Thanks for your reply Sheryl. We live in Koh Phangan, so Bangkok would probably make sense. As you have suggested, We need to see a specialist, who can advise us of the best way forward. The doctor at Surat Thani hospital, apart from the blood transfusions has given us folic acid and vitamin pills and told us to come back in 3 months (15 Jan) There are several problems that I can see for myself, the girl is very anemic and pale, even jaundiced and her spleen is obviously enlarged which is making it difficult for her to pee, although it doesnt hurt her.