Friends,
All good news: routine lab,nodal imaging and testing for mutations that foretell ibrutinib resistance. Details on blog: bkoffman.blogspot.com
Been under much stress related to my every 10 year family practice board exams. It tests on everything from obstetrics to ICU care. There is much discussion of the irrelevance of the day long test to the real world of primary care and other specialty groups such as internal medicine have done away or revamped their exams recently in recognition of the changing nature of medical care, but sadly not family medicine.
Hematology which is > 90% of what I do and research is only 1% of the family medicine exam, so I need to study.
The review binder is 3400 pages long. Questions can be and have been on anything from shoulder dystocia in stage two of labor, ER management of seizures and heart attacks, multi-drug resistance TB, pediatric and congenital heart disease, and victims of bioterrorism. Things I just don’t take care of anymore.
There might be one question on CLL in the all day of testing, but I doubt it.
So I am offline for CLL for a week until the exam is in the rearview mirror.
No emails, no posts, no nothing for 6 days.
Let’s see if I can stick with it.
Stay strong.
We are all in this together.
Bye for a few days
Brian
Why Won't My Dr. Write a Work Note for CLL Fatigue so I Can Work from Home Because she States that my Bloodwork is \"Normal\"?
New Guy Hoping for some answers!
I have noticed lately that I am getting an ache in my left shoulder, could this be CLL related?
Update 8 years, since I started the captivate trial, and doing well so far! UMRD. I plus V. Now just on Ibruvica for many years. 
Update on my ABCDE minus L diet for fighting CLL
