Credentials & Recognitions

Board Certified

Internal Medicine

Hematology Fellow

ABIM Subspecialty

ASH Member

Am. Society of Hematology

Published Research

Blood Journal · NEJM

Top Hematologist

US News Health 2024–25

NCI Affiliate

Oncology Network

MDS Foundation

Clinical Advisory Board

18+ Years Practice

Diagnostic Hematology

HEMATO
Private Hematology Practice · New York, NY

When the bloodwork
raises questions,
we provide the
diagnosis.

Board-certified hematologist specializing in cases that defy easy explanation — persistent cytopenias, unexplained clotting, and the CBC that has been flagged three times without an answer.

3,400+

Cases resolved

18 yrs

Clinical practice

48 hrs

Report turnaround

Complete Blood Count

Patient Report #2847

WBC3.1 K/μLL
RBC3.42 M/μLL
Hemoglobin9.8 g/dLL
Hematocrit31.2 %L
Platelets88 K/μLL
MCV104.2 fLH

Specialist Finding

"Pancytopenia with macrocytosis — MDS workup indicated"

Referral Note

"CBC flagged ×3. Fatigue, bruising. No diagnosis offered."

→ MDS Panel ordered

Resolved

MDS-SLD confirmed. Treatment initiated. Patient stable at 6 months.

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The Referral That Brought You Here

Recognize your case in one of these?

These are the referrals that arrive without a diagnosis. Each one has a pathway. Each one has an answer.

Persistent Cytopenias

Common Referral

"My CBC has been low for eight months and no one can tell me why."

A 52-year-old woman with fatigue and easy bruising. Three CBCs showing mild pancytopenia. Bone marrow biopsy not yet ordered.

WBC 3.1 K/μL (L)Hemoglobin 9.8 g/dL (L)Platelets 88 K/μL (L)

MDS workup → bone marrow biopsy → cytogenetics

Unexplained Clotting

Urgent Referral

"Second DVT in two years. Hematology was never consulted."

A 38-year-old man with recurrent DVT, no obvious provoking factors, family history of clotting. Hypercoagulable workup incomplete.

Factor V Leiden pendingProtein C/S not drawnAntiphospholipid Ab negative

Hypercoagulable panel → genetic counseling → anticoagulation protocol

Post-Treatment Monitoring

Ongoing Care

"Finished chemotherapy six months ago. Counts still haven't normalized."

A 61-year-old man post-CHOP for DLBCL. Persistent neutropenia, recurrent infections, oncologist requesting hematology co-management.

ANC 0.8 K/μLG-CSF support ongoingBone marrow recovery delayed

Recovery assessment → bone marrow reserve testing → supportive protocol

Unexplained Fatigue

Diagnostic Challenge

"Profound fatigue for a year. Iron studies and thyroid are normal."

A 47-year-old woman with debilitating fatigue, mild macrocytosis, and B12 in the low-normal range. Primary care has exhausted first-line workup.

MCV 101 fL (H)B12 248 pg/mL (borderline)Reticulocyte count low

Megaloblastic anemia panel → intrinsic factor Ab → methylmalonic acid

Don't see your situation? Every case begins with a conversation.

Start with the Blood Health Screener

Diagnostic Pathways

From first panel to final answer

Each condition has a defined investigative arc. We follow it with precision, not guesswork.

Foundational

Iron Deficiency Anemia

The most common anemia — but the cause is never trivial.

Serum ironTIBCFerritinReticulocyte countPeripheral smear
View diagnostic pathway
Complex

Myelodysplastic Syndromes

Clonal disease masquerading as routine cytopenia.

Bone marrow biopsyCytogenetics (FISH)NGS mutation panelFlow cytometrySerum EPO
View diagnostic pathway
Urgent

Inherited Coagulopathies

When clotting or bleeding runs in the family.

Factor V LeidenProthrombin G20210AProtein C/SAntithrombin IIIAPLA panel
View diagnostic pathway
Advanced

Myeloproliferative Neoplasms

Polycythemia vera, ET, and myelofibrosis require lifelong precision.

JAK2 V617F mutationCALR/MPL testingBone marrow biopsySerum EPOLDH
View diagnostic pathway
The Practice

Hematology practiced with the patience of a diagnostician and the precision of a researcher.

Hematologist reviewing blood smear under microscope in clinical laboratory

Diagnostic Method

Precision Analysis

Medical researcher examining laboratory samples with clinical documentation nearby

Research

Published Science

Dr. Margaret Osei-Bonsu, MD

Fellowship-trained at Memorial Sloan Kettering. 18 years of consultative hematology. Accepts referrals from internists, oncologists, and self-referring patients.

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Selected Publications

Blood2022

JAK2 mutation burden and thrombotic risk in polycythemia vera

NEJM2020

Hypomethylating agent response in MDS with complex karyotype

Haematologica2019

Ferritin threshold optimization in iron deficiency screening

Clinical Symptom Screener

Check Your Blood Health

Five questions. Two minutes. A personalized risk category and a clear next step.

Question 1 of 5

0%

How long have you been experiencing unusual fatigue or weakness?

Fatigue that doesn't improve with rest or sleep.

This screener is for informational purposes only and does not constitute medical advice. Results are not a diagnosis. Please consult a licensed physician for any health concerns.

Patient Outcomes

Cases that ended with a definitive answer

Every case journal entry ends the same way: with resolution, a treatment plan, and a patient who finally knows.

Complex7 months to diagnosis

Myelodysplastic Syndrome

"

Three hematologists said "watch and wait." Dr. Osei-Bonsu ordered the bone marrow biopsy on day one of our consultation. We had a diagnosis in two weeks.

Margaret T., 67

Upper East Side, New York

MDS-SLD confirmed. ESA therapy initiated. Transfusion-independent at 4 months.

Urgent2 DVTs before referral

Inherited Thrombophilia

"

I was on lifelong anticoagulation based on a guess. The full hypercoagulable panel showed it was heterozygous Factor V — not the same risk profile at all.

David K., 38

Brooklyn, New York

Anticoagulation duration revised to 3 months. Surveillance protocol established. No recurrence at 18 months.

Advanced14 months undiagnosed

Polycythemia Vera

"

My cardiologist kept treating my high hematocrit as a lifestyle issue. One referral to Hemato and a JAK2 test later — it had a name, and it had a treatment.

Richard A., 59

Manhattan, New York

JAK2+ PV confirmed. Phlebotomy + hydroxyurea. Hematocrit stable at 43% for 2 years.

Your case deserves the same resolution.

Whether you're a patient who has been waiting months for an answer, or a physician who has reached the edge of your workup — the next step is a single consultation.

Understanding Your CBC

A patient guide to the six values that matter most — what they measure, what's normal, and what a flag actually means.

WBC

White Blood Cells

Normal: 4.5–11.0 K/μL

Immune defense. Elevated in infection; low in bone marrow suppression or autoimmune disease.

RBC

Red Blood Cells

Normal: 4.2–5.4 M/μL

Oxygen transport. Reduced in anemia; elevated in polycythemia vera.

Hgb

Hemoglobin

Normal: 12.0–17.5 g/dL

The primary oxygen carrier. The most clinically significant anemia indicator.

MCV

Mean Corpuscular Volume

Normal: 80–100 fL

Red cell size. High = macrocytic (B12/folate). Low = microcytic (iron deficiency).

Plt

Platelets

Normal: 150–400 K/μL

Clotting cells. Low raises bleeding risk; elevated may indicate MPN or reactive thrombocytosis.

ANC

Absolute Neutrophil Count

Normal: >1.5 K/μL

Infection-fighting neutrophils. Critical threshold for chemotherapy patients and MDS monitoring.

Get the full 12-page PDF guide

Includes reference ranges, flag interpretations, and questions to ask your doctor.

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