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Dr. A. Clark
Dr. A. Clark, Pediatrician
Category: Pediatrics
Satisfied Customers: 4437
Experience:  33 years of experience as a general pediatrician in private practice and in pediatric urgent care.
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My 8 year old daughter just had a pre-op physical and I just

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My 8 year old daughter just had a pre-op physical and I just received her blood work. Her Red blood cell, hematocrit and hemoglobin are above the normal range. Is there reason for concern going into surgery on Monday?

Dr. A. Clark :

I'm happy that you have asked me to assist you with your child and hope that you can benefit from my many years of helping parents like you.

Dr. A. Clark :

Hi. Can you tell me what the values were for the above normal ones?

Customer:

I'll pull them up...just a moment

Dr. A. Clark :

Great. I can tell you that you likely have nothing to worry about.

Customer:

RBC is 5.41, Hemoglobin 14.8 and Hematocrit 43.5

Dr. A. Clark :

The most common cause of those values being high has to do with your state of hydration. If you have not been drinking much or have been exercising and sweating a lot, then the blood is more concentrated and the numbers are falsely elevated.

Dr. A. Clark :

Her numbers are absolutely normal!

Customer:

Good! I wouldn't have thought much of it if not for the upcoming surgery.

Customer:

Thank you for setting my mind at ease :)

Dr. A. Clark :

Here are normals: Hemoglobin: 12.1 to 15.1, Hematocrit: 36.1-44.3, and RBC: 4.2-5.4, so you need not worry despite what is printed on the slip.

Dr. A. Clark :

The problem is that the labs pretty much establish their own "normals" and age and sex are also factors not accounted for as well.

Customer:

Why would they be different on the slip?

Customer:

Ah...thank you.

Dr. A. Clark :

You are quite welcome and good luck with her surgery.

Customer:

Thanks again and have a great day!

Dr. A. Clark :

You too.

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