<s>[INST] my husband's red blood cell count keeps going down.  I am out of work today quite ill and could not accompany him to the oncologist today.  They diagnosed him with anemia and took at least 8 vials of blood from him.  The office was filthy, the staff very unprofessional, and when he asked the question to the oncologist what he thought he had he was abrupt and just about kicked him out.  He is in the Signature Healthcare Network and does is scared to change.  When I get my strength back tomorrow, nothing keeps me down, I will be all over his PCP first and foremost.  His symptoms are as follows:  -red blood count going down - total fatigue - depression - constant constipation - weight gain.  Please help me out a little with this and God Speed.Best,Lorraine Palm/for Richard P. Palm, Jr. [/INST] Hi, Thanks for writing to health care magic. Further details are required to answer your question. What malignancy your husband is having. Is he on any medication? Does he have any other basic cause of anemia before this problem started? What about the other investigations which were done? What about the other cell lines like platelet count, leucocyte count etcContinue to ask further queries as required. Hope this helps. Take care. Dr Y V Siva Sankara Murty M.D.(Pediatrics) Associate Professor of Pediatric </s>