First time in a 6 year watch and wait that a high nRBC has showed up on my CBC. Value of 1.1.
CLL Doc said this could indicate stress on the bone marrow's ability to function.
ALC 110, RBC 4.32, Hemoglobin 13, Plts 130 ( steady), RDW 15, MPV 10.5
Is treatment coming soon? Other than an increasing WBC count the above values have been consistent for the last year and a half.
Hello Claybuster, not sure what nucleated RBCs mean but if that bone marrow is stressed then your lab numbers will most likely start treading down. Did I read that your Spleen is enlarged? I did read that your docs recommended O&V, maybe since that treatment can get in there over a short period time & get you to remission quickly. The BTKIs have bleeding issues as a possible side effect & if you’re already on blood thinner, I guess they want to minimize any major issues as best they can. Starting treatment takes into account many things! #GODSPEED🙏🏾
Your CLL doc is right about the appearance of nucleated red blood cells possibly indicating CLL stressing your bone marrow, but their appearance is not considered in the considerations for starting treatment. This post covers the topic healthunlocked.com/cllsuppo...
Keep an eye on your haemoglobin and platelet trends, which are among the primary considerations for starting treatment. Basically, per the iwCLL, platelets dropping below 100 (lower than 100 is acceptable provided counts are stable) or haemoglobin dropping below 10 are the triggers. Your ALC doubling in under 6 months is a sign that closer monitoring is needed to determine whether other symptoms show that CLL is becoming active enough to warrant starting treatment.
Neil
First day on IBRUTINIB
MY 36 yrs husband is on stage2.
Does anyone have a CBC Tracker that works in Google Docs?
Nearly 6 months on Venetoclax!
6 Weeks on Acalabrutinib
