July 25, 2008
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Please Enter The Following Information.

First Name:
Last Name:
Email Address:
Type of Amyloidosis?
Current Status:
Treatment Facility, including the City and Country
What are the areas of major and/or other organ, system or tissue involvement? Click all that apply. You may list more than one in the "other" box.

Kidneys

Nervous system

Gastrointestinal

Heart

Liver

Other

Primary Treatment received to date? (Please note any "alternative" or unconventional therapies you have used) click all that apply.

Stem Cell Transplant with High Dose Chemotherapy

Oral Chemo and Steroids

Thalidimide

Dex

IDOX

Other

   
Maintenance Treatment received to date? (Please note any "alternative" or unconventional therapies you have used) click all that apply

Stem Cell Transplant with High Dose Chemotherapy

Oral Chemo and Steroids

Thalidimide

Dex

IDOX

Various medications for other organ involvement

Doctor monitoring

Nutrition & Diet

Reqular Exercise

Other

   
Story Title:
   

Story

TIP: Compose offline and then paste it in the box.

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