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Acute myeloid leukemia with recurrence of blast cells. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Blood Cancer(Leukemia)
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3176 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   Hello, doctor, Gud evening, I'm chatting on behalf of one of my colleagues diagnosed as having Acute Myeloid Leaukaemia
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   Male, 46, bank manager, married, wife and 2 children, no family history, height - 5' 8'', weight at present -65 kg
Doctor :   ok
User :   has already undergone 4 chemos at. the last one fm 13th to 20th july. cbc dated 12 th Aug showed blast cells
Doctor :   ok
User :   how critical is he? his doc does not seem to be communicative
User :   it is m4 aml
Doctor :   ok
Doctor :   were there any other findings on his cbc?
User :   In a minute , i'll give u the total picture
Doctor :   ok
User :   blood report dt 11.08.08
hb-8.4 not increasing, platelet-0000,TLC-8800, but worrying point is that blast cells have appeared again
i am giving u the full report
polymorphs-27,lymphocytes-11,band forms-12, metamyelocytes-12, myelocytes-15, promylocytes-9, blasts-14, nucleated red cells-7, esr-57,rbc count 2.73, hemotocrit-23. i am bit down today because of the blast cells, can u talk to me when u r free.
User :   This is fm a msg he had sent me
Doctor :   yes
Doctor :   ok
Doctor :   he is right now in the consolidation therapy now right?
User :   yes, today he has again been admitted to the last chemo was scheduled for tomoro. the doctor seems to hv changed his mind about administering chemo tomoro it seems
Doctor :   ok
User :   today his blood sample has been taken again, report yet to come
Doctor :   after the last chemo the situation might improve
User :   really hoping for that, do u think autologous bone marrow transplant wud help?
Doctor :   has he considered bone marrow transplantation?
Doctor :   he can actually consider the option if he has a sibling or twin or parent with the same HLA status
User :   his tissue is not matching with his brother's even to consider allogenic
Doctor :   ok
User :   his parents are no more
Doctor :   the disease has several remissions
Doctor :   bone marrow transplantation can only reduce the number of remissions
Doctor :   he would still need chemo after BMT
User :   yeah, i think, probably, all of us colleagues have to take efforts to look for a compatible donor
Doctor :   YES
Doctor :   that also if his stage is not too advanced
Doctor :   only then BMT will help
User :   the saddest part is that his doctor is not at all communicative. In fact I chose to chat with u for that reason
Doctor :   ok
Doctor :   just try asking him regarding the stage of his disease
User :   at what stage he's nobody knows
User :   in fact i tried thro' SMS, he didnt reply
Doctor :   ok
Doctor :   if he is in the final stage there is nothing much anyone can do
User :   he 's accompanied by his brother who's an ophthalmologist, even he's kept in the dark
User :   he's a mentally strong person
Doctor :   ok
User :   i met him in early Jan 08 and in Feb 08, he started losing weight and hvng fever. initial diagnosis was tuberculosis, which later on proved wrong
Doctor :   ok
User :   I'm trying to heal him thro' mental suggestions as stated in the book Silva Mind Control Method
Doctor :   ok
Doctor :   there arent any alternative treatments alos available
User :   his chromosomal study is normal. what cud b the reason?
Doctor :   young age
User :   yeah, hv read abt miraculous remissions which have continued for years
Doctor :   there are several causes for leukemia
Doctor :   it cannot be said
Doctor :   it is better for him to continue with chemotherapy
User :   ok, sir, may Iknow ur name?
Doctor :   i am Dr.
Doctor :   please confirm your details
User :   yes, M'am
Doctor :   ok
Doctor :   Please fill the feedback form say done when done
User :   Thanx a lot for being so kind and Patient
Doctor :   Is there any thing else that I could help you with?
User :   At the moment, this is all. Thanx so much
Doctor :   Have you filled the feedback form which I have sent?
User :   yes. I didnt complete the explanatory part of it, can u send it again?
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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