Why would a doctor suspect leukemia from low platelet count alone?

Hi Gerald, I'm not 100 percent sure about the logistics of how they decide to come up with what they say. What I will say is, go ahead and get a second opinion. It's ok to do so. If you are unsure about anything, the more reason to do your research and get a second opinion. Doctors are not always right. Best of luck!

A Hematologist is a blood specialist, you should consult with him before making any decisions. 

Thanks guys for your response your replies your concern that and for your time to reach out to me because even though I've had space for stomach cancer 20 years ago non hosting lymphoma Non-Hodgkin's lymphoma out of my stomach as big as an orange pulling metastasize fully metastasized and I was at this door. The password now 20 years later fast forward 20 years later and here I am again dealing with uncertainty not knowing what exactly is going on but I have out there underlying illnesses as well so the emergency room you have four morbidities that you're dealing with in any one of them could be a death sentence on its own and you have four he said you are the critical very critical medical complex situation Gerald please do not leave the hospital please do not leave against medical advice stay here but I've got you here let me IV you at the intravenous antibiotics to buy the sepsis stage 2 infection in my hand where I was shot by a man last year who tried to execute me and I put the hand over the barrel of the gun as he was pulling the trigger and I lost three fingers and waited several hours before going to the doctor they managed to reattach but this been infection after infection after infection with this hand hepatitis c type 2 diabetes.And the big one,and I'm not ashamed to share with the community I have and have had since 1996 HIV⁸/AIDS ( uncontrolled)a t-’⁷cell count of (63)yes u read correctly a mere 63. So no wonder I'm sick huh so no wonder I'm sick and I just went up in my. medication the Biktarvy. THE REASON I went off my meds is ashamedly I met on this part I admit I relapse to the devil's poison crack cocaine yeah crack cocaine and then back on the ship since for 14 months now. Hate myself for it ashamed of myself for it degraded myself humiliated myself disappointing myself and other people that like me or love me I don't know which or whatever but I let myself down I was so proud of the accomplishments I had made the cheapest police in Baldwin Park Kansas the chief of police the medical examiner's office here in Kansas City Missouri I work there as well around the some of the most prominent and professional medical examiners that ever came to any door on any particular campus or or whatever the business or institution I'd like to call it and and they accepted me as who I was and what I am and everything because I had changed and I had been incarcerated and came out and went to work at a police station and the medical examiner's office and with the criminal background and the family news and things of that nature but I stay clean and sober for 11 years until one day I gave a friend of mine a ride and he drops his smoking pipe in the floorboard of my car inadvertently unintentionally but whatever and I saw it when I got home and I picked it up and 14 months now I've been on it and you know and I'm at death's door again sad to say but I hope my God she's fit to save me again heal me again deliver me again. I wish each and every one of you the very best with the journey that's ahead of you with the with the recovery that's ahead of you that that delivers the heali the healing that almighty God is going to allow to happen and renew your body and strengthen your body and and restore you and your body your health you know I wish all that for the for all of you I wish the very best and if it is true but the emergency room doctor was is assuming that I haven't been able to get test results I'm very I know I'm sick I don't feel sick but I know what the doctor said but I'm going to man up now and I'm going to get things taken care of but I had to leave here's what I wanted to say I had to leave medical at the hospital against medical advice because I happen to have the greatest little dog at home that I've had for 9 years and that I love more than myself more than life itself more than anybody anything in my life ever it's an absolutely Charlie is absolutely the greatest possession that I've ever bought and owned and I've had many and lost many Charlie is absolutely the greatest little guy in the whole world! He loves me and I surely love him! Times 1 million! Good luck to each and everyone of you I hope that that I can make some beneficial posts and to encourage and I hope at the same time that if I happen to have the diagnosis or anything that's going to be diagnosed that I'm able to reach out to somebody just to say hey would you pray for me and Charlie or hey have you seen this rash before? God bless you guys and gals keep your heads up if you can look up you can get up!

A platelet count of 10,000 is indeed critically low and requires immediate attention, which explains why your doctor is considering serious conditions like leukemia as a possible cause. However, you're absolutely right that additional tests including blood work, imaging, and potentially a bone marrow biopsy would be needed to confirm any diagnosis - doctors typically investigate the most serious possibilities first to rule them out quickly. This must feel overwhelming, but asking these important questions shows you're being a good advocate for your own care.