Hematology

• 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)

• New established diagnosis of Lymphoma or Hodgkin Lymphoma (If lymphoma is suspected, please arrange biopsy to confirm BEFORE referral.)

• Tissue biopsy (usually by a general surgeon) is generally required prior to appointment
• Recent blood work
• Bone marrow report (if available)

• New diagnosis of myeloma
• New diagnosis of chronic myeloid leukemia (CML), if patient stable
• Moderate anemia < 80
• Moderate thrombocytopenia < 50,000

• Recent blood work
• Bone marrow report (if available)

• 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

• 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