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What Do The Following Blood Reports Suggest?
Question: I am 32 and in great physical shape. I run 20 miles a week. I recently had a blood test and all my values were normal but two: immature granulocytes 17 and absolute immature granulocytes .7. In the past 10 months I have had two shingles outbreaks but my last one was 5 weeks ago. All other WBC were normal. Thanks.
Brief Answer:
I have read your concern and question please send the complete blood report
Detailed Answer:
Hello my friend. I did review your question and concern. Presence of immature granulocytes in peripheral blood can be because of several reasons ranging from infections to some chronic illness. Very rarely it can be indicative of a slow blood malignancy. However, at your age and given your history of shingles outbreak i am confident that it is mostly due infection, as the bone marrow as asked to work hard and send some extra white blood cells out of its home. At the same time, i would like to see your complete blood report including the platelet count and total wbc count and hemoglobin count to be in a better shape to answer. Can you please upload them for me. If you cant upload please email it to
YYYY@YYYY with Sub: ATTN Dr.Parth XXXXXXX Desai.
Also as a matter of caution a peripheral finger prick blood smear stained with Giemsa stain can be taken by any local pathologist to see how the cells look like. Apart from that if you have any major concerns please do let me know. Also if an abdomen ultrasound is done i would love to know the report.
I hope this helps. I am waiting for your complete blood report page.
thank you
Wish you a superhealthy life!
Dr Parth Desai
I have read your concern and question please send the complete blood report
Detailed Answer:
Hello my friend. I did review your question and concern. Presence of immature granulocytes in peripheral blood can be because of several reasons ranging from infections to some chronic illness. Very rarely it can be indicative of a slow blood malignancy. However, at your age and given your history of shingles outbreak i am confident that it is mostly due infection, as the bone marrow as asked to work hard and send some extra white blood cells out of its home. At the same time, i would like to see your complete blood report including the platelet count and total wbc count and hemoglobin count to be in a better shape to answer. Can you please upload them for me. If you cant upload please email it to
YYYY@YYYY with Sub: ATTN Dr.Parth XXXXXXX Desai.
Also as a matter of caution a peripheral finger prick blood smear stained with Giemsa stain can be taken by any local pathologist to see how the cells look like. Apart from that if you have any major concerns please do let me know. Also if an abdomen ultrasound is done i would love to know the report.
I hope this helps. I am waiting for your complete blood report page.
thank you
Wish you a superhealthy life!
Dr Parth Desai
Above answer was peer-reviewed by :
Dr. Raju A.T
Dr. Parth,
I have uploaded the entire blood panel. To give you more background, I am a sixth grade school teacher. But, I have been in the part-time police academy for the past 11 months. Between the two, I work about 80 hours per week.
The blood screen was done as part of my occupational assessment exam. I have a contingent job offer with a police department and this is the last issue holding up the job. So as you can imagine, if the occupational doctor won't sign off for me it may cost me my job.
Other than the shingles outbreak in July 2014, and March 2105, I feel fine and am physically fit. In fact, I completed and 8.5 mile trail run on Saturday.
The occupational doctor said it could be anything from lab error to cancer. I have made an appointment with a hematologist who cannot see me until next week. The occupational doctor also ordered that I retake the blood test which I did May 9, 2015. Resulting pending.
I have uploaded the entire blood panel. To give you more background, I am a sixth grade school teacher. But, I have been in the part-time police academy for the past 11 months. Between the two, I work about 80 hours per week.
The blood screen was done as part of my occupational assessment exam. I have a contingent job offer with a police department and this is the last issue holding up the job. So as you can imagine, if the occupational doctor won't sign off for me it may cost me my job.
Other than the shingles outbreak in July 2014, and March 2105, I feel fine and am physically fit. In fact, I completed and 8.5 mile trail run on Saturday.
The occupational doctor said it could be anything from lab error to cancer. I have made an appointment with a hematologist who cannot see me until next week. The occupational doctor also ordered that I retake the blood test which I did May 9, 2015. Resulting pending.
Brief Answer:
Hi XXXXXXX I would recommend a smear view by hematopathologist
Detailed Answer:
Hi XXXXXXX I did review your follow up concern and your laboratory result. The total count, hemoglobin and platelet counts are all fine. so i am not worried about any major illness right now. However, just to be sure it would be better if a hematopathologist can personally review your blood slide and have a look at your white blood cells and their morphology. also if possible get an ultrasound of abdomen done to measure the spleen size. The next investigations that the doctor might need to do is a bone marrow examination and a flow cytometry /immunohistochemistry test, which however i feel are not necessary at this point. I am hoping your counts will normalize in the repeat test. I am concerned about your cholesterol level and i would advice you to get evaluated for that. morever, you can continue your work out and add more healthy diet with lots of fruits and veggies and boiled stuff and little less of meat and fried stuff.
I hope this helps. Let me know the final result of all the tests.
I wish for your super healthy life and all the best for your occupational assessement exam.
take care.
Sincerely,
DR. Parth Desai
Hi XXXXXXX I would recommend a smear view by hematopathologist
Detailed Answer:
Hi XXXXXXX I did review your follow up concern and your laboratory result. The total count, hemoglobin and platelet counts are all fine. so i am not worried about any major illness right now. However, just to be sure it would be better if a hematopathologist can personally review your blood slide and have a look at your white blood cells and their morphology. also if possible get an ultrasound of abdomen done to measure the spleen size. The next investigations that the doctor might need to do is a bone marrow examination and a flow cytometry /immunohistochemistry test, which however i feel are not necessary at this point. I am hoping your counts will normalize in the repeat test. I am concerned about your cholesterol level and i would advice you to get evaluated for that. morever, you can continue your work out and add more healthy diet with lots of fruits and veggies and boiled stuff and little less of meat and fried stuff.
I hope this helps. Let me know the final result of all the tests.
I wish for your super healthy life and all the best for your occupational assessement exam.
take care.
Sincerely,
DR. Parth Desai
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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