Wednesday, April 20, 2011

e-mail exchange with Dr. Luisiri

I got an email back from Dr. Luisiri, Bill's rheumatologist. Here's what he said:


dear Kris
i am extremely skeptical about rituximab effectiveness in scleroderma. in addition, it can suppress immune system significantly. i need to do some research on that. no matter what, his overall health is still very fragile and he is not suitable to receive any strong immunosuppressive agents. rituximab, at this point, will do more harm than good. of course, all of us including bill will pass away one of these days. but rituximab can put him at significant risk for severe infection, resulting in unexpected death.

Phot Luisiri

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Kris

04/18/2011 08:07 PM

To
Phot X Luisiri/CA/KAIPERM@KAIPERM
cc

Subject
Re: Fw: William Banks







Dr. Luisiri,
Again, thank you so much for following up on our request. He seems to be getting better (now he is in room 7798) but certainly his scleroderma is advancing (he has more red spots on face and three more black toes).

Please let me know if it makes sense for us to try rituximab that Dr. Furst recommended? I know you're skeptical, BUT we believe we have NOTHING to lose by trying. He's going to die anyway so why not try it???

Please please let us know. I don't want to waste precious time.

Kris

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