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Dr. James Gulley

Hematology and Oncology
Bethesda, MD
27 years experience male

Locations

NIH Clinical Center

Bethesda, MD

Address

10 Center Dr. , Bethesda, MD
Directions

About

Bio

I am a senior investigator at the National Institutes of Health. I head a clinical trials group devoted to immunotherapy for cancer with a emphasis on prostate cancer.

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

Languages spoken

English

Doctor Q&A

80 Answers
70 Agrees
The number of answers this doctor has agreed with.
A member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Targeted therapy: Newer targeted therapy agents can be quite beneficial for some patients with lung cancer. This is especially true in female never smokers who may hav... Read More
A 38-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Not convinced: From the numbers above i'm not convinced that you have iron deficiency anemia. What was your mcv? There certainly could be other scenarios that would ... Read More
A 36-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Yes: Radiation oncologists deliver external beam radiation therapy. The radiation is only present when the beam is turned on and is only present where the ... Read More
A female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Get checked out: You should get this area checked out. It could be nothing but it could be a cancer as you questioned. Only a detailed examination by a trained practit... Read More
A member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Always hope: There are many different levels of aggressiveness with prostate cancer however most are not progressive. It is possible that even without treatment th... Read More
A 31-year-old male asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Many possibilities: This hard lump could represent infection cancer or potentially something else. This should be evaluated by a physician.
A 48-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Clinical research: All clinical trials require extensive review for scientific rationale and safety before starting. Clinical trials are conducted by specialists who see... Read More
A 24-year-old male asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Prostate screening: There is significant controversy surrounding when and if to undergo screening for prostate cancer. For patients who have no symptoms most guidelines w... Read More
A 41-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Increased: It depends on the type of exposure and amount of asbestos you were exposed to. Certainly asbestos is linked with mesothelioma and the risk increases i... Read More
A 22-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Usually not: The prostate exam is generally done with a lubricated gloved finger. If the examiner is gentle and allows the muscles of the anus to relax this usuall... Read More
A 31-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Prostate removal: The most common reason to remove the prostate is for localized prostate cancer. The procedure is called radical prostatectomy. However if a male patie... Read More
A member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Immune booster: Provenge (sipuleucel-t) is designed to train your body's immune system to recognize an attack your cancer cells. In a large controlled trial, Provenge... Read More
A 81-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
A standard option: Provenge (sipuleucel-t) is a standard option for men who have progressive disease despite hormonal therapy and no or minimal symptoms. It probably is ... Read More
A 32-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Needs evaluation!: This is a difficult question with no easy answers. However ldh elevation indicates that there are cells that are being killed. The protein in the urin... Read More
A 46-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Asymptomatic LN: I assume you mean swollen lymph nodes without any symptoms. This can be from a variety of different things. Infection generally causes symptoms howeve... Read More
A 47-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Good: Most patients are able to recover platelet counts and have a mortality rate similar to the general population. For more details see this link. http:/... Read More
A 32-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
No easy answer: I would discuss with your referring doctor. Some reference laboratories are much better than others. You can always have it sent to a third laboratory... Read More
A 41-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Possibly.: This may be done on a case-by-case basis depending on what the underlying bleeding disorder is and how easily this is corrected. Consult the transplan... Read More
A 21-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Anemia: Fatigue can because by many medical conditions including anemia. Low blood counts can be due to many things. Taking iron supplementation may not help ... Read More
A 41-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Synovial sarcoma: Synovial sarcoma usually occurs in the joints of the legs or arms and often occurs in younger individuals. Generally this presents as a painless swell... Read More
A 43-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
It depends: There are a variety of different subtypes of aml. See this link for further details. http://www.cancer.gov/cancertopics/pdq/treatment/adultaml/patient... Read More
A 41-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Small bowel obstruct: Small bowel obstruction is seen frequently in patients following initial treatment for ovarian cancer. Any surgery or cancer in the peritoneum can giv... Read More
A 43-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Explore options: The best source for information on clinical trials for patients with cancer is http://www.Cancer.Gov/clinicaltrials. This site has clinical trials fro... Read More
A 30-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
It depends: The swollen lymph nodes and elevated white count could be because of an infection or an abnormality in the white blood cells.
A 43-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Normal diet: Unless there is expected to be prolonged neutropenia, the diet can be anything you feel like eating. Many times chemotherapy well decrease the appetit... Read More
A 48-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Prostate ca stages: When one looks at the stages of cancers, generally they are divided into stage i-iv. This is based on local extent of disease. This is also true for p... Read More
A 42-year-old male asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
I would get them che: Painless lumps at the base of the neck could represent a variety of different things including cancer. Generally red swollen and painful lymph nodes m... Read More
A 45-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Possibly: Brain tumors can cause forgetfulness and certainly are associated with headaches, however many other things can cause this too. If you are having thes... Read More
A 43-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Get checked: Blood in the urine can be from many different things. It could be anything from infection to kidney stones to cancer. The source of bleeding could be ... Read More
A 46-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Local radiation: Radiation oncologists treat patients that have either localized disease that may benefit from potentially curative radiation therapy or patients with ... Read More
A 30-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Probably: But it would depend on the symptoms you are having as to whether further workup needs to be done. This could include a ct or an MRI of the head.
A 47-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
No: Drinking tea should have no effect on the infection in the prostate.
A 50-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Get checked: This could be a variety of different things but should be checked. It would be helpful to know how long it has been there whether it comes and goes wi... Read More
A 21-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Disease continuum: There is a disease continuum from localized disease through advanced metastatic castration resistant disease. Generally localized disease is treated w... Read More
A 31-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Educate Immune Cell: Immunotherapy involves a retraining of the immune system. This may include therapeutic vaccines or immune checkpoint inhibitors for patients with canc... Read More
A 81-year-old male asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
2,190 cases in US : The american cancer society estimates that there will be 2, 190 cases of breast cancer diagnosed in males in the us in 2012. This is in comparison to ... Read More
A 34-year-old male asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Metastatic liver ca: Stage IV cancer is also known as metastatic disease which means it is spread outside of the organ in which it started. Unfortunately metastatic hepatc... Read More
A 49-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Anemia: It sounds as if your father is either not making enough red blood cells or they are being destroyed or lost. A complete workout should be done to dete... Read More
A 42-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Liver enzymes: This could be for one of several reasons. One possibility is that the liver cells or damage by chemotherapy or other drugs. Another possibility is tha... Read More
A 52-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Yes: They are probably not cancer but certainly could be. You should have this checked out by your physician. If you have problems with your immune system,... Read More
A 22-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Yes: They are probably not cancer but certainly could be. You should have this checked out by your physician. If you have problems with your immune system,... Read More
A 25-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Not necessarily: Anemia is inadequate numbers of red blood cells. Red blood cells are filled with iron containing molecules and when there is not enough iron the red b... Read More
A 28-year-old male asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Women's health: E vista (raloxifene) is a selective estrogen receptor modulator used for osteoporosis and breast cancer prevention. http://en.wikipedia.org/wiki/ralo... Read More
A 37-year-old male asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Clean it: Make sure that the wound is clean. An infection could make things a lot worse. If there is significant pain in the joint or in the bone then this may ... Read More
A 37-year-old female asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Need more info: What were your hemoglobin and hematocrit? It seems as if your body is trying to make the red blood cells however something may be making their lifespa... Read More
A 46-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Bone pain: Some people who have paget's disease will have absolutely no symptoms. Others may experience symptoms that are confused with arthritis. Others may hav... Read More
A 18-year-old male asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
It is not common: While it is not common for a teenager to get oral cancer, it is much more common for people who chew tobacco products to get oral cancer than those wh... Read More
A 34-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Variable symptoms: Adreno cortical cancer can cause a variety of different symptoms depending on what hormone is being made (either sex hormones, cortisol or aldosterone... Read More
A 41-year-old member asked:
Dr. James Gulley
Hematology and Oncology 27 years experience
Change immune state: Immunotherapy can be used to train the immune system to recognize and fight infections or cancer, or to tolerize the immune system to specific allerge... Read More

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

2
Recommendations
243
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Gulley is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Gulley is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! My LDH is normal (150) and all labs remain fine. No symptoms at all, very fit. Still, an incidental finding on CT of extensive abdominal and chest lymphandopathy. Biopsy...Read More
HealthTap member
Thanks doc for the idea.. I have a fren who dies just yesterday bcoz of tumor in her ovary, we rily dont know,it just happened so fast.
HealthTap member
Thank you I figured i should probably get it checked, my family has a history of breast cancer so it's been in the back of my mind

Education & Training

Medical/Graduate school

Loma Linda University School of Medicine, CA
Graduated 1995MD

Awards

2010 PECASE (Presidential early career award for scientists and engineers, the highest award bestowed by the US federal government on scientists and engineers early in their careers.)
Thought Leader, Second Place, Washington, DC - Winter
2013
Top Oncologist and Hematologist , Second Place, Maryland - Winter
2013
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