I can update this much at least

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Yesterday we saw a hematologist/oncologist. He told us his opinion about Bob's anemia and why he had that opinion. We have a treatment plan to go forward with, if it is confirmed. He believes Bob is suffering from Myelodysplastic Syndrome which can be caused by aging and genetics OR by cancer treatments such as radiation. What this means is that his bone marrow is not doing its job. It is not producing blood cells. Bob was sent to this doctor because although his iron and B vitamins, etc. are okay his red blood cells, white blood cells and platelets are all low. Myelodysplastic Syndrome progresses to leukemia. The first step is to get a bone marrow biopsy. They are working on getting insurance to approve it, then that will happen. If it is indeed this syndrome, then a mild chemotherapy is in order. I was surprised that Bob chose to go with the bone marrow biopsy. He has had them before, not really fun. The doctor was also willing, if he did not want the biopsy, to give him a medication that is good for the kidneys and bone marrow. Bob went with the idea of a biopsy, if insurance will cover it. So here we are. Waiting to see.