Don Fernandez, MD

To the Editor: In regard to the article on hematuria by Drs. Rao and Jones in the March issue of the Cleveland Clinic Journal of Medicine, I work in the emergency department and see a lot of cases of hematuria associated with indwelling Foley catheters and in patients on anticoagulants. I realize that gross hematuria usually needs a workup; however, in my clinical experience, the presence of a Foley and/or the use of anticoagulants often confuses the clinical scenario. I prefer to wait to refer the patient until either the Foley is removed or the anticoagulation is in the therapeutic range. I’d be eager to hear of your advice or experience with such patients.

To the Editor: In regard to the article on hematuria by Drs. Rao and Jones in the March issue of the Cleveland Clinic Journal of Medicine, I work in the emergency department and see a lot of cases of hematuria associated with indwelling Foley catheters and in patients on anticoagulants. I realize that gross hematuria usually needs a workup; however, in my clinical experience, the presence of a Foley and/or the use of anticoagulants often confuses the clinical scenario. I prefer to wait to refer the patient until either the Foley is removed or the anticoagulation is in the therapeutic range. I’d be eager to hear of your advice or experience with such patients.

To the Editor: In regard to the article on hematuria by Drs. Rao and Jones in the March issue of the Cleveland Clinic Journal of Medicine, I work in the emergency department and see a lot of cases of hematuria associated with indwelling Foley catheters and in patients on anticoagulants. I realize that gross hematuria usually needs a workup; however, in my clinical experience, the presence of a Foley and/or the use of anticoagulants often confuses the clinical scenario. I prefer to wait to refer the patient until either the Foley is removed or the anticoagulation is in the therapeutic range. I’d be eager to hear of your advice or experience with such patients.