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Dr. Riley Alexander

Pathology
IN
12 years experience male

Locations

Office

About

Bio

I am a board-eligible physician in anatomic and clinical pathology who has numerous publications focused on cancer etiologies, molecular pathology and HPV.

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.

Pathology

Languages spoken

English

Doctor Q&A

88 Answers
21 Agrees
The number of answers this doctor has agreed with.
A 20-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Yes: As long as you are on the outside and looking in, a microwave is very safe.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Many things: Adenocarcinoma means a cancer derived of epithelial cells of glandular origin (not from a gland necessarily). Metastatic means that it has spread. Muc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Yes: The vaccine only protects against certain strains of HPV--the ones that are most commonly indicated in cervical cancer and genital warts. But HPV has ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Maybe both: It depends where that description is from, but it sounds like a gross description (not microscopic) so they are likely seen with the naked eye. Though... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Riley Alexander
Pathology 12 years experience
No: The majority of people with HPV don't develop cancer. With routine pap tests and HPV screening, patients rarely go on to develop cancer due to the eff... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Aggressive : This is a type of adenocarcinoma that is usually very aggressive. It is rarer than what is commonly referred to as "endometrial cancer" (which is end... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Different things: Genital warts almost always occur externally (you can see them without a speculum). Most often they will be on the vulva and rarely are they dysplasti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Not common: Sarcomas are a broad definition of cancer including those of mesenchymal origin--those arising from bones and soft tissue (fat, muscle, etc.). They ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
No: HPV is not transmitted by saliva alone. It can be transmitted by nearly any sexual contact--oral, vaginal or anal.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Ask your doctor: From your question, it sounds like you received a "final"diagnosis of benign after a "preliminary" of FV of papillary carcinoma. But it is unclear fro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
May be cancer there: Lymph-vascular invasion means that the pathologist sees cancer cells within a lymphatic space or a small vessel (the "highways" cancer cells use to me... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Riley Alexander
Pathology 12 years experience
Depends: This is always at the discretion of the transplant surgeon, but largely depends on the type of cancer. Very localized skin cancers are not likely to c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Just skin? : When a pathologist performs an autopsy, an incision is made through the chest and abdomen so that we can examine the organs and vessels for determine ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Riley Alexander
Pathology 12 years experience
See doctor: Adenocarcinoma is one of the most common forms of lung cancer and should be taken very seriously. Treatment many times involves surgery, but speak wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Riley Alexander
Pathology 12 years experience
Depends : Sarcomas are rare compared to the much more common carcinoma so in general doctors see and diagnose them less commonly. There are specialists that spe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
100% doesn't exist: Nothing in medicine is 100%. It is very unlikely that a pathologist would miss H. pylori on a biopsy, but they are limited by where the biopsy is take... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
Dr. Riley Alexander
Pathology 12 years experience
Hydration is key: The total amount of calories burnt will not change significantly if you are expending the same amount of effort. The biggest concern is hydration. If ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Nothing: Vitamin B12 is a water-soluble vitamin and is easily excreted. It is nearly impossible to achieve toxic levels even with extreme levels of intake. Def... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Yes: It is near impossible to overdose on B12 as it is water soluble and easily excreted. My question is do you have a known deficiency or not? If so, leve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Years to develop: HPV driven cancer of the throat takes several years to develop after the infection. It is not an immediate or short-term process. The infection that l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Very hard to tell: HPV is not a reliable STD to judge relationships. This virus can lay latent for years and then surface or it can do bad things in a quicker timeline. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Immense: I would be doing the Renaissance a serious injustice to try and describe its impact in 400 characters. There are countless books both on and from the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Riley Alexander
Pathology 12 years experience
Likely not from bone: From your question, it sounds like your grandmother has previously had cancer and it was treated. The cancer "also in her bones" is most likely the sa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Differences: Infectious disease (ID) doctors specialize in the treatment of patients with infectious disease, particularly complex ones like HIV (managing antibiot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
A number of things: Tests for HPV DNA are being done on routine pap smears more and more often and are beginning to replace cytology (looking at cells). If you are asking... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Makes mucous : This basically describes a tumor (adenocarcinoma) that produces mucin (mucous) and excreted it outside the cells. Many will be found to have it only i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Possibly : Not common with most lymphomas, but can be seen with Hodgkin lymphoma. Is most commonly associated with chronic myologenous leukemia (cml) in the sett... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Usually difficult: To know this, you would need to know when the infection originated and have a very detailed sexual history. HPV persists after infection whether you h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Tolerance: This occurs through what is called "tolerance" where your body exposes B-cells and T-cells to your cells and renders those that react non-reactive or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Most likely not: The overwhelming majority of cervical cancers are caused by HPV, but rarely they are not. Your chances are very low with your age and HPV status, but ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Mucosal melanoma: From your question, it sounds like your primary is in the vagina. This is many times referred to as a "mucosal melanoma" (as opposed to the much more ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Can be: There are a number of genetic diseases that can cause liver problems. However, it seems your problems were due to hepatitis A and certain medications.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Inheritance: Both are inherited characteristics and are simply due to the fact that you are her mother (and were also affected by the father)...they aren't "linked... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
No.: From your description, it sounds like the diagnosis was normal flora present. The bacilli and cocci with few WBCs are just describing that. Normal flo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Riley Alexander
Pathology 12 years experience
One way, but why?: First, I must ask why? There are only very few instances where it is medically necessary to REDUCE hemoglobin. Please confer with your physician for a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Riley Alexander
Pathology 12 years experience
Likely nothing: Your question is a little unclear, but it sounds the micro report said there were squamous cells present. Was this from a blood draw or directly from ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
No: ASCUS stands for "atypical squamous cells of undetermined significance." You should follow-up with your OB/GYN for appropriate follow-up as your past ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
Dr. Riley Alexander
Pathology 12 years experience
Depends: It depends what type of blood tests you had done. If this was for a complete physical, it is most likely that they were included though. So if this wa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Clarify: Adenocarcinoma is not precancerous, it is cancer. 5 mm is pretty small, which makes it sound like a polyp (not adenocarcinoma). If that was the case (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
No: Anti-C & D are antibodies and these are in your plasma. These are a result of the antigens present on your red cells and foreign antigens (in your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Technically, you can: It is technically possible to TEST for HPV in men, but men are not SCREENED nor currently recommended to be screened for HPV. Women are tested as a pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
It's possible: The HPV vaccines only protect against certain strains of the disease (importantly the ones that cause the majority of cancers). So you can still get H... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Riley Alexander
Pathology 12 years experience
No.: The reference range is usually a given range where 95% of the NORMAL population falls (95% confidence interval). You are within this so you are fine. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Probably normal: It's hard to give you a definitive answer without seeing it and knowing what was causing your diarrhea, but the vagina normally has bacteria present (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Cyst & tumor differ: A cyst is defined as an open space (sac) with an epithelial lining. This space may be filled with fluid, cellular debris, empty, etc. In general, a tu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
No. : Taking a biopsy is done at the discretion of the physician performing the endoscopy. Biopsies are primarily done for areas of suspicion or surveillanc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 73-year-old male asked:
Dr. Riley Alexander
Pathology 12 years experience
Blood cells: A blood film is another name for a peripheral blood smear. Blood is placed on a slide and then smeared so that you get an area that is eventually one ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Some perspective : It might be obvious but if consumed copious amounts of alcohol and feel bad afterwards, it's probably due to the alcohol. Alcohol poisoning is a serio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Riley Alexander
Pathology 12 years experience
Fluid dynamics: Your blood works the same way any fluid works. Outside of your heart, there aren't a lot of active mechanisms involved in circulation.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Riley Alexander
Pathology 12 years experience
Need physcial exam: If you're having this much pain and discomfort, you really need this examined in person. From your description, this is most likely an anal condyloma ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

3
Recommendations
66
Thank you notes
HealthTap member
Jun 22, 2014
This is a very informative and helpful answer. Thank you Dr Alexander for your kind consideration.
HealthTap member
Mar 31, 2015
Dr. Alexander is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Alexander is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Great, thank you very much for your time and the answer, understood.
HealthTap member
Thanks for your quick reply! No deficiency that I know of just feel better when I take it
HealthTap member
This was very helpful. Thanks! Thank you Dr Alexander for the VERY important information.

Education & Training

Medical/Graduate school

Indiana University School of Medicine, IN
Graduated 2010MD

Residency

Indiana University School of Medicine

Awards

Top Pathologist, First Place, Indiana - Summer
2014
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