Update! Does anyone know?

[Johan2021]

Update from blood test. I had a hemorrhage in the calf after an injury so it may have affected the result. Does anyone have experience with this? One month ago the platelets were 1200. Now they were 800. Before the injury, they were at 1000. No meds, only aspirin.

And yes, i have asked my heam. He says that i shpuld come back in 6 weeks for new blood test. Does anybody have an experience with bleeding and blood tests?

ET, CALR.

Thanks!

[hunter5582]

Typically a significant bleed would trigger reactive thrombocytosis - increasing platelet levels. The higher your platelets go, the more likely you are to hemorrhage. There are a number of things that can cause reactive thrombocytosis (iron deficiency, injury, illness, inflammation, bleeding, etc.)

Note that it is normal for platelets to cycle by as much as 100K in a single day based on what is going on in your body. It is the trend over time that matters.

[Johan2021 in reply to hunter5582]

Ok, thank you Hunter. Do you know if dropping haemogoblin is normal in ET? My iron was ok.

[hunter5582 in reply to Johan2021]

Some variation in HGB is normal. That is why there is a reference range. What the variation means depends on what is going on and what your starting point was. What really matters is the trend over time. It is very helpful to print your CBC in the view that shows an entire set of labs in a chronological form so you can see the trends. If you cannot do this on your portal, you can ask the doc to print that view. it is what the doc is often looking at when talking to you. You can also ask the doc why you are seeing the numbers/variation you are seeing. What do the numbers mean?

You may find this video helpful. You can enter into the discussion with your doc with a bit more background.

youtube.com/watch?v=Xj_yE1p...(Not working as expected?)

[Johan2021 in reply to hunter5582]

Thank you Hunter. I was in the reference in february 2021. Now i am low, and have been the last 3 tests.

[hunter5582 in reply to Johan2021]

That does sound like a trend then. Not sure what to make of it if your iron levels are WNL. I would be sure to ask your MPN care team about it.