Lab work question......

[snowbyrd]

I had my recent labs faxed to me yesterday. As i stated in prev post my bloodwork is all over the place. 2 weeks ago the Dr ordered neuprogen i ended up at the hospital last Sunday because of fever so my nuetriphils and wbc counts came up a bit,so i did not start neuprogen as per  dr order. So when i went to my NP on monday she sent me home with a 4 week supply of pegasays and a box of 10 shots of neuprogen just in case my labs came back low again. Yes they faxed them and they are low but she said not to start the neuprogen until my nuetriphils reach 0.75 so i'm looking at my labs and i cant figure out this neut thing, there are 2 Neut results. This is how it looks
wbc  1.9    normal range 3.0-11.0
neut 0.48
Neut# 0.9
How the heck do they get 0.75 as the start for neuprogen? And how will i know when i reach that number. My numbers have dropped a lot lower than this in the past my Neut has been 0.33 and the other #neut 0.5 Can anyone make sense of this?

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[snowbyrd]

Thank you, I get so frustrated trying to figure everthing out. So do you think i need to be concerned with this number, or just wait until monday when i get my blood tested again.

[friole]

Your ANC is the #NE

THe neutophils shown as .48 - that tells you that 48% of your white blood cells are neutrophils.

The #NE or ANC (absulte neutrophils) are the actual number of neutrophils.

[snowbyrd]

Thank you, I have been going crazy all day trying to figure this out, i still don't understand how you divided the numbers, but i swear i'm going to figure this out. Anyhow i know my counts are dropping again and i just want to keep on top of things. Thanks again

[Teufelhunden]

The Dr's make you work at figuring out all those numbers. It would be alot easier just to say ANC. My Dr based the Neupogen shot on my WBC at first so I ended up getting a weekly shot for almost 21 weeks (below 500). Then he started reading my ANC and I haven't had Neupogen since Nov. My WBC is still low (2.6) but I guess he's not concerned. My numbers are:
NE% 53.5
NE# 1.4
WBC 2.6
I guess you divide all these together and the number I came up with was 1427.4 for my ANC. 1500 being normal. Arithmetic hurts my head.

[snowbyrd]

Thank you, it would just make it a lot easier if they put the ANC on the bloodwork. I guess i will just tell them i want my blood taken every week until i finish treatment. I don't want to wait till i have some infection i can't deal with. Thanks again

[jmjm530]

What they appear to be saying is that they want you to start Neupogen if and when your Absolute Neutrophils (ANC) fall below 750 or .75 which appears to be just a different notation. This is one standard protocol used by some doctors. Others use 500 (.50) and still other like mine don't prescribe Neupogen until ANC drops to 300 and stays there awhile. My ANC was as low as 320 at one point and two weeks later it was over 1000 without Neupogen. ANC has a tendency to bounce around a lot. Best to discuss your numbers and your protocol with your own doctor. Maybe someone else can figure out your ANC from what you posted but I don't want to guess. Hope this helps.

-- Jim