← Return to Persistent elevation of absolute immature granulocytes 7 months 0.04

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@lightgoddess

Not yet....wasn't sure if I needed one. Appointment next month and I will discuss that with PAC (since Dr is on 10 week vacay) and will ask about it. Of course they will want me to wait a few to several months before they will actually give me a referral. Only ever asked for 2 referrals from them. One for Physical Therapy per surgeon's instructions (they told me that would take 6 months). Cardiac symptoms also since February along with BP and HR readings all over the place and told at LEAST 3 months to see Cardiologist. I wonder if I can get into seeing a Hematologist w/o primary care referral? Not really confident in my UHC provider network atm and not sure where to go from here. I don't want to over react but this has been an issue since last October and if an issue AND persistent as well then I don't know if I should just sit back and ignore this. I only found the results by accident. No one said a word to me about it though both tests are in their records for me.

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Replies to "Not yet....wasn't sure if I needed one. Appointment next month and I will discuss that with..."

Good morning, @lightgoddess. It sounds like you have a number of symptoms that you and your doctors are investigating. The blood test results showing immature granulocytes (IG) was just part of their sleuthing.

There can be a number of reasons for the elevation of IG in the blood as part of an immune response to inflammation or other conditons. Some reactions can be just the body’s normal response to things such as pregnancy, infections, auto-immune diseases to more serious conditions like bone marrow disorders with the inclusion of blast cells.
However, your test showed there were no blast cells, which is good.
The wording on your results regarding IG: “Their presence can be seen in infection, inflammation, certain medication effects, or other bone marrow stimuli.” “ Correlation with clinical findings is recommended for complete interpretation of this parameter.”

Considering you have some other health issues going on right now, (and no blast cells) your doctors are taking the results at face value; That the IG elevation is due to inflammation from your current health situation and not necessarily concerning. So you most likely don’t need an evaluation from a hematologist at this time.

You mentioned having surgery and undergoing physcial therapy. Physical stress or events like surgery, trauma, or severe illness can push the bone marrow to release immature granulocytes into the blood.

I can feel your frustration for having to wait for PT and a cardiology appointment. Usually with any type of surgery, if there’s PT recommended for recovery, it’s right away, not 6 months later. Are you in an area with limited practitioners?