Doctor insights on:
What Is A Hemotologist
For blood disorders: Generally you will see a hematologist on referral from your primary doctor. You would be experiencing paleness, shortness of breath, bruising, loss of function and many other symptoms which could be from many sources. Your family doc will figure out that it is a blood disorder and the hematologist will analyze it and determine the best treatment. ...Read more
Yes: Yes. But it is best to have them fully explained to you. Some things that might flag out as abnormal may be 'fine.' also some numbers may be a problem in some people and not in others - depending on their age and other health conditions. Sit down and review the numbers / test with a physician you trust - that can explain things well. ...Read more
What is an average Ferratin Level in women? Mine is 225 and increasing with each test (every 3 months). Should I be referred to a hemotologist?
Ferritin levels vary: ... widely in healthy people. Ferritin is a major iron binding protein inside cells. Low serum levels strongly suggest iron deficiency, e.g. from chronic bleeding. Levels up to 230 are normal. Higher levels may reflect excessive iron intake, but this is non-specific since inflammation, form a variety of causes, will also cause high levels. ...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
Infusions, my hemotologist has discontinued any future infusions. What would you recommend at this point?
Minimal information: For a meaningful answer. The type of infusions as well as the condition for which you were treated would be needed. Most treatments/ infusions are stopped because they are no longer needed. ...Read more
I'm asking any hemotologist about nlphl hl my docs say late recurrences are possible very late? Thoughts on nlphl please any information be appreciat
Lymphoma: Nearly 8 out of 10 patients with nlphl are diagnosed with early stage lymphoma, involving lymph nodes only in the neck and upper half of the body. Treatment of nodular lymphocyte predominant hodgkin's lymphoma includes chemotherapy and often radiation therapy as well. Most patients respond very well to treatment, and more than 90% are cured. I wish you the best. ...Read more
Need more info:
It is your platelet count that is 90, 000? If so, you should consult a hematologists. You may start with your primary care provider to make that you have accurate test results.
Wish you 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
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
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
I am being sent to hemotologist for low ferratin and 3% atypical lymphocytes. Should I be concerned?
Concerned: Concerned -yes, but 3% atypical lymphocytes is unlikely to have any effect on your well being. Get used to the fact that your blood work will be reviewed frequently (usually every 3 months) and then much less often if all is going well, which I hope it is. ...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
I have platlet count of 419, do just say she will f/u in 2 months. Now im worried. All other counts normal. Should I see a hematologist?
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