Ms. Rujrawee Chankamai
Being a hematologist involves managing complex diseases and collaborating closely with specialists across multiple medical disciplines. In addition to compassion, meticulous attention to detail is essential in order to address patients’ conditions comprehensively and arrive at accurate diagnoses. Many hematologic disorders are challenging to treat, which is why patient well-being remains our highest priority. By staying attentive and consistently acting in the best interests of our patients, we can ensure they receive the highest standard of care.
Ms. Rujrawee Chankamai, also known as Dr. Ping, earned her medical degree from the Faculty of Medicine, Burapha University. She began her medical career as a government-funded physician at Trat Hospital, where she gained extensive clinical experience. She then continued her service for two additional years at Phanat Nikhom Hospital. Driven by a growing interest in blood-related diseases, she later pursued subspecialty training in Hematology at the Faculty of Medicine, Ramathibodi Hospital, Mahidol University.
Reflecting on her inspiration, Dr. Ping shared:
“Hematology is one of the most fascinating branches of internal medicine. Unlike many other specialties, it allows physicians to develop a focused interest early on without first completing several years of general training. During my clinical years as a medical student at Somdej Hospital in Sriracha, I encountered a patient with leukemia under the care of a highly skilled hematologist who also served as my instructor.”
Witnessing how the hematologist successfully guided the patient through treatment until full recovery left a lasting impression on her. She became particularly drawn to hematology, especially the diagnostic process involved in examining blood smears. Recognizing that Thailand has a limited number of specialists in blood disorders, Dr. Ping felt strongly motivated to pursue this field in order to contribute her expertise and support patients affected by these conditions.
Hematologist: What Conditions Can They Treat?
At Dr. Rujrawee’s Hematology Center, patients with abnormalities in blood cells receive comprehensive evaluation and care. These conditions may present as anemia, thalassemia, abnormal blood clotting, platelet disorders, or other hematologic diseases. Broadly, patients can be classified into two major groups.
“The first group includes patients with non-cancerous blood disorders, such as inherited conditions—most commonly thalassemia—as well as abnormalities in red blood cells or platelet counts, which may be related to bone marrow dysfunction. The second group consists of patients whose blood abnormalities are caused by cancer, including both acute and chronic leukemias, as well as lymphomas.”
When to See a Hematologist
Individuals who experience symptoms such as pallor, unexplained bruising, persistent fatigue, abnormal bleeding, or detectable lumps should seek medical evaluation promptly, as these signs may indicate an underlying blood disorder.
Similarly, patients who undergo routine health check-ups and are found to have abnormal blood test results—such as unusually high or low red blood cell counts or elevated platelet levels—should consult a hematologist for further assessment and accurate diagnosis.
“When patients come to see a hematologist, we carefully review their medical history, laboratory results, and physical findings. Additional tests are ordered based on the suspected condition to determine the exact cause. Once a diagnosis is confirmed, we initiate appropriate treatment or refer the patient for specialized care, while closely monitoring their progress and preventing disease progression or recurrence.”
Diagnosis and Treatment Planning in Hematology
For patients without cancer, Dr. Rujrawee begins with a thorough physical examination and targeted blood tests to identify the cause of anemia. This may include iron deficiency, nutritional deficiencies, chronic blood loss, or other underlying medical conditions.
In cases involving abnormal platelet counts, further investigations are conducted to determine whether the condition is related to liver disease, bone marrow disorders, or other systemic causes. When necessary, bone marrow examinations are performed to obtain definitive diagnostic information.
“Hematologists often manage complex cases that overlap with multiple medical specialties. Our role is to identify the root cause of the disease and provide a definitive diagnosis that guides treatment by other physicians—for example, determining why a patient has anemia or abnormal platelet levels.”
Managing Blood Cancers with Care and Commitment
Cancers of the blood system are particularly complex and emotionally challenging for patients. Leukemia, in particular, is relatively common and often requires long-term treatment and close monitoring. Managing these conditions demands not only medical expertise but also genuine compassion and dedication.
“Fortunately, many blood cancers can now be effectively treated with modern medications. In recent years, highly advanced therapies have significantly improved survival rates and, in many cases, allow patients to maintain a good quality of life even if a cure is not possible. Treatment outcomes depend on multiple factors, including how well the patient responds to therapy, but overall advancements in medical technology have greatly expanded treatment options and improved prognosis.”
Compassionate and Comprehensive Patient Care
At the Hematology Department, Dr. Rujrawee and her multidisciplinary team provide attentive, patient-centered care. Beyond physician expertise, the hospital is fully equipped with modern diagnostic tools and supported by specialists across various medical disciplines. Close collaboration with medical laboratories ensures prompt and accurate analysis of test results, enabling timely diagnosis and effective treatment planning.
Together, this integrated approach allows patients with blood disorders to receive comprehensive, compassionate, and high-quality care at every stage of their treatment journey.
