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March 28, 1997     Cape Gazette
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March 28, 1997

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36 - CAPE GAZETrE, Friday, March 28- April 3, 1997 Cancer Watch Can you help witl, a bone marrow transl)]tlmt? By Kerry Kester py and the irradiation doses are "The support system is highly one percent now. The procedure is Program at (800) 654-1247 or the Bone marrow transplants are being used increasingly to treat various types of cancer. The Med- ical Center of Delaware, Chris- tiana Hospital, is approaching its seven year anniversary for per- forming transplants. The purpose of a transplant is to eradicate the marrow with the intent of also eradicating the disease. "We have done them for just about all of the lymphomas and many of the leukemias," said Mary Sheridan, bonemarrow transplant coordinator at the Med- ical Center. Generally, she said, transplants are indicated as a treatment when a patient has had a relapse after a traditional treatment. Occasional- ly, however, a transplant may be indicated as a first course of treat- ment. There are three primary types of bone marrow transplants. With al- logoneic transplants, the marrow is donated by a close relative such as a sibling or a parent. In more unusual circumstances, unrelated donors may give the marrow. Getting good human leukocyt e antigens (HLA) match- es with unrelated donors is very difficult, however. Syngeneic transplants are also fairly uncommon because it per- taius only to identical twins, who are able to donate to each other because they have perfect HLA matches. More common transplants are called autologous transplants, where patients use their own mar- row for the procedure. "If its autologous, the patients give their own marrow, then re- ceive high doses of chemothera- py," Sheridan said. "Or, they have the chemotherapy with total body irradiation." Both the chemothera- Health through nutrition seminar April 6 Whole Foods Expo '97, an an- nual educational program in honor of National Nutrition Month, will be held Sunday, April 6 at the Doubletree Hotel in Philadelphia from 9 a.m. to 5:30 p.m. For more information, or to register, call (610) 642-4810. Fitness Tip of the Week Cannon earns fitness certification training Ava Seancy Cannon successful- ly completed the Basic pre/postna- tal and Advanced pre/postnatal and menopause licensing and cer- tification sessions by Dancing Thru Pregnancy, Inc. The woman's health & fitness pro- grams were held March 14-16 in Baltimore, Md. Cannon is a certified personal much higher than are used during other cancer treatments. Sheridan said the process is to first take the patient's marrow, then give high doses of the chemotherapy in an attempt to kill the disease, then return the mar- row to the patient. During the time while the pa- tient's marrow is being treated with the high doses of chemother- apy, white blood cells are also killed, so the patient is very sus- ceptible to infection. For that reason, patients are kept in an isolation room in the hospital. Staff and visitors take precautions to avoid bringing any contaminants into the patient's room. Patients remain in that en- vironment for usually about 21 days. Graft-versus-host-disease is a common side-effect from a non- autologous transplant. "The donor's marrow is recognizing the patient's marrow as foreign, and it tries to fight off the system," said Sheridan. Symptoms may include skin re- actions such as rashes, intestinal disorders such as diarrhea, or liver failure, Sheridan said. The rejection can be in the acute or the chronic phase, but in most cases, the problems are treatable with medications. Early and ex- tended treatments are generally effective with most patients. Side effects from autologous transplants, said Sheridan, usually involve toxicity problems in ma- jor organ systems or infections. 'q'here's a period of time after chemothepy where white blood cells.drop down to zero," she said. "It means there's no immune sys- tem." Many of the toxicities, she said, are treatable with medica- tion. trainer and will accept new clients interested in benefiting from her recent women's health certifica- tion. Call 226-0510 to schedule an appointment. SUBSTITUTE FAT FOR MUSCLE WITH TRAINING Consider a typical young woman who weighs 130 pounds and is 26 percent body fat. If she loses four pounds of fat and gains four pounds of muscle, she will still weigh 130 pounds, but will be only 23 percent body fat. The best way to add four pounds of muscle is through strength training. S.bmiue/by the YMCA of Rehoboth Beach For more information, call 227-8018 recommended for each of these patients," said Sheridan. "It's very overwhelming." In addition to the emotional as- pects of coping with a serious dis- ease and the treatment, bone mar- row transplants can be a tremen- dons financial drain on families. The cost of a traisplant ranges from $100,000 to more than $250,000, Sheridan said. Sheridan said, "transplants are no longer considered experimental, but not all insurances cover them. Most insurances have been pretty good in approving it, though. "Typically, the patient's insur- ance will cover the donor's ex- penses as well as the typing." However, ff a match is not made with the first attempt, a company may not pay for additional tests with other donors. "Doing a donor search can be very expensive," she said, adding that the search itself can be "up- wards of $30,000." Donor data bases or donor registries are avail- able to hospitals. There is relatively no risk to donors. 'q'he only major concern for donors is the risk from anes- thesia," she said. "It's a very small risk. It's about EDGEHILL PHARMACY Peddlers Village Love Creek 945-7500 done on an outpatient basis." Anyone interested in becoming a bone marrow donor, may con- tact the National Marrow Donor American Registry of the Caitlin Raymond Memorial International Donor Registry at (800) 736- 6283. world of business is ruthless, cruel and cut-throat. Do you have the heart for it? ' ,,.. 1. A, ,l t d dm i. i,d, =,M l=h. TI',  ,,, =n =&,t. Wo tlt ,all k,lv imp,o, ,= fitaw md nutrition. In [=t, we'll =,,== I l/fil ponal tr,.r. Now m tl ot to m yo= h r. . ]'he Rrm Health Club. Inc. The Hea/ Ck For EveO,-BoW One On One Personalized Trairdng Cardlovasctr Conditioning Diet Couv'-,k, Camelot Shopping Center (302) 227.41363 OSTOMY SUPPLIES When your Doctor prescribes an ostomy product, you can feel confident the health Care Staffat Edgecare will help you choose from an excellent selection of quality ostomysupplies. Convenient Shoopin_ at Home Service available... 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