| Anticoagulation Management | Hemostasis & Thrombosis Clinic | Women
Pediatric Hematology Clinic | Inpatient Pharmacist H&T
Pediatric Hematology Clinic
The Pediatric Hematology Clinic is held each Wednesday and is led by pediatric hematologist Dr. Nirmish Shah, as well as three physician extenders, a nurse coordinator, a sickle cell educator, a Pediatric Hematology/Oncology fellow and a social worker.
The clinic provides comprehensive care for patients with bleeding and thrombotic disorders. Bleeding disorders include coagulation factor deficiencies such as hemophilia, von Willebrand disorder, platelet function disorders and acquired bleeding tendencies. Thrombotic disorders include evaluation and treatment of venous and arterial thrombosis and thrombotic thrombocytopenic purpura. Approximately two to four new patients with hemorrhagic or thrombotic disorders, and one to five return patients, are seen in this clinic each week. In addition, ~20 to 30 patients with hemophilia are followed for ongoing care.
The Pediatric Hematology Clinic is located in the Duke Children’s Hospital and Health Center, Fourth floor. Outpatient administration of recombinant factor products, blood products and other parenteral agents is performed five days a week in the Valvano Day Hospital, located on the same floor as the Clinic
All patients with inherited bleeding defects seen in the clinic are approached for participation in a patient registry sponsored by the Centers for Disease Control and Prevention. Dr. Shah's research interest include novel therapeutic options and hypercoagulability for sickle cell disease.