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Dr. Nicholas B. Burley, DO is an oncologist in Mission Viejo, CA specializing in adult oncology and adult hematology. Dr. Nicholas B. Burley, DO is affiliated with Providence, Providence Medical Foundation, Mission Heritage Medical Group, Mission Hospital Mission Viejo and Providence Affiliated Physicians, Mission.
Providence Affiliated Physicians, Mission
Anemia
Anemia is the most common blood disorder. It occurs when the body does not have enough red blood cells to carry oxygen to the tissues. Blood loss, insufficient red blood cell production, and red blood cell destruction are the three main causes of anemia. These issues may arise from such conditions as iron deficiency, heavy periods, ulcers, kidney disease, as well as some forms of cancer.
An individual with anemia will have the following symptoms: shortness of breath, weakness, dizziness, cold hands or feet, paleness, and irritability. Anemia is diagnosed when blood tests show low counts for hemoglobin, which is the protein responsible for carrying oxygen to different tissues throughout the body.
Treatments for anemia are dependent on the kind of anemia an individual has. For example, iron supplementation may correct iron deficiency anemia. For anemia caused by chronic kidney failure, chemotherapy treatments, and HIV/AIDS, a group of medications called erythropoiesis-stimulating agents may be prescribed.
Hemophilia
Hemophilia is a bleeding disorder in which blood cannot clot normally. After an injury, people who have hemophilia bleed longer because they lack certain blood proteins that are responsible for clotting, called clotting factors. Some hemophiliacs are mildly deficient in this protein, so they bleed only when injured or after surgery. Those who are severely deficient, however, may experience symptoms of spontaneous bleeding, including the following:
Most people with hemophilia have a family history of the disorder, though about 30% do not. The most common forms are hemophilia A (classic hemophilia) and hemophilia B (Christmas disease). Hemophilia A and B share certain characteristics, but different genes are involved. Acquired hemophilia is very rare and has been linked to autoimmune conditions, cancer, and multiple sclerosis.
Hemophilia may be diagnosed using a blood test. If there is family history of the disorder, testing may be done prenatally. Treatment involves regular intravenous replacement of clotting factors, which may be produced in a laboratory (recombinant) or come from blood donors. For people with milder forms of the disease, a hormone called desmopressin may stimulate the body to produce clotting factors. Other drug therapies include medications that help slow the breakdown of blood clots and medications that are applied directly to the wound to promote clotting.
Living with hemophilia can be challenging, but simple things may help prevent excessive bleeding. For example, choosing activities like walking or swimming over contact sports can prevent injuries and strengthen muscles while protecting the joints. Chances for bleeding may also be reduced by making sure that children wear helmets and elbow pads during activities like bicycle rides.
Thrombocytopenia (Low Platelet Count)
Thrombocytopenia is a disorder where people have too few platelets. With too few platelets in the bloodstream, the blood is unable to properly clot. People with thrombocytopenia may experience prolonged external and internal bleeding. Large purple bruises (ecchymoses) and small red skin spots (petechiae) in the skin and mouth are common in those with thrombocytopenia. Other symptoms of the disorder include bleeding gums, blood in bodily fluids, and fatigue. Thrombocytopenia most often arises from a different condition or treatment, such as alcoholism, autoimmune disease, cancer treatments, viruses (such as Hepatitis C and HIV), bone marrow diseases (such as leukemia and aplastic anemia), enlarged spleen, and exposure to toxic chemicals. In rare cases, thrombocytopenia is inherited.
If a doctor suspects a patient has a thrombocytopenia, a complete blood count (CBC) or platelet count test helps determine the concentration of platelets in a person's blood at a given time. Thrombocytopenia can be diagnosed by hematologists using advanced tests on platelet samples. Flow cytometry tests detect abnormalities by evaluating the characteristics of a platelet sample using targeted lasers and lights.
Treatments for low platelet counts include steroids like Prednisone, that can assist with platelet production. If a patient's low platelet count is caused by spleen problems, spleen removal (splenectomy) may be recommended. To treat the prolonged bleeding caused by thrombocytopenia, doctors frequently prescribe Dempressin, a hormone that promotes blood clotting. Antifibrinolytic medications such as tranexamic acid may also aid in the promotion of clotting and the prevention of bleeding. For patients with severe platelet disorders (either low platelet count and dysfunctional platelets), blood transfusions may be prescribed. Platelet blood transfusions deliver donated platelets to patients intravenously, replenishing the volume of functioning platelets.
Patients can also modify their lifestyle to better manage their disorder and minimize complications. Patients with low blood counts should avoid blood-thinning medications, alcohol, and activities that could lead to injury. Many people with thrombocytopenia can live healthy and fulfilling lives with proper treatment and precautions.
He is certified by the American Board of Internal Medicine, Internal Medicine and has a state license in California.
Board Certification: American Board of Internal Medicine, Internal Medicine
Licensed In: California
Dr. Nicholas B. Burley, DO is associated with these hospitals and organizations:
Dr. Nicholas B. Burley, DO appears to accept the following insurance providers: Aetna PPO, Aetna HMO, CIGNA PPO, CIGNA HMO, Blue Shield of California, MultiPlan PPO, Medicare Advantage, HealthSmart, Interplan PPO, TriWest, Anthem Blue Cross HMO, Anthem Blue Cross PPO, Health Net PPO, Health Net HMO, Anthem, Coventry PPO, United Healthcare PPO, United Healthcare HMO, Providence, US Family Health Plan, Aetna Medicare PPO and CoventryFirst Health PPO.
According to our sources, Dr. Nicholas B. Burley, DO accepts the following insurance providers:
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These charts describe general payments received by Dr. Nicholas B. Burley, DO. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$303
SARCLISA $280 |
CABLIVI $24 |
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$255
TUKYSA $146 |
ADCETRIS $24 |
$85 |
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$143
JAKAFI $26 |
PEMAZYRE $18 |
$99 |
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$103
Reblozyl $48 |
Pomalyst $30 |
$26 |
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$100
$100 |
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$287
KEYTRUDA $54 |
LIBTAYO $37 |
TECENTRIQ $31 |
ULTOMIRIS $26 |
KRAZATI $24 |
Other $115 |
| $907 | |
| $284 |
Dr. Nicholas Burley's specialties are adult hematology and adult oncology. He practices in Mission Viejo, CA. He seems to honor Anthem, Blue California, and HealthSmart, as well as other insurance carriers. Dr. Burley is affiliated with Providence Medical Foundation. According to Providence Medical Foundation, he is currently accepting new patients at his office in.
