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@hababeck

After several routine blood tests by my local physician over a one-year period she noticed I consistently had high white blood cell counts she had previously though might just be from an infection or minor illness. That was when she referred me to my current oncologist who has a brand-new office with a large number of nurses and assistants who are great.

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From what I’m reading here, you already have a really knowledgable and attentive oncologist and staff. I think you can feel pretty comfortable with not worrying about being seen at a larger facility.
Finding CLL with routine blood work from an annual physical isn’t uncommon. Kudos to your local physician for spotting the changes. You’re well taken care of in your rural community! That’s really refreshing to hear. ☺️