Javascript is not enabled.

Javascript must be enabled to use this site. Please enable Javascript in your browser and try again.

Skip to content
Content starts here
CLOSE ×
Search
CLOSE ×
Search
Leaving AARP.org Website

You are now leaving AARP.org and going to a website that is not operated by AARP. A different privacy policy and terms of service will apply.

Why I Contacted My Husband’s Bone Marrow Donor

This anonymous hero gave us hope after my spouse’s leukemia diagnosis. Reaching out to thank him led to an unexpected online friendship


a person working on a computer with flowers around them and a picture frame on a desk
Monica Garwood

Welcome to Ethels Tell All, where the writers behind The Ethel newsletter share their personal stories related to the joys and challenges of aging. Come back Wednesday each week for the latest piece, exclusively on AARP Members Edition

A few decades ago, I participated in a “swab-a-thon” to sign new people up for the U.S. bone marrow donor registry. It involved completing a few forms and rubbing a cotton swab in my mouth for a few minutes.

As fate would have it, on that same day in 2023, my husband, Ethan, and I were told by his doctor that the chemo-only approach they’d tried to cure his acute lymphoblastic leukemia (ALL) wasn’t working. His only chance of survival was a bone marrow transplant. “But don’t worry,” the doctor told us, “we’ve already found five potential matches for you on the registry.”

I couldn’t help but think that karma was doing us a solid.

Bone marrow transplants have been around since the late 1950s. According to The Cleveland Clinic, they help treat blood cancers and disorders like leukemia, lymphoma and sickle cell disease. In those early procedures, doctors would drill into donors’ hip bones to extract bone marrow, which was then transfused into recipients.

Thanks to scientific advancements, 90 percent of all donations now use peripheral blood stem cells, which can be collected non-surgically in a process similar to donating plasma or platelets, according to the NMDP (formerly Be the Match), which administers the national marrow donor program in the United States.

Recipients and donors have to be genetic matches. That’s why there’s a need for a donor registry — not just in the U.S., but across the world. As an only child, Ethan’s closest familial genetic matches were his dad and our sons, which were naturally only a 50 percent match (known as haploidentical) at best. Transplants with haploidentical donors are possible, but doctors strive to find a match as close to perfect as they can.

two people laying in hospital beds
(Left) Ethan Frank-Collins' donor, Dominic, undergoes the 6-hour procedure to extract stem cells from his blood at the Vienna General Hospital Transplant Center on August 23, 2023.(Right) Just minutes before his transplant begins, Ethan Frank-Collins holds the stem cells donated to him by a person he and Joy knew only at the time as ”a 36-year-old man from Austria.“ The donor was the best match of five identified as close genetic matches with Ethan.
Courtesy Joy Frank-Collins

For Ethan, that nearly perfect match was with a then-36-year-old Austrian man named Dominic.

On August 23, 2023, after multiple tests, Dominic, accompanied by his husband, Michael, underwent the day-long donation process at Vienna General Hospital. His stem cells were sent to Cleveland, where, on Sept. 1, they were infused into my husband.

Donor and recipient information is kept confidential. At the time, all we knew was that Ethan’s donor was a 36-year-old man from Europe. We were told, as was Dominic, that we would have to wait two years before we could know the donor’s/recipient’s identity.

Until that time, we could send anonymous messages to each other through the donor programs. In the days after Ethan’s transplant, I drafted a note in my head to his donor, but I never got the chance to send it.

Joy Frank-Collins (left) and her husband, Ethan
Joy Frank-Collins (left) and her husband, Ethan, celebrate his "re-birthday" - the day a bone marrow transplant patient receives their donor cells - in his hospital room at the Cleveland Clinic September 1, 2023. He celebrated his 49th birthday two days later.
Courtesy Joy Frank-Collins

A rare complication from the transplant, combined with the standard pre-transplant regimen of intense chemotherapy and radiation therapy, proved too much for Ethan's body to bear. He died on Sept. 27, 2023, just 24 days after his 49th birthday.

Since then, I’ve often thought of Ethan’s donor. In April 2025, I reached out to the transplant coordinator at the hospital where my husband was treated, completed a waiver releasing my contact information to the donor system and waited.

In less than two weeks, I received the name, address and email of Ethan’s donor. And then it dawned on me that I was going to have to tell him that his pain and inconvenience were for naught. I decided I would give myself a few days to figure out how to respond. But the day after I received his contact information, Dominic emailed me. He knew Ethan had died and said he cried upon hearing the news.

We’ve since traded many emails, participated in a radio interview on Austrian national radio, and friended each other on social media. While our initial conversations were centered on the stem cell transplant, we’ve since ventured into discussions about work, politics, travel and cooking. Dominic and Michael have invited me to visit them in Austria. My sons, ages 23 and 21, and I are hopeful to do that this fall, maybe even participating in an event there to enroll more would-be donors.

People have asked why I sought out Dominic. Obviously, I wanted to thank him for submitting himself to an uncomfortable medical procedure to help someone he didn’t know. But I also wanted to tell him that his selfless donation gave us hope and a goal to push toward on the hard days. The promise of the transplant enabled us, in those months leading up to the procedure, to continue to create memories with family and friends that we’ll always hold close.

About The Ethel

The Ethel from AARP champions older women owning their age. The weekly newsletter honors AARP founder Dr. Ethel Percy Andrus, who believed in celebrating your best life at every age and stage. Subscribe at aarpethel.com to smash stereotypes, celebrate life and have honest conversations about getting older.

Even though my husband didn’t survive his transplant, the one-year survival rate for transplant recipients is 80 percent, according to NMPD. By sharing his story, I hope I’m informing people about the need for bone marrow transplants and donors, giving other people diagnosed with blood cancers a chance of beating the disease. 

Even if I weren’t a new widow, I think I’d still struggle sometimes to find a bright spot in the barrage of daily news headlines. But then I remember that half a world away is a man who volunteered to save a stranger. We should all be so lucky to have a Dominic in our lives.

AARP essays share a point of view in the author’s voice, drawn from expertise or experience, and do not necessarily reflect the views of AARP.

Unlock Access to AARP Members Edition

Join AARP to Continue

Already a Member?