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#1
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Lost figuring out labs
Hello All,
I will get directly to the point and hope someone can make sense of this mess! In Early March I was dx with type 2 diabetes. Along with all of this testing it was learned my retic count was about 120k at which point I was referred to a hematologist/onco. Further testing mid March looked like this: WBC 8.6 ANC 5.8 RBC 2.9 Hgb 7.1 HCT 25.1 RDW 21.8 Iron 18 TIBC 393 UIBC 375 EPO 501 Ferritin 4 Iron Sat % 4.6 Serum Kappa 28.77 Kappa/Lambda 2.39 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 10 days later WBC 11.3 ANC 6.9 RBC 3.25 Hgb 7.5 Hct 26.8 RDW 21.7 Lymph# 3.5 Mono# 0.8 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 week later WBC 10.2 ANC 7,1 RBC 3.7 Hgb 9.1 Hct 32.4 RDW 24.5 This last set was after a 1 gram Iron infusion. I do not have celiac and occult blood in stool was negative. Folate, B12, Calcium are all good. I am feeling a little better meaning I can breathe now and think (for a while my thinking was very jumbled) I am trying to get a handle on the retic count, why my ANC and RDW keep going up? Does it look like my immune system is not happy with Iron? I have lost 30 lbs in less than 1 month. I have a long history of anemia but never like this. My concern is what is causing the anemia as the 2 front runners (above) have been ruled out. I have since had another gram of Iron but no labs since then. Any thoughts would be very much appreciated! ~shado |
#2
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Has your doctor given you any type of diagnosis or hint to what s/he's looking for at this point.
Regarding the high retic and RWD, that appears to be a normal response to your anemia. Not sure about the ANC unless you are fighting an infection.
__________________
Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of July 2021 HGB 12.0, WBC 4.70/ANC 3.85, Plts 110K. |
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