Nigel is back in hospital for high levels of CMV, a virus that's commonly reactivated upon transplant. While it's a common occurrence, it does predict morbidity and mortality rates. This round of ward stay with virus drips and medications is an estimated $10,000. The numbers don't mean a thing as Long as he comes home. Do continue to keep him in your thoughts and prayers please.
Thank you all for the generous support. I've set up a blog at http://aplasticaffair.blogspot.com if you'd like to see daily updates about Nigel (: we are very blessed to be covered with prayers. The guys over at give.asia have kindly reinstated the site. His medical bill as at 11.11 is $40000. We've been told to be prepared for a second transplant if the counts do not go up by this week. So pray along with us. We are praying for miracles (:
Aplastic anemia is a rare disease in which the bone marrow is empty and cannot produce any red, white blood cells or platelets. NUH has only treated less than 10 cases in the past 20 years. Nigel has been diagnosed with very severe aplastic anemia since his admission on 20/9 and his blood counts for all three blood cells are dangerously low. He has only one treatment option for this life threatening condition - a direct bone marrow harvest from his sister who is a perfect match for him. He has gone through one round of chemotherapy prior to the transplant completed on 19/10. He is currently on small doses of chemotherapy to prevent his body from rejecting the transplanted stem cells. The 1.2 million stem cells harvested fell short of the 2 million target that the doctors would've liked but we're praying for miracles.
The patient – Nigel Yeo, a young man who went to the university health and wellness centre for a simple consult on a series of purple dots on his legs, was immediately admitted to the emergency room for further examination. Although he thought he thought it was a simple virus or dengue, he was diagnosed in National University Hospital (NUH) with severe Aplastic Anemia on 25 September 2017 and has been warded since. The diagnosis was based on blood tests and verified by bone marrow aspirate evaluation.
Nigel’s Medical Condition: Nigel’s aplastic anemia is severe. There was once when his platelet count dropped to 1k when the healthy individual has 150k and above. It was a thrombocytopenia precaution and any risk of bleeding could be fatal since the blood is not able to clot without platelets. Aplastic anemia is the failure of the bone marrow to produce blood cells (red blood cells, white blood cells, and platelets) because the stem cells have been damaged. Stem cells are precursor cells from which all blood cell lines develop. Because fewer new blood cells are produced, the old blood cells at the end of their life spans are not replaced. This results in a decrease in the number of all blood cell types within the circulating blood. A rare and serious condition, aplastic anemia can develop at any age. Aplastic anemia may occur suddenly, or it can occur slowly and get worse over a long period of time. Although there is no accurate prospective data on the national incidence of aplastic anemia, several studies based on reviews of death registries suggest that the US incidence ranges from 0.6 to 6.1 cases per million population; in Europe and Israel, the incidence is 2 individuals per million, and in some parts of Asia, the incidence is 4 individuals per million. A stem cell transplant to rebuild the bone marrow with stem cells from a donor may offer the only successful treatment option for people with severe aplastic anemia. A stem cell transplant, which is also called a bone marrow transplant, is generally the treatment of choice for people who are younger and have a matching donor — most often a sibling. If a donor is found, your diseased bone marrow is first depleted with radiation or chemotherapy. Healthy stem cells from the donor are filtered from the blood. The healthy stem cells are injected intravenously into your bloodstream, where they migrate to the bone marrow cavities and begin generating new blood cells. The procedure requires a lengthy hospital stay. After the transplant, you'll receive drugs to help prevent rejection of the donated stem cells. A stem cell transplant carries risks. There's a chance that your body may reject the transplant, leading to life-threatening complications. In addition, not everyone is a candidate for transplantation or can find a suitable donor.
Financial Situation: Nigel
is a second year Chemistry student at NUS. He does not have a hospital plan to
cover his hospitalisation costs. He has the NUS Group Insurance which only covers up to 21 days of hospitalisation which he has already exceeded.
Hobbies: Nigel loves to be in the presence of God. He has an interest in baking and in Traditional Chinese Medicine.
Family: His parents are both in their 60s. Nigel’s parents are currently unemployed. His elder brother is a final year university student at SMU. His sister earns $5000/mth and is the sole breadwinner of the family. His sister pays for their university tuition fees.
Need to Support: Nigel is in a great need of help to lighten the load of his total hospitalisation bill by the end of November 2017 (estimated SGD 50,000 for non standard antifungal drugs costing $1000 a week and a $11000 chemotherapy fee and including the hospitalisation fees for a month post transplant). His sister will be a voluntary donor and will not be covered under any insurance. The estimated costs are $8000-$10000 for her direct bone marrow harvest. His Sister has since gone for the bone marrow harvest and has been losing a lot of blood. Her ward stay has been extended. She's taken a little longer to recover but she's just been discharged on 22/10. Hence, your help and support are very much needed and any amount is appreciated.