I'm 73 years old and on 22.5mg prednisone for a rheumatologist diagnosis of PMR, but he sent me to a hematologist for interpretation of other unusual blood results. I am now in the process of being diagnosed on the spectrum of MGUS, SMM or MM. This is the blood work and 24 hour urine collection results so far. I had a PET scan yesterday and have a hematologist/oncologist appointment with a bone marrow biopsy scheduled for tomorrow morning.

Immunofixation result, serum = abnormal
M-spike = 0.5
Free Kappa Lt chains, s = 94.1
Kappa/lambda ratio = 10.23

Protein 24 hour calc = 177
Kappa/lambda ratio, u = 19.12
IFE interpretation, u = abnormal
Bence Jones protein positive, kappa type

My serum kappa/lambda ratio has gone from 8.21 to 10.23 in two months. My Free Kappa Lt chains started at 143.7 pre prednisone. I have not gone over any of the latest test results yet with my doctor.