Photo by Steve Johnson
Dave Hassenpflug, with his sons Max, 9 (standing), and Travis, 7, hopes a stem call transplant will enable him to play with his boys again.
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A Rare Opportunity
Multiple sclerosis sufferer hopes to find the resources to undergo a rare stem cell transplant
By SUSAN JAY
Every morning David
Hassenpflug has to sit on his legs to make them bend, setting off a streak
of pain from his knees to his hips. His legs have grown rigid and stiff
from multiple sclerosis, a neurological disease also responsible for spasms,
temporary blindness and his heat and cold sensitivity. The 33-year-old
Eagle Point High School graduate, diagnosed when he was 25, now has a
rare opportunity to potentially stop the forward march of his disease.
Hassenpflug and his family, transplant doctors and the few MS patients
who have undergone the treatment think this procedure could stop the disease's
progression and may be a cure. The single dad who now lives in Southern
California will be the first multiple sclerosis patient to receive a stem
cell transplant at the University of San Diego as part of the university's
Bone Marrow Transplant program. He and his family, most of whom live in
the Rogue Valley, hope the procedure will stabilize the disease so Hassenpflug
can walk and play with his two sons, Maxwell, 9, and Travis, 7. "I'm very
much looking forward to it. I very much want to take care of this," Hassenpflug
said. In a stem cell transplant, a patient's own bone marrow cells are
removed. The patient receives radiation and chemotherapy and then the
bone marrow cells are reintroduced, basically creating a new immune system.
Transplant centers across the United States and in Europe have experimented
with the procedure for 10 years and are seeing promising results, said
Dr. Jose Leis, an oncologist and associate professor at Oregon Health
Sciences University in Portland. He said OHSU will offer the same experimental
treatment soon. Neurologists, however, remain skeptical saying the risk
is high and potential results minimal. Cancer patients who undergo stem
cell transplants face about a 5 percent risk of death. Leis and others
believe the mortality rate for non-cancer patients could be lower, because
cancer patients are usually sicker and have undergone numerous treatments.
Hassenpflug, who has been wheelchair-bound since 1994, knows of a woman
who could not walk before the procedure and now can run. A Seattle patient,
Jay Ellison, underwent the procedure and went from being bedridden to
being able to take his kids to the car races in six months. The City of
Hope, a Southern California cancer center where Hassenpflug's friend was
treated, rejected his application to the study, saying he wasn't sick
enough. So Hassenpflug's sisters, aunt and mother spent hours on the Internet,
asking other cancer centers to consider Hassenpflug. Several were interested,
and the family talked with University of California at San Diego because
it was closest to Hassenpflug's Long Beach home. "I really feel for David,
and I would really like to do this transplant for him and I think he is
an excellent patient for this,'' said Dr. Ewa Carrier, an associate professor
and oncologist at the center. "I would not propose this to a patient if
I did not think he would improve," she said. Carrier expects Hassenpflug's
risks to be low because he is young and his organs seem to be healthy.
UCSD is already performing stem cell transplants on patients with lupus
and arthritis with grants from the National Institute of Health. Hassenpflug
lives on Medicaid and Medicare, neither of which will pay for the $100,000
procedure. Carrier said if the family can raise money toward the treatment
and negotiate with the pharmaceutical company for a discount on its purification
kits -- which cost $10,000 a pop -- she will try and reduce her costs
and will ask the hospital to work with the family. Hassenpflug's sisters
are searching for nonprofit organizations to oversee donations so donors
can receive tax deductions. They are also planning golf and bowling tournaments
in Southern California, where some of Hassenpflug's friends can help organize
the events. For more information on how to help Hassenpflug, or on the
procedure, call B.J. Taylor at 535-4879.
Mail Tribune
Copyright © The Mail Tribune 1999, Medford, Oregon USA
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