Brief Answer: Oncologist; yes, low immunity; cannot say Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. As for the high immature granulocytes that were detected, this indicates a bone marrow abnormality and yes, possibly that your multiple myeloma (MM) could be progressing, but this cannot be confirmed with this superficial investigation. In my opinion, most MM cases require a team of doctors which include an oncologist, a hematologist and a general physician. So, as of now it would be best to visit an oncologist first, who would surely then rope in the other experts. I should also add that, the conducted tests might not be sufficient. Your doctor, will also conduct other investigations which will help in staging the myeloma, based on which treatment will be directed. I can understand how you might be worried about the same ma'am, but it is best not to ignore this. With medical management, I am sure you will be able to lead the normal life that you are hoping for. Please do schedule an appointment with an oncologist at your earliest convenience. Yes ma'am, MM results in an impaired immunity which can make you more susceptible to infections, even more as you will be working at a hospital. Please first consult your oncologist and then start work, as I feel this would be best for you. As for progression, I cannot really say whether or not your MM has progressed, as this investigation only helps in detecting the bone marrow abnormality, but not the stage it is in. Only other tests like x-rays, CT scans, PET scan, bone marrow examination, etc; can help in staging and proving or ruling out progression. I hope I have succeeded in providing the information you needed ma'm. Please forgive me if I have not explained any particular point to your best understanding. Please feel free to write back to me for any further clarifications or information, I would be more than happy to help. Best wishes.

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Brief Answer: As of now consult PCP; worried about stage only Detailed Answer: Hello once again ma'am. It is my pleasure to be of assistance. I am happy to know that all the other results are normal, as this shows that your condition is still not in the later stages, and with such reports you may visit your PCP, and it might not be necessary to visit your oncologist now. But, the real thing I am worried about here is the stage of your MM, which only your oncologist can assess. This is something we need to know and keep track of. As of now, you can visit your PCP ma'am, but try to meet your oncologist a little earlier, if that is not possible, do not worry, meet him/her whenever possible, and get an elaborate evaluation done. For now, take care of yourself and try to stay as protected from infectious patients as possible. Wishing and hoping this is only in its early stages and nothing serious. Please feel free to keep in touch with me for any further clarifications, I would be more than happy to help. Take care ma'am.

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Brief Answer: Yes they do get back to normal quite often Detailed Answer: Hello once again ma'am. Thank you for your blessings, it is all I seek. Yes of course I do ma'am. Patients with MM have all sorts of fluctuations, sometimes within a few days levels drop to WNL and sometimes just the opposite. Which is why I expressed concern to learn about your stage. Other than that, I only hope and pray that your MM is always under control and never causes any harm or concern to you. My best wishes and prayers shall be with you, May god bless you with his abundance.

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