Hallo,
I am dealing with reasonably fit 40 yrs old lady, Jehovah's witness.
On her preop. 3 weeks ago - sideropenic anaemia with Hb 9,8.
She is listed for bilateral mastectomy with breast reconstruction, relatively large procedure with potential of not sudden, but in total big blood lost.
I recommend postpone operation and go on with iron treatment.
Surgeon wants to proceed because from oncological reason.
I suggest invite a haematologist, take his advice and written recommendation with estimation of how long it would take to have her Hb level within the normal range. Surgeon can make decision if there is any substantial risk with postponing the surgery.
Would you thing that making decision in a team haematologist – surgeon – anaesthetist is a proper one?
What would you recommend?