Dr Gapay, Thank you so much for your response.

Our friend wasn't told why EPO was not effective. She is in stage 3 with creatine elevated to 1.6. She was given Oral Iron throughout her hospital stay and then discharged. Their wasn't any clear explanation why her HB wasn't improving or why it went low other than they scoped her to see if she had active bleeding. The family requested that EPO continue at discharge and a nurse is now coming to administer a shot of 10k units every other day along with the oral iron. Her healthcare agent is also in the process of locating a surgeon within the health system that she belongs to.

Everyone feels awkward since the discharge since she is at high risk for a heart attack. Can a healthcare system release patients who just don't seem to be getting better?