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a - After I talked to him, I put all your e-mails in one and sent them to the MA, as well as my brief comment to you yesterday.

Today I rcvd this from him:

_____________________

I think you put it well. I would not be concerned about teardrops as an isolated finding in a person with CLL.

___________________

Boy, I wish I had your red counts!!

Best,

,

I think you put it well. I would not be concerned about teardrops as an isolated finding in a person with CLL.

Rick

Teardrops - I was able to put all her comments into one e-mail

> Thank you ..the reason I was getting concerned about the > teardrop cell > without knowing if the amount was the key is that it is a rare one > and then the > things I could find associated with it were mentioning aml and a > form of mylo > that affects ones bone marrow which in rare cases can over lap > cll...and > since those never were reported before that I am aware of and also > anemias and > red blood cells that form from the spleen were associated. I thank > You...sincerely PJG > > My ab lymph is 189 my neuts are around 6. Even though I know > all the other > stuff to watch for I like to know what is going on in my cbc`s we > do have a > body whole ...thank you for your time sincerely PJG P.S. > Hope you are > doing okay.. >

> So have you heard of the teardrop cells showing on highly > infiltrated > cll patients and it does not mean as association to the Myeloids > and or > Mylofibrosis probably misspelled...I had done my homework before I > sent to you anyway > I just thought with all your issues you might be one who had kinda > an inside > knowledge however I , like you wish to be careful of what I say > because as you > said we are not Drs...Thank You for your time in this I will go > over this in > detail with my Dr. he is pretty open to all my questions and > concerns and I > like him for that..He may be just a Local but at least he listens > and one thing > my husband and I have ask and told him if he feels my case is > getting a little > out of the "sameole sameole" we want to know so that we can seek > other

> opinions ..he has always agreed...We will see...right now I feel > good says the lady > before the Mack Truck hit her....sincerely PJG > > Yes, I would like to know his input...I know what the terms mean > and I know > what they are mostly related to but it would be interesting if > seeing them in > cll is more to do with the cll stressed spleen and or marrow and > also I think I > told you sometimes they can be from a poorly prepared slide .. > thank you and > we hope the best for you and with all your trials and tribulations > I thought > maybe you might have known the correlation of the teardrop cell as > to anything > negative in cll and or just showing maybe an anemia is around the > corner..sincerely PJG and thank you .. >

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