[Iwonka]

My dad has been diagnosed with MDS transforming to AML beginning of January 2012… The biopsy cytogenetic report stated it’s MDS/ AML with poor prognosis due to multiple chromosomal abnormalities. He went through a first cycle of VIDAZA. Every two weeks he receives blood transfusions and his platelets have been low also. When he was diagnosed over a month ago his fevers were 100 to 101. Now they are 102.4 at night and sometimes day. He did a CT scan of chest a week ago which showed resolving pneumonia. Before the CT scan was done doctor gave him an antibiotic Levoquin which seemed to work because for a couple of days fevers went down and probably started to heal infection but unfortunately my father also developed a terrible rash from the antibiotic and had severe ankle, knee, hip, and tendon pain. At one point he could not walk. He stopped taking the antibiotic and was given Augmentin. But his fevers are back up and do not want to go down. At night the sweating is terrible. The doc prescribed in addition to Augmentin Ciprofloxacin which is in the same family as the Levoquin. Unfortunately he’s not tolerating that one because he threw up after taking the first pill. He also is very depressed especially when the fevers kick in to the point that he feels he doesn’t want to fight anymore. He has terrible pain in the hip area also. He takes pain meds for that.
So my question is the doctor is not admitting him to the hospital yet because he doesn’t fit the criteria from looking at his counts. Wednesday and today he received an antibiotic through IV. Shouldn’t he be admitted? Could the fevers only be pneumonia related? What other infections could be happening? Or is the AML causing such high fevers? Will vidaza regulate the fevers? What about the pain in the hips? Did anyone experience any pains due to disease? I should mention he’s always had lower back pains due to AVM (arteriovenular malformation) in spinal cord that occurred in 2003 which led to his paralysis from below waist down. Thanks to physical therapy he was able to walk with a cane. Now he’s weak and uses wheelchair. His back/hip pains are even more unbearable.
Thank you in advance for any feedback.