Re: Re: Cytoxan as an oral single agent

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Dr. Furman:Thank you for such a quick reply. My other numbers are NEU 3.46 RBC 4.46 HGB 14.1 HCT 41.6 MCV 93.2 MCH 31.6 MCHC 33.9 and RDW 11.9. My spleen is normal, no nodes and no other symptoms. I don't think there is anything here to indicate treatment. But the Oncologist sited the rate of increase of WBCs and rate of decrease of PLTs specifically as reasons for treatment. I wanted to primarily check to see if this cytoxan was something extremely new being used to reduce the white count. I don't see how Oncologists who deal with everything from breast cancer to colon cancer with a few CLLers in between can keep up with what needs treatment early and what should wait such as CLL. So I don't fault the Oncologist necessarily. We as patients just need to make use of the education available to us here and elsewhere to keep up with our disease so that we can make informed decisions. Although.I do need to find a CLL specialist.Thank you again for giving all the help

here that you do. Daverrfman <rrfurman@...> wrote: , Nothing new. Physicians have moved toward cytoxan in place of chlorambucil because it seems gentler on the marrow. I am not sure I understand the significance of a drop in platelets from 184 to 162. Remember that normal is still normal (and anything above 150 is normal) and 100 is the cut-off used for stage IV CLL. Perhaps your oncologist also noted something else. Rick Furman, MD -

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