human
Monoclonal protein 1.76 Beta globulin 1.66 Still waiting on the rest.
gpt
So he has a monoclonal protein and its above 1.5. Im hoping its IgG. Now the trick is figuring out if his anemia and kidney issues are from myeloma or heart disease and poor perfusion. This will determine if he needs treatment or not. Agree with other person on this thread to make sure you test for amyloid. If he has a bone marrow (which he definitely should) then make sure they get a Congo red stain. Make sure you ask for this because many will not request path to look. This is not trivial as patients with amyloid secondary to light chain deposition respond amazingly well to daratumumab. Good news is myeloma is very very treatable these days. His b2 microglobulin is low which is a good prognostic sign.
Thank you. I think there are more lab results in progress. Some had to be sent out and we won't have results for about a week.
Some take a while, especially electrophoresis. Feel free to come back and post with more results.