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Pediatrics Treatment for juvenile patients

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Old Fri Apr 21, 2017, 09:22 AM
worriedmama worriedmama is offline
Join Date: Apr 2017
Location: Austin, TX
Posts: 8
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?

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Old Yesterday, 09:38 PM
Cheryl C Cheryl C is offline
Join Date: Dec 2011
Location: Lake Macquarie, Australia
Posts: 750
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.
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-weekly. BMB Feb 2014 - no blast transformation. 2016 still stable tho' more frequent infections.
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Old Today, 02:21 PM
worriedmama worriedmama is offline
Join Date: Apr 2017
Location: Austin, TX
Posts: 8
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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