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Lab results - looking for opinions [PLEASE READ 1ST POST]

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velvetmoose9 velvetmoose9 Active Member
163 messages
joined Apr 2020
#601 ·
Taylor Hayes6 said:So, my dad is 87, and up until just a few months ago, he was honestly pretty much a rock—totally healthy, nothing to worry about. But lately, he’s been looking really washed out, just super pale and lacking his usual energy. We finally got some blood work back, and here’s what we’re looking at:

RBC 3.72
So, I just got my labs back and my hemoglobin is sitting at 75. Honestly, seeing that number pop up on the screen was a bit of a gut punch, even if I kind of saw it coming. It’s one of those things where you try to stay chill about it, but when the numbers dip that low, it’s hard not to feel a little wiped out. Currently just trying to wrap my head around what the next steps look like.
Hct 0.241
So, I was looking over my latest labs, and the MCV came back at 64.9. Honestly, seeing that number just sitting there feels a little weird, especially when you know it's on the lower side. It’s one of those things where you aren't exactly panicking, but it definitely makes you wonder what's going on under the hood. Just one of those small details to keep an eye on, I guess.

My MCH came back at 20.2.
So, I was looking over my latest labs, and I noticed my MCHC is sitting at 311. Honestly, I’m just staring at the number wondering if I should be worried or if it’s just one of those things where everything looks slightly off on paper even when you feel fine. Just one of those little details that makes you second-guess things.
So, I was looking over my latest labs, and my RDW came back at 17.3. Just sitting here wondering if that's something I should actually be sweating or if it's just one of those things where the doctors give you a number and then shrug their shoulders. Has anyone else dealt with a jump like this?
So, I just got my latest labs back, and it looks like my platelet count is sitting at 482. Not exactly the baseline I was hoping to see, but I'm trying to stay chill about it all.
So, I was looking over my latest labs, and my MPV came back at 6.1. Honestly, seeing numbers like that always makes me pause for a second, just wondering if I should be overthinking it or if it's just one of those things where everything else looks fine. It’s kind of funny how much we obsess over these tiny little metrics, isn't it? Anyway, just something on my mind.
WBC 5.9

They sent me straight in for a transfusion right away. I ended up getting two doses—not entirely sure what exactly they were pumping into me—but after waiting around a week, my latest labs came back showing just a tiny bit of improvement:

Red blood cells: 4.25
So, I just got my labs back and my hemoglobin is sitting at 89. Honestly, looking at those numbers feels a little surreal, like I’m reading someone else's medical chart instead of my own. It’s definitely one of those moments where you just have to sit there for a second and process what the doctor is actually going to say when we finally sit down to talk about it.
Hct 0.300
So, I was looking over my latest labs, and my MCV came back at 71.1. It’s definitely sitting on the lower side, which honestly isn't a huge shocker given how much I've been running on caffeine and sheer willpower lately. Still, seeing those numbers makes me wonder if I should probably grab some more Feosol or actually start paying attention to my iron levels like my doctor keeps nagging me about. Not exactly the most thrilling news, but I guess it's just one more thing to keep an eye on.
So, I was looking over my latest labs, and my MCH came back at 21.0. Honestly, seeing that number just feels like another little piece of the puzzle, though it’s definitely on the lower side. It's one of those things where you start wondering if it's actually worth worrying about or if it's just part of the usual baseline for me. Still, it's got me thinking about how all these different markers tie together.
So, I was looking over my latest labs, and the MCHC came back at 295. Honestly, seeing numbers like that pop up on a lab report always gives me that tiny moment of "wait, what does this actually mean?" before I can really wrap my head around it. It’s one of those things where you just stare at the screen for a second, wondering if it's worth a call to the doctor or if it's just another little quirk in my biology. Still processing everything, but figured I'd toss it out there.
So, I was looking over my latest labs, and that RDW is sitting at 19.0. Honestly, seeing a number like that just makes you stare at the screen for a second, wondering if it’s actually something to worry about or just one of those little quirks in the data. It feels a bit high, doesn't it? Just enough to make you wonder what's going on under the hood.
So, I just got my latest labs back, and it looks like my platelet count is sitting at 413. Nothing to lose sleep over, I guess, but definitely worth keeping an eye on.
So, I was looking over my latest labs, and my MPV came back at 6.7. Just one of those little numbers that makes you pause for a second, you know? Nothing crazy, but definitely worth keeping an eye on.
WBC 6.7

So, he went ahead and got an abdominal ultrasound done, which came back clear, but the doctors aren't taking any chances—they’ve already sent him off to get a gastroscopy and a colonoscopy just to be safe. To top it all off, his GP put him on some iron supplements, specifically Feosol at 350mg twice a day.

He’s been running a bit of a low-grade fever every now and then—nothing crazy, just hovering around that 98.6°F mark—but honestly, he doesn't seem to be feeling any better at all.

Looking at these results, can we actually pin down what kind of anemia we're dealing with here? I'm wondering if taking iron is even the right move, or if this might actually be more of a B12 or folate deficiency issue instead.

Since my gastroscopy and colonoscopy aren't scheduled for another two months, I’m wondering if I should go ahead and get some other tests done in the meantime? I mean, I haven't really seen any improvement since I started taking the Feosol, so I'm thinking about seeing a specialist. Who should I reach out to, and what kind of follow-ups would actually be worth doing while I wait?

Given my age and dealing with this microcytic anemia, it honestly feels like a colonoscopy and a gastroscopy are just the logical next steps on the diagnostic checklist. It’s all starting to make sense, really. The only thing I feel is missing from the standard routine right now is an occult blood test to round out the investigation.
Look, I don't have the full clinical picture here or any of the patient's medical history to work with, so I can only give you some rough ideas. If I were in their shoes, I’d probably start by getting a basic chest X-ray just to check on the heart and lungs, and maybe run some standard prostate function markers too.
We don't even have a look at the metabolic panels or the urinalysis, so there's really no way for us to make even a basic call on how the liver or kidneys are actually holding up.
So, what kind of numbers are we looking at when it comes to iron and ferritin?
Has he been dropping any weight lately? Like, noticeably losing pounds without trying? Also, check if his lower legs are looking swollen or puffy, and see if he’s getting winded or just feeling wiped out way faster than usual.
You probably won't feel any real improvement from the Feosol for at least a few weeks. Even though starting out with two capsules is pretty standard according to most protocols, just a heads-up that you might deal with some annoying GI issues first—think stomach cramps, diarrhea, or just feeling generally unsettled.
If they’re already taking Feosol, then they probably missed the window to get a fecal occult blood test done... 😕
Henry Chavez5 Henry Chavez5 Member
29 messages
joined Oct 2012
#602 ·
Ashley Morris84 said:I need some help interpreting this:

A two-and-a-half-year-old had a fever hitting 104 degrees three weeks ago. Three days later, diarrhea and vomiting kicked in. (On the first day of illness, we did throat swabs; they were negative, but the infectious disease specialist suggested it might be adenovirus). Blood work was normal, showing no signs of infection. That lasted about a week.
Then, after 4-5 days, the diarrhea and vomiting returned—exclusively at night, just once per night—no fever, but accompanied by a rash on the abdomen and what I assume were cramps, because the kid was restless, his gut was making a lot of noise, and he kept shifting positions trying to find comfort while sleeping. The pediatrician concluded it’s a new intestinal virus (no tests were run) because apparently, the rash is a "characteristic" viral symptom. This second bout lasted 4-5 days. A few days after that, the child's stomach became quite bloated and a single lymph node appeared behind the ear (about 1 cm). The child is in good general health—cheerful, playful, shows no signs of pain. We went back to the infectious disease clinic (since we assume the bloating is linked to the intestinal virus that just ended). Here is the CBC result:

L 21.2 ne ly mo E 5.42 Hb 125, He 0.39, MCV 72, T 379
eosinophilia (30%).

(Physical exam was normal: liver 0, spleen 0, abdomen is meteorically distended but not tender to touch)

Stool sample and rectal swab sent for analysis (pending).
I'm wondering if this is an entirely new issue or something tied to the previous viruses? Are these results concerning?

Reiterating the question in case anyone can offer an opinion.
In the meantime, we got the stool results back—negative. Rectal swab—negative for parasites.
Abdominal ultrasound: intestines are distended and filled with cloudy content; peristalsis is normal. Increased number of mesenteric lymph nodes. All other findings are normal.
Repeat CBC:

WBC 15.2
NE% 22
LY% 32.6
MO% 6.2
EO% 38.8
NE 3.3 %
BA% 0.4
LY 5.0
MO 0.9
EO 5.9
BA 0.1

RBC 5.23
HGB 118
HCT 0.370
MCV 70.6
MCH 22.6
MCHC 319
RDW 16.0
velvetmoose9 velvetmoose9 Active Member
163 messages
joined Apr 2020
#603 ·
Ashley Morris84 said:I’m just gonna circle back to my question here, if anyone feels like weighing in.
In the meantime, I got the stool analysis results back—it was negative, and the rectal swab also came back negative for parasites.
Abdominal ultrasound showed: distended intestines filled with cloudy content, but peristalsis looks normal. There's an increased number of mesenteric lymph nodes. Everything else looked fine.
Repeat CBC:

WBC 15.2
NE% 22
LY% 32.6
MO% 6.2
EO% 38.8
NE 3.3 %
BA% 0.4
LY 5.0
MO 0.9
EO 5.9
BA 0.1

RBC 5.23
HGB 118
HCT 0.370
MCV 70.6
MCH 22.6
MCHC 319
RDW 16.0

Maybe I missed some details:
-The kidney, bladder, and liver ultrasound findings (I'm not sure if they explicitly stated everything was normal in the main ultrasound report)
-Urinalysis
-A consultation with a surgeon
-Is their stool regular and formed?
-Chest X-ray (any coughing going on?)

Any pets in the house (dogs, cats, birds, reptiles, hamsters...), or has the kid been hanging out around any animals lately?
Henry Chavez5 Henry Chavez5 Member
29 messages
joined Oct 2012
#604 ·
velvetmoose9 said:Maybe I missed something here:
- Kidney, bladder, and liver ultrasound results (I'm not sure if the previous ultrasound explicitly stated everything looked normal)
- Urine sample
- Surgical consultation
- Regularity of bowel movements—are they formed?
- Chest X-ray for heart/lungs (any coughing?)

Do you have any pets (dogs, cats, birds, reptiles, hamsters...)? Or has the child been around them?

No kidney or urinary tract ultrasound yet, and no urine test either.
He saw a surgeon, and the findings were fine (aside from a pre-existing hernia waiting for surgery, but that isn't causing any issues).
Stool is formed. At the start of this illness, there was severe diarrhea (foamy and ochre), but it didn't gradually transition; the stool went straight to being hard. Actually, he’s always had hard stools and isn't a daily mover—it's been like that since birth. We've mentioned this to the pediatrician several times, but the response is always that as long as it comes out in one solid "sausage" shape, it’s perfectly fine.
No coughing. No chest X-ray performed either.
As for pets, we have a water turtle. He doesn't touch her, though he does drop food into her tank sometimes. He stays away from dogs and cats, but at the park where he plays, dogs occasionally show up when kids aren't around, so it's possible they use the same space for bathroom breaks. We're waiting to see a gastroenterologist. The pediatrician suggests eosinophilia is usually triggered by parasites or allergies. Since there are no parasites and we haven't noticed any allergic reactions, I'm at a loss for what else could be the cause.
Do you think we need more testing?
(For the last two nights, he vomited immediately after eating a raw apple. I'm not sure if that's significant, as he hasn't reacted to any other foods like this before.)
velvetmoose9 velvetmoose9 Active Member
163 messages
joined Apr 2020
#605 ·
Ashley Morris84 said:They haven't even bothered to run the kidney and urinary tract tests yet, and there’s no urinalysis on file either.
Just got back from seeing the surgeon to go over everything, and honestly, the results were pretty clean—well, except for... So, I was thinking about this earlier—you know how sometimes you're just going through life, totally unbothered, and then you notice something small? Like, I was checking myself the other day and noticed some lumps on my testicle. It’s one of those things that immediately sends your brain into a bit of a tailspin, even if you try to play it cool. You start wondering if it’s nothing, or if you need to go see someone at the Mayo Clinic right this second. Honestly, it's just one of those weirdly unsettling things that happens, and you're left sitting there trying to figure out if you should be worried or if it's just a random glitch in the system. It’s one of those situations where you’re basically just waiting on an operation that isn't even causing any actual issues right now—it's more about getting it over with than dealing with some massive crisis.
So, things have finally started to normalize—I’m actually seeing formed stools now. At the very start of this whole illness, it was just constant, watery diarrhea (that weird, foamy ochre color), and there wasn't really a gradual transition period at all. It went from liquid straight to being quite hard. To be fair, my kid has always had on the firmer side; it’s definitely not a daily thing, but that's just how they've been since birth. I’ve brought this up with our pediatrician several times over the years, but the response is always pretty much the same: as long as everything comes out in one solid piece—you know, like a little "sausage"—they tell me there's nothing to worry about.
No cough or anything like that. They haven't even run an X-ray on the heart or lungs yet, either.
So, we’ve got a water turtle at home, and while she doesn't really interact with us much, she does have her moments where she'll toss some food into her tank. We don't have any dogs or cats hanging around the house, but there's this local park nearby where she likes to play, and since we usually head there when the kids aren't running around, it's pretty safe to assume some local dogs might be doing their business nearby. We're actually sitting tight right now waiting on an appointment with a gastroenterologist to figure out what's going on. Our pediatrician keeps pointing out that eosinophilia is usually triggered by either parasites or allergies, but honestly, we haven't seen any sign of parasites, and we haven't noticed any allergic reactions either. It's one of those situations where you're left scratching your head because everything seems to rule out the usual suspects.
You guys think this needs more fine-tuning, or should we just let it ride?
So, for the last two nights straight, right after he eats a raw apple, he ends up throwing up. I’m honestly not sure if there’s actually anything to it, since he hasn't really reacted like this to any other food we've given him so far. Just feels a little weird, you know?

I honestly feel like we need to ramp up the diagnostic workup as soon as possible. It just makes sense to get ahead of this, and I really think bringing a hematologist into the mix for a consultation would be a smart move at this stage. So, I've been looking into this whole situation regarding why the eosinophil levels are spiking and why those mesenteric lymph nodes are acting up. It’s one of those things where you really have to dig into the underlying cause to make sense of the connection between the two. Basically, we're trying to pinpoint exactly what's triggering that specific inflammatory response in the gut area.
You really need to keep a close eye on that hernia situation. Don't just ignore it; you’ve gotta stay on top of it and monitor how things are looking.
mellowsurfer59 mellowsurfer59 Member
14 messages
joined Mar 2015
#606 ·
Hi everyone!

I stopped by a private clinic yesterday for my routine annual physical. They turned the results around pretty quickly, and for the most part, everything looks great. However, there are three specific markers that fell just outside the standard reference ranges, and I was hoping someone could help me make sense of them. For context, I'm 31 years old.

1. ALT - The standard range is 10 - 48, but mine came back at 53.

2. Triglycerides - Usually, you want this under 1.7, but I'm sitting at 2.3. I assume this is linked to my cholesterol, which actually looks fine at 4.3 (since the limit is 5.0).

3. Uric Acid - The normal range is typically between 182 and 403, but my level hit 479.

That’s the whole list; everything else is perfectly within the normal limits.

Thanks in advance for any insight you can share!
vividsailor7 vividsailor7 Active MemberOP
217 messages
joined Sep 2011
#607 ·
I honestly don't even know where to begin with this mess. It’s like nobody actually reads the fine print anymore, or maybe they just don't care about the consequences. We are looking at a total disaster unfolding right in front of our eyes, and yet everyone acts like it's business as usual. It's infuriating! I've been watching this play out for weeks, and the sheer incompetence is staggering. You see these massive corporations acting like they're above the law, dodging oversight from the FEC like it's some kind of game, while the rest of us are left picking up the pieces. It’s a joke. A complete and utter joke. And don't even get me started on what happened yesterday. I saw what Henry Chavez5 was saying earlier, and frankly, I think he's being too soft on them. Being "cautious" at this point isn't being smart—it's being complicit. We need accountability, not more polite shrugs and "wait and see" attitudes. If we keep letting these giants like AT&T walk all over the consumer interest without any pushback, we might as well just hand them the keys to the country now. It makes my blood boil. We demand transparency, yet we get nothing but polished PR statements and empty promises. Enough is enough. kaže:
My assumption here? They likely pulled those hormone levels because there’s some underlying suspicion regarding her thyroid—she didn't specify anything beyond those three markers, though. As for the TSH, from what I can see, it's sitting right on the borderline.

As far as I'm concerned, it’s not even on the border. But honestly? Even if it were—so what? What's the big deal?

Sophia Johnson19 said:Listen, I’m not a doctor, but I can certainly help you make sense of these numbers. Please, for the love of everything holy, don't take this as medical advice—go see a specialist. But let's look at what we're dealing with here. Your TSH is sitting at 5.38, which is clearly above the standard lab range of 0.55–4.78. Now, look back at your previous results: a few months ago, your TSH was 4.5 (where the adult norm is usually 0.4–4.0). That means your levels are trending upward, and your thyroid isn't quite keeping pace with what your body is demanding. The good news? Your Total T4 is 127.1 (range: 58.1–140.6) and your Total T3 is 2.0 (range: 0.9–2.8). Both of those are sitting comfortably within the normal limits. Furthermore, your antibodies—anti-TG (< 15.0) and anti-TPO (< 28.0)—are both well under the 60.0 threshold, which suggests that an autoimmune issue like Hashimoto's likely isn't the culprit right now. So, what does this mean? You have a mildly elevated TSH despite having normal T4 and T3 levels. This is often categorized as subclinical hypothyroidism. To answer your most pressing question: Yes, you absolutely need to schedule an appointment with an endocrinologist. When it comes to pregnancy and potential miscarriages, thyroid levels are a massive deal. Even if your T4 and T3 look fine on paper, many specialists in the US follow protocols where they want that TSH much lower—often closer to 2.5—to ensure a healthy pregnancy environment. An elevated TSH can indeed be linked to complications in pregnancy. Get to an endocrinologist. Get a professional opinion. Don't just sit there staring at these numbers alone. Good luck.🙂

If you’re actually out there trying to land a job, then yeah, that price is way too high. Otherwise? Not really.

Sarah Davis65 said:In short:

I'm 23 years old.
Let me tell you something: four years ago, I went from a steady 143 pounds to a massive 176 pounds in just four months. And get this—I didn't change a single thing about my diet. Not one bit!
I’ve been dealing with PCOS for years now—honestly, I’ve been managing this thing forever.
I’ve got a 0.6-inch nodule on my thyroid. I went in for a biopsy, and they told me it’s just thyroid tissue—for now, they just want to keep an eye on it through regular checkups. On the bright side, all my hormone levels came back perfectly normal.

I went in for my OGTT about ten days ago, and here’s what the results are looking like:
0 min: insulin 14 (ref. range 5-25)
120 minutes post-meal: insulin came back at 90. They didn't even bother listing the reference range on the lab report. Typical.

What I’m really hung up on is this last part. How exactly am I supposed to read into this, and what kind of fallout should I be bracing for? I’ve got my follow-up appointment with the endocrinologist next week to go over the results, and honestly, I'm a bit on edge.

Thanks in advance for the response.

You didn't even bother to mention the findings from the FEC!

mellowsurfer59 said:Hey there! How's it going?

So, I headed over to a private lab yesterday for my routine annual physical. They turned around the results pretty quickly, which was fine, but there's a bit of a situation. For the most part, everything looks solid, but three specific markers came back just outside the normal range. I’m looking for some clarity here. Just for context, I’m 31.

1. ALT - A typical range sits between 10 and 48, but I clocked in at 53.

2. Triglycerides - Usually, you want to see anything under 1.7, but mine hit 2.3. I realize this is tied to my cholesterol, which—for once—is actually fine at 4.3 (standard is under 5.0).

3. Uric Acid - The standard window is 182 to 403, yet I’m sitting at 479.

That’s the gist of it; everything else fell within the normal limits.

Thanks in advance for any insight.

The elevation is most likely due to being overweight, but that's just a guess since you people clearly didn't bother reading my first post.
frozenmoose7 frozenmoose7 Newcomer
1 message
joined May 2013
#608 ·
So, I am 22 years old and have been diagnosed with PCOS. Weight isn't really an issue for me.
Here are my blood work results:

Enzymes:
ALT - 9 U/L (normal range 10-36)
ALP - 40 U/L (normal range 54-119)
AST - 13 U/L (normal range 8-30)
GGT - 8 U/L (normal range 9-35)

Metabolites and substrates:
Total Bilirubin - 7 μmol/L (normal range 3-20)
Glucose - 5.1 mmol/L (normal range 4.2-6.0)
Creatinine - 73 μmol/L (normal range 49-90)
Urea - 2.6 mmol/L (normal range 2.8-8.3)

Lipids:
Cholesterol - 5.0 mmol/L (normal range < 5.0)
Triglycerides - 0.8 mmol/L (normal range
I suppose, looking at this, those are the specific areas where I found some "L" (low) readings, though my cholesterol is right on the borderline.
Everything else—the hematology, the differential count, and coagulation markers like prothrombin time—seems to be within the normal range.

I haven't really dealt with any significant health issues in the past.
Is there anything here I should be concerned about? I guess I'm wondering what these lower values might actually signify.
slysurfer14 slysurfer14 Active Member
100 messages
joined Jul 2014
#609 ·
Back again with more questions..
They're looking into an eosinophilic granuloma, so they did a bone biopsy....
Honestly, I'm pretty lost on what this pathology report actually means...

The histological and immunohistochemical analysis of the sample could point toward an aneurysmal bone cyst, but we can't rule out a giant cell tumor either

Does this confirm the previous diagnosis, or are we looking at a whole new thing now...

Thanks in advance
Lawrence Ortiz6 Lawrence Ortiz6 Member
27 messages
joined Jul 2010
#610 ·
Hey guys,

Just got my follow-up semen culture results back, and here’s what we’re looking at:

- Staphylococcus species (coagulase-negative): 1000 CFU/ml

I already finished a full course of antibiotics that were prescribed to me previously.

What do you all think? Any insight?

29 y/o.

Thanks!
vividsailor7 vividsailor7 Active MemberOP
217 messages
joined Sep 2011
#611 ·
frozenmoose7 said:Alright, I'm 22, diagnosed with PCOS. My weight isn't an issue.
Blood work results:

Enzymes:
ALT - 9 U/L (normal 10-36)
ALP - 40 U/L (normal 54-119)
AST - 13 U/L (normal 8-30)
GGT - 8 U/L (normal 9-35)

Metabolites and substrates:
total bilirubin - 7 μmol/L (normal 3-20)
glucose - 5.1 mmol/L (normal 4.2-6.0)
creatinine - 73 μmol/L (normal 49-90)
urea - 2.6 mmol/L (normal 2.8-8.3)

Lipids:
cholesterol - 5.0 mmol/L (normal < 5.0)
triglycerides - 0.8 mmol/L (normal div>

Everything looks normal here.
Lawrence Ortiz6 said:Hello,

A follow-up bacterial analysis of my semen showed the following values:

- Staphylococcus species (coagulase-negative): 1000 CFU/ml

I previously completed a course of prescribed antibiotics.

What do you think?

29 years old.

Thanks!

There is way too much missing here. For example: what symptoms are you having? What was your previous and current ABC history? Which AT&T were you taking? And how many days after finishing the AT&T did you have this repeat culture done?
Hannah Kelly Hannah Kelly Member
18 messages
joined Jan 2013
#612 ·
Hey everyone, I’m 30 and dealing with Raynaud's. For the last two years, I've been hit with constant headaches, nausea, kidney pain, and issues in my hands and feet—plus broken capillaries and vomiting.
I just had some HLA typing done, and if anyone could please help me make sense of these results, I'd really appreciate it. I can't get an appointment with an immunologist here for at least another 6 months.

HLA A
1 - 9

HLA C
Nt - NT

HLA B
21 - 61

Bw4/bw6
Nt-nt

HLA DR
4 - 8

DR51/DR52/DR53

Nt- nt

HLA DQ
NT

HLA reactive antibody panel (PRA)

All the boxes are empty (not sure if I should even be including this)

Crossmatch test results are also all empty

NOTE: 173.0

Thanks!
velvetmoose9 velvetmoose9 Active Member
163 messages
joined Apr 2020
#613 ·
slysurfer14 said:Back at it again with the nagging...
So, they’ve been running some tests because of this suspicious eosinophilic granuloma, and they finally went ahead with a bone biopsy.
I’ve been staring at this biopsy report for a while now, and honestly, I’m pretty lost. It’s all just a massive wall of medical jargon that makes zero sense to me.

So, I was looking over the histology and immunohistochemistry results from the biopsy they just pulled, and honestly, it’s one of those "maybe this, maybe that" situations. On paper, the findings could definitely point toward an aneurysmal bone cyst, which would be one thing, but we can't exactly rule out a giant cell tumor just yet either. It's a bit of a toss-up right now, so we're basically sitting in that gray area where the pathology is giving us two very different possibilities to weigh.

So, does this actually back up what we were talking about before, or are we looking at a whole new set of problems entirely?

Thanks a bunch!

It’s not exactly a simple question to answer.

So, here's the deal with giant cell tumors: they’re usually benign, which sounds like good news on paper, but there's a bit of a catch. They don't typically go off and metastasize like some other aggressive cancers, but they can definitely be locally invasive—meaning they like to mess with the area right around them. Honestly, I've seen cases where they just sit there, totally unnoticed, for years without causing any drama at all. It’s one of those things that can be surprisingly chill or a bit of a nuisance depending on how it behaves.

If those eosinophilic cells had actually shown up in the sample we looked at, they would've popped like crazy under the microscope. Honestly, you wouldn't have even needed to squint; they'd have been staring right back at us.

So, I’ve been looking over the sample we analyzed. It could honestly be a massive part of the whole story—I mean, usually, the doctor or the surgeon who’s actually the one taking the sample is...It’s basically that classic "stuck between a rock and a hard place" situation. You know, when you're caught in the middle of two equally messy options and there's no easy way out.
When you're out there grabbing a biopsy, you really have to watch your step. It’s a delicate balancing act—you don't want to go bulldozing through the surrounding tissue and accidentally wrecking nerves or blood vessels that were perfectly fine a second ago. There's also this tricky bit where if you're dealing with something potentially cancerous, you have to be incredibly careful not to basically "mash" the tumor cells into the healthy tissue with your tools; you don't want to inadvertently help the cancer spread just by being too aggressive with the sampling. At the same time, you can't be too timid. You need to pull a sample that's actually substantial enough—what we call a representative sample—of both the diseased area and the healthy stuff nearby. Getting that exact border where the sickness meets the healthy tissue is everything, because once that slide hits the pathologist's desk, that transition zone is where they find all the real answers under the microscope.

So, at the end of the day, it’s really going to be up to the attending physician—I’m assuming an orthopedic specialist—to call the shots on what comes next. They'll look at the whole clinical picture, weigh it against whatever the test results turn out to be, and then decide on the specific diagnostic steps or treatment plans we need to move forward with.
Look, based on what’s been laid out here, I really can't be any more specific than that. 🤷
Let us know what the medical board ends up deciding once they’ve had a chance to huddle up. 😉
slysurfer14 slysurfer14 Active Member
100 messages
joined Jul 2014
#614 ·
velvetmoose9 said:It’s not that simple.

A giant cell tumor is usually benign—it doesn't typically metastasize—but it can be locally aggressive, or maybe just sit there unnoticed for years...

If eosinophil cells were actually present in the sample they analyzed, they probably would have been super easy to spot under histology.

The biopsy sample itself might be the whole point here. I guess the doctor or surgeon taking the sample is basically "caught between a rock and a hard place.>
When they're grabbing a sample, they have to be careful not to wreck the surrounding tissue—like nerves or blood vessels. They also have to make sure they don't accidentally "push" potentially cancerous tissue into the healthy area by being too aggressive, which could spread things. At the same time, they need a "good enough" sample that represents both the sick and healthy tissue so the pathologist can actually tell what's going on. Finding that line between healthy and diseased tissue is huge when looking through a microscope.

The attending physician—probably an orthopedic surgeon—will decide what happens next based on the clinical picture and all the test results.
Honestly, based on what you told me, I can't be any more specific than that. 🤷
Let us know what the medical board decides. 😉

So, I'm just waiting now. If I remember right, they mentioned an angiography to see if the edges are vascularized or not. Supposedly, that'll show which one it is. They said the biopsy would show too. Now I'm just waiting to see what the oncologist decides...
Eric Lewis51 Eric Lewis51 Newcomer
1 message
joined May 2013
#615 ·
Male, 40 yrs old

Urinalysis microscopy results:

White blood cells: 10
Epithelial cells: 3
Bacteria: present

Just wondering if these numbers are cause for concern or if they point toward some kind of infection or something else?

Thanks in advance for any insight!
Henry Morales8 Henry Morales8 Newcomer
1 message
joined May 2013
#616 ·
I just got my blood work back today.
The results show WBC Unreadable Buffy Coat (5). Can anyone explain what that actually means? Also, how on earth can something in a blood test be unreadable?
Thanks.
Chris Howard3 Chris Howard3 Newcomer
4 messages
joined Aug 2013
#617 ·
Here I am again! About three months ago, my liver enzymes were elevated—around 76—and my CRP was sitting high at 68. At the time, they just told me it was some acute issue that had passed, and everything seemed fine. A month ago, I had more bloodwork done and my ALT was at 39. Well, yesterday, I had to get blood drawn again because of this bronchitis and wheezing in my lungs, and everything looks normal except for an AST of 31 and an ALT of 44. Now, I’m no medical expert, but wouldn't these creeping liver numbers suggest that something might actually be wrong with my liver? My doctor brushed it off, saying it's negligible. Is it really "negligible" if the numbers are steadily climbing? To make matters worse, I’m feeling actual pain in my liver area whenever I bend over, and the fatigue is just exhausting.
best,
Sophia Moore38 Sophia Moore38 Member
36 messages
joined Oct 2012
#618 ·
Chris Howard3 said:Here I go again! About three months ago, my liver enzymes spiked—ALT was around 76 and my CRP was up at 68—but they all settled down after doctors told me it was just some acute issue that passed. A month ago, I had more bloodwork done and my ALT was sitting at 39. Then yesterday, I went back for testing because I’ve been dealing with bronchitis and this wheezing in my lungs, and everything looks fine except for an AST of 31 and an ALT of 44. Look, I’m no medical expert, but shouldn't these rising liver numbers signal that something is actually wrong with my liver? My doctor brushed it off, claiming it’s negligible. Since when is a persistent upward trend "negligible"? I can feel actual pain in my liver area whenever I bend over, and the fatigue is absolutely draining.
lp

I'm in the exact same boat; my liver enzymes are constantly running slightly high.
My CBC is perfectly fine.
But I do have gallstones.
Chris Howard3 Chris Howard3 Newcomer
4 messages
joined Aug 2013
#619 ·
Thanks for getting back to me. I just had an ultrasound done, and they said everything looks fine—though apparently my liver is "non-homogeneous." To me, that sounds like a fancy way of saying there’s some slight discoloration or unevenness, doesn't it?
Lisa Miller6 Lisa Miller6 Newcomer
1 message
joined May 2013
#620 ·
I have a question that might sound a little ridiculous, haha. Does marijuana have any impact on the accuracy of hormone panel results?

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