Meet the Phenomenal
Arnetta Banks
Dealing
with Multiple Myeloma Leukemia
And
the Acute Need for Blood and Bone Marrow Donations
In 1992
Arnetta developed a horrible pain in her back. Visits to multiple doctors
revealed nothing. She was given Demural for pain but it persisted. Even
through the pain, she was always very active, walking every day for exercise.
O
Her doctor used the word “lesions”, but Arnetta, having worked in the medical field, knew the doctor meant tumors. The diagnosis was Multiple Myeloma Leukemia.
Arnetta Banks, 49 years old, lives in Oakland, California. She has come a long way from the time her entire family of 14 lived in tents in Central California, having moved from Bearden, Arkansas when Arnetta was four years old. They settled in Kingsburg, California, where her entire family worked in the fields to survive. They picked cotton, cut grapes, and worked the fields harvesting a variety of seasonal crops.
Although poor,
she finished high school in 1966 and married that same year. Arnetta and her
husband moved to Seattle where Arnetta, drawn to a career in the caring
professions, worked for several hospitals and clinics, starting as a
nurse's aide. She worked for Pioneer Square Health Station in Seattle,
traveling from site to site, working on skid row, caring for addicts,
alcoholics, and homeless people. As Arnetta attended college and gained
increasing work experience, her positions advanced. She was also blessed with a
daughter, Nia.
In 1988, Arnetta
returned to Central California. Her father had died and she wanted to be near
her mother and grandmother. Soon thereafter, Arnetta accepted a position as a
medical clinic manager. She had, as she says, arrived. Life was great.
Then in 1992,
the diagnosis of Multiple Myeloma Leukemia. "My whole perfect world fell
apart" Arnetta says. "The doctor told me that without a bone marrow
transplant, I would die within three years." Finding a donor
match, however, would be a problem. The best chance would be Arnetta's immediate
family. If her father had lived, and her mother had not contracted
arthritis, they would have been tested for a match. As it was, all 12 of
Arnetta's siblings were tested without success.
A search of
the nation's bone marrow registry of volunteer donors was conducted with no
success. Marrow types are inherited. Therefore an unrelated match is most likely
within a patient's racial or ethnic group. The possibility of finding a match in
the bone marrow registries is much smaller for Arnetta, since she is an
African-American. All minorities, including African-Americans, are
under-represented in all the mainstream national registries. Among the
4.2 million blood samples registered for matches, only 248,000 are
African-American. Furthermore, of 50,000 transplants performed each year
worldwide, only about 291, total, have been to Black recipients.
In 1993, with
time running short, a relatively new procedure was tried with only a 30% chance
of success. Arnetta received a transplant of her own healthy stem cells, an
autologous transplant. Jubilation! Arnetta's condition improved.
"I made a
promise to God and myself that when this was over, I would help others who
needed a transplant. I would dedicate my life. I wanted to make a difference by
increasing the number of African-Americans and other minorities in the national
marrow donor registries . . . One hundred twenty thousand people of color died
last year waiting for transplants," said Arnetta. Feeling ever better,
Arnetta became a volunteer for an African-American bone marrow recruitment
group.
The happy
ending is yet to come. In August, 1996 Arnetta experienced a relapse. Pain
increased in her left femur and left pelvic area. Radiation treatments resumed
at the time.
Arnetta also
has an additional problem. She has none of what are called “markers”. These
are indications either in the blood or urine of the existence of cancer. Because
of this she must have bone biopsies every four to six months in order to detect
the cancer’s presence.
There is a
problem with awareness in the Latin-American and African-American communities of
the lack of participation in donor programs. Many people are just not aware that
marrow types are inherited. Therefore an unrelated match is most likely within a
patient's racial or ethnic group.
Currently
Arnetta is still not in remission but is taking chemotherapy, not radiation. She
remains extremely upbeat. “I have good days and bad days,” she said, “but
I deal with it.”
The two charts
below reflect the percentages by ethnicity on the registry, and number of donors
by ethnicity.
Percentage
of ethnic groups on the national registry
|
African
American |
7.8% |
|
Asian/Pacific
Islander |
5.7% |
|
Hispanic |
7.1% |
|
Native
American |
1.6% |
|
Caucasian |
71.5% |
Ethnic
Group and Number of Donors (as of December 1999)
|
African
American |
305,440 |
|
American
Indian/Alaska Native |
51,695 |
|
Asian/Pacific
Islander |
227,146 |
|
Caucasian |
2,154,297 |
|
Hispanic |
305,724 |
|
Multiple
Race/Other |
64,562 |
|
Unknown |
740,285 |
**Statistics
provided by the National Marrow Donor Program.
To
obtain information regarding blood or bone marrow donation, you can contact the National
Marrow Donor Program at:
National
Marrow Donor Program
Suite 500
3433 Broadway Street Northeast
Minneapolis, MN 55413
1-800-MARROW2
(1-800-627-7692)
Or their main
website at www.marrow.org
For
information specifically regarding Latino or African-American Donor programs:
Latino
Marrow Donor Program
655
John Muir Drive, #423
San
Francisco, CA 94132
1-415-584-7825,
or email: AlliedMarrow@Medko.org