Dom's CONFUSING September Numbers.

Just got the call.  His numbers are jumping all over the place.  (My opinion, not the doctor's)

Some background:  For years, his M-SPIKE was ZERO.

Last summer, it jumped up to .3 and stayed there for almost a year. (blood work results)

6 months ago, it jumped up to .6  (blood work results)

3 months ago it was at .8  (blood work results)

At this point, Dr. Safah ordered a Bone Marrow Biopsy.  The reading was only 0.2 and were were all happy about this.

Fast forward to this month:

M-SPIKE 1.0  (blood work)

We have been going to a Slidell oncologist out of convenience, but have an appointment with Dr. Safah at TULANE in December.  I just don't know what to think about this.  The bone marrow biopsy is a more definitive test than blood work.

His LIGHT CHAINS are weird, too.

Normal levels of serum free light chains are:
• Kappa: 3.3–19.4 mg/L
• Lambda: 5.71–26.3 mg/L
• Kappa/lambda ratio: 0.26–1.65

His March numbers were:
*Kappa:  25.67
*Lambda:  28.00
*Ratio:  0.91

September found us at:
*Kappa:  12.8
*Lambda:  0.6
*Ratio:  2.12

I'd be delighted to get some feedback from you guys.  TIA.