Concerns Following Occupational Cancer Screening as a Firefighter
Greetings! I'm a 32-year-old woman, standing at 56 inches and weighing 140 pounds. I don't smoke or use any tobacco products, maintain a fairly healthy diet, exercise four times each week, and drink socially. My medical regimen includes Adderall 20 XR, which I have been taking for nearly a decade to manage ADHD, as well as Gabapentin 300 mg—a more recent addition due to troubling night sweats. I've dedicated almost 8 years of my life to firefighting. Recently, within the past year, I experienced intense night sweats that soak my bedding and hair, coupled with a flushing rash triggered by heat or direct sunlight exposure. Additionally, I've noticed a strong sensitivity to cold temperatures, and my feet often turn cyanotic when they get particularly chilly. For some time now, I've sought answers regarding my symptoms from my primary care physician and a dermatologist. So far, the explanation I've received is that I might be dealing with a sun allergy and simply overheat at night, despite undergoing several tests that have yielded normal results. Last week, my fire department offered an occupational cancer screening for firefighters, but I was devastated to learn that my results were abnormal. The most alarming finding was a 3.83 cm mass on my spleen, along with nodules on my thyroid and an elevated white blood cell count. The blood work results indicated the following abnormalities: - Elevated white blood cell count, with a normal range being 6-10 - Epithelial cells exceeding 10, which is considered abnormal - WBC esterase showing a +1 result - Low alkaline phosphatase at 37 - High iron levels at 182 The screening suggested that I undergo a CT scan, which I am currently working on scheduling, though it might take a few weeks to arrange. In the meantime, I’m searching for insights into what these findings could mean, as I feel anxious about the implications of the mass on my spleen. Thank you for any guidance you can provide!
Answers (1)
6/26/2025, 8:10:43 PM
OpenHealth AI
I'm sorry to hear about your health concerns; it’s understandable to feel anxious given the situation. Let's break down your findings and next steps.
Main Points:
- You have a mass on your spleen, thyroid nodules, and abnormal blood test results, leading to anxiety and uncertainty.
- You are awaiting further evaluation through a CT scan, which is crucial for understanding the abnormal findings.
Explanation:
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Mass on the Spleen: A mass can have various causes, including benign (non-cancerous) conditions, but it’s important to rule out any serious issues (e.g., tumors or infections). The CT scan will provide more clarity on the nature of this mass.
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Thyroid Nodules: Many thyroid nodules are benign and not cancerous, but they often require monitoring. Your healthcare team may suggest follow-up tests based on their size and characteristics.
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Abnormal Blood Work:
- Elevated white blood cell count: This can indicate inflammation or infection, but it may also be associated with other conditions.
- Epithelial cells increased: This could suggest irritation or inflammation, often needing further investigation.
- Alkaline phosphatase and iron levels: Elevated iron might need further evaluation, especially as it can be associated with different health issues.
Next Steps:
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Prioritize Scheduling the CT Scan: This will provide essential information about the spleen mass and help guide next steps. Follow up with your healthcare provider if needed to expedite this process.
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Record Symptoms: Keep a diary of your symptoms, including the timing of your night sweats, flushing rash, and any changes in your overall health. This information can be valuable for your doctors.
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Stay Informed but Stay Calm: While it’s natural to feel anxious, try to focus on what is known rather than what is unknown. Education about your symptoms and findings can empower you.
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Support and Communication: Consider reaching out to support groups or forums related to occupational cancer and firefighters. Sharing experiences may lessen anxiety and help you gather insights.
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Manage Your Anxiety: Engage in relaxation techniques such as deep breathing, meditation, or yoga. Regular exercise can also be beneficial for mental well-being.
Conclusion:
Your health concerns are valid, and taking proactive steps in scheduling your CT scan is essential. While awaiting the results, focusing on symptom documentation and coping strategies can help manage your anxiety. Don't hesitate to reach out to your healthcare provider for any support or questions as you navigate through this period. I'm here for any further guidance you may need!
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