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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What do these lab reports indicate?

Answered by
Dr. Deepak Sundriyal


Practicing since :2005

Answered : 1545 Questions

Posted on Tue, 12 Jun 2018 in Cancer
Question: Dear Doctor
I am consulting for a friends daughter for Blood cancer.
I have attached her medical reports.
Kindly advice me a treatment plan and her odds.
I do understand that it is a opinion based on a report.
I shall start setting up a treatment plan with a cancer hospital.
I have attached her reports sharmila1,sharmilab,sharmilc,

I have a doubt on the summary that the prognosis is poor, progression of disease without a treatment plam which I think is commercially motivated as the patient is poor

Answered by Dr. Deepak Sundriyal 46 minutes later
Brief Answer:
Hello dear. In relapsed state, prognosis is guarded

Detailed Answer:
Hello dear. I have gone through the details. So the prognosis is not so good because of the fact that patient has relapsed after initial treatment and she had hypotension and infection. Next treatment plan will be a reinduction chemotherapy followed by bone marrow transplant.
Thanks and regards
Feel free to ask further
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Deepak Sundriyal 29 minutes later
Thanks doctor.

Any additional information regarding chemo can be suggested. What kind of protocol needs to be done.
Is bone marrow done before or during or after chemo therapy.

What is the infection she has ?.
Answered by Dr. Deepak Sundriyal 43 minutes later
Brief Answer:
Hello. Any protocol can be used

Detailed Answer:
Hello dear. Since she had fever and hypotension, infection was present, details not there in summary. She has recovered now. We usually uae hypercvad protocol however any protocol based on physician choice can be used. Bone marrow is done in the beginning and then as per the protocol requirement.
Thanks and regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj

The User accepted the expert's answer

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