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May 7, 1973

Medical News

JAMA. 1973;224(6):821-830. doi:10.1001/jama.1973.03220200003003

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Self-treatment program works out well for hemophiliacs  For the past two years, 45 Boston-area hemophiliacs have been managing much of their own treatment, infusing themselves with clotting factor when they felt they needed it, and going to the Tufts-New England Medical Center for an annual checkup.The program has worked so well, Peter H. Levine, MD, told the American Academy of Pediatrics meeting in Boston, that about 70 patients are now on what he terms "self-therapy."The advantages are several, Dr. Levine points out:

  • First, there has been a marked improvement in the patient's well-being. Because they usually administer clotting factor to themselves at the first sign of a bleeding episode, hemarthrosis, subsequent joint deformity and instability, and pain are all reduced or eliminated.

  • Forty-one of the patients on self-therapy were employed or in school during a recent year-long study period. They lost an average of 6.8