Secondary Polycythemia

New attending here. Hoping to get some advice from those of you practicing for a while. I just started a job in a somewhat rural setting. I get a lot of Heme referrals from PCPs, pulmonologists, etc for patients for polycythemia. These are almost always known tobacco abuse cases, COPD, etc. We were always taught in training to treat the underlying cause, but the referring docs and patients expect to be treated with therapeutic phlebotomy. Some of them have had this issue for years and... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Hematology / Oncology Source Type: forums