Pancytopenia
A couple of weeks ago, a hematologist said I get one more CBC, then, all things being equal, I will get a bone marrow biopsy in about a month. The way I heard it was low white blood cells and lack of platelets - neutropenia. However, after asking the nurse about it a different day, she said it was pancytopenia - all 3 - RBC, WBC, platelets. About a month ago, I had a colonoscopy and EGD. Several hours later, I ended up in the ER. I got the blood work from the ER. It shows my WBC was 8.0 (range 3.8 - 10.6,) RBC was 4.80 (range 4.4 - 5.9,) and platelets 115 (range 150 - 440.) I conferred w/ an MD buddy who said, if all esle is normal, the platelet count doesn't concern him too much until it gets below 100. The nurse said The ER doesn't look at the long-term picture like the hematologist does. Since the conference with the hematologist 2 weeks ago, I've seen the light - no alcohol, no sweets, no eating-out. Weight has dropped, b/p down 20 points on each side, etc. Given the "foxhole-conversion," after the 2nd lab next week, does the smart money favor the hematologist giving me yet one more CBC (deferment,) or proceeding-as-scheduled w/ the bone marrow biopsy?
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