It’s just about “game day”, the magic “100th day”, the day that we see what is behind the door we picked. But first, to prepare Wayne for the big day, he had to go through a post-transplant work-up. He has had his heart and lung function tests, the results will be compared to his pre-transplant results to make sure there are no significant changes. He had a dental exam, making sure his teeth don’t have damage as a result of the transplant treatment, these findings were also compared to his pre-transplant dental exam. He had extensive lab testing, and last but not least, he needed to have another bone marrow biopsy. Wayne has had experience with bone marrow biopsies, in fact, enough experience that we scheduled with the person he thinks does the best bone biopsy. There truly is a big difference and because we are having this done at teaching hospital, this time he wanted the teacher not the student. In order to see how the transplant has grafted, you must go to the source, the bone marrow, the soft spongy tissue inside the bone where the 3 types of blood cell production (red blood cells, lymphocytes/WBC, and platelets) takes place. Bone marrow is generally taken out of the bigger bones, this time around they obtained the sample by going into Wayne’s posterior superior iliac crest, the left pelvis, buttock area. The area is numbed and then with a rather large needle, that is really a nail (see below) they push and push until the needle punches a hole into the bone. Yes, you do hear a “pop” noise when the needle punches through. Several samples of the liquid marrow are withdrawn, this is the part that bothers Wayne the most, he can feel it all the way to his toes, and then they take a piece of the spongy part of the bone. Once done, they put a bandage on it and for the next 2 days he has a real pain in his ….behind. Of course, we have to wait for 8 days to get the results, OF COURSE!!