Blood Podcast How I Treat Series on Geriatric Hematology
Jun 5, 2025
Dr. Patrick Foy, a consultative hematologist at the Medical College of Wisconsin, sheds light on the complexities of geriatric hematology. He discusses diagnosing and treating thrombocytopenia in older patients, emphasizing polypharmacy and chronic conditions. The conversation highlights the challenges of anticoagulant management, advocating for careful medication assessments. Additionally, Foy stresses the importance of collaboration among healthcare providers and involving patients in treatment decisions to enhance care for the aging population.
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Unique Geriatric Hematology Challenges
- Geriatric hematology requires focus on unique aspects of diagnosis and management in older, frailer patients.
- Common disorders like anemia, thrombocytopenia, and bleeding disorders often overlap in geriatric patients.
Thrombocytopenia in Older Adults
- Thrombocytopenia diagnosis and treatment in geriatric patients must consider drug interactions, chronic diseases, and cancer prevalence.
- Therapy responses may differ; clinicians should reevaluate treatment efficacy sooner than in younger patients.
Managing Anticoagulants in Geriatrics
- Take careful history of medication use, especially anticoagulants and antiplatelets, to assess bleeding versus thrombotic risk.
- Balance risks with benefits collaboratively with cardiologists, primary care, patients, and caregivers.