Procedures banned in U.S. offer disabled hope
Kim Kozlowski / The Detroit News
Six years after a car accident left Jeni Rummelt
paralyzed from the waist down, she is traveling to Moscow for a
treatment aimed at helping her walk again.
Rummelt,
32, who is in Russia undergoing her sixth stem cell treatment, is one
of a growing number of Americans who are seeking overseas medical
procedures for injuries and diseases long regarded as untreatable.
As
Michigan debates a controversial effort to loosen its ban on embryonic
stem cell research, state residents are traveling to China, Portugal
and other countries and spending thousands of dollars on treatments in
hopes of reclaiming their lives. The stem cell procedures they are
seeking do not have federal approval in the United States, which
carefully scrutinizes treatments before approving them.
Many American medical
experts urge caution about the treatments abroad, saying the procedures
are often experimental and sometimes can make matters worse.
"There
are always risks," said Brian Sheridan, supervisor for the Center for
Spinal Cord Injury at the Rehabilitation Institute of Michigan in
Detroit. "You can end up with an adverse event. That's the nature of
some of these experimental procedures."
Rummelt, who lives in
Alto, near Grand Rapids, hasn't experienced any adverse symptoms from
the treatments, which involve injecting stem cells harvested from her
own blood into her spine. Before she sought treatment, Rummelt lacked
mobility and sensation in her trunk. Now she can contract a few
muscles, sense hot and cold, and crawl.
"(These abilities)
would have never come back without the stem cells," said Rummelt, who
spent $25,000 on the first procedure and $7,000 for each subsequent
therapy. "It's a slow progress. You know it's not going to happen
overnight, but it's worth it."
Mich. to vote on research bills
Stem
cell research in the United States is embroiled in controversy,
especially in Michigan, where researchers are attempting to further the
study of embryonic stem cells. These cells are derived from unclaimed
fertilized eggs in fertility clinics that are typically discarded as
medical waste. They are highly prized because the cells can be
developed into any type of tissue, while the uses for adult stem cells
are limited.
Scientists and other advocates say embryonic stem
cells offer hope to patients with incurable conditions such as spinal
cord injuries, Parkinson's and Lou Gehrig's diseases. But opponents say
it is immoral to kill a cell that could develop into a fetus and urge
the use of adult stem cells, which show more promise without destroying
life.
Many states have invested in embryonic stem cell research
but Michigan lawmakers are attempting to change laws to allow
scientists to develop new embryonic stem cell lines. A hearing on three
bills was held three weeks ago before a House subcommittee and a vote
is expected soon. If the bills fail to get Legislative approval, a
ballot campaign may be launched.
Recent breakthroughs of scientists creating what appear to be embryonic stem cells with skin cells may calm the controversy.
But
some local residents who suffer from injuries don't want to wait for
the U.S. to approve stem cell procedures because it could take years.
That's
why Chuck Burt of White Lake Township went to Beijing two years ago for
an embryonic stem cell treatment in his spinal cord, which was injured
in a car accident in 2000 that left him paralyzed from the waist down.
His
$20,000 treatment involved the injection of stem cells above and below
his injury. Before the procedure, Burt, 34, had no mobility at all in
his lower extremities.
"Within an hour after the treatment, I
could move my legs," Burt said. "They are doing this all over the world
except in the U.S. But I believe in about 10 years this will be a
standard treatment."
Cortney Hoffman, paralyzed from the
midchest down after a car accident, went to Portugal in 2005 for a stem
cell treatment that utilized her own stem cells.
Before she
went, Hoffman, 21, needed help with everything in her daily life. Since
the treatment, she has stood for the first time with braces, started
walking with a trainer and has gained more mobility in her arms.
"It
made me much more independent," said Hoffman, who lives near Adrian. "I
do my own hair, my own makeup. I could before, but I was shaky."
If
treatment for Parkinson's doesn't develop in the U.S. in the next year,
Harbor Springs resident John Hover plans to go to China for a $15,000
stem cell treatment.
"I can barely write anymore and the
tremors in my hand make it difficult for me to work on a computer,"
said Hover, 57, who has gotten acupuncture treatments in China for his
early-stage Parkinson's. "They are treating the symptoms. They are not
treating the disease."
Doctors urge caution
It's
unclear how many people are actually going overseas for stem cell
treatments. But doctors say people should be careful about traveling
abroad for treatments that have not been fully studied and scrutinized
by the scientific community.
"I can understand their
motivation, their desperation but it's not something I can recommend if
the treatments have not been proven to be safe and effective," said
Mervin Yoder, an Indiana-based doctor who is president of the
International Society for Hematology and Stem Cells.
Food and Drug Administration officials say procedures in the U.S. have been scrutinized to ensure they are safe and effective.
"Patients
need to determine there has been the level of scrutiny," when seeking
treatments overseas, FDA spokeswoman Karen Riley said.
Not all people who travel abroad for stem cell procedures report improvements afterward.
Iowa
resident Jake Lamberti had mixed results from a stem cell surgery on
his injured spinal cord at a Portuguese hospital in February 2006.
After his surgery, he was able to cut down on the number of pain pills
he was taking, which allowed him to think more clearly. But he lost
strength in his left arm.
"Bad things can happen," said Lamberti, 28.
Regardless of the risks, some people say they are willing to take them because they see no alternatives.
"With
any surgery there's risks," said Billy Vickers, 24, who went to
Portugal in 2004 for a stem cell treatment. "There's a risk of driving
to work. For me, it wasn't a choice. This country doesn't provide us
with a way to get better so I am going to seek it elsewhere."
You can reach Kim Kozlowski at (313) 222-2024