Transplant Caregiving: Skills, Support & Self-Care with Hina Desai

Today we sit down with Henry Ford Health Michigan's Hina Desai, an oncology certified social worker with decades of experience, to share her best caregiving tips for those supporting transplant patients. Hina explains that patience, physical stamina, problem-solving, adaptability, and emotional intelligence are essential caregiver skills. We talk about the many roles a caregiver plays — from transportation and medication management to wound care, infection prevention, meal preparation, and emotional support. Staying connected to the healthcare team and keeping friends and family informed are key.

We highlight the value of resources like the Leukemia & Lymphoma Society’s, now Blood Cancer United's, free nutritional consultations. Hina stresses the importance of understanding the Family Medical Leave Act, planning for potential income loss, and connecting with social workers to access financial help from foundations such as LLS, PAN Foundation, Cancer Care, Angels of Hope, New Day Family Foundation, and NMDP.

Hina advises enlisting a support network early. Dividing tasks like grocery shopping, meal prep, transportation, and pharmacy runs helps prevent burnout. She reminds us that transplant caregiving is a marathon — caregivers must look after their physical, emotional, financial, and spiritual wellbeing. This includes setting boundaries, filtering advice, staying flexible, and preparing for setbacks such as relapse or unexpected hospital stays.

We discuss unique considerations for CAR T, allogeneic, and autologous transplants. CAR T caregivers should watch for neurological changes. Allogeneic caregivers may handle tasks like IV magnesium infusions and monitor for graft-versus-host disease (GVHD) or veno-occlusive disease (VOD).

Caregiving can change relationship dynamics, sometimes causing role reversal. Good communication helps maintain mutual respect. Self-care remains vital: nutritious eating, exercise, spiritual practices, adequate sleep, and support groups can all help sustain the caregiver’s energy and emotional health.

Hina and Peggy share heartwarming stories of caregivers going above and beyond, from offering a shower to a hospital-bound spouse, to creatively negotiating with doctors so a patient could return to gardening safely. We reflect on the importance of kindness toward oneself, seeking help when needed, and recognizing that caregiving doesn’t have to be perfect to be deeply meaningful.  We also highlight three husbands who have stepped up as caregivers to their wives.

We close with gratitude for caregivers and the countless ways they support recovery, comfort, and hope for transplant patients.

Season 18 of the Marrow Masters podcast is sponsored by Sanofi and Jazz Pharmaceuticals.

This season is sponsored by Sanofi: https://www.sanofi.com/

And Jazz Pharmaceuticals: https://www.jazzpharma.com/

Resources:

Leukemia & Lymphoma Society (LLS) is now Blood Cancer United: https://bloodcancerunited.org/

PAN Foundation: https://www.panfoundation.org

Cancer Care: https://www.cancercare.org

Angels of Hope: https://angelsofhope.org

New Day Foundation for Families: https://www.foundationforfamilies.org

National Marrow Donor Program (NMDP): https://bethematch.org

BMT InfoNet: https://www.bmtinfonet.org

National Bone Marrow Transplant Link - (800) LINK-BMT, or [phone].

nbmtLINK Website: https://www.nbmtlink.org/

nbmtLINK Facebook Page:  https://www.facebook.com/nbmtLINK

Follow the nbmtLINK on Instagram! https://www.instagram.com/nbmtlink/

The nbmtLINK YouTube Page can be found by clicking here.

To participate in the GVHD Mosaic, click here: https://amp.livemosaics.com/gvhd

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