DianrezMusings on communication
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Original: 11/13/2009 3:10 AM
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Friday, November 13, 2009

A note of caution on stem cell treatment

 

This past week stem cells have hit blogs in a big way. One young woman went public, along with her physician parents, as having benefited from 50% in one ear to 100% in the other from several stem cell treatments in a Korean clinic.

At first it struck me as interesting in several ways: 1) stem cells being a natural treatment with one's own harvested cells, 2) the young woman was suffering late-onset deafness from an overactive immune system attacking her hearing cells, and 3) she had to go out of the country to obtain this expertise since it was not allowed to develop in the United States up to the present.

Troubling was: 1) the doctors involved have not been interviewed and the technology revealed; and 2) the lack of medical documentation on these first patients released to the public.

In the cyberdiscussions I went on record as saying I'd be interested only when it has gone through rigorous evaluation for safety and efficacy for a number of years.  Such evaluation has limitations: it cannot know now what the effects would be after 5, 10 or 20 years.  Would the cells have a high failure-to-grow rate? Would they turn malignant or grow where they weren't supposed to? What side effects could one get, such as disruption of the balance organs, tinnitus, or recruitment and other disorders of hearing?

That aside, yes, I'd be interested, even after being deaf all my life and having adapted (pretty well, I should say) to a life without hearing. I was also interested in the past by new gadgets on the market, eagerly adopting the TTY, the Telecaption device, the computer and the videophone as they appeared on the horizon. Even tried several makes of hearing aids as a youngster, each promoted heavily by its maker. 

Cool that after stem cell treatment I might be able to hear the doorbell a floor below, a crying child in the next room, or a cat accidentally shut in a closet. If I learned to pick out my name called in a crowded room, even cooler. But I wouldn't expect, at my age, to be able to understand the TV or conversations with hearing people. Nor would I expect a stem cell miracle to change my life or affect my relationships with people in and out of the Deaf Community.

Then, tonight, I came across several entries in cyberspace talking about Don Margolis, Stem Cell webpages and invitations to fill out forms that would connect me to one of several stem cell clinics around the world. These webpages even had a long list of conditions that stem cells were to cure: from autism to diabetes to spinal cord injury to X-linked ataxia. Prominient is the engaging slogan: "Stem Cell Therapy can improve your Quality of Life when all else has failed!"  My mind instantly flashed: HYPE.

Friends, it is my hope that we do not see misguided parents desperately seeking a cure, hard of hearing people scrambling for a better medical treatment, late-deafened people trying to regain their old life, or wanna-be-hearing deaf people rushing to moneymakers for something that is not ready nor proven safe at this time. In every medical advance, there will be people who suffer from the mistakes of pioneers and who therefore fail to benefit from later improvements. Let's not be hasty. Demand that there be proof, and more proof, that it is safe before throwing away your health. Demand that it is effective before investing your life's savings. Demand that it will meet your expectations before changing your goals and hopes for life.

It is human nature to see the grass greener on the other side of the fence. Also to see magic fixes for problems behind every door. After all, in my lifetime cancer went from an always-fatal disease to a manageable illness with new treatments. Babies born in a non-survivable condition now are living to grow up. But I have also seen oralism and hearing aids touted as the "advance that eliminates deafness" and the CI as "rendering sign language non-sustainable" turn out to be far from complete answers. We are today still years and generations away from where we wanted to be 25 years ago.

I've also seen an explosion in hucksters trying to prey on us. Instead of misguided, almost religious do-gooders crying the siren call of oralism, we now have sophisticated industry representatives  hawking the promises of CI manufacturers...can one see the representatives of stem cell clinics coming? I am concerned that these entrepreneurs will blanket our already troubled community and mindlessly attempt to divert our careful chartings in education, personal adjustment and finding niches in life.

Will implantees have to wait for another time when stem cells grows new cochleas to replace the ones damaged by CIs? Will doctors happily refer all deaf babies to stem cell clinics without understanding its effects when the children become teenagers? Will educators ask to see certificates of stem cell treatment before signing up kids for school? Will insurance companies wait another 20 years before approving stem cell treatment?

The most reasonable thing to do now is to learn from the lessons of the past and build upon them before one even considers the advances in the near future. Time-tested wisdom is the bedrock of building lives and a platform for the future. And hang on to your money.

 Posted 11/13/2009 3:10 AM - 394 Views - 2 eProps - 7 comments

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7 Comments

Agree with your overall assessment that we need to proceed with caution.

Most of us (myself included) have completely accepted that we'll be deaf until the day we die and we're ok with that. So, this is kinda weird because now I am thinking, "What if I am 60-65 years old and there's a real cure out there? Will I do it? Or will I just enjoy being a deaf senior citizen?"..I wasn't thinking that even five years ago. Amazing how far we have come technologically and it's all coming on faster at an exponential rate. Just the other day I was having dinner with friends and joking about what if we all became hearing...and some of us could talk better than others..and there'd be a new term invented called, "Verbalist" which meant someone who thought they were superior to those who couldn't talk right. Yes, we were joking...but it doesn't seem so far fetched does it?

In any case, a 50% increase is promising...and I too am concerned about hearing parents going out of the country to get stem cell treatments for their deaf infants...you know hearing parents will just jump at the chance even if not much is proven or regulated....
Posted 11/14/2009 5:25 PM by J.J. - reply

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Diane, you're such a prolific writer. I was really engrossed in this post. You really are an advocate and your head is clear. I love your thinking, your intelligence, and your wisdom.

Thank you for sharing this information and for giving us cause to THINK.

~ LaRonda
Posted 11/14/2009 10:37 PM by LZupp - reply

You make some good points. Ill add your questions to my blog. Feel free to comment in my blog and ask questions.
Posted 11/16/2009 1:36 PM by Deafdude1 (site) - reply

I hear ya about businesses. In fact, those who invest a lot of money in CI stocks will hurry to pull their money out quick. The bottom will fall out of the CI stock because people will rush to stem cells. Good riddance! And let hearing people be the first test guinea pigs before we get stem cells!
Posted 11/16/2009 6:51 PM by mira - reply

"And let hearing people be the first test guinea pigs before we get stem cells!"

Mira, hearing people won't need stem cell treatment for deafness. Maybe for something else, but not deafness. Stem cell treatment for another disorder or disease doesn't necessarily qualify as guinea pig testing for restoring hearing.

Dianrez,
I doubt that stem cell treatment for deafness will take some 20 years, gonna happen a lot faster than that timeline. The pressure for stem cell treatment for other disorders besides deafness has been building for a long time and the U.S. is going to be playing catch-up for several years, but not 20 years. Some patients with debilitating disorders don't have the 20 years to wait for the benefits/side-effects testing that FDA normally requires.

As for stem cell treatment to restore some/all hearing, I'd like to know if one has a stable loss, whether such treatment is a one-shot, permanent procedure or will it require maintenance supply of stem cell shots over one's lifetime? This can be a costly alternative when sequential shots add up. Also, as people age, many lose some of their hearing due to aging process or to too much exposure to loud sounds. Would such treatment boost the hearing of a much older clientele as opposed to young people whose hearing loss was early in childhood?

Lots of questions and not enough answers to the variables out there within the d/Deaf population.
Posted 11/16/2009 7:41 PM by Ann_C (site) - reply

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Yes, JJ, we could be contending with different new "isms" with each additional advance...verbalism?? Groan.  Hi, LaRonda, thanks, "making people think" is the highest compliment one can pay. Deafdude, you're welcome. Mira, tsk. What an ironic comment about hearing being used as guinea pigs! (How about using CI executives??) True, Ann C, about not enough answers, which is why I imagined insurance companies may be taking up to 20 years to accept stem cell treatment as no longer experimental.


The rush to find information about stem cell therapy for hearing problems is very, very noticeable in some blogs. It reminds me of people going to Mexico and other countries for cancer treatments. False hope is worse than no hope at all to me.


We need to convince people that being deaf isn't even half the worst calamity in the world. Meanwhile, we have more important things to work on and certainly aren't putting our lives on hold for this.

Posted 11/17/2009 12:33 AM by dianrez - reply

A commenter named David left the comment for you on my blog so I decided to copy and paste it on your blog... here it is:


There seems to be a lot of confusion about stem cells on here.
Embryonic stem cells
1. FROM WHERE? – come from embryos
2. DO WHAT? – exist only to make a fetus…not to heal the body
3. POTENTIAL? – haven’t produced any treatments
4. DOWN SIDE? – often grow tumors
5. AVAILABLE? – not available
6. FOR HEARING? – there are a few studies but currently no clinical trials for stem cell treatment of hearing disorders
7. OTHER DISEASES? – there have been no successful clinical trials with stem cells
8. HOW LONG? – once the trial begins, IF IT BEGINS, it will then take at least 7-10 years (clinical trial period) to complete the trial
Adult stem cells
1. FROM WHERE? – come from dozens of places in the body (blood, marrow, teeth, umbilical cord, mother’s milk)
2. DO WHAT? – exist only to repair the body
3. POTENTIAL? – have produced treatment s for over one hundred diseases
4. DOWN SIDE? – have never grown tumors
5. AVAILABLE? – treatments are available all over the world
6. FOR HEARING? – there is a long history of successful studies – http://repairstemcell.wordpress.com/2009/11/16/hearing-loss-%e2%80%93-a-brief-history/
7. OTHER DISEASES? – there are over 2000 clinical trials that prove their therapeutic benefit and safety
8. HOW LONG? – stem cell treatments are treating hearing disorders NOW

I hope that clears up the confusion.
Posted 11/18/2009 2:54 PM by Karen Mayes - reply


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