Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Blood cancer Center in the nation. The future of cancer
care is here called five one, three, five eighty five
U see c SE. They cleared the wreck inbound seventy
four after north Bend traffic getting better. Southbound seventy five
continues slow through lock on. It's over a twenty minute delay.
Northbound four seventy one out of Southgate into town and
southbound seventy one break lights from above to seventy five
(00:22):
down to the lateral Chuck Ingram on fifty five KR
Seed the talk station.
Speaker 2 (00:29):
Hey forty seven, fifty five KERC Dee talks station Blood
Cancer Awareness Month. It is September and is Blood Cancer
Awareness Month, and anybody who listens to me knows that's
the kind of cancer I have, lymphoma. Joining me in
the fifty five krsee Morning show from OHC my cancer doctor,
Doctor Crudie Brittel carew Doctor Purtel. Great to see you again.
I'm glad it's in a non clinical setting. I love
(00:52):
when OHC comes in. Not because I have a love
for cancer. We all know that it's the one unifying
thing in the world. We all hate cancer, but because
you always have positive information in terms of research and
therapies and treatments. We'll get to that in a minute,
but let my listeners know to start off, since you
are an expert of medical oncologies. You deal with bone
marrow transplants and cellular therapy and hematology. What's the difference
(01:14):
between lymphoma and leukemia.
Speaker 3 (01:18):
So, lymphoma and leukemia are both blood cancers, and they
have some overlap. But lymphoma is a blood cancer that
involves your lymphatic symptoms, and so you have lymphanode enlargement
when you present. Leukemia more so involves your blood in
your bone marrow, and they both have some symptoms that
(01:43):
are overlapped. The more common lymphomas that you hear about
is Hotchkins and non Hodgkins lymphoma. Among the non Hodgkins lymphoma,
you have your B selemphoma and your T selemphomas. Among
the leukemias, there are two different big categories, acute leukemia
and chronic Leukemia's acute leukemia as you have acute myloid
(02:05):
leukemia and acute lymphoblastic leukemia. Well in your chronic lymphomas
you have more common ones are chronic myloid leukemia and
chronic lymphocytic leukemia CLL is where I remember going back
to it's also that's the blood cancer that can behave
as a leukemia as well as a non Hotchkins lymphoma.
(02:28):
But for the most part we call CLL. It's its
own category of blood cancer.
Speaker 2 (02:33):
And I would presume but depending on which one of
these different blood cancers you have, it would involve a
different treatment protocol. Correct, Yes, and are some more likely
are more deadly. I hate to use that word, but
we've got to be realistic here. We're talking about cancer
some more problematic in along those.
Speaker 3 (02:53):
Lines, Yes, the acute word in the leukemia is the
most dangerous one, the acute AML. All. If we don't
treat patients with these leukemias, their mortality is less than
thirty days. So it's a.
Speaker 2 (03:08):
Pretty systicize to other parts of the body.
Speaker 3 (03:11):
So it's a blood cancer. It's present in your blood
system rarely, about fifteen percent of the time. You can
have AML in your solid organs like lungs or your stomach,
but for the most part, it's in your blood and
your bone marrow.
Speaker 2 (03:24):
All right. So I struggled with the one thing that
I struggled with in not knowing before I was diagnosed
with cancer night sweats. I had no idea. My entire life,
I did night sweat, and then all of a sudden,
you know, I'm waking up in the morning and the
sheets are just soaked. My wife is like, what is wrong?
No idea, no idea, And finally, ultimately, by a long
(03:45):
time passed, but finally this ultimately through another completely different
set of circumstances, with a completely different medical procedure, I
realized after a CT scan that that's where the red
flag came up. It appears that you have lymphoma but sweats,
but there are other things people need to look out for,
and what are those.
Speaker 3 (04:04):
Yes, for lymphomas and leukemia as well, some of the
common symptoms that we see in patients is they're just
really tired. Fatigue is a very big complaint night sweats
as well, more common so with lymphomas than leukemia's, but
you can see that with both. And you're not just
talking menopuzzle hot flashes kind of night sweats, drenching night
(04:27):
sweats where you're waking up with your t shirts soaked
in sweats.
Speaker 2 (04:31):
Yeah, it's weird. Yeah, I mean, well, I don't know,
also describe it very yeah, but you know there's fatigue
and there's fatigue. I mean, you know, I'm I can
claim that, you know, I struggle form.
Speaker 3 (04:39):
For all fatigued all the time.
Speaker 2 (04:41):
Oh see, that's the tough one to really is it
bad enough or is it you know, specific enough that
I need to talk to someone like you doctor? Right?
Speaker 3 (04:49):
I think I always tell my preation if it's a
dramatic change in your fatigue, like you were walking three
four miles a day and then now you can't even
get out of bed. So a dramatic change over a
sh or period of time, that's concerning along with other symptoms.
So unintentional weight loss if I know we're all trying
to be healthy losing weight, but I didn't get that one.
Speaker 2 (05:10):
Sadly, I know it's not something to joke about. That
would that would have been okay with me.
Speaker 3 (05:15):
No, this is not a weight loss journey. But you know,
dramatic weight loss without trying ten to fifteen pounds within
a month. Leukemia's a lot of times patients are feeling fine,
they're athletes, they're running marathons, and then suddenly they're just
severely fatigue, light headed. Easy bruising is one of the
common ones we see with a cute leukemia. So spontaneous
(05:38):
nose bleeds or big bruise on your thigh without really
having any trauma. Those are some clinical signs showing that
your blood counts are low. So a lot of the
symptoms you think about are because your white blood cell count,
red blood cell count, and your platelets are going to
be low with leukemia, so risk of infections with your
white blood cell count being really low.
Speaker 2 (05:59):
Now with luc ema and lymphoma, is it possible to
diagnose with a blood test.
Speaker 3 (06:04):
Yes, there are certain labs that are concerning. So I
mentioned you know leukemia, you have low blood counts. So
if you had a normal CBC six months ago where
your blood counts were completely fine at your primary care doctor,
and then you have these symptoms when you're coming to
either the er or seeing your primary care doctor and
you suddenly notice a drop in your hemoglobin or your
(06:26):
platelets or your white blood cell count, that can clue
you into things. Something's wrong, something's going on. But most
leukemias require a bone mara biapsey for diagnosis because that's
where the cancer originates from. As far as lymphoma not
always does it shows up on your blood work. When
you and I see each other, your blood work counts
are always normal, and a lot of times lymphoma patients
(06:49):
their CBC is normal, but they present with these symptoms
and typically we do cat scans to see if their
lymphnotes are enlarged, or a physical exam where we palpate
your feel your lymphanodes and notice any growth in them.
Speaker 2 (07:05):
All right, well, I'm sure my listeners by now could
identify the risk factors, which include previous chema, radiation, genetic disorders,
exposure to toxic chemicals, Tobacco is always on the list,
and of course family history. I want to jump right
to treatments in the remaining time if we can. What
are we talking about by way of treatments that are
going on, because it's usually really exciting.
Speaker 3 (07:25):
Yeah. My goal is always to minimize the toxicities and
the chemicals I put in my patients to try to
cure them of their leukemia or lymphoma. So in the
past decade, we've had a lot of immunotherapies that don't
involve chemotherapy based regiments. So card te which is basically
taking your immune system to help fight the cancer. Has
(07:47):
been approved for leukemia, certain leukemias, and especially lymphomas. There's
always for a cute leukemia. I you've had stem cell
transplant as potential for cure and Jewish and OITC has
been doing that for twenty plus years and very successful.
(08:09):
And then standard of chemotherapy immunotherapy is also treatment options.
So really we look at the patient as a whole
and decide what would be the best treatment choice for
that patient.
Speaker 2 (08:21):
Well, if you have any questions more information, you want
to schedule an appointment or get a second opinion said
all the time, give them a call. Eight eight eight
six forty eight hundred. That's eight eight eight six eight hundred.
You can learn more online at ohcare dot com. Doctor,
thank you so much for taking care of me and
all your other patients at OHC, and hopefully well I'll
(08:45):
never have to see each other in a clinical setting again.
I'll be four years cancer free in November, as long
as that remain symptom free, and that puts a big
smile on my face. And I know you've got a
lot of patients to feel the same way. So thank
you very much for what you're
Speaker 3 (08:56):
Doing, thank you, thank you, BRIANH.
Blood cancer Center in the nation. The future of cancer
care is here called five one, three, five eighty five
U see c SE. They cleared the wreck inbound seventy
four after north Bend traffic getting better. Southbound seventy five
continues slow through lock on. It's over a twenty minute delay.
Northbound four seventy one out of Southgate into town and
southbound seventy one break lights from above to seventy five
(00:22):
down to the lateral Chuck Ingram on fifty five KR
Seed the talk station.
Speaker 2 (00:29):
Hey forty seven, fifty five KERC Dee talks station Blood
Cancer Awareness Month. It is September and is Blood Cancer
Awareness Month, and anybody who listens to me knows that's
the kind of cancer I have, lymphoma. Joining me in
the fifty five krsee Morning show from OHC my cancer doctor,
Doctor Crudie Brittel carew Doctor Purtel. Great to see you again.
I'm glad it's in a non clinical setting. I love
(00:52):
when OHC comes in. Not because I have a love
for cancer. We all know that it's the one unifying
thing in the world. We all hate cancer, but because
you always have positive information in terms of research and
therapies and treatments. We'll get to that in a minute,
but let my listeners know to start off, since you
are an expert of medical oncologies. You deal with bone
marrow transplants and cellular therapy and hematology. What's the difference
(01:14):
between lymphoma and leukemia.
Speaker 3 (01:18):
So, lymphoma and leukemia are both blood cancers, and they
have some overlap. But lymphoma is a blood cancer that
involves your lymphatic symptoms, and so you have lymphanode enlargement
when you present. Leukemia more so involves your blood in
your bone marrow, and they both have some symptoms that
(01:43):
are overlapped. The more common lymphomas that you hear about
is Hotchkins and non Hodgkins lymphoma. Among the non Hodgkins lymphoma,
you have your B selemphoma and your T selemphomas. Among
the leukemias, there are two different big categories, acute leukemia
and chronic Leukemia's acute leukemia as you have acute myloid
(02:05):
leukemia and acute lymphoblastic leukemia. Well in your chronic lymphomas
you have more common ones are chronic myloid leukemia and
chronic lymphocytic leukemia CLL is where I remember going back
to it's also that's the blood cancer that can behave
as a leukemia as well as a non Hotchkins lymphoma.
(02:28):
But for the most part we call CLL. It's its
own category of blood cancer.
Speaker 2 (02:33):
And I would presume but depending on which one of
these different blood cancers you have, it would involve a
different treatment protocol. Correct, Yes, and are some more likely
are more deadly. I hate to use that word, but
we've got to be realistic here. We're talking about cancer
some more problematic in along those.
Speaker 3 (02:53):
Lines, Yes, the acute word in the leukemia is the
most dangerous one, the acute AML. All. If we don't
treat patients with these leukemias, their mortality is less than
thirty days. So it's a.
Speaker 2 (03:08):
Pretty systicize to other parts of the body.
Speaker 3 (03:11):
So it's a blood cancer. It's present in your blood
system rarely, about fifteen percent of the time. You can
have AML in your solid organs like lungs or your stomach,
but for the most part, it's in your blood and
your bone marrow.
Speaker 2 (03:24):
All right. So I struggled with the one thing that
I struggled with in not knowing before I was diagnosed
with cancer night sweats. I had no idea. My entire life,
I did night sweat, and then all of a sudden,
you know, I'm waking up in the morning and the
sheets are just soaked. My wife is like, what is wrong?
No idea, no idea, And finally, ultimately, by a long
(03:45):
time passed, but finally this ultimately through another completely different
set of circumstances, with a completely different medical procedure, I
realized after a CT scan that that's where the red
flag came up. It appears that you have lymphoma but sweats,
but there are other things people need to look out for,
and what are those.
Speaker 3 (04:04):
Yes, for lymphomas and leukemia as well, some of the
common symptoms that we see in patients is they're just
really tired. Fatigue is a very big complaint night sweats
as well, more common so with lymphomas than leukemia's, but
you can see that with both. And you're not just
talking menopuzzle hot flashes kind of night sweats, drenching night
(04:27):
sweats where you're waking up with your t shirts soaked
in sweats.
Speaker 2 (04:31):
Yeah, it's weird. Yeah, I mean, well, I don't know,
also describe it very yeah, but you know there's fatigue
and there's fatigue. I mean, you know, I'm I can
claim that, you know, I struggle form.
Speaker 3 (04:39):
For all fatigued all the time.
Speaker 2 (04:41):
Oh see, that's the tough one to really is it
bad enough or is it you know, specific enough that
I need to talk to someone like you doctor? Right?
Speaker 3 (04:49):
I think I always tell my preation if it's a
dramatic change in your fatigue, like you were walking three
four miles a day and then now you can't even
get out of bed. So a dramatic change over a
sh or period of time, that's concerning along with other symptoms.
So unintentional weight loss if I know we're all trying
to be healthy losing weight, but I didn't get that one.
Speaker 2 (05:10):
Sadly, I know it's not something to joke about. That
would that would have been okay with me.
Speaker 3 (05:15):
No, this is not a weight loss journey. But you know,
dramatic weight loss without trying ten to fifteen pounds within
a month. Leukemia's a lot of times patients are feeling fine,
they're athletes, they're running marathons, and then suddenly they're just
severely fatigue, light headed. Easy bruising is one of the
common ones we see with a cute leukemia. So spontaneous
(05:38):
nose bleeds or big bruise on your thigh without really
having any trauma. Those are some clinical signs showing that
your blood counts are low. So a lot of the
symptoms you think about are because your white blood cell count,
red blood cell count, and your platelets are going to
be low with leukemia, so risk of infections with your
white blood cell count being really low.
Speaker 2 (05:59):
Now with luc ema and lymphoma, is it possible to
diagnose with a blood test.
Speaker 3 (06:04):
Yes, there are certain labs that are concerning. So I
mentioned you know leukemia, you have low blood counts. So
if you had a normal CBC six months ago where
your blood counts were completely fine at your primary care doctor,
and then you have these symptoms when you're coming to
either the er or seeing your primary care doctor and
you suddenly notice a drop in your hemoglobin or your
(06:26):
platelets or your white blood cell count, that can clue
you into things. Something's wrong, something's going on. But most
leukemias require a bone mara biapsey for diagnosis because that's
where the cancer originates from. As far as lymphoma not
always does it shows up on your blood work. When
you and I see each other, your blood work counts
are always normal, and a lot of times lymphoma patients
(06:49):
their CBC is normal, but they present with these symptoms
and typically we do cat scans to see if their
lymphnotes are enlarged, or a physical exam where we palpate
your feel your lymphanodes and notice any growth in them.
Speaker 2 (07:05):
All right, well, I'm sure my listeners by now could
identify the risk factors, which include previous chema, radiation, genetic disorders,
exposure to toxic chemicals, Tobacco is always on the list,
and of course family history. I want to jump right
to treatments in the remaining time if we can. What
are we talking about by way of treatments that are
going on, because it's usually really exciting.
Speaker 3 (07:25):
Yeah. My goal is always to minimize the toxicities and
the chemicals I put in my patients to try to
cure them of their leukemia or lymphoma. So in the
past decade, we've had a lot of immunotherapies that don't
involve chemotherapy based regiments. So card te which is basically
taking your immune system to help fight the cancer. Has
(07:47):
been approved for leukemia, certain leukemias, and especially lymphomas. There's
always for a cute leukemia. I you've had stem cell
transplant as potential for cure and Jewish and OITC has
been doing that for twenty plus years and very successful.
(08:09):
And then standard of chemotherapy immunotherapy is also treatment options.
So really we look at the patient as a whole
and decide what would be the best treatment choice for
that patient.
Speaker 2 (08:21):
Well, if you have any questions more information, you want
to schedule an appointment or get a second opinion said
all the time, give them a call. Eight eight eight
six forty eight hundred. That's eight eight eight six eight hundred.
You can learn more online at ohcare dot com. Doctor,
thank you so much for taking care of me and
all your other patients at OHC, and hopefully well I'll
(08:45):
never have to see each other in a clinical setting again.
I'll be four years cancer free in November, as long
as that remain symptom free, and that puts a big
smile on my face. And I know you've got a
lot of patients to feel the same way. So thank
you very much for what you're
Speaker 3 (08:56):
Doing, thank you, thank you, BRIANH.
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