Follow-up and referral

After several follow-up appointments while monitoring my Coumadin and INR levels, my hemoglobin was dropping further towards 10, but my platelet count improved to below 500. I was referred to a faculty hematologist at the University of Minnesota with appointment on January 18th. Another CT scan showed additional pulmonary embolism so I spent three days in the Fairview University hospital for additional heparin treatment and tests. I was switched to Lovenox heparin blood thinner and scheduled for a bone marrow biopsy (BMB) and colonoscopy in mid-February. During this time, an abscess was discovered on a front tooth and an old root canal was redone. During these days as the Lovenox was discontinued temporarily, I experienced another blood clot found by CT scan on February 28th. The results of the BMB showed 95% hypercellular activity in the bone marrow, which was producing maximum red blood cells, a sign of myeloproliferative disease (MPD). Problem was that these blood cells did not survive in the blood stream resulting in the anemia. It was a double-whammy with my oxygen intake affected by both the low hemoglobin (9 to 10) in my blood and the reduced blood flow through my lungs due to the multiple clots.