CRLA2+ Ph-like 36 year old presented and they called me for help since I'm used to treating Ph-like cases. Fly him out to Kaiser, repeat bone marrow for confirmation at TriCore for molecular and cytogenetics. Results should be out within a week. This shit isn't rocket science, why are they bothering an ex doctor for dumb shit like this. I'd rather discuss the lab results than be asked for speculation.
People need to stop calling me for help because it's a pain in the butt
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Wtf did you type bro?
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Honestly not that hard to understand. They have a t(9;21) (Philadelphia or Ph) with rearrangement of the CRLA gene that's typical in Ph+ though normally seen in male children and rare in adults. Simple case of terminal leukemia and a 6-9 month prognosis and give them a TKI mixture so it isn't 3-4 months
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