Doctor insights on:
What Does A Hematologist Treat
Many causes: There are many causes of anemia. They are categorized by mechanism: blood loss, faulty or decreased red blood cell production, or destruction of red blood cells. Iron deficiency caused by blood loss is the most common. Many doctors treat common anemias by eliminating the cause (source of bleeding), prescribing supplements (iron/B12), but a hematologist is needed for more complex diagnosis/treatment ...Read more
Varies: The treatment of lymphoma depends on the type of lymphoma, its stage (extent), its features on tissue stains, lab and imaging findings, and age and general health of the patient. Treatment can range from watchful waiting/observation, radiation therapy, chemotherapy/immunotherapy, and high-dose chemotherapy followed by stem cell rescue (transplantation). ...Read more
Blood disorders: Hematologists are specialists in disorders of the blood system which includes a broad variety of conditions like anemia, sickle cell anemia, leukemia, lymphoma, and others. They handle these conditions and other aspects of disorders of blood cell production including disorders of platlets which are involved in clotting disease. ...Read more
Possible myeloma: If you have anemia (low red cell count) or an abnormal protein in the blood (m-spike), your doctor may want to rule out multiple myeloma- a disorder of white blood cells. Free light chain testing is part of the evaluation for this. You should speak to your doctor to find out what prompted him to order the test, rather than worrying about it. Good luck, hope it is normal. ...Read more
Make self referral: Ask your pcp to make a referral or self refer. ...Read more
Full eval and blood: Full history and physical, review of records and blood tests. ...Read more
Risk factors: A hematologist will likely discuss with you your risk factors for dvt- birth control, smoking, family history.. ..They will probably also do some blood tests to check for genetic or acquired conditions that can increase your tendency to develop blood clots. Finally, they will discuss with you how long you will need to continue the blood thinners that have likely been prescribed for you. ...Read more
Clarify: I am not a hematologist, but I think you should clarify so that a hematologist can answer accurately. Where were the plasma cells found? Peripheral blood smear (i.e., a blood test)? A lymph node? Was it from the bone marrow (i.e., bone marrow biopsy)? Or some other biopsy? The interpretation will be vastly different depending on the sample and source. I'll pray that it's not serious. Best of Luck! ...Read more
They are watching carefully for the development of multiple myeloma in the future.
CRAB is an mnemonic for myeloma symptoms:
C: Calcium elevation
R: Renal Failure
B: Bone lesions
For the diagnosis of multiple myeloma, you need:
Plasma cells > 10%
Monoclonal Protein to be detected
Positive for one of the symptoms in CRAB
So 15% plasma cell, but not crab would be smoldering myeloma. ...Read more
Serum? Bone marrow?:
CRAB: C = Calcium (elevated), R = Renal failure, A = Anemia, B = Bone lesions
This means very good news to start. Absence of the "C.R.A.B." features means low likelihood of multiple myeloma. The significance of the 14% depends of what kind of test you had and what kind of symptoms you are experiencing. Continue to follow up until you get satisfactory answers and a clean bill of health. ...Read more
Asked hematologist for serum free light chain test but he entered total light chain with ratio that came back normal. Should I ask for retest with flc?
Doubt it: There isn't going to be a dominant chain, so there isn't going to be a myeloma. ...Read more
Not yet: That is a minimally high reading and even a mild cold or infection or stress can cause it. If the doctor who did the test is not concerned, you need not be - but you can ask them to check and for a clear explanation of your results. Don't get yourself upset- that can just through your body off further. The normal range includes 11. This is not too high. Ask. Relax. ...Read more
Low wbc: First is to repeat the blood work to confirm that low WBC is persistent. If it is significantly very low and especially if the other type of blood counts are also low- like the hemoglobin and/or platelet- then yes, you should see a hematologist. If the level is just very mild and this has not been repeated- your pmd should repeat this and make sure that this isn't lab error or viral infection. ...Read more
May lower BP:
Not sure what you mean by "negatively affect BP."
Gingko has been used medicinally for thousands of years. Research shows it may help treat Dementia, Intermittent Claudication, PMS, Anxiety, Raynaud's, Macular Degeneration etc.
It may lower blood pressure in some so if taking with BP meds may cause BP to drop too low, though unlikely. It may interact with nifedipine. See
http://tinyurl. Com/h9gpz9l ...Read more
The first time, my result was rouleaux. Second time it came back polychromasia. Should I see a hematologist?
Polycythemia is an appropriate reason to consult a hematologist, however you should discuss it with your primary care doctor first.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
I have been seeing a hematologist and my blood work looks good. Are there any other conditions that could be causing this?
Internist: You need to consult an internist for the combination of problems. He may obtain more test on you or refer you to the appropriate specialists after his evaluation. ...Read more
My son is being referred to a Hematologist. He has low RBCs and low Reticulyte count after 2weeks of iron drops. Should I be worried?
My husband has had a low count of platlets and evidence of red marrow reconversion. Are these related? Should he go to a hematologist
Yes, yes: They can be related. I recommend hematologist. ...Read more
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