Ask The Doctor Archives

January 17, 2022

My ALC for monocytes is 1.1 with no other flags, other than night sweats. Is this anything I should follow-up on?

Ask the Doctor Question: My ALC for monocytes is 1.1 with no other flags, other than night sweats. Is this anything I should follow-up on? Answer: We aren’t sure if you are saying your ALC is 1.1 or your monocyte count is 1.1? But in either case, that number would

January 17, 2022

Could you please tell me what RBC T morphology Abnormal means?

Ask the Doctor Question: I was diagnosed with CLL in 2005 and had a six-month check up with my CLL Specialist on 7/13/2021. The doctor told me my results have not changed and I am still on watch and wait. After returning home, I went over my blood test

January 17, 2022

Is it normal for the WBC to decrease at times on its own, and why?

Ask the Doctor Question: Is it normal for the WBC to decrease at times on its own, and why? Answer: Yes, it is normal to have fluctuations, even for those without CLL. It can be dependent upon a number of external factors as well. For instance, even something as minor

January 17, 2022

CLL with Factor VII deficiency and approaching treatment. Should I be extra concerned about bleeding risks?

Ask the Doctor Question: CLL with Factor VII deficiency and approaching treatment. Should I be extra concerned about bleeding risks? WBC today at 75. Three-months ago at 60.8. Answer: It is difficult to say since WBC counts do not have anything to do with bleeding. Additionally, we don’t have access

January 17, 2022

Ask the Doctor: We are concerned that due to a reaction to the chemo and a really bad reaction to prednisone, if the COVID-19 vaccine is given and there is a severe reaction, what can be done?

Question: My wife has CLL and went through only one round of chemotherapy. Between 3-4 weeks thereafter, she developed a rash. The on-call doctor prescribed prednisone and she responded in the opposite – gaining over 12 pounds of water weight, blistering all over her arms and legs, and her

January 17, 2022

Ask the Doctor: If a patient receives a daily treatment of ibrutinib, will it be beneficial to stop the treatment for a week after receiving the vaccine in order to allow for the immune system to generate antibodies more effectively?

Question: If a patient receives a daily treatment of ibrutinib, will it be beneficial to stop the treatment for a week after receiving the vaccine in order to allow for the immune system to generate antibodies more effectively? Answer: Unfortunately, there are no data on this at this time. Dr.

January 17, 2022

After having COVID-19, would my natural immunity be sufficient?

Ask the Doctor Question: I had COVID-19 in 12/2020 and spent five days in the hospital. Would the vaccines decrease my chance of getting the Delta virus or would my natural immunity be sufficient? Possibly a booster instead? Answer: We are glad to hear that you made it out of

January 17, 2022

Why can’t the cancer centers put out an email explaining that certain patients might be at risk?

Ask the Doctor Question: Why can’t the cancer centers put out an email explaining that certain patients might be at risk? The patients can call their Doctors and the Doctors can prescribe an antibody test. Also, why can’t it be on the news or media??? Answer: These are all great

January 17, 2022

Ask the Doctor: My doctor does not recommend getting an antibody test. Why?

Question: Per CDC guidelines, I received the two dose Pfizer vaccine and asked my oncologist if I was then fully immune. He said that I had a “boost” to my immune system. I then asked him about getting an antibody test to see how much immunity I did have.

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Ask The Doctor

My ALC for monocytes is 1.1 with no other flags, other than night sweats. Is this anything I should follow-up on?

Could you please tell me what RBC T morphology Abnormal means?

Is it normal for the WBC to decrease at times on its own, and why?

CLL with Factor VII deficiency and approaching treatment. Should I be extra concerned about bleeding risks?

Ask the Doctor: We are concerned that due to a reaction to the chemo and a really bad reaction to prednisone, if the COVID-19 vaccine is given and there is a severe reaction, what can be done?

Ask the Doctor: If a patient receives a daily treatment of ibrutinib, will it be beneficial to stop the treatment for a week after receiving the vaccine in order to allow for the immune system to generate antibodies more effectively?

After having COVID-19, would my natural immunity be sufficient?

Why can’t the cancer centers put out an email explaining that certain patients might be at risk?

Ask the Doctor: My doctor does not recommend getting an antibody test. Why?

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