Dear Colleagues
Greetings n good wishes
Just to refresh ur memories , I had a Benign NeuroFibroma removed from my Spinal Cord at level T 8/9 in March 2012, with resultant complications. Had numerous consultations in South Africa and Abroad. The final conclusion is that I have
1 Residual myelopathy from Spinal cord tumour and surgery to remove it.
2 Partial Cauda Equine syndrome from Lumbar Spinal Stenosis from L2 to L4 and Spondylolithesis of L4 / L5 grade II
The problems from the above are marked Paraesthesia n Low Backache
Recently a new problem has cropped up.
Just to recap’
1 Hypertension at age 61yrs in 2001. on Diltiazem n Hydrochlothiazide
2 Chronic Lymphocytic Leukemia CLL at age 62yrs …..in Remission
3 Atrial Fibrillation at age 67yrs in 2006…..on Warfarin as per INR readings and Lanoxin 0.25mg

My present problem is a gradual drop in my Haemoglobin ( Hb )
In July 2014 my Hb was 13.1 and Platelets 184
In July 2015 Hb 11.4 Platelets 170
In Dec 2015 Hb 10.9 Platelets 136
In Feb 2016 Hb 10.1 Platelets 133
In March 2016 Hb 9.8 Platelets 143

On the 13 March 2016 had 1 Unit of Packed Cells and Colonoscopy and Endoscopy – showed a Normal Upper Endoscopy : Colonoscopy showed a Caecal Polyp n Early Diverticular Disease. Then had a a Capsule Endoscopy a week later which showed Antral Erosions and the small bowel mucosal pattern looked normal with no cause for Iron Deficiency was identified
Had a CT scan of Abdomen n Pelvis showed a mild Hepato-splenomegaly with subcentimeter upper abdominal and
para-aortic adenopathy

My Hb went up to 10.2 on the 30 May 2016 ( following the 1 unit of packed cells )
Now on the 30 May 2016 my Hb has dropped to 9.1 and Platelets 123.

Saw a Cardiologist cum Electrophysiologist on 2 June 2016. he suggested I stop the Lanoxin and change from Warfarin to Pradaxa 110mg twice daily
The problem is no one knows the cause of my slow drop in Hb n Platelets. Can some one brain storm my case and see what could be the likely cause
Would really appreciate some feedback
With many thanks and kind regards
Yours Chil Dr DN Charles
e-mail chilcharles@gmail.com