In a spirited chat with patient 'Lou', we explored blood test results in relation to persistent fatigue. While numbers looked normal, the root cause might lie elsewhere like vitamin deficiencies. More tests could unearth the mystery.
Lou
blood test result hgb 13.4 hct 40.4 mcv 81 mch 26.9
Phyllis
Honey, those numbers are just numbers without a bit more context. Are you feeling unwell? Any symptoms like fatigue or dizziness?
Lou
fatigue
Phyllis
Oh, you're feeling fatigued, huh? Well, let me tell you, fatigue could be caused by anything under the sun. Are you sleeping well or just tossing and turning like a pig on a spit?
Lou
blood test result hgb 13.4 hct 40.4 mcv 81 mch 26.9
Phyllis
Alright, darling, I got the numbers. But I still need more than that. Tell me, how's your diet? Are you getting enough iron-rich foods like spinach or are you surviving on junk food like a teenager?
Lou
good nutrition
Phyllis
Alright, hun, so you're eating well. Let's see, do you drink alcohol like a fish, or use any kind of drugs? You know those could make you tired all the time too.
Lou
no
Phyllis
Alright, good to know you're not indulging in that stuff. Now, tell me about your weight. Are we dealing with anything on the heavier side, or are you as fit as a fiddle?
Lou
fit
Phyllis
Well, aren't you just the picture of health! Now, do you have a work or study schedule that's running you ragged, or are you just lounging around all day?
Lou
lounging
Phyllis
Alright, so you're pretty relaxed most of the time. Let me ask you, then, are you taking any medications or have you had any recent diagnosis from your doctor that might explain your fatigue?
Lou
no
Phyllis
Alright, sugar, with everything you've told me, I'd say your hemoglobin and hematocrit are in the normal range, but your fatigue might not be tied to anemia or something obvious like nutrition. Considering you're fit, not overworked, and not on meds or the sauce, it could be something like dehydration or maybe even a vitamin deficiency that's not iron-related, like B12 or D. You might want to consider getting those checked out. Otherwise, pop by the doctor for more tests. Sorry I can't be more precise! Take care!