Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I went to the doctor around June last year and he discovered my white blood cell count (neutrophils low and lymphs low) was low around 2.8. He said we would test it again in 6 months to see. In 6 months it went down to 2.3 and a week later 1.8. My total protein is also elevated (gamma globlin). I dont believe I have any other symptoms besides that. Recently I have had pain in my right bottocks and hip and a burning sensation   on my shoulder blades which I sometimes get from stress. I am a little nervous and have a hematologist appointment scheduled, but I am wondering what it could be.  Also last year I had an allergic reaction to penicillin and could possibly be allergic to other things.
[|AI|]  Hello, Welcome and thanks for your query. There are several causes for decreased white blood cell count. It is likely to be either an autoimmune destruction or a defect in the formation of the ABCs like in myelodysplasia syn Chat Doctor.  A condition called leukemic leukemia is ALO possible but less likely. It is important that you have a bone marrow biopsy done and also investigated for autoimmune diseases like SHE. Do get back to me if you have further queries.