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Our New Facility Division of Pediatric Hematology/Oncology NewYork-Presbyterian/Phyllis and David Komansky Center for Children’s Health Pediatric Hematology and Oncology Weill Cornell Medical Center 525 East 68th Street, Payson 695 New York, NY 10065 To make an appointment: Flooded with natural light and decorated with light woods, a cheerful New York City mosaic, and colored glass panels, our outpatient pediatric treatment center is comfortable and welcoming to patients and their families. Children and adolescents come here for consultations, infusion treatments, and follow-up exams. Our program also includes a dedicated child life specialist and an art therapist, who provide education, help patients and their families navigate the hospital experience, and ease children’s fears and anxieties about diagnostic and treatment procedures. (212) 746-3400 State-of-the-art care for children and adolescents with blood disorders and cancer Visit us at: nyp.org/kids/komansky/hemonc The Division of Pediatric Hematology/Oncology at NewYork-Presbyterian/Phyllis and David Komansky Center for Children’s Health at Weill Cornell Medical Center provides comprehensive, state-of-theart care for children and adolescents with blood disorders and cancer. Each patient’s treatment plan is carefully tailored to his or her individual needs, with the goal of returning children to lives that are as normal and productive as possible. Our program has grown substantially in recent years, making it possible to treat more children with therapies based on the latest medical advances. Today we are the preeminent center in the New York, New Jersey, and Connecticut area for treating children with noncancerous (benign) blood disorders, such as platelet disorders, bleeding and clotting problems, and thalassemia and other hemoglobin disorders. We are planning to establish a stem cell transplantation program primarily to treat children with noncancerous blood disorders such as thalassemia, sickle cell anemia, and immune deficiencies. We have assembled specific healthcare teams for each family of disorders that includes physicians, nurses and nurse practitioners, and social workers with specialized training working with young patients. In addition to providing personalized patient care, our team members are conducting basic science and clinical research to further our understanding of blood disorders and cancer, with the goal of applying research findings to make treatment more effective. Our team also trains future generations of specialists so we can continue to make progress in the field. I invite you to learn more about what we have to offer. For more information or to make an appointment, please call us at (212) 746-3400. Sujit Sheth, MD Director, Division of Pediatric Hematology/Oncology NewYork-Presbyterian/Phyllis and David Komansky Center for Children’s Health PLATELET DISORDERS PROGRAM HEMOSTASIS AND THROMBOSIS PROGRAM THALASSEMIA AND HEMOGLOBINOPATHY PROGRAM ONCOLOGY PROGRAM This long-established and world-renowned program is dedicated to the treatment of children with platelet disorders. Patients come to us from across the country and around the world for our expertise in treating immune/ idiopathic thrombocytopenic purpura (ITP), which remains a major focus; other disorders of platelet number and function are very well represented as well. The Hemophilia Treatment Center (HTC) is one of the oldest in the country, established in the 1970s by Margaret Hilgartner, MD. Today, our team cares for children with bleeding disorders such as hemophilia, von Willebrand disease, and other rare inherited conditions, as well as those with blood clots, including monitoring of children on anti-coagulation therapy. The Comprehensive Thalassemia Center is the oldest and one of the largest centers of its kind in the United States. The Division is also recognized by New York State as a designated Hemoglobinopathy Center. We provide comprehensive care to children and adolescents with disorders such as the thalassemia syndromes, sickle cell anemia, and other red blood cell disorders. Individuals with thalassemia receive their transfusions in a new state-of-the-art day hospital setting, with a multidisciplinary team providing psychosocial services, thalassemia screening, and genetic counseling. Our pediatric cancer program focuses on treating children and adolescents with a variety of malignancies, with a focus on lymphoma or leukemia. An integrated team including physicians, a nurse practitioner, social worker, and child life therapist makes the experience as comfortable as possible for the child and family. • Patients with acute (short-term) problems may be treated using standard therapies, while those with chronic conditions receive more complex, ongoing therapy. • We offer innovative therapies using thrombopoietic agents whose use in children was pioneered in our center. For example, we set the standard for the use in children of romiplastin (Nplate®) and eltrombopag (Promacta®), which promote platelet production. • Patients also have access to a variety of clinical trials assessing new treatment approaches. OUR DOCTORS James B. Bussel, MD leads the Platelet Disorders Center. He is an international leader in the field, authoring seminal papers that have set the standard for the management of platelet disorders over the years. In addition to caring for patients, he is also actively involved in clinical research, as well as education and training of the next generation of physicians and scientists. . Beau Mitchell, MD and his colleagues in his W laboratory at the New York Blood Center focus on understanding how platelets are made in the bone marrow from stem cells, with the hope that this understanding will permit the generation of platelets in the laboratory from stem cells. Advances in this area will also guide the clinical management of patients with platelet disorders in a direct bench-tobedside manner. To make an appointment: (212) 746-3400 • The pediatric thrombosis program addresses the rising incidence of blood clots in children. Besides rare inherited conditions with a predisposition to forming blood clots, young patients with complex medical problems and implanted shunts, stents, and surgical hardware remain at high risk. We created a registry for any child with a blood clot, coupling clinical information with data on potential risk factors from procedures, immobility, genetics, lifestyle, medications, and activity to predict a child’s risk of further complications. The goal is to identify patients who may benefit from preventive anti-coagulation treatment. • The HTC continues to provide state-of-the-art comprehensive multidisciplinary treatment for children and adolescents with bleeding disorders. The goal is to normalize the child’s life as much as possible through home infusions for prophylaxis, counseling about activities and avoiding trauma, and preventive care from a team that includes physical therapists, orthopedic surgeons, and genetic counselors, in addition to our pediatric physicians and nurses. • The HTC is also conducting clinical trials of new factor replacement products and other new treatments. OUR DOCTORS Nicole Kucine, MD is pioneering the thrombosis registry. With support from a nurse practitioner, she evaluates and monitors children with blood clots on anti-coagulation therapy. She combines compassionate medical care with research aimed at improving outcomes and preventing diseaseassociated complications. Catherine E. McGuinn, MD leads the HTC with her special interest in bleeding disorders. She has established herself in the national network of HTC leaders and is involved in the conduct of several multicenter trials of novel clotting factor concentrates. OUR DOCTORS Nicole Kucine, MD heads the sickle cell program within the Division. She has developed an algorithm for the appropriate and rapid management of painful “crises” in these patients, and is an advocate of the use of hydroxyurea to prevent complications and improve overall quality of life. Sujit Sheth, MD is Director of the Division and is an expert in iron metabolism, thalassemia, and sickle cell disease. He leads clinical research exploring novel chelators and transfusion therapies, with a focus on transfusional iron overload. PROFESSOR EMERITUS Patricia J. Giardina, MD, an internationally recognized expert in thalassemia, serves as an advisor to the program. She has been involved in clinical research on novel chelators and a better understanding of the basis for bone disease in thalassemia. ADULT TRANSITION PROGRAM We have partnered with our adult care colleagues to create a special program for patients with thalassemia and hemoglobinopathies, as well as those with disorders of bleeding and clotting, transitioning from adolescence to adulthood. John Chapin, MD heads the adult arm of the Hemophilia Treatment Center and the Thalassemia Program. The transition to a provider in the same building and part of the same programs makes the process seamless, and ensures the best continuity of care. • We provide comprehensive diagnostic evaluation, treatment, and follow-up care. • Our center features a special program — in collaboration with lymphoma specialists in adult oncology — for young adults with lymphoma, who generally have better results when treated using pediatric therapies. • Researchers in our program are studying the biology of cancer, with special emphasis on the development of lymphomas and tumor metastasis. These efforts have a translational focus, with the goal of using the information gathered to design more targeted therapies. • Eligible patients may have opportunities to participate in clinical trials of promising new therapies. OUR DOCTORS Alexander Aledo, MD is Director of Pediatric Oncology and the institutional Principal Investigator for Children’s Oncology Group clinical trials. He specializes in the care of young patients with leukemia and lymphoma, bone tumors, retinoblastoma, and sarcoma. Lisa G. Roth, MD specializes in treating children, adolescents, and young adults with lymphoma. Her research focuses on identifying new therapeutic targets based on her laboratory studies of lymphoma biology. She is particularly interested in identifying novel targeted therapies that are less toxic than traditional chemotherapy. David C. Lyden, MD, PhD is an internationally renowned authority on the mechanisms by which cancers metastasize (spread) throughout the body. The goal is to develop less invasive methods for identifying the risk of metastasis early on and to tailor therapy based on this information.