Dr. Riley Alexander

Pathology
IN
13 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 40-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Not technically : Lymphoma is a cancer derived from lymphocytes (immune cells) that are broad classified as B or T lymphocytes. They are normally present in the bone ma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Riley Alexander
Pathology 13 years experience
Not sure what u mean: Do you mean from a nutritional standpoint? There are many differences in the two in nutrition (and there are many types of mushrooms). Mushrooms gener... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Talk to doctor: Pathology reports are written for a physician audience so they are usually difficult for a patient to understand. It is best to ask your physician for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
Unclear: Your question is a little unclear, but it seems like you are asking about FISH testing in myeloma. FISH results are separate from the morphology seen ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
You aren't alone: According to the CDC, 79 million Americans are infected with HPV--well over a fifth of the population so don't feel like an outcast. You can transmit ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
A little unclear: Your question is a little unclear, but if you're asking how long it can take to know you have an indolent lymphoma then that is highly variable. By th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
No average: Cancer types are dramatically different with regards to how quickly cell division takes place and even the same type of cancer can be dramatically dif... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
Side effect: Mirena (levonorgestrel) is an IUD that uses hormones to prevent pregnancy. A common side effect of this is women ceasing to have menstruation (amenorr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
Suggests myeloma: An increased number of plasma cells in the bone marrow is most worrisome for multiple (plasma cell) myeloma. With 15% plasma cells, correlation with c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Not that we know of: I have had a great amount of research experience in prostate cancer and HPV. Prostate cancer actually happens to be one of the few cancers that we hav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Yes: Having a hysterectomy does not "cure" HPV, it just removes the area most affected by it (the cervix). Your ability to transmit HPV depends on how your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 74-year-old male asked:
Dr. Riley Alexander
Pathology 13 years experience
Yes: Sepsis is a life-threatening condition marked by a dramatic, systemic inflammatory response due to infection. It causes a number of potential severe s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
It can cause a few: HPV is most known for cervical cancer in women, but obviously this is not an issue. It is becoming well established that it is a major cause of cancer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Wash hands cook food: Nearly all E. coli infections are the result of a fecal-oral transmission route. This means wash hands and and don't eat undercooked ground meat from ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Culture: Culturing the organism from the site of the infection and then performing biochemical tests on the isolated colonies is the gold standard and classic ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Riley Alexander
Pathology 13 years experience
Diet and genetics: The causes are primarily a constellation of diet and your genetics. Some people are predisposed to high cholesterol and/or triglycerides and diet may ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
Yes: Sarcomatoid features, necrosis and lymph node invasion are all indicators of aggressive behavior so lacking all 3 are favorable indicators to your dia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
An explanation: In the broadest sense of the word, "pathology" means something that is abnormal and, in medicine, is usually inferred to be something abnormal that is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Inflammation: First, where are these smears coming from...pap? Neutrophils are an indicator to the pathologist of acute inflammation and macrophages and lymphocytes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Depends: This is a constant fear and worry amongst health care professionals. If you just grazed yourself and didn't break the skin, no blood and no penetratio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
No: A fibroepithelial polyp is what is commonly referred to as a skin tag. These are not related to HPV like genital warts are.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
Normal biopsy: The ileum normally has numerous lymphoid aggregates. To a pathologist, this actually helps us figure out which part of the small intestine the biopsy ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
Yes: The breast is made up of breast parenchyma (the lobules and ducts that produce milk) and adipose tissue (fat). As you age, the proportion of the breas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Follow up: Being diagnosed with HSIL means your risk of progressing to cancer is higher than L(low)SIL or normal by definition. As nearly everyone with HSIL has ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
Preventable: It is one of the few cancers that we know definitively what the cause is, have cheap, effective screening for (that has prevented thousands of cancers... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Viral cancer: It is a cancer usually marked by "violaceous" skin lesions derived from lymphovascular tissue. It is caused by a herpes virus, HHV8. In the modern era... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
No.: Your count is just barely over the "normal range." Most normal ranges are set to 95% of patients so 5% of people will fall slightly out of this range ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
In pain?: Your question isn't quite clear. Obviously there's a huge difference in that pancreatic cancer is cancer and pancreatitis is an inflammatory process o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Riley Alexander
Pathology 13 years experience
Yes: The ones commercially available generally have very good data as far as their sensitivity and specificity of detection. Most are currently aimed at de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Riley Alexander
Pathology 13 years experience
Skin exam/biopsy: A dermatologist can recognize the difference between these in many cases just off of a skin exam. If they still have a concern/suspicion, a biopsy can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old male asked:
Dr. Riley Alexander
Pathology 13 years experience
Possible: Physical manifestations from depression are numerous and vary from person to person. While it's possible that your nausea could be related to depressi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Riley Alexander
Pathology 13 years experience
Possible: HIV/AIDS attacks the immune system so the majority of the major problems arise from susceptibility to other infections. In line with this, a number of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Riley Alexander
Pathology 13 years experience
Yes: This is a description of a type of brain cancer. You need to talk with a/your neurosurgeon about this in greater detail for the appropriate management... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Riley Alexander
Pathology 13 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 member asked:
Dr. Riley Alexander
Pathology 13 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 29-year-old member asked:
Dr. Riley Alexander
Pathology 13 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 34-year-old member asked:
Dr. Riley Alexander
Pathology 13 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 28-year-old female asked:
Dr. Riley Alexander
Pathology 13 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 32-year-old female asked:
Dr. Riley Alexander
Pathology 13 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 46-year-old member asked:
Dr. Riley Alexander
Pathology 13 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 35-year-old member asked:
Dr. Riley Alexander
Pathology 13 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 25-year-old female asked:
Dr. Riley Alexander
Pathology 13 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 44-year-old member asked:
Dr. Riley Alexander
Pathology 13 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 40-year-old male asked:
Dr. Riley Alexander
Pathology 13 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 13 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 34-year-old member asked:
Dr. Riley Alexander
Pathology 13 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 30-year-old male asked:
Dr. Riley Alexander
Pathology 13 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 20-year-old female asked:
Dr. Riley Alexander
Pathology 13 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 40-year-old member asked:
Dr. Riley Alexander
Pathology 13 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 48-year-old member asked:
Dr. Riley Alexander
Pathology 13 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.

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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