Conversation: The conversation between human and AI assistant.
[|Human|] My sons mother in law has cancer in the spine.  The doctors put a stint into her brain to be able to take out 15 ccs of spinal fluid and in turn immediately return the chemo medication back into her spine.  She cannot walk whatsoever.  She has a catheter but has alot of blood in it.  The catheter was just changed today, but is still bleeding.  I know that she has been taking heparin and coumadin.  Her white cell count is very low and is taking medication to enhance this.  What I want to know is what can my son do to be able to work.  Her insurance will not pay for a caregiver every day.  This is what she needs!  The relationship between my son and his wife is getting hard.  They are arguing, etc.  They also have a 2 year old son.  Wow, i just dont know what to do or where to turn to help them.  Do you have any suggestions?
[|AI|]  Thanks for the question. So your sons mother-in-law has three main issues. She is unable to walk due to tumors has bleeding catheter. She has low WBC count. Whether she will be able to walk in future can only be told by a scan of the spine. If it has shown no major fracture, she might walk after treatment. Bleeding from the catheter needs to be investigated whether it is due to low platelet counts or due to heparin therapy, Low platelet counts will require platelet transfusion and if it is due to heparin then heparin needs to be stopped for few days and plasma transfusion and vitamin K has to be given. For low WBC growth factors will be required. Antibiotics are also required to prevent any infection in between. Hope this solves all your queries. Regards