Conversation: The conversation between human and AI assistant.
[|Human|] I am a nurse practitioner. I randomly had some annual blood work done (I was having ankle edema for no reason). My TSH was 13.42 so there is a need for adjustment, which we did. But our major concern is that my WBC is  1.9. I never get sick and feel good, but now I am concerned about this level.I am severely sllep deprived ( I get about 3 hours night) and have been for the last   10 years. Could lack of sleep cause the leukopenia and the high  TSH.???         Advise?      Janice Morrow
[|AI|]  Hi, I have gone through your question. I can understand your concern. But just lack of sleep doesn't affect WBC count or TSH. So your low WBC count is not due to lack of sleep. There must be some other pathology. Consult hematologist, and you should go for PS examination and if needed then go for bone marrow examination. It must be due to some other pathology. Investigate for that and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.