Language Undefined Welcome to BMT InfoNet’s Mailing List. Please complete the form below to receive timely, important information about bone marrow, stem cell and cord blood transplantation Type of Individual * Please select the type of individual that best describes you. Transplant Patient/Survivor/ Family / Friend Transplant Center Staff Medical Personnel/Not Transplant Staff Advocacy - Staff Pharma/Med Supply Staff Insurance Personnel Other Organizations - Staff First Name * Last Name * Email - Home * Email - Work * Your Relationship to Patient - None -Patient/SurvivorSpouse of Patient/SurvivorChild of Patient/SurvivorParent of Patient/SurvivorSibling of Patient/SurvivorGrandparent of Patient/SurvivorOther Relative of Patient/SurvivorUnrelated Caregiver of SurvivorDonorFriendOtherUnknown Transplant Info Please select the disease from the drop down - None -Acute Lymphoblastic Leukemia (ALL)Acute Mast CellAcute Myeloid/Myelogenous Leukemia (AML)Acquired Pure Red Cell AplasiaAdrenoleukodystrophy (ALD)AmyloidosisAtaxis TelangiectasisAutoimmune Hemolytic Anemia (AIHA)Autoimmune Lymphoproliferative Syndrome (ALP)Autoimmune Thrombocytopenic PurpuraBare Lymphocyte SyndromeBattens DiseaseBehcet's DiseaseBrain TumorBone-Marrow FailureBreast CancerBurkitt's LymphomaCastlemans DiseaseCd 40 Ligand DeficiencyCentral Nervous System MalignanciesChediak-Higashi SyndromeChronic Eosinophilic Leukemia (CEL)Chronic Granulomatous DiseaseChronic Inflammatory Demyelinating Polyneuropathy (CIDP)Chronic Lymphocytic Leukemia (CLL)Chronic Myeloid (Myelogenous) Leukemia (CML)Chronic Myelomonocytic Leukemia (CMML)Chronic Neutrophilic Leukemia (CNL)Colon CancerCongenital Amegakaryocytic Thrombocytopenia (CAMT)Cutaneous T-Cell Lymphoma (CTCL)Diamond-Blackfan AnemiaDevic's disease- Neuromyelitis optica (NMO)DiGeorge AnomalyDyskeratosis CongenitaEssential Thrombocythemia (ET)Evan's SyndromeEwing's SarcomaFanconi anemia (FA)Felty's SyndromeGauchers DiseaseGerm Cell TumorHairy Cell LeukemiaHistiocytosis, Hemophagocytic (HLH)Histiocytosis, Langerhans Cell (LCH)Hodgkin's Disease (HD)Hunter's DiseaseHurler's SyndromeHyper IgE SyndromeI-Cell diseaseIdiopathic Thrombocytopenic purpura (ITP)Immunodysregulation Polyendocrinopathy enteropathy X-linked Syndrome (IPEX)Juvenile Chronic Granulocytic (JCGL)Juvenile Myelomonocytic Leukemia (JMML)Kostmann's SyndromeKrabbe DiseaseLarge Granular Lymphocytic LeukemiaLesch-Nyhan diseaseLeukemiaLeukocyte Adhesion DeficiencyLight Chain Deposition DiseaseLung CancerLupus, SystemicMantle Cell Lymphoma (MCL)Maroteaux-Lamy SyndromeMelanomaMetachromatic LeukodystrophyMorquioMultiple MyelomaMultiple SclerosisMyelodysplastic Syndrome (MDS)Myelofibrosis (MF)Myeloproliferative Disorder/Neoplasms (MPD)(MPN)Natowicz SyndromeNeuroblastomaNiemann-Pick DiseaseNon-Hodgkin Lymphoma (NHL)Omenn SyndromeOsteogeneic SarcomaOsteopetrosisOvarian CancerParkinson's DiseaseParoxysmal Nocturnal Hemoglobinuria (PNH)Poems SyndromePolycythemia Vera (PV)PorphyriaPrimitive Neuroectodermal Tumor (PNET)Pure red cell aplasiaRenal Cell CancerRetinoblastomaRheumatoid Arthritis (RA)Sanfilippo SyndromeSchwachmann-Diamond SyndromeSclerodermaSevere aplastic anemiaSevere Combined Immunodeficiency Disease (SCID)Sickle Cell DiseaseSoft Tissue SarcomaTesticular CancerThalassemiaThymomaWaldenstrom's MacroglobulinemiaWilm's TumorWiskott-Aldrich SyndromeWolman DiseaseX-Linked AgammaglobulinemiaX-Linked Hyper IgM SyndromeX-Linked Lymphoproliferative Syndrome (XPL)Other DiseaseBAL LeukemiaExperience with All Diseases treated by transplant Date of most recent transplant or expected transplant date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068206920702071 Transplant Type (MRT) - None -Autologous (using your own cells)Tandem AutologousAllogeneic (using donor cells)Syngeneic (using identical twin cells)Allogeneic after an AutologousUnknown Organization and Title If you are part of an organization please tell us the name of the organization and your position Health Status Post Transplant Current Health Status Please share any information on survivor's current health status Did you have Graft-versus-Host Disease (GVHD) - None -YesNo Do you currently have GVHD? - None -YesNo The Severity of GVHD - None -MildModerateSevere GVHD Organs Select all organs GVHD is or has affected SkinNailsEyeMouthThroatGI Tract/StomachMusclesJoints/FasciaGenitaliaLiverLungNervous SystemOther areas of GVHD Notes about yourself Leave this field blank Submit