Who should you see after being diagnosed with a blood clot. What types of specialists are involved in blood clot care. How does your primary care provider coordinate your treatment. Which procedures might be necessary for blood clot removal.

The Role of Your Primary Care Provider in Blood Clot Management

When diagnosed with a blood clot, your primary care provider (PCP) becomes the central figure in coordinating your medical care. They act as the quarterback of your healthcare team, ensuring all aspects of your treatment are well-managed and cohesive.

Your PCP’s responsibilities include:

• Determining which specialists you need to see
• Providing necessary referrals
• Monitoring reports from various specialists
• Overseeing medication management to prevent interactions
• Ensuring comprehensive care without overlooking any aspects

Is it necessary to see your PCP after emergency treatment for a blood clot. Yes, it’s crucial to schedule an appointment with your PCP a few days after being discharged from the emergency room or hospital. This follow-up allows your PCP to assess your condition, review treatment plans, and make any necessary adjustments to your care.

Vascular Surgeons and Interventional Radiologists: Clot Removal Specialists

Vascular surgeons and interventional radiologists play a vital role in the treatment of blood clots, especially when surgical intervention is required. These specialists are trained to perform both open surgical procedures and minimally invasive techniques to remove or dissolve blood clots.

Open Surgical Procedures

When is an open surgical procedure necessary for blood clot removal. Open surgery may be required in cases where the clot is large, located in a critical area, or when other treatment methods have been unsuccessful. During this procedure, a vascular surgeon will:

1. Make an incision to access the affected blood vessel
2. Remove the clot
3. Repair the blood vessel
4. Close the incision

Minimally Invasive Procedures

Interventional radiologists specialize in using imaging techniques to guide minimally invasive procedures. For blood clot removal, they may employ catheter-based treatments, which involve:

• Inserting a thin tube (catheter) through a small incision in the skin
• Guiding the catheter to the site of the clot using imaging technology
• Removing the clot physically or delivering clot-dissolving medications directly to the site

How do doctors decide between open surgery and minimally invasive procedures. The choice depends on factors such as the clot’s location, size, and the patient’s overall health. Your healthcare team will carefully explain the recommended procedure and why it’s the best option for your specific case.

Hematologists: Experts in Blood Disorders and Clotting

Hematologists are specialists who focus on diseases of the blood, including clotting disorders. Their role in managing blood clots is crucial, as they help determine the underlying causes and develop appropriate treatment plans.

What can you expect during a consultation with a hematologist. During your visit, a hematologist may:

• Review your medical history and symptoms
• Order specialized blood tests to identify clotting disorders
• Assess your risk factors for future clots
• Recommend appropriate anticoagulation therapy
• Develop a long-term management plan

How often should you follow up with a hematologist after a blood clot diagnosis. The frequency of follow-up appointments varies depending on your individual case and treatment plan. Initially, you may need to see your hematologist more frequently, especially if you’re starting anticoagulation therapy. As your condition stabilizes, visits may become less frequent, but regular check-ups are essential for monitoring your progress and adjusting treatment as needed.

Anticoagulation Clinics: Managing Blood Thinner Medications

Many healthcare systems have specialized anticoagulation clinics staffed by trained pharmacists. These clinics play a crucial role in managing patients who are taking blood thinners, particularly those on warfarin.

What services do anticoagulation clinics provide. These clinics offer:

• Regular blood tests to monitor clotting factors
• Dose adjustments for anticoagulation medications
• Education on medication management and potential interactions
• Guidance on lifestyle factors that may affect anticoagulation therapy

How often will you need to visit an anticoagulation clinic. The frequency of visits depends on various factors, including the type of blood thinner you’re taking and how stable your blood levels are. Initially, you may need to visit weekly or bi-weekly. As your therapy becomes more stable, visits may be spaced out to monthly or even less frequently.

Pulmonologists: Respiratory Specialists for Pulmonary Embolism Complications

Pulmonologists are experts in diseases affecting the lungs and respiratory system. If you’ve experienced a pulmonary embolism (PE), which is a blood clot in the lungs, you may need to consult with a pulmonologist, especially if you develop lung-related complications.

When might you need to see a pulmonologist after a pulmonary embolism. Reasons for pulmonologist consultation include:

• Persistent shortness of breath or chest pain
• Development of pulmonary hypertension
• Ongoing respiratory issues related to the PE
• Need for specialized lung function tests

What treatments might a pulmonologist recommend for PE complications. Depending on your specific situation, a pulmonologist may suggest:

1. Pulmonary rehabilitation programs
2. Oxygen therapy
3. Medications to manage pulmonary hypertension
4. Lifestyle modifications to improve lung function

Cardiologists: Heart Specialists in Blood Clot Care

Cardiologists play a significant role in blood clot management, particularly when the clot affects the heart or when cardiac complications arise. Their expertise is crucial in addressing the cardiovascular aspects of blood clots and related conditions.

In which situations might you need to consult a cardiologist after a blood clot diagnosis. Cardiologist involvement may be necessary if:

• The blood clot formed in a coronary artery (heart attack)
• You have an abnormal heart rhythm that increases clot risk
• A pulmonary embolism has affected your heart function
• There’s a need to assess overall cardiovascular health

How does a cardiologist contribute to blood clot prevention and treatment. A cardiologist may:

1. Perform cardiac imaging tests to assess heart function
2. Treat abnormal heart rhythms to reduce clot risk
3. Manage medications that affect both heart function and clotting
4. Provide guidance on lifestyle changes to improve cardiovascular health
5. Monitor for and treat any cardiac complications related to blood clots

Specialized Care for Underlying Conditions

In some cases, blood clots may be caused or exacerbated by underlying medical conditions. This situation often requires consultation with additional specialists to address the root cause and prevent future clots.

Which underlying conditions might require specialized care in blood clot patients. Some conditions that may necessitate additional specialist involvement include:

• Autoimmune disorders (rheumatologist)
• Cancer (oncologist)
• Kidney diseases (nephrologist)
• Liver disorders (hepatologist)
• Hormonal imbalances (endocrinologist)

How do these specialists collaborate with your primary care team. The process typically involves:

1. Referrals from your PCP or hematologist
2. Consultation and testing with the relevant specialist
3. Development of a treatment plan addressing both the underlying condition and blood clot risk
4. Regular communication between specialists and your primary care team
5. Ongoing monitoring and adjustment of treatment as needed

The Importance of a Multidisciplinary Approach

Managing blood clots often requires a multidisciplinary approach, involving various specialists working together to provide comprehensive care. This collaborative effort ensures that all aspects of your health are considered and that your treatment plan is well-coordinated and effective.

How does a multidisciplinary team benefit blood clot patients. The advantages include:

• Comprehensive assessment of your overall health
• Coordinated treatment plans that address all aspects of your condition
• Reduced risk of medication interactions or conflicting treatments
• Access to a wide range of expertise and specialized knowledge
• Improved patient outcomes through holistic care

Navigating Your Blood Clot Care Journey

Dealing with a blood clot diagnosis can be overwhelming, but understanding the roles of various specialists can help you navigate your care more effectively. Remember that your primary care provider is your main point of contact and coordinator throughout this process.

How can you actively participate in your blood clot care. Here are some steps you can take:

1. Keep a detailed record of your symptoms, medications, and appointments
2. Prepare questions for each specialist visit
3. Communicate any concerns or changes in your condition promptly
4. Follow treatment plans and medication schedules diligently
5. Attend all scheduled follow-up appointments
6. Engage in recommended lifestyle modifications
7. Join support groups or educational programs for blood clot patients

By understanding the roles of different specialists and actively participating in your care, you can work effectively with your healthcare team to manage your blood clot and improve your overall health outcomes.

The Role of Ongoing Research and Clinical Trials

The field of blood clot treatment and prevention is continuously evolving, with new therapies and management strategies emerging through ongoing research and clinical trials. As a patient, you may have the opportunity to participate in these studies, potentially gaining access to cutting-edge treatments and contributing to the advancement of medical knowledge.

How can you learn about clinical trials related to blood clot treatment. Consider these options:

• Ask your healthcare providers about ongoing studies
• Check reputable clinical trial registries online
• Consult with patient advocacy organizations focused on blood clots and related conditions
• Attend educational seminars or webinars on blood clot management

Participation in clinical trials is voluntary and should be discussed thoroughly with your healthcare team to determine if it’s appropriate for your specific situation.

Lifestyle Considerations for Blood Clot Patients

While medical management is crucial for blood clot treatment, lifestyle factors play a significant role in long-term health and prevention of future clots. Your healthcare team, including your various specialists, will likely provide guidance on lifestyle modifications to support your recovery and reduce clot risk.

What lifestyle changes are often recommended for blood clot patients. Common recommendations include:

• Regular physical activity (as approved by your healthcare team)
• Maintaining a healthy weight
• Staying hydrated
• Avoiding prolonged periods of immobility
• Quitting smoking
• Managing stress through relaxation techniques
• Following a heart-healthy diet

How can you safely incorporate exercise into your routine after a blood clot. It’s essential to:

1. Consult with your healthcare providers before starting any exercise program
2. Begin with low-impact activities and gradually increase intensity
3. Be aware of any symptoms that may indicate a problem during exercise
4. Wear compression stockings if recommended by your doctor
5. Stay hydrated before, during, and after physical activity

Remember that each patient’s situation is unique, and your healthcare team will provide personalized recommendations based on your specific condition and recovery progress.

The Psychological Impact of Blood Clot Diagnosis

Dealing with a blood clot diagnosis can have significant psychological effects, including anxiety, depression, and fear of recurrence. It’s important to address these emotional aspects as part of your overall care plan.

How can you manage the psychological impact of a blood clot diagnosis. Consider these strategies:

• Seek support from mental health professionals specializing in chronic illness
• Join support groups for blood clot survivors
• Practice mindfulness and stress-reduction techniques
• Communicate openly with your healthcare team about your emotional well-being
• Educate yourself about your condition to feel more in control
• Set realistic goals for recovery and celebrate small victories

By addressing both the physical and emotional aspects of your blood clot diagnosis, you can work towards a more comprehensive recovery and improved quality of life.

Who Should I See After Being Diagnosed with a Blood Clot?

When you have a major event like a blood clot, the medical system can sometimes feel overwhelming. What type of doctor should you see? How can you find the specialists that you need?

Your primary care provider coordinates your care

Your primary care provider, or PCP, is the person that you see for annual wellness visits and other routine care. Your primary care team—which may include doctors, nurse practitioners, physician assistants, medical assistants, and office staff—plays a few different roles in your care, one of which is to coordinate your care when you have a complex medical situation. Your PCP is like the quarterback of your care team.

Your PCP will determine which specialists you should see, provide referrals if necessary, and keep an eye on reports from different specialists. Your primary care team will help ensure that nothing falls through the cracks and that the recommended treatments from various specialists work well together. Your PCP will also oversee your medications and make sure that none of them interact with one other.

You may have seen your PCP when you first felt the symptoms of a blood clot – but if you got care for your blood clot in an emergency room (ER), urgent care clinic, or hospital, your PCP should be notified.

You should also see your PCP a few days after you get home from the ER or hospital.

Specialists involved in blood clot care

After a blood clot, your medical care may involve one or more medical specialists (doctors or healthcare professionals who specialize in a certain type of medicine). There are several types of specialists who may be involved in your care after a blood clot.

The specialist you need will depend on the specifics of your medical situation. For example, your treatment will be different if your blood clot occurred in a vein versus an artery.

Here are some of the specialists that you might end up seeing after your clot:

A vascular surgeon or interventional radiologist

Interventional radiologists (IR) are specialists that use imaging, such as x-rays or CT scans, to perform certain medical procedures. For example, imaging can help an IR guide tools like catheters through a person’s blood vessels.

You may need an open surgical procedure to remove a blood clot from a vein or artery. In these cases, a vascular surgeon will open the affected blood vessel, remove the clot, and then repair the vessel.

A clot can also be removed or dissolved through a less invasive procedure in which a catheter is inserted through the skin into a blood vessel. The catheter is then threaded to the site of the clot and the clot can be physically removed – or medications can be delivered directly to the clot to dissolve it. These procedures may be performed by a vascular surgeon or interventional radiologist. Not all clots are treated using one of these procedures; in some cases, medications alone are used.

If you require a procedure, your care team will outline your options and carefully explain why the procedure is recommended.

Hematologist

Hematologists specialize in treating diseases of the blood. Blood clots and clotting disorders are blood-related conditions, so you may see a hematologist as part of your care. A hematologist will often order tests to determine what’s causing your clots and will help you choose the right treatment to lower your risk of having another clot.

If you take a blood thinner, you may be asked to follow up with your hematologist regularly. Many medical systems also have anticoagulation clinics staffed by trained pharmacists. If you’re taking a blood thinner like warfarin, then you may visit the anticoagulation clinic regularly for testing and dose adjustments, rather than going to your hematologist. Your PCP might also be responsible for managing your blood thinners.

Pulmonologist

A pulmonologist specializes in diseases of the lungs and other parts of the respiratory system. If you’ve experienced a pulmonary embolism (PE) and develop lung-related complications, you may need to see a pulmonologist to help manage these issues.

Cardiologist

A cardiologist specializes in treating diseases of the heart and other parts of the cardiovascular system. In certain situations, you might need to see a cardiologist after having a blood clot. For example, some abnormal heart rhythms cause blood to pool in the heart and therefore raise the risk of a clot. Treating these abnormal rhythms can help reduce the risk of a blood clot.

You may also need to see a cardiologist if a clot formed in a coronary artery (meaning that you had a heart attack), or if a blood clot in your lungs damaged your heart.

Additional Specialists

If your blood clot is thought to be caused or worsened by an underlying condition, you may need to see a different specialist entirely. For example, an endocrinologist specializes in treating hormonal conditions. If you have an autoimmune condition (in which your immune system is attacking your own tissues), you may need to see a rheumatologist.

How to find a physician that specializes in vascular care

In most cases, you won’t need to do the work of finding specialists on your own. You’ll usually get referrals from your PCP, or from your care team at the hospital or ED. The healthcare professionals in your community will generally be able to provide you with the best referrals because they have experience with lots of different specialists.

There may be situations where you’re looking for a new specialist. For example, you might be unhappy with the care that you’ve received from a doctor and prefer to switch to a different one. In most cases, the best approach is to ask your PCP for a new referral.

If you’re ever searching for a specialist on your own, it’s best to look for a doctor who’s board certified in that specialty. The American Board of Medical Specialties has a website where you can search for a doctor’s name and verify that they have board certification. You can try asking family and friends if they’ve had good experiences with a healthcare professional; however, personal or “word-of-mouth” recommendations can be a hit-or-miss approach since every patient’s needs are different.

Actionable Steps

• If you have symptoms like redness, swelling, or pain in your arms or legs, make an appointment with your PCP right away. If you’re experiencing chest pain, difficulty breathing, a rapid heartbeat, lightheadedness or sudden weakness, numbness, or difficulty speaking, go to the ER as soon as possible. Treating clots early is critical to prevent serious complications.
• If you’ve been treated in the hospital or ER for your blood clot, make an appointment to see your PCP a few days later. Your primary care team will help to coordinate your care.
• Ask your PCP or your care team at the hospital for referrals to the specialists that you need. Talk with them about why they’re recommending certain specialists for you. Don’t be afraid to ask for more information.
• Contact your PCP if you have any questions about your care plan.
• Be sure to stick with your recommended care plan. You may need medications to prevent future blood clots; make sure that you take those as directed for as long as your doctor prescribes them. Many people need these meds for 3 to 12 months after a clot, and some people need them for life. If compression stockings are recommended, wear them as directed.

*Originally published in The Beat — February 2023. Read the full newsletter here.

Find a Healthcare Provider – Blood Clots

There is one question that NBCA receives more frequently than any others: How can I find a doctor who specializes in blood clotting disorders? Finding a healthcare professional who understands fully the complexities of blood clotting disorders, and who you can trust and consider a good partner in your care, is one of the most important decisions you will make if you think you may be at risk for blood clots, or if you have been diagnosed with blood clots in your legs (deep vein thrombosis or DVT) or blood clots in your lungs (pulmonary embolism or PE).

Sometimes, the best source to help you find a specialist will be your family physician or internist. He or she can usually refer you to specialists in your community who are focused on the diagnosis and treatment of blood clotting disorders and blood clots. However, if you have trouble finding a specialist in your community, you can pursue one or more of the resources below to find a healthcare professional or specialist in your area who will be able to help you. We also share information below about external resources related to genetic counseling and insurance.

If you have any questions as you work with the resources below, please contact [email protected].

The Anticoagulation Forum

The Anticoagulation Forum, also known as the AC Forum, is the largest organization of anticoagulant service providers in North America. Their membership includes more than 9,500 physicians, nurses, and pharmacists representing more than 2,800 anticoagulation clinics nationwide. Members of the AC Forum care for more than 900,000 patients each year, and exist as specialized centers to assist people who use anticoagulation treatment or blood thinning medications.

The AC Forum offers an online search tool that may help you identify AC Forum Clinics in your local community. Any of these clinics can connect you to the type of specialized care you need.

To find an AC Forum clinic in your community, click on the following link, and then select your state from the dropdown menu: Find an AC Forum Clinic.

The American Society of Hematology

The American Society of Hematology, also known as ASH, has more than 17,000 members from nearly 100 countries, and is the world’s largest professional society serving both clinicians and scientists around the world who are working to conquer blood diseases. ASH may be able to help you find a hematologist in your community who specializes in blood clotting disorders and thrombosis and hemostasis.

To help you find a hematologist, click on the following link, and follow the instructions: Find a Hematologist. To best use this tool, fill in your City, State, and Postal Code, and then select the mile radius you would like to search from the dropdown box under “Zip Code.” At the final dropdown box called “Clinical Interests,” click on “Thrombosis and Hemostasis/Blood Clotting” or other specialty of your interest, and then click “Search. ”

ASH also offers some helpful tips for talking with your healthcare professional: Talking with Your Doctor.

Treatment Centers Specializing in Thrombosis and Thrombophilia

Treatment Centers Specializing in Thrombosis and Thrombophilia exist as part of a network of specialized healthcare centers that work to prevent and reduce complications from certain blood disorders. These healthcare centers are funded by the U.S. Centers for Disease Control and Prevention, also known as the CDC, and include hemophilia treatment centers, or HTCs. Some, but not all of these HTCs provide care to patients with blood clotting disorders or thrombosis and thrombophilia.

To help you find a specialized treatment center, click the following link: Treatment Centers Specializing in Thrombosis or Thrombophilia and Hemophilia Treatment Centers

The Society for Vascular Surgery

The Society for Vascular Surgery has a useful tool to help you find a vascular surgeon, or to provide more information about venous disease.

To access this information, follow this link: Find a Vascular Surgeon

National Society of Genetic Counselors

Genetic counseling services, or genetic counselors, can help families at risk for inherited conditions investigate the problem present in the family, interpret information about the disorder, analyze inheritance patterns, interpret risks to family members, and review available management options. Genetic counseling may be valuable for those who have questions about hereditary thrombophilia(s) in their family. Specifically, genetic counseling may be helpful in answering questions about inheritance, genetic testing of family members, and insurance discrimination.

For more information about genetic counseling, visit the following link: National Society of Genetic Counselors.

Health Insurance Resources

If you are currently without healthcare coverage, this tool will point you in the direction of resources to fit your individual circumstances: National UNInsured Resource Directory & Financial Resource. This online directory can provide you with a list of resources that address medical debt crisis, financial assistance, charity assistance programs, and job retention related programs.

If you currently need additional healthcare coverage, this tool will point you in the direction of resources to fit your individual circumstances: National UNDERInsured Resource Directory & Financial Resource. This resource is uniquely tailored to meet your individual situation encompassing financial resources, disease specific resources, location based services, employment aid, and general care resources for patients that are not fully served by their current insurance. This resource also contains a list of sample questions that can be used when speaking to your providers or insurance representatives.

Navigating Open Enrollment 

• It is important to select a health plan that covers the full range of treatment options that you need. See this resource from the Partnership to Advance Cardiovascular Health about navigating open enrollment.

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How can a HEMATOLOGIST-HEMOSTASIOLOGIST help?

Patients often ask this question, not knowing what this doctor does and why they were referred to him. The answer is simple:

this DOCTOR ZNA is about BLOOD DISEASES all!

Valentina Kutsemelova, a hematologist and hemostasiologist of OKDC, tells what these diseases are and how to avoid them.

– Valentina Yurievna, what do hematologists and hemostasiologists do?

– Hematology deals with the study of the structure and functions of the blood system, hematopoietic organs and various blood diseases, and, unfortunately, there are many of them. This is both a science and a branch of medicine, whose tasks include the creation of new methods for diagnosing, treating and preventing disorders of this complex system.

The difficulty of diagnosing and treating blood diseases is that their manifestations and symptoms are not unique, they appear in many other diseases. Only a hematologist can recognize them, which means providing qualified assistance in time.

Hemostasiology is one of the branches of hematology that studies the coagulation system. The founder of this section in our country was the Corresponding Member of the Russian Academy of Medical Sciences Zinovy ​​Solomonovich Barkagan. A hemostasiologist is directly involved in the diagnosis and treatment of blood clotting disorders in children and adults.

– What kind of violations can these be?

First of all, these are thrombophilias of various origins, both congenital and acquired. In recent years, doctors are increasingly faced with the term “thrombophilia”. Often it is interpreted by them as a disease, which is characterized by a constant threat of thromboembolic manifestations. However, this is far from the case, since thrombophilia is not a disease!

According to the modern concept, the term “thrombophilia” means only a predisposition to thrombosis due to genetic or acquired disorders in the hemostasis system. The great interest in this problem is primarily due to its clinical significance, since thromboembolic diseases still represent a global medical and social problem, being the main cause of death and disability in industrialized countries.

According to experts, every tenth inhabitant of the Earth during his life experiences such serious consequences of thrombotic processes as acute myocardial infarction, ischemic stroke, deep vein thrombosis, pulmonary embolism, obliterating atherosclerosis of the lower extremities and other clinical manifestations of venous and arterial thrombosis. At present, with the modern diagnostic base, which is in the OKDC, it is possible to establish the causes of thrombosis in 80% -90% of cases and help the patient.

– What causes this disease?

Thrombus formation is a dynamic process in which three main factors take part: hemostatic components of the blood, the state of the vascular wall and the dynamics of blood flow (Virchow’s triad). Normally, the components are in dynamic balance, which helps to maintain hemostatic balance. Violation of any of the components of the Virchow triad can lead to a change in the hemostatic balance towards insufficient or excessive thrombus formation. In the case of thrombophilia, as a rule, there is a violation of several components of the hemostasis system, and it is very difficult to isolate the leading violation.

But it is impossible to put equality between thrombophilia, thrombosis and thromboembolism, since thrombophilia determines only the potential, which is not necessarily realized in the form of thrombosis.

Thrombosis – a pathological condition associated with impaired blood flow and ischemia of the organ due to the closure of the vessel lumen by a thrombus. Thromboembolism is the obstruction of an arterial vessel by a thrombus that has formed in the upper parts of the circulatory system and has entered the vessel with blood flow.

The hemostasiologist who develops individual treatment tactics should identify the causes of such disorders. When it comes to pregnant women, we work closely with gynecologists to solve the problems of miscarriage, infertility, to enable the expectant mother to give birth to a healthy baby and not harm her own body.

Another important problem is the appointment of hormonal drugs, for such therapy there are many contraindications from the blood coagulation system.

The selection of an individual preventive therapy program for patients taking hormonal drugs, contraceptives or hormone replacement therapy, in the presence of an underlying thrombophilic condition, is a common problem for several specialists at once, including a hemostasiologist.

– What else is the task of a hemostasiologist, and what questions do patients come to you with?

This includes preparation for pregnancy, management of patients with disorders in the hemostasis system, and development of a therapy program in preparation for IVF in patients with pathology of the blood coagulation system. We conduct it together with gynecologists-reproductologists. We see patients with genetic, hereditary, thrombophilia, antiphospholipid syndrome, anemia, and a number of other serious ailments.

– What symptoms should alert each of us and become a reason for contacting a specialist?

– There are a lot of them, I will list only the most common ones. This is general weakness, fatigue, weight loss, lack of appetite, nasal or profuse gingival, bleeding, causeless “bruising”.

Such a reason may be a aggravated obstetric and gynecological history – IVF failures, early and late repeated miscarriages, antenatal fetal death and stillbirth, preeclampsia, fetoplacental insufficiency in previous pregnancies, arterial or venous thrombosis.

– Do doctors of this profile receive special training?

– A hematologist-hemostasiologist must have a basic higher medical education and undergo additional training in the specialty of hematology, which includes an integral component: hemostasiology. In the medical institution where you apply, there must be modern, high-precision laboratory and instrumental research methods. My colleagues from OKDC, for example, completed a refresher course on the basis of leading medical centers in Moscow, St. Petersburg, and in the best foreign clinics.

We have the most powerful laboratory complex in the South of Russia, which has advanced technologies and unique equipment, where real experts work. The quality and reliability of the results obtained is controlled by Russian and international reference centers for external quality control. In the laboratory of clinical and hematological research, the composition of blood cells is studied, the efficiency of hematopoiesis is assessed, the functional activity of platelets is studied, dozens of other most complex studies are performed that help hematologists correctly diagnose, develop treatment tactics and monitor its effectiveness.

As you can see, in order to help the patient, the professionalism of a hematologist-hemostasiologist is not enough, we also need a competent team of doctors of other specialties, modern equipment and the principle of evidence-based medicine.

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    901 03

    • Semen examination
      • Light-optical examination of spermatozoa
      • Electron microscopic examination of semen
      • Antisperm antibodies
    • Diagnosis of infectious diseases
      • Viral infections
      • Bacterial infections
      • Fungal infections
      • Parasitic infections
      • Streptococcal infections
    • Cytological examinations
    • Histological examinations
    • Oncogenetic studies
    • Cytogenetic studies
    • Non-invasive prenatal tests
    • Genetic predispositions
      • Lifestyle and genetic factors
      • Reproductive health
      • Immunogenetics
      • Rh factor
      • Blood coagulation system
      • Diseases of the heart and blood vessels
      • Diseases of the gastrointestinal tract
      • Diseases of the central nervous system
      • Oncological diseases
      • Metabolic disorders
      • Description of the results of genetic studies by a geneticist
      • Pharmacogenetics
      • System for detoxification of xenobiotics and carcinogens
      • Fetal sex determination
      • Fetal Rh factor
    • Hereditary diseases
    • Hereditary metabolic diseases
      • Hereditary metabolic diseases
      • Additional tests (after screening and consultation with a specialist)

      9009 6

    • Definition of biological relationship: paternity and motherhood
      • Definition biological relationship in the family: fatherhood and motherhood
    • Water and soil quality research
      • Water quality test
      • Soil test
    • Liver pathology diagnostics without biopsy: FibroMax, FibroTest, SteatoScreen
      • Calculated tests based on SteatoScreen results without blood sampling

      901 03

      • Dysbiotic conditions of the intestine and urogenital tract
        • General assessment of the natural microflora of the body
        • Study of the microbiocenosis of the urogenital tract
        • Femoflor: profiles of studies of dysbiotic conditions of the urogenital tract in women
        • Specific assessment of the natural microflora of the body
      • Test results form in English
    • • Blood
      • Urine 900 96
      • Cal
      • Spermogram
      • Gastropanel
    • • Endoscopy
      • Functional diagnostics
      • ultrasound
    • • Examinations we do not do
      • New tests
      • Getting results
      • Additional research orders
      • Medical consultant service
      • Professional position
        • Venous blood for analysis
        • Tumor markers.