031360

My Dad recently had a quadruple bypass on Jan 5, 2011. When he was admitted prior to surgey his hgb was low. He was given a gastroscopy but nothing was seen. He was not scoped from the bottom because his stool did not show any blood although they did not examine his stool for blood via lab. Dad did say around the time he had his heart attack his stool was black one time but the hospital thought maybe it was related to his taking a bunch of aspirin the night he had his heart attack. Post op Dad's hgb was low and has had difficulty bringing it up. I believe he was discharged with a hgb of 87. He was put on iron supplementation which didn't work. He was readmitted to hospital post op for pleural effusion which was treated but he still had low hgb. He was then readmitted a week later for heart failure as there was a build up of fluid in his tubes and had an enlarged heart. He was put on lasix and then given an iron transfusion to bring his iron back up. On discharge his hgb was 92. A week later his hgb was 97. Dad recently had his stool examined for blood and occult blood was found. Dad's Hgb has been fluctuating up and down prior and post op. I know there is a possiblity that it is cancer but is there a good possibility it is something minor. He is scheduled to have a colonoscopy shortly. His WBC is 11.8; RBC's are 3.42 Hematocrit is 0.32. His MCV is 94, MCH is 28.4 his MCHC is 300' RDW is 17.3 Platecount is elevated 498. Neutrophils are slightly elevated at 7.6. Lymphocytes are normal at 2.4/Monocytes are slight elevated at 1.2. Eosinophils are 0.6, Basohpils are normal t 0.1 Absolute Retic: Reticulocytes was normal at 114/ Reticulocytes Immatures as slightly elevated at 14.2. Ferritin was elevated at 343. General Chemisitry: Sodium 143; Postassium 4.6; Urea elevated at 10.4, Creatinine normal at 111; Estimated GFR slighltly low at 56. Calcium normal at 2..23, Total Protein normal at 69, Albumin normal at 41 Total Bilirubin normla at 4; Alkaline Phosphatase normal at 59 Gammat GT normal at 13; AlT 11; AST 16 LD 401. Thyroid Function TSH was 3.6. Tumor Markers were all negative at: PSA 4.8 CA 15-3 28; CA19-9 9.4; AFP 1.8