Procedure Video Journal
This is my Video Journal. I will be putt the videos on Youtube as well as this website. Just click the link
on the current date. It may help to get the word out for this worthy procedure. If you have problems with
the links below displaying the videos, please click this link,  
My YouTube, which will bring you to a
compilation of my videos on YouTube.

These videos documented my daily journey through the course of the procedure, beginning with
chemotherapy through stem cell reinfusion and engraftment. My hope is that the videos will help to
inform those people thinking about this procedure for themselves or someone they know. In addition,
perhaps these videos can, in some way, help to make the procedure more accepted in the medical
community so that insurance companies will reconsider their current stance and provide coverage.
                                          New Update at the bottom
June 2007
Sun
Mon
Tue
Wed
Thu
Fri
Sat
          1
2
I arrive in
Chicago
3
4
Testing
5
Testing
6
Testing
7
Testing
8
Dentist -
Charo (wife)
arrives
9
10
11
12
13
Dentist -
Crown    
14
First Video
15
Admit for
Chemo  
16
Discharge
17
Day After
Chemo
18
Antibiotics &
blood draws
19
Antibiotics &
New Rx
20
Antibiotics,
Neupogen &
blood draws
21
Antibiotics &
Neupogen  
22
Antibiotics,
Neupogen &
blood draws
23
Antibiotics
& Neupogen
 
24
Antibiotics
& Neupogen
 
25
Stem Cell
Harvest
26
Back to
apartment to
^ white blood
 cells
27
Rest for 2
weeks to  
prep for
Chemo
28
=======>
29
=======>
30
=======>
Sun
Mon
Tue
Wed
Thu
Fri
Sat
1
=======>
2
=======>
3
=======>
4
Video
Update
#11
5
=======>
6
Dr's appt
7
=======>
8
=======>
9
=======>
10
Video
Update #13
11
Admit for
Chemo
Day minus 6
12
First Chemo
Day minus 5
13
Second
Chemo
Day minus 4
14
Third Chemo
Day minus 3
15
Last Chemo
Day minus 2
16
Day minus 1
17
Reinfusion of
Stem Cells
Day 0
18
Day + 1
Ate Ching &
Ning arrive
to visit
19
Day + 2
First Waves
of Nausea
No Sleep
20
Day + 3
Nausea and
Weakness
Weird
dreams
21
Day + 4
Worst Day
of nausea
EVER
No food in 5
days.
22
Day + 5
Nausea
recedes.
Able to eat a
little,
23
Day + 6
Video Update
Feel little
better
24
Day + 7
25
Day + 8
White Blood
counts
continue to
drop
26
Day + 9
White blood
counts
dramatically
increased
27
Day + 10
Discharged
from
hospital
5 pm
28
Day + 11
Nausea and
weakness
29
Day + 12
First day w/o
nausea, but
still weak
30
Video
Update #20
Blood Test
Day + 13
31
Day + 14
Final Dr's
evaluation
1
2
3
4
You need Java to see this applet.
Counter
SUN
MON
TUE
WED
THU
FRI
SAT
      1
2
Back to
San Diego
7:15pm
arrival
3
Spasticity &
fatigue
begins all
over body
4
5
6
7
8
9
10
White blood
counts high,
red blood
counts low
11
12
13
14
15
16
Red blood
counts low,
slightly
anemic
17
Leg strength
begins to
return
18
19
Spasticity
begins to
lessen
20
21
Facial hair
begins to
grow
22
23
24
25
26
27
28
29
30
31
 
July 2007
AUGUST 2007
Greetings to all,

I deeply apologize for the delay in updating my progress after the procedure ended last July 27, 2007.
Leaving Chicago on August 02, 2007 to fly home to San Diego was very difficult as I was extremely
weak. I would tire very easily and had to stop to rest many times. Thank God my wife, Charo was there
to assist me. The flight itself was uncomfortable in so many different ways. But it was good to get
home again. Here is an account of my experiences from August 01, 2007 to October 27, 2007.

The nausea from the chemo had passed and I could eat, just not normal quantities of food. When I
weighed myself at home I found that I had lost 30 pounds during the procedure. I was not sleeping
well, awakening often at night. Even minor physical exertion, like walking upstairs, caused me to
sweat heavily. My legs and arm had lost considerable muscle mass. As my immune system was that
of a newborn baby, I was to avoid crowded places, animals, and all kids. I could see friends a couple
at a time. I get blood drawn every week or two to ensure my counts are getting back to normal. So far,
so good. Still no hair, though. I think I'll just keep it like this.

A few days after I got home, my old MS flare-ups started. I was advised by the Immunologist that this
would likely occur as my body just went through a great deal of stress from the procedure. (And those
of you with MS know that it doesn't take much stress to trigger a relapse.). This time, however, all of
the symptoms from past relapses occurred at the same time (with the exception of Optic Neuritis, that
did not recur). The symptoms were spasms and pain in all extremities as well as the trunk of my body
to the neck, loss of sense of balance, and severe lower back pain, ringing and buzzing in both ears,
and urinary problems. Stiffness in the leg muscles and severe fatigue. The most debilitating of the
flare-ups were bouts of deep depression. If you've had real depression, you know what I'm saying.
But my wife and mother-in-law made me as comfortable as they could and took care of my daily
needs.

The doctor told me I would improve in overall health in 7-10 weeks to the point where I should be
more functional (strength returns, MS flare-ups would recede, etc. He explained it to me like this:
"What you went through physically with the MS and this procedure gave me something similar to
Post-traumatic Stress Syndrome. He may have been right in my case.

August was the bad month. But in September I started getting my strength back. The MS flare-ups
were still there, but they moved more into the background, if you know what I mean. The heat in
September didn't help as they tended to make the fatigue stronger in the heat of the day. But overall,
my health improved steadily in September. I wish I could show you all a graph as the improvements
were not in a straight line.  They came and went in cycles. Some days would be good days and some
days would be bad days. Some days the flare-up cycle were strong. Some days I felt like my old self
again.

By the end of September, I stubbornly carried boxes and moved furniture. That one weekend set me
back into the bad cycle and it lasted for weeks, into October. I was heavily scolded by my wife and
doctor to not do anything like that for at least a year.

I have started work again as an auto claims adjuster for the same company I worked before. They
were gracious and flexible to my needs. State Disability (which I was on from May through
September) payments do not pay a living wage. But I was glad SDI was there, It was better than
nothing, Going back to work is another transition that was a bit difficult, but I think it was good for my
mind to be focused on something else.

Now for the Prognosis that everyone was waiting for:

Has the procedure shown any benefit yet?
Do I expect to be cured of MS completely from this procedure?

Since it's barely been three months since the procedure, I've not seen any definitive improvement. But
the timeline for true benefits to appear is 12-18 months. So I have a ways to go before I know if
current flare-ups disappear and no new lesions appear.

You see, that was the rationale to do this procedure. My EDSS Score was 2.5. I was a good
candidate. I knew there was a possibility that lesions already established might heal; and they might
not. Depending on the amount of damage done to the nerve. However, my true motivation for doing
this procedure was the chemo I went through destroyed my immune system, thus destroying the
malfunctioned immune memory that was attacking my central nervous system. This all means that
the chances are very good (over 80%) that there will be no further MS attacks. I can live with the
disabilities I already have. I do not want to add to them.

MS being a progressive disease, the prognosis will always be toward further disability and loss of
quality of life. I did this procedure because it was my only hope to be able to provide a quality life for
my family. Otherwise, my wife could look forward to years of my progressive physical deterioration. I
would not do that to my wife if there was any way to stop it.

Until then, God Bless.

Brian Tilaro
Update from October 27, 2007
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