Suggestions on what this could be

[shadowii]

Hi guys,

Been nearly two years since translpant and my dads counts never really came back to normal but had been low stable.

But this last month his counts dropped sharply
whites 2.3-1.2
reds 11 to 8.3
platlets 85- 55

please note that he did have a cold/fever two days before the test

he's going back in next week as opposed to next month (he had been monthly since august when he recovered from pneumonia )

Be straight with me could this be something else because my mind cant help running towards the relapse word

[Neil Cuadra]

It's reasonable to be concerned, but I would definitely wait for next week's test results before concluding that there's been a change in your dad's health status.

Sometimes the results from a single CBC can't be trusted, so you need the next test to show if his counts have really dropped or they are actually still in the normal-low state.

And of course his minor illness could have made the test results misleadling.

[shadowii]

Welp results are in and its something of a mixed bag

the numbers are pretty much identical but the monocytes are coming up which indicate it may be viral related

However one thing is chimerism has decreased and he's now 87% me and 13% him so that might be something.

But there are no abnormalities in his blood work (thank goodness) and he seems physically well (man is walking 5-7 miles a day)

So basically were going to wait two weeks and see how it goes from there.

[Neil Cuadra]

It can be maddening each time you have to wait for the next report, but overall I think your news is positive. The low counts are worrisome, but at least they were stable over the week. Perhaps they have reached their low point, since they didn't drop further, with nowhere to go but up. Fingers crossed.

[shadowii]

counts are pretty much the same, actually they all went up a tenth of a point (so its good they are not decreasing)

but since they are the same they are going to do a biopsy next week.

He is still walking six miles a day.

[shadowii]

He just had the biopsy but unfortunately his counts were down again

hemo 8.4-7.7
wbc 1.2-.8
platlets no change

gotta ask neil what does this sound like to you?

[Neil Cuadra]

Originally Posted by shadowii

He just had the biopsy but unfortunately his counts were down again

hemo 8.4-7.7
wbc 1.2-.8
platlets no change

gotta ask neil what does this sound like to you?

I don't know what to conclude. I'm just a layperson who is puzzled like you.

What did the doctor say about the counts, and about the biopsy results?

[shadowii]

Originally Posted by Neil Cuadra

I don't know what to conclude. I'm just a layperson who is puzzled like you.

What did the doctor say about the counts, and about the biopsy results?

results will come back in one to three weeks, its just seems weird to me that the blood smear would show no abnormalities and this be happening but I guess the bone marrow test will be the deciding factor.
He does have kidney problems I wonder if that is causing it.