My name is Kelly and I am 48 but usually say 29 & holding. I am a mom to two teen boys. I don't want to die for at least another 40 years. My oldest son is on palliative care himself and undergoing experimental treatments for an unrelated health issue in NYC and I live 10 hrs away so I am his full time "Mom-ager" and we travel up to NYC every 6-8 weeks.
I am in the beginning of testing and the results trickling in on my patient portal have me wishing it was 1985 again as the unknowns are keeping me up 22 hours a day and I am surfing non-stop trying to put all of the test results in to some "box" and I can't.
I am learning the acronyms, trying to understand all of the testing, and feel like I can not put the laptop away long enough to "live" as I am so overwhelmed.
In June, my dog knocked me over during his bath on the deck and I have had leg / arm weakness / tingling / pins and needles and started on a 3 month journey to find out why from multiple sclerosis to heart issues to "generalized anxiety." I had nerve conductivity testing, xrays from the near daily falls I started having with 5 ER trips until I finally went to a hand specialist and said "I can't make a fist, my 3 fingers will not bend, I feel like I am falling apart and this is NOT anxiety." He told me I had cervical spinal stenosis and needed surgery asap. Sept 30th, I had surgery by a top neurosurgeon in my area and he told me I would be good as new in 3 weeks.
11 days ago, I went back to my neurologist and said "I still am walking like I am drunk, I feel like I could sleep all of the time, and I feel like my symptoms have only shifted but not necessarily been resolved since the surgery. In the most casual of conversations, a trip list of are you still on XXX drug, have you been out of the country in the past 21 days, could you be pregnant. I hear "regarding your immunofixation back in August, how is treatment going?" I was like WHAT – I thought the surgery was my treatment and she said "Oh, you never went to the hematologist - you were referred to back in August?" I responded, there was a question over my ferritin level since I have had prior infusions but my levels were cleared for surgery by my neurosurgeon so no, I never went to the hematologist when the neurosurgeon drew my labs. Then I said "what are you saying, immu-what?" and she said "oh, I won't tell you, I don't want you to Google it and ruin your Thanksgiving."
Next day, I am at Neurosurgeon office for work-in and I ask him what this test was and he said he was not aware of any issue other than my ferritin pre surgery but he would make a phone call to see his colleague which is where I landed on Weds - Thanksgiving Eve.
Hematologist said he was surprised immunofixation was even drawn since my vertebrae were resulting from my dog bath and I told him that I also had been pulled twice by the police for DWI walk of shame and I don't drink but I was obviously driving like I was impaired so I went to get glasses but I haven't driven since my surgery in September as I do not feel well enough and my husband took FMLA time to be with me. He mentioned multiple myeloma but said that people have it for years without knowing and he anticipated all of my blood work to return just fine and I probably needed to be in physical therapy to regain the strength I lost after surgery.
Ahh, the wonders of the Internet and long gone are the days of going to a 10 foot book stack and dusting a book off to peruse to glean medical knowledge.
Each night at 12:07 am (I have no idea why 12:07 but it is, literally like clock work), a lab result pops in to my phone and the adrenal rush commences and I stay up all night hyperventilating, freaking out and pleading to God. This has gone on for the past 8 nights.
A few days ago, it all seems like a blur, the hematologist office called and the nurse read me a script that I my blood results showed indicators of multiple myeloma and I need a bone marrow biopsy on the 11th. I already knew what my blood was showing and she said the tests are not complete as the one telling if I have an M-spike and the kappa/lambda ratio had not come back yet. I could tell she was not expecting me to have already read my results and researched as she was audibly uncomfortable deviating from her script. The call ended with me crying so hard that I could barely breathe as she wouldn't tell me what I wanted to hear but I am realizing, those words are wishful thinking.
Later that day, the hematologist called himself. He sternly told me to "let him do his job" and I could either trust the internet or him. I told him I would trust him. I vowed to my husband I would stop researching until after my bone marrow biopsy results and we knew for sure. That night the M-spike result came in with the kappa/lambda ratio. I went back on all of my promises.
I never anticipated this to be so long, but how do I "Let it Go" through the holidays?
Forums
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Timshel - Name: Kelly
- Who do you know with myeloma?: me
- When were you/they diagnosed?: December 2015
- Age at diagnosis: 48
Re: I'm not Elsa, how do I "Let it go"?
Kelly,
Welcome to the forum, but sorry to hear about your situation. Waiting for lab results is the hardest part of dealing with this kind of a disease.
So, what was your M-spike, lambda and kappa free light chain values (including units of measure)? Do you know your hemoglobin (on CBC test), serum calcium (on metabolic panel) and serum creatinine (on metabolic panel) levels (again, including units of measure)? Do you know your IgG, IgA and IgM levels (from quantified immunoglobulin test)? These would be the key things to first look at on your blood test results and can tell you quite a bit.
Depending on your personality, knowing what your prelim results might mean may help put your mind more at rest. But again, it depends on your personality. I am one of those folks that wants to know any and all results as early as possible (including what they might suggest), even if they may not tell the whole picture.
Welcome to the forum, but sorry to hear about your situation. Waiting for lab results is the hardest part of dealing with this kind of a disease.
So, what was your M-spike, lambda and kappa free light chain values (including units of measure)? Do you know your hemoglobin (on CBC test), serum calcium (on metabolic panel) and serum creatinine (on metabolic panel) levels (again, including units of measure)? Do you know your IgG, IgA and IgM levels (from quantified immunoglobulin test)? These would be the key things to first look at on your blood test results and can tell you quite a bit.
Depending on your personality, knowing what your prelim results might mean may help put your mind more at rest. But again, it depends on your personality. I am one of those folks that wants to know any and all results as early as possible (including what they might suggest), even if they may not tell the whole picture.
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Multibilly - Name: Multibilly
- Who do you know with myeloma?: Me
- When were you/they diagnosed?: Smoldering, Nov, 2012
Re: I'm not Elsa, how do I "Let it go"?
Hi Kathy, thanks for sharing about what you are going through getting a diagnosis, even though it is obviously very distressing to you and your family. I don't have access to lab results ahead of a medical appointment, which perhaps save a bit of stress there, but it doesn't really matter when you get results in terms of tying to interpret them.
I t seems like you been through a lot already medically! The results from the hematology blood tests might help to get a dx. Once you got that, and IF it were myeloma, at least you could start with treatments and hopefully see some improvement in the unsteady gait and neuropathy in your hand. Best wishes and I hope that everything becomes a bit clearer in terms of how to proceed soon. There are many people on this forum who live in the NY area in case you wanted any advice about doctors and cancer clinics, also.
I t seems like you been through a lot already medically! The results from the hematology blood tests might help to get a dx. Once you got that, and IF it were myeloma, at least you could start with treatments and hopefully see some improvement in the unsteady gait and neuropathy in your hand. Best wishes and I hope that everything becomes a bit clearer in terms of how to proceed soon. There are many people on this forum who live in the NY area in case you wanted any advice about doctors and cancer clinics, also.
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Nancy Shamanna - Name: Nancy Shamanna
- Who do you know with myeloma?: Self and others too
- When were you/they diagnosed?: July 2009
Re: I'm not Elsa, how do I "Let it go"?
Component Std Range Result
Monocytes Relative 1 - 11 % 7
Neutrophils Relative 42 - 78 % 58
Neutrophils Absolute 2.7
Eosinophils Relative 0 - 7 % 3
Lymphocytes Relative 16 - 52 % 32
Basophils Relative 0 - 4 % 1
Monoclonal Protein See Comments
Monoclonal Protein Study, S
Component Result Std Range
Total Protein 7.4 g/dL 6.3 - 7.9
Albumin 3.3 L g/dL 3.4-4.7
Alpha-1 Globulin 0.1 g/dL 0.1-0.3
Alpha-2 Globulin 0.8 g/dL 0.6-1.0
Beta-Globulin 0.9 g/dL 0.7-1.2
Gamma-Globulin 2.2 H g/dL 0.6-1.6
A/G Ratio 0.80
M spike 1.6 g/dL
Impression: M-spike in gamma fraction.
Immunofixation: Monoclonal IgG kappa.
C/W early or treated myeloma, MGUS, amyloidosis, etc.
Component Std Range Result
Viscosity 1.4 - 1.8 1.6
Iron Saturation (%) 20.0 - 55.0 % 19.2
Iron 50 - 150 ug/dL 73
* Iron values may be falsely elevated in the presence of
iron-containing compounds (e.g. iron dextran).
TIBC 250 - 450 ug/dL 381
Ferritin 8.0 - 252.0 ng/mL 12.8
IgM 40 - 230 mg/dL 31
IgA 70 - 400 mg/dL 199
Total IgG 700 - 1600 mg/dL 1840
** Kelly Note - IgG was 2448 on Aug 25, so this has come
down with same 700-1600 scale **
Beta 2 Microglobulin 1.09 - 2.53 ug/mL 2.26
Immunoglobulin Free Light Chains, S
Component Result Std Range
Kappa Free Light Chain, S 7.29 H mg/dL 0.33-1.94
Lambda Free Light Chain, S 0.8580 mg/dL 0.57-2.63
Kappa/Lambda FLC Ratio 8.50 H 0.26-1.65
Component Std Range Result
Potassium 3.5 - 5.0 mmol/L 3.3
Total Bilirubin 0.2 - 1.0 mg/dL 0.3
Glucose 65 - 99 mg/dL 91
Albumin 3.5 - 5.0 g/dL 3.3
CO2 21.0 - 32.0 mmol/L 29.3
GFR MDRD Non Af Amer >60
eGFR calculated by Discern Logic. The eGFR is calculated using
the four parameter MDRD equation for IDMS-traceable creatinine.
eGFR < 60 indicates chronic kidney disease,
eGFR < 15 indicates kidney failure.
Sodium 135 - 145 mmol/L 141
ALT 12 - 78 U/L 15
GFR MDRD Af Amer >60
eGFR calculated by Discern Logic.
Total Protein 6.0 - 8.0 g/dL 8.3
BUN 8.0 - 20.0 mg/dL 6.0
Creatinine 0.60 - 1.10 mg/dL 0.80
Alkal Phosph 50 - 136 U/L 89
Chloride 98 - 107 mmol/L 105
AST 15 - 40 U/L 15
Calcium 8.5 - 10.1 mg/dL 9.0
Hematocrit 35 - 44 % 36
RBC 3.90 - 5.03 M/uL 4.04
Platelet Count 150 - 450 k/uL 295
MCV 82 - 98 fL 88
Hemoglobin 12.0 - 15.5 g/dL 11.8
RDW 12 - 15 % 12
WBC 3.5 - 10.5 k/uL 4.7
Monocytes Relative 1 - 11 % 7
Neutrophils Relative 42 - 78 % 58
Neutrophils Absolute 2.7
Eosinophils Relative 0 - 7 % 3
Lymphocytes Relative 16 - 52 % 32
Basophils Relative 0 - 4 % 1
Monoclonal Protein See Comments
Monoclonal Protein Study, S
Component Result Std Range
Total Protein 7.4 g/dL 6.3 - 7.9
Albumin 3.3 L g/dL 3.4-4.7
Alpha-1 Globulin 0.1 g/dL 0.1-0.3
Alpha-2 Globulin 0.8 g/dL 0.6-1.0
Beta-Globulin 0.9 g/dL 0.7-1.2
Gamma-Globulin 2.2 H g/dL 0.6-1.6
A/G Ratio 0.80
M spike 1.6 g/dL
Impression: M-spike in gamma fraction.
Immunofixation: Monoclonal IgG kappa.
C/W early or treated myeloma, MGUS, amyloidosis, etc.
Component Std Range Result
Viscosity 1.4 - 1.8 1.6
Iron Saturation (%) 20.0 - 55.0 % 19.2
Iron 50 - 150 ug/dL 73
* Iron values may be falsely elevated in the presence of
iron-containing compounds (e.g. iron dextran).
TIBC 250 - 450 ug/dL 381
Ferritin 8.0 - 252.0 ng/mL 12.8
IgM 40 - 230 mg/dL 31
IgA 70 - 400 mg/dL 199
Total IgG 700 - 1600 mg/dL 1840
** Kelly Note - IgG was 2448 on Aug 25, so this has come
down with same 700-1600 scale **
Beta 2 Microglobulin 1.09 - 2.53 ug/mL 2.26
Immunoglobulin Free Light Chains, S
Component Result Std Range
Kappa Free Light Chain, S 7.29 H mg/dL 0.33-1.94
Lambda Free Light Chain, S 0.8580 mg/dL 0.57-2.63
Kappa/Lambda FLC Ratio 8.50 H 0.26-1.65
Component Std Range Result
Potassium 3.5 - 5.0 mmol/L 3.3
Total Bilirubin 0.2 - 1.0 mg/dL 0.3
Glucose 65 - 99 mg/dL 91
Albumin 3.5 - 5.0 g/dL 3.3
CO2 21.0 - 32.0 mmol/L 29.3
GFR MDRD Non Af Amer >60
eGFR calculated by Discern Logic. The eGFR is calculated using
the four parameter MDRD equation for IDMS-traceable creatinine.
eGFR < 60 indicates chronic kidney disease,
eGFR < 15 indicates kidney failure.
Sodium 135 - 145 mmol/L 141
ALT 12 - 78 U/L 15
GFR MDRD Af Amer >60
eGFR calculated by Discern Logic.
Total Protein 6.0 - 8.0 g/dL 8.3
BUN 8.0 - 20.0 mg/dL 6.0
Creatinine 0.60 - 1.10 mg/dL 0.80
Alkal Phosph 50 - 136 U/L 89
Chloride 98 - 107 mmol/L 105
AST 15 - 40 U/L 15
Calcium 8.5 - 10.1 mg/dL 9.0
Hematocrit 35 - 44 % 36
RBC 3.90 - 5.03 M/uL 4.04
Platelet Count 150 - 450 k/uL 295
MCV 82 - 98 fL 88
Hemoglobin 12.0 - 15.5 g/dL 11.8
RDW 12 - 15 % 12
WBC 3.5 - 10.5 k/uL 4.7
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Timshel - Name: Kelly
- Who do you know with myeloma?: me
- When were you/they diagnosed?: December 2015
- Age at diagnosis: 48
Re: I'm not Elsa, how do I "Let it go"?
Hi Kelly,
Thanks for posting these figures. I'm not a doc, but none of these numbers necessarily suggest you have anything more than MGUS.
So, if I were you, I would go into the holidays thinking that you have a very good chance of having MGUS. Keep in mind that MGUS almost never causes any complications and is not treated. Also, the risk of MGUS progressing to symptomatic multiple myeloma is only about 1-2%/year, so you could very well end up never needing treatment in your lifetime.
If it is smoldering multiple myeloma (which is what I have), that stage is also not treated and most people also are none the worse for it. But it does have a slightly higher risk of developing into symptomatic multiple myeloma down the road.
Lastly, you might want to discuss with your doc the idea of getting a bit more iron in your diet to see if you can't bump up your hemoglobin, RBC, etc. This worked for me when my hemoglobin level was on the low side.
Again, I'm not a doc and he is clearly the one that needs to make the call on all this. But none of these figures are that worrisome to me and many folks on this forum would love to have had these kinds of numbers when they were first diagnosed.
Take care.
Thanks for posting these figures. I'm not a doc, but none of these numbers necessarily suggest you have anything more than MGUS.
- You have an IgG Kappa monoclonal gammopathy, as confirmed by immunofixation
- You have an M-spike of 1.6 g/dL, which is a pretty mild value and could be in line with MGUS.
- You have an FLC ratio of 8.5. Again, this is not that high and could be in line with MGUS
- Your can google on "CRAB criteria myeloma" to better understand what this term means, but your calcium level is normal, your creatinine level is normal and your hemoglobin is > 10 g/dL. So barring any skeletal lesions that would show up on an MRI or PET/CT, you don't meet any of the CRAB criteria ... which is great news.
So, if I were you, I would go into the holidays thinking that you have a very good chance of having MGUS. Keep in mind that MGUS almost never causes any complications and is not treated. Also, the risk of MGUS progressing to symptomatic multiple myeloma is only about 1-2%/year, so you could very well end up never needing treatment in your lifetime.
If it is smoldering multiple myeloma (which is what I have), that stage is also not treated and most people also are none the worse for it. But it does have a slightly higher risk of developing into symptomatic multiple myeloma down the road.
Lastly, you might want to discuss with your doc the idea of getting a bit more iron in your diet to see if you can't bump up your hemoglobin, RBC, etc. This worked for me when my hemoglobin level was on the low side.
Again, I'm not a doc and he is clearly the one that needs to make the call on all this. But none of these figures are that worrisome to me and many folks on this forum would love to have had these kinds of numbers when they were first diagnosed.
Take care.
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Multibilly - Name: Multibilly
- Who do you know with myeloma?: Me
- When were you/they diagnosed?: Smoldering, Nov, 2012
Re: I'm not Elsa, how do I "Let it go"?
MultliBilly, you have NO IDEA what you have done for my emotional well being tonight. We just decorated and I was swallowing tears in fear this may be the last time.
My M-spike freaked me out.
My kappa / lambda ratio being 4x higher than the normal range REALLY freaked me.
I had 3 vertebrae damaged, whether from my dog being the impetus for a backwards somersault, or from multiple myeloma progression, I am not sure. Since I am anemic and had spinal stenosis, the CRAB freaked me out.
Basically, everything I read is freaking me out.
YOU HAVE NO IDEA how much your knowledge has helped me. I MAY actually sleep tonight!
Thank you – thank you – thank you!!
My M-spike freaked me out.
My kappa / lambda ratio being 4x higher than the normal range REALLY freaked me.
I had 3 vertebrae damaged, whether from my dog being the impetus for a backwards somersault, or from multiple myeloma progression, I am not sure. Since I am anemic and had spinal stenosis, the CRAB freaked me out.
Basically, everything I read is freaking me out.
YOU HAVE NO IDEA how much your knowledge has helped me. I MAY actually sleep tonight!
Thank you – thank you – thank you!!
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Timshel - Name: Kelly
- Who do you know with myeloma?: me
- When were you/they diagnosed?: December 2015
- Age at diagnosis: 48
Re: I'm not Elsa, how do I "Let it go"?
Kelly -
I'm glad that Multibilly's reply to you has helped you so much. Even if you do get diagnosed with active myeloma, the treatments available are very good and work well. Within the last few weeks there were 3 new drugs approved by the FDA for myeloma. Try to stay away from the Internet as much as possible except for sites like this. The treatments for myeloma are relatively side effect free and don't interfere with you normal life too much.
Many of us on this forum have lived with active myeloma for many years and have continued to work, raise our children, travel and enjoy life. So, the diagnosis doesn't mean a death sentence in a matter of months. Yes, unfortunately, not everyone is that lucky, but many of us are. Right now it's important for you to take a deep breath and try not to read too much. Know that when you have the biopsy that it will take about 2 weeks for you to get the results. It's very frustrating.
Try to enjoy this holiday season,
Nancy in Phila
I'm glad that Multibilly's reply to you has helped you so much. Even if you do get diagnosed with active myeloma, the treatments available are very good and work well. Within the last few weeks there were 3 new drugs approved by the FDA for myeloma. Try to stay away from the Internet as much as possible except for sites like this. The treatments for myeloma are relatively side effect free and don't interfere with you normal life too much.
Many of us on this forum have lived with active myeloma for many years and have continued to work, raise our children, travel and enjoy life. So, the diagnosis doesn't mean a death sentence in a matter of months. Yes, unfortunately, not everyone is that lucky, but many of us are. Right now it's important for you to take a deep breath and try not to read too much. Know that when you have the biopsy that it will take about 2 weeks for you to get the results. It's very frustrating.
Try to enjoy this holiday season,
Nancy in Phila
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NStewart - Name: Nancy Stewart
- Who do you know with myeloma?: self
- When were you/they diagnosed?: 3/08
- Age at diagnosis: 60
Re: I'm not Elsa, how do I "Let it go"?
Newbie: I am still learning acronyms - my apologies
I need help understanding why my m-spike would be so different from blood vs urine collected on same day. My bone marrow biopsy is Friday and I am still holding out hope for MGUS but I am honestly hyperventilating right now as I never expected 2 more results to be in my email this morning.
Also, I had spinal stenosis surgery September 30 and my X-ray on November 25 showed changes over the October 19 and September 30. I think I am freaking out more about this but at this point, I feel like I am overwhelmed beyond words.
Can someone help me understand what these tests are saying?
Monoclonal Protein Study, S
Total Protein 7.4 g/dL 6.3 - 7.9
Albumin 3.3 L g/dL 3.4-4.7
Alpha-1 Globulin 0.1 g/dL 0.1-0.3
Alpha-2 Globulin 0.8 g/dL 0.6-1.0
Beta-Globulin 0.9 g/dL 0.7-1.2
Gamma-Globulin 2.2 H g/dL 0.6-1.6
A/G Ratio 0.80
M spike 1.6 g/dL
Impression SEE COMMENTS: M-spike in gamma fraction.
Electrophoresis, Protein, Random, U
Albumin 19 %
Alpha 1-Globulin 5 %
Alpha 2-Globulin 11 %
Beta-Globulin 54 %
Gamma-Globulin 12 %
A/G Ratio 0.23 %
Impression SEE COMMENTS: M-spike = 7 mg/dL in beta fraction.
See Immunofixation.
Protein, Total, Random, U 15 mg/dL
I need help understanding why my m-spike would be so different from blood vs urine collected on same day. My bone marrow biopsy is Friday and I am still holding out hope for MGUS but I am honestly hyperventilating right now as I never expected 2 more results to be in my email this morning.
Also, I had spinal stenosis surgery September 30 and my X-ray on November 25 showed changes over the October 19 and September 30. I think I am freaking out more about this but at this point, I feel like I am overwhelmed beyond words.
Can someone help me understand what these tests are saying?
Monoclonal Protein Study, S
Total Protein 7.4 g/dL 6.3 - 7.9
Albumin 3.3 L g/dL 3.4-4.7
Alpha-1 Globulin 0.1 g/dL 0.1-0.3
Alpha-2 Globulin 0.8 g/dL 0.6-1.0
Beta-Globulin 0.9 g/dL 0.7-1.2
Gamma-Globulin 2.2 H g/dL 0.6-1.6
A/G Ratio 0.80
M spike 1.6 g/dL
Impression SEE COMMENTS: M-spike in gamma fraction.
Electrophoresis, Protein, Random, U
Albumin 19 %
Alpha 1-Globulin 5 %
Alpha 2-Globulin 11 %
Beta-Globulin 54 %
Gamma-Globulin 12 %
A/G Ratio 0.23 %
Impression SEE COMMENTS: M-spike = 7 mg/dL in beta fraction.
See Immunofixation.
Protein, Total, Random, U 15 mg/dL
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Timshel - Name: Kelly
- Who do you know with myeloma?: me
- When were you/they diagnosed?: December 2015
- Age at diagnosis: 48
Re: I'm not Elsa, how do I "Let it go"?
Hi Kelly,
The differences between the M-spike measured in an SPEP and a UPEP is kind of like apples and oranges, even though the term "M-spike" is used with both.
The UPEP M-spike is a measurement of free LIGHT chains that have escaped into your urine (you are making more free light chains than your kidneys can process, so they pass through to your urine). To make things more confusing, FLCs are called Bence-Jones proteins when they are found in the urine...but they are still the same little beasts. Keep in mind that the UPEP M-spike measurement isn't all that accurate when compared to a serum measurement.
It also appears that your results from your urine test are from a RANDOM urine sample, not a 24 hour sample. In general, random urine samples aren't used for diagnostic purposes wrt multiple myeloma.
On the other hand, the SPEP M-spike measures the amount of monoclonal HEAVY chains (in your case this is monoclonal IgG). Your serum M-spike is small, which is validated by the fact that your total serum protein level is in range (a serum M-spike will add to that total protein figure).
In a nut, I would go with the SPEP M-spike (1.6 g/dL) reading and your serum free light chain measurements and not worry about trying to reconcile these with any UPEP measurements (especially if the urine sample was random)
Remember, I'm not a doc, so please verify all this with yours.
The differences between the M-spike measured in an SPEP and a UPEP is kind of like apples and oranges, even though the term "M-spike" is used with both.
The UPEP M-spike is a measurement of free LIGHT chains that have escaped into your urine (you are making more free light chains than your kidneys can process, so they pass through to your urine). To make things more confusing, FLCs are called Bence-Jones proteins when they are found in the urine...but they are still the same little beasts. Keep in mind that the UPEP M-spike measurement isn't all that accurate when compared to a serum measurement.
It also appears that your results from your urine test are from a RANDOM urine sample, not a 24 hour sample. In general, random urine samples aren't used for diagnostic purposes wrt multiple myeloma.
On the other hand, the SPEP M-spike measures the amount of monoclonal HEAVY chains (in your case this is monoclonal IgG). Your serum M-spike is small, which is validated by the fact that your total serum protein level is in range (a serum M-spike will add to that total protein figure).
In a nut, I would go with the SPEP M-spike (1.6 g/dL) reading and your serum free light chain measurements and not worry about trying to reconcile these with any UPEP measurements (especially if the urine sample was random)
Remember, I'm not a doc, so please verify all this with yours.
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Multibilly - Name: Multibilly
- Who do you know with myeloma?: Me
- When were you/they diagnosed?: Smoldering, Nov, 2012
Re: I'm not Elsa, how do I "Let it go"?
Bill you may not be a doctor, but you ARE one of the most well-read myeloma guys I've ever encountered!
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Tracy J - Name: Tracy Jalbuena
- Who do you know with myeloma?: Me
- When were you/they diagnosed?: 2014
- Age at diagnosis: 42
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