[11/27/25, 6:32:24 AM] Bijay P Oncologist: ‎Messages and calls are end-to-end encrypted. Only people in this chat can read, listen to, or share them.
‎[11/27/25, 6:32:24 AM] Sameer Badarudeen: Flow report. I will call you this evening as you advised. Thank you Bijay ‎image omitted
‎[11/27/25, 6:50:39 AM] Sameer Badarudeen: ‎image omitted
[11/27/25, 8:32:35 AM] Sameer Badarudeen: ‎Voice call, ‎8 min
‎[11/27/25, 8:40:58 AM] Sameer Badarudeen: ‎image omitted
‎[11/27/25, 8:40:58 AM] Sameer Badarudeen: CCR_4182YK007572_734983f.pdf • ‎13 pages ‎document omitted
‎[11/27/25, 8:40:58 AM] Sameer Badarudeen: Ishamma T M 5.pdf • ‎2 pages ‎document omitted
‎[11/27/25, 8:42:13 AM] Sameer Badarudeen: WhatsApp Scan 2025-11-26 at 19.58.39.pdf • ‎1 page ‎document omitted
[11/27/25, 8:50:27 AM] Sameer Badarudeen: ‎Voice call, ‎2 sec
[11/27/25, 8:50:35 AM] Bijay P Oncologist: ‎Voice call, ‎31 min
[11/28/25, 6:37:05 AM] Bijay P Oncologist: Sameer, I saw and did her bone marrow today. Got 2 good cores. The aspirate was hemodilute again. But we should be able to get a good estimate of rhe blasts. She tolerated it well. I told her to take paracetamol and to expect it to be a bit more sore than last one when lidocaine effect wears off.

Hemoglobin has dropped some since last labs. Usually we transfuse for less than 7, but since she is not very symptomatic. Can repeat cbc on Monday and if still low then arrange transfusion.
[12/4/25, 10:15:49 PM] Sameer Badarudeen: Hi Bijay, just saw that the second BM biopsy has resulted. Please let me know a good time to call you
[12/4/25, 10:32:31 PM] Bijay P Oncologist: Sameer, we can talk now. Have to leave for in patient rounds in 5-10 mts . Could discuss before I leave . Call if you are free
[12/4/25, 10:32:43 PM] Sameer Badarudeen: ‎Voice call, ‎22 min
‎[12/4/25, 10:33:29 PM] Bijay P Oncologist: ISHAMMA T M (MR000384802).pdf • ‎7 pages ‎document omitted
[12/5/25, 12:03:21 AM] Sameer Badarudeen: Hi Bijoy I have two more questions. Let me know when you have time please
[12/5/25, 12:21:32 AM] Bijay P Oncologist: We can talk now.
[12/5/25, 12:34:36 AM] Sameer Badarudeen: ‎Voice call, ‎No answer
[12/5/25, 12:35:32 AM] Sameer Badarudeen: Sorry I didn't see your reply on time. Please call when you get free next tome
[12/5/25, 1:33:10 AM] Bijay P Oncologist: Looks like it is about 1:30 am there now.
You can call when you wake up. After 1-2 pm Indian time is usually lighter for me.
[12/5/25, 1:34:02 AM] Sameer Badarudeen: I'm still up is now good?
[12/5/25, 1:35:10 AM] Bijay P Oncologist: ‎Voice call, ‎4 min
‎[12/8/25, 2:22:20 AM] Bijay P Oncologist: ishamma.pdf • ‎2 pages ‎document omitted
[12/8/25, 2:22:20 AM] Bijay P Oncologist: Normal karyotype
[12/9/25, 7:50:35 AM] Bijay P Oncologist: The port placement got a bit delayed since they wanted to have her get some platelets first. Will plan to start tomorrow morning rather than tonight.
[12/9/25, 7:52:41 AM] Sameer Badarudeen: Should we start the treatment on regular IV in the mean time?
[12/9/25, 7:53:20 AM] Sameer Badarudeen: Or it requires a central access?
[12/9/25, 7:56:21 AM] Bijay P Oncologist: Central line Not needed. I wanted to talk to her one more time before we started treatment just to make sure she understood everything. I couldn't see her before I left she was still in radiology suite.
But if you don't think that is needed then can start tonight. Let me know.
[12/9/25, 7:57:33 AM] Bijay P Oncologist: Medically there is no difference between starting tonight and tomorrow morning .
[12/9/25, 8:03:59 AM] Sameer Badarudeen: ‎Voice call, ‎10 min
[12/10/25, 5:18:16 AM] Sameer Badarudeen: I'm blanking on the name, what was the antibiotic alternative to Zosyn you mentioned
[12/10/25, 5:20:04 AM] Bijay P Oncologist: Meropenem
[12/10/25, 5:22:48 AM] Sameer Badarudeen: Nisha just called. She is have sudden chills and breathing difficulty with transfusion
[12/10/25, 5:59:13 AM] Bijay P Oncologist: ‎Voice call, ‎2 min