Alc calculations

[Rottie1934]

WBC 74.8

Lymphocytes 88%

Abs lymphocyte 65.9 k/ul

What is my Alc? Thanks.

[Hidden]

74.8 times .88

[Canuck901 in reply to Hidden]

Yeah and that gives you the 65.9 Abs Lymphocyte count

[Smakwater in reply to Canuck901]

Abs is Alc. 🙈

[wizzard166]

There are always two readings on a CBC (Complete Blood Count) for the White Blood Cells. One is Percentage and the other is Absolute Count. Your Percentage of Lymphocyte White Cells is 88% and the true number of Lymphocytes in the sample or Absolute Count is 69,500. This is pretty high, with the normal range for Lymphocytes being 800 - 5,000.

The Hematologist will look at that and realize that your Lymphocyte type White Blood Cell is quite High at 74,800, with the normal range being 4,000 to 5,000. The percent of Lymphocytes is Very High at 88% with Normal Percentage range being 18% to 45%. The importance of percentage is that it tells you how many Lymphocytes you have versus the other types of white blood cells such as Neutrophils, Basophils, and Eosinophils. The ratio of Lymphocytes versus the other types helps distinguish between simple infection and something like CLL.

I'm assuming from these numbers that you have already been diagnosed with CLL, and are under the care of a CLL Specialist. You of course could have some other type of Leukemia other than CLL, but your WBC count alone is an indication of some type of Blood Cancer. If you have not already been diagnosed, you should get an appointment with a good Hematologist immediately.

Carl

[Rottie1934 in reply to wizzard166]

I was diagnosed with CLL 8 yrs ago have been on wait & watch. My oncologists/hematologist wants to put me on a low dosage of imbribiva but I feel fine no enlarge spleen. I would like a 2nd opinion but not near cll specialist. Do not know what to do. Please help.

[HopeME in reply to Rottie1934]

I see you are in the US. Good news. Go to the CLL society web page and fill out the application for a phone interview with a CLL expert. Definitely worth doing.

[Rottie1934 in reply to HopeME]

I fiilled out an application with the Cll Society for a conferences with an Cll expert.

Thanks for the info that led me to this process. Will let you know the results.

[HopeME in reply to Rottie1934]

Good for you Rottie! I wish you all the best with the process.

[wizzard166 in reply to Rottie1934]

What State are you in. Do you see a top CLL Specialist, or are you just followed by some local hematologist that is not part of a major Cancer Center?

[Rottie1934 in reply to wizzard166]

Just followed by a homotologist, I live close to Sacramento, Ca.

[cyclist123 in reply to Rottie1934]

Stanford is about 2 hours away.

[wizzard166 in reply to wizzard166]

In my opinion it is a good idea to be followed by a CLL Specialist at a Major Cancer Center that is Accredited by the NCI (National Cancer Institute); second by a Hematologist at a good Cancer Center that is not Accredited; and last by a Hematologist in an office setting in a local community. I'm not saying that there aren't some good hematologists that are operating alone or in a small group practice, that are not part of a department in a major cancer center, but I am saying we owe it to ourselves to give us the best odds and chances for living that we can get.

Many on this site know the mental anguish I was going through back in January, trying to decide whether I sought out a top CLL Specialist or stayed with my local hematologist. Even though my local hematologist is with a decent Cancer Center, I decided to seek out the best of the best. My insurance (Medicare) permits me to go anywhere in the USA without restrictions in Network or with type of treatment I can get. I have an insidious cancer inside me that wants to kill me. Why would I not choose to be followed by one of the best, as opposed to others available to me. The only other discriminating factor besides insurance restrictions (which i don't have), would be the cost of travel and perhaps lodging (if I went out of town). I live in South Florida and I ended up choosing the Director of CLL at Dana Farber (Harvard), and I'm so thankful that I did.

I notice that another member mentioned that Stanford is only two hours from you, and they certainly have a great reputation. I didnt do a search aside from reading that other member's post, but if you can commute to be followed at Stanford, why not?

Carl