Hi Rutuja's mom,
BMT is both costly and risky. I think if you go to Singapore Dr Tan will advise you to continue with your child's current treatment since your daughter is doing well with her health. Deciding to do a BMT is a huge decision and you need to be aware of the dangers. I do not want to mention any names but a member of this group recently lost their child after a BMT and several of the Maldivian children who have undergone BMT's have also passed away. This is very sad and makes me think we need to work very hard to make sure parents are well aware of the risks before proceeding. Some do succeed as with Omega and Khalifa's children, but it is not an easy path to follow. I spoke to Dr Lucarelli at the Dubai thal conference in 2006 and he told me that Khalifa's son was very fortunate to have survived, as most patients with severe graft vs host disease do not survive.
If gene therapy does prove to be a cure it will be many years before it is widely available as long term studies will be needed before it is ever approved. However, once more trials are underway, the patients chosen as subjects, will be those in the best of health. At this time there is no process for applying to be a participant in trials but if early trials show some success the trials will be expanded to include more patients. As with many drugs, it may be that the only way to get gene therapy for many years to come, will be to be part of a trial.
I have emailed Pat Girondi to inquire about shipping his cds to Asia. I will update when I get a response.