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Question to all the EN Physicians out there...Bone Barrow Donations

 Re-Posted from the "Social" forum as well, not sure which is most appropriate.

 


 I've read that a number of ENers are Physicians and I have a question for any of you that may be familiar with Bone Marrow Donations. 

About 7 years ago I signed up for the "Be a Match" registry as my neighbor was suffering from Leukemia and had no family matches.  I hadn't heard a thing until this week when I got a call that I'm a potential match for someone else.  Apparently there's an 8-10% chance of being a fit for those that pass the initial screener like myself.  



As I read the info on the "Be the Match" registry, it appears there are two donation methods.  One involves taking blood and the other is an outpatient surgery where the doctor removes marrow from your pelvic bone.  The stated risks of donation appear to be small, probalby the same as any other minor outpatient surgery.  

As far as recovery...the blood donation method is quick and easy via a blood donation center.   It does say that blood will return to normal levels after several weeks.  My question on this....could I train normally with the depleted blood levels or would I have to tone down or even eliminate training?

On the marrow donation, I understand it's usually a one day operation...no overnight stay.  The side effects are compared to bone/muscle pain you'd feel if you slipped and fell on ice, for example.  I'd imagine the recovery time here would be a bit longer and the impact to my training would be greater here, but not sure to what extent.  

It can sound a bit selfish asking these questions when there's someone out there who's life would be impacted for many years vs. a few weeks of sacrifice on my end, but wanted to get the full picture to understand what I'd be signing up for.  I'm signed up for IMAZ, so taking a few weeks off this summer during my SC plan wouldn't likely impact my IMAZ training much at all anyway.   Would just have to forego a couple local Short Course races.

Thanks in advance for your insight.

Comments

  • Not a selfish question at all, how can you make a sound decesion if you don't have the facts. As far as the blood donation part goes I can tell you from my own effects of just donating blood it usually takes me a few days to recover and work out hard again.

    I will also be interested in this as someone I know may need a bone marrow donation and of course I would see if I fit.

     

    Good luck.

  • Best guess from this family physician (M.D.).

    One week to recover from both bone marrow procedure and blood letting.

    Take is a bit easier that week.  Super hydrate.   Eat iron.        

    Use Epogen (kidding).

  • Probably the bone marrow donation would cause more localized soreness but slighlty less systemic fatigue, as your blood count wouldn't drop immediately to the same degree as a blood donation. Either way, the recovery is probably not too bad - no reason you should miss races unless they are just a few days after you donate. This isn't my area of medicine, so it's just a best guess.
    And I agree with what Robin wrote above.
    It's great that you're doing this!
    image
  • In 2000 I donated blood 18 days before IMFL. I wasn't aware of the affect it would have on me. I wasn't training with power at the time but I was instantly about 45" per mile slower on the run and ~1mph slower on the bike at the same HR. I was desperate to get it back...took lots of iron, etc. I wasn't back to 100% by the race.

    You have plenty of time before IMAZ. If it were a closer race it would definitely affect your race...but there are bigger things in life than a race performance, that's for sure.
  • Posted By Rich Strauss on 24 May 2011 12:34 PM

     You have plenty of time before IMAZ. If it were a closer race it would definitely affect your race...but there are bigger things in life than a race performance, that's for sure.



    Amen!  Keep in mind, you haven't even started the build up to IMAZ and the race is 4 months away.  That should be more than enough time to recover.

  • I had a friend donate bone marrow. He was actually a resident with me and I have to tell you that was one of the most selfless acts I have ever witnessed. The life of a red blood cell is about 120 days. Time to replace lost blood will be much less. I have read that Dr. Mac Larsen an ED MD in San Diego felt that 2 units of blood sped him up from 16:30 to 16:00 instantly. Dr. Larsen actually thinks that with a properly timed donation can be a training tool for better performance, BUT this was his anecdotal feeling. He talks about it here http://competitorradio.competitor.com/2006/11/74dr-mac-larsen/
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