Cancer Case study

Mr. L. is a 69 year-old male with acute myelogenous leukemia (AML), FAB-M1 normal cytogenetics diagnosed in May of 2001. He received chemotherapy (7+3: AraC/idarubican) at that time and achieved complete remission. He developed a relapse in the April of 2002. He deferred treatment as he was trying alternative medicines. He eventually was treated with chemotherapy (Mylotarg) again in May of 2002, but this did not result in remission and he is considered to be in refractory relapse.

Mr. L. has a history of neutropenic fever, otitis media, diabetes, positive VRE in his blood, and Coronary Artery Disease. Mr. L does understand that there is no cure for his disease and that is why he has chose alternative care. He has refused a referral to UW-Madison & UI-Chicago for research and experimental therapy.

At this time he is still trying alternative medicines, and comes into the Cancer Center for lab draws, and if needed he has blood and/or platelet transfusions. He has refused Procrit and GM-CSF, to assist in his condition.

Mr. L is married and his wife is supportive of him and his choice in attempting alternative medicine. He also has many siblings who are supportive of him and 2 of them were t

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8 (42-52) Hematocrit is a measurement of the proportion of blood that is made up of red blood cells. AML can occur in a variety of ways; different types of cells may be seen by the physician in blood or marrow. His stressors are having a disease that there is no know cure for, having chemotherapy not work, trying alternative therapies, and having to come into the Cancer Center each week to have his blood work tested (CBC & CMP) to see if he needs to be transfused. He is doing this by giving back to his family and being their for them and trying to go on in his normal routine. 8) The white blood cell (WBC) count indicates the number of white blood cells in a sample of blood.

Subtypes of Acute Myelogenous Leukemia

Leukemia is a malignant disease (cancer) of the bone marrow and blood. A low result is indicating lymphocytopenia which could be caused by radiation therapy, sepsis, or immunodeficiency. This count provides a clue to the presence of illness. It refers to the percentage of neutrophils (white blood cells that fight infection) and cells that will become neutrophils multiplied by the white blood count (WBC). is in Erikson’s stage of generativity versus stagnation.

Approximate Word count = 1070
Approximate Pages = 4 (250 words per page double spaced)

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