<s>[INST] hey doctor my brother esr test so high 125 level start last 9 months first test is 58 then 90 ,92 and now 125 his spinal operation 28-11-2006 and cage fixation carries 7 8 he fit last 5 years and use medicine MYRIN P AND VITA 6 18 MONTHS NOW HIS CONDITION VERY BAD SO WEAK COUGH AND FEVER HB%9.3 AND MRI TEST IS CLEAR X-RAY SPINAL IS CLEAR BUT EST TEST IS INCREASE DAY BY DAY CHEAST X-RAY ALSO CLEAR CBC TEST TOTAL RBC 3.6 HCT 30 MV 82 MCH 26 MCHC 32 PLATELET COUNT 494 WBC COUNT ( TLC )9.5 NEUTROPHILS 87 LYMPHOCYTES 07 MONOCYTES06 [/INST] Hi, Thanks for query, Erythocyte sedimentation rate or ESR has no diagnostic value, but it is used to measure prognostic value. High value then normal indicates presence of disease, but its rising value indicates that the disease is increasing while compared to previous low value indicates that the disease is under control. It is sometimes found higher in tuberculous infection but as in your case Lymphocyte shows only &7% indicate presence of Tuberculous infection is under control. The use of Marin P should be supervised by a physician. Thanks. </s>