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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for aplastic anemia

Respected Sir/Madam,

I am 23 years old male, the youngest in my family having 2 older brothers, residing in Okara, Punjab, Pakistan. I was serving as Manager Accounts at our own College "The Okara College" at Okara.

I am having "Aplastic Anemia" diagnosed through Bone Marrow Biopsy done by the Resident Doctor on April 23, 2010 at "Shaikh Zayed Hospital Lahore, Pakistan.

I was advised to start treatment with basic medicines "Cyclosporins" (Neurol) and also advised for ultimate conduct of Bone Marrow Transplantation if won't get the response of Cyclosporins. I continued the medicines for 2 months which didn't answer. Cyclosporins was stopped. I carried on with transfusions and treatment of Homeopathic and others for more than 5 Months.

Afterwards, Bone Marrow Transplantation was considered to start with. I contacted CMH (Combined Military Hospital) Rawalpindi where HLA typing tests for PNH and Fanconi's anemia was advised by Brig. Dr. Parvaiz. Reports found:

PNH:          negative
Fanconi’s:     positive
HLA:          mismatched with my Brother

At present, I don't have any donor to proceed with transplantation process in Pakistan.

I need your kind meditation on the above as I am loosing hope to find any resolution over here. Your accommodating retort is required in saving my life as I am fairly optimistic to see you helping me in getting an appointment for further consultation or other possible alternative procedure in USA, .

Note:- Please find attached all the necessary medical reports.

My Details are:
Name:               Tahseen Dilbar
Date of Birth:          December 25, 1987
Father’s Name:     Dilbar Hussain Tahir
Contact:          +92 321 0000
               +92 313 0000
Email:           YYYY@YYYY
                YYYY@YYYY

Regards,
Zamir Hussain
For, Tahseen Dilbar
Mon, 23 Mar 2015
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Pediatrician, Hematology Oncology 's  Response
as per report, you are having fanconi anemia with sever aplastic anemia. the best treatment is allogeneic BMT but unfortunately you don't have sibling match. haplo-identical BMT and matched unrelated BMT should be done. you being young age should opt for these curative approach. these can be done in many centres of India as well. (not sure about other countries of continent).
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Suggest treatment for aplastic anemia

as per report, you are having fanconi anemia with sever aplastic anemia. the best treatment is allogeneic BMT but unfortunately you don t have sibling match. haplo-identical BMT and matched unrelated BMT should be done. you being young age should opt for these curative approach. these can be done in many centres of India as well. (not sure about other countries of continent).