[Mortimer]

Diffuse bone pain

by Mortimer on Thu Dec 31, 2015 8:34 pm

Hello,

New to the forum and was wondering about lab work that was done recently at a rheumatologist.

Back story – I have had diffuse bone pain for over 18 years, been to several doctors about it, none seem to be concerned about it. I have been to the ER several times about same issue and chest pain in the past also. All my last PCP wanted to do is put me on Prozac and never seemed concerned about my symptoms.

I'm attaching copies of my blood test results. Can anyone here make heads or tails about it and if there is anything else I need ask my new PCP or any other test that need to be done, any help would be greatly appreciated.

Thanks and God Bless

LabResults1b.jpg (97.1 KiB) Viewed 758 times

LabResults2b.jpg (124.4 KiB) Viewed 758 times

[kdodge]

Re: Diffuse bone pain

by kdodge on Wed Jan 06, 2016 4:05 pm

Your lab results look really good. The only real abnormality I see is vitamin D deficiency, and even it is not extremely low. There are a lot of disease states that are now being correlated with vitamin D deficiency, however, so your MD will probably want you to take a supplement and get some sunshine. I can't really say what other tests to have done. Have you ever had a bone scan?

[Tracy J]

Re: Diffuse bone pain

by Tracy J on Fri Jan 08, 2016 9:08 am

Hi Mortimer,

Welcome to forum! Your labs look pretty good. In terms of worrying about multiple myeloma, the important ones to look at are "M Spike, Serum", "Quantitative M Spike", and "PE Interpretation, Serum". These are at the end of your report, and they are normal. These are the tests that measure abnormal protein production by the cancerous cells. The tests are very sensitive. They usually pick up the M-spike – even in people whose myeloma cells don't make very much abnormal protein. Your other labs look good as well. Myeloma usually leaves some other kind of evidence behind in the other labs, but you have none of those red flags.

For your reading enjoyment, here's a link to a great article about the diagnostic criteria for myeloma:

SV Rajkumar, "New Criteria For The Diagnosis Of Multiple Myeloma And Related Disorders," The Myeloma Beacon, Oct 26, 2014

Tracy