Skip to main content

Psychological support for stem cell transplant patients

EPISODE 3: PSYCHOLOGICAL SUPPORT FOR STEM CELL TRANSPLANT PATIENTS

In the latest episode we spoke to Haematology Counsellor Shelia Hegarty about her role supporting transplant patients at University College London Hospital. We discussed the huge emotional impact that a transplant can have, and how patients can manage their well being and when to ask for further support.

Full transcript (auto-generated)

0
00:00:00.160 --> 00:00:07.238
Welcome to the third episode of the patient services podcast at Anthony Nolan my name is Billy and I'm the patient

1
00:00:07.300 --> 00:00:09.660
communication and insight coordinator.

2
00:00:10.300 --> 00:00:17.305
This series of podcasts we hope to bring you insight and support into the experience of having a bone marrow or stem cell

3
00:00:17.363 --> 00:00:18.000
transplant.

4
00:00:18.840 --> 00:00:25.591
We'll be looking at what life before during and after transplant can be like talking to health professionals for tips and

5
00:00:25.646 --> 00:00:31.840
advice and patients have been there themselves will be sharing their stories and personal experiences with you.

6
00:00:32.100 --> 00:00:34.700
We hope you find them helpful and informative.

7
00:00:36.860 --> 00:00:45.049
today I'm joined by Sheila Hegarty a haematology councillor working as part of the haematology psychology and counselling

8
00:00:45.117 --> 00:00:47.960
team at University College London Hospital

9
00:00:48.180 --> 00:00:54.189
Having a stem cell transplant is a life-changing event and dealing with it impact on your everyday life can be a

10
00:00:54.243 --> 00:00:54.780
challenge.

11
00:00:55.660 --> 00:01:01.868
The emotional rollercoaster often described to us by patients to contact Anthony Nolan can be really hard to navigate

12
00:01:01.921 --> 00:01:03.460
without support and guidance.

13
00:01:04.040 --> 00:01:10.948
Today's Sheila will be talking to us about her experiences of supporting the specific patient group and giving us her

14
00:01:11.007 --> 00:01:18.211
expert insight into the psychological concerns experienced by transplant patients hello Sheila thank you for speaking with

15
00:01:18.270 --> 00:01:22.640
us today. It's very generous of you to give up your time for Anthony Nolan

16
00:01:23.440 --> 00:01:28.440
Can you start by telling me how you came to specialise in counselling for haematology patients?

17
00:01:28.720 --> 00:01:37.092
Sure and I'm very glad to be here to talk about this. Thank you for inviting me. I've been working at uch for 12 years and

18
00:01:37.161 --> 00:01:39.220
when I started I was the only.

19
00:01:39.860 --> 00:01:41.960
counsellor working in the department in haematology

20
00:01:42.880 --> 00:01:50.630
Part of my role, I was asked to come to develop the role within haematology across inpatients and outpatients and right

21
00:01:50.695 --> 00:01:58.575
through the journey. So that's happened to us. We have a much larger department we are four in the team. So we have three

22
00:01:58.640 --> 00:02:06.521
cancers one psychologist and a couple of trainees always there as well and I think that reflects the complexity of people

23
00:02:06.586 --> 00:02:11.080
are going through and the growing needs for the Liverpool yeah, yeah.

24
00:02:12.560 --> 00:02:21.152
Are there any common psychological issues or concerns you've noticed in those patients that you see who go through

25
00:02:21.227 --> 00:02:22.660
transplant I think.

26
00:02:22.800 --> 00:02:31.293
the most important thing to say first is that this is a huge and daunting experience for most people going through it

27
00:02:31.366 --> 00:02:39.642
absolutely it comes on the back of having had a diagnosis and and a lot of other treatment and then facing this is

28
00:02:39.715 --> 00:02:43.200
daunting and it's huge, so it's very natural and

29
00:02:44.280 --> 00:02:51.880
Normal to feel a lot of things of the feelings I T to feel worried to feel low have a range of emotions really.

30
00:02:52.780 --> 00:02:59.628
Which people experience and which are common to most people that people will experience them in different ways at

31
00:02:59.689 --> 00:03:06.780
different times across that that journey really from diagnosis right through treatment and a specific concerns about.

32
00:03:07.060 --> 00:03:12.860
the transplant process or elements of the transplant that you find that the patients you see

33
00:03:13.380 --> 00:03:14.580
I want to talk to you about

34
00:03:16.420 --> 00:03:24.190
Very very much from person to person which again is human really isn't it? But I think they range from people being very

35
00:03:24.255 --> 00:03:32.155
worried about the treatment itself and the impact of that and people are told by clearly. I know by by the medical team in

36
00:03:32.220 --> 00:03:40.120
advance that they are facing a lot and that there will be side effects so people are aware of that and worried about that.

37
00:03:40.300 --> 00:03:45.100
There are also often worried about family but partner's children.

38
00:03:45.580 --> 00:03:46.680
parents

39
00:03:47.360 --> 00:03:50.160
And so are very aware of trying to protect them as well.

40
00:03:51.480 --> 00:03:52.380
people

41
00:03:52.580 --> 00:04:00.575
The people are mainly concerned about getting through this about knowing this is going to give them a chance of life of a

42
00:04:00.641 --> 00:04:03.880
cure and so they want to do it but also wearable.

43
00:04:04.120 --> 00:04:08.020
goes with it so I guess in the beginning is often a lot of

44
00:04:09.600 --> 00:04:12.000
Worry but also hope about this will be.

45
00:04:12.340 --> 00:04:14.840
exactly

46
00:04:16.140 --> 00:04:18.740
And so I think that changes along the way.

47
00:04:19.100 --> 00:04:21.500
At different times and at different stages in the process.

48
00:04:22.020 --> 00:04:24.620
No worries will be different at different times.

49
00:04:25.760 --> 00:04:34.960
Is there a time in the process via pre during or post transplant that people tend to need the most support?

50
00:04:35.340 --> 00:04:42.762
I think that fairies again as I said from individual to individual but I think one of the things that can surprise people

51
00:04:42.824 --> 00:04:50.001
quite a lot is the post transplant we get a lot of referrals and that's open when people need most support ok because

52
00:04:50.062 --> 00:04:57.240
although the beginning of the process is shocking they've been through diagnosis tonight facing this extra treatment.

53
00:04:58.200 --> 00:04:59.000
they're kind of

54
00:04:59.260 --> 00:05:05.482
You're on a journey really that kind of told her they have to go through there weather going to be in hospital. So they

55
00:05:05.535 --> 00:05:11.862
hopefully make preparation for that answer his staff to clinical nurse specialist and someone will help them with that so

56
00:05:11.915 --> 00:05:16.360
that is its own challenges and then people are going through it getting through that.

57
00:05:16.600 --> 00:05:23.800
When they leave hospital after a long period in a can be weeks can be longer and going home when people.

58
00:05:24.220 --> 00:05:31.901
Relatives friends are very excited. I'm feeling coming through this is really good news and actually they're trying to

59
00:05:31.966 --> 00:05:39.648
readjust to pick up the pieces of their life 024 - 4 - life and I can be a very different experience often and I think

60
00:05:39.713 --> 00:05:43.620
that's one of the things that people aren't prepared for ok.

61
00:05:43.940 --> 00:05:50.540
I think it can be quite difficult to prepare people for that and so they come to you. So they can be quite ready for it.

62
00:05:50.980 --> 00:05:58.660
Anticipate impact it might have some kind of come to see the medical term for the clinic check-ups to and talk about those

63
00:05:58.723 --> 00:06:06.151
kind of things that are still going on maybe long-term fatigue may be feeling that just having the energy they used to

64
00:06:06.214 --> 00:06:13.894
have feeling still on well settling to perhaps a different way of life. Not maybe being at work exactly not being off work

65
00:06:13.957 --> 00:06:21.575
to look after their children themselves in the same way yet, so a long stage of recovery and I think a lot of a we can do

66
00:06:21.638 --> 00:06:29.255
that is really put that in perspective and help knowledge that this is really difficult but actually they can get through

67
00:06:29.318 --> 00:06:36.809
it and that it's new it's different and it will be a different kind of a new normal really as we call it. Yeah, so that

68
00:06:36.872 --> 00:06:37.880
would be when we

69
00:06:38.280 --> 00:06:44.259
A lot of people would come into our service and have some work done then, but we also see people in the beginning some

70
00:06:44.310 --> 00:06:45.780
people might be most anxious.

71
00:06:45.960 --> 00:06:55.251
Is very kind of coping mechanisms for anxiety coping skills, so that's one of the ways we be helping people prepare in

72
00:06:55.330 --> 00:06:55.960
advance.

73
00:06:56.740 --> 00:07:00.040
We also see people on the ward when people might be ill.

74
00:07:00.320 --> 00:07:10.792
Worried about family or bored or stuck in there and feeling isolated in a room on their own so we be helping them through

75
00:07:10.879 --> 00:07:15.120
that stage as well and of course also see family.

76
00:07:15.480 --> 00:07:22.877
that was my next question actually, so do you see both patients and family and you know if you do see family members what

77
00:07:22.939 --> 00:07:27.280
kind of issues and concerns to find that they have in comparison to the

78
00:07:27.780 --> 00:07:29.880
We do see both we offer.

79
00:07:30.760 --> 00:07:38.548
We offer service to both sometimes we see people together with couples. We might see people with their family in their

80
00:07:38.614 --> 00:07:40.660
family set up with children and

81
00:07:42.100 --> 00:07:47.300
there's a kind of bit of mutual concern from the patient and the family for each other so

82
00:07:47.920 --> 00:07:54.920
The patient will also be that will often be very concerned and worried about their family members their children perhaps

83
00:07:54.978 --> 00:07:59.820
their partner as well as their own individual worries, but then also the relatives.

84
00:08:01.100 --> 00:08:05.500
You know the partner the parents the children will be very worried and will not want to.

85
00:08:05.920 --> 00:08:12.295
Put anything on the patient but also find it quite difficult often to express. What might be going on for them because

86
00:08:12.349 --> 00:08:17.320
they just want to be there for their loved one really so they'll be talking about their own.

87
00:08:17.500 --> 00:08:23.819
But also there their personal and the person who's the patient their worries and part of the work. We would do that would

88
00:08:23.871 --> 00:08:29.877
be kind of illicit from them have their own worries or how they see the future the impact on their life. What's the

89
00:08:29.929 --> 00:08:35.100
weather like on the patient because it does have a really far-reaching impact and that's something.

90
00:08:35.620 --> 00:08:41.499
You know with the work that we do with distance to try and prepare them to understand that the support network is

91
00:08:41.551 --> 00:08:43.320
incredibly important to a patient.

92
00:08:44.420 --> 00:08:49.020
And so do you routinely see patients pre transplant?

93
00:08:49.440 --> 00:08:57.280
Not routinely, I wouldn't say although I think it's something that increasingly becoming evident is quite important

94
00:08:57.349 --> 00:08:59.940
because although people are given a 4.

0
00:00:00.020 --> 00:00:00.820
download

1
00:00:00.960 --> 00:00:05.460
What to expect I don't think they're quite given a full.

2
00:00:06.280 --> 00:00:14.336
Picture of understanding the psychological impact on the emotional impact on them you know of being isolated and I've how

3
00:00:14.403 --> 00:00:22.526
they can build on their own existing resources right to get into that. I thought I'd like to do we have done a survey with

4
00:00:22.592 --> 00:00:30.649
our patients in uch people were post-transplant and white post-transplant people at different stages and one of the today

5
00:00:30.715 --> 00:00:38.639
felt was really large. He said he hasn't been emotionally and psychologically prepared enough physically they felt they

6
00:00:38.705 --> 00:00:46.762
had but not psychologically they felt it would be helpful so it's something we're working with the team to try and see if

7
00:00:46.828 --> 00:00:54.885
we do half a day that would be very helpful very helpful and have a bit of running time to a transplant volume to do that

8
00:00:54.952 --> 00:00:59.280
and I think it could help people build on their own resources and

9
00:01:00.000 --> 00:01:07.768
Prepare themselves for what's ahead and take back a bit of control of it in that sort of preparation, so psychologically.

10
00:01:07.832 --> 00:01:15.472
I think some of the definitely something that didn't work we do with patients that people often to say as you just said

11
00:01:15.536 --> 00:01:21.700
that they didn't feel psychologically prepared and that's something people come to us with also.

12
00:01:22.260 --> 00:01:30.658
Because I think as you say that lack of control is something that very big and people will be out through that process and

13
00:01:30.727 --> 00:01:35.960
to just have some charge of something yeah is so helpful Foundation exactly.

14
00:01:37.820 --> 00:01:40.420
Can you tell me what kind of local support?

15
00:01:40.680 --> 00:01:42.580
You would refer your patients to.

16
00:01:43.660 --> 00:01:46.160
I think that's a good question because we

17
00:01:46.520 --> 00:01:52.120
I work in central London with a very well resource centre. We have patients coming from a long way away.

18
00:01:53.720 --> 00:02:00.020
And stay with us, they have a good service with lucky really off and people going back home.

19
00:02:00.400 --> 00:02:07.834
It is more difficult to have to say now we as a team carry on we will have to telephone sessions with people so we can

20
00:02:07.897 --> 00:02:11.300
offer that the other thing we look we look for people.

21
00:02:11.940 --> 00:02:20.736
Services and Resources locally there may be support groups in the local area. We would liaise with the GP if we felt that

22
00:02:20.809 --> 00:02:29.387
was important. So we will do that. Play some work. I look about the services for people. It's not always easy. We yes.

23
00:02:29.460 --> 00:02:35.640
We're on a support group for all haematology patients, so we don't specifically have.

24
00:02:36.120 --> 00:02:37.420
bone marrow transplant

25
00:02:38.040 --> 00:02:44.897
Support group but we have a general one which covers all haematological conditions and we meet once a month for a couple

26
00:02:44.954 --> 00:02:51.868
of hours and then the group themselves go off and have a meal afterwards which is it means for them. They have people who

27
00:02:51.925 --> 00:02:58.668
understand to talk to and then they go off and do something social but from within the resort you know connections are

28
00:02:58.725 --> 00:02:59.240
built up.

29
00:02:59.380 --> 00:03:02.380
and people can really link up and

30
00:03:02.720 --> 00:03:09.386
Have very useful conversations and help each other with different resources that they have used themselves to get by and

31
00:03:09.442 --> 00:03:16.053
so how does it work having he say it covers the broad spectrum of haematology does it work quite well having tried some

32
00:03:16.108 --> 00:03:19.220
transplant patients. I'm not transport patients in that.

33
00:03:19.640 --> 00:03:27.546
In my experience, it works very well sometimes people want something more specific so we might have somebody in on that

34
00:03:27.612 --> 00:03:35.718
particular issue, but usually it works well and people mutually supportive facilitating at but it's very much about mutual

35
00:03:35.785 --> 00:03:39.240
support and so people have a more chronic condition.

36
00:03:40.160 --> 00:03:45.904
May be very helpful to people having more acute where they can kind of see each other's perspective and gain from each

37
00:03:45.953 --> 00:03:47.560
other. I'm certainly I would say.

38
00:03:47.800 --> 00:03:54.979
Friendships have built up out of that and a lot of respect for each other's position and the kind of greater understanding

39
00:03:55.038 --> 00:04:00.100
of the fact that they can be different difficulties but humanly people can each other.

40
00:04:01.060 --> 00:04:06.460
And do you think everyone having a transplant should have access to your kind of support?

41
00:04:06.780 --> 00:04:07.880
I think

42
00:04:08.640 --> 00:04:10.540
A lot of people don't need our support.

43
00:04:11.020 --> 00:04:14.420
But I think the fact I think people should all be aware of it.

44
00:04:14.600 --> 00:04:20.300
And I think the most important thing really is to let people know that it's as I said earlier on.

45
00:04:21.200 --> 00:04:23.500
It's very natural and normal to have.

46
00:04:23.740 --> 00:04:26.440
a lot of feelings of anxiety fear worry

47
00:04:27.200 --> 00:04:29.700
Etc going into the process like this.

48
00:04:29.940 --> 00:04:37.721
And so the people are ever so kind of becomes part of the conversation that that makes it acceptable to support. It's ok

49
00:04:37.786 --> 00:04:45.697
to ask for it. It's ok to say I'm feel this thing. I'd like to talk to somebody that becomes much more as natural really I

50
00:04:45.761 --> 00:04:53.478
seen the doctor yet as natural as having your nurse as natural having a temperature done if this is something that spot

51
00:04:53.543 --> 00:04:54.840
the process as well.

52
00:04:56.300 --> 00:04:57.000
and

53
00:04:57.520 --> 00:05:06.001
Why do you think if you come across this is all? Why do you think that some patients or family members are reluctant to

54
00:05:06.073 --> 00:05:10.920
access psychological support is something we experience and I think.

55
00:05:11.220 --> 00:05:13.620
for a lot of people coming into this they would never

56
00:05:14.060 --> 00:05:19.860
Really good nearest psychologist or counsellor, so for them it may mean something like.

57
00:05:20.100 --> 00:05:24.200
What's wrong with me? I must have mental health problems and stigma.

58
00:05:26.480 --> 00:05:33.466
So we would often like to see people just too kind of in the beginning explained a bit of our service but saying initially

59
00:05:33.524 --> 00:05:39.480
a chat and people will often take to it is something people worried not going to be as a patient I want.

60
00:05:39.680 --> 00:05:46.228
Experiences once you get over that barrier people really do use the service very well and see as a talking coping

61
00:05:46.286 --> 00:05:50.980
definitely fancy. It is adding to their toolkit really of resources on their own.

62
00:05:52.060 --> 00:05:58.360
alarm going to be more autonomous and more independent cos I can build up their own resources and from the

63
00:05:58.600 --> 00:06:02.500
Relative for family point of view I think they're just so.

64
00:06:03.120 --> 00:06:10.990
Holding everything together for the patient and worried about if they start talking about Monday open up and will there be

65
00:06:11.055 --> 00:06:18.797
hope there's a lot of responsibility and onus on the person who is until you have to keep clearing definitely yeah, so I

66
00:06:18.861 --> 00:06:26.345
think we would be very aware of that working with people that we would you know want to support them and ignore them

67
00:06:26.410 --> 00:06:34.023
together and do a lot on their plates as well, but they have to take care of themselves in order to achieve that yeah,

68
00:06:34.087 --> 00:06:35.120
yeah definitely.

69
00:06:35.720 --> 00:06:42.094
What advice would you give to patients who are about to go through or are going through a transplant about supporting

70
00:06:42.148 --> 00:06:43.620
themselves psychologically.

71
00:06:44.020 --> 00:06:50.573
I suppose for me the most important thing to do is say that this is your time and you really have to look after yourself

72
00:06:50.627 --> 00:06:51.720
for a lot of people.

73
00:06:52.520 --> 00:06:54.620
I would say I'm I'm being selfish.

74
00:06:55.940 --> 00:07:02.323
I need to be somebody who generally look after other people or I don't want to put this on my family and I would say this

75
00:07:02.376 --> 00:07:08.707
is important. You have to look after yourself right now and be kind of if you like selfish about that because that's the

76
00:07:08.760 --> 00:07:15.091
only way you're going to get through this and that's actually helpful for everyone and it's most helpful for friends and

77
00:07:15.144 --> 00:07:19.840
family to know how they can be helpful so the more you can let people know what helps me.

78
00:07:20.580 --> 00:07:25.780
Send them or other people like that and want to help I don't really know what to do. I think.

79
00:07:26.080 --> 00:07:33.408
I always work with people in terms of their own, but I called toolkit of resources so helping people whatever that maybe

80
00:07:33.469 --> 00:07:34.080
maybe Waze

81
00:07:34.300 --> 00:07:38.000
Don't come through adversity in the past it may be that they enjoy.

82
00:07:38.480 --> 00:07:44.941
I don't know gone for a walk reading music so any of the things they enjoy building on that offers enjoyable about that.

83
00:07:44.995 --> 00:07:48.280
What can you use from that to get yourself through this time?

84
00:07:49.140 --> 00:07:55.262
Being aware that they're going into a room for a period of time in hospital bring with you whatever might be comforting

85
00:07:55.313 --> 00:07:56.240
whatever might be.

86
00:07:56.560 --> 00:08:00.460
Supportive be very clear as well.

87
00:08:00.660 --> 00:08:06.960
Really you're going to be not well for a while and you need to look after yourself and let people know that.

88
00:08:07.300 --> 00:08:08.900
you can let them know but the

89
00:08:09.100 --> 00:08:16.628
Play demands of you so people can find it very difficult to do and I know for us we often come across people of any state

90
00:08:16.690 --> 00:08:24.218
Stewart transplant without has to be reiterated really and again have they got yeah? Well, I suppose you know when people

91
00:08:24.280 --> 00:08:31.000
have a diagnosis. It's a huge shock as you say and then often times they move into transplant quite quickly.

92
00:08:32.900 --> 00:08:39.988
Before any of that happen to them they had a life and they had responsibilities and they had a role within their family

93
00:08:40.047 --> 00:08:47.076
within the workplace and it must be so difficult so let go of all of that but as you say the focus needs to be on them

94
00:08:47.135 --> 00:08:54.343
getting better and there is an acknowledgement in that is what you said isn't there of the loss of that I hope you lot of

95
00:08:54.402 --> 00:08:57.500
that comes back. I'll be at maybe a different way. X

96
00:08:58.180 --> 00:08:59.680
But there is a loss.

0
00:00:00.000 --> 00:00:04.700
Change under some importance does a lot of important thing about acknowledging that.

1
00:00:04.980 --> 00:00:10.480
And helping them so that they can also get through this and they have a huge amount of resource.

2
00:00:11.300 --> 00:00:18.100
That can be that would be hugely vary from person to person, but there's no rule book for this.

3
00:00:18.580 --> 00:00:22.680
Is very much about what helps you what happened to you when it's difficult.

4
00:00:23.500 --> 00:00:24.600
Let's build on map.

5
00:00:24.980 --> 00:00:34.880
How essential is your role in post transplant recovery? I think a 2G sensual I mean I've certainly.

6
00:00:35.080 --> 00:00:42.285
Had a referral for example for a patient who was 6 years post-transplant local importers of was he was having someone

7
00:00:42.346 --> 00:00:49.859
going physical difficulty but that had also impacted on his life now broadly and on how he felt about himself and that was

8
00:00:49.921 --> 00:00:56.880
you to be important and we did some really valuable work together which he certainly has acknowledged so I think.

9
00:00:57.180 --> 00:01:05.220
It's almost as I said earlier. I think it's almost at that point that I feel worse most the most used yeah, because that's

10
00:01:05.286 --> 00:01:11.680
the huge adaptation to a different life and I think of someone diagnosed initially does the shop.

11
00:01:11.800 --> 00:01:18.426
when does getting through the treatment and supported in that by the medical and nursing staff and then is afterwards and

12
00:01:18.480 --> 00:01:18.700
it's

13
00:01:18.860 --> 00:01:25.929
1-hour what? What do I do now and it said that stage that mentally and emotionally people are beginning to process? What's

14
00:01:25.987 --> 00:01:30.160
happened and kind of moving from a shock to who what was that all about?

15
00:01:31.500 --> 00:01:33.700
I'm really being aware of the impact cause.

16
00:01:33.840 --> 00:01:35.440
cost of diagnosis and

17
00:01:36.980 --> 00:01:43.508
Discussions about treatment, it's all about getting through this and living but later on as well. How do I live and what

18
00:01:43.562 --> 00:01:43.780
do I

19
00:01:44.360 --> 00:01:51.395
What is minute I'm like and how do I manage that and just kind of I guess letting the plate settle after the earthquake

20
00:01:51.454 --> 00:01:58.607
really it feels to me after it was a bit more space for that. It's kind of like the mind has had a time to catch the body

21
00:01:58.666 --> 00:02:03.160
has gone through really yeah, I suppose there are some people who live with.

22
00:02:04.080 --> 00:02:12.471
chronic side effects such as chronic fatigue and he said physical symptoms and so there is a huge period of adjustment and

23
00:02:12.540 --> 00:02:18.180
you're suddenly away from the hospital and away from all of the set of support and

24
00:02:18.440 --> 00:02:26.541
People to talk to you, you haven't those earliest ages so I can really see how post-transplant is it's really essential to

25
00:02:26.607 --> 00:02:26.940
know.

26
00:02:27.140 --> 00:02:34.688
Babies people like yourself that they can access to begin to build up confidence again in the fact that my confidence in

27
00:02:34.751 --> 00:02:38.840
your body in your life in the new way and even with side effects.

28
00:02:39.520 --> 00:02:46.863
Graft versus host disease the different things people may experience even with that actually I can work this out and how

29
00:02:46.924 --> 00:02:47.720
do I do that?

30
00:02:48.960 --> 00:02:55.047
Thank you so much for speaking with us today. It's been really interesting to hear more about the work that you do. Thank

31
00:02:55.097 --> 00:02:57.160
you very much for inviting me. Thank you.

32
00:02:58.020 --> 00:03:05.740
Before we sign off. I just want to tell you about some of the ways Anthony Nolan provides other kinds of support the

33
00:03:05.807 --> 00:03:13.660
listeners who feel they might need some guidance managing their emotional well-being you can find more information and

34
00:03:13.727 --> 00:03:18.120
Resources available to order for free through our website www.org.

35
00:03:18.980 --> 00:03:25.684
Some patients find that connecting with others have been through transplant can improve how they feeling themselves for

36
00:03:25.740 --> 00:03:30.980
online support you can join our patients and families forum to talk to other people like you.

37
00:03:31.380 --> 00:03:38.475
We also offer a peer support telephone service where you can speak to a transplant recipient who's at least 2 years

38
00:03:38.537 --> 00:03:40.080
post-transplant by phone.

39
00:03:40.740 --> 00:03:51.360
Would you like to find out more about this and other ways we can support you and your family please contact the patient

40
00:03:51.449 --> 00:03:57.340
team at patient info at anthonynolan.org or call 03303030030 chat.

41
00:03:57.440 --> 00:03:59.040
Thank you for listening today.