Question: Slightly elevated RDW (46.8), Monocytes 12.5%, (abs .7), Serum Protein 60. A/G ration 2.8, albumin 43. Male, 65 years old. The monocytes % have been slowly increasing over the past several years from 10%. The protein has always been low or low normal, 66, etc. Had a D-Dimer scare last year of 1800. Last check, it had fallen to 920.

Should I be worried about CMML or some other neoplasm?
                                                       

Hello Dr. Sera,

Thank you or your kind response. So, you really see nothing worrying?

As to your question: I sent along another document that lists my conditions, hypertension, pre-diabetes. It should be available now.

I really worry because I just can't find any good (fixable) reasons for the high A/G ratio and low Immunoglobulins. (I was taking quite a bit of NSAIDS for arthritis and muscle pain at the time, but have stopped). And, other than the high Monocytes differential, and RDW-SD, things seem quite good.

As an elevated D-Dimer can also indicate the presence of malignancies, (I was checked very thoroughly for blood clots at the time it hit 2000), but it has fallen since then. I take a baby aspirin daily.

In April of 2018, I had my leg varicose veins stripped. Again, I would have thought that the blood values would have normalized by then.

That's all, I guess. I'll have another full workup in May, but i haven't slept well since I consulted "Dr. Google" about monocytosis and elevated AG/R. Although I am 65, MANY people depend upon me and my income for their lives, and I worry alot about letting them down.

Sincerely,
XXXXXXX "Goblush"

I should have mentioned: I also had a complete Gastro-and Colonoscopy exam, PSA, Chest Xrays, etc, to rule out any obvious cancer. My mom had BC and ad died from PC, you see, so I won the genetic lottery.

Very well, Doctor. That I shall do!

σου εύχομαι μια καλή μέρα!

Regards!