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Acute renal failure answers (327)

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Q: 

I am a 38-year-old Indian male. In March 2006, I was diagnosed with acute Myeloid Leukemia type 2 with maturation on a CBC report with 56% myeloblasts. My diagnosis was confirmed by bone marrow biopsy, immunophenotyping, and cytogenetics. First cycle chemotherapy was in March: Cytarabine 500 mg x7 days + daunorubicin 20 mg x3 days). Postchemotherapy bone marrow aspiration: AML in partial remission with 8% blasts.Second cycle chemotherapy in April: Cytarabine 5100 mg x3 days + mitoxantrone 17 mg x3 days). Postchemotherapy bone marrow aspiration: AML in complete remission.Third cycle chemotherapy in June: Cytarabine 4800 mg x3 days + mitoxantrone 13 mg x3 days). Postchemotherapy bone marrow aspiration: AML in complete remission.My 3rd cycle chemotherapy was rather complicated because of hypotension in 70/40 range, TLC remaining at 100 for about 30 days, gram-positive infection of my central line, and acute renal failure. I had a very slow recovery and it took almost 2 months before my CBC became normal in terms of RBC, TLC, and platelets. Because of this, my oncologist has been a bit reluctant to start the 4th cycle.My question is whether 4th cycle chemotherapy is warranted in my case or not. If the 4th cycle is given at this stage, will it be of benefit or not, since it has been already 90 days from my 3rd cycle.

A: Nobody can give you an exact answer to your question. However, since you required 2 cycles of chemo to enter into remission, I would probably consider further chemotherapy, in particular high-dose ara-c that has been proven benefitial in patients with your disease. Having said that, you must understand that I cannot assess your current organ function (kidneys) and also, complications you had. I think that the most proper thing would be to rediscuss all benefits and risks of the treatment with your primary oncologist so that both of you feel comfortable with the final decision....


Q: 

I am a 38-year-old Indian male. In March 2006, I was diagnosed with acute Myeloid Leukemia type 2 with maturation on a CBC report with 56% myeloblasts. My diagnosis was confirmed by bone marrow biopsy, immunophenotyping, and cytogenetics. First cycle chemotherapy was in March: Cytarabine 500 mg x7 days + daunorubicin 20 mg x3 days). Postchemotherapy bone marrow aspiration: AML in partial remission with 8% blasts.Second cycle chemotherapy in April: Cytarabine 5100 mg x3 days + mitoxantrone 17 mg x3 days). Postchemotherapy bone marrow aspiration: AML in complete remission.Third cycle chemotherapy in June: Cytarabine 4800 mg x3 days + mitoxantrone 13 mg x3 days). Postchemotherapy bone marrow aspiration: AML in complete remission.My 3rd cycle chemotherapy was rather complicated because of hypotension in 70/40 range, TLC remaining at 100 for about 30 days, gram-positive infection of my central line, and acute renal failure. I had a very slow recovery and it took almost 2 months before my CBC became normal in terms of RBC, TLC, and platelets. Because of this, my oncologist has been a bit reluctant to start the 4th cycle.My question is whether 4th cycle chemotherapy is warranted in my case or not. If the 4th cycle is given at this stage, will it be of benefit or not, since it has been already 90 days from my 3rd cycle.

A: Nobody can give you an exact answer to your question. However, since you required 2 cycles of chemo to enter into remission, I would probably consider further chemotherapy, in particular high-dose ara-c that has been proven benefitial in patients with your disease. Having said that, you must understand that I cannot assess your current organ function (kidneys) and also, complications you had. I think that the most proper thing would be to rediscuss all benefits and risks of the treatment with your primary oncologist so that both of you feel comfortable with the final decision....


Q: 

I am a 38-year-old Indian male. In March 2006, I was diagnosed with acute Myeloid Leukemia type 2 with maturation on a CBC report with 56% myeloblasts. My diagnosis was confirmed by bone marrow biopsy, immunophenotyping, and cytogenetics. First cycle chemotherapy was in March: Cytarabine 500 mg x7 days + daunorubicin 20 mg x3 days). Postchemotherapy bone marrow aspiration: AML in partial remission with 8% blasts.Second cycle chemotherapy in April: Cytarabine 5100 mg x3 days + mitoxantrone 17 mg x3 days). Postchemotherapy bone marrow aspiration: AML in complete remission.Third cycle chemotherapy in June: Cytarabine 4800 mg x3 days + mitoxantrone 13 mg x3 days). Postchemotherapy bone marrow aspiration: AML in complete remission.My 3rd cycle chemotherapy was rather complicated because of hypotension in 70/40 range, TLC remaining at 100 for about 30 days, gram-positive infection of my central line, and acute renal failure. I had a very slow recovery and it took almost 2 months before my CBC became normal in terms of RBC, TLC, and platelets. Because of this, my oncologist has been a bit reluctant to start the 4th cycle.My question is whether 4th cycle chemotherapy is warranted in my case or not. If the 4th cycle is given at this stage, will it be of benefit or not, since it has been already 90 days from my 3rd cycle.

A: Nobody can give you an exact answer to your question. However, since you required 2 cycles of chemo to enter into remission, I would probably consider further chemotherapy, in particular high-dose ara-c that has been proven benefitial in patients with your disease. Having said that, you must understand that I cannot assess your current organ function (kidneys) and also, complications you had. I think that the most proper thing would be to rediscuss all benefits and risks of the treatment with your primary oncologist so that both of you feel comfortable with the final decision....


Q: 

If acute renal failure leaves one kidney not working properly can it be left in the body?

A: yes, it still has a blood supply it just cant filter waste as it should...
Q: 

Are there any scientific reviews on the use of acupunture to help boost the immune system? I have just had a lumpectomy for breand last year had an episode of acute renal failure from an auto-immune disease affecting my kidneys. Acupuncture has been suggested to help boost my immune system to help fight the cancer. What do you think?

A: There isn''t much known about its benefit or not... also, usually it is recommended for patients having had breast cancer surgery with sentinel node biopsy or axillary node dissections to be watchful of needle sticks on the arm where the nodes were removed. We have a long way to go in understanding complementary medicine and its risks or benefits......
Q: 

What is acute renal failure characterized by?

A: Poorly functioning kidneys, as evidenced by a rise in serum creatinine levels....


Q: 

What are treatment options for intrinsic acute renal failure?

A: Usually your endometriosis can be treated with a simple dose of an over-the-counter pain reliever. But, if you are still experiencing painful symptoms your doctor may want to try more serious treatments. These treatments include different hormone therapies to deter menstrual swelling. Your doctor may simply take out the endometrial tissue or perform a hysterectomy, in which the uterus and ovaries are removed entirely....


Q: 

Are there any scientific reviews on the use of acupunture to help boost the immune system? I have just had a lumpectomy for breand last year had an episode of acute renal failure from an auto-immune disease affecting my kidneys. Acupuncture has been suggested to help boost my immune system to help fight the cancer. What do you think?

A: There isn''t much known about its benefit or not... also, usually it is recommended for patients having had breast cancer surgery with sentinel node biopsy or axillary node dissections to be watchful of needle sticks on the arm where the nodes were removed. We have a long way to go in understanding complementary medicine and its risks or benefits......


Q: 

What is renal failure?

A: renal failure is a serious medical condition affecting the kidneys. When a person suffers from renal failure, their kidneys are not functioning properly or no longer work at all. renal failure can be a progressive disease or a temporary one depending on the cause and available treatment options. The kidneys are glands that are located in the abdominal region just above the pelvis on either side of the body. When functioning normally, the kidneys separate and filter excess water and waste from the blood stream. The kidneys are responsible for producing urine, which is used to flush away the toxins. The kidneys also maintain a healthy balance...
 
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