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Old Fri Feb 18, 2011, 02:37 PM
Ryan Jay Ryan Jay is offline
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Join Date: Aug 2010
Location: Massachusetts
Posts: 106
No doctor, but this sounds really early to me.

Hi boch,

The BMT or ATG question is not an easy one to answer, even for the most seasoned doctors. But if you want my non-expert opinion, I think it sounds a little too early.

My counts didn't really start to rebound until the middle of October, after having had ATG in early August. And I was bad! Platelets crashing down to "3" every couple of days, HGB at 4.1. Ugggh!

It may sound a little strange, but I've always thought of the decision to go to either BMT or ATG like counting cards at the blackjack table, with some factors calling for the BMT (A hit) and others ATG (Stay).

No response to ATG: Hit

Dangerous ANC: Hit

Being under 40: Hit

No matched sibling: Stay

Older than 50: Stay

A good doctor should go through all of these factors in order to come up with the best way to play the hand to beat the house (Aplastic Anemia).

Anyway, that's how my goofy mind works.

Good Luck!
__________________
Ryan Jay: 38-yo, dx SAA: 7/25/10, ATG: 8/10/10. CR with counts still rising. HGB: 13, Plt: 137 WBC 5.1 ANC
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