Brian,
I was referred to an Oncologist who first diagnosed me with MGUS. After doing lots of research, I found I knew more than she did. That was frightening. On this site, other patients told me my cancer doctor needed to be a MM Specialist Hematologist/Oncologist. What a difference! This cancer is too complicated. If you don’t have a MM Specialist in your area, your Oncologist will be happy to refer you to one and collaborate with them in your treatment. Some can be done on FaceTime if travel is impossible. It is common to get a second opinion before starting treatment. Kappa light chains clog the kidneys and cause kidney failure, so time is of the essence. Watch your eGFR and Creatinine levels.
Paula🌹

With the numbers where they are, it is definitely a reason for a lot more testing. It will give answers that are much needed for your future diagnosis

I agree with others you need more testing. You definitely need a bone marrow biopsy.and protein levels tested. From what you have posted I would not say you have MM or are even high risk. The test for high risk is 20-2-20 . The first number is your ratio and you are only at 7. The last number is the bone marrow biopsy. To be MM I believe that number needs to be over 60. To be smoldering your bone marrow biopsy has to be 10 or higher. The middle number of 2 I do find confusing because the measurement given in results is not what you companer to that 2 you need to divide it by a 100 or possibly 1000. Any way I think you can relax for now and just get these tests or if you have already have them then check it against this test.

Great advice Thomas!