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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Are The Red Blood Cells Unstable?

Mr bra, LKK(Handoko Nursalim)74, Chinese fr Indonesia, been consulting his Diabetic(typeII for ovr 10 yrs?)w Dr.GordonKu, Mt.E Hospital, Singapore.been dialysis for 6 mos?.Problem G6PD, red blood cell not stabil, over transfused, and Dr inject Aransep and Recommon 10000,still not normal up and dwn.Recently he got Amoeba after dialysis in Indonesia n rushed to SG for treatment n more or less cured, but now detected pulmonary n heart congestive symptom, Dr has to drain body water now he is oly 55kg-dry weight.Family are worried, how to improve his condition. His bone marrow test shown negative. medical report enclosed
Fri, 8 Sep 2017
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Hematologist,  's  Response
Hi there,
Please check his iron profile. He may need ferric carboxy maltose infusion along with Erythropoietin to increase his hemoglobin level. Also give gim folic acid tablets and vitamin B12 injections. Normal bone marrow test is a good news, as some serious problems are ruled out after doing that test.
His anemia appears to be related to kidney failure, not due to G6PD deficiency.
Hope I have answered your question. If you have any further questions I will be happy to help.
With regards,
Dr. Girish Kamat

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Why Are The Red Blood Cells Unstable?

Hi there, Please check his iron profile. He may need ferric carboxy maltose infusion along with Erythropoietin to increase his hemoglobin level. Also give gim folic acid tablets and vitamin B12 injections. Normal bone marrow test is a good news, as some serious problems are ruled out after doing that test. His anemia appears to be related to kidney failure, not due to G6PD deficiency. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat