Clotting & Blood Disorders - ECHO Associates

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Clotting & Blood Disorders

The human circulatory system, including bleeding and clotting, is extremely complex. In order to survive, blood needs to be able to clot quickly, yet also needs to stay liquid to flow smoothly.

A hematologist is a specialist who evaluates and manages patients with abnormal blood clots and blood-clotting abnormalities. Their role is to accurately identify and diagnose clotting abnormalities that may contribute to the development of a clot. Accurate diagnosis is essential to the health of patients and families. Hematologists have extensive experience in the management of anticoagulation. Some key areas of focus include evaluation and management of deep vein thrombosis and pulmonary embolus, assessment of risk factors for these disorders, and use of that information to make long-term treatment plans.

ECHO is Proud to have an Expert in this Field

Dr. Mandeep Dhami specializes in Oncology/Hematology diseases with a special interest in clotting and bleeding disorders. He has extensive experience in all aspects of thrombosis disorders and is recognized nationally for his clinical and research efforts. He is dedicated to providing the highest quality care for patients with thrombosis and its complications, thrombophilia and bleeding disorders.

Conditions Treated

Dr. Dhami treats a full range of thrombosis and hemostasis conditions which include:

  • Deep vein thrombosis and pulmonary embolism
  • Unexplained heart attack and stroke
  • Thrombosis in pregnancy and related conditions
  • Cerebral vein thrombosis
  • Thrombophilic disorders
  • Post-thrombotic syndrome
  • Bleeding disorders, including hemophilia and von Willebrand’s Disease
  • Family evaluations for thrombophilia and bleeding – genetic counseling

Below are some of the key areas where he applies his expertise.

Thrombosis Disorders

  • Outpatient treatment of deep vein thrombosis (DVT)
  • Care of patients with new DVT or pulmonary embolus (PE) after their hospital discharge
  • Warfarin (Coumadin) education
  • Individualized consultation on duration of anticoagulation after DVT or PE
  • Bridging therapy for interruption of anticoagulation in patients requiring invasive procedures
  • Pre-operative consultation for DVT prevention in high-risk surgical patients
  • State-of-the-art laboratory diagnostic services for thrombophilia
  • Consultation on appropriateness of retrieval of inferior vena cava filters
  • Post-thrombotic syndrome management
  • Genetic counseling for inherited thrombophilia
  • Management of pregnancy related to deep vein thrombosis, pulmonary embolus, or thrombophilic conditions

Bleeding Disorders

  • Diagnosis and management of adult hemophilia, von Willebrand’s Disease, and related disorders
  • Pre-operative consultation for bleeding prevention in at-risk patients
  • Genetic counseling of families with hereditary bleeding disorders

Coagulation Issues

  • Abnormal bleeding (bleeding disorders): People with abnormal bleeding, including patients with hereditary bleeding disorders like hemophilia or von Willebrand’s Disease, and other rare disorders that can cause abnormal bleeding. Abnormal bleeding can include things like excessive nosebleeds or bruising, heavy menstrual periods that are not explained by other causes, and bleeding after surgery.
  • Patients who form clots where they should not exist (thrombosis). Patients who have had blood clots in their veins (venous thrombosis) or other types of abnormal clots occurring for unknown reasons. Venous thrombosis can occur in the leg veins (deep vein thrombosis) or in the lung (pulmonary embolus). Patients with inherited abnormalities that predispose to abnormal clotting (such as factor V Leiden or protein C deficiency), might also benefit from seeing a coagulation specialist. Some of these patients have a personal history of abnormal clotting, and others do not.

If you have struggled with your bleeding or clotting disorders, Dr. Dhami is now accepting new patients for consultation in Norwich. Please note that he no longer sees patients in Day Kimball. New and existing patients, please call (860) 886-8362.