To whom it may concern

I have a [PHI Redacted] who has ITP and we have now tried Steroid treatment for two weeks and then Rituxin for 4 weeks. So far niether treatment has stablised the platelet count . They went as high as 58,000 with steroids but went as low as 4,000 one week after treatment. Rituxin only took them up to 21,000 but after 3rd tratment they were back down to 8,000. [PHI Redacted] is in college and has been having to miss 3 classes a week while underging treatments for the past month and a half. Now he is more than likely headed for a splenectomy. If that does not work I dont know what the next treatment would be. If Nplat would be a viable treatment I would hope that Insurance would cover as he is already into some pretty high medical bills.