hematology and obstetrics / gynecology , but our disciplines are siloed in a way that those integrated needs were not being met .
Do you think that has changed since you started your career ? I would like to think that there are more multidisciplinary opportunities , but I have also seen hematology become more subspecialized . At the same time , we have witnessed an explosion in molecular biology , which means there is a huge knowledge base to grasp . To be the best in one ’ s field , hematologists must become exceptionally knowledgeable about one particular area .
The potential downside is the silo effect . There must be enough crosstalk between the sub-subspecialties to put our expertise into context and determine how that knowledge can be used for the benefit of our patients .
In my practice , I have cultivated close relationships with cardiologists , rheumatologists , and other specialists whose patients require anticoagulation . For hematologists , interdisciplinary communication is a natural inclination : Blood goes everywhere .
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in New Jersey ( now Rowan University ), so I likely inherited my love of history from him . When I was 10 years old , I became fascinated with the Civil War when I did a book report on Lee and Grant at Appomattox . It became my favorite book as a kid . When I had my own children , I bought each of them The Golden Book of the Civil War .
When I moved to Durham , North Carolina , my passion for this era of
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American history really took hold . The trigger was a visit to the Bennett Place State Historic Site , the location of the largest troop surrender of the war , when Confederate General Joseph E . Johnston surrendered to Major General William Tecumseh Sherman in April 1865 . I became a docent and tour guide for the site and , to be the best tour guide possible , threw myself into learning everything I could about the Civil War . |
Surprisingly , my work and personal interests have collided . A couple of years ago , I was asked to speak at the South Carolina Obstetrical and Gynecological Society . When I accepted the offer , they asked me to provide a list of topics I would be able to talk about , so they could choose the best topic for their members . I sent them a list of seven subjects : thrombocytopenia in pregnancy , sickle cell disease in pregnancy , heavy menstrual bleeding in women with |