CINXE.COM

<!doctype html>   <html lang="en-US" class="no-js">  <head> <meta charset="UTF-8" /> <meta name="viewport" content="width=device-width" /> <link rel="profile" href="http://gmpg.org/xfn/11" /> <link rel="profile" href="http://microformats.org/profile/specs" /> <link rel="profile" href="http://microformats.org/profile/hatom" /> <script>(function(html){html.className = html.className.replace(/\bno-js\b/,'js')})(document.documentElement);</script> <meta name='robots' content='index, follow, max-image-preview:large, max-snippet:-1, max-video-preview:-1' />  <script data-cfasync="false" data-pagespeed-no-defer> var gtm4wp_datalayer_name = "dataLayer"; var dataLayer = dataLayer || []; </script> <script type="text/javascript" id="wpp-js" src="https://scopeblog.stanford.edu/wp-content/plugins/wordpress-popular-posts/assets/js/wpp.min.js?ver=7.1.0" data-sampling="1" data-sampling-rate="50" data-api-url="https://scopeblog.stanford.edu/wp-json/wordpress-popular-posts" data-post-id="237511" data-token="3e33393bde" data-lang="0" data-debug="0"></script>  <title>How this doctor is combatting a gravely serious clotting condition - Scope</title> <meta name="description" content="Giselle Salmasi鈥檚 collaboration with a colleague at the Mayo Clinic gives a patient with a recently identified blood clotting disease a new lease on life." /> <link rel="canonical" href="https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/" /> <meta property="og:locale" content="en_US" /> <meta property="og:type" content="article" /> <meta property="og:title" content="How this doctor is combatting a gravely serious clotting condition" /> <meta property="og:description" content="Giselle Salmasi鈥檚 collaboration with a colleague at the Mayo Clinic gives a patient with a recently identified blood clotting disease a new lease on life." /> <meta property="og:url" content="https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/" /> <meta property="og:site_name" content="Scope" /> <meta property="article:publisher" content="https://www.facebook.com/stanfordmedicine" /> <meta property="article:published_time" content="2024-11-22T18:43:03+00:00" /> <meta property="article:modified_time" content="2024-11-22T18:45:34+00:00" /> <meta property="og:image" content="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting.jpg" /> <meta property="og:image:width" content="1152" /> <meta property="og:image:height" content="578" /> <meta property="og:image:type" content="image/jpeg" /> <meta name="author" content="Jennifer Welsh" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:creator" content="@stanfordmed" /> <meta name="twitter:site" content="@stanfordmed" /> <meta name="twitter:label1" content="Written by" /> <meta name="twitter:data1" content="Jennifer Welsh" /> <meta name="twitter:label2" content="Est. reading time" /> <meta name="twitter:data2" content="8 minutes" /> <script type="application/ld+json" class="yoast-schema-graph">{"@context":"https://schema.org","@graph":[{"@type":"Article","@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/#article","isPartOf":{"@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/"},"author":{"name":"Jennifer Welsh","@id":"https://scopeblog.stanford.edu/#/schema/person/b34aa6566cbaecd2f4e9608cf78171df"},"headline":"How this doctor is combatting a gravely serious clotting condition","datePublished":"2024-11-22T18:43:03+00:00","dateModified":"2024-11-22T18:45:34+00:00","mainEntityOfPage":{"@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/"},"wordCount":1559,"publisher":{"@id":"https://scopeblog.stanford.edu/#organization"},"image":{"@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/#primaryimage"},"thumbnailUrl":"https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting.jpg","keywords":["News Home<span class=\"tag_count\" aria-label=\"(Used 1896 times)\">1896</span>"],"articleSection":["Autoimmune Conditions","Blood Disorders (Hematology)","Cancer","Data Sciences","Digitally Driven","Innovation & Technology","Medical Research","Neurology & Neurosurgery","Pathology","Patient Care","Stanford Health Care","Stanford Medicine","Stanford School of Medicine","Uniquely Stanford","VF"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/","url":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/","name":"How this doctor is combatting a gravely serious clotting condition - Scope","isPartOf":{"@id":"https://scopeblog.stanford.edu/#website"},"primaryImageOfPage":{"@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/#primaryimage"},"image":{"@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/#primaryimage"},"thumbnailUrl":"https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting.jpg","datePublished":"2024-11-22T18:43:03+00:00","dateModified":"2024-11-22T18:45:34+00:00","description":"Giselle Salmasi鈥檚 collaboration with a colleague at the Mayo Clinic gives a patient with a recently identified blood clotting disease a new lease on life.","breadcrumb":{"@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/#primaryimage","url":"https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting.jpg","contentUrl":"https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting.jpg","width":1152,"height":578},{"@type":"BreadcrumbList","@id":"https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://scopeblog.stanford.edu/"},{"@type":"ListItem","position":2,"name":"Latest","item":"https://scopeblog.stanford.edu/latest/"},{"@type":"ListItem","position":3,"name":"How this doctor is combatting a gravely serious clotting condition"}]},{"@type":"WebSite","@id":"https://scopeblog.stanford.edu/#website","url":"https://scopeblog.stanford.edu/","name":"Scope","description":"Stanford University School of Medicine blog","publisher":{"@id":"https://scopeblog.stanford.edu/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https://scopeblog.stanford.edu/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https://scopeblog.stanford.edu/#organization","name":"Stanford University School of Medicine","url":"https://scopeblog.stanford.edu/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https://scopeblog.stanford.edu/#/schema/logo/image/","url":"https://scopeblog.stanford.edu/wp-content/uploads/2019/08/cropped-scope-logo-10k-600x240.jpg","contentUrl":"https://scopeblog.stanford.edu/wp-content/uploads/2019/08/cropped-scope-logo-10k-600x240.jpg","width":600,"height":190,"caption":"Stanford University School of Medicine"},"image":{"@id":"https://scopeblog.stanford.edu/#/schema/logo/image/"},"sameAs":["https://www.facebook.com/stanfordmedicine","https://x.com/stanfordmed","https://instagram.com/stanford.med/","https://www.linkedin.com/edu/stanford-university-school-of-medicine-17929"]},{"@type":"Person","@id":"https://scopeblog.stanford.edu/#/schema/person/b34aa6566cbaecd2f4e9608cf78171df","name":"Jennifer Welsh","url":"https://scopeblog.stanford.edu/author/jennifer-welsh/"}]}</script>  <link rel='dns-prefetch' href='//fonts.googleapis.com' /> <link href='https://fonts.gstatic.com' crossorigin rel='preconnect' /> <link rel="alternate" type="application/rss+xml" title="Scope » Feed" href="https://scopeblog.stanford.edu/feed/" /> <link rel="alternate" type="application/rss+xml" title="Scope » Comments Feed" href="https://scopeblog.stanford.edu/comments/feed/" /> <link rel="alternate" type="application/rss+xml" title="Scope » How this doctor is combatting a gravely serious clotting condition Comments Feed" href="https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/feed/" /> <script type="text/javascript"> /* <![CDATA[ */ window._wpemojiSettings = {"baseUrl":"https:\/\/s.w.org\/images\/core\/emoji\/15.0.3\/72x72\/","ext":".png","svgUrl":"https:\/\/s.w.org\/images\/core\/emoji\/15.0.3\/svg\/","svgExt":".svg","source":{"concatemoji":"https:\/\/scopeblog.stanford.edu\/wp-includes\/js\/wp-emoji-release.min.js?ver=6.6.2"}}; /*! This file is auto-generated */ !function(i,n){var o,s,e;function c(e){try{var t={supportTests:e,timestamp:(new Date).valueOf()};sessionStorage.setItem(o,JSON.stringify(t))}catch(e){}}function p(e,t,n){e.clearRect(0,0,e.canvas.width,e.canvas.height),e.fillText(t,0,0);var t=new Uint32Array(e.getImageData(0,0,e.canvas.width,e.canvas.height).data),r=(e.clearRect(0,0,e.canvas.width,e.canvas.height),e.fillText(n,0,0),new Uint32Array(e.getImageData(0,0,e.canvas.width,e.canvas.height).data));return t.every(function(e,t){return e===r[t]})}function u(e,t,n){switch(t){case"flag":return n(e,"\ud83c\udff3\ufe0f\u200d\u26a7\ufe0f","\ud83c\udff3\ufe0f\u200b\u26a7\ufe0f")?!1:!n(e,"\ud83c\uddfa\ud83c\uddf3","\ud83c\uddfa\u200b\ud83c\uddf3")&&!n(e,"\ud83c\udff4\udb40\udc67\udb40\udc62\udb40\udc65\udb40\udc6e\udb40\udc67\udb40\udc7f","\ud83c\udff4\u200b\udb40\udc67\u200b\udb40\udc62\u200b\udb40\udc65\u200b\udb40\udc6e\u200b\udb40\udc67\u200b\udb40\udc7f");case"emoji":return!n(e,"\ud83d\udc26\u200d\u2b1b","\ud83d\udc26\u200b\u2b1b")}return!1}function f(e,t,n){var r="undefined"!=typeof WorkerGlobalScope&&self instanceof WorkerGlobalScope?new OffscreenCanvas(300,150):i.createElement("canvas"),a=r.getContext("2d",{willReadFrequently:!0}),o=(a.textBaseline="top",a.font="600 32px Arial",{});return e.forEach(function(e){o[e]=t(a,e,n)}),o}function t(e){var t=i.createElement("script");t.src=e,t.defer=!0,i.head.appendChild(t)}"undefined"!=typeof Promise&&(o="wpEmojiSettingsSupports",s=["flag","emoji"],n.supports={everything:!0,everythingExceptFlag:!0},e=new Promise(function(e){i.addEventListener("DOMContentLoaded",e,{once:!0})}),new Promise(function(t){var n=function(){try{var e=JSON.parse(sessionStorage.getItem(o));if("object"==typeof e&&"number"==typeof e.timestamp&&(new Date).valueOf()<e.timestamp+604800&&"object"==typeof e.supportTests)return e.supportTests}catch(e){}return null}();if(!n){if("undefined"!=typeof Worker&&"undefined"!=typeof OffscreenCanvas&&"undefined"!=typeof URL&&URL.createObjectURL&&"undefined"!=typeof Blob)try{var e="postMessage("+f.toString()+"("+[JSON.stringify(s),u.toString(),p.toString()].join(",")+"));",r=new Blob([e],{type:"text/javascript"}),a=new Worker(URL.createObjectURL(r),{name:"wpTestEmojiSupports"});return void(a.onmessage=function(e){c(n=e.data),a.terminate(),t(n)})}catch(e){}c(n=f(s,u,p))}t(n)}).then(function(e){for(var t in e)n.supports[t]=e[t],n.supports.everything=n.supports.everything&&n.supports[t],"flag"!==t&&(n.supports.everythingExceptFlag=n.supports.everythingExceptFlag&&n.supports[t]);n.supports.everythingExceptFlag=n.supports.everythingExceptFlag&&!n.supports.flag,n.DOMReady=!1,n.readyCallback=function(){n.DOMReady=!0}}).then(function(){return e}).then(function(){var e;n.supports.everything||(n.readyCallback(),(e=n.source||{}).concatemoji?t(e.concatemoji):e.wpemoji&&e.twemoji&&(t(e.twemoji),t(e.wpemoji)))}))}((window,document),window._wpemojiSettings); /* ]]> */ </script> <style id='wp-emoji-styles-inline-css' type='text/css'> img.wp-smiley, img.emoji { display: inline !important; border: none !important; box-shadow: none !important; height: 1em !important; width: 1em !important; margin: 0 0.07em !important; vertical-align: -0.1em !important; background: none !important; padding: 0 !important; } </style> <link rel='stylesheet' id='wp-block-library-css' href='https://scopeblog.stanford.edu/wp-includes/css/dist/block-library/style.min.css?ver=6.6.2' type='text/css' media='all' /> <style id='classic-theme-styles-inline-css' type='text/css'> /*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} </style> <style id='global-styles-inline-css' type='text/css'> :root{--wp--preset--aspect-ratio--square: 1;--wp--preset--aspect-ratio--4-3: 4/3;--wp--preset--aspect-ratio--3-4: 3/4;--wp--preset--aspect-ratio--3-2: 3/2;--wp--preset--aspect-ratio--2-3: 2/3;--wp--preset--aspect-ratio--16-9: 16/9;--wp--preset--aspect-ratio--9-16: 9/16;--wp--preset--color--black: #000000;--wp--preset--color--cyan-bluish-gray: #abb8c3;--wp--preset--color--white: #ffffff;--wp--preset--color--pale-pink: #f78da7;--wp--preset--color--vivid-red: #cf2e2e;--wp--preset--color--luminous-vivid-orange: #ff6900;--wp--preset--color--luminous-vivid-amber: #fcb900;--wp--preset--color--light-green-cyan: #7bdcb5;--wp--preset--color--vivid-green-cyan: #00d084;--wp--preset--color--pale-cyan-blue: #8ed1fc;--wp--preset--color--vivid-cyan-blue: #0693e3;--wp--preset--color--vivid-purple: #9b51e0;--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple: linear-gradient(135deg,rgba(6,147,227,1) 0%,rgb(155,81,224) 100%);--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan: linear-gradient(135deg,rgb(122,220,180) 0%,rgb(0,208,130) 100%);--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange: linear-gradient(135deg,rgba(252,185,0,1) 0%,rgba(255,105,0,1) 100%);--wp--preset--gradient--luminous-vivid-orange-to-vivid-red: linear-gradient(135deg,rgba(255,105,0,1) 0%,rgb(207,46,46) 100%);--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray: linear-gradient(135deg,rgb(238,238,238) 0%,rgb(169,184,195) 100%);--wp--preset--gradient--cool-to-warm-spectrum: linear-gradient(135deg,rgb(74,234,220) 0%,rgb(151,120,209) 20%,rgb(207,42,186) 40%,rgb(238,44,130) 60%,rgb(251,105,98) 80%,rgb(254,248,76) 100%);--wp--preset--gradient--blush-light-purple: linear-gradient(135deg,rgb(255,206,236) 0%,rgb(152,150,240) 100%);--wp--preset--gradient--blush-bordeaux: linear-gradient(135deg,rgb(254,205,165) 0%,rgb(254,45,45) 50%,rgb(107,0,62) 100%);--wp--preset--gradient--luminous-dusk: linear-gradient(135deg,rgb(255,203,112) 0%,rgb(199,81,192) 50%,rgb(65,88,208) 100%);--wp--preset--gradient--pale-ocean: linear-gradient(135deg,rgb(255,245,203) 0%,rgb(182,227,212) 50%,rgb(51,167,181) 100%);--wp--preset--gradient--electric-grass: linear-gradient(135deg,rgb(202,248,128) 0%,rgb(113,206,126) 100%);--wp--preset--gradient--midnight: linear-gradient(135deg,rgb(2,3,129) 0%,rgb(40,116,252) 100%);--wp--preset--font-size--small: 13px;--wp--preset--font-size--medium: 20px;--wp--preset--font-size--large: 36px;--wp--preset--font-size--x-large: 42px;--wp--preset--spacing--20: 0.44rem;--wp--preset--spacing--30: 0.67rem;--wp--preset--spacing--40: 1rem;--wp--preset--spacing--50: 1.5rem;--wp--preset--spacing--60: 2.25rem;--wp--preset--spacing--70: 3.38rem;--wp--preset--spacing--80: 5.06rem;--wp--preset--shadow--natural: 6px 6px 9px rgba(0, 0, 0, 0.2);--wp--preset--shadow--deep: 12px 12px 50px rgba(0, 0, 0, 0.4);--wp--preset--shadow--sharp: 6px 6px 0px rgba(0, 0, 0, 0.2);--wp--preset--shadow--outlined: 6px 6px 0px -3px rgba(255, 255, 255, 1), 6px 6px rgba(0, 0, 0, 1);--wp--preset--shadow--crisp: 6px 6px 0px rgba(0, 0, 0, 1);}:where(.is-layout-flex){gap: 0.5em;}:where(.is-layout-grid){gap: 0.5em;}body .is-layout-flex{display: flex;}.is-layout-flex{flex-wrap: wrap;align-items: center;}.is-layout-flex > :is(*, div){margin: 0;}body .is-layout-grid{display: grid;}.is-layout-grid > :is(*, div){margin: 0;}:where(.wp-block-columns.is-layout-flex){gap: 2em;}:where(.wp-block-columns.is-layout-grid){gap: 2em;}:where(.wp-block-post-template.is-layout-flex){gap: 1.25em;}:where(.wp-block-post-template.is-layout-grid){gap: 1.25em;}.has-black-color{color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-color{color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-color{color: var(--wp--preset--color--white) !important;}.has-pale-pink-color{color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-color{color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-color{color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-color{color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-color{color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-color{color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-color{color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-color{color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-color{color: var(--wp--preset--color--vivid-purple) !important;}.has-black-background-color{background-color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-background-color{background-color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-background-color{background-color: var(--wp--preset--color--white) !important;}.has-pale-pink-background-color{background-color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-background-color{background-color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-background-color{background-color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-background-color{background-color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-background-color{background-color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-background-color{background-color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-background-color{background-color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-background-color{background-color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-background-color{background-color: var(--wp--preset--color--vivid-purple) !important;}.has-black-border-color{border-color: var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-border-color{border-color: var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-border-color{border-color: var(--wp--preset--color--white) !important;}.has-pale-pink-border-color{border-color: var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-border-color{border-color: var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-border-color{border-color: var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-border-color{border-color: var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-border-color{border-color: var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-border-color{border-color: var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-border-color{border-color: var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-border-color{border-color: var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-border-color{border-color: var(--wp--preset--color--vivid-purple) !important;}.has-vivid-cyan-blue-to-vivid-purple-gradient-background{background: var(--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple) !important;}.has-light-green-cyan-to-vivid-green-cyan-gradient-background{background: var(--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan) !important;}.has-luminous-vivid-amber-to-luminous-vivid-orange-gradient-background{background: var(--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange) !important;}.has-luminous-vivid-orange-to-vivid-red-gradient-background{background: var(--wp--preset--gradient--luminous-vivid-orange-to-vivid-red) !important;}.has-very-light-gray-to-cyan-bluish-gray-gradient-background{background: var(--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray) !important;}.has-cool-to-warm-spectrum-gradient-background{background: var(--wp--preset--gradient--cool-to-warm-spectrum) !important;}.has-blush-light-purple-gradient-background{background: var(--wp--preset--gradient--blush-light-purple) !important;}.has-blush-bordeaux-gradient-background{background: var(--wp--preset--gradient--blush-bordeaux) !important;}.has-luminous-dusk-gradient-background{background: var(--wp--preset--gradient--luminous-dusk) !important;}.has-pale-ocean-gradient-background{background: var(--wp--preset--gradient--pale-ocean) !important;}.has-electric-grass-gradient-background{background: var(--wp--preset--gradient--electric-grass) !important;}.has-midnight-gradient-background{background: var(--wp--preset--gradient--midnight) !important;}.has-small-font-size{font-size: var(--wp--preset--font-size--small) !important;}.has-medium-font-size{font-size: var(--wp--preset--font-size--medium) !important;}.has-large-font-size{font-size: var(--wp--preset--font-size--large) !important;}.has-x-large-font-size{font-size: var(--wp--preset--font-size--x-large) !important;} :where(.wp-block-post-template.is-layout-flex){gap: 1.25em;}:where(.wp-block-post-template.is-layout-grid){gap: 1.25em;} :where(.wp-block-columns.is-layout-flex){gap: 2em;}:where(.wp-block-columns.is-layout-grid){gap: 2em;} :root :where(.wp-block-pullquote){font-size: 1.5em;line-height: 1.6;} </style> <link rel='stylesheet' id='wordpress-popular-posts-css-css' href='https://scopeblog.stanford.edu/wp-content/plugins/wordpress-popular-posts/assets/css/wpp.css?ver=7.1.0' type='text/css' media='all' /> <link rel='stylesheet' id='font-awesome-css' href='https://scopeblog.stanford.edu/wp-content/themes/tiny-framework/fonts/font-awesome/css/font-awesome.min.css?ver=4.7.0' type='text/css' media='all' /> <link rel='stylesheet' id='subscribe-forms-css-css' href='https://scopeblog.stanford.edu/wp-content/plugins/easy-social-share-buttons3/assets/modules/subscribe-forms.min.css?ver=9.9' type='text/css' media='all' /> <link rel='stylesheet' id='click2tweet-css-css' href='https://scopeblog.stanford.edu/wp-content/plugins/easy-social-share-buttons3/assets/modules/click-to-tweet.min.css?ver=9.9' type='text/css' media='all' /> <link rel='stylesheet' id='easy-social-share-buttons-display-methods-css' href='https://scopeblog.stanford.edu/wp-content/plugins/easy-social-share-buttons3/assets/css/essb-display-methods.min.css?ver=9.9' type='text/css' media='all' /> <link rel='stylesheet' id='easy-social-share-buttons-css' href='https://scopeblog.stanford.edu/wp-content/plugins/easy-social-share-buttons3/assets/css/easy-social-share-buttons.min.css?ver=9.9' type='text/css' media='all' /> <style id='easy-social-share-buttons-inline-css' type='text/css'> .essb_displayed_sidebar{left:5px!important;}.essb_displayed_sidebar_right{right:5px!important;}body .essb_displayed_postfloat{margin-left:-230px!important;top:-25px!important;}body .essb_displayed_postfloat.essb_postfloat_fixed{top:50px!important;}.essb_links.essb_share .essb_icon{width:24px!important;height:24px!important;}.essb_links.essb_share .essb_icon svg{height:16px!important;}.essb_links.essb_share .essb_network_name{font-size:10px!important;} </style> <link rel='stylesheet' id='parent-style-css' href='https://scopeblog.stanford.edu/wp-content/themes/tiny-framework/style.css?ver=6.6.2' type='text/css' media='all' /> <link rel='stylesheet' id='child-style-css' href='https://scopeblog.stanford.edu/wp-content/themes/tiny-framework-child/style.css?ver=6.6.2' type='text/css' media='all' /> <link rel='stylesheet' id='child-extra-css' href='https://scopeblog.stanford.edu/wp-content/themes/tiny-framework-child/ui/css/base-styles.min.css?ver=6.6.2' type='text/css' media='all' />  <link rel='stylesheet' id='google-fonts-css' href='https://fonts.googleapis.com/css?family=Fjord+One%7CSource+Sans+Pro%3A400%2C600%2C700&ver=6.6.2' type='text/css' media='all' />  <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-includes/js/jquery/jquery.min.js?ver=3.7.1" id="jquery-core-js"></script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-includes/js/jquery/jquery-migrate.min.js?ver=3.4.1" id="jquery-migrate-js"></script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-content/plugins/mc-google-analytics-tracking/mc-ga-tracking.js?ver=6.6.2" id="mc-ga-download-track-js"></script> <script></script><link rel="https://api.w.org/" href="https://scopeblog.stanford.edu/wp-json/" /><link rel="alternate" title="JSON" type="application/json" href="https://scopeblog.stanford.edu/wp-json/wp/v2/posts/237511" /><link rel="EditURI" type="application/rsd+xml" title="RSD" href="https://scopeblog.stanford.edu/xmlrpc.php?rsd" /> <link rel='shortlink' href='https://scopeblog.stanford.edu/?p=237511' /> <link rel="alternate" title="oEmbed (JSON)" type="application/json+oembed" href="https://scopeblog.stanford.edu/wp-json/oembed/1.0/embed?url=https%3A%2F%2Fscopeblog.stanford.edu%2F2024%2F11%2F22%2Fblood-clotting-disease-collaboration-giselle-salmasi%2F" /> <link rel="alternate" title="oEmbed (XML)" type="text/xml+oembed" href="https://scopeblog.stanford.edu/wp-json/oembed/1.0/embed?url=https%3A%2F%2Fscopeblog.stanford.edu%2F2024%2F11%2F22%2Fblood-clotting-disease-collaboration-giselle-salmasi%2F&format=xml" />  <script async src="https://www.googletagmanager.com/gtag/js?id=G-RQ71FQGDY6"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-RQ71FQGDY6'); </script> <style> .tags_text a.slug{ display:none; } </style>  <script> (function (i, s, o, g, r, a, m) { i['GoogleAnalyticsObject'] = r; i[r] = i[r] || function () { (i[r].q = i[r].q || []).push(arguments) }, i[r].l = 1 * new Date(); a = s.createElement(o), m = s.getElementsByTagName(o)[0]; a.async = 1; a.src = g; m.parentNode.insertBefore(a, m) })(window, document, 'script', '//www.google-analytics.com/analytics.js', 'ga'); ga('create', 'UA-8214842-4', 'auto'); /** * Anonymize the IP address * @see https://support.google.com/analytics/answer/2763052?hl=en */ ga('set', 'anonymizeIp', true); ga('send', 'pageview'); </script>    <script data-cfasync="false" data-pagespeed-no-defer type="text/javascript"> var dataLayer_content = {"pageTitle":"How this doctor is combatting a gravely serious clotting condition - Scope","pagePostType":"post","pagePostType2":"single-post","pageCategory":["autoimmune-conditions","blood-disorders-hematology","cancer","data-sciences","digitally-driven","innovation-technology","medical-research","neurology-neurosurgery","pathology","patient-care","stanford-health-care","stanford-medicine","stanford-school-of-medicine","uniquely-stanford","vf"],"pageAttributes":["news-home"],"pagePostAuthorID":329,"pagePostAuthor":"Jennifer Welsh","pagePostDate":"November 22, 2024","pagePostDateYear":2024,"pagePostDateMonth":11,"pagePostDateDay":22,"pagePostDateDayName":"Friday","pagePostDateHour":10,"pagePostDateMinute":43,"pagePostDateIso":"2024-11-22T10:43:03-08:00","pagePostDateUnix":1732272183,"pagePostTerms":{"category":["Autoimmune Conditions","Blood Disorders (Hematology)","Cancer","Data Sciences","Digitally Driven","Innovation & Technology","Medical Research","Neurology & Neurosurgery","Pathology","Patient Care","Stanford Health Care","Stanford Medicine","Stanford School of Medicine","Uniquely Stanford","VF"],"post_tag":["News Home<span class=\"tag_count\" aria-label=\"(Used 1896 times)\">1896<\/span>"],"meta":{"essb_cached_image":"https:\/\/scopeblog.stanford.edu\/wp-content\/uploads\/2024\/11\/salmasi-blood-clotting.jpg","related_post_1":225023,"related_post_2":237191,"views_daily":150,"views_weekly":350,"views_monthly":350,"essb_pc_mail":1,"essb_c_mail":1}}}; dataLayer.push( dataLayer_content ); </script> <script data-cfasync="false"> (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= '//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-P3SMJ22'); </script>  <style id="wpp-loading-animation-styles">@-webkit-keyframes bgslide{from{background-position-x:0}to{background-position-x:-200%}}@keyframes bgslide{from{background-position-x:0}to{background-position-x:-200%}}.wpp-widget-block-placeholder,.wpp-shortcode-placeholder{margin:0 auto;width:60px;height:3px;background:#dd3737;background:linear-gradient(90deg,#dd3737 0%,#571313 10%,#dd3737 100%);background-size:200% auto;border-radius:3px;-webkit-animation:bgslide 1s infinite linear;animation:bgslide 1s infinite linear}</style> <link rel="pingback" href="https://scopeblog.stanford.edu/xmlrpc.php"><meta name="generator" content="Powered by WPBakery Page Builder - drag and drop page builder for WordPress."/> <style type="text/css" id="custom-background-css"> body.custom-background { background-color: #ffffff; } </style> <meta name="themes" content="Autoimmune Conditions,Blood Disorders (Hematology),Cancer,Data Sciences,Digitally Driven,Innovation & Technology,Medical Research,Neurology & Neurosurgery,Pathology,Patient Care,Stanford Health Care,Stanford Medicine,Stanford School of Medicine,Uniquely Stanford,VF" /><meta name="publishDate" content="2024-11-22T18:43:03-08:00" /><link rel="icon" href="https://scopeblog.stanford.edu/wp-content/uploads/2023/08/cropped-stanford-logo-official-1-32x32.png" sizes="32x32" /> <link rel="icon" href="https://scopeblog.stanford.edu/wp-content/uploads/2023/08/cropped-stanford-logo-official-1-192x192.png" sizes="192x192" /> <link rel="apple-touch-icon" href="https://scopeblog.stanford.edu/wp-content/uploads/2023/08/cropped-stanford-logo-official-1-180x180.png" /> <meta name="msapplication-TileImage" content="https://scopeblog.stanford.edu/wp-content/uploads/2023/08/cropped-stanford-logo-official-1-270x270.png" /> <style type="text/css" id="wp-custom-css"> /* footer */ .site-info { float: none!important; } /* end footer */ img.custom-logo{ max-width:300px; } .post-count-masthead{ font-family: 'Source Sans Pro', sans-serif; color: #8c1515; font-weight: Bold; font-size:16px; display:block; line-height:1.2; } .post-count-masthead .tag-posts{ color: #666666; font-weight: normal; font-size:14px; text-transform: uppercase; display:block; } .copyright-widget { background-color: #333333; } .widget-area .widget_nav_menu ul li { text-transform: none; } #footer-mid>.wp-block-columns { border-top: 1px #f4f4f4 solid; max-width: 1080px; } .entry-content a img:hover { cursor: pointer; } #footer-bottom img { max-width: 8rem; padding: 6px 25px; } :where(.wp-block-columns) { margin-bottom: 0; } .widget-area .widget h3 { margin-bottom: 0; } @media(max-width: 1200px){ body .essb_displayed_postfloat { margin-left: calc(950px - 100vw) !important; } } .essb_links .essb-s-bgh-dark, .essb_links.essb_template_clear-retina li a:focus .essb_icon, .essb_links.essb_template_clear-retina li a:hover .essb_icon, .essb_links.essb_template_grey-round-retina li a:focus, .essb_links.essb_template_grey-round-retina li a:hover { background-color: transparent !important; } .essb_links li a:focus { outline: none !important; } </style> <noscript><style> .wpb_animate_when_almost_visible { opacity: 1; }</style></noscript> </head> <body class="post-template-default single single-post postid-237511 single-format-standard custom-background wp-custom-logo has-site-logo h-entry hentry h-as-article group-blog header-image-no custom-background-white singular footer-widgets autoimmune-conditions blood-disorders-hematology cancer data-sciences digitally-driven innovation-technology medical-research neurology-neurosurgery pathology patient-care stanford-health-care stanford-medicine stanford-school-of-medicine uniquely-stanford vf post-blood-clotting-disease-collaboration-giselle-salmasi essb-9.9 wpb-js-composer js-comp-ver-7.9 vc_responsive" itemscope="" itemtype="https://schema.org/WebPage"> <span class="skiplink"><a class="screen-reader-text" href="#content" title="Skip to content">Skip to content</a></span> <noscript> <div id="no-javascript"> Advanced features of this website require that you enable JavaScript in your browser. Thank you! </div> </noscript> <div id="page" class="site"> <section id="header-top"> <nav id="social-navigation" class="social-navigation" aria-label="Social Links Menu"> <h3 class="screen-reader-text">Social Links Menu</h3> <div id="menu-social" class="menu"><ul id="menu-social-items" class="menu-items"><li id="menu-item-164305" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-164305"><a href="https://scopeblog.stanford.edu/about-scope/"><span class="screen-reader-text">About</span></a></li> <li id="menu-item-171364" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-171364"><a href="https://twitter.com/StanfordMed"><span class="screen-reader-text">Twitter</span></a></li> <li id="menu-item-171365" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-171365"><a href="https://www.facebook.com/stanfordmedicine"><span class="screen-reader-text">Facebook</span></a></li> <li id="menu-item-171367" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-171367"><a href="https://www.linkedin.com/edu/stanford-university-school-of-medicine-17929"><span class="screen-reader-text">LinkedIn</span></a></li> <li id="menu-item-171366" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-171366"><a href="https://instagram.com/stanford.med/"><span class="screen-reader-text">Instagram</span></a></li> </ul></div> </nav> </section> <header id="masthead" class="site-header" itemscope="itemscope" itemtype="https://schema.org/WPHeader"> <div class="site-branding" itemprop="publisher" itemscope="itemscope" itemtype="https://schema.org/Organization"> <section id="sidebar-logo-left" class="widget vc_col-sm-3 vc_column_container"><h2 class="screen-reader-text" aria-hidden="true">Logo Left Content</h2><a href="https://med.stanford.edu" target="_blank" rel="noopener"><img width="370" height="100" src="https://scopeblog.stanford.edu/wp-content/uploads/2020/02/stanford-logo.jpg" class="image wp-image-206741 attachment-full size-full" alt="Stanford Medicine" style="max-width: 100%; height: auto;" decoding="async" /></a></section><a href="https://scopeblog.stanford.edu/" class="custom-logo-link site-logo-link vc_col-sm-6 vc_column_container" rel="home"><img width="582" height="197" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/08/cropped-scope.png" class="custom-logo attachment-full size-full" alt="Scope logo" decoding="async" fetchpriority="high" /></a><section id="sidebar-logo-right" class="widget vc_col-sm-3 vc_column_container"><h2 class="screen-reader-text" aria-hidden="true">Logo Right Content</h2> <div class="textwidget"></div> </section> <div id="site-title-wrapper"> <p id="site-title" class="site-title"><a href="https://scopeblog.stanford.edu/" rel="home">Scope</a></p> <p id="site-description" class="site-description">Stanford University School of Medicine blog</p> </div> </div> <nav id="site-navigation" class="main-navigation" aria-label="Primary Menu" itemscope="itemscope" itemtype="https://schema.org/SiteNavigationElement"> <h2 class="screen-reader-text">Primary Menu</h2> <button class="menu-toggle" aria-controls="primary-menu" aria-expanded="false">Menu</button> <div class="search-box-wrapper search-container-mobile"> <div class="search-box"> <form itemprop="potentialAction" itemscope itemtype="http://schema.org/SearchAction" role="search" method="get" class="search-form" action="https://scopeblog.stanford.edu/"> <label> <span class="screen-reader-text">Search for:</span> <input type="search" itemprop="query-input" class="search-field" placeholder="Search …" value="" name="s" /> </label> <input type="submit" class="search-submit" value="Search" /> <meta itemprop="target" content="https://scopeblog.stanford.edu/?s={search} "/></form> </div> </div>  <div class="menu-category-menu-container"><ul id="primary-menu" class="nav-menu"><li id="menu-item-171351" class="menu-item menu-item-type-post_type menu-item-object-page current_page_parent menu-item-171351"><a href="https://scopeblog.stanford.edu/latest/">Latest</a></li> <li id="menu-item-171350" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-171350"><a href="https://scopeblog.stanford.edu/popular/">Popular</a></li> <li id="menu-item-171352" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-171352"><a href="#">Topics</a> <ul class="sub-menu"> <li id="menu-item-180511" class="menu-item menu-item-type-taxonomy menu-item-object-category current-post-ancestor current-menu-parent current-post-parent menu-item-180511"><a href="https://scopeblog.stanford.edu/category/stanford-medicine/medical-research/">Medical Research</a></li> <li id="menu-item-180506" class="menu-item menu-item-type-taxonomy menu-item-object-category menu-item-180506"><a href="https://scopeblog.stanford.edu/category/stanford-medicine/medical-education/">Medical Education</a></li> <li id="menu-item-181062" class="menu-item menu-item-type-taxonomy menu-item-object-category menu-item-181062"><a href="https://scopeblog.stanford.edu/category/global-health/">Global Health</a></li> <li id="menu-item-180508" class="menu-item menu-item-type-taxonomy menu-item-object-category menu-item-180508"><a href="https://scopeblog.stanford.edu/category/health-policy/">Health Policy</a></li> <li id="menu-item-180509" class="menu-item menu-item-type-taxonomy menu-item-object-category current-post-ancestor current-menu-parent current-post-parent menu-item-180509"><a href="https://scopeblog.stanford.edu/category/innovation-technology/">Innovation & Technology</a></li> <li id="menu-item-181061" class="menu-item menu-item-type-taxonomy menu-item-object-category current-post-ancestor current-menu-parent current-post-parent menu-item-181061"><a href="https://scopeblog.stanford.edu/category/stanford-medicine/patient-care/">Patient Care</a></li> <li id="menu-item-180512" class="menu-item menu-item-type-taxonomy menu-item-object-category menu-item-180512"><a href="https://scopeblog.stanford.edu/category/wellness/">Wellness</a></li> </ul> </li> <li class="menu-item menu-item-search"><form itemprop="potentialAction" itemscope itemtype="http://schema.org/SearchAction" role="search" method="get" class="search-form" action="https://scopeblog.stanford.edu/"> <label> <span class="screen-reader-text">Search for:</span> <input type="search" itemprop="query-input" class="search-field" placeholder="Search …" value="" name="s" /> </label> <input type="submit" class="search-submit" value="Search" /> <meta itemprop="target" content="https://scopeblog.stanford.edu/?s={search} "/></form></li></ul></div> </nav>  <img width="1152" height="578" src="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting.jpg" class="photo u-featured attachment-custom-header-image size-custom-header-image wp-post-image" alt="" id="featured-image" itemprop="image" decoding="async" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting.jpg 1152w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting-600x301.jpg 600w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting-1024x514.jpg 1024w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting-768x385.jpg 768w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting-520x260.jpg 520w" sizes="(max-width: 1152px) 100vw, 1152px" />  </header> <div id="content" class="site-content"> <div id="primary" class="content-area"> <img width="1152" height="578" src="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting.jpg" class="photo u-featured attachment-custom-header-image size-custom-header-image wp-post-image" alt="" id="article-featured-image" itemprop="image" decoding="async" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting.jpg 1152w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting-600x301.jpg 600w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting-1024x514.jpg 1024w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting-768x385.jpg 768w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/salmasi-blood-clotting-520x260.jpg 520w" sizes="(max-width: 1152px) 100vw, 1152px" /> <main id="main" class="site-main" itemscope="itemscope" itemprop="mainContentOfPage"> <article id="post-237511" class="post-237511 post type-post status-publish format-standard has-post-thumbnail category-autoimmune-conditions category-blood-disorders-hematology category-cancer category-data-sciences category-digitally-driven category-innovation-technology category-medical-research category-neurology-neurosurgery category-pathology category-patient-care category-stanford-health-care category-stanford-medicine category-stanford-school-of-medicine category-uniquely-stanford category-vf tag-news-home" itemscope="" itemtype="https://schema.org/Article"> <header class="entry-header"> <h1 class="entry-title" itemprop="headline">How this doctor is combatting a gravely serious clotting condition</h1> <link itemprop="mainEntityOfPage" href="https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/"/> <div class="entry-summary-top" itemprop="description alternativeHeadline"> Giselle Salmasi鈥檚 collaboration with a colleague at the Mayo Clinic gives a patient with a recently identified blood clotting disease a new lease on life. </div> <div class="entry-meta"> <span class="byline"><span class="author vcard" itemprop="author" itemscope="" itemtype="https://schema.org/Person"><span class="screen-reader-text">Author </span><a class="url fn n" href="https://scopeblog.stanford.edu/author/jennifer-welsh/" rel="author" itemprop="url name">Jennifer Welsh</a></span></span><span class="posted-on"><span class="screen-reader-text">Published on </span><time class="entry-date published" datetime="2024-11-22T10:43:03-08:00" itemprop="dateModified datePublished">November 22, 2024</time><time class="updated" datetime="2024-11-22T10:45:34-08:00">November 22, 2024</time></span> </div> </header> <div class="entry-content" itemprop="articleBody"> <style type="text/css">.essb_links.essb_template_clear-retina li a:hover .essb_icon{background-color:#81221D !important;color:white !important;border:1px #81221D solid;transition:background-color 0.5s ease}.essb_links.essb_template_clear-retina a .essb_icon{color:black !important;border:1px black solid;background-color:transparent !important;width:42px !important;height:42px !important;-webkit-border-radius:24px}.essb_links.essb_share .essb_icon:before{font-size:20px!important;top:11px!important;left:11px!important}.essb_links li,.essb_links ul{padding:6px!important}</style><div class="essb_links essb_displayed_postfloat essb_share essb_template_clear-retina essb_66859338 essb_icon_animation6 essb_nospace essb_mobile_hidden essb_tablet_hidden print-no" id="essb_displayed_postfloat_66859338" data-essb-postid="237511" data-essb-position="postfloat" data-essb-button-style="icon" data-essb-template="clear-retina" data-essb-counter-pos="insidename" data-essb-url="https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/" data-essb-fullurl="https://scopeblog.stanford.edu/2024/11/22/blood-clotting-disease-collaboration-giselle-salmasi/" data-essb-instance="66859338" data-postfloat-top="50"><ul class="essb_links_list essb_force_hide_name essb_force_hide"><li class="essb_message_before"><h2>Share</h2></li><li class="essb_item essb_link_twitter nolightbox essb_link_twitter_x essb_link_svg_icon"> <a href="https://x.com/intent/post?text=How%20this%20doctor%20is%20combatting%20a%20gravely%20serious%20clotting%20condition&url=https%3A%2F%2Fscopeblog.stanford.edu%2F2024%2F11%2F22%2Fblood-clotting-disease-collaboration-giselle-salmasi%2F" title="Share on Twitter" onclick="essb.window('https://x.com/intent/post?text=How%20this%20doctor%20is%20combatting%20a%20gravely%20serious%20clotting%20condition&url=https%3A%2F%2Fscopeblog.stanford.edu%2F2024%2F11%2F22%2Fblood-clotting-disease-collaboration-giselle-salmasi%2F','twitter','66859338'); return false;" target="_blank" rel="nofollow" class="nolightbox" ><span class="essb_icon essb_icon_twitter_x essb-s-bg-twitter essb-s-c-light essb-s-ch-light essb-s-bgh-dark essb-s-bg-network"><svg class="essb-svg-icon essb-svg-icon-twitter_x" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24"><path d="M18.244 2.25h3.308l-7.227 8.26 8.502 11.24H16.17l-5.214-6.817L4.99 21.75H1.68l7.73-8.835L1.254 2.25H8.08l4.713 6.231zm-1.161 17.52h1.833L7.084 4.126H5.117z"></path></svg></span><span class="essb_network_name essb_noname"></span></a></li><li class="essb_item essb_link_facebook nolightbox essb_link_svg_icon"> <a href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fscopeblog.stanford.edu%2F2024%2F11%2F22%2Fblood-clotting-disease-collaboration-giselle-salmasi%2F&t=How+this+doctor+is+combatting+a+gravely+serious+clotting+condition" title="Share on Facebook" onclick="essb.window('https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fscopeblog.stanford.edu%2F2024%2F11%2F22%2Fblood-clotting-disease-collaboration-giselle-salmasi%2F&t=How+this+doctor+is+combatting+a+gravely+serious+clotting+condition','facebook','66859338'); return false;" target="_blank" rel="nofollow" class="nolightbox" ><span class="essb_icon essb_icon_facebook essb-s-bg-facebook essb-s-c-light essb-s-ch-light essb-s-bgh-dark essb-s-bg-network"><svg class="essb-svg-icon essb-svg-icon-facebook" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" width="16" height="16" viewBox="0 0 16 16"><path d="M16 8.049c0-4.446-3.582-8.05-8-8.05C3.58 0-.002 3.603-.002 8.05c0 4.017 2.926 7.347 6.75 7.951v-5.625h-2.03V8.05H6.75V6.275c0-2.017 1.195-3.131 3.022-3.131.876 0 1.791.157 1.791.157v1.98h-1.009c-.993 0-1.303.621-1.303 1.258v1.51h2.218l-.354 2.326H9.25V16c3.824-.604 6.75-3.934 6.75-7.951"></path></svg></span><span class="essb_network_name essb_noname"></span></a></li><li class="essb_item essb_link_linkedin nolightbox essb_link_svg_icon"> <a href="https://www.linkedin.com/shareArticle?mini=true&ro=true&trk=EasySocialShareButtons&title=How+this+doctor+is+combatting+a+gravely+serious+clotting+condition&url=https%3A%2F%2Fscopeblog.stanford.edu%2F2024%2F11%2F22%2Fblood-clotting-disease-collaboration-giselle-salmasi%2F" title="Share on LinkedIn" onclick="essb.window('https://www.linkedin.com/shareArticle?mini=true&ro=true&trk=EasySocialShareButtons&title=How+this+doctor+is+combatting+a+gravely+serious+clotting+condition&url=https%3A%2F%2Fscopeblog.stanford.edu%2F2024%2F11%2F22%2Fblood-clotting-disease-collaboration-giselle-salmasi%2F','linkedin','66859338'); return false;" target="_blank" rel="nofollow" class="nolightbox" ><span class="essb_icon essb_icon_linkedin essb-s-bg-linkedin essb-s-c-light essb-s-ch-light essb-s-bgh-dark essb-s-bg-network"><svg class="essb-svg-icon essb-svg-icon-linkedin" aria-hidden="true" role="img" focusable="false" width="32" height="32" viewBox="0 0 32 32" xmlns="http://www.w3.org/2000/svg"><path d="M23.938 16.375c-0.438-0.5-1.188-0.75-2.25-0.75-1.375 0-2.313 0.438-2.875 1.188-0.563 0.813-0.813 1.938-0.813 3.375v10.938c0 0.188-0.063 0.375-0.25 0.563-0.125 0.125-0.375 0.25-0.563 0.25h-5.75c-0.188 0-0.375-0.125-0.563-0.25-0.125-0.188-0.25-0.375-0.25-0.563v-20.188c0-0.188 0.125-0.375 0.25-0.563 0.188-0.125 0.375-0.25 0.563-0.25h5.563c0.188 0 0.375 0.063 0.5 0.125s0.188 0.25 0.25 0.438c0 0.188 0.063 0.375 0.063 0.438s0 0.25 0 0.5c1.438-1.375 3.375-2 5.688-2 2.688 0 4.75 0.625 6.25 1.938 1.5 1.375 2.25 3.313 2.25 5.938v13.625c0 0.188-0.063 0.375-0.25 0.563-0.125 0.125-0.375 0.25-0.563 0.25h-5.875c-0.188 0-0.375-0.125-0.563-0.25-0.125-0.188-0.25-0.375-0.25-0.563v-12.313c0-1.063-0.188-1.875-0.563-2.438zM6.625 6.688c-0.75 0.75-1.688 1.125-2.75 1.125s-2-0.375-2.75-1.125c-0.75-0.75-1.125-1.625-1.125-2.75 0-1.063 0.375-1.938 1.125-2.688s1.688-1.188 2.75-1.188c1.063 0 2 0.438 2.75 1.188s1.125 1.625 1.125 2.688c0 1.125-0.375 2-1.125 2.75zM7.563 10.938v20.188c0 0.188-0.125 0.375-0.25 0.563-0.188 0.125-0.375 0.25-0.563 0.25h-5.75c-0.188 0-0.375-0.125-0.563-0.25-0.125-0.188-0.25-0.375-0.25-0.563v-20.188c0-0.188 0.125-0.375 0.25-0.563 0.188-0.125 0.375-0.25 0.563-0.25h5.75c0.188 0 0.375 0.125 0.563 0.25 0.125 0.188 0.25 0.375 0.25 0.563z"></path></svg></span><span class="essb_network_name essb_noname"></span></a></li><li class="essb_item essb_link_mail nolightbox essb_link_svg_icon"> <a href="mailto:?subject=A%20Stanford%20Medicine%20story%20of%20interest&body=Hi%2C%20I%20thought%20this%20story%20from%20Stanford%20Medicine%27s%20Scope%20blog%20might%20interest%20you.%0D%0A%0D%0AHow%20this%20doctor%20is%20combatting%20a%20gravely%20serious%20clotting%20condition%0D%0A%0D%0AThis%20is%20the%20link%3A%20https%3A%2F%2Fscopeblog.stanford.edu%2F2024%2F11%2F22%2Fblood-clotting-disease-collaboration-giselle-salmasi%2F" title="Share on Email" onclick="essb.tracking_only('', 'mail', '66859338', true);" target="_self" rel="nofollow" class="nolightbox" ><span class="essb_icon essb_icon_mail essb-s-bg-mail essb-s-c-light essb-s-ch-light essb-s-bgh-dark essb-s-bg-network"><svg class="essb-svg-icon essb-svg-icon-mail" aria-hidden="true" role="img" focusable="false" width="32" height="32" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 60 60"><polygon points="60,50.234 60,9.944 39.482,30.536 " /><polygon points="0,9.941 0,50.234 20.519,30.535 " /><path d="M1.387,8.5l21.002,21.08c0.121,0.051,0.471,0.415,0.517,0.519l5.941,5.963c0.635,0.591,1.672,0.59,2.333-0.025l5.911-5.933c0.046-0.105,0.4-0.473,0.522-0.524L58.615,8.5H1.387z" /><path d="M38.07,31.954l-5.5,5.52c-0.73,0.68-1.657,1.019-2.58,1.019c-0.914,0-1.823-0.332-2.533-0.993l-5.526-5.546L1.569,51.5h56.862L38.07,31.954z" /></svg></span><span class="essb_network_name essb_noname"></span></a></li></ul></div> <p>When a 67-year-old man entered the office of <a href="https://med.stanford.edu/profiles/ghazal-salmasi">Giselle Salmasi, MD,</a> seeking a second opinion about a severe, mysterious blood-clotting condition, she knew she needed to act quickly.</p> <p>"There was an urgency to find answers," said the Stanford Medicine clinical associate professor of hematology.</p> <p>It turned out that the man's condition was new to medicine; it had <a href="https://www.sciencedirect.com/science/article/pii/S0006497123000848">been pinpointed</a> in others only a year earlier by a doctor at the Mayo Clinic. What she was seeing in this patient seemed to match the symptoms and test results that define this new disease. She sent his samples to Rochester, Minnesota, for confirmation.</p> <p>After testing, the condition -- known as monoclonal gammopathy of thrombotic significance -- was confirmed. Now, it was up to Salmasi to figure out how to treat it. Just six weeks later, she did -- and the patient has now been in remission for eight months.</p> <p>"He and his family had a remarkable will to continue fighting this recently identified disease," she said. "If he hadn't pushed through and if his family hadn't been keen on trying something new, we wouldn't be here today with a treatment option that works."</p> <div class="wp-block-image"> <figure class="alignright size-full"><img decoding="async" width="450" height="675" src="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/Giselle-Salmasi-Portrait-2-4.jpg" alt="" class="wp-image-237516" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/Giselle-Salmasi-Portrait-2-4.jpg 450w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/Giselle-Salmasi-Portrait-2-4-400x600.jpg 400w" sizes="(max-width: 450px) 100vw, 450px" /><figcaption class="wp-element-caption">Giselle Salmasi (Clinton Louie)</figcaption></figure></div> <p>Salmasi calls him the index patient for this treatment, the medical term for a disease's first treated individual. He had almost died several times from dangerous clots. The disease, MGTS, was first described by the Mayo Clinic's <a href="https://www.mayo.edu/research/faculty/padmanabhan-anand-m-b-b-s-ph-d/bio-20490348">Anand Padmanabhan, MBBS, PhD</a>, who became Salmasi's collaborator. The two published <a href="https://www.nejm.org/doi/full/10.1056/NEJMc2406453">an article</a> about diagnosing and treating the newly found disease in <em>The New England Journal of Medicine</em> in August.</p> <p>MGTS is a type of monoclonal gammopathy, a disease in which antibody-producing "factories" in the body called plasma cells start making large amounts of abnormal proteins. The better-known version is monoclonal gammopathy of unknown significance, common in older men. It doesn't usually have symptoms but can develop into multiple myeloma, a type of blood cell cancer.  </p> <p>MGTS, on the other hand, has symptoms. The antibody created by the MGTS plasma cell activates platelets, resulting in blood clots. In the case of this patient, the excessive blood clotting showed up as deep vein thrombosis, pulmonary embolism, abdominal clots and a stroke. </p> <p>Padmanabhan said he has gratitude for Salmasi's clinical expertise and her ability to "look carefully at this patient who is really sick, might be dying, and ask 'What does he have?'"</p> <p>"Dr. Salmasi developed a treatment for this disease for the first time," he said. "It's already having an impact way beyond the walls of her institution or her patient. I have shared this paper with multiple other patients I'm following worldwide who are now seeking out and undergoing this treatment."</p> <p>We spoke with Salmasi about this successful collaboration and its implications for those who might develop MGTS. This interview was edited for clarity and length.</p> <p><strong>When you first met this patient, what made you think his case might be unusual?</strong></p> <p>He had had several blood clots that had already resulted in severe outcomes. He had a significant portion of his small bowel removed and nearly died from blood clots in his lungs. Miraculously, he recovered, coming to me about a year later for a second opinion.</p> <p>The first thing that came to my mind was an autoimmune or spontaneous heparin-induced thrombocytopenia (HIT) syndrome. The hospital and his primary hematologist had ruled out other causes of clotting and low platelets.</p> <p>He had been on blood thinners and aspirin. But during this time, he had a major stroke (a blood clot in the brain) that resulted in an intensive care unit admission. This was yet another near-fatal clotting event over a short period. So, there was that urgency to find answers.</p> <div class="wp-block-media-text is-stacked-on-mobile" style="grid-template-columns:26% auto"><figure class="wp-block-media-text__media"><img loading="lazy" decoding="async" width="300" height="360" src="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/anand-padmanabhan-14700981.jpeg" alt="" class="wp-image-237522 size-full"/></figure><div class="wp-block-media-text__content"> <figure class="wp-block-pullquote"><blockquote><p>Dr. Salmasi developed a treatment for this disease for the first time. It's already having an impact way beyond the walls of her institution or her patient.</p><cite>Anand Padmanabhan</cite></blockquote></figure> </div></div> <p>I could see there was something atypical going on. I started speaking to our special research lab about how to do additional testing for atypical spontaneous HIT. Because Stanford Medicine is an academic center, we knew who the right person would be to test this. We had suspected MGTS based on the lab's findings and contacted Anand. That's how it came together so beautifully that we were able to collaborate on this. The patient joined his research study designed to develop ways to diagnose these patients. Our patient tested positive for MGTS.</p> <p><strong>No other doctors have effectively treated this disease -- how did you figure it out?</strong></p> <p>This disease is caused by a protein secreted by plasma cells, which are white blood cells. This protein causes massive clotting. It's proving to be one of the worst clotting disorders that has been described. Clearly, blood thinners are not sufficient. This protein is still there, wreaking havoc and causing clots. We have to decrease the levels of that protein. So, we borrowed the treatment approach from therapies for multiple myeloma, which kills plasma cells.</p> <p>I decided to put him on a standard multiple myeloma regimen, but one that doesn't have clotting as a side effect.</p> <p><strong>How did the treatment go, and what is his current status?</strong></p> <p>It can be very hard to propose a multiple myeloma treatment to a patient and their family if you're not confident it will work. Like other cancer treatments, these drugs can have side effects and risks. Thankfully, the patient and his family were brave, rational and intelligent. We talked about several different options, and they were eager to get started with the myeloma regimen. They agreed that, in this case, the benefits far outweighed the risks.</p> <p>After three cycles of treatment, this protein was completely gone. Anand's lab showed the protein wasn't active or even detectable on more sensitive testing. The patient has finished six cycles of treatment and is on a once-a-month maintenance antibody treatment. He has been in remission for eight months, and it's only been 11 months since he started treatment. He is doing great in his recovery from MGTS.</p> <p><strong>How common do you think this disease is?</strong></p> <p>It's hard to know. Anand's publication of the first case came out just a few months before I saw my patient. It was very timely.</p> <p>I wasn't even fully aware of MGTS at the time. The idea of autoimmune or spontaneous HIT had been described in the literature, but those conditions tend to be transient, while clotting was recurrent over a long time frame in my patient, something I've never seen. We don't have any actual numbers as to how common MGTS is; we're still learning more about it every day.</p> <p>We're trying to increase awareness. If Anand hadn't just published his case, our patient would be in a very different place. We're trying to get the word out because MGTS can be fatal, and time is of the essence. In many cases, the clotting just continues to get worse over time.</p> <div class="wp-block-media-text is-stacked-on-mobile"><figure class="wp-block-media-text__media"><img loading="lazy" decoding="async" width="1024" height="683" src="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/Giselle-Salmasi-Portrait-4-1024x683.jpg" alt="" class="wp-image-237525 size-full" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/Giselle-Salmasi-Portrait-4-1024x683.jpg 1024w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/Giselle-Salmasi-Portrait-4-600x400.jpg 600w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/Giselle-Salmasi-Portrait-4-768x512.jpg 768w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/Giselle-Salmasi-Portrait-4-1536x1024.jpg 1536w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/Giselle-Salmasi-Portrait-4-2048x1365.jpg 2048w" sizes="(max-width: 1024px) 100vw, 1024px" /></figure><div class="wp-block-media-text__content"> <blockquote class="wp-block-quote is-layout-flow wp-block-quote-is-layout-flow"> <p>If Anand hadn't just published his case, our patient would be in a very different place. We're trying to get the word out because MGTS can be fatal, and time is of the essence.</p> <p>Giselle Salmasi</p> </blockquote> </div></div> <p><strong>What would you tell someone to look out for if they suspect this? And then what should they or their doctor do?</strong></p> <p>The most obvious thing to look for is a history of blood clots and low platelet count. MGTS is a type of thrombotic (clot-forming) thrombocytopenia (low platelets): The platelet number in the blood drops because they're used in the blood clots.</p> <p>Many people will have a blood clot, and the vast majority will not have MGTS. This is not even the only disorder with clotting and low platelets. If the clotting incident is unexplained, severe or recurring, and your doctor rules out other diagnoses, they should test for MGTS. It is prudent to consider this diagnosis when you're left with this combination of clots with low platelets, which does not otherwise make sense.</p> <p>The other thing to watch out for is ensuring you're doing the right testing for MGTS. I'm fortunate to be at an academic center and working with Anand, who has educated us. Our first-pass HIT testing (chemiluminescence testing) typically misses MGTS. However, other testing they did caught it. If the lab does the wrong test, they will come to the wrong conclusion.</p> <p>If you suspect MGTS, ensure you're doing the correct testing. If you're a community doctor, contact academic hematologists who can liaise with the right research connections. The testing through Anand's lab is a research test; it won't be widely available for several years.</p> <p><em>Illustration (Emily Moskal / Stanford Medicine): Normally, clots begin with platelets clumping on blood vessel walls due to vessel injury. In monoclonal gammopathy of thrombotic significance (MGTS), antibodies (teal) that attach to the PF4 protein (yellow) on platelets (white), trigger clots to form spontaneously in vessels. Clotting factors such as fibrin (pink) and red blood cells then complete the clot and block the vessel, limiting blood flow. With treatment, scientists can help restore normal blood flow by targeting the white blood cells that produce the pathogenic antibodies. Without the antibodies, blood clots do not spontaneously form.</em></p> <hr class="wp-block-separator has-alpha-channel-opacity"/> <div class="wp-block-media-text is-stacked-on-mobile"><figure class="wp-block-media-text__media"><img loading="lazy" decoding="async" width="1024" height="640" src="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/healthcompass-1024x640.png" alt="" class="wp-image-237463 size-full" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2024/11/healthcompass-1024x640.png 1024w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/healthcompass-600x375.png 600w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/healthcompass-768x480.png 768w, https://scopeblog.stanford.edu/wp-content/uploads/2024/11/healthcompass.png 1404w" sizes="(max-width: 1024px) 100vw, 1024px" /></figure><div class="wp-block-media-text__content"> <h2 class="wp-block-heading">Check out the new<br>Health Compass podcast</h2> <p>Breaking down complex science and highlighting the innovators inspiring you to make informed choices for a healthier life.<br><strong><a href="https://med.stanford.edu/health-compass-podcast.html">WATCH IT HERE</a></strong></p> </div></div> <hr class="wp-block-separator has-alpha-channel-opacity"/> <div class="essb_break_scroll"></div> </div> <footer class="entry-meta"> <div class="meta_section clearfix" itemprop="articleSection"> <h2>Category</h2> <div class="term term_link red_link"><a href="https://scopeblog.stanford.edu/category/autoimmune-conditions/" rel="category tag">Autoimmune Conditions</a> <a href="https://scopeblog.stanford.edu/category/blood-disorders-hematology/" rel="category tag">Blood Disorders (Hematology)</a> <a href="https://scopeblog.stanford.edu/category/cancer/" rel="category tag">Cancer</a> <a href="https://scopeblog.stanford.edu/category/data-sciences/" rel="category tag">Data Sciences</a> <a href="https://scopeblog.stanford.edu/category/isp/digitally-driven/" rel="category tag">Digitally Driven</a> <a href="https://scopeblog.stanford.edu/category/innovation-technology/" rel="category tag">Innovation & Technology</a> <a href="https://scopeblog.stanford.edu/category/stanford-medicine/medical-research/" rel="category tag">Medical Research</a> <a href="https://scopeblog.stanford.edu/category/neurology-neurosurgery/" rel="category tag">Neurology & Neurosurgery</a> <a href="https://scopeblog.stanford.edu/category/pathology/" rel="category tag">Pathology</a> <a href="https://scopeblog.stanford.edu/category/stanford-medicine/patient-care/" rel="category tag">Patient Care</a> <a href="https://scopeblog.stanford.edu/category/organization/stanford-health-care/" rel="category tag">Stanford Health Care</a> <a href="https://scopeblog.stanford.edu/category/stanford-medicine/" rel="category tag">Stanford Medicine</a> <a href="https://scopeblog.stanford.edu/category/organization/stanford-school-of-medicine/" rel="category tag">Stanford School of Medicine</a> <a href="https://scopeblog.stanford.edu/category/isp/uniquely-stanford/" rel="category tag">Uniquely Stanford</a> <a href="https://scopeblog.stanford.edu/category/isp/vf/" rel="category tag">VF</a></div> </div><div class="meta_section clearfix" itemprop="keywords"> <h2>Tags</h2> <div class="tags_text"><a href="https://scopeblog.stanford.edu/tag/news-home/" class="news-home" rel="tag">News Home<span class="tag_count" aria-label="(Used 1896 times)">1896</span></a></div> </div> </footer> <div id="related_posts" class="post-list" role="complementary"><header><h2>Related posts</h2></header> <article class="article no-post-content post-225023 post type-post status-publish format-standard has-post-thumbnail category-alzhiemers category-blood-disorders-hematology category-data-sciences category-immunology category-medical-research category-neurobiology category-neurology-neurosurgery category-stanford-medicine category-stanford-school-of-medicine tag-news-home" itemscope="" itemtype="https://schema.org/Article"> <span class="screen-reader-text">Category:</span> <div class="heading title-with-icon-bar" itemprop="articleSection"><span class="title">Alzheimer's</span><i class="fa fa-chain" aria-hidden="true"></i></div> <header class="article-header"> <img width="520" height="260" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/06/chrisvaughalzhphoto-520x260.jpg" class="attachment-article-landscape size-article-landscape wp-post-image" alt="Blood condition linked to protection against Alzheimer’s" itemprop="image" aria-hidden="false" decoding="async" loading="lazy" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2023/06/chrisvaughalzhphoto-520x260.jpg 520w, https://scopeblog.stanford.edu/wp-content/uploads/2023/06/chrisvaughalzhphoto-600x301.jpg 600w, https://scopeblog.stanford.edu/wp-content/uploads/2023/06/chrisvaughalzhphoto-1024x514.jpg 1024w, https://scopeblog.stanford.edu/wp-content/uploads/2023/06/chrisvaughalzhphoto-768x385.jpg 768w, https://scopeblog.stanford.edu/wp-content/uploads/2023/06/chrisvaughalzhphoto.jpg 1152w" sizes="(max-width: 520px) 100vw, 520px" /> <h3 class="article-title" itemprop="headline"> <a href="https://scopeblog.stanford.edu/2023/06/23/blood-condition-linked-to-protection-against-alzheimers/" rel="bookmark" itemprop="url">Blood condition linked to protection against Alzheimer’s</a> </h3> <div class="entry-summary-top" itemprop="description alternativeHeadline"> Researchers at Stanford Medicine explore a potentially causative connection between a blood disorder and Alzheimer's. </div> <div class="article-meta"> <span class="byline"><span class="author vcard" itemprop="author" itemscope="" itemtype="https://schema.org/Person"><span class="screen-reader-text">Author </span><a class="url fn n" href="https://scopeblog.stanford.edu/author/vaughan1/" rel="author" itemprop="url name">Christopher Vaughan</a></span></span><span class="posted-on"><span class="screen-reader-text">Published on </span><time class="entry-date published" datetime="2023-06-23T14:51:04-07:00" itemprop="dateModified datePublished">June 23, 2023</time><time class="updated" datetime="2023-06-26T11:22:57-07:00">June 26, 2023</time></span> </div> </header> </article> <article class="article no-post-content post-237191 post type-post status-publish format-standard has-post-thumbnail category-blood-disorders-hematology category-digitally-driven category-diversity-equity-inclusion category-global-health category-health-equity category-health-policy category-medical-education category-medical-research category-patient-care category-stanford-medicine category-stanford-school-of-medicine category-uniquely-stanford category-vf tag-news-home tag-unconventional-paths" itemscope="" itemtype="https://schema.org/Article"> <span class="screen-reader-text">Category:</span> <div class="heading title-with-icon-bar" itemprop="articleSection"><span class="title">Blood Disorders (Hematology)</span><i class="fa fa-chain" aria-hidden="true"></i></div> <header class="article-header"> <img width="520" height="260" src="https://scopeblog.stanford.edu/wp-content/uploads/2024/08/Untitled_Artwork-6-520x260.jpg" class="attachment-article-landscape size-article-landscape wp-post-image" alt="How mixing music and medicine keeps this doctor grounded" itemprop="image" aria-hidden="false" decoding="async" loading="lazy" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2024/08/Untitled_Artwork-6-520x260.jpg 520w, https://scopeblog.stanford.edu/wp-content/uploads/2024/08/Untitled_Artwork-6-600x301.jpg 600w, https://scopeblog.stanford.edu/wp-content/uploads/2024/08/Untitled_Artwork-6-1024x514.jpg 1024w, https://scopeblog.stanford.edu/wp-content/uploads/2024/08/Untitled_Artwork-6-768x385.jpg 768w, https://scopeblog.stanford.edu/wp-content/uploads/2024/08/Untitled_Artwork-6.jpg 1152w" sizes="(max-width: 520px) 100vw, 520px" /> <h3 class="article-title" itemprop="headline"> <a href="https://scopeblog.stanford.edu/2024/08/21/music-medicine-tamara-dunn-stanford/" rel="bookmark" itemprop="url">How mixing music and medicine keeps this doctor grounded</a> </h3> <div class="entry-summary-top" itemprop="description alternativeHeadline"> The Unconventional Path of Stanford Medicine hematologist Tamara Dunn had her eyeing a career on Broadway. </div> <div class="article-meta"> <span class="byline"><span class="author vcard" itemprop="author" itemscope="" itemtype="https://schema.org/Person"><span class="screen-reader-text">Author </span><a class="url fn n" href="https://scopeblog.stanford.edu/author/rachel-tompa/" rel="author" itemprop="url name">Rachel Tompa</a></span></span><span class="posted-on"><span class="screen-reader-text">Published on </span><time class="entry-date published" datetime="2024-08-21T10:29:32-07:00" itemprop="dateModified datePublished">August 21, 2024</time><time class="updated" datetime="2024-08-28T13:06:12-07:00">August 28, 2024</time></span> </div> </header> </article> </div> </article> <div id="popular_posts" class="post-list"><header><h2>Popular posts</h2></header> <article class="popular article no-post-content post-218847 post type-post status-publish format-standard has-post-thumbnail category-addiction category-medical-research category-neurobiology category-psychiatry-mental-health category-stanford-school-of-medicine category-uniquely-stanford category-wellness tag-news-home" itemscope="" itemtype="https://schema.org/Article" > <span class="screen-reader-text">Category:</span> <div class="heading title-with-icon-bar" itemprop="articleSection">Addiction<i class="fa fa-star" aria-hidden="true"></i> </div> <header class="article-header"> <img width="520" height="260" src="https://scopeblog.stanford.edu/wp-content/uploads/2021/10/dole777-EQSPI11rf68-unsplash-520x260.jpg" class="attachment-article-landscape size-article-landscape wp-post-image" alt="Addictive potential of social media, explained" itemprop="image" aria-hidden="false" decoding="async" loading="lazy" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2021/10/dole777-EQSPI11rf68-unsplash-520x260.jpg 520w, https://scopeblog.stanford.edu/wp-content/uploads/2021/10/dole777-EQSPI11rf68-unsplash-scaled-1152x578-1.jpg 1152w" sizes="(max-width: 520px) 100vw, 520px" /> <h3 class="article-title" itemprop="headline"> <a href="https://scopeblog.stanford.edu/2021/10/29/addictive-potential-of-social-media-explained/" rel="bookmark" itemprop="url">Addictive potential of social media, explained</a> </h3> <div class="entry-summary-top" itemprop="description alternativeHeadline"> Stanford psychiatrist Anna Lembke鈥檚 book, Dopamine Nation, explains our brain chemistry's role in modern society's addiction to social media. </div> <div class="article-meta"> <span class="byline"><span class="author vcard" itemprop="author" itemscope="" itemtype="https://schema.org/Person"><span class="screen-reader-text">Author </span><a class="url fn n" href="https://scopeblog.stanford.edu/author/goldmanb/" rel="author" itemprop="url name">Bruce Goldman</a></span></span><span class="posted-on"><span class="screen-reader-text">Published on </span><time class="entry-date published" datetime="2021-10-29T09:00:00-07:00" itemprop="dateModified datePublished">October 29, 2021</time><time class="updated" datetime="2024-05-09T10:27:33-07:00">May 9, 2024</time></span> </div> </header> </article> <article class="popular article no-post-content post-170563 post type-post status-publish format-standard has-post-thumbnail category-nutrition tag-news-home" itemscope="" itemtype="https://schema.org/Article" > <span class="screen-reader-text">Category:</span> <div class="heading title-with-icon-bar" itemprop="articleSection">Nutrition<i class="fa fa-star" aria-hidden="true"></i> </div> <header class="article-header"> <img width="520" height="260" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/04/AdobeStock_330786319-520x260.jpeg" class="attachment-article-landscape size-article-landscape wp-post-image" alt="Ways to boost blood iron levels while eating a vegan or vegetarian diet" itemprop="image" aria-hidden="false" decoding="async" loading="lazy" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2023/04/AdobeStock_330786319-520x260.jpeg 520w, https://scopeblog.stanford.edu/wp-content/uploads/2023/04/AdobeStock_330786319-scaled-1152x578-1.jpeg 1152w" sizes="(max-width: 520px) 100vw, 520px" /> <h3 class="article-title" itemprop="headline"> <a href="https://scopeblog.stanford.edu/2017/10/06/ways-to-boost-blood-iron-levels-while-eating-a-vegan-or-vegetarian-diet/" rel="bookmark" itemprop="url">Ways to boost blood iron levels while eating a vegan or vegetarian diet</a> </h3> <div class="article-meta"> <span class="byline"><span class="author vcard" itemprop="author" itemscope="" itemtype="https://schema.org/Person"><span class="screen-reader-text">Author </span><a class="url fn n" href="https://scopeblog.stanford.edu/author/hollymac/" rel="author" itemprop="url name">Holly MacCormick</a></span></span><span class="posted-on"><span class="screen-reader-text">Published on </span><time class="entry-date published" datetime="2017-10-06T12:01:56-07:00" itemprop="dateModified datePublished">October 6, 2017</time><time class="updated" datetime="2023-04-26T16:02:34-07:00">April 26, 2023</time></span> </div> </header> </article> </div> </main> </div> </div> <footer id="colophon" class="site-footer" aria-labelledby="footer-header" itemscope="itemscope" itemtype="https://schema.org/WPFooter"> <section id="footer-top" class="footer-top"><h2 class="screen-reader-text" aria-hidden="true">Footer Bottom Widgets</h2> <figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="200" height="57" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/stanford-medicine-logo-3-1.png" alt="" class="wp-image-225867"/></figure> </section> <h2 class="screen-reader-text" id="footer-header">Footer Content</h2> <div id="footer-widgets" class="widget-area three" itemscope="itemscope" itemtype="https://schema.org/WPSideBar"> <div id="footer-widget-left"> <section id="nav_menu-4" class="widget widget_nav_menu"><h3 class="widget-title">Office Of Communications</h3><div class="menu-footer-left-menu-container"><ul id="menu-footer-left-menu" class="menu"><li id="menu-item-225859" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-225859"><a href="https://med.stanford.edu/mednews/whoWeAre.html">Contact Us</a></li> <li id="menu-item-225860" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-225860"><a href="https://med.stanford.edu/mednews/media">For Media</a></li> <li id="menu-item-225861" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-225861"><a href="https://med.stanford.edu/mednews/staff">For Faculty & Staff</a></li> </ul></div></section> </div> <div id="footer-widget-middle"> <section id="nav_menu-5" class="widget widget_nav_menu"><h3 class="widget-title">Publications</h3><div class="menu-footer-center-menu-container"><ul id="menu-footer-center-menu" class="menu"><li id="menu-item-225635" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-225635"><a href="https://med.stanford.edu/news.html">News Center</a></li> <li id="menu-item-225636" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-225636"><a href="https://stanmed.stanford.edu/">Stanford Medicine Magazine</a></li> <li id="menu-item-225673" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-225673"><a href="https://healthier.stanfordchildrens.org/">Stanford Medicine Children’s Health Blog</a></li> </ul></div></section> </div> <div id="footer-widget-right"> <section id="nav_menu-3" class="widget widget_nav_menu"><h3 class="widget-title">Scope</h3><div class="menu-footer-right-menu-container"><ul id="menu-footer-right-menu" class="menu"><li id="menu-item-225857" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-home menu-item-225857"><a href="https://scopeblog.stanford.edu/">Home</a></li> <li id="menu-item-225858" class="menu-item menu-item-type-post_type menu-item-object-page current_page_parent menu-item-225858"><a href="https://scopeblog.stanford.edu/latest/">Latest</a></li> </ul></div></section> </div> </div> <div class="site-info"> <span id="site-admin-link"> </span> </div> <div class="site-info-2"> <nav id="social-navigation" class="social-navigation" aria-label="Social Links Menu"> <h3 class="screen-reader-text">Social Links Menu</h3> <div id="menu-social" class="menu"><ul id="menu-social-items" class="menu-items"><li class="menu-item menu-item-type-post_type menu-item-object-page menu-item-164305"><a href="https://scopeblog.stanford.edu/about-scope/"><span class="screen-reader-text">About</span></a></li> <li class="menu-item menu-item-type-custom menu-item-object-custom menu-item-171364"><a href="https://twitter.com/StanfordMed"><span class="screen-reader-text">Twitter</span></a></li> <li class="menu-item menu-item-type-custom menu-item-object-custom menu-item-171365"><a href="https://www.facebook.com/stanfordmedicine"><span class="screen-reader-text">Facebook</span></a></li> <li class="menu-item menu-item-type-custom menu-item-object-custom menu-item-171367"><a href="https://www.linkedin.com/edu/stanford-university-school-of-medicine-17929"><span class="screen-reader-text">LinkedIn</span></a></li> <li class="menu-item menu-item-type-custom menu-item-object-custom menu-item-171366"><a href="https://instagram.com/stanford.med/"><span class="screen-reader-text">Instagram</span></a></li> </ul></div> </nav> </div> <section id="footer-mid"><h2 class="screen-reader-text" aria-hidden="true">Footer Bottom Widgets</h2> <div class="wp-block-columns is-layout-flex wp-container-core-columns-is-layout-2 wp-block-columns-is-layout-flex"> <div class="wp-block-column is-layout-flow wp-block-column-is-layout-flow" style="flex-basis:100%"> <div class="wp-block-group"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained"> <div class="wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex"> <div class="wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow"> <p class="has-text-align-left">漏 2023 Stanford Medicine</p> </div> <div class="wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow"><div class="widget widget_nav_menu"><div class="menu-copyright-menu-container"><ul id="menu-copyright-menu" class="menu"><li id="menu-item-225685" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-225685"><a href="https://soap.stanford.edu/contact-us/report-web-accessibility-issue">Accessibility Issues</a></li> <li id="menu-item-225634" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-225634"><a href="http://www.stanford.edu/site/terms.html">Terms of Use</a></li> <li id="menu-item-225675" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-225675"><a href="https://www.stanford.edu/site/privacy/">Privacy Policy</a></li> </ul></div></div></div> </div> </div></div> </div> </div> </section><section id="footer-bottom" class="copyright-widget"><h2 class="screen-reader-text" aria-hidden="true">Footer Middle Widgets</h2> <div class="wp-block-group"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained"> <div class="wp-block-columns is-layout-flex wp-container-core-columns-is-layout-6 wp-block-columns-is-layout-flex"> <div class="wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow"> <div class="wp-block-columns is-layout-flex wp-container-core-columns-is-layout-3 wp-block-columns-is-layout-flex"> <div class="wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow"> <figure class="wp-block-image size-medium"><a href="https://www.stanford.edu/"><img loading="lazy" decoding="async" width="600" height="267" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/SUSig_Stack_White-3-600x267.png" alt="" class="wp-image-225851" style="object-fit:cover" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/SUSig_Stack_White-3-600x267.png 600w, https://scopeblog.stanford.edu/wp-content/uploads/2023/09/SUSig_Stack_White-3.png 738w" sizes="(max-width: 600px) 100vw, 600px" /></a></figure> </div> <div class="wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow"> <figure class="wp-block-image size-medium"><a href="https://med.stanford.edu/"><img loading="lazy" decoding="async" width="600" height="289" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/SOM_White_vert_LG-1-600x289.png" alt="" class="wp-image-225852" style="object-fit:cover" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/SOM_White_vert_LG-1-600x289.png 600w, https://scopeblog.stanford.edu/wp-content/uploads/2023/09/SOM_White_vert_LG-1-768x369.png 768w, https://scopeblog.stanford.edu/wp-content/uploads/2023/09/SOM_White_vert_LG-1.png 900w" sizes="(max-width: 600px) 100vw, 600px" /></a></figure> </div> </div> </div> <div class="wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow"> <div class="wp-block-columns is-layout-flex wp-container-core-columns-is-layout-4 wp-block-columns-is-layout-flex"> <div class="wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow"> <figure class="wp-block-image size-medium"><a href="https://stanfordhealthcare.org/"><img loading="lazy" decoding="async" width="600" height="289" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/shc_white_vert_lg-2-600x289.png" alt="" class="wp-image-225853" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/shc_white_vert_lg-2-600x289.png 600w, https://scopeblog.stanford.edu/wp-content/uploads/2023/09/shc_white_vert_lg-2-768x369.png 768w, https://scopeblog.stanford.edu/wp-content/uploads/2023/09/shc_white_vert_lg-2.png 900w" sizes="(max-width: 600px) 100vw, 600px" /></a></figure> </div> <div class="wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow"> <figure class="wp-block-image size-full"><a href="https://www.stanfordchildrens.org/"><img loading="lazy" decoding="async" width="583" height="279" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/Logo_SMCH_lu_v_rgb_wo-1.png" alt="" class="wp-image-225854"/></a></figure> </div> </div> </div> <div class="wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow"> <div class="wp-block-columns is-layout-flex wp-container-core-columns-is-layout-5 wp-block-columns-is-layout-flex"> <div class="wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow"> <figure class="wp-block-image size-medium"><a href="https://stanfordhealthcare.org/tri-valley"><img loading="lazy" decoding="async" width="600" height="381" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/shctv_white_vert_lg-2-600x381.png" alt="" class="wp-image-225855" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/shctv_white_vert_lg-2-600x381.png 600w, https://scopeblog.stanford.edu/wp-content/uploads/2023/09/shctv_white_vert_lg-2-768x487.png 768w, https://scopeblog.stanford.edu/wp-content/uploads/2023/09/shctv_white_vert_lg-2.png 900w" sizes="(max-width: 600px) 100vw, 600px" /></a></figure> </div> <div class="wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow"> <figure class="wp-block-image size-medium"><a href="https://stanfordmedicinepartners.org/"><img loading="lazy" decoding="async" width="600" height="289" src="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/smp_white_vert_lg-1-600x289.png" alt="" class="wp-image-225856" srcset="https://scopeblog.stanford.edu/wp-content/uploads/2023/09/smp_white_vert_lg-1-600x289.png 600w, https://scopeblog.stanford.edu/wp-content/uploads/2023/09/smp_white_vert_lg-1-768x369.png 768w, https://scopeblog.stanford.edu/wp-content/uploads/2023/09/smp_white_vert_lg-1.png 900w" sizes="(max-width: 600px) 100vw, 600px" /></a></figure> </div> </div> </div> </div> </div></div> </section> </footer> </div> <style id='core-block-supports-inline-css' type='text/css'> .wp-container-core-columns-is-layout-1{flex-wrap:nowrap;}.wp-container-core-columns-is-layout-2{flex-wrap:nowrap;}.wp-container-core-columns-is-layout-3{flex-wrap:nowrap;}.wp-container-core-columns-is-layout-4{flex-wrap:nowrap;}.wp-container-core-columns-is-layout-5{flex-wrap:nowrap;}.wp-container-core-columns-is-layout-6{flex-wrap:nowrap;} </style> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-content/plugins/duracelltomi-google-tag-manager/dist/js/gtm4wp-form-move-tracker.js?ver=1.20.2" id="gtm4wp-form-move-tracker-js"></script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-content/themes/tiny-framework/js/navigation.js?ver=2.3.1" id="tinyframework-navigation-js"></script> <script type="text/javascript" id="tinyframework-additional-scripts-js-extra"> /* <![CDATA[ */ var tinyframeworkAdditionalScripts = {"newWindow":"Opens in a new window"}; /* ]]> */ </script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-content/themes/tiny-framework/js/functions.js?ver=2.3.1" id="tinyframework-additional-scripts-js"></script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-content/themes/tiny-framework/js/skip-link-focus-fix.js?ver=2.3.1" id="tinyframework-skip-link-focus-fix-js"></script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-content/plugins/easy-social-share-buttons3/assets/modules/pinterest-pro.min.js?ver=9.9" id="pinterest-pro-js-js"></script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-content/plugins/easy-social-share-buttons3/assets/modules/subscribe-forms.min.js?ver=9.9" id="subscribe-forms-js-js"></script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-content/plugins/easy-social-share-buttons3/assets/js/essb-core.min.js?ver=9.9" id="easy-social-share-buttons-core-js"></script> <script type="text/javascript" id="easy-social-share-buttons-core-js-after"> /* <![CDATA[ */ var essb_settings = {"ajax_url":"https:\/\/scopeblog.stanford.edu\/wp-admin\/admin-ajax.php","essb3_nonce":"e1e2fbe369","essb3_plugin_url":"https:\/\/scopeblog.stanford.edu\/wp-content\/plugins\/easy-social-share-buttons3","essb3_stats":true,"essb3_ga":true,"essb3_ga_ntg":false,"essb3_ga_mode":"extended","blog_url":"https:\/\/scopeblog.stanford.edu\/","post_id":"237511","internal_stats":true}; /* ]]> */ </script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-content/themes/tiny-framework-child/accessibility.min.js?ver=6.6.2" id="accessibility-script-js"></script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-includes/js/jquery/ui/core.min.js?ver=1.13.3" id="jquery-ui-core-js"></script> <script type="text/javascript" src="https://scopeblog.stanford.edu/wp-includes/js/jquery/ui/accordion.min.js?ver=1.13.3" id="jquery-ui-accordion-js"></script> <script></script><link rel="stylesheet" id="easy-social-share-buttons-animations" href="https://scopeblog.stanford.edu/wp-content/plugins/easy-social-share-buttons3/assets/css/essb-animations.min.css" type="text/css" media="all" /><script type="text/javascript"></script>  </body> </html>