She did it! Therapy notes are below. Videos will be released in a few days as I get them uploaded and sorted out. Other videos should follow about once a week for a while.
I delayed the release of some of this information because I wanted to prevent the search engines from helping the therapist to discover this data trove. Otherwise, there was a risk that he would change his behavior somehow as a result of the publicity.
At this point, I have been authorized to release all data on hand, except of course for real names.
First of all, the therapist was Dr. David Steenblock (yeah, his real name), a doctor of osteopathy in California, and colleagues. Dr. Steenblock is a maverick in the stem cell therapy field -- an aggressive therapist who has had his share of troubles, as you can see from his public record. But there are a few things that made him an ideal choice: (1) He's willing to do therapies that most doctors won't touch, allowing his patients more freedom to decide on their own treatment regime. (2) His technical execution is brilliant, with minimal pain and proper sanitary precautions. (3) He says he has his own stem cell lab complete with PhD students; this would be easily verified, but I did not do so. (4) In the greater scheme of stem cell therapy in an overregulated legal context, his therapies are economically priced, despite being high in absolute terms. (5) He's very busy with patients, thereby maintaining some balance between reading research papers and practicing medicine. (6) He takes the possibility of surgical complications seriously (and prescribed ciprofloxacin to Sally in order to prevent infection during the fragile healing phase). (7) My friend who was treated by him previously had good results; you know who you are, so thanks for the insights. By the same token, he doesn't jump directly to stem cell therapy as a panacea without examining more conventional therapies first. (It was he who recommended that Sally increase her levothyroxin from 75 mg/d to 100 mg/d, for instance.) He has some rather unconventional theories of stem cell biology, some of which I find plausible and others not, but at the end of the day, like me, he's an empiricist who cares more about results than mechanisms of action. Dr. Steenblock himself is in considerably good mental and physical health for his age, which is something I look for in a person in whose hands I would place my own health.
THERAPY JOURNAL:
Sally is in constant contact with me, and these notes are taken from her. Another person was assisting with the logistics because I could not travel with her.
11/16/2014
In preparation for therapy, she ate pizza, fudge, and sugary granola before bed, in the hopes of generating a headache during therapy, as previously explained.
11/17/2014
Chatted with Dr. Steenblock about some other issues that might impact stem cell success, in particular dental health, HPV and HSV1. It was decided that a dentist visit was of paramount importance. (Her dentail hygiene was awful.)
Therapy time! (Unfortunately, no headache occurred.)
She was put on an IV drip and given valium. Dr. Steenblock applied some local anaesthetic to the skin, then after some delay, penetrated her left iliac crest, resulting in a moderate twinge of pain lasting a couple seconds, then nothing. She went to sleep due to her own fatigue from travel and, no doubt, the valium. When she awoke, she had been disconnected from the IV, and discovered blood stains on the left side of her sheet. She said that the stem cells had been reinjected following some minimal processing, which she thought included centrifugation, based on her prior discussions with Dr. Steenblock. I think debris filtration is also part of the process. In any event, we have no reason to believe that the cells were modified.
She rested for the remainder of the day.
11/18/2014
Dental appointment in the morning. Major cleanup!
Exact same procedure in the afternoon, but on the right hip. Same exhausted aftermath. Dr. Steenblock also saved some collected bone marrow because she said that she wanted to do an additional procedure on 11/21/2014.
11/21/2014
After much debate, she opted for an additional 3 procedures, using the aforementioned saved cells:
1. Lumbar puncture. After a few seconds' moderate twinge in the legs (as opposed to the lumbar area itself), there was no pain at all (under local anaesthetic) while she had some of the cells injected into her spine. Based on my literature survey, I don't think these should be expected to migrate very far from the injection site. So on the face of it, at most, we should expect some improvements in gait and foot sensation, and nothing more. But the growth factors secreted by the stem cells should spread throughout the CSF. For this reason, they might impact cognition.
2. Nasal drip. After a drug was sprayed in her nose, another portion of the cells was dripped into both nostrils. The drug was intended to aid the passage of the stem cells into the brain by transendothelial migration in tiny capillaries. She was required to keep still with her head tipped slightly back for 3 hours (although the dripping itself was done in minutes). I read a study where this was verified to occur in rodents within a matter of hours, but I can't take the time to find links at the moment. NOTE: Nasal dripping is dangerous due to amoebic and bacterial hazards; know your therapist!
3. Arm injection. The remainder of the cells were shot into a vessel in her arm.
Sorry, I don't have any information regarding cell counts or marrow volume. My understanding is that it's on the order of 100 ml per hip -- certainly not 10 ml or 1000 ml. Sally said that the doctor said that the extracted cells were "good".
COSTS:
5 days of GCSF followed by 2 iliac crest procedures: USD10K
Lumbar, nasal, and arm injections: USD8K
Sally intends to follow up with more GCSF after allowing her bone marrow to recuperate for a while. The relative merits of when and how much are open to debate, to say the least.
PHYSICAL EFFECTS SINCE 11/17/2014:
Fatigue, more than anything else. This is unsurprising, under the cirumstances. (And she ran out of c60oo a couple days ago; she'll continue in a few days.)
No mental improvements noted. (Most blogs seem to observe changes after a week or so, with progress continuing for several months.)
Her Hashimoto's thyroid has shrunk in size in the past 2 days. Her doctor back in the UK had told her that it was filled with "fluid-filled cysts", presumably as a result of the disease. It had shrunk once before, back in 2013, for over a month. In any event, this was unexpected. Maybe it's a weird feedback effect from normalizing TSH with increased levothyroxin. Or maybe it's due to the stem cells decreasing inflammation in the organ, and swelling along with it. We really don't know.
Just today, starting after the 3-phase procedure, a whopper of a frontal headache (i.e. not her usual location) occurred. It has since reduced in intensity, and she has evidently gone to sleep. Theories: (1) Fatigue, strong medicine (cipro?), and a stressful week. (2) Sinuses filling with fluid for mundane immunological reasons (maybe because we didn't evolve to inhale bone marrow!) or due to having her head tipped back for so long, causing a pressure headache. (3) Stem cells getting down to work, having crossed into the brain from capillaries in the nostrils.
DIETARY RECOMMENDATIONS
The doctor and his team recommended what amounts to a low-sugar paleo diet. He theorizes that polyunsaturated fats are better than monounsaturated fats for stem cell development. I find this hard to believe, but maybe it's true because omega-6 is more associated with cancer, and thus presumably also growth of the healing variety.
SALLY'S PLANS
Rest, rest, and more rest. Low stress and minimal physical activity to avoid destroying fragile repairs or neovascularization before they solidify. Increase to moderate physical activity after a month. Stick to the unappetizing diet. Stay on existing supplements and drugs, but no modifications for several weeks yet, while the effects of the therapy make themselves known.
For my part, I'm sold on the GCSF idea, and intend to proceed with that in due course. I'm still in watch-and-wait mode on iliac crest, though.
Edited by resveratrol_guy, 22 November 2014 - 05:54 AM.