Leukemia from Indonesia: Relapse After BMT
I write this email to you in order to seek your suggestion regarding my wife’s illness.
My wife had been diagnosed with Acute Myeloid Leukemia (AML) type M5 in late December 2005. I brought her to Singapore General Hospital (SGH) on 1 January 2006 for further management and chemotherapy. She had 3 cycles of chemotherapies in the first 3 months. Later she underwent a Bone Marrow Transplant procedure (BMT) in late April 2006 until mid May 2006. But unfortunately, on the 75th day after BMT, the leukemia cell relapsed. After that my wife had another cycle of chemotherapy and also received donor lymphocytes.
Due to financial consideration, I moved my wife for further treatment to Malaysia in mid August 2006. She was admitted into the Subang Jaya Medical Center (SJMC) until today. At SJMC she got another cycle of chemotherapy and received another donor stem cell on 12 August 2006.
But a week ago the leukemia cells were shown to be active again and they developed quickly before donor stem cells even could work. Five days ago my wife had another cycle of chemotherapy in order to reduce the white blood cell count.
I would like to find possible therapy and treatments that will be suitable for my wife. My wife and I are Indonesians. Within the next few days, I must make a decision whether to bring back my wife home to Jakarta or stay in Malaysia. I really need your help.