Forgot to mention I am 42 year old male.
From what I can garner, a Roth spot that results from a leukemia develops this way: the very large number of blood cells from the leukemia make the blood very prone to coagulate. I.e., the blood is "hypercoagulable". When your CBC test shows normal blood cell levels, you can discard thoughts of leukemia.
Covid can cause inflammation which causes blood coagulation in some patients. So your doc might have ordered ESR and CRP and other related tests.
What to be wary of? If the clotting gets worse and gets widespread, which it probably won't. Just be aware of, say, any leg, lungs, or kidney problems - or maybe urine darkening.
"I spoke to an er doc and he thinks that based on the timing of being sick with COVID and the discovery of the Roth he would suggest that those 2 are linked since there were no symptoms prior to the COVID."
Yes, that's very much the correct thinking.
Yep, pre-diabetes also disposes to coagulation. So it can be a combination of multiple factors. Sort of a perfect storm type of thing.
If you happen to be overweight? I'd start losing weight immediately. The process of weight loss creates an anti-inflammatory effect.
"...but she did note that if anything with the CBC was abnormal they would’ve called so still hoping that that comes back OK."
Yes, they would quickly call and say to come in immediately; since they didn't, that's a very good sign.
"I’m actually in pretty good shape"
That's very good, since exercise is anti-inflammatory.
"I would have had other symptoms if I am already showing a Roth spot"
True, but most would be from low blood cells in advanced leukemia. Otherwise, I suppose you can press on your spleen and liver to detect any tenderness.
However, the odds are very much against leukemia.
"Best thing to do is just stay off the Internet."
I would never suggest that to anybody. The advice to not research one's health is usually given by people who don't have much understanding of things and can only say "go see a doctor".
"In your opinion would LabCorp typically call the doc if the CBC was elevated..."
My pure guess is that they never *call* a doc, but might have some other method to red flag such a high level of lymphocytes that it is likely a leukemia.
Don't you have an online portal where you can log in and see your own test results? That health data belongs to you, not to the doc, not to the lab.
Such as easy bleeding (low platelets), shortness of breath (anemia).
It was known for a time that Covid causes clotting.
Your cite points to The Lancet: https://www.thelancet.com/action/showPdf?pii=S2589-5370%2820%2930294-7
After a very brief look through, I see it saying that Covid also causes changes in the tiny blood vessels (microvasculature) of the eye. That's interesting but I don't know how that helps you. But the kidney also has many tiny blood vessels.
It's also a small study and the next, bigger one might say different things.
Do you have a portal with your doc's practice?
"She told me she would be very surprised if the CBC test came back abnormal"
"lab corp doesn’t release them till two days after"
My reflex is to say that's pathetic, but it probably does save the doc's office from a lot of calls asking "what do my results mean?!?"
"I don’t have any of that besides my anxiety :-)"
That's not uncommon at all. Merely saying "don't worry" won't accomplish too much... except for this: you at least know that the anxieties aren't reality based on medical reasons. They're just anxiety that you can't control, and you can't will it away. It's not your fault and that's just how it is.
I'm sure you'll be relieved when the CBC comes back.
"The doc is great I have her cell so I can text her anytime."
You're lucky, not all docs are that good :)
"It mention the hemmorage in the eyes of 9 patients"
If you mean that the study reinforces the idea that your Roth spots are caused by Covid? Yes, that is true.
I think we can assume for now that your retina problem is from Covid. What I'd be mainly interested in is whether it is getting better or not.
I'd said that the study doesn't help you because you should want to know at this point: what should you do about it? Can the problem be helped? Should you avoid anything, such as blood thinning foods? Or should you want to take a blood thinner?
"rule out leukemia"
Congratulations, it seems to be all over - except you can gloat about how well you recovered :)
"Roth spot is gone as the MD eye doctor couldn’t find it."
Excellent, and that seems to indicate that you will not have any further clotting problems. Your system handled everything, including dismantling the fibrin formation that makes for the light-colored center of a Roth spot.
"...felt the best I have felt in a long time" [from your intro]
That part is memorable. It's as if your system got reset from having to deal with the virus. In a better world, your story would be published in some journal as an inspiring "case report".
"I’m actually in pretty good shape"
I bet that has a lot to do with how well you did. So the credit goes to you.
Here's a term to remember for the rest of your life: when you exercise, muscle cells produce an ANTI-inflammatory biochemical called "IL-10". But in sedentary, obese people, fat cells produce PRO-inflammatory chemicals. In Covid, it's the inflammatory reactions that kill.
"my sugar floats between 95 and 107 ( fasting) so maybe diabetes?"
You've heard of white coat hypertension, where anxiety makes a person's blood pressure rise? The same can happen with blood sugar. White coat hyperglycemia. It makes perfect sense: when you see the bear, your blood sugar rises to be fuel to use in running away or fighting.
"So I am assuming that all 14 of had COVID since we all got sick at same time with same symptoms."
I have to ask: how did the others do?
And was there any pattern you detected in how fit/lean versus obese/overweight/sedentary they were, compared to how well they did?
"He said he would only be concerned if it was elevated over 1000."
Not my field, but that sounds entirely reasonable. I'd also bet it is even lower if you get it tested again in the future.
And thanks for posting the info on what happened with the rest of your family.
"if it was in fact leukemia all of my CBC counts would be way out of the normal range by now correct ? I am assuming if I was showing symptoms for the last 5 weeks that something would have showed up by now in CBC???"
Write again if/when you want to. This is not a bother.