In our last podcast, we took a great deal of time to discuss both hemophilia A, which is factor 8 deficiency,

and hemophilia B, which is factor 9 deficiency.

And in review of last week's podcast, we talked about the fact that they are excellent clotting

factor deficiencies that can present with any spectrum of bleeding from minor bleeding

after dental procedures and other elective cases or life-threatening bleeds as well.

In today's podcast, we're going to be going over the management of patients who present with

bleeding.

I'm Dr. Nakeets-Anpol, your friendly-napered internist and gastrantroologist, and thank you

for joining me on this second episode on

it's all things of the blood and we're going to be talking about the management of

hemophilia bleeding what we know is that the whole

target of therapy is to get the factor activity to a level in which it's going

to lead to hemostasis. Remember, every patient with hemophilia

is going to have a different level of factor activity

because they're deficient in it.

And so our goal is to give them back that which

is deficient to get the factor to do its job to cause bleeding to stop altogether.

The first and foremost important point is time.

That's right.

Time is running out for everyone, but what we have to remember is that there are two specific time points that all

hemophilia crisis centers and all the hemophilia

chemotology centers actually agree upon. The first is that if bleeding begins, that the assessment

...