The Importance of Plasma Exchange for Hyperviscosity

When you're seeing a patient with an elevated viscosity level, you need an ophthalmologist. Someone needs to tell you that they're not going to go blind. So hyperviscosity causing an eye change is a big deal. It's potentially preventable. If you do one plasma exchange or a second plasma exchange, you drop the IgM a third. And when you're being tracked like yet, nobody develops hypervisculence because they're being watched by a competent hematologist.