[rui]

Hello!

My name is Rui and I’m from Portugal.
My father was diagnosed with AA Mar 2010. He is 70 years old.
Before that doctors thought it was a MDS and only stated that “there was nothing to do”. One doctor decided to go further and with myelogram and bone biopsy it came SAA diagnosis.
He was hospitalized on 13 May 2010 and underwent treatment with ATG (rabbit) + cyclosporine according to the protocol of the EBMT.
Was hospitalized for 59 days due to complications from lung infection.
Was discharged on July 15.
Since then still treated with cyclosporine 210 mg x2 day and made leukocytes inducers and erythropoietin (Filgrastim 480 u / day and Darboetina 150/semana).

Since then he has made weekly blood transfusions and one platelets transfusion as well.
Then put some values of hemogram before and after ATG treatment:

Data Hemoglobin Leukocytes Platelets
28-01-2010 5.6 4.6 19
30-01-2010 8.2 3.56 9
31-01-2010 8.7 3.26 10
03-02-2010 9.4 3.96 15
10-02-2010 8.7 4.3 12
24-02-2010 7.8 3.4 14
04-03-2010 8.2 3.17 6
12-03-2010 8.9 3.42 11
Hospital ATG treatment
03-08-2010 7.5 8.52 6
08-09-2010 6.7 11.68 4
13-09-2010 7.5 15.12 5
21-09-2010 7.7 13.23 3
29-09-2010 8.4 23.4 4
04-10-2010 6.7 3.09 3
08-10-2010 7.8 2.62 4
11-10-2010 8.8 30.66 4
13-10-2010 9.6 14.26 2
27-10-2010 7.5 8.27 4
There have been one episode of gingival bleeding quicly controled with a platelet transfusions.
In last consultation doctor told my dad that the treatment had failed and it was time for a 2nf ATG course.
I honestly do not know what to do and start thinking about having another medical opinion.

I appreciate all the support and information that I can be assured.

Sincerely