CHILHOWIE, Va. You wouldnt think from seeing her smile and watching her run and play that there is anything wrong with 5-year-old Nevaeh Bruner of Chilhowie.

But shes lucky to be alive and faces a lengthy procedure that could be her only chance for survival.

Pam Troxel Buchanan, the little girls great aunt, and Donna Hamm, her great-great aunt, are taking care of Nevaeh and tear up just thinking about what this little girl has been through and what she faces in her fight to live.

She is a very strong little girl. I couldnt do it, said Buchanan.

Nevaeh has been diagnosed with aplastic anemia, a rare disease that causes a complete failure of production of all types of blood cells. As a result, the bone marrow contains large numbers of fat cells instead of the blood-producing cells that would normally be present. It is a potentially fatal blood disease in which there are not enough stem cells in the bone marrow or the stem cells have stopped working effectively.

Buchanan said that last November Nevaehs teacher at Chilhowie Elementary School noticed bruising on her body. She had shown no other symptoms of illness, Buchanan said, so her parents were advised to take her to Niswonger Childrens Hospital in Johnson City, Tennessee, where there is a St. Jude affiliate clinic.

Buchanan said they spent a month running tests and the doctors told Nevaehs parents that her blood count was so low that she would not have lived much longer had she not received treatment. The little girl, who was 4-years-old at the time, has undergone numerous procedures, including surgery, transfusions, chemotherapy and radiation. She is taking oral chemotherapy and having blood transfusions as needed, but she is being weaned off the chemo to undergo a bone marrow transplant.

The chemo is also causing her kidneys to malfunction, bringing her close to kidney failure, Buchanan said.

She will always be in stage two kidney disease, Buchanan said. She will have sensitive kidneys and have to live with that.

The only option at this point is a bone marrow transplant, Buchanan said. Two donor matches have been found and the procedure will take place at St. Jude in Memphis, Tennessee, at the end of this year or next spring, Buchanan said.

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One Lucky Little Girl