Luck

December 16, 2008 by Ian Clarke

I had a very lucky week; I was hit by a car.

Last Tuesday night I was walking along a busy downtown street. As I crossed the intersection, a car sped around the corner, struck me, and threw me to the ground.  Just a moment before I was hit, I saw the headlights of the car only inches from my knee. Amazingly, the Hollywood clichés about time slowing down seem true.  As I was hit, many thoughts went through my mind as if the impact was occurring in slow motion. I thought, “but the light isn’t even yellow, why is the car here in the crosswalk”?  Then, “boy, it’s lucky this isn’t a big truck with those steel cages on the front”.  I even thought, “damn, this is going to hurt”.  But, part of my mind was still a stem cell biologist as I thought, “I hope I don’t snap my spine, because stem cell transplants are not ready yet." 

As it turned out, I suffered no broken bones, no brain injuries, and no spinal injuries. After the accident, while spending a few hours in the emergency department with my companion who was also hit, I realized that this was one of those moments that can change your life. A split second in time, a few feet in either direction or the car hitting at just a different angle would have altered my life forever. 

Many of our lives are terribly busy and we don’t often reflect on how tenuous our happiness, health and even life can be.  In one moment, I was very unlucky; I was hit by a car. I had no control over the event and I was doing everything right. At the same instant I was very lucky, I am neither paralyzed nor suffering with severe brain trauma. I don’t need the stem cell therapies that research will soon provide. 

As a researcher studying brain stem cells and cancer, I see the names of hundreds of patients who have donated tissue from their own or their children’s brain cancer to our lab. Many of those patients are no longer alive, but the gift of their tissue may someday lead to a treatment that can save someone else.  In a fashion that is typically human, I had always assumed these treatments would be for someone else.

In the near future we will likely be able to transplant neural stem cells into damaged spines to allow some recovery of movement after injury. Amazing progress has been achieved in our understanding of how neural stem cells mature into the neurons that could repair a spinal injury. It may even be able to take skin cells from your own body and in the laboratory redirect them into neural stem cells to treat your own spinal injury, or Parkinson’s, even Alzheimer’s disease. These would be your own cells, no chance of your body rejecting the transplant. None of these therapies are ready yet, but I have no doubt that with further research they soon will be. What last Tuesday night reminded me is that we are all just an instant and a little luck away from needing the therapies that thousands researchers are developing right now. 

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