Conversation: The conversation between human and AI assistant.
[|Human|] I HAVE MEN2A AND RECENTLY HAD MY THYROID BED OPERATED ON FOR THE 2ND TIME IN 2 YEARS. MY YOUNGER SISTER ALSO HAS MEN2A AND WAS JUST DIAGNOSED WITH CHRONIC LYMPHOCITIC LEUKEMIA . I REVIEWED MY MOST RECENNT BLOOD WORK AND MY WHITE BLOOD CELL COUNT IS VERY HIGH AND I HAVE NO INFECTION AND MY ABS SEGS ARE VERY HIGH SHOULD I BE CONCERNED
[|AI|]  Hello and welcome to Chat Doctor What I understand from your history that the WBC counts are very high. The number of segmented cells (Neutrophils) are also very high. The increase in neutrophils is commonly seen in infections-the bacterial infections. First and foremost these infections need to be ruled out. I would also like to know the time elapsed between your surgery and the blood sample taken as blood loss during surgery may transiently increase neutrophil counts.  Besides infections and blood loss certain neoplastic conditions are also known to cause an increase neutrophils like chronic neutrophil leukemia. Keeping your history in view I would like to advice you to clonal studies to rule out malignancy if no other common causes are found. Thanks and take care Chat Doctor.