Hematology
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| Emergent |
Criteria (not all inclusive)
- New diagnosis of acute leukemia
- Severe thrombocytopenia (Platelets <20,000)
- Severe anemia (Hgb <60)
- Severe leukopenia (WBC <1,000)
- Patients with a new diagnosis of DVT or PE should be referred directly to the Emergency Department
Process
1) PHONE 902-473-2220 “Hematologist on Call”
2) FAX referral marked URGENT
3) Include recent blood work and bone marrow report (if available)
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| Urgent |
Criteria (not all inclusive)
- New established diagnosis of Lymphoma or Hodgkin Lymphoma (If lymphoma is suspected, please arrange biopsy to confirm BEFORE referral.)
Process
FAX referral with the following:
- Tissue biopsy (usually by a general surgeon) is generally required prior to appointment
- Recent blood work
- Bone marrow report (if available)
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| Semi-Urgent |
Criteria (not all inclusive)
- New diagnosis of myeloma
- New diagnosis of chronic myeloid leukemia (CML), if patient stable
- Moderate anemia < 80
- Moderate thrombocytopenia < 50,000
Process
FAX referral with the following:
- Recent blood work
- Bone marrow report (if available)
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| Non-Urgent |
Criteria (not all inclusive)
- Mild cytopenias
- WBC < 2.5
- Hgb < 120
- Platelets < 100,000
- Duration of anticoagulation
- Homozygous HFE C282Y Hemachromatosis
- New diagnosis of chronic lymphocytic leukemia (CLL), if patient stable
- Moderate leukopenia, anemia or thrombocytopenia
- Personal or family history of previous thrombosis
Process
FAX or MAIL referral with the following:
- Recent blood work
- Bone marrow report (if available)
- Date of surgery REQUIRED when patients are referred for perioperative management of anticoagulation
- Recent and previous CBC as well as other relevant blood tests are always appreciated
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