The “Off Label” Stem Cell Therapy Industry

In my last post I stated that I would be writing my thoughts as myeloma stem cell transplant patient. This is a disclaimer I should expand upon a bit.

First, I had a serious life threatening cancer condition, namely myeloma. Second, this process occurred in the fully traditional alloplastic world of medicine. What I am about to write about below is in the opposite world of lifestyle medicine, nontraditional and even chiropractic medicine to some extent. This world of treatment is outside mainstream medicine to say the least. It is primarily yet another treatment enterprise that serves to make money; it also has generally the characteristic of intentionally positioning itself outside nearly all consumer protections, peer and medical review from what I can tell.

I first noticed these enterprises after I underwent my stem cell transplant autologous (meaning the stem cells utilized in my transplant were harvested from me over time and not from a donor making for a lower risk as far as rejection etc.). I had a lot of time on my hands being out of work for several weeks at home before returning to work  The Internet had become my supplement to my information gathering self education efforts in conjunction with my oncologist who actively and non-defensively encouraged such “inquiries.” What actually put me on to the existence of these clinics was the appearance of full page ads appearing in our the regional large national level newspaper for such a clinic in Charlotte NC. I was startled by the ad, and it claims.

This all occurred way back in 2011. I had  a dubious, medical-moralistic reaction (as I call it since it is honestly a product of my training, medical views, etc., as a pretty science based physician). Consequently, I hopped over the FDA website and found back then nothing on this phenomenon which I already had a dim view of. In the years since, the FDA had begun to pick up the regulatory slack nationally responding to states’ complaints and actions, medical boards and an unknown megnitude of patient complaints. For the last  year or two, the FDA has posted increasingly more pointed warnings about these clinic enterprises and regulatory sanctions and actions are starting around the country which in my humble is long overdue.

A number of months ago, I started my own “secret shopper” type inquiry effort to get some direct  information about and from these clinics. I resurrected one of my old ancient slider burner phones activating its phone minutes without identigying data of mine, no name, email, credit card etc. so I could call these clinics and hopefully not be able to be identified easily. I gave one of my nome de plumes that really exists and if researced, would not reveal I was actually an M.D. I selected several clinics. Over several months I called and spent quite some  time on the phone with each clinic. I began to refine my techniques of inquiry and started with a preset list of what I thought were appropriate and reasonable quiestions. With each information gathering session, I added topics of inquiry and set questions during and after each foray into the workings of each clinic. With the last two clinics I began to  reveal my more full extent of knowledge regarding stem cell transplant therapy. I would represent my knowledge as largely coming my oncologist aided online researches which I felt was quite honest on the face of it, but stopped short of revealing I had multiple myeloma and was the recipient of a traditional full blown stem cell transplant. I ended up selecting such clinics in my home state of North Carolina but only one, the rest were in Midwestern states, and southern larger more populated states.

And I have decided not to publicly name these entities as I do not have complimentary thoughts and observations concerning any of these entities. And I do not wish to be at risk of legal action, i.e., getting threatened with libel actions or some such. I have no idea how likely any such action could be but that is how I wish to proceed.

All of these clinics have websites for inspection. This is not saying anything earth shattering as even my trusty local car repair shop that I trust my family’s conveyance to, has a splendid website…The websites for these clinics all have knock your eyes out furniture and decor. There are testimonials that are glowing. Staff rosters show a hierarchy of staff,ranging from non medical extenders that do the intakes and information gathering/initial patient intakes, to nurses that might be standard RNs or naturopathing nurse type staff with credentials I was not familiar with. These are medical directors that seemed to be of almost exclusively two professional bachgrounds, chiropractors or naturopathic non MD “docotors,” or MD plastic surgeons. These figures always looked very ‘successful,’ dressed better than I even do (but I am a non fashion clothes donkey at best and partially color blind etc.). Some of the more glitzy medical directors dressed like Miami Vice characters, slicked back hair, pastel suits etc. I guess this was their self image of success but it looked ludicrous to me, and did not inspire potential patient confidence in me at all!

The process of wending my inquiry journeys in all these clinics was much the same. First, I was transferred to an intake worker all of whom were not “medical,’ by any measure including the clinics’. These persons did the standard face sheet info gathering, name, means of contact, age, a bit of bachground, etc. Two of them asked permission and did a live simultaneous identity search on me. I was glad I had my nome de plume identity set up and was able to confirm that virtual reality as an author in NC, that I had money, health insurance etc, and my family general information. But mostly the purpose of this intake was to confirm I had a chief complaint of some kind of nonspecific but significant pain issue that I wished relief with, AND that I had liquid cash sufficient to pay out of pocket the total price. Often at this point, I as  the prospective patient would ask for ball park figure which ranged from $4,000 to more than $10,000 per treatment episode. If I showed economic hestiancy, some of the clinics would offer to have me talk with a “financial counselor,” who would help to arrange financing often with a local loan house or bank in their locale which they always extolled warmly. If I indicated at the outset of the ‘wallet biopsy’ segment or decided I did not need finanching, I was then referred to a more ‘clinical specialist’ if I had the time for a lenghty history taking segment. Otherwise a time was set when I would call back and confer with that person as the next to last step before setting a actual face to face clinic visit to then proceed to the procedure.

This history gathering portion was usually fairly well done. A detailed history of the pain complaint was taken, covering such information as its origin, duration, what approaches had been taken in the past, the effectiveness of those, what the character of the pain was that remained, all current medications I took, allergies, surgical history, other current medical diagnoses especially those thought to be influencing or contributing the pain complaint. I always offered my long present ordinary osteoarthritis as the culprit which was also easily true. My pain sites were given as hips and shoulders and wrists.

Problems always started to arise when I would start to sound out the clinical person on issues such as: 

  1. why insurance was not utilized;
  2. what follow up efficacy information was available both on a larger clinical literautre and their clinic experience
  3. typical complications, risks, adverse events were known;
  4. what clinical follow up the clinic itself offered’
  5. what liaison the clinic offered to my personal physicia I could expect’

Questions in the above areans always provoked discernible types of reactions. These ranged from quiet subtle hesitancy to outright efforts to convince me to move away from such non productive lines of inquiry. The more pointed issues concerning efficacy data, and the complications/risks queries were reserved or delayed until I would preseent for the face to face clinic visit. It was clear that anything that might contribute to my deciding against undertaking the procedure would be somehow be resolved or disappear from my horizon of doubt then. All effort with me was geared to getting to the clinic as soon as possible and undergoing the procedure.

One issue that surprised me was not all the clinics explicity stated they would forward all cllinic data to my personal physician. Even when I asked about this, two of the clinics presented their service as so non traditional that they stated medical doctors varied in their wish to have the clinics’ records of my care. I found this ‘funny,’ as in medically weird. My perhaps overactive cynicism prompted me to wonder if the clinics’ in question wish was to not be subject to outside review/scrutiny. Who knows.

Things really got interesting when I started to ask about “Where do you get the stem cells?” Answers were often vague. Sometimes the impression was given that stem cells came  from ‘costly’ (therefore medically precious and expensive) blood donor sources. If I asked about possiblities of presence of HIV, Hep B or C risks, the answer was changed to more vague realms such as pooled amniotic cord blood. If I asked about this kind of source, things got even vaguer and assurances flowed that sources were safe and had long been used. Half the time either at the outset, or as I asked uncomfortable questions about stem cell sourcing. I was tolk that blood would be drawn from me making it autologous blood and not subject to host reactions. If I asked if the hematology lab stem celll harvesting “washing machine” (my goofy lay term) I was never clear how stem cells were isolated…

The actual procedure was easy for all the clinic personnel to describe. The treatment fluid of so called stem cells of whatever origin was injected into the actual area of pain, usually one’s joint, e.g., a knee, hip, shoulder etc. Variable time courses of weeks usually were touted as necessary to await and witness results.

There were other more subjective commonalities that I noticed. Every outfit I called were over the top in their characterizations of their staff, especially the heads of the clinics. Phrases such as “nationally known figures in the field,” were liberally used. I found this off putting but realized the less educated and gullible could unduly positively influenced by such tactics.

In conclusion, you the reader will likely sense what is coming in my summary thoughts arising from my secret shopper and traditional physician belief system. These new young pseudo stem cell therapy industry is yet another medical procedure scam. It sounds poorly factually based and strictly a money grubbing enterprise world populated by those who are in it, so to speak, mostly for self enrichment. Patient buyer beware. I for one look forward to the day when this pseudo industry of ill repute and lesser intrinsic value will be largely another extinct chapter in medically cloaked greed 

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Stem Cell Treatment Scams

Disclaimer (of sorts): I am a myeloma patient of now nearly 7 years’ standing and a stem cell transplant recipient. The reader may keep this in mind as I delve into a fascinating (for me at least) topic of one of the latest of the never-ending line of medical scams.

When I was younger as a kid, long before I became much of scientific rationalist, I would wonder how anyone could believe that this or that home remedy would cure the “heartbreak of psoriasis,” as the television commercials would trumpet. It was only three or so generations ago that we still had “Carter’s Little Liver Pills,” “Lydia Pinkham Pills,” Black’s Draught,” and a fair number of other nostrums of no scientific worth left over from the late 1800’s and early 1900’s. My wife’s own great-grandfather used to peddle in the southern Appalachians of NC and VA a home remedy elixir good for almost anything that was, in reality, a flavored elixir of alcohol and laudanum (opium!).

I could go on and on.  And I will just a little more…One of my other favorites that did command some subscription among the rich and glitterati of the 1960’s and 1970’s, was the craze of Gerovital. This intrigued me because of a few goofy associative factors. First, it was made and dispensed in Rumania. I thought that contributed to its weird and exotic, and perhaps even dangerous factor, as one had to travel to clinics in a “Commie” country to obtain it. Second, it sounded like the all American and incredibly well known American iron elixir, “Geritol.” That was advertised constantly, and I thought it always hilarious that it was for “tired blood,” Back to Gerovital of Rumania. This held credence inexplicably for years. It was reputed to slow aging and movie stars, always a gullible and dumb crowd, flocked to clinics run by flacks in white coats with exotic Eastern European accents, always charging Big Bucks that only people “with more money than sense” as folk wisdom so aptly describes such doofuses, could afford. ‘If it costs a lot, it must be worth something.’ Just like penny stocks my father would always say.

Quack cures among the movie stars used to have a plethora of takers. The most famous and perhaps saddest one in my slightly lengthy memory was that of Steve McQueen. He developed abdominal cancer, either pancreatic or gastric, I am not sure which at the time of this writing. He headed down to Tijuan Mexico to the then famous clinic that utilized the then famous “natural” cure of “Laetril.” For those readers who are not familiar with this, Laetrile was some sort of extract of apricot pits of all things. It was reputed for a brief time in the 1960’s as a treatment for cancer and a number of persons went south of the border in a desperate search for medical aid when somewhat primitive chemotherapy for cancers failed. And of course Steve McQueen died within months of his treatment.

Contemporary medical scams are more flashy, have more trappings of science, but still do as scams have always done. Such fleecing operations typically cloak themselves in the scientific metaphors and well-known names of the times. The purveyors and installations are always called pretentious names such as “Institutes.” Beautiful people are the spokespersons or operator/heads of such. [Doesn’t sound different than most usual advertising does it…] The claims are just south of outrightly outrageous. Benefits point toward “breakthroughs,” and the near “miraculous,” that are “duplicated nowhere else,” [such as in replicative studies…]. Often seminars are offered in large metropolitan areas. Discounts of fees are offered in breathless haste to be redeemed. Testimonials are from nobodies. All of it sounds like sales outfits for beach condominium scams that by now most of us are wise to. Continue reading