← Return to MGUS I need help understanding my lab report.

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@careysuzi

Before I see my doctor I make a "grocery list" of what I want to ask. I am a retired RN and Behavior specialist and understand well how anxiety can get in the way with getting adequate information. I make sure my MD or NP sees my pad with my list and she makes sure she has answered my questions. I don't know about your portal, but I am with UCLA health and when a lab report come in, they have a explanation of what that test has to do with the function of the body. It is not complete but helpful. Check your portal for that. Presently I have a diagnosis of WM but am on a watch and wait. My symptoms fluctuate and are minimal and my labs are inconsistent. I have a wonderful doctor and that is very helpful. Good luck. Susan

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Replies to "Before I see my doctor I make a "grocery list" of what I want to ask...."

Thank you, Susan. I too have a list (not as much as a grocery list). At the last visit, I asked about my prior report that had eGFR at 53 (LOW), GLUC at 110, CREA AT 1.1, both of which were high. I also had low RBC, HCT, and high MCH. My current labs (at two separate labs) seemed to be closer to normal with the exception of MCHC, which was minimally high. I say all of this to let you know that I asked about having another urine test since it's been awhile and since I had a low eGFR and high CREA, and she countered with, "Do you think that it's multiple myeloma?" I said no, and it was totally dropped. I hesitate asking her anything now. Before Covid, she was much more on top of things. I guess I've just lost faith in her. I hesitate changing doctors unless I have a good reason to do so since I have so many other issues I'm dealing with right now. My current tests seem OK. My Immunoglobulin G, Qn, Serum was 2029 (range 586-1602). Immunoglobulin A, Qn, Serum 36 (range 64-422). My K/L ratio was within range.
One other thing, I've had two bone marrow biopsies. The first one at the beginning of MGUS, and the second one was a mistake. She mixed up my information with someone else. My most recent report says "plasma cells comprise about 5% of the cellularity with occasional large atypical forms seen." Would you happen to know what "occasional large atypical forms" are? I attempted to look them up, and came up with nothing.

I hope you have a blessed day.
Nan