How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Thomas, MD Your Own Question

Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56003
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Type Your Medical Question Here...
Dr. Thomas, MD is online now
A new question is answered every 9 seconds

After a routine blood test my doctor called me back in for

Resolved Question:

After a routine blood test my doctor called me back in for a another round of blood test because of a elevated protein level, that test revealed the following,total serum protein 8.5, albumin 4.2, alpha 1 globulin 0.2, alpha-2 0.6, beta globuli 0.8, Gamm Globulin 2.6 high.
M-spike 2.0, globulin total 4.3, ag ratio 1.0.
After reading around on the internet I am very scared about the m-spike, I really feel okay, only a little fatigue, nothing to bad
I have a appointment next week with a hematoligist, I am so nervous I feel like I am creating symptoms in my head that I was not having a couple of days ago.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 3 years ago.
Hello
can you type in reference ranges for accuracy
it looks like only the total protein and gamma globulin are high, which is non-specific at this point
Customer: replied 3 years ago.
on the ones that are flagged high
gamma globulin 2.6 ref range 0.5 - 1.6
total protein is 8.5 range shows 6.0 - 8.5
m-spike shows no reference, this is what is really scarring me.
Also my wbc seems to be low at 3.1 range shows 4.0 - 10.5
Expert:  Dr. Thomas, MD replied 3 years ago.
OK
The detection of the M spike is the concern, but not definitive, that is why there is no reference range on that
The totally protein is normal more or less.
The gamma globulin non-specific.

So, nothing definitive here.
Further testing to rule out multiple myeloma is what might happen...so calcium levels, renal function tests, urine to try to detect k and l light chains.

Your M spike however is less than three which implies a monoclonal gammopathy of unknown significance, so more than likely you do not have MM.j
If any question a bone marrow test, but doubt this will be necessary.

Even "smoldering" myeloma would generally have an M spike above three.
I am not saying don't follow with the heme doc, but you are probably OK
good luck

Customer: replied 3 years ago.
what about the white blood count of 3.1
Expert:  Dr. Thomas, MD replied 3 years ago.
Not low enough to be specific.
I would have that repeated.
It can be lowered in MM, however, you have no findings to co-oberated this...such as elevated calcium which would be more definitive.
3.1 can be from recent viral infection, medications, etc.

Good luck again

Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56003
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Dr. Thomas, MD and 5 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions