Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat mode
Hi I'm Dr. Phil. Can I ask your first name?
Hi Wendy. Nice to meet you
Do you have any health problems?
Are the counts normal otherwise?
let me look that up for a minute
Could it be the medicines?
I suspect it could be
these drugs have a lot of side effects
these are very potent drugs
I think you need to get off these drugs Wendy
I see. I'm sorry about that.
Yes, there could be for sure!
lupus is well known to cause low white counts
you should get tested
it is your own immune system going whacky
blood tests for it
blood tests---ANA, dsDNA for two
They are looking for inflammation mostly
That could be thyroid related.
Thyroid can also explain some other symptoms. That should be tested as well Wendy
Maybe she doesn't feel comfortable working up lupus. Many doctors don't
It is a very complex and mysterious disease
That is hard to diagnose
I have seen dozens of lupus patients and never seen blisters
There are a wide variety of presentations of lupus Wendy.
Not many have blisters
No, you should see a rheumatologist
I think this will help a lot to stop the implants
I would go back to your GP
say your low white count is a result of something else. Not a primary problem
You have a family history of lupus and other symptoms of autoimmune disease
you request a rheumatologist
or a further workup by your GP
yes, it can be
I'm not familiar with it
Interesting. That can be stomatitis
Another sign of lupus
You don't Wendy???
I thought I provided you with a ton of info!
Lupus is when your immune system goes wacky
It can cause a variety of symptoms including low white count, sore mouth, fatigue, etc
It could also be your meds
I would look to diagnose lupus first and get off your meds
does that help?
Maybe she didn't think of it Wendy
Your GP is only human.
Many doctors are good in some areas and not so good in others
But you have to be your own advocate sometimes Wendy
Which is what you are doing
That is a plan :)
Did I do excellent work Wendy?
would you be so kind as to rate me positive and follow up with me to let me know how it goes?