Hematologist: who is he, what diseases does he treat, contacting him before and during pregnancy

1. Who needs a consultation with a hematologist?
2. What diseases does a hematologist treat?
3. How are hematological diseases diagnosed?
4. How is treatment carried out by a hematologist?

A hematologist deals with the diagnosis and treatment of diseases of the hematopoietic system. This includes pathologies of hematopoietic tissue, blood and lymph. Pathological processes are divided into malignant and non-malignant. Common hematological diseases are:

• anemia;
• thrombocytopenia;
• blood clotting disorder;
• leukemia;
• lymphoma.

Who needs a consultation with a hematologist?

Most patients are referred to a hematologist by their internist or general practitioner. If there are nonspecific symptoms or if the blood count changes, the attending physician will recommend additional examinations by a hematologist.

The symptoms of hematological diseases are quite extensive. The threat of a disease of the hematopoietic system can be suspected by the following signs:

• a person complains of headache, fatigue, dizziness;
• weight loss without changing lifestyle and diet;
• the patient has increased bleeding: even with a small scratch the bleeding does not stop for a long time;
• the skin bruises easily;
• enlarged lymph nodes, spleen, and liver were detected;
• increased or decreased blood pressure;
• rash or itching on the body without confirmation of a skin disease;
• For some unknown reason, the temperature is elevated.

Externally, blood diseases manifest themselves as paleness, dryness and brittle hair, and hair loss. In some cases, patients also experience eyebrow loss and nails that become brittle. When conducting laboratory tests, changes in blood parameters are observed: hemoglobin, leukocytes, platelets, etc. They may be higher or lower than normal.

What is the competence of a hematologist?

Not everyone knows the name of a specialist who studies blood and diseases associated with disorders of its composition. Despite this, it is quite difficult to overestimate its importance in medicine. Blood is a vital element of a living organism, because it carries oxygen and nutrients, performs protective, thermoregulatory and many other functions.

Hematologist is considered a rare medical specialty.

The duties of this doctor are as follows:

• collecting information, studying the etiology and pathogenesis of diseases associated with the hematopoietic system;
• assessment of clinical symptoms developing in pathologies of the hematopoietic system;
• development and practical use of diagnostic techniques aimed at studying blood;
• treatment and prevention of various complications in humans associated with blood and bone marrow activity.

Hematologist, like other medical specialties, bears a huge responsibility. The specialist must have a higher medical education and also take courses in hematology.

Important! Attending various seminars and lectures is a necessary condition for advanced training of a doctor.

What diseases does a hematologist treat?

The most common reason for visiting a hematologist is anemia. This disease occurs for various reasons and is characterized by a decrease in hemoglobin levels. Most often it is caused by a deficiency of vitamins and microelements necessary for hematopoiesis: iron, vitamins B12 and B9. Deficiency develops due to a poor diet or impaired absorption of nutrients. Anemia also occurs with massive blood loss, decreased production of red blood cells by the bone marrow, or increased destruction of red blood cells.

A hematologist treats coagulopathy, a disease in which blood clotting is impaired. This pathology can be congenital and is observed in patients with hemophilia, a hereditary disease in which the functioning of genes responsible for the synthesis of coagulation factors is disrupted.

The cause of acquired coagulopathy can be autoimmune pathology, impaired liver function, poisoning with certain poisons, or taking anticoagulant drugs.

Thrombocytopenia is an autoimmune disease in which platelet production is reduced. This leads to increased bleeding and requires consultation with a doctor.

Malignant blood diseases are otherwise called oncohematological diseases. These include tumors of hematopoietic and lymphoid tissues. This category includes lymphomas, which come in different types depending on which cells are affected. Blood cancers also include leukemia, which can be acute or chronic.

The cause of oncohematological diseases is mutations in the genes of hematopoietic and lymphoid tissues. Modern methods of molecular cytogenetic research help to detect which parts of chromosomes have undergone changes. This helps to make an accurate diagnosis and choose the right treatment.

Why do expectant mothers need a hematologist?

A hematologist during pregnancy is necessary for all expectant mothers. The fact is that during this period the body needs more vitamins and minerals, and this often leads to the development of anemia.

In addition, you should definitely contact a hematologist if a woman has bleeding disorders. This specialist also conducts studies that show whether a woman is a carrier of thrombophilia genes, since this disease can cause miscarriage.

A consultation with an experienced hematologist Ekaterina Leonidovna Shemyakina at the Garantiya clinic will help to identify the disease in time and prevent the development of serious pathologies.

How are hematological diseases diagnosed?

Diagnosis begins with examining the patient and collecting anamnesis. The doctor assesses the condition of the skin, lymph nodes, liver, and studies the medical history. The main method for diagnosing hematological diseases is laboratory blood testing. To assess the patient's indicators, a general clinical analysis is performed. Based on its results, further examinations are prescribed.

If a blood disease is suspected, the doctor suggests a bone marrow examination. The condition of the bone marrow can reveal the causes of the pathology. To obtain biomaterial, the patient undergoes a puncture.

A cytological examination of a bone marrow smear is called a myelogram. This procedure has been used in medical practice for several decades. Thanks to modern equipment, a myelogram allows one to literally make a diagnosis at the molecular level and begin treatment at the initial stage of the disease.

If a hematologist detects signs of pathological changes in the lymph nodes or other organs that affect hematopoiesis, endoscopic examination, MRI and other hardware diagnostic procedures are prescribed.

Tests prescribed by a hematologist

To identify the disease after the patient seeks help, a hematologist can prescribe a number of different diagnostic procedures. Such a wide range of studies indicates that the disease is difficult to define, as well as similar symptoms for various ailments.

The most common option for identifying blood diseases is to take a certain amount of blood. It is analyzed by specialists in the laboratory, where various indicators and their changes are studied.

The clear-cut diagnostic options are puncture and biopsy. In the process of making a diagnosis, the hematologist may request additional instrumental and/or laboratory tests.

How is treatment carried out by a hematologist?

Only in 20% of cases does a patient with a blood disease require hospitalization. Other diseases are treated on an outpatient basis. The main role in the treatment of hematological diseases belongs to drugs. Depending on the nature of the pathology, drug therapy is aimed at eliminating the deficiency of vitamins and microelements, normalizing coagulation and other causes of the disease. In addition to medications, blood transfusion procedures and bone marrow transplants are used.

In recent years, the effectiveness of treatment of oncohematological diseases has significantly increased. Targeted therapy methods are used, which are aimed at the affected cells and help preserve healthy tissue.

What does the doctor do?

The main activity of a doctor of such a profile as hematology is the diagnosis and, if necessary, treatment of diseases and/or blood pathologies. Among the most common health problems that a doctor can help you get rid of are:

1. Various anemias. The process when there is not enough red blood cells and hemoglobin in a person’s blood.
2. Malignant tumors in the blood supply system.
3. Pathologies of the coagulation process.
4. Various disturbances in blood production processes.
5. Diseases that arise due to improper metabolism of the body, called porphyria.

In addition to diagnosing and prescribing treatment, a hematologist is involved in the rehabilitation of patients with hematological diseases. One of the areas of activity is prevention.

Complete training

The Interregional Academy of Industrial and Construction Complex (MASPK) invites students to take professional retraining courses in the field of Hematology.
The Academy's resources make it possible to remotely train thousands of specialists from all regions of Russia. Our training programs are compiled with the participation of leading experts in their field and are regularly updated, which allows our graduates to successfully implement themselves in the profession. The Interregional Academy of Additional Professional Education (MADPO) conducts regular enrollment in courses of additional professional education in the specialty “Hematology”. We offer advanced training programs in a distance format according to an individually agreed schedule, a modern educational and methodological base and standard documents upon completion of training. Training in the Hematology program at the Medical University of Innovation and Development (MUIR) is a modern educational program for medical specialists that allows you to complete training in the shortest possible time and without interruption from work. The University's courses are delivered both part-time and distance learning and fully comply with both educational and professional standards in the field of additional vocational education (additional vocational education). The National Academy of Modern Technologies (NAST) implements additional education programs and invites specialists to undergo professional retraining in the field of Hematology. The Academy's training programs involve the use of distance technologies, which allows our students to receive education without interruption from their main activities in the most comfortable mode. The career guidance center for medical personnel of higher and middle management MEDICALEDU invites you to undergo professional training in the specialty “Hematology”. Timely receipt of additional professional education allows you to timely pass certification events and continuously improve in your profession. The training format for professional retraining courses is distance learning. Author of the article

Yurkin Alexey

When to contact a specialist, or symptoms of a hematologist

If certain symptoms are detected, consultation with a specialist becomes especially important. What are these? First of all:

• increased body temperature for no apparent reason, feverish state;
• rapid loss of body weight with a normal daily routine and diet;
• increased work of the sebaceous glands and, as a result, increased sweating;
• pale skin, hyperemia of the skin, which are not associated with disruption of internal organs or chronic diseases;
• persistent changes in the level of red blood cells, platelets, leukocytes, changes in the leukocyte formula;
• tingling and numbness of the fingers of the upper extremities;
• fragility, fragility of blood vessels, capillaries;
• formation of hematomas in the absence of trauma and external damage;
• lack of appetite, feeling of constant weakness and fatigue;
• atypical hemoglobin level - a drop or, conversely, an increase that goes beyond the normal range;
• skin itching after water procedures;
• bleeding of blood vessels and gums during dental procedures, slow healing of wounds and even scratches;
• chronic headaches, the sources of which are not clear;
• chronic menstrual irregularities in women, prolonged bleeding, repeated spontaneous miscarriages;
• frequent viral diseases, constant colds;
• formations on the neck, in the armpits, in the groin, a significant increase in the size of the lymph nodes;
• enlarged liver, spleen of any etiology;
• thrombosis, PE - pulmonary embolism;
• history of myocardial infarction.

A mandatory consultation with a doctor such as a hematologist is necessary when pregnancy has already occurred, when planning conception, as well as for residents of areas with high radioactive background, which is especially important in connection with man-made disasters. An examination by a medical specialist as a preventive measure is a necessary measure aimed at preventing unpleasant health surprises.

Center for Pediatric Hematology in Moscow

• Primary appointment with a pediatric hematologist
  3000 ₽
• Repeated appointment with a pediatric hematologist

  2200 ₽

  Read also:  Memo on therapeutic nutrition for diseases of the liver and biliary tract

A pediatric hematologist is a doctor who specializes in the diagnosis, treatment and prevention of diseases of the blood and hematopoietic organs in children of any age. The multidisciplinary medical center employs experienced specialists with whom you can make an appointment at a convenient time. We offer comprehensive services, including diagnosis, treatment and further monitoring of the recovery of a small patient.

In what cases is consultation with a pediatric hematologist required?

A pediatrician usually refers a specialist to this profile if regular blood tests show changes: an increase or decrease in hemoglobin levels, coagulation system disorders, etc. In addition, hematological diseases in a child can manifest themselves with the following symptoms:

• joint and back pain;
• a sharp increase in body temperature for no apparent reason;
• general weakness and increased fatigue;
• loss of appetite, weight loss;
• the appearance of bruises after mild contusions, prolonged bleeding from minor cuts and abrasions;
• frequent nosebleeds, bleeding gums when brushing teeth;
• changes in appearance (dry pale skin, brittle nails, hair loss, etc.).

It is also necessary to contact the Miracle Doctor Pediatric Hematology Center in any of the cases listed below.

Children of the first year of life:

• + mother and child have different blood groups and Rh factor;
• + the baby was born premature or was bottle-fed;
• + the mother has been diagnosed with anemia or another blood disorder.

For preschool children:

• + the child is susceptible to viral and bacterial diseases;
• + the baby suffered helminthic or parasitic infestations;
• + the child is lethargic, apathetic, quickly loses interest in outdoor games.

For teenagers:

• + mother and child have different blood groups and Rh factor;
• + the baby was born premature or was bottle-fed;
• + the mother has been diagnosed with anemia or another blood disorder.
• + the child is susceptible to viral and bacterial diseases;
• + the baby suffered helminthic or parasitic infestations;
• + the child is lethargic, apathetic, quickly loses interest in outdoor games.
• + the child experiences fainting or pre-fainting conditions;
• + the teenager has unstable blood pressure;
• + the child has painful enlarged lymph nodes, etc.

Some hematological diseases (for example, myeloid leukemia) are asymptomatic and can be detected during the next clinical blood test. For this reason, parents should not neglect the advice of a pediatrician or therapist to consult a pediatric hematologist to clarify the possible pathology. This is exactly the case when timely diagnosis can save a life or affect the quality of life of a child.

Some hematological diseases (for example, myeloid leukemia) are asymptomatic and can be detected during the next clinical blood test. For this reason, parents should not neglect the advice of a pediatrician or therapist to consult a pediatric hematologist to clarify the possible pathology. This is exactly the case when timely diagnosis can save a life or affect the quality of life of a child.

What diseases does a pediatric hematologist treat?

Children's doctors at the Miracle Doctor clinic see young patients with various diagnoses:

Anemia (lat. anemia)

This condition is characterized by a decrease in red blood levels (hemoglobin and red blood cells). There are iron deficiency, hemolytic and other types of anemia, which, as a rule, are not independent diseases, but symptoms of a number of diseases. Among the latter, tuberculosis, pyelonephritis, mycosis, etc. can be noted. Anemia can also be provoked by malnutrition, helminthic infestations, and acute respiratory viral infections.

Cytopenias (lat. Cytopenias)

These are diseases characterized by changes in the level of certain types of blood cells (leukocytes, platelets). Cytopenias can accompany infectious and oncological diseases, and also manifest themselves in toxic poisoning. The condition is dangerous due to decreased immunity, increased susceptibility of the body to various infections, and increased risk of internal bleeding.

Hemorrhagic syndromes (lat. hemorrhagic syndromes)

Manifested by subcutaneous hemorrhages and bleeding of mucous membranes. In some cases, hemorrhagic syndrome is a sign of hemophilia, a disease characterized by decreased blood clotting. Pathology can be congenital (hereditary) and acquired. Increased bleeding can be caused by pathologies of the liver and kidneys, lack of vitamins, etc.

Coagulopathies (lat. coagulum)

These are conditions caused by blood clotting disorders, in which increased bleeding and the formation of hematomas are observed. The pathology can be hereditary and acquired - caused by cancer, intestinal infections, toxic medications and other reasons. Modern complex treatment gives good results and allows you to neutralize the listed symptoms.

Lymphadenopathy (novolat. lymphadenopathia)

The pathology is a painful enlargement of the lymph nodes. Lymphadenopathy in most cases is caused by infectious inflammatory processes. In particular, enlarged lymph nodes in the neck area can be caused by tonsillitis, in the groin area - diseases of the bladder, etc. Since the lymphatic system can also react to oncological processes, a comprehensive examination is required.

Leukemia (lat. leukemia)

This is an oncological disease that affects the child’s hematopoietic organs (bone marrow). In leukemia, destruction of leukocytes and disruption of their maturation are observed. Subsequently, this process has a negative impact on the formation of platelets and red blood cells. Leukemia is manifested by general weakness, poor appetite, and decreased immunity. If detected early, the treatment prognosis is favorable.

How is an appointment with a pediatric hematologist?

Contacting a specialist of this profile does not require special preparation. Parents are advised to bring with them to the appointment the test data on the basis of which the pediatrician or therapist recommended a consultation with a hematologist.

1

Make an appointment

Let us know about your visit in advance. To make an appointment with a pediatric hematologist, select the appropriate date and time, and then call or fill out the online form on the website.

Make an appointment

2

Diagnosis and treatment

First, the doctor talks with the parents and clarifies the symptoms that are bothering the child. After this, the specialist conducts an external examination of the little patient and issues directions for the necessary blood tests. After receiving the examination results, a course of treatment is prescribed.

3

Observation

Even if the examination showed that the patient does not have hematological pathologies, it is necessary to donate blood for tests regularly. The child must undergo this procedure during the annual medical examination, as well as after each illness, be it a cold or diarrhea.

We recommend scheduling your doctor's visit in the morning. If necessary, the hematologist can prescribe additional blood tests, which you can take at the Miracle Doctor clinic. For this purpose, the child should not be fed breakfast; the last meal should be no earlier than 6–8 hours before going to the laboratory.

What examinations can a pediatric hematologist prescribe?

To clarify the diagnosis, specialists at the Miracle Doctor clinic can prescribe the following types of diagnostic procedures:

Laboratory blood tests:

• + Detailed general blood test. Includes counting reticulocytes - young red blood cells that are formed in the bone marrow. The study allows the doctor to determine the rate of hematopoiesis in the patient’s body.
• + Biochemical blood test. Allows you to conduct a comprehensive assessment of the functioning of internal organs and determine what vitamins, enzymes, hormones, micro- and macroelements the body needs.
• + Percentage of saturation of transferrin (iron transport protein in blood plasma). Low levels indicate a lack of this element in the blood, and high levels indicate the presence of a genetic disease (hemochromatosis).
• + Analysis for ferritin (a special protein that is responsible for maintaining iron in the body). High levels may indicate acute leukemia, as well as a number of inflammatory diseases. Low - indicates the presence of anemia.
• + Coagulogram. The analysis allows you to determine blood clotting indicators and diagnose hemophilia and other hemorrhagic pathologies. A coagulogram is also performed to determine diseases of the kidneys, liver and other internal organs.
• + Immunological and genetic blood tests. They are carried out if the patient suffers from chronic infectious or certain hereditary diseases.

• Lymph node biopsy. The analysis involves the collection of biomaterial for the purpose of its further cytological and histological examination. A biopsy allows you to determine cancer.
• Bone marrow puncture. It is prescribed in difficult situations when the patient is diagnosed with severe forms of anemia and other diseases of the hematopoietic system.
• Ultrasound. A pediatric hematologist can refer the patient for an ultrasound examination of the lymph nodes, spleen and other organs that affect hematopoietic processes in the body.
• X-ray and computed tomography. X-rays can detect abnormalities in bone tissue, as well as affected lymph nodes. In particular, lymphoma can be diagnosed using CT.
• MRI. Magnetic resonance imaging allows you to clarify the structure and size of internal organs, determine tumor formations and disorders in bone tissue.

Hematology has its own laboratory, which conducts more than a thousand types of research. Some tests will be ready within 30–60 minutes after collecting the material. In addition, patients will be able to undergo the necessary hardware diagnostics.

Treatment methods for blood diseases

Modern medicine has effective means of treating and preventing hematological pathologies. At the same time, the best results are observed with timely access to the pediatric hematology center.

Another important rule: treatment must be carried out comprehensively. In particular, at the Miracle Doctor clinic, a pediatric hematologist works closely with doctors of other specialties: pediatrician, endocrinologist, gastroenterologist, etc.

One of the main methods of treating blood diseases is drug therapy. Treatment consists of prescribing an individual course of medications. Therapy can be carried out on an outpatient basis or in a hospital. The doctor prescribes anticoagulants, hemostatic, antianemic, plasma replacement and other drugs.

In difficult cases, hemocorrection (blood purification) procedures are performed:

+ Erythrocytapheresis. The procedure is performed using special equipment that separates human blood into individual components, in particular, it separates red cells into a separate reservoir, and returns the rest of the mass to the patient’s body. Used to treat autoimmune diseases such as thrombocytosis.

+ Plasmapheresis. The procedure is also aimed at mechanical filtration of blood and separation of plasma and other components (erythrocytes, platelets, leukocytes). Plasmapheresis allows you to remove plasma containing toxic components from the bloodstream, as well as maintain a certain blood composition.

+ Immunosorption. A high-tech method that allows you to selectively remove certain molecules (for example, immunoglobulins) from blood plasma. The composition of the remaining substances does not change. The method is used in the treatment of autoimmune diseases.

Oncological diseases of the blood require the use of radiotherapy, cytostatic therapy, stem cell and bone marrow transplantation.

Prevention of blood diseases

Hematological pathologies can be prevented. If parents are aware of the possibility of certain hereditary abnormalities appearing in their child, then timely diagnosis in combination with preventive measures can neutralize the manifestations of the disease.

Basic recommendations of a pediatric hematologist:

1. The likelihood of having a sick child can be determined as a result of a genetic analysis of the parents’ blood. If the woman is already pregnant, then examination of the fetus is possible. The earlier hereditary pathologies are identified, the higher the likelihood of successful treatment.

2. If the child has the slightest abnormalities in the tests, a detailed examination and implementation of the hematologist’s recommendations are required. In many cases, the manifestations of autoimmune diseases can be stopped by taking medications in a timely manner.

3. A growing child’s body requires adequate nutrition, rich in vitamins and microelements. A child’s diet must include meat, liver, legumes, cereals, nuts, fruits, vegetables and herbs. During the cold season, it is necessary to take vitamin supplements.

If you require consultation with an experienced pediatric hematologist, contact a medical clinic in Moscow. With us you can undergo a comprehensive examination and treatment. Our patients have access to advanced therapy methods and a comfortable 24-hour hospital.

Hematology: main sections

This branch of medicine has its own subsections, including:

• General hematology. This subsection deals with the identification and treatment of anemia, leukopenia, pancytopenia and other pathologies that occur according to their type.
• Oncological hematology (oncohematology). This subsection includes two branches of medicine: oncology and hematology. The study and therapy in this subsection includes malignant processes of the hematopoietic system: acute leukemia, myeloproliferative diseases.
• Theoretical hematology. This branch is engaged in research into the processes of hematopoiesis, blood transfusion, and molecular genetics.

Or maybe you have anemia?

Pale face, increased fatigue, drowsiness, tinnitus, flashing spots before the eyes, rapid heartbeat - all these symptoms may indicate various diseases, or may be signs of anemia, which is accompanied by numerous diseases, from infectious to precancerous conditions and the presence of tumors. What is the difference between dangerous anemia and, let’s say, not too dangerous?

“The functions of blood are different and its cells are also different,” explains Alla Rivkina. — Blood cells renew themselves very intensively—hematopoiesis begins in the embryonic period and when a person dies, it ends. If everything is normal, then we have enough of everything throughout our lives. If we eat normally, we don’t have any problems with the gastrointestinal tract, and there haven’t been any serious illnesses, then our daily diet is enough for us to receive building material for blood cells. Something is taken to build some fabrics, something to build others. Protein and iron are used to build red blood cells. Their main function is to deliver oxygen to tissues. We have a lot of red blood cells. The minimum norm is 4 million. These are very specific cells that do not have a nucleus, but inside they have a protein - heme, which is precisely the carrier of oxygen.

- So, anemia is when there are not enough red blood cells?

— There are several types of anemia. There is nutritional anemia due to malnutrition. There is anemia due to chronic diseases. A person may also be genetically predisposed to a certain type of anemia, for example, microspherocytosis. In the latter case, not just the protein content in the red blood cell changes, but the structure of the cell itself changes.

— If you divide all anemias according to the reasons for their occurrence, which ones will you get the most?

“If it’s so easy to separate them, then the most common cause would be a diet disorder leading to iron deficiency anemia. People forget that we are natural predators. Yes, we need different products, not only meat, but fish, vegetables, fruits, nuts... But today, often people, especially young women who want to remain slim and beautiful for as long as possible, turn to vegetarianism. This is not to say that vegetarianism is bad, but it is not for us. Yes, our stores have a large selection of fruits and vegetables all year round, but they are of a different quality. What is plucked from a tree in India and what we bought here are very different in quality. And this must be understood. A person living in the subtropics sees the sun every day. We don’t have much sun here, and we also need to remember this. Therefore, nutrition should not only be varied, but also complete. We need protein. Vegetarians often say that they replace meat with soy. But now there are a lot of genetically modified products. They are not ideal either.

- And if a person gives up meat, but gets enough protein from fish, in this case he is not at risk of anemia?

— With red meat we get not only protein, but also iron. In addition to meat, it is, of course, found in cabbage, apples, and spinach, but there is not enough of it there. We once calculated: in order for the body to receive the required amount of iron from fruits and vegetables, you need to eat 15 kilograms of them per day. This is impossible, we are not elephants.

— Is it possible in this case to compensate for the deficiency with iron-containing pharmaceutical preparations?

- Yes, of course. The choice of such drugs is large. They are available in the form of tablets, capsules, and liquid. But this is not normal when a person, instead of eating well, begins to replace food with pills. It's a different matter in the case of pathologies. For example, there are people who cannot absorb iron, or who generally cannot tolerate meat. But if a person does not have any abnormalities, then he just needs to eat normal foods. I always tell my students: “If a person becomes a vegetarian, one must be prepared for the fact that he will quickly grow old.” When the skin does not receive enough nutrition, it ages quickly. Very often, young women turn to the doctor asking what happened to them, because their hair began to fall out and they have no strength. Perhaps there is simply not enough iron to replenish the heme to carry oxygen.

We paid with our health for modern conveniences

— Is blood oncology a common disease in Latvia?

“I want to tell you that the number of cancer diseases in our country has increased greatly. This is partly because diagnostics have improved and more cases are being detected. In addition, our population is aging. And for people in old age, oncology is typical. There is even a saying from a famous American doctor that if a person does not die from his heart attack, he will die from his cancer.

— What causes cancer of the blood or lymph nodes?

— Contacts with various aggressive substances...

— What do you have to come into contact with in order to develop blood cancer?

— Do you know, there is such a scientific work called “Sick Building Syndrome.” American scientists studied the influence of building materials and household chemicals on humans. They have been collecting data for over thirty years. And the result is this: in general, we paid with our health for the conveniences we received. We move little, eat canned food, and use a lot of aggressive household chemicals. For some it’s like pellets to an elephant, but for others they react to it and their immune system can’t handle it. And then the illnesses begin.

Hematologist and IVF

An appointment with a hematologist is important for women before and after artificial insemination. During pregnancy, it is important not only to treat problems with hematopoiesis, but also to identify them in time. The hematologist and immunologist should be directly involved in the prevention of such problems. The doctor should see pregnant women without an appointment, especially if the IVF procedure was carried out in the presence of hereditary pathologies. The doctor is obliged to monitor the woman at the slightest sign of deterioration in health or problems with tests. It is necessary to check the indicators daily in order to detect pathology in time. Undoubtedly, there are situations when women complain that they were sent to a hematologist in vain. All tests are normal, my health is excellent. According to medical statistics, many pathologies during pregnancy with IVF occur hidden, especially when it comes to genetic blood diseases. Therefore, it is so important for pregnant women to obtain timely consultation with a hematologist, regardless of whether pregnancy occurs naturally or with the help of IVF. The significant importance of such examinations can hardly be overestimated for the significance in the development of the fetus and the health of the woman. A referral to a hematologist is given by the attending gynecologist; the patient makes an appointment with the doctor independently.