Tiantan Puhua Stem Cell Center Types of stem cells that we use hRPE stem cells for Parkinson Neural stem cells for Stroke and Cerebral Palsy Other neurological diseases Why are doctors and scientists so excited about human embryonic stem cells? Our stem cells program and procedures: Combination of different procedures Will I need to come again? Treatment period What are the risks involved in the surgical procedures? What are the means taken to prevent them? Lumbar puncture Stereotactic brain surgery Can I get AIDS infection? General questions: Our standards of keeping the viability and sterility of our stem cells Clinical trials How do I know if the treatment is right for me? Caregivers Flying with disabilities Send your own question. We promise to get back to you in less than a week time. Please don't forget to enter a valid email address or phone number. click here to send your own question Types of Stem Cell We Use What kind of stem cells do you usually use? Umbilical cord, embryonic or adult stem cells? Where do you get them from? The type of stem cells we choose depends on the disease that the patient suffers from, and the medical plan. For Parkinson's disease, we use human Retinal Pigment Epithelial (hRPE) cells from adults. For cerebral palsy and strokes, we use fetal neural stem cells. All stem cells come from the Peking University Stem Cell Research Center, which is the largest and most qualified stem cell lab in China, where the cells had undergone rigorous tests according to our highly strict regulations. hRPE stem cells for Parkinson Parkinson disease is a brain disorder that occurs when certain nerve cells in the brain die or become damaged.? The normal function of these nerve cells is the production of Dopamine - a vital chemical which is responsible of our body's smooth and well coordinated movement.? The lack of Dopamine as a result of damaged nerve cells can cause the Parkinson's symptoms of shaking (tremors), stiffness of the muscles, freeze ups, balance difficulties and slowness of movement. To treat Parkinson Disease we apply a unique procedure, specifically designed for Parkinson's patients, in which we implanting through brain injection adult stem cells extracted from the human retina, called 'human Retinal Pigment Epithelial cells' (hRPE). These special cells have the quality of producing Dopamine which gives solution to the lack of Dopamine production which causes the symptoms of Parkinson Disease. Another important advantage of these cells is that they have no immunosuppressive reactions and therefore patients do not need to take additional drugs during the treatment. The treatment includes the implantation of hRPE cells into the region in the brain where the damaged cells are, along with a daily cocktail of medications that "fertilize" this area, helping the cells to survive and keep on renewing themselves. While the treatment can not completely remove all symptoms of the disease, it can greatly reduce the tremors, decrease muscle tension, improve movement's continuity and balance, increase the muscle strength, reduce the freeze ups, etc. On June 2006 we have performed the first published successful stem cell treatment for Parkinson world wide, of an American patient that came to our hospital at a very progressive stage of Parkinson Disease.? You can find the Patient Experience of Penny Thomas at: http://www.stemcellschina.com/content/view/205/15/. So far, about 20 Parkinson patients have been treated with hRPE stem cells from Peking University's Stem Cells research Center ('Beida') in various cooperative hospitals. All of the patients showed increasing dopamine metabolism, and the conditions of the all the patients improved after the transplantation (usually the improvement occurred one week after the injection). The first clinical trial was performed at 2004, but long term following up is still under investigation (at least 1-3 years follow-up), so the treatment is still under careful control, especially in the selection of the suitable patients.? Our comprehensive program for Parkinson patients combines both nerve stem cell activation and stimulation and the stem cells implantation.? This combined treatment has so far proved itself to be most efficient in bringing high level of recovery in different neurological diseases.? The treatment includes stem cell implantation, medications procedure, surgery procedure, biofeedback treatment and comprehensive rehabilitation. The key to the success of this treatment method is the overall customized treatment regimen for each patient. hRPE Stem Cells Implantation: The hRPE cells will be injected through Sterotaxios surgery into the Putman area in the brain. We use that technique since it has the highest accuracy. A single injection of hRPE stem cells will be given to the patient. Self Stem Cells Activation and Proliferation: Under non-invasive circumstances, through daily IV of individually customized cocktail of neurotrophic medicines we activating the patient's own stem cells and thus turning these cells into nerve precursor cells.? These have signalization and migrate to lesions along the nerve developing-chord. Through this procedure we will create a most active and 'fertile' nerve environment in the brain, to allow the new implanted cells to survive, and to start a continuous process of renewing themselves.?? Rehabilitation Rehabilitation therapy is very much necessary as a part of the entire treatment regimen. In the past 20 years nerve system rehabilitation in terms of motor control theory has been greatly developed. The adult stem cell mobilization technique we use is combined with signal induction in the rehabilitation training procedure which can significantly improve brain function. In our Rehabilitation center we use different kind of rehabilitation methods of Physical Therapy, Occupational Therapy, Speech therapy and Traditional Chinese Medicine. The Procedures Self stem cell activation and proliferation program This program usually takes six to eight weeks of stay in the Hospital. 1.?Upon arrival at the hospital, you will be given standard tests to check your health and the details of your condition. A thorough evaluation of the neurological function and understanding of the lesion or pathological change in the brain tissues will be established by the medical team. 2.?According to your condition a medical plan will be designed for Self Stem cell Original Activation and Proliferation treatment.? Then, to drive off the triggers factors of the stroke, we will treat the blood vessel wall, the blood ingredients and the blood flow, improving the brain micro environment to help the stem cells proliferate. 3.?The self activation and proliferation treatment will than start. Based on Neuro-endocrine immune network theory, we treat the patients by "waking up" the sleeping stem cells through oral medication. We use different medications during different processes (proliferation-inducement-differentiation), the medications always adjusted and combined; therefore, we call it 'cocktail treatment'. 4.?Through the treatment period we will be following up and evaluate your neurological function and improvement. 5.?While one treatment cycle is complete, 2 to 5 months rest are recommended before coming for second treatment. hRPE Stem cells implantation procedure by stereotactic technology 1.?Preparation: You will be given enough time to recover after your trip before you will receive your first injection of stem cells. Some patients prefer to wait a day or two to get settled in before taking all the tests as they are quite thorough and can be strenuous after a long trip. 2.?A stereotactic frame is installed on the patient's head and he is then sent to CT or MRI scan with the frame. 3.?The patient is sent to the operation room for surgery. The operation procedure: The 3-D parameters of the injection target is calculated by 2 computers and related program to make sure of the accuracy of the surgery. A sterile surgical guiding frame is installed that is connected with the head frame A needle is them inserted under the guiding frame into the target by a tiny hole in?the skull through which the stem cells are injected. Side effects: Both of the procedures can cause minor side effect for 2 to 3 days after the operation such as fever, headaches, dizziness and fatigue.? These side effects are expected and should not alarm or concern you. Many patients do not suffer any side effects. Treatment period: The recommended period of time for treatment is 4 to 8 weeks but there should be improvement after the first month. The patient can decide on whether to do the second month's treatment at the end of the first month. To see a daily time table of the treatment program from the day of arrival to the day of departure please click here Signing up for treatment: If you are considering the treatment, we will need you to fill in the attached document: "Parkinson Disease Pre Treatment Evaluation". By the information you will provide the doctors could determine if you can be a candidate for this treatment. It will be most helpful if you will also provide them with other medical records + MRI images if possible. We will then have a consultation with the doctors about your case and will come back to you with their evaluation and suggested course of action. You have two options of sending your MRI and medical records: 1. If you can have your MRI as digital images you may send them as attachments along with your diagnosis and medical background via email: Send us your medical records here 2. You can send us your MRI and medical records by air mail. Make sure to use express mail so you can track the package if necessary. Please send the package to the following address: To: Dr. Sherwood / Kotan Arkin Beijing Tiantan Puhua Hospital 12 Tiantan Nanli Beijing, 100050, People's Republic of China Our international department team will be happy to answer any enquiry by email or phone, and consult with the doctors if necessary. We will get back to you as soon as possible with their answer and suggested course of action. Send us an enquiry here? As you made the decision of coming for treatment please fill in the following form: Initial background for Tiantan Puhua's patients Signing up for treatment is easy and flexible - we need to know your date of arrival two weeks in advanced so we can reserve you a room and arrange to pick you up from the airport. Our international department team will help you to figure out all the arrangement for your trip. For more information about traveling arrangements see here. http://www.britishairways.com/travel/healthmedcond/public/en_us#pwd UK phone number: (44) 870-850-9850 American Airlines: http://www.aa.com/content/travelInformation/specialAssistance/planningAhead.jhtml U.S.A phone number: (1) 800-433-7300 Rayilyn Brown Board Member AZNPF Arizona Chapter National Parkinson's Foundation [log in to unmask] ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn