Rotterdam: Stem Cell Treatment

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Well, you know it ain't easy.  The Rotterdam trip was ultimately successful, with some shaky moments here and there.  We were there a total of 24 hours.    Here is a rundown, as best as I remember. 
 
I'd like to forget. 

The Night Before Stem Cell....
 
We left London Wednesday afternoon, for a short flight (about an hour) to Rotterdam.  Sam and Ben both loved the airplane ride - I have an aversion to tiny planes that bounce around and terrify me, but what do I know.  We saw some windmills on our way in, but they weren't the picturesque kind; more like Mercedes logos on sticks. 
 
Rotterdam is an interesting town.  Very industrial, architecturally, with sculptures just shooting out of everywhere.  Very artsy and funky.  There were bicycles everywhere, and lots of people. 
 
Oh, and they had a McDonald's that still had the "Cars" toys in the Happy Meal, so Ben was able to get the VW van he was missing!  Made it all worthwhile, right?  By the way, McDonald's in Holland sells a "McCroquet".   
 
We walked around a while, looked (unsuccessfully) for a park, and got a bite to eat in a cafe on the street.  By the time we headed back to the hotel around 6 pm, the streets were empty and all the stores were closed.  On a Wednesday.  Very weird.  It stayed light out until about 11 pm and got light around 430 am. 
 
Rotterdam wouldn't let all of us stay in the same room, even if we got a suite or an apartment, so we got adjoining rooms and left the door open.  Sam and I took one room, Tim and Ben the other, but I think only the little boys slept that night. 
 
 
 
 
 
 
 
 

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Checking out the clinic

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Before treatment

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After treatment

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Ben finding ways to occupy himself for 4 hours

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Sam's progress so far

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Bikes in Rotterdam

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Sam in Rotterdam

 
 
Stem Cell Day
 
Sam's appointment was at 9 am Thursday, July 13.  We got to the clinic early and on edge.  After some brief evaluations and discussion about difficulty drawing blood from him for some tests, we were assured Sam would indeed be treated and not to worry.
 
So we go in to see the doctor for the pre-treatment consult, and he informed us that he was not going to treat Sam because he didn't think it would benefit him.  I felt like I had been kicked in the stomach.  (I thought he was telling us to give up, but that wasn't the case.) 
He said that he believed that Sam has pressure on his brain, and that the stem cells would tend to THAT problem instead of the damage we want it to repair.  They apparently go to the most prevalent issue, and pressure isn't something they can do anything about.  He wanted us to go home, get a shunt (to relieve pressure) and come back in a week!  
Now, I have spoken with Sam's doctors in the states many times regarding pressure, and was assured that it wasn't an issue for him, so none of this made sense.  However, the doctor in Rotterdam said that Sam's ct scan indicated pressure - since ACT had that report for 6 months now, we couldn't understand how no one had seen this already.
By this point, Tim and I had actually come to terms with the idea of going home and returning to Holland later, provided ACT reimbursed our travel expenses.  (It was too reminiscent of our heartbreak in Tijuana, but this setback was an ethical issue, one where the doctor's ethics wouldn't allow him to take our money for no good reason!)  He also told us that aside from the fact that his own ethics wouldn't allow him to treat someone for no benefit, with stem cell treatment being under the microscope he couldn't jeopardize his reputation and clinic that way.  We respect that. 
 
After an hour and a half and many phone conversations, the clinic in Switzerland assured us and the doctor that it would of course benefit him, and that flooding him (as a 25 pound baby) with 1.5 million stem cells would be enough so that even if they did dawdle at the pressure site, they would move on to make new connections at the damaged area.  As the doctor in Rotterdam treats adults usually, he agreed that this made sense and agreed to treat him. We made sure that we knew he had changed his opinion, and wasn't just agreeing to it to be rid of us. 
 
So we waited for the cells to thaw, and waited and waited.   When I finally took a break and used the restroom, they came and got Sam.  Of course.  So I had to go and find them, and when I walked in, things were already underway.  He was on Tim's lap for treatment, but I took him - he may as well stay mad at me and not associate Daddy with pain, right?  He got two injections above the temple, and two on the back of his neck.  It was horrible and he screamed and he screamed and I cried and I cried, but it was all over in less than a minute.  Less than a minute. 
 
We waited to be sure there was no adverse reaction, and while we were waiting the director of the clinic came out to tell us that he had contacted ACT again.  They had agreed that if we are not happy with the results and think that the pressure was indeed a problem, they'll treat him again for free.  That sits just fine with us - we can get there for that if we need to.   
 
After about an hour and a half, we were free to go.  We headed back to the hotel, back to the airport, and back to London. 

More photos from Rotterdam