PEDIATRICS Vol. 85 No. 2 February 1990, pp. 236-237
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Bone Marrow Transplants

MARK WEINBLATT MD1, JOSEPH KOCHEN MD, PHD1, INDIRA SAHDEV MD1, and KAMAR GODDER MD1

1 Division of Pediatric Hematology/Oncology, North Shore University Hospital, Cornell University Medical College, 300 Community Dr, Manhasset, NY 11030

To the Editor.—

We read with interest the letter by Dr Furman (Pediatrics. 1989;84:195), who played "the devil's advocate" and suggested that "bone marrow transplant in its current state may be neither ethical nor imperative as a therapy for dying children." As a pediatric resident "her eyes were opened" and she commented at great length about the difficult ordeal that children go through, including pain, isolation, mucositis, and long-term side effects. Additional questions were raised about parents' ability to understand enough about transplantation to make a decision "that is truly in the child's best interest."