expert type icon EXPERT

Samuel Friedman

Hematologist-Oncologist | Hematology & Oncology

Dr. Samuel Friedman is a hematologist oncologist practicing in Tamuning, Guam. Dr. Friedman 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.
58 years Experience
Samuel Friedman
Specializes in:
  • Anemia
  • Hemophilia
  • Sickle Cell Anemia
  • Leukemia
  • Lymphoma
  • Tamuning, Guam
  • University of British Columbia
  • Accepting new patients

Blood LDH level?

LDH is an enzyme in many different tissues. If it is elevated, it is important to find the reason. It may be quite simple or point to something more serious.

How long does postpartum anemia last?

You should see a competent doctor! There is no such thing as "postpartum anemia". This is likely due to iron deficiency due to pregnancy. If your doctor cannot diagnose that, he READ MORE
You should see a competent doctor! There is no such thing as "postpartum anemia". This is likely due to iron deficiency due to pregnancy. If your doctor cannot diagnose that, he should not be practicing medicine..

Diabetes blood test different meter answers?

Well, firstly, the finger stick test is not that accurate, but that is still a large difference. Even though new, the strips may b defective or the problems in the machine that READ MORE
Well, firstly, the finger stick test is not that accurate, but that is still a large difference. Even though new, the strips may b defective or the problems in the machine that reads them. Different concentrations of blood from the stick may produce a false reading as well.

What does low hemoglobin mean after surgery?

You probably lost some blood during surgery. Your body will replace this providing you have enough iron stores.

Can a CT scan confirm a blood cancer?

Nothing short of a biopsy will confirm lymphoma. However, a CT scan is important to show the extent of disease and response to therapy.

Iron based anemia vs something else?

Your problem seems to be stupid doctors! Alpha thalassemia trait usually causes anemia that looks like iron deficiency but is not. Has anyone ever done a ferritin study? If not, READ MORE
Your problem seems to be stupid doctors! Alpha thalassemia trait usually causes anemia that looks like iron deficiency but is not. Has anyone ever done a ferritin study? If not, I would bet it is normal if not high and you do not need iron. Having slight anemia would cause no problems and if iron deficiency is ruled out, no action.

Lab result question?

You are likely iron deficient. This may be due to the blood donations, but you should be checked for intestinal loss as well. If found you have blood in stool, you need endoscopy. READ MORE
You are likely iron deficient. This may be due to the blood donations, but you should be checked for intestinal loss as well. If found you have blood in stool, you need endoscopy. Oral iron once daily with fish or meat should replace iron stores after a couple of.months if there is no loss otherwise.

What is the best schedule for a child with anemia?

Anemia has many causes and before any therapy can be undertaken, the exact cause must be found. Assuming it is an iron deficiency, and this can only be shown conclusively with READ MORE
Anemia has many causes and before any therapy can be undertaken, the exact cause must be found. Assuming it is an iron deficiency, and this can only be shown conclusively with a blood test for ferritin, then there is an iron solution that can be taken daily or 3 times per week ideally with meat or fish and avoid taking with dairy products or vegetables.

What could this lump be besides lymphoma?

Whatever it may be, it is not Hodgkin disease. Sounds very benign, and I would just watch it unless it grows or changes characteristics. If you are unduly worried, it is very easy READ MORE
Whatever it may be, it is not Hodgkin disease. Sounds very benign, and I would just watch it unless it grows or changes characteristics. If you are unduly worried, it is very easy to remove, but personally, I would not bother unless it changes.

Do blood transfusions help cancer patients?

The reason to give a red blood cell transfusion is for anemia, to raise the red blood cells numbers to carry oxygen to the tissue. Yes, this is certainly necessary but apart from READ MORE
The reason to give a red blood cell transfusion is for anemia, to raise the red blood cells numbers to carry oxygen to the tissue. Yes, this is certainly necessary but apart from that there is no direct benefit in controlling the cancer.

What causes lymphoma to develop in adults?

There are many different types of lymphomas, and besides a few rare ones that seem to be associated or caused partially by viruses, no good or definite causes are known to be causative. READ MORE
There are many different types of lymphomas, and besides a few rare ones that seem to be associated or caused partially by viruses, no good or definite causes are known to be causative.

Extreme fatigue and lab results?

Several things are going on: 1) you obviously had bleeding in excess of your iron intake which could have been from the intestine or menstruation. This caused iron deficiency READ MORE
Several things are going on:

1) you obviously had bleeding in excess of your iron intake which could have been from the intestine or menstruation. This caused iron deficiency and severe anemia. Your stool should have been checked and still should be checked for occult blood to see if indeed you are bleeding from the bowel. Iron three daly is ridiculous and shows poor knowledge. One tablet, three times per week with meat or fish and not with dairy products or vegetables should be more than enough.
2) your lab values are reasonable now and I question if you need to continue iron if you are not further bleeding anywhere.
3) "possible immune gastritis" is disturbing as this is often a prelude to atrophic gastritis and pernicious anemia due to vitamin B12 malabsorption and deficiency. as well as a higher incidence of malignancy, especially lymphoma.
4) Atrophic gastritis is sometimes found in so-called Schmidt's syndrome an auto-immune disease affecting several endocrine organs like the thyroid and adrenal glands, which could certainly cause fatigue. You are the right sex and age for this and perhaps an endocrinologist may be helpful.

Why would a baby need a blood transfusion?

Obviously, because the baby is anemic. This may be due to diets such as lack of an essential mineral or vitamin (although transfusions rare in such a case), or more likely a blood READ MORE
Obviously, because the baby is anemic. This may be due to diets such as lack of an essential mineral or vitamin (although transfusions rare in such a case), or more likely a blood disease such as aplastic anemia or leukemia.

How can I prevent my child from getting a blood disorder if it runs in the family?

Maintain ideal weight, avoid foods high in sodium, promote foods high in potassium, exercise regularly. If there was any specific cause found for hypertension in the family, screen READ MORE
Maintain ideal weight, avoid foods high in sodium, promote foods high in potassium, exercise regularly. If there was any specific cause found for hypertension in the family, screen early for this.

What is the success rate of treatment for pediatric leukemia?

The cure rate depends on the type of leukemia, the genetic makeup and the response to therapy. It can be as high as 90% or as low as 40%.

What causes a 2 year old child to develop leukemia?

Many theories, no exact answers. Undoubtedly many different causes.

Is hypoglycemia a medical emergency?

If it is induced by drugs or a tumor, it indeed can be an emergency if severe. If, however, it is a fad that some obese people believe they have with no documentation of low glucose READ MORE
If it is induced by drugs or a tumor, it indeed can be an emergency if severe. If, however, it is a fad that some obese people believe they have with no documentation of low glucose level, it is obviously not an emergency.

What is the best medication for a child with anemia?

Find out the cause of the anemia of which there are many.

What causes a child to develop leukemia?

While a few leukemia cases may be related to bone marrow damage from radiation or drugs the majority of the causes are not known.

Can low red blood cells trigger a heart attack?

In theory, yes. But I doubt it is an issue here. His shamus would have to be very extreme and there would usually need to be some coronary artery narrowing.