Our Hemoc just called and said the cytogenic tests are back and Alan’s chromosomes are all normal. So now there is a question if Alan even has MDS-RA because of the B12 deficiency which could be the cause of his anemia. Alan’s RBC is 11.8 and he has Hypocellularity 60-70% vs the 50% it should be. Also, Doc said his spleen is slightly enlarged. All of these conditions can be explained as the result of a B12 deficiency. So the next step is to go for a second opinion at City of Hope here in Phoenix which is affiliated with City of Hope in California (Center of Excellence). Doc said they’ll want to do another BMB in a few months to see if the B12 has had any affect before giving a second opinion.
I’d be interested in hearing your opinions on the subject as always since you are such a knowledgable group.
Thanks
Chris
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