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Speaker 1: Brought to you by the reinvented two thousand twelve Camray.

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Speaker 1: It's ready. Are you welcome to stuff mom never told you?

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Speaker 1: From House top works dot com. Hey there, and welcome

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Speaker 1: to the podcast. I'm Kristin, I'm Molly Now, Molly, you

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Speaker 1: do remember, I hope. We did a episode recently on

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Speaker 1: placenta phag How can I forget that one? Yes, basically

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Speaker 1: the idea of eating your placenta after you give birth

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Speaker 1: for superstinct, for super strength, and to ward off postpartum depression.

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Speaker 1: You guys can, if you haven't heard it, give it

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Speaker 1: a listen. But after that episode, we got in a

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Speaker 1: few listener emails about cord blood, which is a lot

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Speaker 1: of umbilical cord blood comes from it's actually housed in

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Speaker 1: the placenta, And these mothers have written in saying, hey,

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Speaker 1: you didn't talk about cord blood. It's really important for

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Speaker 1: you to possibly save that that blood and bank it. Yeah,

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Speaker 1: because it has some pretty impressive properties. And when you

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Speaker 1: guys talk, we listen. And thus today's episode is should

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Speaker 1: you bank your baby's umbilical cord blood? Yes, because cord

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Speaker 1: blood is a source of a specific type of blood

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Speaker 1: forming stem cell and can possibly cure a host of diseases,

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Speaker 1: especially leukemia and an lymphoma, and cord blood derivative embryonic

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Speaker 1: like stem cells are similar to embryonic stem cells, but

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Speaker 1: far less controversial. Well, because you're using something that would

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Speaker 1: have been thrown away anyway. Yeah, I mean, like the

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Speaker 1: placentic can be a waste product at birth unless you

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Speaker 1: think ahead and you're like, hey, doc, midwife, doula, whoever's

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Speaker 1: down there, save that, save that cord, save that cord blood,

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Speaker 1: because cord cord blood is one of three sources for

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Speaker 1: blood forming cells that can reconstitute someone's immune stem weakened

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Speaker 1: immune system, and the other two sources are bone marrow

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Speaker 1: and peripheral or circulating blood. But we should probably clarify

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Speaker 1: that they are not just basic fetal stem cells, Like

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Speaker 1: they're not going to grow you a new kidney. If

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Speaker 1: you need one, it's it's it's a blood forming cell, yes,

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Speaker 1: just to clarify, all right, So you have to decide

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Speaker 1: if you're going to bank it before delivery, because you

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Speaker 1: only have about fifteen minutes after the baby is born

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Speaker 1: to get the collection of blood. What they'll do is

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Speaker 1: they will clamp and cut the umbilical cord and then

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Speaker 1: collect the blood um and if you don't do that

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Speaker 1: within fifteen minutes, the cord will essentially clamp itself off

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Speaker 1: from the exposure to air, and that blood is gone.

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Speaker 1: And it's it's very easy, completely harmless to mother and babe.

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Speaker 1: They will either basically attach a bag so that the

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Speaker 1: bag fills up with the blood or they will in

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Speaker 1: sort of syringe and draw the blood out, just like

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Speaker 1: they would draw blood from your vein. Yeah, and then

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Speaker 1: once it is collected, the cord blood will be frozen

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Speaker 1: in liquid nitrogen to preserve it. And you can either

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Speaker 1: store the cord blood in a public cord blood bank

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Speaker 1: or a private chord blood bank. And this is where

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Speaker 1: things get kind of controversial. Yeah, if you decide to

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Speaker 1: put it into a private bank, uh, you're gonna have

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Speaker 1: to pay for it. Not surprisingly, You're gonna have to

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Speaker 1: pay usually an initial fee of up to two thousand

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Speaker 1: dollars and then an annual storage fee which might be

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Speaker 1: around hundred bucks a year. And some people think that

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Speaker 1: this is wrong because these banks are making money off

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Speaker 1: of cord blood, which if you donated it to a

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Speaker 1: public cord blood bank, it could go to anybody who

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Speaker 1: was in need of it. So why would you want

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Speaker 1: it to be in a private bank. You wanted to

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Speaker 1: be in a private bank if you yourself thought you

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Speaker 1: were going to use it. Basically, by putting it in

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Speaker 1: the private bank, it's for you and no one else

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Speaker 1: can have it. Yeah. Because, Um, if you need, for instance,

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Speaker 1: a autologousts uh CD stem cell transplant, basically, if you

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Speaker 1: need your own cells too, if you come down with

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Speaker 1: some kind of disease or condition, Uh, then you're gonna

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Speaker 1: you can go to your private bank and you've got

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Speaker 1: your cord blood stored there and no search for a match.

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Speaker 1: It's just done. Because if you if you watch a

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Speaker 1: lot of medical shows like I do, it seems like

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Speaker 1: people are always looking for that match. In fact, there

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Speaker 1: are some shows where the woman will have a baby

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Speaker 1: to get that cord blood to save another child. But

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Speaker 1: the controversy comes because TV, like it does for many things, UH,

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Speaker 1: makes it look like the situation is far more common

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Speaker 1: than it actually is. Because the likelihood that you would

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Speaker 1: need your own cells, according to US study in the

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Speaker 1: journal Biology of Blood and Marrow Transplantation, is only about

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Speaker 1: one and four hundred and thirty five. Yeah, and UM,

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Speaker 1: I think we should also point out that these cord

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Speaker 1: blood stem cells have a more potential for wider use because,

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Speaker 1: as opposed to stem cells taken from adult bone marrow,

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Speaker 1: a perfect match between the donor and the recipient isn't necessary.

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Speaker 1: But other studies put it those statistics that anywhere from

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Speaker 1: one in two thousand to one in two thousand, depending

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Speaker 1: on whether your family has a history of a disease

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Speaker 1: that's even treatable by cbe stem cells. Because, for instance,

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Speaker 1: some parents mistakenly believe that their child could be treated

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Speaker 1: with his or her own cord blood if they contract

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Speaker 1: leukemia later on, but leukemic cells are present at birth,

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Speaker 1: so the cord blood would therefore be tainted. Right And

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Speaker 1: even if you've got a sibling who's got cord blood banked,

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Speaker 1: there's only a twenty chance of these cells between siblings

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Speaker 1: being a match. So and in some cases the cord

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Speaker 1: blood isn't even stored because it doesn't contain enough stem cells.

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Speaker 1: Like there's some argument that um, if you are trying

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Speaker 1: to get the cored blood for an adult, there's not

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Speaker 1: even gonna be enough stem cells in there to make

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Speaker 1: a difference. You'd have to use it on a very

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Speaker 1: small person, which gives you a small wind of time

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Speaker 1: to use it. So really, when we were researching this,

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Speaker 1: the private cord blood bank doesn't seem like the best deal. Yeah,

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Speaker 1: in groups like the American Academy of Pediatrics do advise

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Speaker 1: parents to donate their baby's cord blood to public banks because,

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Speaker 1: unlike say stem cells that are taken from adult bone marrow,

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Speaker 1: with CD stem cells, you don't need a perfect genetic

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Speaker 1: match between the donor and the recipient in order for

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Speaker 1: the transplant to take. And this is very important Molly

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Speaker 1: and I learned for particularly minority patients who need the transplants.

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Speaker 1: So to clarify when we're talking about these minority chord

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Speaker 1: blood donations, we're talking about public cord blood banks now.

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Speaker 1: And if there's a public cord blood bank near you,

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Speaker 1: it will pay for the collection kit, for the processing,

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Speaker 1: the blood, the storage. It's completely for you, the parents,

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Speaker 1: but everyone can use it. It's not just saved for you.

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Speaker 1: It's open to anyone. And the National Marrow Donor Program

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Speaker 1: really advocates public cord blood banking, particularly to help out

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Speaker 1: minority patients, because cord blood doesn't need that as close

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Speaker 1: of a genetic match as bone marrow stem cells, and

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Speaker 1: more than minority patients who receive a transplant now will

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Speaker 1: use cord blood as opposed to only five to fiftent

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Speaker 1: of minority patients who could use bone marrow transplants. So

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Speaker 1: this is actually going a long way to to serve

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Speaker 1: these these minority patients for curing things like leukemia and lymphoma. Now,

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Speaker 1: those are the two conditions that if you have a

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Speaker 1: family history of them, if you have a family history

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Speaker 1: of some blood related disease, then those are really the

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Speaker 1: only conditions where people say you might want to do

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Speaker 1: private cord blood banking. Other than that, both that organization

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Speaker 1: and the American Association of Pediatrics recommends public help out,

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Speaker 1: everyone help out everybody. So to answer our questions, should

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Speaker 1: you bank your baby's cord blood, I say yes publicly, publicly.

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Speaker 1: Don't let those private banks talk you into a bad deal.

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Speaker 1: Don't be selfish with that cord blood. People save some

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Speaker 1: lives unless you're at risk for certain conditions. Okay, So

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Speaker 1: thanks to all the listeners who let us know about

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Speaker 1: core blood banking. It was very interested interesting to um

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Speaker 1: look into it a little bit more, UM and it

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Speaker 1: just goes to show that if you email us you

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Speaker 1: never know what will happen. We may dedicate an entire

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Speaker 1: episode to it, just to you. Just do your listeners,

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Speaker 1: all right, So let's do a few listener mails now,

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Speaker 1: people who have emailed us at mom Stuff at how

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Speaker 1: Stuff works dot com. I'm going to start from one

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Speaker 1: that is not signed, and it's from an old episode,

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Speaker 1: but I think it's always good to remind our listeners

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Speaker 1: of this kind of stuff. It's about our dating violence episode. Um.

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Speaker 1: And the listener writes that she was in a bad

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Speaker 1: situation that lasted for two years. Um. She did pull

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Speaker 1: back from her friends more and more um. And at

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Speaker 1: first her friends were like, Oh, it's the bubble, It's

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Speaker 1: the new romance bubble. But then she writes, my friends

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Speaker 1: knew this guy wasn't good for me, especially when I

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Speaker 1: quit my favorite job because he aways wanted to spend

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Speaker 1: more time together. I know I pushed my friends away,

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Speaker 1: but they were still always there for me. My rugby

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Speaker 1: team even encouraged me to crash at their places whenever

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Speaker 1: I needed to. I honestly don't think I would have

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Speaker 1: had the strength to move back with my parents and

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Speaker 1: and things with a boyfriend if I hadn't had a

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Speaker 1: great support system, I could still be in that city

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Speaker 1: with him doing god knows what, having forgotten all about myself.

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Speaker 1: Which brings me to my advice to listeners who suspect

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Speaker 1: friends or acquaintances of being an abusive situation. Please don't

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Speaker 1: give up on your friends. They know deep inside that

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Speaker 1: they need to leave their significant other, and they still

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Speaker 1: need friends outside of his his circle, but there's this

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Speaker 1: overwhelming feeling of despairing, hopelessness that surrounds them. A text

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Speaker 1: or call from time to time, and an invitation to

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Speaker 1: go out, sleepovers, etcetera. Any and all of these helped

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Speaker 1: me get through and know that I still have people

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Speaker 1: outside my family who cared about me and wanted me

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Speaker 1: to be Okay. I know people in abusive situations can

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Speaker 1: be hard to deal with, but please encourage your listeners

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Speaker 1: to not give up on their friends. Okay. Well, I

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Speaker 1: have an email here from Laura and it is on

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Speaker 1: our our episode on mail order Brides, and she said,

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Speaker 1: this podcast really piqued my interest because I know a

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Speaker 1: woman who was a male order bride. She came here

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Speaker 1: from Russia with her sons four years ago to marry

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Speaker 1: a man who lives down the street for me, My

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Speaker 1: brother befriended her younger son, which is how I know

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Speaker 1: this story. What happened was that probably within two years

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Speaker 1: she had divorced the farmers she had married, and she

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Speaker 1: had gotten the house which had originally been his. She

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Speaker 1: then went to college, got her degree, and was teaching

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Speaker 1: a course at the local community college and working at

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Speaker 1: an elementary school. She now has a rich boyfriend and

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Speaker 1: was moving into a nice condo in an even nicer area.

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Speaker 1: I know not all cases work out like this, but

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Speaker 1: she pretty much played the guy who quote unquote bought

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Speaker 1: her and definitely did not end up with the short

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Speaker 1: end of the stick. Interesting male Order bride anecdote. Interesting

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Speaker 1: one more male order bride ancdel This is from Tricia,

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Speaker 1: who writes my great grandmother was a male Order bride.

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Speaker 1: At the turn of the last century. Her sister and

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Speaker 1: brother in law had immigrated from Denmark to western North Dakota,

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Speaker 1: where they settled. Some years later, a letter ride from

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Speaker 1: her brother in law asking for a bride, as the

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Speaker 1: sister had become very ill and he needed help with

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Speaker 1: the children and homestead. My great grandmother left Denmark for

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Speaker 1: North Dakota to care for her sister and nieces and nephews,

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Speaker 1: with the expectation of marrying her brother in law. But

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Speaker 1: she didn't really know upon her sister's passing. My grandfather

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Speaker 1: was her firstborn. The practicalities of homestead life required strong women.

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Speaker 1: No man could manage without a partner, and they knew

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Speaker 1: it as a small child. I knew my great grandmother,

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Speaker 1: and she said that love and romance grew out of

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Speaker 1: mutual respect. The needs and expectations of that time and

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Speaker 1: place large largely do not exist today. Importantly, I doubt

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Speaker 1: that a man seeking email or a breach date does

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Speaker 1: so from the real need for a partner. Interesting, very interesting.

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