Patient’s pre- and post-treatment instructions
Here is a sample of an instruction sheet.
PATIENT INSTRUCTIONS – FETAL PRECURSOR CELL TRANSPLANTATION
Dear Mr. - Mrs. - Miss______________
You have decided to undergo fetal precursor cell transplantation as a treatment of your disease(s). It is one of the newer therapeutic modalities of the modern medicine and for that reason the prior experience of yours, or those around you that you trust, may not be adequate to prepare you psychologically for such treatment, so that you should cooperate and do all that is necessary to make sure that this treatment gives you the maximum benefit possible. It is quite mandatory to follow these instructions as otherwise such therapeutic effort may be wasted. If you feel that you cannot follow these rather simple instructions it is better for you to change your mind about receiving fetal precursor cell transplantation.
This method of treatment is remarkably free of any significant complications, appears quite simple from patient’s viewpoint, ‘just a bunch of a bit unpleasant injections’, and thus patients are very prone not to take it seriously, that much more that it can be carried out, as is commonly done, on an outpatient basis. This leads many patients, especially the ‘go-getters’, that ‘do not have time to waste on themselves’, to ignore these instructions, particularly when the post-treatment symptoms are very mild, as is usually the case.
It is normal to have some degree of ‘reaction’ after fetal precursor cell transplantation during the first 10 days after the treatment. The symptoms of this reaction resemble a ‘flu’: malaise, weakness, lack of energy, ‘not feeling well’, change of an appetite, even a slight fever up to 98.8 F (37.2 C), discomfort and some swelling in an area of injections (remember that each fetal cell transplant is injected in 5 cc of the culture medium), etc., can be observed. But this ‘reaction’ is usually too mild to remind the patient that such treatment was just administered and that certain strict, although very simple, instructions have to be followed.
Before fetal precursor cell transplantation a patient must
- for at least 3 days prior to the transplantation slow down and lead a ‘regular’ healthy lifestyle, without overwork, parties, excessive physical activity, etc., as acute exhaustion is a contraindication to this form of treatment;
- during the last 7 days prior to the transplantation ‘detoxify’ the organism: avoid any alcohol and ‘street drugs’, minimize smoking, avoid intake of any non-essential drugs and medications, increase the intake of water (particularly during the last 24 hours);
- during the last 4 weeks prior to the transplantation ‘regularize’ the function of the digestive system, that is the greatest source of toxins for most sedentary people with gastrointestinal malfunctions: increase the un-cooked fiber in diet, increase the proportion of high carbohydrates in diet up to 60%, if necessary use digestive enzymes, bacterial symbionts, etc., and if constipated, use laxatives, (enema 48 hours prior to the treatment is strongly advised to those chronically constipated);
- during the 4 weeks prior to the transplantation use the high potency multi-vitamins/minerals;
- during the 4 weeks prior to the transplantation avoid any vaccination or serum therapy;
- during the last 3 days prior to the transplantation avoid sunbathing, and any other exposure to electromagnetic energy (microwave ovens, x-rays, etc.)
- in case of symptoms of an acute infection with a fever, such as pharyngitis, bronchitis, urinary tract infection, gastroenteririts, etc., call your treating physician immediately so that a proper treatment can be started without delay. Such an acute infection, if left untreated, would be a contraindication for fetal cell transplantation, which means that fetal precursor cell transplants, ‘custom’ prepared specifically for each patient, would be wasted, as the clinical efficiency of fetal precursor cell transplants is uncertain beyond 7 days from the release date.
Besides these general instructions for certain diseases there are additional ones for: diabetes mellitus, autoimmune diseases and immune defficiencies, diseases of digestive system and liver, etc. If your treating physician forgot to discuss them with you, do not hesitate to ask for them.
After fetal precursor cell transplantation patient must
- rest for 48 hours, not a complete bed rest, sitting on a sofa chair is adequate;
- continue with a healthy life style for at least 1 month;
- for 10 days avoid any activity, during which body temperature is raised, it means sport, intense exercise, active sex, cleaning of the garage, work in the garden, etc. are not allowed;
- avoid alcohol, ‘street drugs, intake of non-essential medications, smoking, etc., for 2 months;
- avoid exposure to electromagnetic energy (sunbathing, x-rays, etc.) for 2 months;
- use high potency multi-vitamins/minerals for at least 1 month;
- avoid any vaccination or serum therapy for 1 month;
- follow religiously the schedule of post-treatment visits, 24 hours, 7 days, 1 month, 3 months, 6 months, 9 months and 12 months after transplantation;
- in case of symptoms of acute infection with fever call your treating physician immediately, so that a proper treatment can be started without delay, as such an infection, if left untreated, during the first 6 weeks after transplantation, could jeopardize the survival of fetal precursor cell transplants.
In case that you had also fetal brain cell transplantation you must maintain for the first 12 hours a complete bed rest on your back. Rest of the instructions are the same.
Besides these general instructions there are additional ones for each patient depending upon the his/her diagnosis(es). If your treating physician would forget to discuss them with you, please, do not hesitate to ask for them.