Is the Hematology test report normal ?
The test results you shared are somewhat incomplete and lack a few key factors including total WBC count, hemoglobin, hematocrit and platelet count. If you could provide those numbers to me I will be better able to interpret your results here and provide some recommendations.
My first inclination is that these results are not worrisome or indicative of any worrisome process.
Thank you again for your query. I look forward to any additional data you can provide in helping to interpret these results.
Concerning symptoms are: BLE swelling daily most notably distally from midcalf down and EASY bruising. TED hose are worn when extended sitting is needed from travel and 81 mg aspirin taken daily. Legs are elevated about 3x q d.
Is the swelling from the lymphatic system or a circulatory issue?
The swelling is likely from the circulatory system. You have a history of hypertension and I think it would be a good idea to discuss this with your primary doc or cardiologist. The reason for this is that in states of prolonged hypertension, a degree of stress on the heart can create a condition of congestive heart failure where the heart has more and more difficulty handling the volume of blood pumped with every beat. This is usually best assessed with an echocardiogram or sometimes a stress echocardiogram.
In the absence of any signs of heart failure or congestion it may be just that your blood vessels are not as capable as they were previously to return blood and fluid from the lower legs back to the heart. The best answer for this is a trial of compression stockings worn daily during hours of the day where you are on your feet. These can be easily obtained from any local pharmacy or via a prescription from your primary care provider. A common prescription brand is Ted Hose.
The easy bruising may be a side effect of aging - the skin is a bit less effective at handling minor trauma. This is the most common cause of that and only on very rare occasions is there a blood disorder which would contribute to that.
I hope these additional bits of information have been helpful to you in your continued journey toward optimal health. If there are additional concerns I would be happy to address them.
Have a great week! I wish you the very best with the Obamacare transition. We are in a rural setting and already losing some of our best docs in anticipation of the drastic changes projected to occur.
Thanks, again. Good that the test results are not indicative of lymphoma or leukemia. That was at the back of my mind.
Thanks for your feedback.
From a physician standpoint, I try to ignore the issues around Obamacare and focus on what I enjoy best which is seeing and taking care of patients. With that perspective I don't think I will ever feel disappointed.
For you, I am sure you will continue to enjoy a long and healthy life. I wish you all the best and thank you for sharing the details of your health concerns with me.
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