Low WBC, Low Platelets, Low RBC, Large cells - is it always Leukemia?

Posted by asarnesejr @asarnesejr, Aug 1 9:28am

I recently went for routine bloodwork after 5-years and my CBC showed that my WBC is 1.5, RBC is 3.84, Platelet count is 74, Hemoglobin is 13.9 and the Neutrophils are at .7

I had a bone marrow test done yesterday 07/31.

Do the above numbers realistically seem like Lukemia?

Your help is apprciated

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Profile picture for asarnesejr @asarnesejr

It does, I suffer from GAC and take Lorazepam to control it, which isn't helping me cope with it all right now. My WBC did go from 1.2 to 1.5 in a week with the B12 injections, don't know if that even means anything cause my platelet count went down from 75 to 73. Was kindof hoping that the low B12 situation was the cause of all of this.

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It feels like stressful issues are hard to avoid these days anyway so you sure didn’t need to have another helping tossed onto your plate. Coping is a challenge under the best of circumstances so I’m really sorry the lorazapam isn’t doing its job right now. When your emotions and thoughts are out of control there’s nothing else you can think about!

Trying to find answers is a coping mechanism to help your mind wrap around what’s going on. But when you don’t even know the direction in which to search that’s not helpful for you.
If you want to do some searching, instead of looking through leukemia related articles, I’d suggest to go in the direction of mindfulness exercises and stress control!
There are wonderful Apps such as Headspace. That’s my go-to for calming, guided meditations. YouTube has plenty of videos for calming, exercising, mediation, stress relief…along with fun little tutorials for water color.
For me, distraction is the key to getting a hold on my wild-hair moments! At least it allows for incremental healing on the surface while the troubles are still ruminating deep within my mind. Gives a much needed break from the constant rawness of uncertainty.
Sending you a virtual hug…

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I will take that into consideration and try to find something to keep me mentally distracted. Would you happen to know how often bone marrow test are benign indicating an auto immune disorder instead of cancer?

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Profile picture for Lori, Volunteer Mentor @loribmt

Leukemia encompasses so many types and variables. Each can have their own treatments and outcomes. And then there are the considerations of individual patient factors like age, overall health, co-morbidities, genetic markers…all of these can influence survival outcomes. The 5 year averages don’t encompass all possible outcomes for leukemia patients and they often don’t factor in patients receiving treatment.

Honestly, I know how scary and overwhelming the thoughts of having leukemia can be. At this point, you don’t even have a diagnosis yet, which allows your thoughts to explode with all the worse case possibilities! Leukemia and blood conditions is such a broad area. That’s why I’m encouraging you to not go surfing and looking for answers for questions without specific focus.

I’d like to share my favorite quote by an unknown author. It resonated with me early on:
“Fear does not stop death. It stops life
And worrying does not take away tomorrow’s troubles.
It takes away today’s peace.”

So please, try to focus on your new grand baby, art, exercising, reading, nature walks…let yourself focus on life right now. Not on something you don’t know.
Does that make sense?

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I have aml...this week all my labs were normal first timr since dec 2024...yay..could this indicate remission?.?

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Profile picture for asarnesejr @asarnesejr

Thank you for your input. I hadn't had any symptoms at all and am not on any medications. I just turned 61 and retired last January along with my wife. Plans had included watching our first grandchild during the daytimes while our daughter worked. Now the Doctor is telling me to stay away from crowds and our grandchild once our daughter returns to work (she's a school teacher).

I still do not have any symptoms, except for extreme exhaustion from all the stress and crying.

It was a routine physical, my last bloodwork was back in 2018 and the only indication I could see was that my platelet count was at the minimum at 100. Then with Covid, and 3 years of chronic stress dealing with my dad's dementia, I thought I would take care of myself once I retired. I started exercising, 1-hour a day on the treadmill, push-ups, dropped 20lbs, down to 188 at 6'. To be honest, feeling the best I've felt in a very long time.

If Leukemia, the Doctor told me between 5-10 years left.

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I wish to high heaven drs wouldn’t treat people like another number/statistic! Everyone is an individual & unique. I had a friend who lived 10 years with stage 4 throat cancer, another who is still alive (20+ years) with stage 4 breast cancer, & I could go on.
There are several types of leukemia, just as there many types of any blood cancer. And there are treatments for you! To just throw out a random 5-10 years if it’s leukemia is crazy without even knowing what it is yet! (Sorry- retired nurse here & I get a little irked at drs sometimes!).
I know drs want to be transparent, but then it’s like all you hear is the bad stuff & you can’t unthink it. Try try not to focus on the worst possible scenario!
And you have found a great group here for valuable information and to be a shoulder when you need one. Keep us posted; we’re here for you!

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How many other things could it be instead of cancer?

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Profile picture for bettersleep68 @bettersleep68

I have aml...this week all my labs were normal first timr since dec 2024...yay..could this indicate remission?.?

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Hi @bettersleep68, I would say that’s a very encouraging development!! I’m sure both you and your doctor were thrilled to see those numbers!! ☺️

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Profile picture for asarnesejr @asarnesejr

How many other things could it be instead of cancer?

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“How many other things could it be instead of cancer?”
Please, for your own peace of mind, just don’t go there. Looking for answers when you don’t even know the question is just going to cause you more undue stress.

I know Aug 11 feels like forever when you’d like to know your diagnosis. But until the results are all gathered and your doctor can put all pieces of the puzzle together to give you a firm answer, speculating just will not yield any peace of mind for you. @drawlings0803, @sonieaml and I have all given some really thoughtful answers to help you cope through this period of uncertainty. And we’ll be here for you when you do get an answer from your doctor.
But please be gracious to yourself and let your mind take you to more positive thoughts. Try my suggestion of meditation, getting out in nature, doing some physical activity such as exercise, art…this will help calm your mind while you process.

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Profile picture for asarnesejr @asarnesejr

It does, I suffer from GAC and take Lorazepam to control it, which isn't helping me cope with it all right now. My WBC did go from 1.2 to 1.5 in a week with the B12 injections, don't know if that even means anything cause my platelet count went down from 75 to 73. Was kindof hoping that the low B12 situation was the cause of all of this.

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Are you seeing a hematologist? You should be seeing a specialist to get the best information. I was diagnosed with CMML ten years ago and mylofibrosis after that. I’m 76 and still doing fine except for very bad arthritis. There are many new drugs and treatments and more every day, so a 5year diagnisis just seems wrong. Go to a good hematologist at a research institution before you panic.

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Profile picture for sme225 @sme225

Are you seeing a hematologist? You should be seeing a specialist to get the best information. I was diagnosed with CMML ten years ago and mylofibrosis after that. I’m 76 and still doing fine except for very bad arthritis. There are many new drugs and treatments and more every day, so a 5year diagnisis just seems wrong. Go to a good hematologist at a research institution before you panic.

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Thank you all.... I will try to redirect my thoughts till Aug 11.

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Profile picture for asarnesejr @asarnesejr

OMG, I just cried reading your encouraging words. If i read correctly, from Dr Google, AML is the most aggressive form of Leukemia and the most difficult to treat. May I ask why you chose not to do the bone marrow transplant?

Also, how long and how difficult was chemo for you?

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I believe your question was directed to me about why I elected to forego the Bone Marrow Transplant. The process of a BMT is long and my home situation did not have the support system required for after care (typically 100 days) for that reason I elected to move on with chemo therapy. Initially I had 5 days of chemo in my port (Dacogen) and 7 days of chemo pills which (Venclexta). I had no side effects that have deterred the treatments. Weekly blood draws have enabled my care team to fine tune my “maintenance” and after 15 months we believe we have found my “sweet” spot; 1 day of dacogen (in my port)and 2 days of Venclexta (pill) every 5-6 weeks.
I support whole heartedly the guidance loribmt has provided to you! She is the very voice of reason and more importantly first hand EXPERIENCE. Let her be your guide as you navigate these new (but not necessarily treacherous) waters. AML diagnosis doesn’t have to mean a death sentence. And as others have indicated we can live a long and productive life in spite of what the doctors may say. Best wishes and prayers and we expect your update after 8/11!

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