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Medical Forum / General / General / January 2005

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Is this really OK?

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James E. - 14 Jan 2005 03:37 GMT
The blood test at my last physical showed that my platelet count had dropped
(during the last year) from 150 (normal) to 95 and the Red Blood Cells had
dropped from 4.50 (normal) to 3.7.

The same test also showed 5% Atypical Lymphocytes and 1+ Aniscocytosis an 1+
Poikilocytosis.

The rest of the CBC was within the "normal range".

My HMO doctor, an Internist, said there is no problem and did not do
anything.

Am I paranoid, or do I need a new doctor?

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James
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PF Riley - 14 Jan 2005 05:00 GMT
>The blood test at my last physical showed that my platelet count had dropped
>(during the last year) from 150 (normal) to 95 and the Red Blood Cells had
[quoted text clipped - 9 lines]
>
>Am I paranoid, or do I need a new doctor?

You should try not to catch any viruses during the 2 weeks before your
next blood test.

PF
James E. - 14 Jan 2005 06:59 GMT
Hi PF

Are you serious? What might be the connection of my problem to a virus
(common cold?) ?

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James
-

>
>>The blood test at my last physical showed that my platelet count had
[quoted text clipped - 17 lines]
>
> PF
Howard McCollister - 14 Jan 2005 16:24 GMT
> Hi PF
>
> Are you serious? What might be the connection of my problem to a virus
> (common cold?) ?

Yes, he's serious...a viral infection can affect all of those parameters. A
single blood test by itself has little meaning.

The answer to your original question is "yes". You should find a new
physician. Clearly you don't trust this one if you have more confidence in
advice you get from unknown strangers on the internet rather than calling
him on the phone and asking him this question.

HMc
sbornfeld - 14 Jan 2005 18:03 GMT
>>Hi PF
>>
[quoted text clipped - 10 lines]
>
> HMc

    I trust and can speak openly to my internist, and many of the
specialists I've seen.
    But at this point I'd sooner trust you than some of the bozos I've been
referred to over the years.

Steve
James E. - 14 Jan 2005 20:47 GMT
Hello Howard

I do not like to obtain medical advice from strangers in a NG. However, I
cannot just call up my Internist on the phone. I am with an HMO and all my
conversations are with the nurse or receptionist. My internist ignores my
requests for a simple explanation and never returns my calls.

Apparently you are not familiar with the way HMOs work. I am reduced to
talking to strangers on the Web. Even little bits of information I glean
from this NG is better than no information from my doctor.

Signature

James
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>
>> Hi PF
[quoted text clipped - 11 lines]
>
> HMc
PF Riley - 15 Jan 2005 06:38 GMT
>Are you serious? What might be the connection of my problem to a virus
>(common cold?) ?

A recent viral infection can temporarily mildly suppress cell lines,
although typically white blood cells and platelets, and not usually
the hemoglobin/hematocrit.

PF
 
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