1. < Blood Cancers & Disorders

MGUS I need help understanding my lab report.

Posted by nsnipes11 @nsnipes11, Dec 29, 2023

I've had MGUS for about 10 years, give or take. Next year, I'll be 80. Since I've been dealing with other issues: coronary artery disease (one stent); neuropathy, cervical stenosis (severe degenerative disc disease cervical and lumbar), osteoporosis, asthma, Barrett's esophagus and other smaller issues, I haven't paid a lot of attention to the MGUS.
My lab work says "immunofixation shows IgG monoclonal protein with lambda light chain. My M-spike is 1.5. My IGg is 1819. My Lambda is 27.00. K/L Ratio 0.39; RBC is 3.50; HCT 34.7; MCH 34.2; GLUC 110.0; CREA 1.1; eGFR 53.
My oncologist was out of the office, and a nurse practitioner said all was well last visit, and again this visit my doc was not available. I will see her next week. I just wonder if I should consider seeing someone else. I have also been experiencing sharp pains in mid-back and hips. They don't linger though. Any thoughts are appreciated.

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nsnipes11 | @nsnipes11 | Jan 19 10:11am
In reply to @careysuzi "Hi Nan, As far as I am concerned there is no room for "mixing up results"...." + (show)
@careysuzi

Hi Nan,
As far as I am concerned there is no room for "mixing up results". I would at least get a second opinion. What is the plan with your present doctor? Are you on "watch and wait"? Be sure to stay proactive with your health care. There is a lot of good stuff in research out there. keep in touch and good luck. Susan

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Thank you, Susan. You are probably right. I should get another opinion, but who?

Yes, I'm on "watch and wait." I don't think there is a plan with my present doctor, just watch and wait. I've been doing this more than ten years. I have so many other issues, including heart, peripheral neuropathy, Barrett's esophagus, to name just a few. So MGUS seems rather benign. I know I need to be proactive ... I am definitely trying.

Thank you for your valuable input.
Nan

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Mentor
Patty, Volunteer Mentor | @pmm | Jan 20 9:58am
In reply to @nsnipes11 "Thanks, Kay! I love the "deranged" plasma cells! I think I'll use that term too. And..." + (show)
@nsnipes11

Thanks, Kay!
I love the "deranged" plasma cells!
I think I'll use that term too. And yes, my K/L ratio is good. That's a plus, for sure.

I'm with you, Kay, I love dark chocolate too. Not fond of milk chocolate though.

I'm still working two to three weeks out of each month, so I'll try to make time to check on my meds' side effects.

Thanks for taking the time to comment.
Nan

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@nsnipes11
Wouldn’t you think that PCPs would be connecting the dots on medication side effects and your blood analysis?
I’m going to be 72 in a few months and my PCP is in a gerentology clinic. It’s actually a great fit for me as I look around the waiting room and note all the old people. 😉 It makes me feel infinitely younger.
At any rate, she is quite good about medication management and ensuring that my chemistry stays balanced. After the age of 50, a wise physician friend recommended that I switch to an internist rather than a generalist for just this reason. She did not steer me wrong.
You are busy and so is your doc, I’m sure, but it’s his or her job. Call your provider and tell them about your concerns and ask for a physician review of possible side effects of your prescribed medications.
Best of luck,
Patty

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