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Dr. Christian Schultheis

Hematology and Oncology
Dubuque, IA
24 years experience male

Locations

Office

Dubuque, IA

Address

Medical Associates Clinic, 1000 Langworthy, Dubuque, IA
Directions

About

Bio

I am originally from Des Moines, IA. I enjoy playing with my kids, golf, tennis and cooking.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Hematology and Oncology

Doctor Q&A

667 Answers
60 Agrees
The number of answers this doctor has agreed with.
A 40-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Depends: It depends on the lymph node status, the grade of the tumor, how many lymph nodes involved, size of the tumor, ki-67 status. Surgery, anti-hormonal t... Read More
A female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Mammogram: You need a breast exam and a mammogram. It may be nothing but this is where to start.
A 37-year-old male asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Self: Self breast exam very important. Examine before, during and after your cycle. They feel different.
A 39-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Likely a papilloma: I would see a surgeon who does a lot of breast surgery. Papillomas are common to cause a bloody discharge and are usually benign. Hope this helps.
A 40-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Probably not: I would not be alarmed by a small change in body temperature. Hope this helps.
A 37-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
No: Breast feeding is one way to reduce the risk. There are other factors, such as family history, previous breast biopsies. Hope this helps.
A 43-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Hard to answer: That varies. I have had patients on their first hormone treatment for over 5-10 years. Ultimately if it is stage 4, the cancer will recur. Regular ... Read More
A 40-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Examination: Usually one can tell just by examining the patient. If there is a question, a biopsy can be performed. Hope this helps.
A 41-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Letrozole: Tamoxifen for 5 years followed by Letrozole would be an option. However, technically you are still premenopausal so not an option. Another treatment... Read More
A 39-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Malaria : Patients with sickle cell anemia typically are protected against malaria. Hope this helps.
A 38-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Tough question: The first therapy is haart, highly active antiretroviral therapy. Once the the viral load is down, commonly the kaposi's sarcoma resolves. If it doe... Read More
A 27-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Exam: I would suggest seeing a surgeon for a breast exam. Get a baseline mammogram at age 35 and then yearly at 40. One could also consider getting a MRI ... Read More
A male asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Yes: Often a precursor to iron deficiency anemia. Just because the patient is not anemic does not explain the low ferritin. Is the patient absorbing iron... Read More
A 22-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Likely cysts: Cysts are fluid filled cavities and can occur in the breasts. When women have their period, they can experience pain because of the increase of fluid... Read More
A 27-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Like mastitis: It is red, thickened and can look like an orange peel. Referred to as peau de orange. Hope this helps.
A 45-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Lymphocytosis: You have an absolute lymphocytosis. Multiply the white count by the lymphocyte percentage. In your case 20, 000 x .67=13, 400. Any lymphocyte count ... Read More
A 42-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Need more info: Do you have ovarian cancer? If not, do not check this test. Hope this helps.
A 35-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
It can: There can be other symptoms and manifestations. If the person is concerned, it is a quick result in 2014. Hope this helps.
A 66-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
No affect: Only a small proportion of mgus progresses to myeloma. So we would be treating patients who do not treatment. Hope this helps.
A 50-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
CBC: Get a blood count. Can be reviewed under the microscope. Then if felt to be abnormal, then the hematologist will obtain what is called BCR-ABL by FI... Read More
A 40-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Carcinoid: Elevated 5-hiaa seen in carcinoid. Bother things possible as well. Hope this helps.
A 32-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
RARS: That is a lot. At your age, one can think of too much iron or a hereditary sideroblastic anemia. Rare to have a myelodysplasia at your age. The you... Read More
A 16-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Iron: But first, you need to find the cause. Are you bleeding, destroying your blood, or not making blood. The most common cause is that you are losing bl... Read More
A 50-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
A lot of things: If just 2 mm, i would just monitor with a ct scan every 6 months for a year and then every year thereafter. Possibilties include exposure to fungus, ... Read More
A 49-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Good: If tumor greater than 0.5 cm, then i would recommend adjuvant herceptin (trastuzumab). If she does not have a lot of medical problems, one would als... Read More
A 18-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Now: She needs to be seen by her primary care doctor and have her BP checked and baseline labs, such as creatinine, sodium, potassium, thyroid. Also see a... Read More
A 33-year-old male asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Yes: Continue to monitor. I have been monitoring patients without treatment for over 10 years. Most likely a low risk myelodysplasia.
A 42-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
May be normal : If it has been the same for years probably a normal variant. If there is a concern then make an appointment with an ENT physician. Hope this helps.
A 24-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
ENT: Need to see an ENT physician. Also would have some blood checked. A CBC, coagulation studies (PTT and PT). Hope this helps.
A 33-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Unlikely: If occurs with your cycle, it could just be related to blood loss and fatigue. If it only occurs with period, likely not serious. I would however su... Read More
A 42-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Paclitaxel: Paclitaxel or Taxol (paclitaxel) is a micro tubule inhibitor. It has great activity in breast cancer. Side effects include low blood counts, hair lo... Read More
A 42-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Sure: It can be as simple as a lump or it can be raised and pink like a pimple. Typically occurs at the site of resection but can be in other places as wel... Read More
A 50-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Unlikely: Unlikely related to tamoxifen but it still needs to be evaluated. Hope this helps.
A 37-year-old male asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Improving: Improving your core strength with planks can help low back pain.
A 18-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
ENT: You need to see an ENT physician so they can look in your nose. The likely cause is a bleeding vein. It probably needs to be cauterized. It would ... Read More
A 45-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Usually: Not always but it usually does. That is why it is important to examine your breasts every month. Hope this helps. It can be red, inverted nipple, p... Read More
A 17-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Difficult : There most likely is a higher risk. But main risk factor is your mother and any sisters with breast or ovarian cancer? The best thing you can do is m... Read More
A 37-year-old male asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
SPF: SPF 30 provides better protection than 15 but not 50% more. SPF 50 isn't much better than 30.
A 44-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
? Neuropathy: Any injury? Could be a neuropathy. Any history of diabetes? I would meet with your doctor.
A 47-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Several: Hair loss, nausea, fatigue, risk for infection. However, the incidence of nausea is a lot less now with newer medications. Hope this helps.
A 45-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Not similar: Faslodex (fulvestrant) is an anti hormonal medication. Blocks production of estrogen. Xeloda is a chemotherapy medication. Hope this helps.
A 32-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Exam: I would not recommend obtaining a ca-125 as it is a nonspecific test in patients without ovarian cancer. I would recommend a gynecologic exam. At yo... Read More
A 38-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Seems high: Maybe genetic given your age. Have they checked your iron level?
A 45-year-old member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Yes: Now if surgery can be done, there is a survival advantage. Rarely do radiation before surgery. There is some data out of MD Anderson using pazopanib... Read More
A member asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Should be able to: Having a hemolytic anemia should not affect the ability to get pregnant. However, your hematologist will need to monitor your blood closely. May nee... Read More
A 28-year-old male asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Depends: it needs to be evaluated. Is it infectious, neoplastic or inflammatory. Basically you need tissue. Also symptoms would be helpful, such as cough, s... Read More
A 26-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Probably not: Pain is an uncommon presentation but I would recommend you see your doctor for a breast exam. Hope this helps.
A 28-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
It was blocked: Could have been blocked by a rib. Might have had a better inspiration. Hope this helps.
A 32-year-old female asked:
Dr. Christian Schultheis
Hematology and Oncology 24 years experience
Cysts?: Could be cystic. Cysts can enlarge and cause discomfort. Hope this helps.

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
610
Thank you notes
An excellent source of information
I recommend this physician!
HealthTap member
Mar 30, 2015
Dr. Schultheis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This made me feel good. Thanks! My husband was recently diagnosed with this and is doing great with ATRA and arsenic trioxide but nice to read the same here.
HealthTap member
I am not on aromatase inhibitor therapy yet. My estradiol came out 307,7 pmol/L. Testosterone was normal. Other tests/screenings are under way.
HealthTap member
Ty..scared me but Iget infussions weekly with b12.. I eat meat everyday. Spinach etc..but not helping. I didn't think it was a big deal. I

Education & Training

Medical/Graduate school

American University of the Caribbean, St. Maarten
Graduated 1997MD

Awards

FACP
Top Doctor, First Place, Dubuque, IA - Winter
2013
Most Influential, Second Place, Iowa - Winter
2013

Affiliations

Medical Associates Clinic
Mercy Hospital Dubuque
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less