Department of Internal Medicine

Haematology

Clinical Responsibilities

SERVICE
There are 16 dedicated beds in wards G1 and G2. In addition, 20-40 additional patients are housed in other wards (mostly in the general medical wards).
Approximately 400 new in-patients are seen per year (approximately 300 of these need long term follow up); a number of the patients require recurrent admissions for chemotherapy and complications related to their disease, therapy or co-morbidity.
450 to 600 outpatients are seen monthly (100 -140 outpatients are seen weekly/i.e. approximately 5 - 6000 outpatient visits per year) at the 2 outpatient clinics – mostly benign haematology on Monday morning (8.00 a.m. to 1 p.m.) and general haematology (particularly haematological oncology patients) on Tuesday (8.00 a.m. to 6.00 p.m.). At the Tuesday clinic patients are given intravenous chemotherapy, receive packed red blood cells, platelets, iron infusions, venesection, bisphosphonates, intrathecal chemotherapy etc. In addition, a dedicated chronic Haemophilia clinic is run every three months.

ii) Outreach
Outreach is provided by all members of the division on a rotational basis to Tshepong, Sebokeng and Selby hospitals. In addition, the two fellows spend three months of the year providing an outreach service at Sebokeng Hospital

iii) Special procedures
These include stem cell harvesting and transplantation (mostly autologous and a few allogeneic transplants – approximately 6 to 12 patients per year); plasma exchange for e.g. thrombotic thrombocytopenic purpura – approximately 20 patients per year requiring the intervention; bone marrow aspiration and trephine biopsies - in excess of 400 bone marrow biopsies performed per year. Quinton lines are standard in patients who require stem cell transplantation and plasma exchange. A few patients also require Hickman lines (especially those with acute leukaemia).