Basically symptoms are suggestive of relapsed multiple myeloma. Hope all the tests of myeloma was done along with light chain assay, SPEP, immunofixation, bone marrow Aspiration and biopsy and bone scan/PET scan. Based on the extent of the disease and patient fitness we need to decide whether to give three drug combinations or only two drugs will suffice. If you can come down to Nagpur with patient and all the reports , we can discuss
Next Steps
Visit American Oncology Institute in Hingna nagpur for opinion