in reply to @leslie2121 At this point I am working on developing a better understanding of my labs, and HealthTree has some wonderful education videos that are done by real doctors talking about real things. Easy to understand information about light chains, lambda/kappa ratios etc. I figure if I go to my next appointment and have a better grasp of just what these tests are telling him, I may be able to have an intelligent discussion, as opposed to being the uniformed patient, sadly. I ended up submitting a form to Sutter, one of those "could use improvement" things and mentioned Nurse Ratchet, saying that while she is indeed very intelligent, I never know which of my messages gets forwarded to my doctor, or not. I intend to discuss this with him when I see him in a week or so. We all agree that medicine has changed so much, as I never thought I would be spending so much time trying to relearn chemistry and biology again. Doing so in college was difficult enough. LOL,