if you have a some time and could read my message and give me your input
My sister was dignosed 2 years and 3 months ago with CML when she was 19.she is in india, she finished her Nursing degree and now she 21. Since the dignosis she is on Tasigna 300mg twice a day, she got green card and immigrating for good to san jose, CA,USA on 23rd december, She had her last visit with her regular oncologist in india 2 days ago, and i found out that her doc increased her tasigna dose to 400mg twice a day. when i called doc to ask why increase in dose? his answer was
1)she had gained weight since her dignosis and now she 112
2)he is still waiting for her PCR report, which in india takes 5-7 days to come back, till the last visit she was PCRU
3)also her WBC counts were 14000 at this visit. Doc said none out of these was leukamatic cells
i am worried on why he needed to increase dosage now when she is leaving the country and not being monitored by any oncologist for few months
because of different countries and time difference, it's very hard for me to communicate with her doc and see the reports etc.
now situation here is i am applying for her medi-cal insurance as an individual with covered california(obamacare), if all the parameters qualify under low income (she is/will not be earning any income, she will start insurance from Feb and by the time we find a a good oncologist and lab, it will be at least mid February 2015
Doc (india) at the last visit prescribed 400mg twice a day tasigna for next 6 months, so she will have meds worth of 6 months with her but this is a increased dose and i am worried about how she will respond to it.
i am planning on calling oncologist today, what are some of the questions i should ask him to find out why he feel need to increase dose now?
please advise how should i tackle with whole situation?
Thanks so much