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Old Thu Jan 27, 2011, 11:50 AM
Hopeful Hopeful is offline
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Join Date: Jan 2009
Location: California, USA
Posts: 766
Hi Kelly,

I would question your doctor as to why she wants to wait 4 weeks. There is a lot of evidence out there that prompt treatment (<21 or 27? days from diagnosis) leads to a more favorable prognosis. Perhaps this is just another reason to expediate the consult with another doctor!

Time is of the essence when dealing with a disease like aplastic anemia! I had about 2.5 months between diagnosis and treatment and things went downhill pretty fast towards the end of the wait.

Here is the criteria for severe aplastic anemia:

Any 2 of these in a hypocellular marrow (hers is):
* Absolute neutrophil count less than 500
* Platelets less than 20k
* Absolute reticulocyte count less than 60,000 /uL

I wish you and Ella the best! Continue to be strong and advocate for your daughter!
__________________
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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