|
MDS
Hi Teo,
You know I really don't like to discuss treatment in a patients when we don't have a BMB that tells us that the patient has MDS.
If your mother has RA and we don't know her Serum-EPO initially she could be treated with EPO + G-CSF like Neulasta (like Neupogen but longacting).
23% of patients who need 2 units of blood or more/month and have Serum-EPO less than 500 will respond when they get an EPO-drug alone. Seven % of the patients who need 2 units of blood/month and have a Serum-EPO ≥500 will respond. More patients respond when they get growths factors for both red (EPO drug) and white blood cells (Neulasta). Why not try that treatment?
It must be difficult to force the doctor to try a treatment - I understand it is different in Malaysia compared to USA or Sweden. Can't you ask him what he thinks will happen to your mother if she gets this treatment that is common in RA patients.
Kind regards
Birgitta-A
|