On Tuesday, I went to UNC with a friend. We often ride together, since we see the same doctor. I asked for a printout of may lab results, and here it is.
Test Name Result Flag Units Range IGG, Serum 347 L MG/DL 600-1700 IGM, Serum <25 L MG/DL 35-290 IGA, Serum 676 H MG/DL 40-400 SPE Interpretation The SPE pattern demonstrates a single band of restricted mobility in the gamma region, which may represent monoclonal protein. Total Protein, SPE 7.5 G/DL 6.6-8.0 Immunofix, Serum Monoclonal component typed as IgA Lambda. Concentration of monoclonal protein determined by serum protein electrophoresis is 0.7 g/dL. Kappa Free, Serum <0.30 L MG/DL 0.33-1.94 Lambda Free, Serum 1.29 MG/DL 0.57-2.63 K/L FLC Ratio Unable to calculate the ratio due to a free light chain concentration that is too low to accurately quantify.
After my friend’s appointment, we left, and were in the parking garage when she got a call on her cell phone from the doctor. He asked her to come back so she could be admitted. Her creatinine level had risen to 4.4 mg/dL! She has spent the last few days in the hospital at UNC, undergoing tests and receiving IV normal saline. Tomorrow is a kidney biopsy. It’s likely she’ll be able to go home on Saturday. We all hope her kidneys will recover quickly.
So looking back in your blogs:
Date IgA Spikes
12/20/06 2116 1.20 0.40
01/31/07 1350 0.75 0.32
02/25/07 964 0.40
The scanned-in lab report doesn’t show the spike for 3/20. But what is interesting is that the IgA decreases by about 30% to 35% each time. The biggest drop, percentagewise, was between 12/20 and 1/31, but that was also the longest interval, assuming I have the dates about right. Anyway, you seem to have the myeloma on the run!
If the high range for IgA is 400, you should be well under that in two more intervals. Go Beth!!!
I’d love to know where “spike” is in those latest labs.