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Dr. James Blachly

Medical Oncology
OH
male

About

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.

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 43-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Yes, but: You will have some soreness for about 3 days. But what you are doing is so important and literally saves lives. I salute you and your bravery.
A 44-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
Need more info: When you say blood clotting disorder, I wonder if you mean "bleeding disorder." Specifically, if you have a big bruise it sounds like you have bleedin... Read More
A 34-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Not enough cells: The bone marrow is the factory of the blood -- all blood cells begin life there. The "normal" amount of cells decreases with age, so we estimate norma... Read More
A 41-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Maybe now: If you are known to have low platelets due to cancer or a bone marrow or immune disorder, and your doctor knows this, you probably needn't worry. If ... Read More
A 47-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
No: Total red cell mass could be calculated this way (although I had thought that the last US center doing this had finally shut down) but I don't believe... Read More
A 26-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
Not indicated: There is no guideline that suggests you should be tested before becoming pregnant. If you personally experience pregnancy losses you should discuss th... Read More
A 36-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
PPI delayed; H2 fast: PPIs do not usually work immediately and can take several days to a week in the worst case. H2 blockers like Pepcid and Zantac (ranitidine) work much... Read More
A 56-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
Doesnt work that way: It is common, but not right, to think of cancer stages (1, 2, 3, 4) as a progression 1->2->3->4. However, the more we learn about cancer the ... Read More
A 24-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
Unlikely: Topical permethrin has a theoretical risk but no definitive studies link it to cancer. The US FDA has determined that it could cause cancer if EATEN, ... Read More
A 32-year-old male asked:
Dr. James Blachly
Specializes in Medical Oncology
Iron deficiency: RDW likely high because some cells are normal size, and some are abnormal (probably small). The ferritin and TIBC suggests possible iron deficiency - ... Read More
A 38-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
No need to divide: The nucleus is present in cells that divide or continue to transcribe new genes into RNA and ultimately translate them to protein. Platelets are shed ... Read More
A 40-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
See expert: Your mother should be seen at a major academic center if she has not already (she may have been for the bone marrow transplant consultation). This is ... Read More
A 20-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
Probably not: The vast majority of persons exposed to chickenpox as a child have lifelong immunity. Your boyfriend will probably be fine. Please avoid infants, pre... Read More
A 66-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
Barely high: Overall the Hct of 47.7 is not much higher than the upper limit of normal, about 45.5 for an adult man. If you smoke, stop. Do you have sleep apnea? S... Read More
A 51-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Liver; diabetes: Hemochromatosis, having too much iron, can cause liver problems and pancreas problems (= diabetes). Persons with hemochromatosis should see a hematolo... Read More
A 34-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Not enough cells: This means there are not as many blood-producing cells as would be expected for a person of this age. Cellularity % refers to the amount of space in t... Read More
A male asked:
Dr. James Blachly
Specializes in Medical Oncology
Over the counter: Anti sebum is available over the counter. A google search reveals several vendors, including Amazon.com.
A 25-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
Probably normal: First I wonder why have you been having white blood cell counts drawn several times over the course of months? That may be an important clue. Your ov... Read More
A member asked:
Dr. James Blachly
Specializes in Medical Oncology
Answer is online: I searched google for: "harmony down's syndrome screening false positive rate" and the first result is the frequently asked questions list at the comp... Read More
A 34-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
It can work that way: Your body naturally produces hemoglobin; if you have plenty of iron (the ferrous gluconate was discontinued when your stores were adequately repleted)... Read More
A 48-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Super rare: Rh negative refers to the lack of a functional "D" antigen on red blood cells. Rh null, which is super rare, refers to a lack of D, but also C/c, and ... Read More
A 33-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
DNA damage: Traditional chemotherapy like etoposide kills fast growing cells. Cancer cells are fast growing, so it attacks them. But, many other cells of our body... Read More
A 36-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
About 1.54 pounds: Normal adult Hb ~ 14 g/dL ; 14 g/dL * 10 dL / L * 5 L blood volume = 700 grams ; 700g * 1 lb / 453g ~ 1.54 pounds. Hope that answer was all you hoped ... Read More
A 40-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
See pediatrician now: Hopefully you are seeing a good pediatrician who is working on determining the cause for this - anemia in childhood can have lifelong effects. One pos... Read More
A 47-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Lymphocytosis: This is lymphocytosis and could indicate a an immune problem or a bone marrow problem. You should see a hematologist for a correct diagnosis.
A 50-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Microtubules!: Vincristine stops the formation of microtubules, which are important in cell division (leading to nausea, low blood counts, hair loss, etc.) but micro... Read More
A 33-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
We ignore RBC: RBC is not very helpful without some context ; we usually measure your red blood cell health (I am being loose with terminology here) with the hemoglo... Read More
A 32-year-old member asked:
Dr. James Blachly
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
A 45-year-old member asked:
Dr. James Blachly
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
A 36-year-old member asked:
Dr. James Blachly
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
A 44-year-old member asked:
Dr. James Blachly
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
A 36-year-old member asked:
Dr. James Blachly
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
A 27-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
Carney complex: Peutz-Jaeghers (P-J) syndrome is not classically associated with pituitary tumors; there is a syndrome called Carney complex that shares features / is... Read More
A 32-year-old male asked:
Dr. James Blachly
Specializes in Medical Oncology
Hb and ferritin low: The hemoglobin and ferritin are low, and low-normal, respectively. I would do an evaluation for blood loss in the stool. For a female who is menstruat... Read More
A 36-year-old female asked:
Dr. James Blachly
Specializes in Medical Oncology
Major mineral: Potassium is the major positively charged mineral ion inside your cells. A low blood potassium ("K") can reflect low total body stores; low total body... Read More
A 47-year-old member asked:
Dr. James Blachly
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
A female asked:
Dr. James Blachly
Specializes in Medical Oncology
See your MD: Your family physician, internal medicine doctor, or gynecologist should perform a well-woman exam if you haven't been getting them, but call to make a... Read More
A 28-year-old male asked:
Dr. James Blachly
Specializes in Medical Oncology
YES: Adult transmission of HIV has been reported from oral-genital contact with both male and female fluids. It is controversial how common or risky the pr... Read More
A 34-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Glycoproteins!: Wikipedia actually has a pretty good article on this: https://en.wikipedia.org/wiki/ABO_blood_group_system A, B, AB, and O cells all begin the same, ... Read More
A 34-year-old member asked:
Dr. James Blachly
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
A 41-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Oxygen carrying RBC: The red blood cells carry oxygen to the tissues of the body. Hemolysis is breakdown or destruction of red blood cells. Without the RBCs, our tissues i... Read More
A 42-year-old member asked:
Dr. James Blachly
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
A 35-year-old member asked:
Dr. James Blachly
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
A 34-year-old member asked:
Dr. James Blachly
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.
A 49-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Yes: The bone marrow is the factory of the blood - every blood cell begins life there. If the bone marrow is full of cancer, or weakened, there is not capa... Read More
A 39-year-old member asked:
Dr. James Blachly
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
A 48-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Multivitamin or Iron: Multivitamin with iron, OR, if you have particularly heavy periods, a prescription iron supplement.
A 41-year-old member asked:
Dr. James Blachly
Specializes in Medical Oncology
Not very: Cyclophosphamide is usually used for lymphoma; it is also commonly used in breast cancer.
A female asked:
Dr. James Blachly
Specializes in Medical Oncology
Anything is possible: But not everything is likely.
A 18-year-old female asked:
Dr. James Blachly
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

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

41
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
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