My name is Rajesh Kumar and am writing to you in context to my 8 year old son, Kumar Rishit. He does not keep well with his health quite often, has weaker immunity and is also allergic. I got your reference from the SGRH Website and hope you are the right Doctor that I am writing to. Hope you would respond to it, and then we can fix-up an appointment accordingly. Rishit has a history of poor health, as I would like to list his hospitalizations as follows - May 2007: Was hospitalized with Septicemia for 8 -10 days; treatment left him with partly impaired hearing loss due to Amikacin toxicity. Hearing is however better now. March 2008 & July 2008: Hospitalized with high fever June 2010: Hospitalized with severe coughing and vomiting 11 Jan 2011: Hospitalized with stomach pain and fever (3 days) 25 March 2011: Hospitalized for lower chest pain, fever (3 days) -- minimal pleural effussion in lungs found (both lungs), WBC = 21000 03 April 2011: re-hospitalized again as the pain did not recover (3 days) - minimal pleural effussions were persisting, WBC= 14000, treted with antibiotics and recovered. 11 May 2011: hospitalized for vomiting, fever, pain in stomach (3 days) - minimal pleural effussion recurrance in left lung, WBC= 38000. Discharged with antibiotics and is recovering. Tests carried out: (over the periods) CBC: Usually the WBC Counts are raised above 25000, Neutrophils above 80 MP/Widal/CRP-- Negative, no findings TB Feron Test-- Negative; carried out on 4th April 2011. CT Scan: show normal organs, except for minimal pleural effussion in the lower lungs; carried out on 4th April 2011 HIV I &II -- Negative; carried out on 12 May 2011 (were negative earlier also) Bone Marrow Biopsy -- Normal, no abnormality found; carried out on 12 May 2011 X-Rays have indicated the minimal pleural effussions since March 25, 2011 (fluid not enough to take out for testing) Chest/Abdomen Ultrasound -- normal report/all organs reported ok, except for minimal pleural effussion, after 25th March Rishit has been getting fever (infection ??) quite often since last 4 years, though he was quite alright during August 2008- June 2010. He was able to attend school only for about 25% of his school days, due to health issues during July 10-April 11. Now since he is getting into hospital every month, I am really very much concerned. Please advise. Thanks a lot. Rajesh Kumar