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Pediatrics Treatment for juvenile patients

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  #1  
Old Fri Apr 21, 2017, 09:22 AM
worriedmama worriedmama is offline
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Variation in blood draw time of day

So grateful for this forum!

I've noticed a trend that my 3.5 yo daughter's hemoglobin is typically around 9 in the morning but raises to about 10 in the afternoon. Do you think this has any significance at all, especially as I read it is more typical that hemoglobin lowers throughout the day with hydration rather than increases? When would be a more accurate time of the day to test?

Thanks!
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Old Sat Apr 22, 2017, 09:38 PM
Cheryl C Cheryl C is offline
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My results tend to be a little higher in the afternoon too. If you are able, try to have the test done at around the same time each time. Then you can judge trends better.
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Dx MDS RAEB 10% blasts + hypogammaglobulinemia, Sep 2011. Jan 2012 BMB - blasts down to 2% w/out treatment so BMT cancelled. Re-diagnosis RCMD. On watch and wait since Feb 2012. IVIg 4-6-weekly. BMB Feb 2014 - no blast transformation. 2017 still stable.
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Old Sun Apr 23, 2017, 02:21 PM
worriedmama worriedmama is offline
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Thanks! I think we will stick with morning blood draws if we can since those seem to usually work best with our schedule.

Her EPO was recently 9 and I read later that is best to test in the morning as well though I checked with her doctor first. We were expecting a higher number given her lowered hematocrit of 29.

I appreciate the response as we want to get the most accurate info as we're anxious for answers!
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Old Mon Apr 24, 2017, 12:16 AM
Cheryl C Cheryl C is offline
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Good idea. That should help you get an accurate picture of how she is tracking. My heart goes out to you with a 3.5 year old.
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Dx MDS RAEB 10% blasts + hypogammaglobulinemia, Sep 2011. Jan 2012 BMB - blasts down to 2% w/out treatment so BMT cancelled. Re-diagnosis RCMD. On watch and wait since Feb 2012. IVIg 4-6-weekly. BMB Feb 2014 - no blast transformation. 2017 still stable.
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  #5  
Old Mon Apr 24, 2017, 09:08 AM
worriedmama worriedmama is offline
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Thanks so much! Best wishes and love your way, Cheryl!
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