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Medical Forum / Diseases and Disorders / Arthritis / April 2005ok. how high is scary high?
i just got a call from my rd instructing me to call my pcp, asap. (geesh, how many acronyms can a person use in a sentence without losing meaning?) seems my wbc is up a bit. so i called my pcp, who was just about to call me to come in tomorrow morning, because my wbc is up a bit. (drat! there goes my self-pampering plans for before i have to go in for the thoracic injection.) soooo, i ran out to my mailbox, to see if i just received my copy of this mysterious number called, "up a bit", too. i did. apparently, numbers are not what we think they are, consistantly--especially when it comes to white blood cells, because the numbers run 16.0, 16.1, up a bit, 16.3, 16.4 and so on. so, ok. i've got a wbc that is up a bit. if normal wbc runs 4.0---11.0 and i've got "up a bit", how bad is that? i mean, why am i getting the feeling that two doctors are in a hurry to mobilize and have one of them see me about "up a bit"? i mean, how high is scary high? and why? kate It might mean you got an infection brewing somewhere and they need to check it out. That is usually what happens when you get a bug . Even if you don't know it. Or ? So just get it checked and be safe ok? janers Kate, A wbc count of 16 is high enough to warrant a check to make sure an infection isn't brewing somewhere. If there is, catching it early will be a good thing. That being said, however, other things can effect your wbc. One of which is steroid injections (even if they are in your back!). How close to your last injection did you have your blood drawn? If it was within a few days, then the jump up in the wbc may very well be from the steroid injection. Always better to get it checked though just to be on the safe side! I wouldn't say 16 is scary high but high enough for a doctor to be concerned enough to just double check things. When I had my double pneumonia, my wbc count was 26 before the IV steroids were started and my usual wbc count runs around 11-12 or so, so the docs knew I definitely had something brewing! Praying that this is nothing serious and just a little bump in the road for your doctors to double check. Keep us posted! Donna G That sounds like you have a infection starting or something like that. Best to nip it in the bud than to be really bad later. It is good that you have a good doc that stays on top of things. Those docs are rare. I thought I saw someone post about steroid inj being the cause. I was wondering why my PCP was always checking my bloood count.. I guess theres my answer. Anyways hang in there. RhondaM >i just got a call from my rd instructing me to call my pcp, asap. (geesh, >how many acronyms can a person use in a sentence without losing meaning?) [quoted text clipped - 15 lines] > > kate whew! thanks, you guys!--janers, donnag and rhonda. you helped a lot. i'm such a hypochondriac, my brain was spinning!LOL just checked my temp and it was very low grade. whew! infection for me goes from no temp to 104 or higher so fast nobody sees it coming and i don't feel it. donna, my injection was on the 1st and the blood draw on the 7th. dunno if that was culprit or not, but it sounds like it might be what you and rhonda said, or a bug, as janers said. kate (feeling lots better about "up a bit", i just don't want it for a pet.) >i just got a call from my rd instructing me to call my pcp, asap. (geesh, >how many acronyms can a person use in a sentence without losing meaning?) [quoted text clipped - 15 lines] > > kate > i just got a call from my rd instructing me to call my pcp, asap. (geesh, > how many acronyms can a person use in a sentence without losing meaning?) [quoted text clipped - 15 lines] > > kate What is the differential? There should be numbers (or at least percentages) for neutrophils, lymphocytes, monocytes, and eosonophils. Cheers, Ari  Signaturespammage trappage: replace fishies_ with yahoo I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/ oh. ok, ari. all the differentials are in normal ranges, except for: neut abs is 9.9 (high); normal is 2.0--7.3 lymph abs is 5.0 (high); normal is 1.0--3.4 mono abs is 1.0 (high); normal is 0.0--0.1 platelets are also elevated at 498; normal is150--400, but that has come down from where it was about a year or so ago and looks good to me (was between 562 to 587 for a couple of years, though one time, just once, it hit 623 and i started worrying). sed rate is normal at 30; normal being 0--30 kate >> i just got a call from my rd instructing me to call my pcp, asap. >> (geesh, how many acronyms can a person use in a sentence without losing [quoted text clipped - 22 lines] > > Ari > oh. ok, ari. all the differentials are in normal ranges, except for: > [quoted text clipped - 10 lines] > > kate Wow, all elevated in terms of the white cell counts I usually look at. Have you seen the doc yet? What did he say? I'll gladly accept your excess platelets and white cells!!! :-) :-) You have seen a haematologist about this, right? Seeing as the platelets have been elevated for quite some time... You REALLY REALLY need to. Ari >>>i just got a call from my rd instructing me to call my pcp, asap. >>>(geesh, how many acronyms can a person use in a sentence without losing [quoted text clipped - 22 lines] >> >>Ari Signaturespammage trappage: replace fishies_ with yahoo I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/ >> oh. ok, ari. all the differentials are in normal ranges, except for: >> [quoted text clipped - 18 lines] > > Ari not yet. my pcp's appmt. for the wbc is at 11:45 a.m. this morning. and nope-- my pcp (internist), neurologist and my rd (also an internist, before specializing in rheumatology) didn't seem too concerned about my platelets (i checked my file on blood labs and my platelets have been up since 2001). pcp said i definitely have thrombocytosis (sp?) and said "someday, we might want to do" a bone marrow test of some sort. think she said it might be a mitochondrial thing, but that might have been about something else---can't really remember if she was referring to platelets or not. kate >>>>i just got a call from my rd instructing me to call my pcp, asap. >>>>(geesh, how many acronyms can a person use in a sentence without losing [quoted text clipped - 22 lines] >>> >>>Ari >>>oh. ok, ari. all the differentials are in normal ranges, except for: >>> [quoted text clipped - 31 lines] > > kate Okay.... I really have to question your PCPs judgment in not sending you to a haematologist years ago. If you plan on having a bone marrow biopsy, do NOT let your PCP do it (if you want the kind that isn't excrutiatingly painful and actually yields results). >>>>>i just got a call from my rd instructing me to call my pcp, asap. >>>>>(geesh, how many acronyms can a person use in a sentence without losing [quoted text clipped - 22 lines] >>>> >>>>Ari Signaturespammage trappage: replace fishies_ with yahoo I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/ >>>>oh. ok, ari. all the differentials are in normal ranges, except for: >>>> [quoted text clipped - 36 lines] > do NOT let your PCP do it (if you want the kind that isn't excrutiatingly > painful and actually yields results). thank you, ari. i'm pretty sure that if my pcp wants me to have one, she will refer me to somebody else. she's good about that. personally, and especially because my platelet numbers have been dropping since last year, i think i'll wait to see if they return to normal. a bone marrow biopsy doesn't sound like something i'd want to put myself through, unless it is absolutely necessary. i was told, i'm actually functioning better than i should be with all the skeletal damage i have, which says to me that this platelet thing isn't hindering or working against me so far. kate >>>>>>i just got a call from my rd instructing me to call my pcp, asap. >>>>>>(geesh, how many acronyms can a person use in a sentence without [quoted text clipped - 23 lines] >>>>> >>>>>Ari |
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