Patient area


Book with your specialist

Dr. Callis de Nadal, Manel

Expert en Hematologia Oncològica

No. registered: 080808256

Born in Barcelona, Degree in Medicine and PhD at the University of Barcelona, specialist in Hematology. Residency in Medicine and Fellowship in Hematology-Oncology at the University of Iowa (USA). Certified by the American Boards of Medicine, Hematology-Oncology. Associate Professor of Medicine at the University of Barcelona. Vice-president of the Catalan Society of Hematology. Clinical Head of the Bellvitge University Hospital and the Catalan Institute of Oncology. Head of the Hematology Clinic at the Vall d'Hebron University Hospital. Hematology Consultant at the General Hospital of Catalonia.

Dr. Caselles, Maricel will go up

Experta en Hemostàsia i Hemoteràpia

No. registered: 080829471

Degree in Medicine and Surgery from the University of Barcelona. Specialist in Hematology and Hemotherapy, MIR at the Sant Pau Hospital in Barcelona. Postgraduate training in thrombotic pathology from the Faculty of Medicine of the University of Navarra. He is currently head of the hematology and hemotherapy service. Idcsalud Sacred Heart University Hospital. Blood and Tissue Bank - Central Catalonia. Hematology and hemotherapy assistant doctor. Dos de Maig Hospital and Sant Juan Despí Moisès Broggi Hospital, Integral Health Consortium. He has attended numerous conferences, among which the National Meetings of the Spanish Association of Hematology and Hemotherapy stand out. Congress of the European Hematology Association. He is a teaching member of the subject of Hematology and Hemotherapy of the preparation courses for the MIR exam conducted by the Barcelona Institute of Learning in Health Sciences and speaker at various national and international conferences.

What is hematology?

Hematology is the branch of medical science that deals withstudy of the elements forms of the blood and their precursors, as well as the structural and biochemical disorders of these elements that can lead to a disease.

Hematology includes the study of etiology, the diagnosis, the treatment, prognosis and prevention of diseases of the blood and of the haemolymph producing organs.

What do we deal with?

The cell pack, the blood profile or status, which includes:

count of erythrocytes (and hematocrit value)
count of leukocytes
Determination ofhemoglobin
Globular sedimentation rate (VSG)
Leukocyte formula (differential leukocyte count)

The most common hematological diseases:

thrombocythemia primary


We have a group ofspecialized hematologists in the diagnosis, treatment and follow-up of various hematological diseases, among which stand out:

Alterations of red blood cells (anemias and polyglobulia)

Benign diseases of the white blood cell (leukopenia), platelet disorders (thrombopenia and thrombocytosis), acquired or congenital bleeding disorders, thrombosis and thrombophilia, and alterations of iron metabolism (hemochromatosis).

Blood coagulation (INR)

We can also offer our experience in controlling the IRN (International Normalized Ratio), via capillary. This ratio expresses the time it takes for our blood to coagulate in relation to a person who does not take anticoagulants.

The Symptom (acenocoumarol) is a medicinal treatment aimed at the decoagulation of the patient at risk of thromboembolism.

Based on result of the INR, the hematologist prepares one guideline of Sintrom adjusted to each patient.

Diseases of the blood of the pregnant woman

During the gestation a series of physiological changes in the woman's body that prepares it for the moment of party.

These changes are sometimes manifested in the form of anemia, leukopenia or thrombopenia, and in coagulation disorders.

Frequently asked questions

Between what therapeutic INR values should it be?
The most common is between 2 and 3, but it depends on the patient's illness.
When should you take Sintrom? If you forget a dose, do you need to take it right away?
Sintrom must always be taken at the same time, outside meals, before or after dinner. You have a margin of 4 hours to take it. If more than this time passes, you have to wait until the next day.
Which patients can be treated with Sintrom?
Sintrom can be taken in cases of atrial fibrillation, aortic prosthesis and thromboembolism.
What foods interfere with Sintrom?
Foods rich in vitamin K: cabbage, Brussels sprouts, broccoli, chestnuts, sweet potato, green leafy vegetables, chocolate, nougat and marzipan. Alcohol in general also interferes.
What are the symptoms of anemia?

You may not notice that you have anemia, as it usually develops slowly and the symptoms may be mild. In fact, they may not be noticed until the anemia worsens. As this happens, one can:

  • Feeling weak and tiring more easily.
  • feeling dizzy
  • to be in a bad mood
  • have a headache
  • to be pale
  • Breathe with difficulty.
  • Having difficulty concentrating.

La informació present a la web no reemplaça si no complementa la relació metge-pacient. En cas de dubte consulti amb el metge de referència. Alguns dels productes i proves diagnòstiques requereixen prescripció mèdica.