expert type icon EXPERT

Dr. Jose Maria Acostamadiedo, MD

Hematologist-Oncologist

Dr. Jose Acostamadiedo is a hematologist oncologist practicing in Nags Head, NC. Dr. Acostamadiedo specializes in the diagnosis, treatment and prevention of blood diseases such as anemia, hemophilia, sickle-cell disease, leukemia and lymphoma. Hematologist Oncologists are also trained in the study of cancer and its attack on other organs.
34 years Experience
Dr. Jose Maria Acostamadiedo, MD
  • PLATTSBURGH, NY
  • Univ Del Norte, Fac De Med, Barranquilla, Colombia
  • Accepting new patients

Platelet count 430?

You probably don't have cancer.

Low hemoglobin and tiredness?

Your symptoms are typical of thalassemia.

Should I go to the ER if my blood sugar is over 300?

If this is the first time your sugar is that high and if you are a diabetic you might want to check with your doctor, whoever checked your sugar should be responsible for advising READ MORE
If this is the first time your sugar is that high and if you are a diabetic you might want to check with your doctor, whoever checked your sugar should be responsible for advising you, if it was not done fasting then it has no value

What diagnostic tests will be needed?

You will likely get a complete blood count (CBC) at least and maybe some coagulation tests (PT, PTT) and measurement of the Ferritin to see if you have an iron deficiency.

Atypical Lymphocytes?

They will order a Flow Cytometry if the numbers are elevated or just repeat the CBC in 1 month.

Do I have polycthemia or polycthemia vera?

You probably do have Polycythemia Vera. They can check a Jak 2mutation on a blood test to confirm it, but even if it is negative the management is the same you are having, if it READ MORE
You probably do have Polycythemia Vera. They can check a Jak 2mutation on a blood test to confirm it, but even if it is negative the management is the same you are having, if it gets too high, then you could donate some blood or have phlebotomists.

Can I drive after radiation treatment?

Yes, as long as you are not receiving brain radiation for a brain tumor; that by itself might impair your ability.

What will a CBC test show my doctor?

It will show if you have any anomalies of your white cells, red cells, or platelets (clotting cells). If you have low red cells, you could have anemia, which could explain your READ MORE
It will show if you have any anomalies of your white cells, red cells, or platelets (clotting cells). If you have low red cells, you could have anemia, which could explain your fatigue.

Are bone marrow transplants possible for leukemia patients?

She needs to have chemo first and then a bone marrow transplant that is the only way to cure it.