Kathryn from the United States had lived with multiple sclerosis for 30 years when she came to HSCT Hospital India for treatment. Her friend of 40 years, Corrinne, travelled with her as her attendant. By the end of the treatment, Corrinne says, Kathryn could walk better, could feel things she had not felt before, and her vertigo had gone.
In MS, the short name for multiple sclerosis, the immune system damages myelin. Myelin is the insulating layer around the nerve fibres of the brain and spinal cord. HSCT, short for autologous haematopoietic stem cell transplantation, uses the patient’s own blood forming stem cells to rebuild that immune system. Chemotherapy first clears out the faulty immune cells, and the stored stem cells are then returned to grow new ones. Kathryn and Corrinne recorded this video in hospital, shortly before Kathryn went home.
| Kathryn from the USA: HSCT for MS Results at a Glance |
| Patient | Kathryn is from the United States. |
| Condition | She had lived with multiple sclerosis for 30 years. |
| Treatment | She had autologous HSCT at HSCT Hospital India in New Delhi. |
| Attendant | Corrinne, her friend of 40 years, travelled with her as her attendant. |
| Physiotherapy | She had physiotherapy every day of her stay, and she says it was therapy she had never had before. |
| Walking | Corrinne says Kathryn can walk better. |
| Feeling | Corrinne says Kathryn can feel things she could not feel before. |
| Vertigo | Corrinne says the vertigo that was the first symptom of Kathryn’s MS has gone. |
| Recorded | The video was recorded in hospital, shortly before Kathryn went home. |
| Package price today | One all inclusive price of 30,000 US dollars covers a stay of up to 30 days. |
Why Kathryn came to HSCT Hospital India after 30 years of MS
Kathryn had lived with MS for 30 years before HSCT, and Corrinne had watched the disease progress through all of those years. Corrinne describes the trip to India as Kathryn’s final effort to get help.
"This was her final, [last ditch] effort to try to get help to [delay] all of the processes that this disease has caused over 30 years."
Corrinne, Kathryn’s friend and attendant
Every patient’s route to HSCT Hospital India starts with a free case review. HSCT specialist doctors read the patient’s medical records before any trip is planned. Their initial opinion says whether HSCT suits that patient’s case.
HSCT Hospital India emails its brochure to any patient who asks for it. The brochure covers the treatment, the 30 day stay and everything the one price includes.
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What HSCT at HSCT Hospital India involved for Kathryn
Kathryn says the doctors and nurses looked after her personal needs as well as her medical ones.
"I have had nothing but great service and great doctors and great nurses here. They are very concerned about not only my health needs but my personal needs."
Kathryn, MS patient from the United States
The treatment follows four stages within one stay in hospital. The first is called mobilisation. A short course of chemotherapy and a growth factor injection move stem cells out of the bone marrow and into the blood. In the second stage, the harvest, those stem cells are collected from the blood by a machine, a little like giving blood. Doctors call this step leukapheresis, and the collected cells are frozen until they are needed.
The third stage is conditioning, when chemotherapy clears out the immune cells that were attacking the nerves. HSCT Hospital India uses a non-myeloablative regimen, which suppresses the bone marrow without destroying it. It is the same approach used in the MIST trial. In the fourth stage, reinfusion, the stored stem cells go back into the bloodstream so they can rebuild the immune system. Each stage is explained in more detail in the HSCT for multiple sclerosis guide.
How daily physiotherapy helped Kathryn during her stay
Kathryn had physiotherapy every day of her stay, and she says it was therapy she had never had before. In the video she calls it physical therapy.
"On a daily basis I receive physical therapy that I have never had before, which has helped me to improve immensely, to the point that I am getting to go home real soon."
Kathryn, MS patient from the United States
Neuro physiotherapy is included in the package at HSCT Hospital India. It is exercise guided by a physiotherapist and planned to rebuild strength, balance and movement. Because the whole treatment is given as an in-patient stay, sessions can take place every day, as they did for Kathryn.
Patients with MS can ask whether HSCT suits their own case. HSCT specialist doctors at HSCT Hospital India review the details each patient sends. An HSCT case manager then replies personally, free of charge and with no obligation.
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What changed for Kathryn by the end of treatment, according to Corrinne
Corrinne has been Kathryn’s friend for 40 years and watched her MS progress over 30 of them. She says Kathryn had never felt so good or looked so good as she did at the end of her stay.
"She can feel things that she could not feel before. Her mind is better, and her overall attitude and body is just better."
Corrinne, Kathryn’s friend and attendant
| What Corrinne reports after Kathryn’s HSCT |
| Walking | Corrinne says Kathryn can walk better because of the programme. |
| Feeling | She says Kathryn can feel things she could not feel before. |
| Thinking | She says Kathryn’s mind is better, and so is her overall attitude. |
| Bowel function | She says Kathryn has full function again, which she had not had in 30 years. |
| Vertigo | She says the vertigo that was the first symptom of Kathryn’s MS is now gone. |
Corrinne also credits the doctors with caring about what Kathryn wanted, as well as what she needed.
"The doctors care about everything, not just their own needs and wants, but they care about her needs and wants at the same time."
Corrinne, Kathryn’s friend and attendant
Travelling from the United States with a friend as attendant
Corrinne came from the United States as Kathryn’s attendant, and the two of them shared a deluxe private room for the whole stay. An attendant stays in the patient’s room throughout treatment, so the person who travels with the patient is close by at every stage. The room has triple level HEPA air filtration, which uses fine filters to take dust and germs out of the air.
The filtration protects the patient in the days after conditioning, when the body’s defences are at their lowest. For this reason the whole treatment is given in hospital, with nursing care around the clock. The attendant’s stay, food and laundry are included in the one all inclusive price, along with airport pick-up and drop-back.
Patients travelling from the United States usually have practical questions about flights, the medical visa and who comes with them. An HSCT case manager will call at a time that suits the patient, at no cost.
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HSCT for MS patients from the United States
Patients from the United States begin with the same free case review as every other patient at HSCT Hospital India. They complete the online application form, and HSCT specialist doctors review it and give an initial opinion. An HSCT case manager then helps plan the trip, and on arrival in New Delhi a full medical evaluation confirms that HSCT suits the patient.
More than 1,500 people with MS, from over 30 countries, have been treated in the world class facilities of HSCT Hospital India. Those facilities are accredited by the Joint Commission International of the USA, known as JCI-USA. They are also accredited by NABH and NABL, India’s national accreditation boards for hospitals and for laboratories. One all inclusive price of 30,000 US dollars covers a stay of up to 30 days, and there is no long waiting list.
Cost and access for American patients are set out on the HSCT for MS in the USA page. David Ellis, who travelled from California, tells his own story on the David Ellis from the USA page. Each step of the process is described on the How It Works page. The checks behind the initial opinion are on the HSCT eligibility criteria page.
Transcript of the video
This is what Kathryn and Corrinne say in the video. The video carries automatic captions, so the text has been punctuated for reading. Filler words and false starts have been removed, and contractions are written in full.
The captions spell Kathryn as Catherine and do not render her friend’s name clearly, so both names are taken from the hospital’s record. The name of the hospital is also unclear in the captions and is marked as unclear. Words in square brackets replace words the captions garble, or add one the sentence needs. Apart from those changes, no wording has been added and nothing either of them said has been left out.
Kathryn: My name is Kathryn. I am from the United States. I am at [name unclear] hospital in India, having a stem cell [transplant] for MS. [The] hospital is [JCI accredited] and has very good doctors, and they have excellent [staff]. And I have had MS for 30 years. I have had nothing but great service and great doctors and great nurses here. They are very concerned about not only my health needs but my personal needs. On a daily basis I receive physical therapy that I have never had before, which has helped me to improve immensely, to the point that I am getting to go home real soon. And I will spread the word [about] that hospital and the stem cell transplant program.
Corrinne: My name is Corrinne [family name unclear]. I am from the USA, and I have been Kathryn’s friend for 40 years, and I have watched her MS progress over 30 years. And until she came here to this wonderful place, she has never felt so good and looked so good, and her body is just in so much better shape. This was her final, [last ditch] effort to try to get help to [delay] all of the processes that this disease has caused over 30 years. And because of this program she can walk better. She has no [word unclear]. She can feel things that she could not feel before. Her mind is better, and her overall attitude and body is just better. Her [word unclear] and [bowels] have full function, which she never had in 30 years. She does not have vertigo, which was her first primary symptom of the disease. It is now gone also. And the staff here, I cannot tell you how great the staff is here. The doctors care about everything, not just their own needs and wants, but they care about her needs and wants at the same time, and trying to get her better from the ravages of this disease.
Patients in the United States can have their own case reviewed by the HSCT specialist doctors at HSCT Hospital India before deciding anything. An HSCT case manager answers personally, free of charge, with no obligation.
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Read next
HSCT for multiple sclerosis: the full treatment guide
HSCT for MS in the USA: cost, access and the India route
HSCT eligibility criteria
David Ellis from the USA
How long it takes to recover after HSCT for MS
CAR T cell therapy or HSCT for MS
More patient stories from HSCT Hospital India