Diagnosed with MGUS. What questions should I ask the hematologist?

Posted by genedoms @genedoms, 1 day ago

Recently diagnosed with MGUS and am having my first appointment with the referred hematologist. I would like to be prepared with the right questions to ask. I am 76 with type II diabetes and existing peripheral neuropathy. I would appreciate any suggestions regarding preparing for my appointment and what questions to ask. Thank you.

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I always tell people on here to get a baseline. Full bloodwork, 24/hr urine. Skeletal survey. Then depending on those numbers they may have you do a BMB. But don’t google doctor yourself, MGUS has a 1% progression probability a year. See if they want you to do bloodwork prior, if they say they will do it there ask to have a script sent because you would like it prior to your visit. (Less co-pays) lol. Give 7-10 days for a MGUS bloodwork results to post. Also, if your doctor has a specific lab in his/her office go to that lab outside the office because if you go to Quest and then you go to LabCorp, how they do their results differ.

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Thanks. Your advice makes a lot of sense. It is clear this is the beginning of a learning process. My PCP of 42 years just retired so I am starting this with a couple of new docs but I feel good about the referral I got. Thanks again for your input.

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I have a different diagnosis than you so you can look at my list and substitute your diagnosis and a few drugs being tried for your disorder. There are oncology doctors that specialize in your disorder. My last suggestion on the list was to ask about specialists. I would wait on that on until you feel you are not getting the care you want. I go once a year to Mayo Clinic to a Primary Myelofibrosis (PMF) specialist.
Hope this list gives you ideas for your list.

This is the list of questions I came armed with for my appointment with a hematologist:
What can you tell me about
Are there stages of PMF?
* What is my prognosis?
* How likely is it that my PMF will respond to treatment?
* What are my treatment options?
* Momelotinib (Ojjaara) was approved for medical use in the United States in September 2023.[31] It is indicated for the treatment of intermediate or high-risk myelofibrosis, including primary myelofibrosis or secondary myelofibrosis [post-polycythemia vera and post-essential thrombocythemia], in adults with anemia.[
* What types of research are being done for PMF in clinical trials? Do clinical trials offer additional treatment options for me?
* Do I need to start treatment right away?
* What follow-up tests will I need, and how often will I need them?
* Who do I call for questions?
* Have you had other cases of PMF
* What red flags should I look for in future to be concerned about.
* Should I seek a specialist

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