Okay, just came back from Dr. Fred (Alan had to go alone because I'm all bent from my sciatica today). But he knew all questions to ask.

Oh, Dr. Fred said he should definitely have the spinal tap. So that's a go!

Okay, here is what it says about all the blood work he took.

-----------------------------------------------------------------------
Test Result Flag Reference
IgG 1820 H 751-1560 mg/dL
IgA 401 82-453 mg/dL
IgM 103 46-304 mg/dL

----------------------------------------------------------------------

Test Result Flag Reference
SPEP
Protein Electro A broad, diffuse (polyclonal) increase in Gamma-
Globulin is present
1/25/07 0401:
PROTEIN ELECTRO previously reported as

Total Protein 8.6 H 6.0-8.3 g/dL

Test performed at Quest Diagnostics
One Malcome Avenue, Teterboro, NJ 07608
unless otherwise noted

ALBUMIN FRACT 4.30 3.50 - 4.70 g/dL
ALPHA -1 FRACTIO 0.28 0.10 - 0.30 g/dL
ALPHA 2 FRACT 0.79 0.50 - 1.00 g/dL
BETA FRACTION 1.09 0.80 - 1.40 g/dL
GAMMA FRACTION 2.14 H 0.60 - 1.60 g/dL
IMMUNOFIX SERUM
IMMUNNOFIXATION SERUM:

No. monoclonal proteins detected

REF. RANGE. No monoclonal proteins detected

-------------------------------------------------------------------------

Test Result Flag Reference
SENT OUT TEST
HU antibody Negative Negative

TEST PERFORMED BY: QUEST DIAGNOSTICS NICHOLS
INSTITUTE 33608 ORTEGA HIGHWAY SAN JUAN
CAPISTRANO, CA 92675
----------------------------------------------------------------------

Test Result Flag Reference

3 hr GLU TOL
FASTING GLUCOSE 80 70-110 mg/dL
GLUCOSE 1 HR 108 70-200 mg/dL
GLUCOSE 2 HR 74 70-140 mg/dL
GLUCOSE 3 HR 38 L 70-125 mg/dL

-------------------------------------------------------------------

It also says "continued on next page" but there are only two pages.
I have no idea what it may say on another page. When we go and see Dr. Goldfarb, perhaps she'll have other stuff but this is all that Dr. Fred gave to Alan.

Somebody explain this Protein Electro polyclonal increase in Gamma-globulin thing to me please. (and anything else you care to explain would be most welcome).

Also, about 24 years ago, Alan was hospitalized in isolation because he had a fever and they had no idea why. They ran blood tests at that time but could not conclude anything. They finally sent him home and the diagnosis was probably mono but it was put on the form as "fever of unknown origin".
Just sharing this info with you if it might be related to any anti-bodies in this test.

Thanks much.
Melody