My eosinophilia has trended downward to a significant extent. The MSK mobile app is pretty great at visualizing that:

According to MSK, normal blood composition contains 0-4.9% eosinophils. On my first MSK appointment February 9, eosinophils were 33% of my blood, while three months later May 8 they are 12.3%.

Another measure of eosinophil counts showed 3.1 February 9, down to 1.2 May 8, with normal being .7 or less.

The trend is corresponding to getting my breathing symptoms under control. Because of this, the working theory is my eosinophilia is related to my asthma. Dr. Goldberg thinks that exacerbated asthma could be caused by what’s happening in my bone marrow. In 2019, mild asthma was found too, but I was told at that time my level of eosinophilia was too high for the level of asthma I was experiencing. So that’s somewhat confusing.

Although the cause and effect remains unclear and there’s some murkiness to everything, there is one sure takeaway: I do not need to have additional treatment at this time besides the baby aspirin and Breo. Additional organ damage is not a concern at the current level of eosinophilia. Great success!

Dr. Goldberg is recommending blood tests every six weeks to monitor what is happening and to see him every three months. He said I could return to care at Brooklyn Cancer Center with Dr. Ullah if I prefer, based on me being stable at this time. I am not sure what I’ll do about that, but my next step is to see what Weill-Cornell says as a second opinion.