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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Polycythemia?

I have had (slightly in my opinion) elevated blood counts a few times. My primary care physician has referred me to a hematologist regarding possible Polycythemia. I am paying out of pocket and the consult would be about $400 so I am hesitant, but if is is vital I will do it. My number don't seem that high to me. I am a 53 year old white male. Here are some of the numbers: hemoglobin 17.6 GM/CMM, rI have had (slightly) elevated hemoglobin and my primary care physician has referred me ted blood count 5.3 M/CMM (normal range), Hematocrit 50.0% (within range), white blood count 7.6 (within range) all other measurements they took are within range (No POS was done) except EOS0.9%, ABS MONO 10.7%, BASO 1.2%, MEAN Corpuscular HGB33.3 UUG. (which may not be relevant?) I have had elevated measurements on few prior tests. Does it seem that important/ necessary to go to a specialist?
Mon, 14 Jul 2014
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Hematologist 's  Response
Many other causes of high hb is there. Many times simple dehydration may lead yo high hb and rbc count. So it does not always mean that high hb means polycythemia vera. Persistent high hb rbc count and jak 2 mutation is required to diagnose polycythemia. Just repeat your counts and if it came back to normal then no need to gofor sspecialist. If it remains persistent high yhen consult pysician.and exact diagnosis is required.then take treatment accordingly.
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How To Treat Polycythemia?

Many other causes of high hb is there. Many times simple dehydration may lead yo high hb and rbc count. So it does not always mean that high hb means polycythemia vera. Persistent high hb rbc count and jak 2 mutation is required to diagnose polycythemia. Just repeat your counts and if it came back to normal then no need to gofor sspecialist. If it remains persistent high yhen consult pysician.and exact diagnosis is required.then take treatment accordingly.