Chapter 12: Lab Work

As we delve into the intricacies of lab work, a pivotal aspect unfolding across the stages of diagnosis, Watch and Wait, and the intricate steps of treatment, we’ll eschew the labyrinth of technical terms and focus on the key players.

CBC with Differential: Consider this a comprehensive backstage pass to my blood’s vital statistics – white cells, red cells, hemoglobin, and platelets. In the early days of MCL, these components harmoniously charted within the ‘normal’ range. However, as the Watch and Wait narrative unfolded, platelets took an unexpected dip, settling at 118, while the typical range spanned between 150-425. It’s worth noting that the definition of ‘normal’ may vary across different laboratories.

LDH (Lactate Dehydrogenase): This enzymatic protagonist usually plays a composed role. However, on February 6th, 2023, it took an unexpected turn, registering a robust 278 against the usual range of 125-220. A plot twist akin to a medical thriller, hinting at potential tissue or organ implications.

Now, let’s pivot to the logistics and the often overlooked heroes behind the scenes. All labs aren’t cut from the same cloth. The UW Health lab at One South Park in Madison – think of it as the gold standard. Seamless, painless blood draws, coupled with a friendly and efficient staff. Yet, when geographical constraints steer you away, local labs step in – competent, though not quite matching the One South Park standard.

And here’s a noteworthy point: no port installation in my case, as per my oncologist’s recommendation. A port would have reduced the “sticks” especially as my treatments progressed and my veins become harder to find.

Pro Tip: Seek a lab that exudes the comfort of a well-worn chair. Don’t hesitate to advocate for a ‘comfortable’ needle size.

As we conclude this exploration into the world of labs, maintain a keen perspective. Understanding these nuances is akin to deciphering the intricacies of a compelling narrative. We navigate this journey together.

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