T as TIMING : ” a) determining or regulating the time when an action or event occurs
b) skill in this, as a way of achieving the desired result…when to do something effectively right.”
In Hemophilia, BLOOD CLOTTING has a proper timing …a SLOW one. This SLOWNESS is dangerous in severe bleedings because the person can bleed internally for example for days and lead to death if proper measures are not taken.
Bleeding for a long time in a joint without infusing the factor 8 or 9 can lead to subacute hemarthroses.
SO , THE RIGHT TIMING is to be as QUICK AS POSSIBLE in detecting the bleeding at its start and taking the factor replacement therapy.
The slowness of clotting is symbolized by the dear turtle that do its best but needs the help of factor to boost the slowness and transform it into effective clotting.

T com TEMPO: ” a) a sucessão dos anos, meses, das horas…que envolve, para o homem, a noção de presente, passado e futuro.
b) momento ou ocasião apropriada para….”
Sabemos que a hemofilia é por definição uma lentidão na hora de coagular. Por falta de um dos fatores da coagulação o processo inteiro
fica atrapalhado. Essa LENTIDÃO pode ser perigosa levando à morte se a pessoa não for atendida; por exemplo no caso de hemorragia interna, como um traumatismo craneano.
O sangramento que dura muito tempo sem receber fator da coagulação danifica as articulações e provoca danos articulares que afetam os movimentos do corpo.

POR isso é muito importante que a pessoa com hemofilia faça seu tratamento de infusão de fator o mais rápido possível! se tiver a DDU deve usá-la e depois checar o sangramento no centro de hemofilia.
About frederica cassis
My name is Frederica Dillen CASSIS, born of a Belgium mother and an Egyptian father, on the 3rd of January 1966 in Brussels, Belgium.
I am back with news! life continues with its adventures...
I´ve travelled a lot, lived in many countries. Brazil is my seventh country and i live in Sao Paulo for 32 years now. Graduated in Clinical Psychology in
1991, I specialized in Junguian Psychology and in Hemophilia since then.
LATEST PROJECTS:
1) Launching IN-HEMOACTION flash cards, 2026 updated version where I added new topics like Inhibitors and novel treatments, physiotherapy and a some playful activities like video games!
2) HERO (Hemophilia Experiences Results and Opportunities) sponsored by Novo Nordisk since 2009-2014 Done !exploring through qualitative and quantitative analysis the psychosocial issues involving People with hemophilia, their carers and the health professionals in the treatment process.
2) P-TET (Pediatric Thrombosis Educational Tool) , for kids on anti-coagulant treatment...inspired on IN-HEMOACTION flashcards success.
3) I am a co-author along with psychologist Irene Fuchs and Edward Kuebler of a booklet called "Communication, love and sexuality for people with hemophilia, carriers and family"
4) Done: systematic review for the Cochrane Collaboration :"psychological interventions for people with hemophilia and their families"
5) Actually I counsel people who wants to perform as competition level athlete and collaborate with them seeking wellness and goals
On a more personal level I have 3 three great not anymore children :) Danaê 35, Rubi 29 and Iggy 27 and i am since 2019 a pole sport athlete at a national and international level. I love it! also To walk and look for shells on a beach and discovering deserts...:)