Fever, just under 102°F; she likely had the flu, as she’s still running a low-grade fever today.
Friday's results:
CRP Red Blood Cell 5.11 H Hemoglobin 115 Hematocrit 0.348 MCV 68.1 L MCH 22.6 L MCHC 331 RDW 13.3 Platelet 172 MPV 8.4 White Blood Cell 2.4 L (ref. range 5.0-13.0)
I am somewhat concerned about these significantly low white blood cell counts. The doctor advised us to return for follow-up blood work in a week, assuming the levels should normalize by then.
Is such a dramatic drop in white cells typical during a bout of the flu?
You can perform any activity allowed under a standard business structure through a sole proprietorship, provided you have those specific activities officially registered. You essentially set up the business first, and then notify the IRS that you wish to be taxed on a presumptive basis. Some regulations have recently shifted, but previously it was roughly $384 per month in contributions plus an annual tax of approximately $517 at minimum. The exact figure depends entirely on your gross revenue and which tax bracket you fall into; what I mentioned above represents the lowest bracket, totaling no more than $28333 annually.
So, I made a trip to the Social Security office today, only to be told by the clerk behind the counter that she couldn't accept my termination notice this far in advance. 😳
She informed me that I should return this Friday, as that’s the earliest date she is legally permitted to process that specific form.
I suppose I'll leave this here, just in case anyone else finds themselves facing a similar bureaucratic roadblock.
Jack Young said:Have them offboard you on the 21st, and you're officially on the new job on the 22nd.
The new crew where you start Monday should ideally file your new paperwork before you even walk through the door—meaning by Friday the 19th—but using your actual start date.
Well, that is incredibly helpful, Alex Foster6. Much appreciated.🙂
Does one need to present the actual contract at Medicare to prove the expiration date? Furthermore, would it be permissible to visit the Medicare office as early as tomorrow or Thursday to set the termination date for January 21st?
I initially posted this question on a different thread, but I feel this might be a more appropriate venue for it...
I’ve been registered at my current job for about two hours now, and I am set to start a new position this coming Monday. My current employer needs to process my termination from the system first. The new firm is requesting that my deregistration take effect by Wednesday so they have enough lead time to finalize all the paperwork. However, my current boss insists on keeping me on the books until Friday. Is it actually possible to file a deregistration with the Social Security Administration on a Wednesday but backdate the effective date to Friday? Would that arrangement be acceptable for the new company starting on Monday? (Also, just to clarify: what should the official end date be if I want zero gap between jobs, considering there is a weekend between Friday and Monday?)
The company I’m currently working for—just ten hours a week—only has one other employee and doesn't use an online payroll portal. The director will likely just tell me to handle the deregistration myself... so, do I simply fill out the standard form from the government website and call it a day? Will I need to provide my employment contract to prove the term has expired, or is there some other documentation required?
I trust this is an appropriate venue for my inquiry...
I have been on the payroll at my current company for about two hours, and I am scheduled to start at a new firm this coming Monday. My current employer needs to process my termination. The new company is requesting that my official end date be set for Wednesday so they can finalize all the paperwork and onboarding. However, my current boss wants to keep me on the books until Friday. Is it possible through the IRS to file a termination for Wednesday but backdate the effective date to Friday? Furthermore, would that arrangement pose any issues for the company I am joining on Monday? (On a side note, what should the actual termination date be if I want to ensure there isn't a single day of gap between my old job and the new one, considering the weekend falls between Friday and Monday?)
The company where I currently work—where I only clock ten hours a week alongside just one other employee—doesn't utilize an automated IRS system. The director will likely expect me to handle the termination paperwork myself. Am I simply expected to fill out a standard form from a government publication and call it a day? Will I need to provide my employment contract to prove the term has expired, or is there some other documentation required?
For now, I wouldn't jump to any drastic conclusions; this looks like a transient state, which can be easily verified by checking a complete blood count in, say, two weeks.
Other possibilities would only come into play if there is a further decline in neutrophil counts or the onset of other symptoms.
Viral infections have a way of "shaking up" a blood count, and they can often be asymptomatic or subclinical—meaning those around you might not even realize the child is sick because the symptoms are either negligible or entirely absent.
Regarding iron supplementation, yes, the situation is borderline both with the hemoglobin levels and the iron stores, which I believe should ideally be slightly higher. Therefore, I might consider the necessity of an iron supplement, though the final decision rests with the pediatrician overseeing the child's care.
Best regards. 🙂
Thanks for the response.
In the meantime, I took the baby to see the pediatrician, and she noted that this is actually a physiological finding for this age group, given that children typically have more lymphocytes than neutrophils until about age seven. She mentioned that for leukopenia to be diagnosed, the white blood cell count would need to be below 4.
She also believes that iron supplements aren't necessary right now; instead, we should focus on increasing red meat and iron-rich fruits in the diet.
The doctor suggested we retest in three months—not sooner—just to ensure the MCV and MCHC levels have improved.
As for the slightly elevated erythrocyte count, she suspects it was due to hemoconcentration since the blood was drawn a little after noon.
Based on these results, the total white blood cell count is slightly low, specifically showing a decrease in neutrophils—a type of white blood cell that plays a critical role in fighting bacterial infections.
The values are somewhat diminished. Generally, sufficient protection is considered to be maintained when the neutrophil count remains above 1.0x10e9/L (or above 1000/mm3).
A result like this can be transient (for instance, following a viral infection), meaning one would expect the levels to return to normal after some time; consequently, the tests should certainly be repeated.
However, beyond that, there are other possibilities to consider. It is essential that the child is examined by a physician so that all clinical data can be weighed to determine the appropriate next steps for further diagnostic workup.
Regarding your questions about iron: has the child been taking any iron supplements thus far (given that you mentioned running these tests to check for anemia), and what is her current diet like?
Thanks so much for the response! Could you please clarify what else this might mean... you've actually made me a little nervous.
As I mentioned, the child hasn't really been sick in her nearly 15 months of life, aside from two instances of a viral infection and a minor cold. She hasn't been sick at all in the last five or six months.
She hasn't taken any iron until now, though she did have low hemoglobin a while back (at which point the differential was quite skewed following that aforementioned virus). The covering pediatrician didn't think iron supplementation was necessary then, so we didn't administer any. However, when I took the results to our primary pediatrician, she suggested that she would prescribe iron given this blood profile, so we went to have the tests redone (including ferritin this time) before making a final decision. The child is still quite heavily breastfed, and her solid food intake varies—sometimes more, sometimes less. I’d say her diet is roughly 50% breast milk and 50% solids.
I am seeking some assistance in interpreting these lab results... My child is 14.5 months old. We had blood drawn primarily to check for anemia. She hasn't dealt with any viruses or illnesses recently; the last time was about 4 or 5 months ago, just a mild little cold lasting a few days with some sniffing...
Here are the results:
What concerns me is that her red blood cell count is elevated while her white blood cell count is low... what exactly does that signify?
Generally speaking, the sedimentation rate is frequently utilized as an indicator of inflammation within the body. However, during pregnancy, this metric loses much of its diagnostic utility because levels are physiologically elevated by nature. In such circumstances, clinical decisions regarding further testing or treatment are instead based on the patient's reported symptoms, a complete blood count (CBC), and CRP levels.
An elevated sedimentation rate is physiological during pregnancy. If this is the only questionable finding, there is no reason for concern, as such a result is entirely expected.
Best regards, and all the best to both you and your baby. 🙂
I am currently in my third trimester, and I had some blood work done a few days ago (required for my upcoming anesthesiology consultation). For the most part, everything appears to be fine—my white blood cell count is slightly elevated and my lymphocyte count is a bit low, which is standard during pregnancy. However, the sedimentation rate is causing me some confusion and a touch of anxiety: my SE is 40, while the reference range is 4-24. My doctor mentioned that this isn't anything to worry about. 😕
Greetings, I am seeking some assistance. Is it considered normal during pregnancy to have slightly elevated white blood cell counts? Actually, I am aware that this is generally expected, 🙂but my real question concerns the specific breakdown —specifically, having high neutrophils alongside low lymphocytes. I am currently in my 30th week of pregnancy, and these are my results: Lkc 9.9 (3.4-9.7), NEU 78.5 (44-72), LYM 14.2 (20-46), MONO 6.1 (2-12), EOS 0.7 (0-7), BASO 0.5 (0-1). Thank you in advance! 🙂
Yes, it’s too early to tell. However, there is a possibility she could be pregnant if you had unprotected intercourse following an ejaculation without cleaning up first.
Hmm... so you're saying he didn't even finish inside, yet you still ended up pregnant?? Wow... Mine is running late too... about five days, though my cycles have always been irregular, so it might be nothing. That said, I've been feeling nauseous all day today, which has me wondering if I might actually be pregnant. Still, it sounds almost too easy to conceive like that... Hmmm...
I reached out to Samsung via their website to clear things up, and they replied stating that the monitor supports MPEG-4. Honestly, I’m more confused now than when I started. Does anyone here actually own this monitor? Please let me know.
It appears to be MPEG-2 after all, rather than MPEG-4.
Naturally, I can pick up the digital broadcast in SD quality just fine. My curiosity was centered on whether I could pull in an HDTV signal. It seems the answer is no 😢, despite the fact that everywhere I looked when purchasing this unit, the packaging claimed it featured an MPEG-4 tuner capable of HDTV reception. Well...
1. Samsung T260HD 2. I’m picking up channels 1, 2, and 3 from the local area, but there's no audio—or sometimes even that isn't working. A message pops up saying "HD not supported," yet the local HD broadcast isn't being detected at all. I'm currently over in Arlington, if that matters; I assume the signal might be patchy across the rest of the metro area. 3. Building-mounted antenna
