Med Twitter chime in. Had a PCP tell me that 12 years of monocytes being above 8 and climbing steady to currently 15 is not a big deal because I “work primarily outside. #MedTwitter#monocytosis#MPN#raredisease
@PriyaSriRajah@MorphologyAmigo@UpToDate@HaemBytes@nihardesai89@DrNikitaMehra Just an update. Pushed for a referral to UAMS. Appointment came back with the Section Chief of Hematology and various other things. After compiling CBCs from last 10. monocytes lowest number was 8.5 and was 14 in February slowly climbing through the 10 years. Never red flagged.
LDH was not checked. Blood film review was not done. No other cause has been identified despite full standard workup. Would a myeloid gene panel and bone marrow assessment be the appropriate next steps to pursue with a hematologist?
Considering the rarity of this presentation there seem to be considerable gaps in the workup. Currently pursuing a second opinion — not satisfied with the ‘that was weird’ shoulder shrug from the first hematologist.
Got three calls from publishing clearing house today. Apparently “you guys are still in business” is not the correct phrase. Dave will hang up all three time.