A NEW HAEMATOLOGY SERVICE AT THE LBH14 January 2009
The Haematology service has recently been reinforced by the addition of another Consultant Haematologist, Dr Mihály Saáry, to the team. There is now a rapid response service to meet the needs of patients seeking specialist advice. New patients for haematology referrals can usually be seen within 48 hours. The service encompasses a wide range of areas some of which are described below.
This includes anaemia, polycythaemia (too many red blood cells), white cell and platelet problems, bleeding and bruising problems, thrombotic tendency etc. Following the consultation samples are taken as appropriate and analysed in the Hospital’s laboratory.
This ensures that the Haematologist reports on the blood films himself.
In some instances a bone marrow aspirate and trephine biopsy is necessary and Dr Saáry has specialist expertise and interest in this. The care of patients with haematological malignancies are shared with the Haematologists and Oncologists from Guy’s and St Thomas’ Hospitals.
The Anticoagulant Clinic
The hospital based anticoagulant clinic is well established and has a high reputation for reliability. Blood tests are normally taken at the Hospital, at our City clinic or in Harley Street. Patients who prefer to use their local clinics or laboratories for their INR tests are also offered anticoagulant monitoring and dosage advice by Dr Saáry. This covers trips abroad, ensuring continuity.
Haemochromatosis is a particularly important disease, caused by excessive and indiscriminate absorption of iron from the gut, regardless of the body’s needs. Unless diagnosed early it can lead to organ damage. The best form of early detection in the general population is routine blood screening which should include serum iron and TIBC, and the calculated saturation of Transferrin. If the saturation is >60% in males or >55% in females, a serum Ferritin should be done which not only confirms the diagnosis but indicates the stage of the disease. It should be borne in mind that Ferritin is also an “acute phase reactant” and is therefore raised in inflammation and infection. Therefore Haemochromatosis should only be diagnosed once other systemic diseases have been ruled out. The importance of paying attention to raised Transferrin saturations can not be over-emphasised and it is possible that many patients are missed.
Genetic studies are not normally required to establish the diagnosis but can be useful in identifying susceptible family members, who can thus be earmarked for monitoring.
Once the diagnosis is established treatment is normally by venesection. The Hospital is offering a full venesection service, again appointments being handled through GP liaison or directly with the Haematologist.
Advice to air travellers and the question of Thrombophilia
There has been much and varied advice given to air travellers on long-haul flights. Dr Saáry offers comprehensive advice on the prevention of Venous Thromboembolism as well as guidance on Thrombophilia screening.
Via GP liaison 020 7234 2009
Dr Saáry 07 860 138 304
In Dr Saáry’s absence Dr Lesley Kay, 0207 908 2103