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Old 05-20-2005, 04:30 PM   #1
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lpears123 HB User
Please help with labs

I was Dx with Idiopathic Autoimmune Hemolytic Anemia the "Warm" type last Nov ...with my hgb at 4.2...and Platelets at 56K, Sed rate high , billirubin was at 2.1 My Hematologist said that I had IAHA but when in the hospital his associate who was doing his rounds came on the day 4 of my stay and came out and said that he thought I had Lupus...they didn't give me a do until the 5th day and then I was discharged. FANA came back as neg. The direct coombs was positive for the Warm antibodies ...and has stayed positive ...the last one I had was in January, I have another one on the 31st.
Here is the thing that I don't get understand, my hemoglobin has been very stable at around 12.5 with the prednisone I am currently on 10mg's every other day.. I got a virus about a month ago...had 2 cbc within 2 days and my platelets on the first were at 101 and on the second they had dropped to 58. I was to come back on that Monday for a follow up cbc, it had gone up to 103...I pretty much chalked it up to a virus as did my Hematologist, he wasn't to concerned Last Monday I went it to my Reg doctor office and had to see associate of hers...I have a hard time sleeping so needed something to help me sleep, he wasn't even going to do a cbc but after looking into my records he started getting intrested in my cased and wanted one for sure...after it came back my platelets were down to 89. He was asking me why they never give me a bone marrow biopsy in the hospital, I said I didn't know much about my diagnosis it until after I was out of the hospital? I also wondered why they tested no urine? Well he gets really upset and said he would refer me to the Mayo if I wanted him too. You need more test!!! Anyhow I have had a lot of the classic symptoms of Lupus for YEARS even as a child...so can anyone tell me what my hopital blood work looks back in November 2004...Thank you so much !!!!
Ok, On the day I was admitted this it what i had done for blood work:
wbc 7.1
platelet count 60,000
rbc 1.38
hgb 4.9
hct 14.1
mcv 102.0
mch 35.3
mchc 34.5
rdw 17.7
neu# 1.0
lym# 1.0
mono# 0.4
eos# 0.1
baso# 0.1
neu% 77.6
lym% 14.3
mono% 5.3
eos% 1.8
baso% 1.0

Manual differential
Neuts 77
Bands 6
Lymphs 14
Monos 1
EOS 1
Basos 1

WBC Morphology NA
RRC Morphology SL MARO, SL ANISO, MOD POLYCHROMASIA, 1NRBC/100WBC.
OTHER NA.

MEDS
I am taking :
10mg of prednisone eveyother day
1mg folic acid x3
10mg of ambien
500 mg?Calcium x2
150mg zyban x2

Thanks for taking the time to look at this!!!
God Bless
Lori

 
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Old 05-21-2005, 10:43 PM   #2
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Angelndisgse HB User
Re: Please help with labs

Lori,
Every time I have a relapse of my Hemolytic anemia or have some sort of test when I am sick that involves a CT scan of my abdomin they always tell me that the results show Lupus. I know that I don't have Lupus so I just blow it off. Because it is usually a Dr. that isn't aware of my AIHA and other health problems. I wouldn't stress to much on it because it seems that AIHA shows signs that are positive of Lupus. Her is a web address for you to look at results of a CBC I don't know if it will help you or not. The best thing I can recommend is that you get the Dr to explain the results to you or have someone who understands the results to you so that you don't read to much into the results. http://my.webmd.com/hw/health_guide_atoz/hw4260.asp
Stacy

 
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