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SpecialtiesDoctors 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.
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.
Medical Oncology
Hematology
Hematology and Oncology
Licenses
United States: Arkansas, Ohio
Doctor Q&A
91 Answers
17 Agrees
The number of answers this doctor has agreed with.
A 33-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Photo?: It's not clear what your specific question is. With rashes, uploading a photo is incredibly helpful. If there is any possibility you could have been b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 34-year-old male asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Sometimes: It does not work for all patients, but it also does not work right away. Work with a hematologist to increase your dose of hydroxyurea to the maximum ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Yes -- cortisol: Stress can increase cortisol (a natural steroid hormone). This can worsen blood sugar control, and can also have effects on reproductive cycles. Do w... Read More
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1.8k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Unsure about your Q: Not sure if you are asking about medications, or something within the body itself.
With respect to medications, there are some that can help you clot... Read More
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2.3k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
See primary MD: See your primary care MD for a lymph node exam and possibly bloodwork and scans. Be well.
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Normal: I consider this a normal platelet level.
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2.3k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Nothing in particula: You will not require a special diet while taking enoxaparin injections. If you for some reason take large amounts of herbal supplements, some can affe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Many: Immune suppression with drugs like steroids, cyclosporine, and anti-thymocyte globulin (horse). Bone marrow transplantation is another important type ... Read More
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2.1k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Low neutrophils: Let's break the word down into its parts. Neutrophils are the most important bacteria-fighting cell. "~penia" means lack of something in the blood. Ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Ignore: Wash your hands with soap and water. Insist that those with whom you come in to contact do ALSO!
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Too much protein: Hyper: too much. Proteinemia: Protein in blood. Too much protein in the blood is often caused by too many antibodies made by B cells or plasma cells. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 19-year-old male asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Viral load: HIV viral load by PCR (polymerase chain reaction)
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2.3k viewsAnswered >2 years ago
A 30-year-old male asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Not generally: Unless there is other history to suggest as much, the picture you presented is not suggestive of leukemia.
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Lumbar spine x-ray: See your physician who will conduct a thorough history and physical exam, including reflexes of the lower extremities. I would also recommend beginnin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
B complex: As always, I recommend a B complex multivitamin. More important than vitamins, though, is a healthy diet and exercise. Be well.
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
It is likely safe: Enoxaparin ("Clexane" in UK; "Lovenox" in US) is commonly prescribed to pregnant women and is believed to be safe. It should be stopped before deliver... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
See MD: See your primary care physician. If you are at risk for oral chlamydia, you should have your throat swabbed and tested and if positive you should be t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Yes: Yes, you can take it during your period. There shouldn't be any problem, unless you get a little upset stomach from the iron and this compounds any up... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Type of lymphoma: Hodgkin lymphoma, which used to be called "Hodgkin's disease" is a type of lymphoma, a cancer of white blood cells usually but not always clumped in l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Killing fast movers: Traditional chemotherapy -- in general -- kills fast growing cells. Cancer cells are fast growing, so it attacks them. But, many other cells of our bo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 42-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Stay hydrated!: Treat it with supportive care, unless you have previously been told otherwise by your physician for a known health condition. I would drink Gatorade (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.5k viewsReviewed >2 years ago
A 60-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Hematologist: Your sister should be referred to a hematologist, oncologist, or hematologist/oncologist.
Presumably bone marrow edema was seen on an MRI? Bone marr... Read More
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2.3k viewsReviewed >2 years ago
A male asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
I would avoid it: This can be very hard on your kidneys, and supplements are also often not subject to rigorous quality control screenings; they could potentially conta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2k viewsReviewed >2 years ago
A 51-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Maybe normal, or not: To put this into context also requires knowing your total WBC (white blood cell count). Perhaps you have a perfectly adequate number of neutrophils - ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.5k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Bone marrow edema: On imaging like MRI, "bone marrow edema" is sometimes seen and is essentially what you have described.
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Is it your diet?: Do you take pain medications that may cause nausea or constipation leading to decreased appetite and/or decreased food intake?
How about hydroxyurea ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Lymph node: If the general practitioner or the otolaryngologist think that this is a lymph node, and it is FIRM and has been present for 3 months, I would recomme... Read More
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2.3k viewsAnswered >2 years ago
A male asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Trapped: Water could become trapped in your middle ear. This would be potentially uncomfortable and in the worst case could prompt an infection. Cold water cou... Read More
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2.3k viewsReviewed >2 years ago
A 51-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Diffusion: Oxygen enters red blood cells by passive diffusion through the cell membrane. Once inside, it binds to hemoglobin molecules.
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2.3k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Dehydration and PV: Dehydration means not enough water in your body. If your red cells are the same, the Hb and Hct will show a higher concentration. PV or polycythemia v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Not very: Cyclophosphamide is usually used for lymphoma; it is also commonly used in breast cancer.
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2.3k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Maybe: It's not clear what you mean by chest bleeding, but tranexamic acid is used to stop bleeding in certain situations, usually very serious ones in the h... Read More
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2.3k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Fast or slow: It all depends (as with everything!)
Ultimately one would die from lack of oxygen transport to the tissues of the body. If this comes in the form of ... Read More
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2.3k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Differs for everyone: As with everything, it depends. Men may replete iron faster than women who menstruate. People with certain types of absorption problems in the small i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2k viewsReviewed >2 years ago
A 46-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Normal variation?: It depends on how low and in what context. Black americans (and some other ethnic/ancestry groups) can have so-called "ethnic neutropenia" (neutropeni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.5k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
False positive vWF: Interestingly, patients with blood group O have lower levels of von Willebrand Factors, and can occasionally be misdiagnosed with von Willebrand disea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsAnswered >2 years ago
A female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Anything is possible: But not everything is likely.
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Risky: Immune suppression is risky even in patients for whom it is indicated. It is complicated, and should be managed by an expert. I urge you to make sure ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
No: No, no health benefit. But, if prepared well as in osso bucco, it can be delicious when spread on little toasts.
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2.2k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
What?: What do you mean by tc/dlc count ? If you mean total leukocyte count (TLC) then the answer is "possibly;" it depends on the differential breakdown of... Read More
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2.3k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
PT or INR?: The normal prothrombin time is closer to 10 seconds. You may be confusing the INR, although an INR is normally 1.0 ; if you take certain types of bloo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.1k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
There is no cure: But hemoglobin AC is a carrier state (also called Hemoglobin C trait) that should not cause much if any symptoms of disease in the patient. About 1 in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Be a brother: Dear Marty, we wish the best for your sister. I want you to know that Stage IV Hodgkin is unlike other stage IV cancers -- it is often cured. Be avail... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Maybe, see below: Terminology could be part of the problem. Do you mean "chronic lymphocytic leukemia" (including CLL but also hairy cell leukemia?) or do you mean Acu... Read More
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2.3k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Multivitamin or Iron: Multivitamin with iron, OR, if you have particularly heavy periods, a prescription iron supplement.
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Bleeding: Bleeding is the best way to lower RBC. But it depends on what you mean by naturally. In all seriousness, if you need to decrease your RBC, the best w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
The usual kind: A regular light microscope is used to examine platelets for clumping. If platelets are clumped, the blood may be re-drawn in a citrate tube and a new ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.2k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Strict handwashing: You and all your contacts (none of whom should be sick, by the way!) should use strict handwashing with soap and water or an alcohol sanitizer many ti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Curable: Unlike (many or most) solid tumors of stage IV, Hodgkin lymphoma stage IV can be cured for ever. Best wishes
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2.1k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. James Blachlyanswered
Specializes in Medical Oncology
Genentech: The US patent on trastuzumab ("Herceptin") expires in June of 2019, so only Genentech is allowed to produce it. In Europe, the patent expired in June ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
42
Thank you notes
HealthTap member
Thank you. I have been dealing with this for 2 months and having a hard time getting surgery scheduled for several reasons. I was worried that this was taking too long and would be worse for the wait...Read More
HealthTap member
Thank you, I am awaiting the hematologist report. I made the mistake of looking online about what this could be and it kind of freaked me out. Thanks so much!
HealthTap member
Your answer was very helpful! Thanks :) That was totally what I was wondering
Education & Training
Medical/Graduate school
University of Arkansas for Medical Sciences/UAMS College of Medicine, AR
Graduated 2007MD
Residency
University of Arkansas
Affiliations
The Ohio State University Medical Center
The Ohio State University College Of Medicine
The Ohio State University
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