Follow up:
Clarification / Comment by jcampbell on Fri 25, Apr 2008 07:05am:
Attached is the complete bllod test. I had Hepatitis B in 1971, no problem since. I had surgery in 1997 to
repair two ruptured disc in my neck and suffer from chronic pain. I have been using a Duragesic Patch and
muscle relaxers(Flexaril) for the past 5 years.Everything has been normal on my annual test until this year.
 Download (text/plain)
Clarification / Comment by Dr Paul S, MD on Wed 07, May 2008 10:25pm:
Hi. I cannot seem to open the attached files. I would like to request that the actual lab results be posted.
Thanks.
Clarification / Comment by jcampbell on Thu 08, May 2008 06:33am:
Trying to upload the lab report again
Download (application/pdf)
Clarification / Comment by admin on Thu 08, May 2008 11:22pm:
The blood test report has been deleted to protect patient identity
Clarification / Comment by Dr Paul S, MD on Fri 09, May 2008 03:48am:
Hi there.
I am assuming with what you wrote that you are concerned that the white blood count is low (i cannot view the
actual lab results). With your past medical history and present medications, I cannot seem to find any reason
for your white blood counts to go down without experiencing any significant symptoms.
One explanation is that this could be a laboratory error and to be sure, you might want to consider repeating
the test with another laboratory.
White blood cell counts go down for a variety of reasons, including infections (bacterial and/or viral), side
effects of drugs (especially chemotherapy), primary bone marrow problems (myelodysplastic syndrome, aplastic
anemia, etc), or any malignancy that metastasizes or spreads to the bone marrow.
One angle that I can think of is something related to your past hepatitis B infection. I suggest that you
have the blood count test done again, just to be sure of the results. And if the white blood counts are really
low, I suggest you discuss with your doctor regarding working up your previous hepatitis infection or look at
the possibility of the conditions I mentioned above.
Regards.
Clarification / Comment by Dr Paul S, MD on Fri 09, May 2008 03:57am:
Hi. I have already viewed your lab results and the white blood count is indeed low as well as the fraction of
lymphocytes. Your platelets are also low, and these can be likewise explained by the conditions I have
mentioned. I suggest you take the steps I mentioned above. Regards
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