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Thanks for the post mscrzy1, I'm glad to see you are being taken seriously. Best wishes to your continued health :-)
I just saw my doctor last Friday and she decided to do another CBC/Retic test, just to see how things have changed over the last few weeks. Here are the results below. The weird thing is, my retic count has now gone up into the normal range (even though the correct retic production index is low), but my red blood cells and white blood cells have gone back in the opposite direction. I decided to calculate my retic production index, just to see if it was adequate. The calculation I found was:
RPI = (reticulocytes% x (hematocrit ÷ 45)) ÷ maturation factor
Since my absolute count is 37 and my RBC is 4, my retic% would be around 0.93%. With my 36 hematocrit, my maturation factor is around 1.5. So if I add in my numbers I get:
RPI = (0.93% x (36 ÷ 45)) ÷ 1.5 = 0.496
I read that a healthy RPI with anemia is greater than 2, so mine is not adequate. The only reason I'm calculating it, is so I can bring it to the attention of my GP when I see her about the results. I see her in 3 weeks since she is away until then. I'm hoping with these new numbers, I will be able to see the hematologist. The hematologist's original theory is this was all an infection and since my 2nd set of numbers went upwards, this test should be normal again. Also my WBC are low again for a 2nd time. Anyways all, I just wanted to give you an update. Thanks a lot!!
Hemoglobin: 123 (range 140 - 170) LOW
Hematocrit: 0.36 (range 0.39 - 0.49) LOW
RBC: 4.0 (range 4.4 - 5.7) LOW
MCV: 89 (range 80 - 97)
MCH: 31 (range 27 - 32)
MCHC: 345 (range 320 - 360)
RDW: 13.5 (range 11.5 - 15.5)
Platelets: 194 (range 150 - 400)
MPV: 8.5 (range 7.4 - 11.3)
WBC: 3.5 (range 4.2 - 11.0) LOW
ABS Neutrophils: 1.82 (range 1.8 - 7.0)
ABS Lymphocytes: 1.09 (range 1.0 - 3.0)
ABS Monocytes: 0.35 (range 0.0 - 0.80)
ABS Eosinophils: 0.25 (range 0.0 - 0.40)
ABS Basophils: 0.00 (range 0.0 - 0.20)
ABS Reticulocytes: 37 (range 25 - 80)
April 11 2011
HB: 120 (range 140 - 170)
HCT: 0.34 (range 0.39 - 0.49)
RBC: 3.9 (range 4.40 - 5.70)
ABS Retic: 1 (range 25 - 80)
WBC: 3.8 (range 4.2 - 11)
April 20 2011
HB: 128 (range 140 - 170)
HCT: 0.37 (range 0.39 - 0.49)
RB: 4.27 (range 4.40 - 5.70)
ABS Retic: 7 (range 25 - 80)
WBC: 5.9 (range 4.2 - 11)
May 13
HB: 123 (range 140 - 170)
HCT: 0.36 (range 0.39 - 0.49)
RB: 4.01 (range 4.40 - 5.70)
ABS Retic: 7 (range 25 - 80)
WBC: 3.5 (range 4.2 - 11)
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