<s>[INST] I don t understand why my doctors have been confused with my blood work the last few years. I seen an oncologist. Got retested for proteins and whatever. Well I had anemia but the rest looked good. I am chronically tired and in pain so my doctor did more test this year especially cause I have large lymph nodes and continue to get various infections. She believes I may have some form of leukemia but I don t experience painful lymph nodes all the time and I haven t dropped a pound. Does this rule that theory out? [/INST] Leukemia can be ruled out by doing a blood count test with peripheral smear examination. If the counts are suspicious then bone marrow examination is indicated, Chronic infection can give rise to lymph node enlargement along with anemia. In the initial stages of the disease there might not be weight loss. At the moment you need not think of leukemia as the size of the lymph nodes changes without any active treatment. </s>