to White Castles, American Desi, Van Wilder, Malibu’s Most Wanted, Love Don’t Cost a Thing, A Lot Like Love and others Parminder Nagra - Talented South Asian actress, from the smashing hit move “Bend It Like Beckham” and NBC’s “ER” Ravi Kapoor - Talented South Asian actor, from NBC’s “Crossing Jordan” Anan Jon – South Asian fashion designer to the
“Stars” -The newspapers – Krista - Associated Press, NY Times, NY Post, New York Newsday, Washington Post, and hundreds of local market newspapers. -The educational/government organizations – Who welcomed and endorsed our cause, NetIP DC, South Asian Associations in colleges and Universities, Congressman Rothman, Congressman Pallone, Senator Corzine, and Governor McGreevy. -The NMDP Reauthorization Committee – Who have embraced our cause, and taken the time to receive the feedback of the South Asian Community, as it relates to funding additional outreach programs: Senator Judd Gregg (NH) Senator Bill Frist (TN) Together as a community, we have accomplished what some people might refer to as history, bringing so much awareness to a cause of SAVING PATIENTS in need, a cause that is so lightly discussed among our community and government leaders. I don’t personally call it history, but our commitment and devotion for Humanity. Our strategy was to launch a very effective campaign that can touch everyone emotionally, for the FIRST TIME in the history of our community, religion or gender didn’t matter anymore. Whether you are a male or a female, a Hindu, Muslim, Sikh or Christian in our South Asian community. It didn’t matter anymore, as the barriers of religion, needed to be broken-down in order to save lives in our community. Now the only thing that matters, is the compassion for HUMANITY, and all our commitment to sustain it. I am very proud to be with such an empowering community of individuals, and it is this magical feeling of greatness that keeps Pia and I, so focused in keeping this cause alive for all those patients in need. I slightly pause for a moment, as I can remember 2004, “As it was best of Times, it was the worst of times, it was the age of wisdom….” The description I always remember from Charles Dickens “Tale of Two Cities”. The Best of Times, as we had so much fun planning our wedding and being with friends and family, the Worst of Times, as Pia relapsed from AML, and had no other chance of survival, but to receive heavy chemo therapy and with anxiously for a donor to be found, the Age of Wisdom, as everyone learned the power of Humanity. The notion “If you educate Humanity, Humanity will rise to the occasion”…this campaign has demonstrated that once people were educated on what a stem cell/bone marrow transplant was, and the process involved to save a LIFE…the choice was simple. It is often asked of me why we continue this journey of bringing further awareness of the importance of education our community, and other minority communities. And I think the answer still remains the same, “Complete strangers took a chance on us, why shouldn’t we take a chance on complete strangers who too are patients in need “ And that is what has happened. It is true to the testament and think of one of Pia’s favorite quotes by Margaret Mead “Never doubt that a group of thoughtful, committed citizens can change the world…Indeed it’s the only thing that ever has” With these words, I conclude on this eve of old memories, not to forget, but to thank our COMMITTED donor. Your strength has not only given Pia a second chance at LIFE, but all those who love and adore her. -I thank you for letting us have a closer to normal life, as we have been living the pains and hardships of this disease for almost 3 years. -Our family and friends thank you, for allowing them to love Pia all they know of her, and all that they will be able to learn from her in the future. -The hundreds of children and families that Pia has worked with in the past 8 years of teaching at various schools. -The entire community of volunteers, donors, patients and doctors whom from your kindness and example, will continue to save the LIVES of all the patients who are still in need of a donor match.
And a special thanks to one of our most dedicated and supportive corporate
sponsors, who have demonstrated social responsibility to our community.
Without whom, we would not have this website and the ability to spread
the importance of this cause around the world. ~Posted on 12/26/2004~ The part I haven’t spoke about in this leg of the journey, is the strict requirement of being cautiously clean and focused in preventing germs from hanging around. You see, as a transplant patient, you need to make sure you live in a very clean environment, staying away from any possible infection. We have to make sure Pia has fresh towels everyday, the floors are swept and mopped, the furniture in all the rooms are dusted, carpets vacuumed, all the kitchen counters and sinks clean at all times (with a Clorox solution). The fridge spotless clean in the inside and outside at all time too. Also being very careful in preparing food, storing it, heating it up, let alone eating it. On the other end, bathrooms showers need to be cleaned everyday, toilets and sinks scrubbed and cleaned too. I think we get a little too carried away, but with an immune system of a baby, why take the chance right? So getting back to my original point, cleaning is not really a big deal as one thinks it is, the big deal is making time everyday as a Caregiver to ensure it gets done. As a few hours pass, the apartment is back in its usually state of
cleanliness, Pia awakes with a ferocious appetite to eat. So glad for
her hunger, we make pancakes, toast, eggs and anything she craves, as
hunger is always good to have, as it’s a good sign that she is
getting better, and close to normal. And night she needs to eat as much
as she can, to becoming close to her normal self. The day goes on, and
we reflect back on the previous nights events to realize how fortunate
we are to be healthy, feed, and having shelter above our heads. With some coco in hand, we both start to exchange gifts with each other (deep down inside, we both know the greatest gift of LIFE, has already blessed us, and any other gift from each other are just tokens of our love for each other). In a matter of an hour, all the gift are given and unwrapped, even all our “Merry Christmas” calls back home were already accomplished. After taking all of Pia’s medicines, and starting her hydration (she is still on hydration, and will be for a while as one of the medicines process too much Magnesium from her liver causing a deficiency. Until the deficiency is overcome by sustaining production from her own body, Pia must continue the hydration of magnesium through her IV solution). We start to prepare for the night’s dinner, Yes, we are having guests for dinner…yea!!! Rujuta and Vivek (our Seattle family), are joining us for Christmas dinner. Pia and I spend the whole afternoon cooking dinner for our guests, as well as for complete strangers. You see, Thanksgiving and Christmas are the two holidays we always celebrate with strangers who are less fortunate than us. We usually spend time in the afternoon giving out sandwiches and warm beverages to what some refer to the “Homeless”, while we refer to them as the “Less Fortunate”. This year on Thanksgiving, Pia just got her transplant, so I went solo and handed out the sandwiches and warm beverages in the streets of downtown Seattle instead of our usual streets of New York. Now almost 4 weeks later, Pia will join Rujuta , Vivek and I in making and handing out food to all those who deserve a meal tonight (let alone every night…sometimes I feel sad that, we as caring humans, only help those in need during the holidays, instead of everyday…). So as we finish assembling the sandwiches and head to the coffee shop to get 30 large coffees (the only place open was 7 Eleven), we loaded everything in the car (the faces of the employees of the 7 Eleven, were so surprising as we were probably one of their biggest customers of the day), and headed through the streets of downtown. At first it was hard to determine who was in need and who were just passer byes. But soon we could tell the difference. With time, we started handing out the sandwiches and beverages to complete strangers who were just so happy for someone to just talk to them, let alone feed them. In a matter of minutes, with the cold chill of the wind blowing in the damp Seattle night air, we saw a large crowd of people taking shelter underneath a highway overpass. As we proceeded to the area and got out of the car (I cautiously looked around, as Pia was with us and was feeling good enough to observe, and even hand some sandwiches out, while I made sure we were away from anyone who looked sick or coughing). The crowds started getting big as a group of 10 to 15 people saw us handing food out, and further spiked an curious interest of others to seek refuge in us, to help them in a time where no one should be a alone, especially without a meal. Many “Thanks you’s” and “God Bless You’s” were spoken by these strangers who welcomed us into their space. I watched and observed the faces of Pia, Rujuta and Vivek, as everyone knew this was a start in “helping those in need, as we have everything we needed”. Night falls, and we headed home to a wonderful meal in a warm apartment, with all the comforts of home (for some reason, after watching all those who wouldn’t of had a meal tonight, if it wasn’t for us, I felt like I didn’t do enough to help all those in need…maybe we should of made more sandwiches…maybe we should of looked for more people). Anyway, the dinner started with Pia reading a poem about how “blessed this home is”, for not just the food we are having, but the company that make this home so blessed. Dinner continued late into the night, as I think we used every pot and pan, dish and bowl, and every last utensil to make this event happen. As the night came to an end, and our guests left, Pia and I talked about not only of all the people that we touched tonight, but all the people who touched us in our campaign to find a donor…we held hands and said a prayer for each volunteer, donor, patient, the media, the government for all their sacrifices and commitment in bringing further awareness of this crisis, and saving lives in our community. Moreover, to our selfless COMMITED DONOR, who we’ve begun to LOVE as Pia’s newest sister. “And so this is Christmas, For weak and for strong, For rich and the poor ones, The road is so long”
As we left the clinic, I could help but to see is a slight disappointment on Pia’s face. I don’t think it was just the fact that our family back in the east coast are not going to be around, but also the fact that this year we could not have a real Christmas tree. As at this point of the treatment, it is very unsafe to have a plant in the house (as they may have a fungus or bacteria in the dirt that might cause Pia to have a infection). So real trees are out (you see back home we would always get a real tree on Christmas Eve, decorate it, and put presents all around it that night). Last year we spent Christmas with our family, the year before we spent it together during a snow storm (of course we had to drive around to find one of Pia’s medicines that night, 5 towns away…since it was the only place open on Christmas, but at least we ended up at home that night). So this year no real tree, however, I decided that we had to find something instead, and insisted we drive around to find some kind of artificial tree that will symbolize Christmas for us. Sure enough, we drove store to store until we came a cross the sorriest looking artificial tree (s) (It reminded me of a “Charlie Brown” Christmas Tree). I dashed for the cashier as the store was closing and we ventured back home (I knew by this time, Pia was really missing back home and especially our family). With the joys of Christmas carols on every radio station is Seattle, we headed home and unloaded the car. That night as we put up our tree, we listened to the sounds of a Bing Crosby Christmas CD, while we finished decorating the tree and watched Alli in amusement as she was sniffing the tree (I think she was wondering how strange humans are to idolize a fake tree once a year, as a central theme in one’s living room). By now the presents appeared, and the for once, it felt like Christmas (even though we were thousands of miles away). At the stroke of midnight, we proceeded to exchange one gift (our tradition is to exchange one gift at midnight and open the rest after we wake Christmas morning), with each other as we both know, even without our friends, family and the safety of our home, this would be the greatest Christmas ever. For this year we received the greatest gift that anyone could ever GIVE or RECEIVE, the GIFT of LIFE… And with the end of one night, and the beginning of another, we take the opportunity to thank God, for giving the unconditional strength to both our donor and Pia. To our DONOR, for the selfless act of giving the ultimate gift of LIFE. And Pia, for the strength and courage to sustain the much-needed focus to survive, and still continue to fight for LIFE everyday…as everyday is now another day of LIFE. ~Posted on 12/23/2004~ After breakfast, we start Pia’s hydration via the home pump. By now, taking 10-12 medicines in the morning and at night, it’s becoming a tiring fade, like last year’s boot flared jeans. The day progresses and the weather gets dimmer and dimmer, and Pia’s level of energy starts to diminishes, as Pia gets tired and cranky. We quickly run to the clinic, as today Pia gets a bone marrow aspiration to determine the state of her engraftment and whether there is any residual leukemia left in her body. Before the procedure, Pia usually takes an Adivan to control the nuashia and nervousness, and litacain in the area where the needle will puncture her skin (most of the nurses are shocked at the fact that Pia doesn’t take any other form of sadation for this procedure…most people think it is so painful, that they go under, or even have a strong sadation). The procedure went great, as we got a detailed play by play from all
three of the nurses involved in the procedure. One nurse performed the
aspiration, another observed (quality control), while the last nurse
took the blood sample and made slides of Pia marrow. Great job guys
and thank you so much giving us the details. Directly afterwards, Pia
rested for 20 minutes in the rest area (to make sure she was ok to leave).
Shortly there after, we head home so Pia can get some rest. It was evident
that time has come for to take a nap. Later, after waking from her beautiful
sleep Pia realizes, it’s time for me to take a walk and do something
for myself (as that’s what I have been telling all the patient
families that are going through what we are). So once again, I wander
to the center of town to see what gifts lurk to the liking of Pia for
this Christmas Season. Soon enough can see all the long lines as all
the little children wait on line to take a picture with Santa. I paused
and for a moment thought how all my nephews and my niece are doing,
I wondered what Christmas would be like this year, not being there for
the annual family gathering in the east coast. All of a sudden, it dawned
on me, Pia and I were not going to be home for the holidays this year
(at that point I felt a sudden sense of sadness, but realized that I
should be grateful what I have, instead of what I didn’t have…we
both have a second chance in life..what more can we ask for). After coming home, I prepare Pia’s lunch and hydration (yes, she is still receiving hydration via the home pump), so she can eat and rest for the afternoon. As noon approaches, Pia falls into deep sleep for the rest of the afternoon, all cured-up in a ball on the couch. As she slowly wakes, it’s evening and almost time for dinner. Tired and groggy, she remembers that it’s time for me to head out and once again start our Christmas shopping. This time she smiles and says have fun and don’t come home unless you bought some presents for me. Knowing that she is all right, I prepare her dinner, and head off for he center of town. It was kind of lonely to go alone, but I just tried to keep focus on the task at hand so I can get back to Pia. As I was leaving the building, I noticed a Indian couple waiting in the lobby (they must have been waiting for a resident in the building), I took a double take as I thought they were someone I knew fro New York (Sarita and Shiva Kumar). I got so excited and almost tapped the women on the shoulder. Just then she turned at me, and I realized it wasn’t them after all. What a great surprise it would be if it were them. I’ll tell you, I only meet so many people in life that really care to make a difference in your life, and for Pia and I, Sarita and Shiva are one of the extraordinary bunches of folks that do. You see, I met Sarita and Shiva at a drive for Pia back in mid July, just two weeks into our campaign. They got tested (and actually knew Pia’s parents from the past), assured me that things will be OK, and God is watching. And slowly without and effort from my side, they became involved in doing donor drives and spreading the word. They even went as far as setting up a drive in one of the oldest temples in the US (in Maryland), and even spent the weekend there leading the drives. We would see them often at drives, just fitting in, and smiling, always giving us heir blessings for hope. One day I we were at the Indian Day parade in NY, as both my brother and I were setting up our media equipment in a south Asian Street fair (we always s show a DVD of Pia’s journey at every drive so people can visualize what a patient feels), our gas generator that gave us supply blow up I mean in steam and smoke, but yet my brother and I didn’t give up. As Shiva, looked at us and said now what, no power no media, we heard a roar of a generator just nearby. Quickly my brother asked if we could share in the power source (we ended up give the owners of the generator an extra extension cord in exchange for use of their power source…and went on with the show). At that moment, I’ll never forget Shiva’s face as he thought
both the Dutta brothers were crazy, but did whatever it took to get
the job done. It was an eventful day, but I will never forget the support
that Sarita and Shiva gave us…still to this day they pray for
our safe passage home. THANK YOU BOTH for all you do for Pia and I,
and most importantly, all the patients that need our help. Random luck
brought the Kumar’s to us, but now faith, strength and support
keeps them near us. Holding her pain in, we proceeded out journey to the clinic by car (taxi cabs are no longer allowed, as they have to much floating germs in them…not good for someone that has no immunity). For the first time, I really notice Pia gaze out the window, as if she was a child again looking at the clouds, during her first journey on a plane. It was good to see what freedom meant to a patient, as I drove towards the clinic, saying a little prayer to myself, in the hope that she stays healthy and doesn’t ever have to be admitted back into the hospital again. This brings the beginning the day of DAY 27, and although she still has some stomach pains (the medical team assures us that all of Pia’s test levels are fine, and these pains are her stomach retraining it’s self to digest again). Other than that, Pia is performing like a true champ at this time. Heading home we see all the white lights around all trees in the center of town, the crowds still large, gathering in clusters along all the stores. And what makes it even more real, is the radio in the car, as we hear the song “Feed the world, let them know it’s Christmas time”… I can see the glow in Pia’s eye, as I know this Christmas will be the most meaningful one in both her and my lifes’ (for this year, the greatest gift of LIFE was given to us). We arrive home, and just as we get in the elevator, we get our mail (lot of cards from well wishers, and a package addressed to Pia). Back in the apartment, we open the package and find a gift basket of desserts and chocolates with a baby moose stuffed doll. The message reads, “ You are a brave girl, we are so proud of you!!! With love the Basu family”. What a treat, as you see, when Pia relapsed, and I put her in Sloan Kettering and hit the road with my friends and family to do donor drives, our first large drive was a Bengali Cultural Conference in Baltimore, Md. That is were Mr. And Mrs. Basu, very close friends of my parents got tested to be a potential bone marrow donor. Infact, I will never forget, Mrs. Basu insisted on being the first person to get tested for Pia (I think both to show everyone that it is easy and painless, and really wanting to be Pia’s match). That whole weekend, the entire Basu Family devoted their time to manning the donor booths to help Pia and the other patients looking for a match. THANK YOU BASU FAMILY for supporting us from DAY 1, you guys are a “perfect example” of what a real friendship is all about.
You can se the smile on her face to spell the aroma of tea and toast for breakfast (in addition to her 10-12 different medicines). The day is yet another gloomy rainy day, but at least it is one at home instead of the Hospital. Today is Day 26, and we are planning to leave the house for a quick walk, and a short drive around town (we needed to get a few things to send back to the east coast as Christmas gifts). With a few hours spent in and around town, we head home to get Pia her meds and get her into bed for the night. Somehow, just having a simple day, is getting to become the common theme for this week (the first week home from the hospital).
This is the first weekend that Pia is home from the hospital (today is DAY 25), and what a relief to have her sleep in late without the interruptions of loud beeping noises of the IV pump ringing (reminding us that the pump is empty, and it’s time for the next dose). Pia wakes to a morning of slight discomfort, as get ready to go to the clinic to get her dressing checked by the nurses (remember the Hickman catheter that was surgically put into her chest, well the tube that is hanging out needs to be thoroughly cleaned and covered everyday before and after taking a shower…making sure the are is not infected). The nurses examined the dressing, and showed us how to do the dressing again (even though, we learned how to do this in the caregivers class before…it’s always good to get a refresher). After two hours at the clinic, we head home so Pia could rest the remainder of the day. Unfortunately, the stomach pains still exist and Pia appetite is still a little shakey, as her body is still relearning to digest food again. After a good nap and meal, Pia is feeling well, and asks me to get out of the house and do something for myself….go shopping…do something, besides taking care of me. I sit and wonder, what should I do? Where do I go? All I know now is how to be a caregiver and an advocate for other patients. Pia convinces me to leave the apartment and go have some fun Christmas shopping. So with great force, I leave the apartment and head towards the center of town where all the shops are. It was so wired to smell the air of the cold winter, while I hear the Christmas Bells and roars of the large congested hoards of people moving form store to store. Somehow, I can see it was Christmas, but didn’t really feel it to be Christmas. As now all the fond memories of home start to flash through my mind, wondering what Christmas would be like if we were back in the east coast with our family. I went from shop to shop, looking for some ideal gifts for Pia and my family and friends, but finally succumbed to the notion that I wasn’t really in the mood to go shopping, I just wanted to be back in the apartment with Pia (as this is the first time I am away from her, since she has been home). I then decide to head home, know that’s the place I really want
to be (knowing that the best Christmas present this year, was the notion
of a second chance at LIFE). As I knock on the apartment door, Pia opens
it’s quickly (as if she waited by the door all night for me to
come home), and embraces me as if I was gone for a long time, and I
just found my way home.
Running late to our afternoon clinic (today is DAY 24), we rush through the rainy traffic jams to make our appointment. The doctors are somewhat impressed that Pia is handling her transition back to the apartment quite well, as she did have an unrelated donor match (no one in the family was a match, so our donor is not related to Pia). The verdict…yes, she is doing all right, but we need to proceed with direct caution. The doctors are still trying to establish a baseline as to what all of Pia’s medicine doses will be (as some of the medicines metabolizes quicker than others, hence made loose some of it’s effect on the body…in this case the dose may have to be increase to accomplish the same job). The clinic visit went well, so now head home so Pia can get some food and rest. I drop off at home and start her hydration (via the in-home pump). And ventured out to do some groceries. Once I got to Larry’s (grocery shop near Queen Ann are of Seattle), I start to collect all the provisions, which will enable Pia to heal, as she is tired of broth and soups. As I was reaching the cashier, I remembered that the last time I was here with Pia was on November 5, when Pia’s match was released all throughout the world on Associated Press (they have been very good to us and the South Asian Community, in really taking the time to understanding the crisis in our community, and reporting it to the public at large…hats off to a socialally responsible journalism group). We actually picked a few copies of the USA Today, Seattle Times and Seattle Post Intelligencer, which all depicted Pia’s story, and the struggles and challenges of South Asian Patients to get a match (it was like having one of those memory flashes, of how grateful you are at life for a second chance). As I checked out and started heading for the door, I heard the bells of the holidays ring, as there was a less fortunate homeless women with all of her possessions looking for her next meal. She had a soiled face that looked so needy (it reminded of me watching the old classic story on John Stein beck’s “Grapes of Wrath”…as you felt how unfortunate people were doing the days of the great depression, looking for their next meal). The irony was, this women had a cardboard sign hanging around her neck, it said “Homeless in America, the people in Iraq got a second chance, Shouldn’t I have a second chance too?” Amazing to see this sign and another woman in need, just as I recognized what a second chance in life meant for Pia and I got. I proceeded back into the store and bought her a precooked turkey meal with all the fix’ins (I had it warmed up), got her some drinks and proceeded towards her. I walked up to her and asked her if she wanted something, she smiled as I handed her the dinner bag. As she pulled of the food, I could see her a small smile as she saw the packet of Handi-Wipes that I also bought for her (for it was quite, that it must be difficult to shower, as she probably moved from place to place), as if you can see that was such a treat to get a complete meal and wipes. She wiped her hands clean and thanked me, as I asked for her name (she curiously wondering why I asked, and replied “Amanda Jackson”). I smiled and said, well Miss Jackson, enjoy your meal and have a Happy Holiday. She looked at me with disbelieve that this was happening, and said “God Bless You…” I walked away with a smile, and said a prayer for her that God may
protect her safe passage as God protect Pia and I. At the clinic, the lab results showed that the cramping and diarrhea in Pia are attributed to a bowel infection, or Graft vs. Host. So she has to start the Vancomycin immediately, to see how her body reacts. Today is Day 23, and survival is the key phrase of the day. Pia still feels very tire from leaving the hospital, as the withdrawals from the painkillers are tough for the first week I’m told. Fortunately, Pia is able to swallow some soup and some fruit smoothies, as we are happy to see her hold any food in her system. The vomiting is still present, but at least her body is reconditioning to the process of eating and digestion again. Today, Pia’s dad leaves for the east coast…boy he was real good help the last week. It’s strange, but I really thing somehow our relation through this time of crisis has gotten stronger, to where he knows and feels secure that we are getting the best treatment for Pia in Seattle. I often think what I would do if I was in his shoes… the night nears, and Pia is stable enough to eat and talk. We decide to watch “The Apprentice” on TV (a show that both Pia and I watch regularly…even days ago when I was always out of town on business, on Thursday nights, I’d always be back in my hotel room watch the show with Pia as we discussed the events of the day. Too many of my friends and colleagues think I should be on the show on day, they feel I know how to get things done at the end of the day. I don’t know about that, as Pia’s is my primary focus, but who knows maybe one day). As the show concludes, and it starts to become late night and again, we start the medicine regiment (8-10 different medicines), so Pia can prepare for the night’s sleep, while I start to prepare for tomorrows clinic and figure out which South Asian patient need what tomorrow. As I was catching up on the day’s events, I got a wonderful email from a good friend, who’s really become a family member to us. Her name is CarolAnn Baldwin, a NMDP recruiter for one of the biggest donor centers in the US (New England). I met CarolAnn at one of our drives, and let me tell you, ever since, she has been one of our greatest champions to the South Asian Community. She has proactively helped our campaign night and day for the last 5 months. I don’t what to say, but how grateful we are for all you do for us (Matchpia.org), moreover, for all the patients out there that are looking for a donor match. You are one of the finest individuals I have ever come across. Today, as almost everyday other day, she sent me an email on how precious life is, and how sometimes we really forget what life is all about. Especially, during the holiday season when there is so much going on with cooking, gift wrapping, toy drives at the local supermarket, and taking angels off the Christmas tree at church to buy a gift for someone, “sometimes we get so immersed in our own holiday, that we forget the real people who might not have a Christmas…That’s when I think of people like you and Pia. Its not the gifts it’s the family and friends that truly make the holiday special”. She further tells me that her daughter who has pretty long blond hair (you the type that is so straight and has every strand perfectly in place), commented that she wanted to cut her long hair one day to make a wig for someone who needs hair, someone like Pia (she saw Pia’s DVD, her hair falling off). Her daughter offered Pia the opportunity to change her hair to blond. It’s so precious to see how children are so resilient and thoughtful when it comes to such serious topics as cancer and life and death. With no doubt CarolAnn, you and your family are the perfect example of how an “Act of Kindness From a perfect Stranger”. For 5 months ago, you were a complete stranger to us, and now you and your family are at the epicenter of our life’s. Thank you for doing so much for Pia, myself and the whole South Asian Community. You have certainly gone above and beyond as an NMDP Representative, let alone any human I’ve ever met.
Before the visit to the clinic starts, we had the start Pia’s hydration through IV (2000 cc’s at 225cc’s per hour). At the clinic, the nurses, physician’s assistant and the attending doctor, go through in detail Pia’s records of her recent stay at the Hospital. Vitals are taken, and we reconfirm all the medicines, which Pia will be on for the remainder of this journey in Seattle (these medicines can go on, anywhere from the next 78 days, to the next two years), to ensure Pia is treated for all viruses and potential fungus and organ damage (due to the heavy chemotherapy fro the transplant). The prescription routine goes like this: Tacrollimus (FK-506) - prevents Graft vs., Host disease. Dapsone - prevents pneumocysitis pneumonia, Acyclovir – prevents herpes virus infections, Vancomycin – treats C difficile, Isonazid – prevents Turburcholosis reactivation, Fluconazole – prevents fungal infection, Pantoprazole – protects the stomach, and relieves heartburn and reflux, Citalopram – helps depression and mood changes, Multivitamins – balance body electrolytes, Ursodiol – prevents liver toxicity, Norelgestromin/ethinly – controls menstrual bleeding, Pyriddoxine – prevents peripheral neuropathy, Saline with various electrolytes – maintain mineral balance of the body, Lorazepan – controls nausea and vomiting, and Diphenhydramine – control nausea and vomiting. This treatment regiment must be taken twice a day from today on. It only gets further difficult, as it is very hard to swallow so many pills, that we try to get as many of the above medicines in liquid form to make it easer and more palatable for Pia to swallow. The visit to the clinic goes well, and we run home to get Pia back in bed to rest. Just as we get home, the diarrhea gets worse again and we spend the rest of the afternoon and evening again in the bathroom. The stomach cramps still worsen into the night, and now it was time to collect a stool; sample and bring it back to the SCCA lab (the doctors are trying to see what infections may of rise, while also trying to see if there is any Graft vs, Host present in Pia). I drop off the sample and get home, only to spend more time with Pia, as what has suddenly become our favorite room in the apartment, the BATHROOM. So as this episode continues, Pia and I were reading over some more cards from well-wishers. In fact we also got some more care packages from our supporters and friends. Today Pia got these great pajamas from some of our friends. They a matching set of penguins, with the phrase “Chill-lin”, as that is al we can do for the next 78 Days. Thanks Andrew and Diane…you guys are GREAT, we are so luck to have your friendship. Today, I also spoke to Baby Varun’s dad (you might remember, that little boy who also had a transplant 2 days after Pia’s), they said he is doing OK, and they are hoping and praying his White Blood and ANC counts go up (since he had a cord blood transplant, the engrafting process usually takes longer than a stem cell transplant form marrow). Our prayers are with you Deepak… Can’t also forget to mention, the poem we got from a little South
Asian boy, who said he is only 10 years old (not old enough to be tested,
but old enough to spread the “word” and educate everyone
around him). He declared his handicap in age, but declared his strength
in knowledge. Thank you young man, for being so strong to help your
community…we are proud of our tenacity and courage to help us
save lives in our community. As we prepare to leave the hospital today (DAY 21), Pia couldn’t help but to vomit all that was in her stomach from the morning and afternoon meals. It was amazing to see Pia’s determination of feeling better, so she could go home. Several of the wonderful nurses on the 8th. were so happy to send us off (I could actually see the happiness in several of the nurses’ faces, as we were now graduating back to discharged life). These nurses commend so much respect from us, as they are the pivotal part of Pia’s recovery process. A special BIG THANK YOU, goes to all the nurses who work so many countless days and nights, to ensure patient shouldn’t worry about anything. After we get home, and Pia is reintroduced to Alli (our kitty), Pia runs for the bathroom, as the vomiting starts again. With patience Pia’s dad and I wait until her vomiting calms, and then I start the portable IV pump on Pia (since leaving the hospital, Pia’s goal is kept hydrated with 2000cc’s of electrolytes into her system, until her urge of eating and drinking increases. Not before long, Pia’s stomach starts cramping heavily, as diarrhea starts to precipitate. Pia spends the next two hours in the bathroom dealing with the pains (I too sit on the floor next to Pia as she vomits and continues to have diarrhea. You suddenly realize that your life will be spent in the bathroom (providing Pia the support and comfort she needs), for the next few days, until Pia’s system is functionally performing better. The night nears, and I prepare the 8-10 various drugs that Pia has to take for the next several months, and years to prevent infection, rejection of the DONOR’S stem cells. By now, it’s getting even tougher for Pia to fall asleep, as the stomach pains are persisting to greater level of pain.
As the afternoon continues, so does Pia’s fatigue. She falls asleep on my lap (in reverse direction, with her head facing the footboard of the bed), waiting for tomorrow to come by. I feel the sense of disappointment in her discharge delay, but I think we are used to the notion of being flexible (in the last two years of dealing with so many stays in the hospital, an extra day or two is not really not to bad, compared to the overall treatment of this disease. Late into the evening as I continued to watch Pia sleep, I caught up to my emails from the day. Amazing how each day starts to early, and ends so quick (it’s like time is moving so fast, and you could do nothing to slow it down). I got a great email from a good associate and great friend of mine Bomsi, who in his own way was just checking up on Pia and me to make sure we were doing O.K. He kind of, in his style indicated the importance of what I was doing with Pia 3,000 miles away from home, and how it is the best thing someone can do ever, for someone he is in love with (I was flattered, as he and his wife Brenda are true example of a successful marriage and still in love today as the day they met). Thanks Bomsi and Brenda and for your support and vote of confidence in everything we are doing. And lastly, A big THANK YOU to our donor…It is not often that Pia or I forget about you, and how your selfless act of courage is giving Pia a new life. We pray for you and your family’s safe being everyday. THANK YOU…THANK YOU.
The morning sun, slowly flickers between the blinds. Yes, there is sunlight today (the sun is so scarce in the winter, that people stop whatever they are doing to see the rays of light, and enough absorb whatever warmth may be present), in the mist of this dead winter month. Pia wakes to Day 19, with the aching of her Mucocitus torn throat coughing for air. Her ANC counts are still on the upraise, and it looks like she will be discharged Monday. So far her hunger, has revisited need and her sense for survival. Remarkably, she is starting to swallow more than just clear liquids (some boiled carrots, even potatoes). As the day goes on, so does her wantful appetite to eat. Late afternoon unfortunately thinks turn for additional discomfort. After taking her medicine, all of her food intake for the day is coming up, and it becomes to hold anything in her stomach. Partially, this is her body reacting, while she is getting used to eating, swallowing, and digesting food for the first time. Slowly, I can see the anxieties on Pia’s face, know that she will be discharged tomorrow (it was one of those looks that a child would have, knowing that Friday is tomorrow, and it’s your favorite school day of the week because the weekend is here, but with it, also comes the Spelling Bee test on Fridays…so you’re really confused how you really feel about Friday coming around). To get Pia’s mind off her stomach, we started to open some of the wonderful letters, cards and gifts sent by well wishers (THANK YOU ALL FOR YOUR GENEROUSITY). It’s an overwhelming feeling to have so many people rooting for your safe healing (well wishes from UK, India, Australia, China and even the United States). There was a very unique card we got from a lovely person in Atlanta (Shalini P., who actually attended our first drive there, and has followed Pia’s story since), which was very pleasing for the eyes, and very detailed with thought…Thank you Shalini for not just getting test to be a potential donor, but for being with us all the way. It’s amazing to see the kindness of a complete stranger, who is no longer a stranger, but is part of the Matchpia.org family. ~Posted on 12/12/2004~ Today is Day 18, and Pia’s ANC is consistently up and moving closer and closer to engraftment. This treatment, is often a balancing act, as the numbers that measure her chemical improvement are getting better, but some of the physical pain that is not measured, seem to stay constant. Yes, the Mucocitis is still here and causes a lot of havoc in this journey. Her throat is still sore (as if a bolder is stuck in her esophagus), and making it hard to eat and swallow. Pia is eating some of the various light soups, however, it’s very difficult to hold down the food for more than an hour or so. The throat not used to the food, just automatically sends it back up and out the mouth (as if the food is being rejected by the body). Amazing enough, after all the pain and bad taste that’s being experienced, Pia still continues to try to eat (being that all the counts are on their way up, and her chemical results are looking good, she needs to demonstrate that she can eat and swallow to be discharged from the hospital to go home). Today, the TBN (Total body Nutrition), will be discontinued as Pia is able to eat on her own, and the doctors announced Pia would probably be DISCHARGED on Monday. What great news, this means that the donor cells are engrafting in a manner that the doctors are satisfied. Everyone around, is excited to know Pia is going back to the apartment to recuperate (this is Day 18, so if all goes well, we need to be here in Seattle until Day 100, which is another 88 Days until we go back home to the east coast). As the day’s chilly rain turns to night, we receive a few visitors
(local friends), to share the good news, of her coming home. Somehow
every time someone comes to visit, I think the journey becomes more
and more visible to everyone on how and why we are here in Seattle.
I think people get to feel and see what it is that we go through each
day of this journey, and take away the fact that life is precious, and
things become better into perspective as what is more important, than
not. One of our visitors mentioned that it has taught her, how to be
less selfish with her own needs, and more aware of others who are in
need. She was amazed that, even being in the hospital one day into the
transplant, I spent the morning away from Pia, preparing and distributing
food for the less fortunate, while Pia was alone at the hospital those
few hours (you see, both Pia and I are grateful for what we have, and
few hours apart, is a small sacrifice to know several less fortunate
individuals will have something warm to eat on Thanksgiving). With another day of great pain and swelling of the mouth, Pia still sees and feels the extreme pain from the Mucocitis. Consequently, her vomiting and nausea still remain. Her ANC, still continues to rise, as her engraftment from the donor stem cells are staring to graft. Today is Day 17, and Pia’s throat is still feeling the hardships of pain. Interesting enough, we are told by the doctors that Pia may be able to be discharged soon (as her counts are coming up strongly, and all her vitals are looking good). Only one catch, she has to be able to swallow and eat food like a normal individual (the TBN-Total body Nutrition via IV will have to stop, and she will be whined off the pain killers), and hold it down. Thats a great sign, as now I have to attend “Pump Class” for caregivers. Upon discharge, Pia will be given 2000 cc’s of hydration via an IV pump (caregivers are required to attend a pump class to administer hydration an IV liquids). At the pump class, they go over the basic details of how to operate the portable battery powered pump. So for the next hour, I stay focused, and learn everything I can, on the use of an such instrument, that will keep Pia hydrated until she can consumer liquids on her own. The night ends as my parents and I bid goodnight to Pia. Tonight, now becomes a special night for my parents, as they meet Rujuta and Vivek. My parents wanted to meet the special couple that has become a great source of support for us in Seattle. Rujuta, who did a donor drive for us when we first stared our campaign (she and her husband signed up 33 people in someone’s house…awesome!!!). Since then, we have become such good friends here in Seattle. With gratitude for them, my mother cooked a very authentic Indian dinner for our invited quests. The themes tonight, become rewarding, as the young newly married couple in Seattle, spent so much of their time helping Pia and I with anything we need. At dinner, I toasted the couple with a speech. You see, this couple is another example of how “complete strangers, have come together in saving lives in our South Asian Community”. Thank you Rujuta and Vivek, for making our stay in Seattle brighter.
By carefully sniffing all around the bed, she found the best spot that reminds her of Pia, and decides to leave a souvenir (I think, incase Pia was lost and was looking for her). Yes, she strategically and precisely urinated on the bed (a wonderful way of letting me know that mommy is missed). Well, after I had a wonderful time changing the sheets and visiting
the dry cleaners, it dawned upon me, that maybe I should find a cat
sitter while I an away at the hospital…that thought didn’t
last too long, as I could never become a latchkey parent. So today I
learned, even though us humans have a difficult time dealing with cancer…so
do our feline friends. You see, the rain is so dreary and lonesome; one definitely can see why people drink so much coffee here. They have Starbucks, Tully’s, Seattle’s Best, Pete’s and all the various independent coffee shops in town. There must be over 50 Starbucks, 30 Seattle’s Best and 20 Tully’s just in the downtown area. A city of dreary weather, but that’s made up for, by having great coffee. It’s Day 15, and Pia’s ANC is rising pretty quickly…actually “jumping up pretty quickly”. Her spirits are pretty good, as you can see that the Mucocitis is hopefully nearing the end. However, now instead of cold compresses on her neck, Pia now prefers hot compresses to dampen the pain. Slowly, her appetite is starting to come back (she is still on TBN – Total Body Nutrition via IV, since she is unable to swallow). Her first tastes of chicken broth seem to be foreign, as her throat is relearning what it is to swallow for the first time. Her stomach is definitely confused on what the food is. The anxiety in her body becomes so confused and nervous (you know, like when you were in your first grade school play, and you had to recite your solo lines in front of complete strangers for the first time). Not holding down her food (throwing-up everything she eats), becomes the common theme of the day. Slowly and steadily, Pia teaches her body to readjust and retrain it’s self to digest food for the first time. Ironically enough, the teacher who teaches students now teaches her own self to eat. Interestingly, Pia’s mom, and my mom and dad are here this week, lending a hand in the trenches. What credit, I give to these ladies, who are not just every ounce of the word “Mother”, but our support and strength during our time of need. Pia’s mom, what a lady, full of strength and courage, fighting with us through this time. She definitely displayed such a sheer virtue to embrace this situation, and make the best of it. Thank you for staying so many of those late nighters at the hospital room, and making all those lovely broths and soups for Pia. Your commitment and sheer love will always be in our hearts’, and never be forgotten. To my mother and father, though it is not everyday you see your son, he is here everyday thinking about you. And more specific all the courage and devotion you provide in standing by me since the beginning of this journey. You see in our South Asian culture, it so easy for a boy’s parents to tell their son “Let’s move on, this situation may not be good for your future”. That’s what most typical South Asian parents would say, when their son’s girlfriend (not even fiancée at the time), gets diagnosed with cancer. Luck may have it, my parents were supportive since the day we found out about the Leukemia (I gotta be honest, and say they must have been scared, but never unsupportive, always believing in me and Pia). I can’t believe, between both mothers, the amount of time that was spent making so much food for Pia and I. It was almost like have two gourmet chefs at our disposal for a week. It was also great to see my dad, putting in his few word of encouragement (you see, my dad fell in love with Pia since the day they met. In our culture teachers are very respected, for their noble cause to teach life’s lessons to our community), to Pia (every time he sees her, he has article on teaching, until just recent, they been all about dealing with, beating and surviving cancer). These last few days, have taught me, so much about the importance of
parenthood and life. I always thought the world of mine, and Pia’s
parents, and now, I can see how both Pia and I do certain things for
the good of society and mankind. It’s because we were fortunate
to have good parents guiding us along the way, always accepting our
faults, and teaching us from our mistakes…A Big Thank You to our
Loving Parents. As the weather here in Seattle, can change at a drop of a “dime”, so does Pia’s health condition. I’ve noticed that at this stage of the treatment, a patient’s senses become very attuned in some ways, like taste, smell and sometimes the ability to process sounds. The slightest change in pitch and sound, light and dark may not make a difference for you and me, but for a patient, it can make a difference between pleasant symphony, vs. being at racetrack. It’s best to keep everything in a patient’s room constant, and avoid many changes in light and tone…just my thoughts from experiences. I think the last twenty weeks of not sleeping, has finally caught up to me the last few days. The weather here has been getting worse (cold…that chilly…bone wet….feel), and definitely not adding to sense of my wellbeing. It makes me even more cautious to avoid getting a cold. It’s like that movie with Bill Murray (Ground Hog Day), where he does the same thing everyday, over and over… That’s definitely what the trips to the hospital feel life, and those darn elevators take forever to get you upstairs. But what breaks the whole monotony and change of scenery, is the notion of seeing Pia’s eyes light up (as when a child sees a parent after being away for a long time), when I walk in the room (even though she is often sound asleep, from the heavy pain killers). Today, I got a call from an elderly woman we met at the Medical Center when we first got here to prepare for Pia’s treatment. A very pretty elderly woman (the kind that you know, came from a polished family, and gives the aura of Audrey Hepburn). Her name is Lynn, but I always referred to her as Mom. We met one day as I was waiting to get a flu shoot (all caregivers must be vaccinated). She and her son were sitting next to me waiting, while we started a conversation. She and her son were so friendly, in welcoming us to Seattle. With every word that came out of her mouth, Lynn spoke with such eloquence, and a sense of sophistication. She was originally from New Zealand you see. Well every Wednesday, we would bump into Lynn, as she would come in to get her chemo treatment. One Wednesday, we couldn’t find Lynn in the usually place, we started to get worried. And later we ran into her, as Pia got her last dose of chemo in the space right next to her (the same day Pia was being admitted into the hospital). We exchanged our phone numbers and addresses. Since then, we never heard from Lynn. Often in the last few weeks on Wednesdays, both Pia and I would wonder if Lynn was doing O.K. But never really said anything, because you see, when you are in a cancer hospital, no news can be sometimes good news, or sometimes mean the end. Well what a surprise today, Lynn was safe and sound. She called, because she was worried for Pia, and thought Pia might have already gone home, without ever saying goodbye or sharing a cup of tea with her. She was so horrified, that she would never see Pia again. I told Lynn, Pia is recovering, and is in a lot of discomfort these days (trying not to worry her). It’s as if I could see Lynn smile from the other side of the telephone, as she said, “Don’t worry God is watching her”. How do you react, to a complete stranger, telling you everything will be alright? Some say, that these are signs fare from above, some say its destiny, others say it’s Karma. I don’t know which to believe, but I will say that Pia has touch so many of us during this journey, that we can not stop to think what our lives would have been like, if we haven’t met her. My take away for today, Life is a precious gift that connects the things
we care about, and the things we don’t even know about. But somehow
one life can affect so many others, and in turn those lives affecting
so many others. The irony for me, is how, I can get a better picture
of how we are all human beings connected in the way we serve humanity. I knew Pia wasn’t feeling well, but her smile just shined when I saw her. What allows a human to endure so much pain, but yet, continue to have a smile throughout. The winter decorations at the hospital start to span from hallway to hallway. You can not help but notice that Christmas is coming, and Hanukah has started. Just brought back memories of last year’s Christmas back home, with the fireplace going, and Alli sniffing at the Christmas tree like as if she was exploring the Amazon (she’s an indoor cat, and tries to sneak out to sniff, some of the trees outside, when front door opens). Today, I got email from an individual who lost their son to Leukemia a few years ago. This individual thanked us for bringing the government, media and the community together to understand the importance of getting tested, and becoming a potential donor to save a patient in need in the South Asian Community. She mentioned her son didn’t make it, and spent his last few months doing donor drives to find a match. She commended us for bringing so much attention to the cause, and for a second, wished we were around a few years ago when they needed a match. She said “It would have been great if we had a network of support
for patients like you guys have been doing, my son world of loved it”.
I have to say, I am touched by all your complements, and I wish I knew
about the importance of this cause a few years ago too. She responded
by saying that there is a check in the mail to the South Asian Marrow
Foundation, to help keep the cause going in the memory her son. I am
touched, thank you for believing in our efforts… Also, I finally heard some words from Pia’s mouth today. Yes, the pain has slightly diminished enough to speak for a few moments (the pain is a little less in her throat, but more in her mouth now). Still under heavy pain killers, Pia dazes in and out. For a moment this afternoon, I also felt so tired (20 weeks of no sleep is staring to fade in), that I crashed for a bit too. For a matter of 2 hours, both Pia and I were sound asleep. I think these were the only two hours we both were insulated together from the whole world, since she got admitted into the hospital. The night came very quickly, as we got several emails from well wishers (thank you, for your good wishes, they are always welcomed on rainy days). So many well wishers mentioned that they were so proud of Pia’s courage and strength to face this head on, and also proceeding to continue to help other South Asian patients along the way. Two individuals had convinced all their colleagues to donate to the South Asian Marrow Foundation, while they also had their employers match the contributions. And then there was a unique message from a South Asian TV network individual, who just was so thankful in being apart of our journey with Pia (while also being sorry for not originally believing in help publicizing the cause). I remember handing a flyer to this person (the flyer had Pia’s appeal, and the importance of saving her Life), and him looking at it with no interest, while the other media folks were all interested in the story. You see, I met this person at the Kerry/Edwards South Asian Breakfast this past summer (as Matchpia.org, was the only humanitarian cause that was able to pass out flyers at the event). It was a week into our journey since Pia relapsed, and I had to get the word out to everyone ASAP. Then a week later, this individual called me to do an interview, which lead to another interview, which lead to any access I needed for the South Asian Media. It’s strange, because in the end, this individual and I became the greatest of friends. Now, I invite him to exclusive interviews, such as the Consulate General of India, getting tested in the New York, doing a TV appearance on getting tested and spreading the word. In the end, what’s even more ironic, is this person knew Pia’s parents and grandparents very well 10 years ago. It’s funny, how life has its ways of reconnecting people from the past. Thank you, for all that you have done to continue this cause for us. Lastly, we wanted our donor to know, that we have not forgotten you, and your extreme courage. We prey for you everyday, and hope your strength and courage shines on all those who also have the opportunity to donate stem cell/bone marrow to other patients in need.
By now, we think the pain of this part of the journey is at its highest. Hence, Pia is very busy visualizing the downhill journey from here. Her new “hair do”, is looking pretty cool, as she definitely gives Shanate O’Conner a run for her money. Now the mental challenge comes into the mind of every patient. You see, now starts the numbers and infection game. There’s always a target number which determines if the journey is worth taking, and in this case, it’s the right Absolute Neutrifil Count (ANC). This is the number that let’s the doctors know that the “Graft” (stem cells from the donor), have correctly started to find their way home into Pia’s marrow. We need to ensure that we eventually achieve an optimal ANC count of 4,000 to 12,000. As a start, the ANC, count has to be 500 or greater 3 days in a row to declare that the Graft is working, and so far we are under 500. And the infection part is also a crucial component to recovery and survival, Until Pia at least reaches 4000 ANC mark, her ability to attract infection is high, as her immunity is very low, or lack of immunity. So the challenge remains on her to always wash her hands, stay away from crowds of people (especially anyone who is sick), and make sure foods are handled in a safe manner during, and up until they are consumed by her. So we continue to conduct deep discussions with Pia’s stem cells,
to provide them the encouragement to “Graft” appropriately
in Pia’s marrow. As we give some encouragement to Pia’s
stem cells, I and Pia would also like to give some encouragement to
all those Patients still awaiting a match. We have not forgotten you
guys, as we continue to work with most of you everyday on various levels
of your search and transplant. We need you to also help us spread the
word, on the importance of being tested, and becoming an educated and
committed donors in the NMDP Registry. Tell your friends “It Only
Takes One Match to Save a Life”. And maybe they can be that one
match. As all the hairs fall off her head, so starts the healing of all the harsh sadness of the day we were told that the cancer found its way back into our lives. So now, our broken wings start to heal, as we continue to travel this journey to recovery. And at what better time, then as the Christmas season arrives. Today, the decorations at the hospital start to appear (I guess this year’s theme is the “Polar Express”), on all the patient doors (a phrase of the story, sequential on each door). Another year is nearing end, and again, we will live endure all that life brings us. Yesterday, I was told a very touching story about a little girl, who decided to make Pia the discussion in her “Show and tell Class” (she took to class various newspaper clippings on Pia’s story). It turned into a theme of determination, and not giving up for anything…especially when it comes to Life. This almost eight year old girl, spoke about how everyone came together to not accept “No” or “Impossible” for an answer. You see, we were told we would never find a match for Pia, as there are so few South Asians represented in the National Marrow Donor Program (NMDP). Her teacher told her to bring the stories to the school nurse, and she did. The nurse read the stories, and felt so sad and sympathized with the little girl. She said “I’m so sorry to her about Pia”. The little girl young in age, but old in sprit and heart proclaimed “Why are you sorry, she and Tim found a match, and they had the transplant and will be healthier than ever”. She further claimed “They did it! we did it! I spent my whole summer at donor drives with them…” Soon the story got around at school that determination and teamwork can accomplish all challenges that life brings us. Pia and I are very proud of this little girl, who exemplified the resilience of children in their thirst for learning, and making a difference to our community (and how people are being empowered by the Matchpia.org campaign). This child is very near and dear to us, as it is our niece Jazmin. We are PROUD of all you do for the cause everyday, and LOVE you dearly. ~Posted on 12/3/2004~ She will soon look like a real “Cancer Patient”,
being treated for the disease, one without hair. Now is when, the only
sense of identity to the public eye, is her sense of
dignity (her ideas on what her position in life will
prevail, and her thirst for wanting to live, will over power her physical
appearance). So we carry on to another day of Hope and Strength, as
“The Sun Also Rises”. As the night gets late, I watched Pia fade in and out of sleep, often mumbling something… I feel helpless, and just want to take some of the pain away. Unfortunately, she’s driving “Solo” for the next several days, as her body sheds her mucus lining inside out. For a few minutes I put my hand on her swollen cheek (of course with a glove on my hand, to prevent any infection), to comfort her. She grabbed my wrist with two hands, as if she was balancing herself on a subway pole, and the train suddenly left the platform. It felt so powerful to feel her hands clutch my wrist. I watched her closed eye face, as she finally felt comfortable, and listened to her breath fade in and out, as she became comfortable, and went into deep sleep. For a moment like this, it humbles me to realize the freedom I have, as an individual with a normal healthy immune system. The night continued, as I watched Pia fade in and out, trying to keep her eyes open (as the pain killers try to sedate her into deep sleep). I felt even sadder to know, that I can leave this hospital room tonight, and do anything that my freedom of a healthy immune system allows. While for these patients, they take nothing for grant it. What can I say PIA, you are my Champ, my foundation of hope and my everyday strength. Thank you for letting me, become a part of your life, and further for, showing me what true love, commitment and devotion is all about. While I am in the thanking mode, there are three very important individuals who need not only to be thanked, but celebrated for fighting this disease with us, for the last 2.5 years. That’s my brothers Aron and Ani, and my sister Sangeeta. You guys have been so supportive to Pia and I, that I don’t think I can ever stop thanking you guys. There are times where I had to hunker down with Pia for few days, and always my Wing Man Aron took the reigns in keeping the momentum (motivating and guiding all his contacts globally to join the campaign), flowing in the right direction…and mobilizing and rolling out our “Drive in a box kits”, throughout the US. Ani, you made the Virginia’s, Maryland and DC happen for us, and always kept the torch lit, guiding our community through this education process. And to my sister Sangeeta, a shelter for all the heaven’s angels…Thank you for always looking out for Pia and I. These are among many dedicated folks
who gave up every Friday, Saturday and Sundays (can’t forget some
of the days in the week for planning too), for the last 20 weeks.
You guys gave up your Birthdays, Anniversaries, Picnics, Vacations and
Kiddie Parties to help us do donor drives. You guys are the quintessential
example of “We Are Family”. As I watched Pia daze in and out this evening, I only wondered how the pain felt. I guess it was scary to see someone you Love soo much, look so empty in pain. Kinda, made me sad and helpless. Just before she went to sleep, I put a few smiles on her face, as I show her the several pairs of pajama’s I bought her (she wanted some new ones, to brighten her experience in the hospital), in all the various bright colors…I was even able to find one with different kitty cats all over. So the night went on, as I just watched her fade in and out of short ranged naps. While I sat next to her, I was reading my emails for the day, and came a cross a few interesting questions from concerned parties. One particular gentleman asked me, why I gave up my career, life and wages, to do this. Well, my answer is, I felt I had to. And I did, 12 weeks ago… No regrets for me, as I was able to find Pia, and now other patients will also get matches from our work. You see, sometimes in life we have to take chances, not knowing what the outcome will be. In this case, I along with Pia, know the odds were against us, but collectively decided for me to leave work to focus on this cause. You see, our odds were really greater than 1 in 1,000,000 chance to find an identical match…it’s actually 1 in several millions (probably easier to win the lottery). But we found it, and got to transplant, and now have to survive the road ahead, “The Road less Traveled”. I suppose my future, only has room for Pia and all the other patients I speak to everyday. I’m not sure where I will work, or who will hire me one day, for that’s all auxiliary when it comes to life and death. A woman told me, that after following Pia’s story for the last 5 months, that she and her husband were so grateful for each other, and learned so much from us on what devotion and commitment meant in a relationship…they are no longer getting divorced. She and her husband see a “new leaf” on life, and thanked us for reminding them why they got married in the first place. My message to this woman “Stay the Course”, and focus on why you two should be together, and start to heal the reasons you think are keeping you apart”. In the end, life has given me a new perspective that
allows me the strength, to know that there is hope for another day,
and that hope will guide us to want to life. For all our patients waiting
for a match, believe in yourselves to be strong and have hope
for another day. November 24, now becomes the new date of transplant. So, please keep
us all in your prayers tomorrow. And again, I thank our donor, for having
the courage to make a difference in saving Pia’s life. We hope,
your courage will serve as an example of how donors in our community
should be commited to donate stem cells to save alife. Today, her temperature is back to normal, and she is resting all day. She still has her appetite and strength. Man, what a trooper she has become. So as I sit next to her, while she is peacefully resting, I realize the true person she really is in tackling this disease head on, and all the other patients who manage to make it to another day of hope. It really put things into further perspective for all of us caregivers and loved ones. This past weekend was very busy, as both Anoli and I had to be in LA to shoot the last actors in our series of Public Service Announcements (PSA’s). It was so awesome to have our friends in Seattle (Rujuta and Vivek), to help us out, in being with Pia, while I was gone. Also, Pia’s cousin Rama, for hanging out all weekend, until I got back. Thanks guys for all your support this weekend. Our PSA shoot in LA, went great. We had two great actors who joined our cause to spread more awareness of the importance of getting tested, and becoming an educated and committed donor. We had Ravi Kapoor from NBC’s Crossing Jordan and Pariminder Nagra form NBC’s ER (also the star from Bend it Like Becham). These are some of the finest South Asian actors I have seen, who “steped up”, and devoting their time, energy and celebrity status to our cause. Thank you guys, for such the great job you guys did this past weekend. We are proud of your commitment to your fans in the South Asian Community. On a different note, I would like to thank our donor in giving Pia the hope and chance at another chance at Life. Your kindness will never be forgotten. We pray for you everyday, and hope your courage and commitment in being a donor will allow others to be inspired and commit in saving a Life. Lastly, as you all lay down to rest this evening, please say a prayer
for Pia and all the other patients who need our help to find a donor. Yesterday, one of our very close friends (Anoli), from the east coast, came to see us. She is the great director the shot the 10 minute DVD of Pia’s journey. Not only is she a friend, but a true sister who believes in the cause, and is living it with us everyday. Anoli, and I have been working on the new Public Service Announcements that will be coming out on this cause very soon. Thanks for coming Anoli… So the days are passing very quickly, and the transplant is almost here. So many feelings, just go through your head, we were told we were never going to get this far, how did we make it this far? Why do so many people care about us, when some don’t even know us? Are we doing everything in our power to make it through the transplant? What will life be like after next Tuesday? The questions are endless, but the reality is, we are focused and with the support of our family, friends and community, we will make next Tuesday a success. That leaves one last thought for now, PLEASE do not
forget all the other patients waiting for a match. Please continue to
fight even harder to spread the message out to the community, on the
importance of getting tested..and the importance of being a COMMITED
donor who is willing to save a LIFE. So once again, it’s Alli and I (and who said a man’s best
friend is a dog…), until mommy feels good enough to find her way
home.
So what’s next, well we have been very busy getting tests done prior to the transplant date (preconditioned testing). Everyday is full of exams, meetings with the various medical teams and caregiver classes. The folks here in Seattle have been great, we have met so many wonderful people who just want to help and be a part of the next phase of our journey. Thank you all for wanting to help. This past weekend, we had some great news. You might remember we launched the “Just Do Something Program”, well the Payaliya Dance Studio Fundraiser (led by their director, Trupti Patel), raised $4,000 for the Matchpia.org campaign, in a matter of hours at their performance last Sunday evening. Not only that, but they also got 30+ new donors tested at the performance. Hats off to Trupti Patel and her students for going the extra mile, and participating in the “Just Do Something Program”…You guys “Did Something, and Did it Well”. Just remember, there are another 35 patients that need our help, so we welcome anyone to help. Whether you want to get tested, do a drive or hold a fundraiser… just remember to “Just Do Something”. Lastly, a message to our donor, whoever you are… Thank you and
may god bless you for your “Act of Kindness”,
may you set the example to all the potentialo donors out there the importance
of being COMMITED and AVAILABLE to
save a LIFE. There was an individual who once told me early on that “Don’t hold your breath, as you will never find a match. You haven’t found one in two years, so why do you think you will find one now”. Well, no hard feelings, but my reply today is “ You should get to know my community better, see what we see, feel what we feel”. At matchpia.org, our strategy, was to launch a very effective campaign that can touch everyone emotionally, whether you are a male or a female, a Hindu, Muslim, Sikh or Christian in our South Asian community. It doesn’t matter anymore, as the barriers of religion, needed to be broken-down in order to save lives in our community. Now the only thing that matters, is the compassion for HUMANITY, and all our commitment to sustain it. As we enter this next phase of treatment, we are very cautious, as we have only addressed 2 of the 4 essential steps of this journey (1. Find a donor, 2. Convince that donor to donate, 3. Survive the transplant, and 4. Post transplant survival), we have so far accomplished steps 1 and 2. So, as we continue to thank you all, we would like to share two themes about our community that was so evident in our campaign. 1) Total “act of kindness by strangers”…so many of
you didn’t even know us or had a clue on what to do, and how to
do it, but were kind enough to give us a chance to provide you an understanding
of how to do a donor drive…you took a chance on us…complete
strangers whom you did not know. So what’s next, well Pia and I thought long and hard what to do, and we decided to continue our efforts with Matchpia.org, in bringing awareness on the importance of getting members of our South Asian Community tested. You see, complete strangers took a chance on us, and we will continue to do the same for all the other 35 South Asian patients (I personally speak to about 8 of the families everyday). As you view our website, you may have noticed that we have recruited 12, 442 donors, in 188 donor drives, in 83 cites, in 14 weeks…. according to the NMDP, that will facilitate 6 South Asian transplants a year for the next 10 years. So we are so proud of each and everyone of you who joined our campaign, whether you volunteered for the day, spread the news to your friends and family or got tested at a drive…YOU MADE A DIFFERENCE for Pia and all the other 35 South Asian patients. On a final, but a very important note, I would like to encourage everyone of you to join our efforts in enabling our campaign to continue, so far we have personally spent over $83, 846 to support the marketing efforts and donor drives for this campaign. A few weeks ago, we have started the “South Asian Marrow Foundation Fund”, with the Marrow Foundation in Washington, DC. Now anyone can contribute to this fund and get a charitable tax deduction (tax exempt # 41-1704734), as our fund is housed under the Marrow Foundation tax-exempt status. The proceeds of the funds will enable us to conduct MORE donor drives in the South Asian Community, defray some of the additional tissue typing cost related to further testing for patients and some of the additional expenses in finding donor matches for South Asian patients. Please help us to raise the funds we need to effectively continue this campaign (if you have a matching program at your employer for charitable contributions, please let your HR manager you want the funds to be matched to the “South Asian Marrow Foundation”). Again, thank you so much for all your kind generosity, determination and sacrifices for the last 14 weeks. All your efforts allowed Pia to get her “one in a million chance”, at a miracle. Most important, I would like to thank
our donor (who ever you are), for being so selfless
in giving Pia and I chance at life. I can not begin
to think of all the courage and strength it must took to go through
this donation process. We (Pia and I, our families, friends and all
the volunteers and donors), will be ever inspired by our strength and
courage to give Pia “The Gift of Life”. With just a day or two under in Seattle, I was asked to attend the annual National Marrow Donor Program (NMDP), council meeting held in Minneapolis, Minnesota. What a treat it was to meet with all the donor centers members who have been so dedicated in doing donor drives for Matchpia.org. It was great to finally put all the names to the faces. Even a real treat, to meet all the Committee and Board members that have also been instrumental in supporting our program. There were several very interesting educational sessions that took place to broaden our understanding of the NMDP mission. I had dinner with a bunch of folks from the New England, Carolina’s and Los Angeles Donor Centers. What a experience to see all the passion and commitment they all had for the Matchpia.org Campaign. Most of these donor centers have helped us to do drives, but also championed the whole South Asian crisis in their communities…THANK YOU ALL. A very special thanks two Board members who not only believe in our cause, but also have become our greatest supporters…Mutzi and Edgar…Thank you very much, for listening to all the challenges and barriers we face as minorities to the Registry. You guys have demonstrated to us your commitment to Matchpia.org, day in and day out. You guys represent true Leaders. Lastly, I want to encourage you all to help baby Varun. Yes, Varun
is going into transplant at Duke (cord blood). His parents just got
up and moved to North Carolina, in the chances to save his life. We
are looking for volunteers at Duke and UNC Chapel Hill to help the family
out, while they spend the next 6 months in a new state. Volunteers can
be used to do errands, help out with support at the hospital, or just
someone to talk to. If you think you can help, please send an email
to ~Posted on 10/24/2004~ Weekend went by so quickly, we have been so busy doing drives and planning for our next trip to Seattle (Fred Hutch Cancer Care Center). It was so good to see all of our friends, family and supporters last Friday night. Thank you all for your wonderful surprise at the W Hotel. Pia and I were so surprised and hearth felt to see so many people wishing us the best that life can bring us. I thank you all for sharing all your love and support for us, and the Matchpia.org Campaign. ~Posted on 10/22/2004~ What a night, I want to tell you guys about some very special people that have entered Pia and my life, and moreover the Matchpia.org campaign. You may have seen one of our recent promotions with Bombay Dreams (getting awareness of this South Asian crisis to our community), that we have been working on with a wonderful cast of performers. There’s a fellow by the name of Manu Narayan (playing the role of Akaash), who not only is the lead actor in the show, but a leader by example to our South Asian community. You see, when we first presented the idea of him being part of a group of young South Asian actors and actresses who want to make a difference for our cause, he immediately got excited to help out. Since then, we have spent countless hours and days with Manu the last month shooting our series of Public Service Announcement (PSA’s), on getting tested to become a committed donor on the Registry. Through this experience not only has he become on of our greatest “Champions” for the cause, but also a committed registered donor himself. Manu’s sheer passion as an artist not only comes out in his stage performance, but in his day to day performance in spreading the word to his fellow cast members, and other members of the South Asian community, on the importance of getting tested. THANK YOU Manu!!! Next, there is another wonderful person from the cast Bombay Dreams, actually she is one of the lead actresses (she plays the role of Rani on the show), Ayesha Dharker. Another example, of a selfless contributor who brings sheer passion and excitement for our cause. Once Manu mentioned the importance of South Asians getting tested, Ayesha, jumped at the opportunity to help us spread the awareness. Since the day we meet her, until just recently when she left on her next assignment in the UK, she has been nothing but focused in helping us getting the word out on our cause. Ayesha, will also be in one of the upcoming PSA’s supporting the Matchpia.com Campaign. THANK YOU Ayesha, for being so supportive to the cause. Lastly, there is another fellow by the name of Kalpen Modi,
who also joined the ranks of you South Asian artists who believe in
the Matchpia.org Campaign. Kal flew in from LA to join the celebrity
cast from Bombay Dreams to be part of our PSA series. Let me tell you,
he is just as funny in person, as he is in the movies, a new side of
him I haven’t seen in his films. It’s so easy to see the
serious passion and devotion he has to this cause. You see, Kal used
to do donor recruitment drives during his college campus days in California,
so naturally, he know the importance of find donor matches for our South
Asian patients. What can I say Kal, THANK YOU for believing
in the cause, and contributing time from your busy shooting schedule.
It was like reliving the younger years when we first were dating, as
the sparkle in Pia’s eyes still glimmered with sheer strength.
For a few hours, nothing meant anything but us enjoying each other’s
company…it was cool to have time to ourselves for once. It was such an honor to be summoned to the Swaminarayan Temple And a big thanks to everyone that has been helping us to raise funds for the South Asian Marrow Foundation, any amount donated can help us to keep this cause going. We actually had a person who came to get tested yesterday just pull out their checkbook and started to write $1000 check to the cause...Thank you sir for your generously. We are hoping that we meet our goal of 12,000 donors be next week,
as that will put us at the 20% donor mark (we have added an additional
20% South Asians to the NMDP Registry since our campaign started 13
weeks ago). Here in the US, we at Matchpia.org, ensure all our drives communicate the same message. We make sure all our potential donors are educated on the process, become committed to the process and most importantly available to donate if called upon. So all the steps we have been taking in our drives, will hopefully prevent situations like the one we are facing today with our South Asian patient in the US. Thank you all for your feedback and well wishes today, and I and members
of Matchpia.org welcome all your ideas to make our cause better. We
cannot serve our community, if we don’t know what our community
needs, so keep the feedback coming. Also, thank you very much to our
anonymous donor. Your large donation to the South Asian Marrow Foundation
Fund, will enable us to continue our outreach programs. |