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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 33669
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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Dr chip only. . On my last bloods which are all

Customer Question

Dr chip only.
Hi chippy. On my last bloods which are all good my phosphate was 0.82 tiny under is that ok. ? And my colestrol was 5.0 with hdl 2.0 and lol 2.6. Iron 28. Bang in the number. Are these all okey kokey ? The rest perfect. Gamma get 7. Guess that's a good thing. Lol
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hey mate. Absolutely nothing to worry about with the phosphate.The cholesterol numbers are fantastic The GGT means your liver is still fine--as it was fine before You're good to go without a doubt
Customer: replied 2 years ago.
Ok WBC 4.5. Lymposites 1.5 neutrophils 2.3
Red cells 5.0 haemoglobin 164.
So the white cells have jumped as you said they can. ?
Alt 27 ast 21. Ear 2.
Ast 61. Triglycerides 0.5.
Expert:  Dr. Chip replied 2 years ago.
Yes--they can vary but nothing there to worry about. Your liver's still fine even after these five minutes between conversations.

Try your best not to get any more blood work for a year mate
Customer: replied 2 years ago.
Must say these numbers do look good. ! ?
They seem very good. I think it's time to give the bloods a miss and the fact I kicked that bug off so quick is a good indicator. ?
Oscar is better today still low but eating toast !!!!
Expert:  Dr. Chip replied 2 years ago.
Say hi to your wife and Oscar and I told you he'd be better, oh ye of little faith

Great numbers and let's not check them at all for a year
Customer: replied 2 years ago.
Ok. Just the odd panic then ? I trust you mate.
Expert:  Dr. Chip replied 2 years ago.
Well he's your son so I forgive the panic for now.
Customer: replied 2 years ago.
I'm good for a while ?
Expert:  Dr. Chip replied 2 years ago.
You'll be good for years, dammit!!!! I need your pension sooner than that mate
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Last one that little bump thing under my tongue I sent you pic of I can't feel it any more its gone right down both dentists said it wasn't anything serious. But would review it
I take it forget it now ? The more I look the more I see little things under tongue is that normal it's a rough surface under the back of tongue isn't it ?
Expert:  Dr. Chip replied 2 years ago.
Forget it mate and all that is normal tongue
Customer: replied 2 years ago.
Tiny bumps here and there tissue ? Cool off to bed now pal.
Expert:  Dr. Chip replied 2 years ago.
That's a normal tongue and be off with you, knave
Customer: replied 2 years ago.
Hi mate feel fine
Got a demon. Keep thinking that the blood numbers changed slightly over the week between tests ? But they were all good. As you know can they change over a week. Is that normal
Expert:  Dr. Chip replied 2 years ago.
Hey mate--tell me exactly what you're worried about
Customer: replied 2 years ago.
The wbc went from 3.3 to 4 lymposite 1.0 to 1.4. Iron 30 to 28. The rest were the same. When I think about it these are all normal arnt they ? So o should be happy. I guess it's because they arnt the exact same.
Expert:  Dr. Chip replied 2 years ago.
Mark, if we drew anybody's blood for tests every 24 hours, none of the numbers would ever be the exact same value each time and some of them would vary withing the normal ranges. So basically you're worrying over absolutely nothing here. Your numbers were fine
Customer: replied 2 years ago.
Time to let that demon go my friend. Oscar running around now ! And as you said I beat the virus very quick bonus on its way
Expert:  Dr. Chip replied 2 years ago.
Good to hear about Oscar mate. Have him chase out that particular demon as he runs around
Customer: replied 2 years ago.
So I'm good to go
Expert:  Dr. Chip replied 2 years ago.
Good to go, good to stop, good to move laterally, good to back up--take your pick
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi chippy.
My son Harry had a genome test for celiac disease as my wife has it.
My wife is a yoga teacher and neutricianist. So she's fine.
The test came back saying he had the genone and was positive 97 per cent getting celiac.
He was told to take a blood test every year and when the bloods altered go gluten free.
What bloods would he need. ?
Expert:  Dr. Chip replied 2 years ago.
Hey mate.EMA--antiendomysialTTG--anit-tissue transglutaminaseDGP--deaminated gliadin peptideThose are the markers to follow But those tests alone don't always mean a patient has celiac disorder--also takes small bowel biopsies
Customer: replied 2 years ago.
The report says. Dq2 and dq8. He's 18 and off to university. So these blood counts would be elevated if the celiac is live ?
Expert:  Dr. Chip replied 2 years ago.
He only has the genome right now and that only means he has a risk of developing celiac. Those are antibody tests that, if elevated, do point to active disease
Customer: replied 2 years ago.
Thanks mate.
So would you test those each year ?
Expert:  Dr. Chip replied 2 years ago.
Actually, no--I'd only check them if and when he had any symptoms of the disorder
Customer: replied 2 years ago.
That's good enough for me. He's fine and fit.
C b c. ? Once a year. ?
Expert:  Dr. Chip replied 2 years ago.
If we're talking about Harry I would only do blood work every two years
Customer: replied 2 years ago.
Ok il follow your advice. As I found out over kill is not helpful !
I'm not having a blood test till next October as you said they always come back normal. And the liver has been great for two years now.
As we get older do we need a yearly c b c ?
Expert:  Dr. Chip replied 2 years ago.
No matter the age, Mark, if the blood work is normal you only need it every two years at the most
Customer: replied 2 years ago.
So me next year ? Harry every two ?
Cheers ***** ***** happy with mine ? You have seen them all ?
Expert:  Dr. Chip replied 2 years ago.
You got it mate.

And your labs are fine in every respect
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Had 3 glasses of wine today. Guess my ggt 7 il be ok. Lol ! ?
Expert:  Dr. Chip replied 2 years ago.
Should be fine mate
Customer: replied 2 years ago.
I don't drink. Now til next Friday lol
Expert:  Dr. Chip replied 2 years ago.
Later mate
Customer: replied 2 years ago.
Speak soon
Expert:  Dr. Chip replied 2 years ago.
OK
Customer: replied 2 years ago.
Hi chippy.
All been good had a few stressful weeks.
Got the old friend back tension headache. Before I panic just need your reassurance mate. Stiff neck for a while neck pain then today the band head he mild and exact as before. ?
Expert:  Dr. Chip replied 2 years ago.
Hey mate.
Let's walk through it this way--what exactly are you worried about?
Customer: replied 2 years ago.
Same as ever !!! That its serious
Expert:  Dr. Chip replied 2 years ago.
Yes but serious how--or is this just an Oh, God, this will probably kill me thing?
Customer: replied 2 years ago.
Yes that demon !!!!!! I've been so good lately as well
Expert:  Dr. Chip replied 2 years ago.
OK. Standard tension headache with the neck and the band around the head.

Lack of vision problems, lack of balance problems, lack of vomiting, all discounts aneurysm or brain tumor and all those nasty things
Customer: replied 2 years ago.
Thanks mate. !!!!
You know I almost get it now but then I fixate on it. !!!!!
I also had a bloody ct this year brain clear. How do I not fixate pal ????
Expert:  Dr. Chip replied 2 years ago.
I'd suggest--

1) Sticking your face into a large down-filled pillow and screamintg
2) Smashing your right big toe with a hammer
3) Willing your pension to me

Any or all of those techniques are guaranteed to de-fixate you
Customer: replied 2 years ago.
I'm ok yea ??? Same old tension headache.
Expert:  Dr. Chip replied 2 years ago.
You're fine mate so your pension is still safe even if you've willed it to me to be distributed posthumously
Customer: replied 2 years ago.
Seriously. ?? Same old tension it comes back twice a year !
Expert:  Dr. Chip replied 2 years ago.
Seriously--most likely it just comes on when you're majorly stressed. The bad thing headaches don't come and go like that
Customer: replied 2 years ago.
Cheers mate
So to finish mild headache that last s fair while goes in evening comes on in morning band and neck stiffness is tension headache. By the way scalp massage helps it. Bonus on way pal.
Expert:  Dr. Chip replied 2 years ago.
Yes--definitely just a tension headache. Get a brain massage while your at it mate
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi chippy doc said tension headache.
He examined me fully.
Eases off in the evenings completely comes on about ten in morning gets worse during day band headache. Usually these bloody ones last a few weeks any tips on getting rid ?
Expert:  Dr. Chip replied 2 years ago.
Hey mate. Regular deep tissue massages, acupuncture, capsaicin cream to the back of the neck, and munching on ginger root would be my recommendations. And, of course, use demon/gremlin repellent on a daily basis
Customer: replied 2 years ago.
Deco not serious pal !? Forget it ???
Expert:  Dr. Chip replied 2 years ago.
Absolutely not serious and if you can forget it, please do so forthwith
Customer: replied 2 years ago.
Ok mate it just feels mild and annoying ! Like a band front to back stiff neck and shoulder blades
Strangely enough massage on the blades helps ??? Bonus on way.
Expert:  Dr. Chip replied 2 years ago.
Massage there helps as well as to the neck mate. Not really strange since it's muscle spasm that causes tension headaches
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
And they last ages !!! Thanks for the reassurance. Mate so I'm ok ?
Expert:  Dr. Chip replied 2 years ago.
You're just fine buddy but call on me whenever you doubt that
Customer: replied 2 years ago.
Relax ? No serious ?
Expert:  Dr. Chip replied 2 years ago.
Seriously--nothing serious
Customer: replied 2 years ago.
Twice in one night !
I am a panicker !
Had some chriisps chips in the USA. Now I got a hard biton my tongue!
Nothing to see just feels a little hard in one tiny area ?
Expert:  Dr. Chip replied 2 years ago.
So no bleeding or pain?
Customer: replied 2 years ago.
No just a little sore and if I push my finger on it it's a little harder. In a tiny patch looks normal but a little red mate.
Headaches gone though focused on this now !!
Expert:  Dr. Chip replied 2 years ago.
Another nonissue mate--just a kind of bruise but nothing at all serious. Even if one bites down on the tongue hard enough to cause a small cut in it the tongue heals completely without any scarring
Customer: replied 2 years ago.
Just irritation from the sharp chip I don't eat unhealthy food often ? A serious lump would be different ? Mate got rid of headache though !!!! Damn my anxiety.
Expert:  Dr. Chip replied 2 years ago.
Not at all a serious lump mate--just a bite wound
Customer: replied 2 years ago.
It's a little red and a little hard that's all.
Enjoy your second bonus my friend life saver you are
Expert:  Dr. Chip replied 2 years ago.
Any time mate
Customer: replied 2 years ago.
Forget it ?
Expert:  Dr. Chip replied 2 years ago.
Exactly
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi chippy.
Tension headache is doing what it does last a long time !!!
Still goes off at night sleep perfect and comes on about ten am then gets a bit worse during the day. Mild band pain stiff neck
Guess some people are stuck with them ? I get one lasts a few weeks then nothing for six months then again As you know
Expert:  Dr. Chip replied 2 years ago.
Typical scenario for a tension headache mate--isn't there first thing in the morning and then progresses later on in the day. Some people are stuck with them but if you can relax and loosen the muscle spasm as soon as it starts that usually limits the duration
Customer: replied 2 years ago.
Defo no serious. My prob the longer it lasts the more I worry even though I've had it for 13 years now !!!!! Off and on. So the reason I get the pain like a sore scalp and nose pain is the muscles ? It sometimes feels like skin soreness
Expert:  Dr. Chip replied 2 years ago.
Never serious my friend. And it's basically from neck muscle tension and spasm
Customer: replied 2 years ago.
But it can go face and top of nose ?
Brain scan 8 months ago. Bloods normal my doc says forget it ?
Expert:  Dr. Chip replied 2 years ago.
Anywhere from the back/base of the skull to the forehead and eye area and anywhere in between and I agree with your doc
Customer: replied 2 years ago.
You are my doc ! Lol
Thanks mate got a bit worried about it today. !!! What do you mean muscle spasm ?
Expert:  Dr. Chip replied 2 years ago.
I nearly always agree with myself except on Shrove Tuesday and Boxers Day mate

Same as a charley horse in the leg--tight contracting muscle
Customer: replied 2 years ago.
Right now it's top of nose lol and easing away as its evening. The fact it gets no worse and I can carry on without symptoms tells you it's not serious mate ? Thanks in advance bonus on way
Expert:  Dr. Chip replied 2 years ago.
Yes that indicates it isn't serious but then tension headaches never are mate
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
I'm ok ? It will last a while won't it ??
Expert:  Dr. Chip replied 2 years ago.
You're fine mate and it may only last as long as you worry about it
Customer: replied 2 years ago.
Tension in neck again and stiff cranky neck mate headache is very mild like a band again relieves with massage chair in shoulder blade area. Same old.
Can it be linked to subconscious stress I'm having building work done and very busy at work ?
Expert:  Dr. Chip replied 2 years ago.
Did you go trick or treating mate? Tricking is a great stress reliever.

Tell me what it's like on a day off or when you've got spare time to play
Customer: replied 2 years ago.
To be honest. It's there everyday when it comes for a month or so. Starts off not there go for a run not there by the time I drive to work it starts about 4 pm it's there proper. Home excersise relax starts to go away about 8 pm.
That's the pattern.
After a month or so it just goes and I'm free of it for 6 months or so.
When I run or play I don't notice it
Expert:  Dr. Chip replied 2 years ago.
Well, the subconscious is a powerful gremlin sometimes Mark. By itself it doesn't cause tension headaches but it can definitely worsen them and prolong them once they start.

If you haven't looked into relaxation exercises and techniques you should and here's a link about that

http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/relaxation-technique/art-20045368
Customer: replied 2 years ago.
My gremlin is the fact that it considers it serious ! Make no sense that my prob.
I've had them for 15 years same pattern. Neck stiffness back stiffness band mild pain.
Again the fact it's been here for a month on and off now hasn't got any worse I'm working ok means it's tension headache ?
Expert:  Dr. Chip replied 2 years ago.
Absolutely it's a tension headache problem mate and not at all serious, just bothersome for you.
Customer: replied 2 years ago.
You are a life saver and the fact that you would know the symptoms that would make it different reassure me. I think I just have to except I have health anxiety disorder and will need the diagnosis of a pro. Before I except it.
Maybe excepting I'm not going to change it may help ?
Expert:  Dr. Chip replied 2 years ago.
Actually recognizing the problem is a big part of getting over the hump mate. And it's impossible to let go of something until you realize what it is you're hanging onto.

And one can't let go until one accepts the fact that they can't let go
Customer: replied 2 years ago.
Ok. I think I'm going to go mad and have 2 glasses of wine tonight ! With an alt of 27 sat 21 and ggt 7 ! I should be ok ?
Funny how alchohol can get rid of it !!!! I only drink 14 units a week is that ok ?
Expert:  Dr. Chip replied 2 years ago.
No problem with the wine mate or the 14 units per week.

Not funny at all--alcohol is of course a mind relaxer
Customer: replied 2 years ago.
Bonus on way mate
So Defo not serious pal
Expert:  Dr. Chip replied 2 years ago.
Definely nothing serious mate
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

hi mate finally got bloods and report from liver clinic can you review them ?

Expert:  Dr. Chip replied 2 years ago.
Of course mate
Customer: replied 2 years ago.

Expert:  Dr. Chip replied 2 years ago.
Liver fine
Kidneys fine
Cholesterol very good
No worries with the phosphate or the iron

Great report mate
Customer: replied 2 years ago.

Expert:  Dr. Chip replied 2 years ago.
So Dr Kennedy caught up with you? You should have been running faster.

I really don't think you need to see him again so work on your sprinting mate
Customer: replied 2 years ago.

ok so ....... immune system is good w b c went up as you said it would but sits at 3. something most of the time the rest of bloods tell you who knows that the immune is strong

the liver so i was for a while a bit overweight and sedetary hence the fat sitting on liver i ran lost 40 pounds and eat real food all fat gone you have seen ultrasound images

so heres the thing my cancer fear over every pain is eased by these results /? , you can see the movements in blood results ? and i should try to kick it out

lastly the liver how the hell do i keep the fat off stay at present weight ?

keep diet and excersise good drink a glass a day no more / ?

and lastly

Expert:  Dr. Chip replied 2 years ago.
Stay at the present weight, continue the same diet, exercise and no more than one or two glasses of wine, say, every two or three days.

Your immune system is fine.

And let go of any cancer fears
Customer: replied 2 years ago.

not being perfect mate i do sometimes have 2 glasses of wine a day or go to a dinner party !!!!!! help !!! so the bloods are of a healthy 50 year old and when they drop put of range occasionally is that normal ?

Expert:  Dr. Chip replied 2 years ago.
Normal for some values to be just a little off mate.

Probably no problem with the wine so long as you stick to your diet and your present weight
Customer: replied 2 years ago.

strangely enough thats what he said was not related to wine but diet and excersise so everyone can go just outside ranges but big outside tells a story / ?

but for my age 50 its good report?? also he said fatty liver is massive common most people don't have bloods so will never know /???

bonus on way mate

Expert:  Dr. Chip replied 2 years ago.
Way off on values does tell a different story mate.

It's a great report for 50, 60, 70......
Customer: replied 2 years ago.
Do you suffer from anything ??????? Are you as perfect as you seem my friend. So I'm good. Oh my pulse is 49 blood pressure 100 over 60 that's fitness right ?
Expert:  Dr. Chip replied 2 years ago.
Nope--I'm perfect as well as being a genius who is never wrong

That's what I'd expect of a well trained athlete so keep up the good work my friend
Customer: replied 2 years ago.
No disease ? All ok ?
Expert:  Dr. Chip replied 2 years ago.
Just very nearsighted, nothing more
Customer: replied 2 years ago.
?? Nearsighted ??
Expert:  Dr. Chip replied 2 years ago.
Since I was 10--can't even make out the big E on the eyechart withoutmy glasses
Customer: replied 2 years ago.
Lol. That sums up my prob mate I immediately thought you were telling me something about my health that tells the story of anxiety a horrible affliction my friend !!!!!!
If I look as good as you at your age il be happy !!!
So I'm ok pal ?
Expert:  Dr. Chip replied 2 years ago.
You're fine mate but you probably need a couple of hits of electroconvulsive treatment to defragment and reboot your brain
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi mate need a bit of the old reassurance band headache is back. Same as always.
Mild round the head like a band I relieved it yesterday by strangely pushing my shoulders back. ? On the floor but it is doing what it always does stay a while ??? Not serious ?
Expert:  Dr. Chip replied 2 years ago.
You basically did a self-massage or your neck muscles with the shoulder maneuver Mark. But seriously--just look at all the times you've had it before and it's eventually gone away. Brain tumors and aneurysms--the "bad" things--just don't do that
Customer: replied 2 years ago.
No visual or mind disturbances sight fine.
That's reassuring and I did have a ct brain scan 9 months ago. So all good ?
Expert:  Dr. Chip replied 2 years ago.
All is good mate--it's just that your worrying about a tension headache makes it last longer
Customer: replied 2 years ago.
So I would have had other symptoms by now a month since it started comes and goes ?
Expert:  Dr. Chip replied 2 years ago.
Yes--were it a brain tumor or an aneurysm--which it is not--it wouldn't let up, it would get worse, and there'd be visual changes, balance issues. one sided muscle weakness, etc
Customer: replied 2 years ago.
Within a month or so ?
Expert:  Dr. Chip replied 2 years ago.
Actually within a week or less once it starts
Customer: replied 2 years ago.
Thanks mate so the fact it's come and gone got no worse just the same as ever and it lasts daily means it a cronic tension headache ?
I've had loads on building work at home as well over stressed ?
Expert:  Dr. Chip replied 2 years ago.
Just a chronic tension headache mate--try a massage and a glass of wine from time to time
Customer: replied 2 years ago.
So lack of any symptoms and the fact it gets no worse neck stiff and band and face pain tell you along with my blood counts it's safe
Expert:  Dr. Chip replied 2 years ago.
All of that tells me you're safe--just let go of the worry
Customer: replied 2 years ago.
Thank you bonus on way
Expert:  Dr. Chip replied 2 years ago.
Have a great rest of the evening mate
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hers one for you mate
My wife Amanda is very fit slim eats very well she is celiac she woke this morning with the sweats felt very dizzy and had pain in her left side the far left side. Blood pressure was low but she usually is.
Doc said he'd take bloods and urine and mentioned the kidney ?
Menopause I think ? Or celiac attack ?
Expert:  Dr. Chip replied 2 years ago.
Did the doc actually examine her Mark?Any fever and by far left side do you mean more to the back than the abdomen?
Customer: replied 2 years ago.
He did. Exact position is just below the left rib and 2 inches down toward the side.
No fever at all. Stools normal urine normal.
Just that pain after eating
Expert:  Dr. Chip replied 2 years ago.
So basically in her abdomen?
Customer: replied 2 years ago.
Yes
Expert:  Dr. Chip replied 2 years ago.
A little hard this time around Mate
He was probably thinking kidney stone but usually there's occult blood in the urine with those
Diverticulitis is the other possibilty but that's usually obvious on palpating the abdomen

I'd probably get a ct of the abdomen with contrast at this point to rule in or rule out those two possibilities
Customer: replied 2 years ago.
He's sending bloods off and will contact her next week.
But mine is definitely a tension headache. ! Lol ?
Expert:  Dr. Chip replied 2 years ago.
Yes, yours is just a tension headache mate. If her pain passes in a day then nothing too much to worry about unless you want your headache to continue
Customer: replied 2 years ago.
She says it eases off and comes back very much like her original celiac pain when she was diagnosed. ?
Expert:  Dr. Chip replied 2 years ago.
Don't think it's celiac--just doesn't sound like that
Customer: replied 2 years ago.
Cheers mate.
Tension headache went today coming back a bit but as you say been there will come and go. Forget it is the answer
Expert:  Dr. Chip replied 2 years ago.
Forget it is't just the answer, it's the path to the light
Customer: replied 2 years ago.
Don't say that to an anxiety sufferer !!!!
But I'm ok ????
Expert:  Dr. Chip replied 2 years ago.
You're fine mate
Customer: replied 2 years ago.
Will bloods help with Mandy ?
Expert:  Dr. Chip replied 2 years ago.
Only if her white count is elevated but since her doctor isn't really moving on this very fast he must not be very worried
Customer: replied 2 years ago.
Thanks pal. Bonus on way.
So she should be ok ? What would your guess be ?? Not holding you to anything mate.
And I'm good to go. ? Headache has been better after you told me all ok.
Expert:  Dr. Chip replied 2 years ago.
I think she'll be OK mate. And of course you're good to go
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi chippy. Just drove to business meeting in bournmouth. Sunny as well !
My tension headache is coming on long drive. If I push the back of neck base of scull it's sore ish at back joining neck. And it replicates the band headache as I do it ? So muscles there all to tight ?
Expert:  Dr. Chip replied 2 years ago.
Exactly Mark
That's really the cause of tension headaches--the spasm of the neck muscles
Customer: replied 2 years ago.
And the fact bending head forward or pushing in the base caused it means it not serious ?
Expert:  Dr. Chip replied 2 years ago.
Exactly--anything that stretches those tight muscles will cause it

How's Amanda doing?
Customer: replied 2 years ago.
Bloods came back low iron ?? Doc says all the others normal so I'm definitely in a spasm cycle. ! Nothing else ?
Expert:  Dr. Chip replied 2 years ago.
Just tension headache and nothing serious
Customer: replied 2 years ago.
Iron level. Dizzy collapse ??
Mate
Expert:  Dr. Chip replied 2 years ago.
Expand on that please mate?
Customer: replied 2 years ago.
Mandy. My wife. She was dizzy collapsed side pain they said it was iron level low
Expert:  Dr. Chip replied 2 years ago.
Collapsed as in fainted?
And what were her hemogloblin and iron levels?
Customer: replied 2 years ago.
They don't tell us it was n h s she didn't use her private health plan as it was emergency. Fainted mate
By the way they said bloods due in Dec I said no I'm waiting a year ! They were perfect last time in sept you saw them
Expert:  Dr. Chip replied 2 years ago.
I fully agree that you don't need any bloods for a year mate

The abdominal pain with Mandy wouldn't be from low iron and one can have low iron levels and not be anemic--the hemoglobin level can still be normal. Only fairly severe anemia would cause fainting and dizziness and if hers were that low she'd be very tired all the time and very weak. So I don't think her iron level is all that low
Customer: replied 2 years ago.
Spot on mate. She says it was boarder line she just asked lol. Your a genious so apart from tension in good ?
Expert:  Dr. Chip replied 2 years ago.
Just the same tension headache mate and nothing for you to worry about
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi mate in need of a silly thought removal
Still fixating on the tension headache. !!!!! It went yesterday neck sore sore scalp and band today. Can't stop thinking about it. Help !
Expert:  Dr. Chip replied 2 years ago.
So Mark--what exactly are you telling yourself now?
Customer: replied 2 years ago.
Oh the bloody same. It's serious but I realise it comes and goes 2 on the pain scale. Like a band same as ever you have reassured me That should be enough. Anxiety. Works illogically
Expert:  Dr. Chip replied 2 years ago.
I understand mate

Again, anything serious like a turmor or an aneurysm doesn't come and go once the headache starts
You just need to stifle that gremlin on your right shoulder
Customer: replied 2 years ago.
It eases off at night. And does go sometimes returns during the day I'm guessing serious would be a bad pain in one area not all around the head and mild ?
I'm having liver bloods tommorow maybe that's the worry
Expert:  Dr. Chip replied 2 years ago.
It would be a severe unrelenting pain mate
And why the hell are you getting liver bloods again????
Customer: replied 2 years ago.
He said. Last 3 months test then if ok every 12 months. It's through my private health plan. So they have agreed it !!
Hope there ok ?
I panic about the WBC lol lol I can't win.
It's coming from the neck stiff as a board and the muscles are well sore if I move my head to my shoulder across the back
Expert:  Dr. Chip replied 2 years ago.
I'm sure they'll be fine mate but you can show them to me when you get them.

Get a massage mate--that's all you need
Customer: replied 2 years ago.
Thanks. Mate. But you know my WBC 4.5 last time will be 3.4 as it always is and you said that's just fine because of the differentials Actually. It's been like this for at least 5 years since I started getting tests so I'm still here ??!! So it must be normal. ???
Expert:  Dr. Chip replied 2 years ago.
It's perfectly normal mate. And for God's sake let this be the last time for a year!!!!
Customer: replied 2 years ago.
One good thing. I just learned from you.
It was 3.34 a year ago. And it was 4.5 in September. !!!!!! Guess that means it's working fine I think that has sunk in !! Wow. It went up. And it wouldn't do that if it was serious. ?
Yes I don't want to go.
So mild neck stiff band headache is a horrible nagging non serious pain in the ass ???
And did you hear the bad news down the red in Paris. ?
Expert:  Dr. Chip replied 2 years ago.
No it wouldn't do that if it were serious
Nonserious pain in the neck mate--pain in the ass would be piles

Yeah--so sad but I sorta thought it was coming--those ISIS guys like to exact revenge when they get punched in the nose and someone like Jihadi John bites the dust
Customer: replied 2 years ago.
I agree. Sad that innocent people suffer over these wars.
So 3.something and the fact we have seen it rise means it's a healthy low normal WBC ? And the dif is good ?
Headache will only go when I stop panicking over it ?
Expert:  Dr. Chip replied 2 years ago.
Your WBC and diff have always been fine so far as I'm concerned
Vicious circle--worry causes muscle tension causes headach causes worry causes muscle tension causes headache......................
Customer: replied 2 years ago.
My doc and doc Phil and dr David a year ago all said the same. So some people. Are just low normal. ? Then it rises if required
Expert:  Dr. Chip replied 2 years ago.
Exactly.
Now you need to say the same thing as those three (and me too)
Customer: replied 2 years ago.
Cheers ***** ***** let you check em tommorow.
Expert:  Dr. Chip replied 2 years ago.
Sounds like a plan mate
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi mate. Just got back.
She said all very good.
Liver perfect.
Only one outside was wbc 2.95. So I panicked !!!
She said you run low no issue. Is she right is that enough to live normally !!!
Help !!
Expert:  Dr. Chip replied 2 years ago.
Show me the whole kaboodle mate
Customer: replied 2 years ago.
Will do when I get in panicking now.
Expert:  Dr. Chip replied 2 years ago.
Well, for now I'm not worried about your WBC
That's just fine for you and nothing to worry about
Customer: replied 2 years ago.

Customer: replied 2 years ago.
Sent them mate did you get em
Expert:  Dr. Chip replied 2 years ago.
Well liver and kidneys are fine

Notice that your WBC is only 0.1 points below the "normal low"--for all intents and purposes that isn't abnormal

I'm not worried about any of your numbers mate
Customer: replied 2 years ago.
They look good apart from that. Is the diff ok no sign of leukaemia ??bone marrow ??
And would the other numbers go wrong ?
Expert:  Dr. Chip replied 2 years ago.
Other numbers go wrong?
Customer: replied 2 years ago.
If it was leukaemia would the red cells and other counts be deranged ? And does the fact that it was 4.05 last time now 2.91. Before 3.1 reassure you ? That it can go up if needed
Expert:  Dr. Chip replied 2 years ago.
Yes and really there's no indication for leukemia here

And since it can go up that indicates you've got a vibrant set of white cells

Let it go mate
Customer: replied 2 years ago.
Can I live run etc?
Do I have enough to fight stuff and is this common in some people.
Will I die !!
Expert:  Dr. Chip replied 2 years ago.
You can even fly to the Space Station mate

I've got several totally healthy patients with white counts like yours that they've had for years
Customer: replied 2 years ago.
You have seen all
Mine am
I naturally healthy low it was 3.1 in 2011
Expert:  Dr. Chip replied 2 years ago.
Anywhere close to the 3.0 mark is fine for you Mark
Customer: replied 2 years ago.
So to finish the history you have seen or the last year and all the other counts tell you it's not cancer
And all is well
The rest of the count is perfect is t it ?
And lastly the inflammatory markers are all good so a tension headache.
Expert:  Dr. Chip replied 2 years ago.
Not cancer--put that worry to bed
The rest of the counts are perfect
Nothing in any of the blood work that makes it anything but a tension headache
Customer: replied 2 years ago.
What's a worrying level mate to make my mind rest. And what other numbers would be wrong pal
Expert:  Dr. Chip replied 2 years ago.
I'd worry if your white count dropped to below 2.0 or if your platelet count dropped to below 100,000 or your hemoglobin dropped to below 9.0
Customer: replied 2 years ago.
So as they are all good I'm fine ?
Expert:  Dr. Chip replied 2 years ago.
They're all great and you're just fine
Customer: replied 2 years ago.
Just want to get on mate. Don't need the panic ! So not serious. ? And it's almost 3 isn't it ?
Expert:  Dr. Chip replied 2 years ago.
No need for panic and nothing serious. For all intents and purposes it is 3
Customer: replied 2 years ago.
Hi mate headache gone worrying about this now.
3.1 August 4.05 September 2.91 today serious would not do that. And the diff us ok ?
Is that the line of thought I need ?
Expert:  Dr. Chip replied 2 years ago.
The diff is fine.

The difference between 3.1 and 2.91 is statistically insignificant

Don't worry mate
Customer: replied 2 years ago.
I'm guessing the 4.05 in the middle is the reassuring but. Bonus on way
Expert:  Dr. Chip replied 2 years ago.
4.05 is great mate
Customer: replied 2 years ago.
That was sept today 2.91. Before 3.1 so it's working I'm guessing serious would not rise in the middle. Bonus on. Now. Mate thanks
Expert:  Dr. Chip replied 2 years ago.
Nothing at all to worry about Mark
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi mate the doc from Harley street said nothing to worry about.
2.91 is less than the 5 percent outside the normal range so is normal.
My history is 3 - 5. And the rest of count is superb for my age she said. Also she said dr chip is correct it will not go up at all if serious. ?
So can I relax now and use my snooker room that I just built. I was scared earlier mate thought I was going to die.
Expert:  Dr. Chip replied 2 years ago.
Yes mate you can play with your balls now

And I don't expect to get your pension anytime soon
Customer: replied 2 years ago.
Seriously I can fight infection I rarely get ill 1 flu a year ish ?
Expert:  Dr. Chip replied 2 years ago.
You can fight infection mate--your white cells are fine
Customer: replied 2 years ago.
Just before we go. At 2.91 how do you know that pal ? Because you see them rise ? And fall ? Or because the cbc is otherwise excellent.
Expert:  Dr. Chip replied 2 years ago.
They do rise and really 2.91 is still fine for infection fighting
Customer: replied 2 years ago.
I'm
Ok to go on like that for many years live long ?
Expert:  Dr. Chip replied 2 years ago.
Yes--no problem if it stays the same
Customer: replied 2 years ago.
With the good heamoglobin and stuff it should stay around 3 and go up and down after years of it low I'm guessing it's the way I'm built ? Bonus on way.
Expert:  Dr. Chip replied 2 years ago.
Just the way you're built mate and the structure that was built is sound
Customer: replied 2 years ago.
Really. Mate. Seriously. Not a worry for me to live with ? Cheers
Expert:  Dr. Chip replied 2 years ago.
Seriously--nothing to worry about
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi chippy had the lab recheck the wbc from the blood yesterday they confirmed 2.90
Can't stop panicking !!!
I feel like I'm in trouble almost cried I can't understand the stress
Should I focus on the good cbc and except it is find
Expert:  Dr. Chip replied 2 years ago.
Mark--why the panic--and be specific?
Customer: replied 2 years ago.

I think things have just got on top mate layed all night thinking I was going to die of lukemia and that 2.9 is fatal

Expert:  Dr. Chip replied 2 years ago.
Where did you get the idea of leukemia?
Customer: replied 2 years ago.

internet !!!!!!!!!!!!!!!!!!!!!!!!!!

Expert:  Dr. Chip replied 2 years ago.
Well in general leukemia presents with a majorly high WBC--40,000 or more
And your own doctor said nothing to worry about
Seriously, mate, if you were truly my patient and we were sitting across from each other right now I'd say you've got absolutely nothing to worry about
Customer: replied 2 years ago.

mate just at the end of the tether ,so your sure it will rise ? I feel fit ??

the other results definitely tell you in ok mate ?

Expert:  Dr. Chip replied 2 years ago.
All the other lab values were just fine mate

I'd guess the next time around it'll be well over 3.0
Customer: replied 2 years ago.

sorry mate my anxiety is horrific

seriously you have known me now and seen all my results over 12 months am I in danger here ?

Expert:  Dr. Chip replied 2 years ago.
Seriously--no danger at all--let it go Mark
Customer: replied 2 years ago.

you may have just saved my life seriously

Expert:  Dr. Chip replied 2 years ago.
I try my best mate
Customer: replied 2 years ago.

so I will live so worried ?

Expert:  Dr. Chip replied 2 years ago.
Yes--you'll live for at least another 20 years or longer Mark
Customer: replied 2 years ago.
If it were serious would the c b c be effected for definate ?
Expert:  Dr. Chip replied 2 years ago.
Yes--the red cell count, the platelets, the hemoglobin would all be affected
Customer: replied 2 years ago.
If that's a definate. Then it's just a blip ?
Expert:  Dr. Chip replied 2 years ago.
Just a minor blip--and like I told you statistically insignificant
Customer: replied 2 years ago.
Alp. Being normal is good as well for bone marrow
Expert:  Dr. Chip replied 2 years ago.
All good and your bone marrow is fine
Customer: replied 2 years ago.
To get this into my head mate. How do you know ? Alp is a good marker ? Would shoot up
Expert:  Dr. Chip replied 2 years ago.
It's a reasonable marker and it would only be worrisome if it were three times the high normal or more
Customer: replied 2 years ago.
So being 58 the bone marrow is under stress is that how it works. If it were not working. The wbc would rise very high then drop very low no middle ground. Along with the hawmoglin and platlets. It would not sit aroundc3 to 4 for three years ?
Expert:  Dr. Chip replied 2 years ago.
Not really understress

And yes the white count would be over 40,000 for a long time and then would drop very low and then the hemoglobin and platelets would fall

You don't have leukemia Mark
Customer: replied 2 years ago.
That's sinking in sorry to bug you so much am I the worse health anxiety sufferer you have seen
Expert:  Dr. Chip replied 2 years ago.
Believe or not you're nowhere near as bad as some of my patients Mark.
Customer: replied 2 years ago.
Jesus !!! I don't want to take drugs but would you say I'm close ? Also it is not serious as you say because. My wbc would be sky high on those tests over 3 years I take it it cannot present with a solitary wbc drop on an otherwise perfect c b c. ?
Expert:  Dr. Chip replied 2 years ago.
No I don't think you need anxiety meds Mark
And leukemia over three years would have made major jumps in your white count--not staying around the 3.0 range for the most part
Customer: replied 2 years ago.
Definitely not that?
Expert:  Dr. Chip replied 2 years ago.
Absolutely not that
Customer: replied 2 years ago.
Re test in a week ? Or forget the whole episode ? I don't feel ill ? Just worried
Expert:  Dr. Chip replied 2 years ago.
Way too much testing mate--I'd recheck in in three months
Customer: replied 2 years ago.
Not the whole lot not the liver again !
Am I safe what if it went below 2 and I didn't know ??
Expert:  Dr. Chip replied 2 years ago.
Let's not deal with what if's--that's a waste of energy

You're safe and I'm just saying that I might recheck the WBC in three months
Customer: replied 2 years ago.
Ok mate. If it did drop that low what could it be ? Virus ? Thanks for everything so it's not serious ? Il be able to live ok ?
Expert:  Dr. Chip replied 2 years ago.
If it did--but it won't--that could be viral like the flu

For the umpteenth time Mark--you're perfectly fine
Dr. Chip and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Hi mate you on i posted last night