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Doctor Q&A for Dr. Keith Stockerl-Goldstein

A 50-year-old member asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
Low platelets: It depends on the unit but in the United States this would typically mean 13,000 platelets per microliter which is very low and is associated with a very high risk of bleeding. There are many causes but this needs to be evaluated and treated urgently as this would be considered a medical emergency if the cause is not known.
A 39-year-old member asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
High platelet count: There are many causes for a high platelet count. Many times it is reactive--in response to another medical issue like an infection or having no spleen but there are many other causes. It can also be a problem with the bone marrow function. The cause should be evaluated by a physician.
A 36-year-old member asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
High platelet count: There are many causes for a high platelet count. Many times it is reactive--in response to another medical issue like an infection or having no spleen but there are many other causes. It can also be a problem with the bone marrow function. The cause should be evaluated by a physician.
A 20-year-old female asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
Fetal heart rate: The rate of the heartbeat does not give any information about the gender of a fetus. That would require an ultrasound analysis.
A 54-year-old female asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
High platelets: There are many causes for high platelets counts. Some are reactive but it could also be a problem with the bone marrow where the platelets are made. People without spleens may have higher platelet counts too. This is something that should be evaluated by her physician.
A 61-year-old male asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
Cancer in athletes: There are a few studies that suggest that athletes have a lower risk of cancer. This is likely related to lifestyle differences with the general population--less tobacco use, less obesity, possibly dietary differences. These are all factors that are known to impact cancer risk.
A 20-year-old female asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
Hydroxyurea: Hydroxyurea is a chemotherapy drug and should not be used in healthy people. It will cause suppression of the bone marrow that can lead to low white blood cells, anemia (low red blood cells) and also low platelets. It is a potentially dangerous medication that should only be used as prescribed by a physician.
A 20-year-old female asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
Leukemia Staging: There are many different types of leukemia. Acute leukemias (myeloid or lymphoblastic) do not have a staging system. It is either in remission or not in remission. Chronic lymphocytic leukemia does have different stages and the need for therapy is based on a number of factors. Chronic myeloid leukemia is usually diagnosed in chronic phase and is very treatable.
A 38-year-old member asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
Myelodysplasia: The typical bone marrow features seen in myelodysplastic syndrome can include a hypercellular marrow (the marrow is too full of cells although in some cases the bone marrow can be more empty (hypocellular). There is typically disorder growth of cells so that they do not mature normally (dypsoiesis). Also, many times the chromosomes (cytogenetics) of the bone marrow cells will be abnormal.
A 50-year-old member asked:
Dr. Keith Stockerl-Goldstein
Hematology and Oncology 30 years experience
Hypocellular marrow: The normal bone marrow is a mixture of cells and fat. Hypocellular marrow means the marrow has fewer cells in the bone marrow space that is expected for that patient's age. There are many causes for this including nutritional deficiencies, bone marrow failure syndomes, pre-leukemia (myelodysplasia), prior chemotherapy, toxins and medications.
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