Dr. Gustavo Rivero, MD

Schedules massive tests, clinical trials, psychiatric drugs yet has not read the patient's records - The appropriate approach, if any, should depend primarily on three clinical and biological factors: ? Severity of the patient’s cytopenia. ? Degree of leukemic progression (% marrow blasts). ? Patient’s age. These factors, in turn, are reflected in the IPSS [46] previously described. The main goal in the elderly patient should be to ameliorate their cytopenias when they become transfusion-dependent, wherein the clinician should be reminded of the first principle of medical care: “First do no harm.”

He was right on with the diagnosis he thought and he works hard and on top of things to a speedy process. Love him. Over and beyond about my care as a person not a number

Houston's Angel