27th of January, 2010

8.49pm Wednesday evening. Jaanas upcoming stem cell treatment at the Xcell Center in Dusseldorf (www.xcell-center.com) can be described as follows. On Monday morning, 1st of February, blood tests will be followed by stem cell collection from Jaanas bone marrow in her hip. The collection is done under local anesthesia and should not last much more than a half an hour. This has been known for some people to be a bit painful, but pain should recede soon after collection. During Tuesday, a government approved lab will separate the better stem cells from the bone marrow. On Wednesday morning, Jaana will undergo a Lombard puncture where a small amount of spinal fluid will be replaced with the collected stem cells. This procedure should not last longer than an hour or so, after which Jaana will rest in the clinic. Thursday is yet again just a day for rest and on Friday we will be leaving Germany to go home. The whole procedure is out patient, that is there is no need to stay at the hospital, but rather come in for the treatments.

As with anything in life, this is not a complete risk free procedure. However though, by eliminating the surgical procedure, the risk for infections will be kept to a minimum. This is also enhanced by the short amount of time actually spent at the clinic and most at the hotel. The other highlighted and more severe risk is that of potential cancer as a result of the stem cells multiplying in an undesirable way. With adult stem cells, research have shown that this risk is much smaller than with umbilical cord or placenta stem cells. It is true that this has been observed in trials with adult stem cells as well, but only when these have been allowed to multiply and grow outside the body for a lengthy period of time (6 months plus). This is not the case for Jaana, when the cells are not cultivated at all and placed with in 36 hours of collection. Hence the risk should be a lot smaller and I have not read any report of that this procedure has proven to have led to any tumor.

Benefits of these kind of procedures have been noticeable, but as the science is relatively young, I have not found any comprehensive report about results statistics (excluding parties with commercial incentives). The reason for this could be both the lack of more than tens of thousands procedures and the fact that they are done at many different facilities around the world. Saying that, from various sources on the Internet (commercial) and talking to Jaanas therapists who have first hand seen results of patients treated with adult stem cells, there are noticeable and remarkable result. One could expect in Jaanas case for her speech and balance to improve. As the Lombard puncture is placed further from the affected areas in her brain, benefits will be some what less and take longer time than if the larger surgery would be done. The surgery is still an option for when we arrive in Europe in June. As an indication from the center, the effect could be up to 50% better with the surgery, but this is obviously a huge guesstimate.

It is my subjective view, after reading as much as I have been able to, with Internet as the major source of information and with communicating with doctors (who all have their subjective view) that the benefits far out weight the risks. I find the risks greater that she will fall and hurt herself, choke on food or suffocating not having the energy to turn around in bed with her current condition. Any improvement with these issues, will dramatically decrease her day-to-day risks. Furthermore, her benefits to her mental improvements should this be successful can not be underestimated.

Finally, and possibly very important for Jaana, if I were in her situation after fighting for more than 2 years, and she had collected the same information which have been available to me, I would do the treatment in a heart beat. I suggest we all rally behind her and hope for her speedy recovery and for the best possible outcome from the treatment.