Who is a hemato oncologist?
A haematologist-oncologist is a doctor who has expertise in diagnosing and treating blood cancers and diseases, such as haemophilia, iron-deficiency anaemia, sickle-cell disease, leukaemia and lymphoma. Apart from treating blood cancers, such as multiple myelomas and Hodgkins and non-Hodgkins lymphomas, they may also be involved in the management of solid tumours.
Haematologist-oncologists usually work with professionals from other departments for the treatment and management of blood related diseases, some of which may include pathology, surgery, radiation-oncology, radiology, etc.
Why would someone be referred to a haematologist-oncologist?
A general physician may recommend someone to consult a haematologist-oncologist if they have some of the following blood disorders:
- Heavy menstruation
- Frequent nosebleeds
- Easy bruising
- Bleeding into joints
- Delayed blood clotting after wound, injury or surgery
- Weakness
- Bloody urine
- Shortness of breath
- Swollen lymph nodes
- Decreased platelets
- Low red blood cell and white blood cell count
- Petechiae or pinpoint skin rashes caused due to low platelet counts
Although these abnormalities dont necessarily point out to a serious disease, they may indicate serious blood disorders as well. So, it is better to get them checked by a specialist.
How does the consultation procedure work?
The consultation process generally starts by looking at the patients existing records, such as medical history, recent laboratory tests, blood test results, etc. The doctor will ask the patients about their symptoms and any unusual blood-related problems. During the consultation, the patients must give as much details as possible about their condition to help the haematologist arrive at a conclusive diagnosis.
Sometimes, the initial tests may not be enough to arrive at a conclusion. So, the haematologist may request for further tests like complete blood count, platelet aggregation tests and bleeding time measurement.
How do I know which type of bone marrow transplant is right for me?
It’s best to discuss with your transplant physician as to which treatment option will best suit your specific diagnosis. In case you have any doubts about which transplant type your physician has recommended, you can contact your transplant coordinator. The coordinator can help in determining the type of transplant you’ll receive and can even schedule an appointment with your designated physician to review your treatment option.
I am hesitant about the bone marrow transplant procedure. What should I do?
You need to realize that having fears about bone marrow transplant is normal. You should jot down all the questions you have and speak to your doctor about them. The key is for you to be comfortable with the procedure before it begins. Don’t hesitate to ask your doctor all the questions you have. If you think that stress is negatively impacting you and becoming unmanageable, then it is a good idea to speak to a counsellor. Speaking to your family about the procedure and preparing them is a good idea so they are aware of what to expect. Support groups are available to help you navigate through the stress and apprehensions of the procedure. These support groups can also help you conduct adequate research online about the best hospital for bone marrow transplant in India where you can receive the best medical care. This will go a long way in alleviating your concern.