Hi David,
Since your friend is young, I am guessing that your doctor may just want to start the transplant discussion. It is good to understand his options should things change in the future. No need to panic 
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55 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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