Hello doctor,
Please can you help me understand my condition better and what I need to do. I am 44-year-old, and have been unwell for past one year. I have lots of symptoms including chronic pins and needles in my right hand, left foot and calf, cervical spine facet joint hypertrophy, headaches, trigeminal nerve pain, waking with right hand shaking, buzzing feeling in my left leg, testicular discomfort extending from inside leg lymph nodes, and depression. My thinking and memory have not been right. I have chronic mild neutropenia. It was discovered in nine months back. I had hypergammaglobulinemia, a rheumatologist gave me a course of corticosteroids which seemed to help normalize this, although subsequent testing shows IgM to be at the upper level (2.3 g/dl). I am currently having LDL apharesis done, and have had so far treatments, where the filter has pulled out a large amount of product. One person suggested to me that this is seen a lot in multiple myeloma patients. I believe it to be high LDL cholesterol, despite keeping a very good diet and walking 3 miles per day. If I consider during the hypergammaglobulinemia phase my blood tests often came back, it makes sense there was too much circulating protein, and also explains extremely bad headaches at that time. Could the large amount of gunky product in the filter actually be circulating IgM or total protein also? Or would that be gone now anyway, as it has been six months since the corticosteroids. If I consider the neutropenia may be the reason for the pins and needles, and the long time my immune system was messed up, for at least 8 to 9 months. Could I, in fact be experiencing multiple myeloma right now? Could this be Waldenstrom's? My local physician does not have good English and is simply unable to manage this as it is so complex. I should also mention TMJ, spine, chest, neck sounds like popping and snapping etc, and tinnitus. I will attach some recent bloods and you should know prior to three months I had very little health history, never needed pills etc. Now I am taking Clopidogrel 75 mg BD (since two weeks), Euthyrox 100 mg OD (since seven days). I have Diclofenac 75 mg as needed. I also did a Free Light Chains test in six months back, I have just attached.
Thank you.