კითხვა: Hi! My name is Henrik Horne and I am moving to Tbilisi in a week to work there over the summer, from the 11th of May until the 27th of July. I am contacting you to see if you have any hematologists working at the hospital who are able to take out-patients this summer. I have a chronic condition called essential thrombocythemia and are receiving regluar check-ups from my hematologist here in Norway. From before I am taking 5x Anagrelid (50mg)/day and 1x Albyll-E (asprin), but my hematologist wants to start me on an additional treatment with Pegasys injections to reduce the number of platelets, which is currently on the way up. Introducing me to this new medication she wants to monitor my values to adjust the dosage and control the effect, which will be hard seeing I am out of the country. Therefore, I am looking at different options to make an appointment to draw blood samples and control my values in the beginning of June at a hematologist in Tbilisi, so I can contact her with the results. I will also bring the results from my doctor here so they have a point of reference. Thank you for your time and consideration and I am looking forward hearing back from you. Best, Henrik.
პასუხი:
Dear mister Henrik , We saw your letter which was published in your Internet portal.
We got interested in it,
Essential thrombocythemia (ET) is a myeloproliferative disorder characterized by an increased platelet count, megakaryocytic hyperplasia, and a hemorrhagic or thrombotic tendency. Symptoms and signs may include weakness, headaches, paresthesias, bleeding, splenomegaly, and erythromelalgia with digital ischemia. Diagnosis is based on a platelet count > 450,000/μL, normal RBC mass or normal Hct in the presence of adequate iron stores, and the absence of myelofibrosis, the Philadelphia chromosome (or BCR-ABL rearrangement), or any other disorder that could cause thrombocytosis. Data suggest that risk of thrombosis is not proportional to platelet count.
common symptoms are:
• Weakness;
• Bruising and bleeding;
• Gout;
• Ocular migraines;
• Paresthesias of the hands and feet;
• Thrombotic events.
Thrombosis may cause symptoms in the affected site (eg, neurologic deficits with stroke or transient ischemic attack; leg pain, swelling, or both with lower extremity thrombosis; chest pain and dyspnea with pulmonary embolism). Bleeding is usually mild and manifests as epistaxis, easy bruisability, or GI bleeding. However, serious bleeding may occur in a small percentage of cases.
Our clinic is multi-profile and yes, we have highly qualified hematologists, which will help you.
We only have to inform you, that it would be better to bring the prescribed medications from Norway.
If you decide to arrive in Georgia, You can call our hot line number (+995 577) 119 119 or (+995 322) 022 525.
We would be happy and our highly qualified doctors Help you solve problems.
Thank you for trust our clinic, we wish you good health !
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