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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63840
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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My hematrocrit is at 49.5, hemoglobin at 16.4, MCH 35.8 and

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My hematrocrit is at 49.5, hemoglobin at 16.4, MCH 35.8 and MCV 108.1?
Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.
Hello
these are slight increases.
B12 deficiency can give this picture
Are you a smoker?
Any other medical problems?
Lung disease, kidney disease, other problems can all play in here.
Without other abnormalities, I don't think it is an oncology problem
Rather a hematology concern.
OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 2 years ago.

Thanks Doctor,

I did have brain surery to remove a cyst on August 25th. I don't have a B12 deficiency nor a folic acid deficiency. I do smoke, perhaps between 7 to 9 cigarettes a day?

Expert:  DrRussMD replied 2 years ago.
OK
Smoking can cause such elevations.
So can a response to acute blood loss.
As I said these are not high elevations.
I suspect your doctor is being cautious.
I think this needs to be followed.
I don't think you need a bone marrow aspiration, which is usually why we refer.
ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 63840
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

Thanks Doctor for all your help! I had developed lumps on the sides of my neck and under by armpit a month after I had mt surgery, which have not gone away, so my GP did a CBC and these results came up. I have never had any problems with this before. Before surgery, there was a concern as my blood work was abnormal, but I didn't ask. I suspect this same problem.

Expert:  DrRussMD replied 2 years ago.
OK to see the hematologist.
Think you will be OK.
Customer: replied 2 years ago.

Great Thanks.. I am confident everything will be fine :) Thanks!

Expert:  DrRussMD replied 2 years ago.
anytime
Customer: replied 2 years ago.

weird though, my mom smokes like at least 1 pack a day for the last 20 years, maybe more,and her blood work came pack perfectly normal.

Expert:  DrRussMD replied 2 years ago.
That is all individual.
If you had a cancer, there would be abnormal cell lines on the CBC typically.
Please see my offer.
Customer: replied 2 years ago.

I didn't think cancer.. maybe polycthemia?

Expert:  DrRussMD replied 2 years ago.
The elevations are not really to the degree found in PCV.
Good luck.
Customer: replied 2 years ago.

ah ok. Good to hear!

Expert:  DrRussMD replied 2 years ago.
good luck.

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