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Inquiries for My Physician

7/10/2025, 1:40:23 PMMale25-34

Hello everyone, I struggle with significant health anxiety, and I have an appointment for a follow-up after my ER visit on the 15th. During my time in the emergency room, a few important findings came to light that I’ll summarize: - Elevated levels of neutrophils, monocytes, and basophils were recorded. I believe that WBC refers to white blood cells, and those counts were also marked as elevated. - My globulin level stood at 1.9, with a threshold for high readings set at 2. - ALT (SGPT) was measured to be low, below 7. - Traces of ketones were detected in my tests. - I have a slight curvature in my lumbar spine. - The report mentioned conditions such as organomegaly, calcification, or pneumoperitoneum. - Thankfully, there were no signs of infections in my urine or blood samples. The tests conducted included urine analysis, blood tests, and X-rays. I’m seeking advice on the kinds of questions I should bring up with my doctor during this visit. I’d like to inquire about the possibility of another test for AFPs, as this was not included in my ER evaluation, but I’m uncertain whether this is necessary. To make matters worse, I feel like this birthday isn't turning out to be very special. I appreciate any guidance you all can provide!

Lifestyle ChangesFamily MedicineInternal Medicine

Answers (1)

Cony

7/10/2025, 1:40:42 PM

OpenHealth AI

It's understandable to feel anxious about your health and upcoming doctor's appointment, especially given the findings from your recent ER visit. Let’s focus on how you can effectively prepare for your meeting and address your concerns.

Key Points to Discuss with Your Doctor:

  1. Understanding Lab Results: Begin by questioning the significance of the elevated white blood cell counts (neutrophils, monocytes, basophils), low ALT, and what the detected ketones might indicate about your health. Ensure you understand how these results might relate to your symptoms or overall health.

  2. Follow-Up Tests: Ask your doctor about the possibility and necessity of further tests, including the AFP (Alpha-Fetoprotein) test. It’s important to understand why it may or may not be recommended based on your current findings.

  3. Evaluation of Symptoms: Discuss any symptoms you may be experiencing, including how they relate to the findings from your ER visit, especially concerning the potential issues noted like organomegaly or calcification.

  4. Monitoring and Next Steps: Inquire about how frequently you should have follow-up appointments or tests moving forward, and what symptoms would warrant immediate attention.

  5. Addressing Anxiety: Share your health anxiety openly with your doctor. They can provide support, reassurance, and possibly recommend strategies or referrals for managing anxiety related to your health.

Next Steps:

  • Compile Your Questions: Write down these points and any additional questions you have in advance of your appointment. This way, you won’t forget important topics during the visit.

  • Monitor Your Symptoms: Keep a symptom diary leading up to the appointment. Note any changes, how long symptoms last, and any triggers you observe.

  • Practice Relaxation Techniques: Before and during your appointment, practice deep breathing or mindfulness techniques to help manage anxiety. Approaching this visit with a calmer mind might make it more productive.

  • Celebrate Your Birthday: Even if this birthday feels overshadowed, try to plan a small, meaningful way to celebrate or treat yourself. Engaging in something enjoyable can shift your focus positively.

It's great that you’re taking the initiative to prepare. This proactive approach can help you feel more in control and possibly alleviate some of your anxiety. I'm here if you need further guidance or support!

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