Haematology
Clinical Haematology services at HCA hospitals are delivered by Dr Lesley Kay and a team of dedicated Consultant-Medical, Nursing and Laboratory staff. They collaborate with the Surgeons operating at our hospitals to ensure that all measures necessary in the prevention of post-operative venous thrombo-embolism are applied. We are proud to confirm that we have run an active DVT prevention service since 1990 that already adhered to principles about to be released by NICE for the National Health Service.
No-one likes to think that they may bleed excessively during surgery or childbirth, but it is helpful to know that, unlike many private sector hospitals, HCA hospitals have on-site consultant haematologists with 24 hour on -call provision in case their input is required. This enables prompt and precise treatment to stem blood loss. HCA hospitals also have a policy of minimal use of transfusion, so that all measures to reduce the need for transfused blood are utilised where possible including Thrombo Elastograph (TEG) assessment in theatres to identify rapidly the exact cause of bleeding.
In addition to these collaborative services a full range of Specialist Haematology Clinical services is provided:-
• Investigation (including marrow trephine biopsy if indicated) and treatment of anaemias.
• Investigation and management of Thrombo-embolism including consultant delivered warfarin dosing. Training and QA for self INR testing is also provided.
• Investigation of unexplained bleeding.
Dr Kay has a special interest in the management of Non- Hodgkins Lymphoma and Myeloma with over thirty years of experience in the field. Most of her patients are treated on an outpatient basis from the haematology out patient unit at the Princess Grace hospital, where there is same-day access to excellent CT, and open MRI scanning. PET CT is also available. Prompt treatment of any infection is crucial in haematology and patients have rapid access to the excellent in-patient facilities at the Princess Grace which includes Intensive care if needed. In order that help is always available patients have direct access to Dr Kay via her mobile outside clinic hours.
Patients with acute leukaemia are managed in collaboration with Professor Tony Goldstone at the new Harley Street at "University Hospital" in patient unit.
