I visited my "rheumatologist" who has left the care of patients to a Physician's Assistant while he is busy opening another office. She has paid no attention to my report of visual loss left eye, temporal headaches, and every other symptom of GCA. (except fever); Instead she wants to reduce my Prednisone by 4mg. more and prescribe a drug for marginal osteopenia! which was reversed from severe osteoporosis by removal of a parathyroid adenoma 1n 2012.. I refused and will stick with Calcium Supplementation as directed by the expert parathyroid surgeons. The DEXA scan result was the same when prednisone started.
My neutrophil count is 17,698 when 7800 is high normal,. My lymphocyte count is 692 when 852 is low normal, 0 eosinophils, and immunoglobulin G subclasses 4 is 1.0 when 4 is the lowest of normal.So she has given me a referral letter to a hematologist which I understand is probably correct.
I imagine she is thinking of a blood disease or blood cancer. At the same time, she is not addressing my risk of going blind or having a stroke.
Has anyone else had blood count anomalies like this from prednisone? Prior to coming under rheumatology care, my blood counts were 100% normal. Or is it a progression of disease activity.? Monday I will make an appt. with a hematologist of my choice. I am still exhausted, not to mention that I had to admonish a clerk for rudeness after waiting in a claustrophobic room for almost 3 hours! Later she tried to smooth things over.
Nor does she ever examine, listen to heart, lungs, etc; relies totally on scans and blood tests. I think it is time to ditch this practice and find another rheumatologist. Anyone else with these kinds of blood result problems.? Thanks all.