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Video

What follow-up appointments should be necessary before and after treatment?

Posted by
HealthTree Logo HealthTree
• August 30, 2025

Description

Learn about the follow-up appointments and tests necessary during and after chronic lymphocytic leukemia (CLL) treatment in this video.

On this video

Healthtree contact Arnab Ghosh, MD, PhD

Arnab Ghosh, MD, PhD

Healthtree contact Joshua Brody, MD

Joshua Brody, MD

Transcript

What follow up appointments or tests will be necessary during and after treatment?

In the beginning, it's a bit more involved and then as you go less and less and the beginning of starting a new therapy, patients are sometimes in the very beginning, coming to see the doctor once a week. That might go on that way for a month or even two. But usually as we get things sort of stable and hopefully very boring, which is the best thing you can be as a patient, we say that's the greatest compliment any patient can get. You're a very boring patient and as we get patients to that stable place where they're hopefully in remission, patients might be coming to see the doctor every month, every three months, sometimes even less, sometimes with just a lab visiting between to get simple blood tests done, but really not too involved and hopefully not affecting a person's life too much once they're into it.

during CLL, of course you did the typical follow ups to make sure that the person is being treated adequately and is responding. And also it's not affecting other subsets of blood, clearly often renders the patients more susceptible to infection. So sometimes specialized tests are done to see the levels of infection fighting capacity like antibodies in the blood immuno Clovis example, to see if there's enough of them. And those kind of follow ups are typically done. Some specific types of cells called SLA, which is essentially more limited to the lymph nodes, those that have to be monitored sometimes carefully to make sure they are not affecting the other organs nearby after treatment. Again, one wants to make sure that the infection fighting capacities are well maintained. The patients are vaccinated appropriately because they are at a higher chance of of infections and that their their blood coagulate as well. They don't they are not at increasing risk of bleeding. And the heart is not terribly affected by the anti-cancer drugs that have been given.

And so. You know, most of the care that folks need after treatment is in the very beginning. Again, just to have some social support around. Although most patients don't have any bad side effects, some folks can. And so if people are having any side effects, GI side effects, nausea, things like that, it's good to have somebody around. If the doctor has to call a nausea medicine into your pharmacy, good to have someone around to pick that up. But otherwise it's fairly simple common sense stuff be very rare that patients would have to end up in the hospital for mostly any part of these therapies. It's pretty much all done in the clinic and at home.

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