Love That Mama Drama: Blook Work Results

Thursday, April 12, 2012

Blook Work Results

Yay, I heard from Dr. Lee today and received Layla's blood work results. It took me a bit to process the information and actually figure everything out but the short of it is this: She doesn't appear to have an immune system deficiency. She does have a Vitamin D deficiency which is mild and can be treated with a multivitamin with extra Vitamin D. Easy fix and this is quite common for children with asthma and food allergies. An easier fix would be to move to Florida and play in the sunshine every day... although the likelihood of that happening is slim to none. While she tested positive to tree nuts and walnuts back in 2010, the blood work did not show this allergy this time. However, I think we will be avoiding them just in case. We could do further testing into this, but at this rate I firmly believe that avoiding them would be our best bet. She is also still highly allergic to peanuts. (darn) So it looks like we will still be on high alert in that department. Dr. Lee also feels that she needs the 23-valent Pneumovax Immunization... which when I researched what on earth this meant, I think it simply means the Pnuemonia Vaccine. (Still looking into this to make sure I'm right)After receiving this vaccine, he then will do follow up blood work to retest her immune system.

Where do we go from here? Well we have a follow up with Dr. Lee in 3 weeks. From there we will see how her current cocktail of meds are working out for her. She is currently in the middle of yet another asthma bout, however, upon checking her Pulsox yesterday, we seem so be keeping a big attack at bay. She's on the neb every 4 hours and we have been extremely strict with making sure she is getting her inhalers twice a day along with her Singulair. If she should continue to have these bouts then we may have to add in an Advair or something of those sorts.

We also have a follow up with Dr. Verhave in 3 weeks for the EE recheck to see where we stand with that and if it is contributing to her asthma and allergies. I am curious to see where we stand with this but I have a lot of anxiety about putting her through yet another endoscopy now that she is two years older and can process more of it. That is not going to be a fun day. So back to Boston we go and it sounds like we'll be spending some time up there over the course of the next several months. I'll say again how fortunate we are to have this hospital at our finger tips and only an hour away.

I truly hope that I am not missing anything here. I lay awake at night thinking about this poor kid and what I can do to help her stay well. I rack my brain to see if there is something we are missing or something more we could be doing. I just want this Ravioli well. Period.

Other than that I am just continuing to plug along with work, planning the Father Daughter Dance for Hannah's school, planning Han's 1st Communion, and realizing that the Cannelloni is about to be TWO in only a few short months. My oh my!

Here are the Blood Work results. I like to post them here so when it comes a time to compare, I'll have them in a safe spot! ;)

Layla's lab results are below. Her blood counts show no changes concerning for an underlying immune deficiency. Antibody titers were adequate to 1 of 14 pneumococcal serotypes as well as to tetanus and Hib (PRP). Immunoglobulin levels were normal. Overall, there was the immune evaluation revealed no significant issues.

She has a mild Vitamin D insufficiecy and postive test to peanuts. Tree nut testing was negative.

Recommendation: I would like to further evaluate her immune system to see how well she responds to the 23-valent Pneumovax. This immunization can be given in your pediatrician's office. If not available, then it can be given at our clinic in Children's Hospital. Once this is done, she will need to have repeat measurement of antibody titers one month afterwards.
I also recommend that she start a multi-vitamin containing Vitamin D. Regarding tree nuts – she had a positive walnut skin test in 2010. If you are interested in giving her tree nuts, then she should come back to our clinic for tree nut testing. If negative then I would want to do a challenge to walnuts. If she passes that, then she will only need to avoid peanuts.

04/05/2012 16:29
WBC 7.50 K cells/uL 5.98 - 10.80
Hemoglobin 12.1 g/dL 11.1 - 12.9
Hematocrit 36.0 % 31.8 - 37.0
Platelet 349 K cells/uL 208 - 410
MPV 7.8 fL 7.3 - 8.0
RBC 4.26 M cells/uL 3.89 - 4.67
MCV 84.6 fL H 77.7 - 84.1
MCH 28.4 pg 27.0 - 29.6
MCHC 33.5 g/dL L 34.0 - 35.6
RDW 13.8 % 13.0 - 14.2
HDW 2.51 g/dL L 2.69 - 3.17
Absolute Neutrophil Count 1.64 K cells/uL L 2.29 - 6.36
Absolute Lymphocyte Count 4.91 K cells/uL H 1.46 - 3.78
Absolute Eosinophil Count 0.32 K cells/uL H 0.02 - 0.20
RBC Morphology Yes NA
Neutrophil/Band 22 % L 34 - 78
Left Shift Absent NA
Lymphocyte 66 % H 11 - 59
Monocyte 4 % 4 - 8
Eosinophil 4 % 1 - 4
Basophil 2 % H 0 - 1
Atypical Lymphocyte 2 % 0 - 4
Anisocytosis, RBC 1+ NA
Microcytosis, RBC 1+ NA
Pneumococcal IgG Panel Interpretation See Note NA
Pneumococcus Type 1, IgG 0.46 mcg/mL NA
Pneumococcus Type 12F, IgG 0.28 mcg/mL NA
Pneumococcus Type 14, IgG 0.30 mcg/mL NA
Pneumococcus Type 18C, IgG 0.86 mcg/mL NA
Pneumococcus Type 19F, IgG 0.67 mcg/mL NA
Pneumococcus Type 23F, IgG 0.16 mcg/mL NA
Pneumococcus Type 6B, IgG 0.56 mcg/mL NA
Pneumococcus Type 3, IgG 0.49 mcg/mL NA
Pneumococcus Type 4, IgG 0.08 mcg/mL NA
Pneumococcus Type 5, IgG 6.48 mcg/mL NA
Pneumococcus Type 7F, IgG 0.28 mcg/mL NA
Pneumococcus Type 8, IgG 0.18 mcg/mL NA
Pneumococcus Type 9N, IgG 0.08 mcg/mL NA
Pneumococcus Type 9V, IgG 0.28 mcg/mL NA
PRP (Polysaccharide Ribose Phosphate) 5508 ng/mL NA
Tetanus IgG 1.73 IU/mL 0.15 - 7.00
IgG 667 mg/dL 600 - 1500
IgG1 427 mg/dL NA 290-1065 -
IgG2 85 mg/dL NA 28-315 -
IgG3 29 mg/dL NA 4-71 -
IgG4 31 mg/dL NA 0-90 -
IgA 59 mg/dL 50 - 150
IgM 102 mg/dL H 22 - 100
IgE 159 units/mL 0 - 200
Allergen, Almond <0.35 kU/L NA
Allergen, Brazilnut <0.35 kU/L NA
Allergen, Cashew <0.35 kU/L NA
Allergen, Hazelnut <0.35 kU/L NA
Allergen, Pecan <0.35 kU/L NA
Allergen, Pistachio <0.35 kU/L NA
Allergen, Pine Nut <0.35 kU/L NA
Allergen, Walnut <0.35 kU/L NA
Allergen, Peanut 13.90 kU/L NA
25-Hydroxy Vitamin D 22.9 ng/mL L 30.0 - 80.0

Last but not least... HAPPY BIRTHDAY BILLY! Wishing you many more years of happiness and health! XO

Easter 2012