No, worries at all, there's no difference in us, we're all just patients trying to understand what happened to us and what we were before has long since passed.
Your summary is absolutely awesome!!!
It does raise several questions for me, maybe we can untangle them together. From what I’ve understood serum is cell free. It is blood minus the cells and some other things (I myself have probably misused the terminology serum multiple times). So the question is now wether the cellular fibronectin which is part of the extracellular matrix is part of the serum. From what Google tells me, only trace amounts of ECM components are found in serum and the majority is found within tissue, however I can’t find a reference to what percentage of the ECM percentage of Fibronectin is found in plasma, but from what I can gather it might be low.
If that were the case the sentence “The body is still producing adequate cellular fibronectin but it is accumulating in the serum.” wouldn't make much sense to me, at least from what I’ve understood about cellular fibronectin being either cell-bound or part of the extracellular matrix. Furthermore how can it be then possible to have an “excess of cellular fibronectin in the serum”?
From what I’ve understood the only thing that would definitely be present in the serum would be the low IgM autoantibody levels against fibronectin. The rest one might have to look for in the plasma or even in the tissue.
Update: I just found a very readable paper on cellular and plasma fibronectin
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3182887/. According to this paper "only very low levels (1.3-1.4 μg/ml) of cellular FN have been reported to circulate in the blood plasma [
17]." However, very interestingly "blood plasma levels of cellular FN levels have been shown to increase after major trauma resulting in vascular tissue damage, after inflammation, and in diseases such as atherosclerosis, ischaemic heart disease and stroke [
18-
21]."
So does that mean that if he did indeed only look for cellular levels, which I'm not sure about currently, then this is an indicator of the things we've been expecting like vascular tissue damage because of inflammation or ischemia or is there more to it?