expert type icon EXPERT

Julie Oda

Hematologist-Oncologist

Dr. Julie Oda is a hematologist oncologist practicing in Annapolis, MD.  Hematologists are trained in the study of the blood and oncologists are trained in the study of cancer.  Dr. Oda primarily specializes in breast cancer, but also cares for patients of other cancer types as well as patients with benign hematologic disorders.  She enjoys teaching and has been received recognition for being an exceptional educator.
Julie Oda
  • Annapolis, MD
  • Ross University School of Medicine
  • Accepting new patients

What blood test detects anemia?

Complete blood count (CBC). Low hemoglobin levels are consistent with anemia.

What does moving to hospice mean?

Enrolling into hospice means that as opposed to further treatment, the focus of care is shifted towards keeping the patient as comfortable as possible.

Can high hemoglobin cause miscarriage?

Yes, unfortunately, polycythemia increases the risk of miscarriage and other pregnancy-related complications.

How long does a bone marrow biopsy take?

The procedure itself shouldn't take more than 15 minutes, but this also depends on whether this is done in the outpatient clinic or in a procedural suite by interventional radiology. READ MORE
The procedure itself shouldn't take more than 15 minutes, but this also depends on whether this is done in the outpatient clinic or in a procedural suite by interventional radiology. Also, the results may take a week or longer depending on the tests ordered on the specimen.

What does high hemoglobin mean in a child?

There are many causes of high hemoglobin ranging from dehydration to low oxygen states to abnormal hemoglobin or bone marrow disorders.

What is the cause of high platelet count?

There are many causes of elevated platelet count ranging from lab error to benign or transient causes like recent inflammation to malignant causes such as a myeloproliferative READ MORE
There are many causes of elevated platelet count ranging from lab error to benign or transient causes like recent inflammation to malignant causes such as a myeloproliferative neoplasm. Speak with your primary care provider about potentially repeating the lab test and/or getting a referral to a specialist.

Should you go to the emergency room for low hemoglobin?

Hemoglobin levels of 8.0 and below should be evaluated. If there is a sudden drop in your hemoglobin levels compared to your baseline, this should also be evaluated. If you have READ MORE
Hemoglobin levels of 8.0 and below should be evaluated. If there is a sudden drop in your hemoglobin levels compared to your baseline, this should also be evaluated. If you have low hemoglobin and are actively bleeding and/or have signs and symptoms of anemia, this may warrant an emergency room visit.

How long does it take to biopsy a lymph node?

This depends on the location of the lymph node and the type of biopsy. Excisional biopsies usually require general anesthesia and take much longer, but an outpatient ultrasound-guided READ MORE
This depends on the location of the lymph node and the type of biopsy. Excisional biopsies usually require general anesthesia and take much longer, but an outpatient ultrasound-guided fine needle aspirate or core biopsy should be much shorter ranging anywhere from 30 minutes to a couple of hours including prep time.

What kind of anesthesia is used for bone marrow biopsy?

If the bone marrow biopsy is done in the outpatient clinic, usually only local pain control such as lidocaine is used.

Can thrombosis be treated at home?

Yes, uncomplicated DVTs can be treated on an outpatient basis, however, the accurate diagnosis of a DVT usually requires imaging.

Hemoglobin levels?

This depends entirely on whether the cause of your anemia is entirely related to iron deficiency and whether or not you are continuing to lose blood/iron.

What is the cause of low platelet count?

There are many potential causes of low platelets including the false appearance of having low platelets due to clumping of the specimen in the test tube. A formal workup needs READ MORE
There are many potential causes of low platelets including the false appearance of having low platelets due to clumping of the specimen in the test tube. A formal workup needs to be performed to determine whether the low platelet count is real and if so, what the cause is to determine the next step in the plan.

How does sepsis get into the blood?

Yes, you should be hospitalized for sepsis.

What is the fastest way to increase your iron levels?

The fastest way is with an intravenous iron infusion, but the safer, slower way is by taking up to 200mg of daily oral iron supplementation if your gut can tolerate it. You may READ MORE
The fastest way is with an intravenous iron infusion, but the safer, slower way is by taking up to 200mg of daily oral iron supplementation if your gut can tolerate it. You may need over-the-counter laxative support such as Miralax or Senna.

How can you treat anemia?

There are many causes of anemia, the most common being iron deficiency. To treat the anemia, you must first find and address the underlying cause.

Slight high MPV on CBC?

MPV is the size of the platelets. So long as the platelet count/remainder of your CBC is normal and you are clinically well, this minor lab abnormality alone is unlikely to be READ MORE
MPV is the size of the platelets. So long as the platelet count/remainder
of your CBC is normal and you are clinically well, this minor lab
abnormality alone is unlikely to be significant.

How long for hemoglobin to return to normal range?

It is difficult to predict. Assuming a linear correction, if it took about 10 days to recover 0.5 points, then I assume it'll take another 100 days or so to fully resolve with READ MORE
It is difficult to predict. Assuming a linear correction, if it took about 10 days to recover 0.5 points, then I assume it'll take another 100 days or so to fully resolve with oral supplementation alone. That said, the reality is rarely that simple.

Blood test results?

This answer depends on which blood test was ordered.

What happens if iron levels are too high?

Typical iron panels include a variety of different measurements whose combination of values (rather than an individual value) helps predict whether iron levels are truly high or READ MORE
Typical iron panels include a variety of different measurements whose combination of values (rather than an individual value) helps predict whether iron levels are truly high or low. Some levels can be elevated in the setting of inflammation and do not accurately reflect iron. You should definitely discuss your abnormal lab levels with a doctor who can accurately interpret your results and determine whether further work-up is needed.