Doctor Q&A for Dr. Martin Rubenstein

A 48-year-old member asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
Blood tests.: An abnormal CBC (complete blook count) is the usual clue that ANLL/AML is present. The diagnosis is confirmed by bone marrow biopsy and flow cytometry ... Read More
A 41-year-old member asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
Lymph node swelling.: Most patients have no symptoms other than swollen lymph nodes, especially in the neck or under the arms. Of those that do have symptoms, the common o ... Read More
A 26-year-old male asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
Not usually.: You could have shortness of breath with vitamin B12 deficiency but only if you are severely anemic as a consequence of the deficiency. The term perni ... Read More
A 30-year-old female asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
Very well could be.: Coagulate negative staph can reside on the skin, so when a culture comes back with that finding one has to use judgment in deciding if the positive cu ... Read More
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A 67-year-old male asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
Not necessarily: Xarelto has a very predictable effect and isn't effected by diet like warfarin. Studies show bleeding is less likely with the new anticoagulants becau ... Read More
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A 48-year-old member asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
Various causes: most common are hemoglobinopathies. Abnormal hemoglobin genes cause decreased production or unstable hub, such as sickle cell, thalassemia and Hgb. E ... Read More
A female asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
See an eye doctor.: You need to see an ophthalmologist right away. This may not be related to myeloma, but there are eye problems related to myeloma that could lead to r ... Read More
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A 20-year-old female asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
Usually not.: the most common cause of anemia is iron deficiency. There are a number of other cause, none of which is due to a blood cancer. It is true that a sma ... Read More
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A 26-year-old female asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
No: An elevated white blood cell count is very common in pregnancy. As long as the rest of the CBC is normal and you are feeling well I would not be conc ... Read More
A 25-year-old male asked:
Dr. Martin Rubenstein
45 years experience Hematology and Oncology
Yes/no: HLA-B27 is a genetic test and the result should be yes or no. You are correct about inflammatory mediators, such as sed rate or C-reactive protein wh ... Read More
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