Conversation: The conversation between human and AI assistant.
[|Human|] hi doctor, my platelets was  1.5million, doctors told me it is essential thrombocytosis , started with the medicine hydroxyurea, and my paltelets become 400 thousand  then i got some skin rashes  and doctors advised to stop the hydroxyurea and started anagralayd after fewmonths they stopped it and started imatinib i took it arround six months there is no improvement then they shifted the medicine to dasatinib150mg daily still my paltelets are 780thousand i done BCR- ABL 3 times It is negative,but the doctors here they are saying i am a cml patient, now they are going to shift the medicine agin to nilotinib. i need your advise in this matter.
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. You have some chronic myeloproliferative disease.  You should go for bone marrow examination with flow cytometry to search the exact cause. Whether you have essential thrombocytopenia, CML or some other disease. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.