Conversation: The conversation between human and AI assistant.
[|Human|] Since 2009 I have had a few odd illnessesRuptured appendix encased within a benign tumor, spegelian hernia on my left side, staph infection lasting 6 monthsThroughout these years I have been told my lymphocytes are extremely high and extreme low wbc, anemiaWas questioned about cll but no one has ever sent me to be testedShould I be concernedMy bones hurt like not joints but actual bones
[|AI|]  Hello and welcome to Chat Doctor, An extremely low white blood cell counts, high lymphocyte count and bone pains is suggestive of sub-leukemic leukemia. Bone pains are usually seen in conditions wherein there is infiltration of the bones by tumor cells or by weakening of the bones. A bone marrow aspiration can be helpful in such situation. In sub-leukemic leukemia, the tumor cells are present in the bone marrow, but the white blood cells are not raised. Another investigation which is very helpful in CLL (chronic lymphocytes leukemia) is monoclonal studies of the lymphocytes. In any leukemia like CLL, the cells which are increased (lymphocytes) are monoclonal i.e. arise from same clone. You need to consult a hematologist for further workup. Thanks and take care Chat Doctor.