Cancer Is A Word
Not A Sentence

Consultation

Doctor Consultation for Blood Disorder

Clinical Hematology or study of blood disorders is a highly specialised field related to diagnosis , evaluation treatment and treatment of blood disorders. Blood disorders range from simple iron deficiency anemia to highly complex and sometimes difficult to treat leukemia and lymphoma. Blood disorder may present as mild weakness , fatiguability , generalised lymphadenopathy , bleeding or fever.

Whenever a haematological disorder is suspected, it is very important to consult your haematologist and plan treatment.

Diagnosis

Complete blood counts
Reticulocyte count
Peripheral Smear
Initial Investigations of hemoglobinopathy, or a blood disorder.

After a patient presents to us with suspected blood disorder, we immediately start his/ her initial work up , which includes Complete blood counts, Reticulocyte count, peripheral smear etc. Based upon these initial investigations, patients may require further work up , which depends upon the suspected disease. For example, if a patient is suspected to have blood cancer, we plan immediate bone marrow aspiration and biopsy, in addition , some special tests like flow cytometry, cytogenetics / FISH studies are done. If a patient has suspected hemoglobinopathy, or a blood disorder with low Hb from childhood, initial work up includes HPLC and parental studies. We have a complete cancer centre with support from surgical oncology and radiation oncology , so that whenever a patient of say suspected lymphoma comes to us , lymph node biopsy is done on urgent basis and samples sent for histopathology and Immunohistochemistry (IHC) studies.
All these tests are done in house and on priority basis for any patients with suspected blood disorder.

Facilities

BMT facility

We have a dedicated Hemato oncology unit with state of art 5 bedded BMT facility. Each room has a separate HEPA filter and dedicated staff. We also have a 30 bedded day care centre, where every effort is made to keep our patients as comfortable as possible . Our unit cares for patients with haematological disorders, including benign and malignant diseases like Thalassemia, Anemia, Thrombocytopenia, Aplastic Anemia and Blood cancers like Leukemia , Lymphoma , Multiple Myeloma.

We have in house facility for all high end haematological investigations like Flow cytometry, Cytogenetics, in addition to all routine investigations. Our blood bank offers all support for hematological patients with blood products being available in house 24 x 7. They also perform procedures like apheresis and cryopreservation on routine basis.

Treatment

Malignancy or Thalassemia

Treatment of blood disorders have evolved with time and now our intention in most patients is to achieve complete cure. Whether it is malignancy, thalassemia or any blood disorder, our aim is to make our patient free from his disease, and we try our very best to achieve this Goal. Final modality is decided after complete discussion taking patient and his family into confidence.

We offer following treatment modalities for our patients -

Chemotherapy is the administration of drugs that kill rapidly dividing cells such as leukemia or other cancer cells. Chemotherapy may be taken orally in pill or tablet form, or it may be delivered via a catheter or intravenous line directly into the bloodstream. Combination chemotherapy is usually given, which involves a combination of more than one drug. The drugs are given in cycles with rest periods in between.

Sometimes, chemotherapy drugs for leukemia are delivered directly to the cerebrospinal fluid (known as intrathecal chemotherapy). Intrathecal chemotherapy is given in addition to other types of chemotherapy and can be used to treat leukemia in the brain or spinal cord or, in some cases, to prevent spread of leukemia to the brain and spinal cord.

Side effects of chemotherapy depend on the particular drugs taken and the dosage or regimen. Some side effects from chemotherapy drugs include hair loss nausea, vomiting, mouth sores, loss of appetite, tiredness, easy bruising or bleeding, and an increased chance of infection due to the destruction of white blood cells. There are medications available to help manage the side effects of chemotherapy.

Some adult men and women who receive chemotherapy sustain damage to the ovaries or testes, resulting in infertility. Most children who receive chemotherapy for leukemia will have normal fertility as adults, but depending on the drugs and dosages used, some may have infertility as adults.