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December 14, 2015
Dear Sir or Madame:
Diya Aravind is a 7 years old, with recurrent fsgs status post renal
transplant who could potentially benefit from lipoaphersis. In short Diya
was diagnosed with FSGS at 2.5 years of age. After 6 years she went into
end stage renal disease and received a renal transplant on May 8th 2015.
Unfortunately, the disease recurred (this happens in approximately 1/3 of
cases of pts with FSGS who receive a transplant. She has undergone
multiple treatments to alleviate her recurrent disease which will
unfortunately if untreated led to the lost of her new transplanted kidney.
This has included plasmaphersis and several doses of rituximab without
any response.
To that end she may benefit from lipoaphresis, using the liposorber
machine. Unfortunately, this technique and machine is not available in
India. In contrast we have been using this technique here at Nemours/A.|.
DuPont Hospital for Children for the last 6 months with some positive
results in patients with FSGS. Therefore, | request that Diya be allowed to
travel to A.l. DuPont hospital to undergo a 9 week course of lipoapheresis.
This therapy may be life alternating for Diva and has the potential to help
save her renal transplant.
Diya is scheduled for her first appointment on January 20, 2016 for line
placement to start the lipoaphresis on January 22, 2016. Diya will need to
be accompanied by both of her parents Suganthi chandrasekaran - Date
of Birth - 21 apr 1979 and Aravind kittu - Date of Birth - 23 Feb 1976 for
emotional support and to make decisions for Diya, as she is a minor and
cannot provide necessary consents.
Please call me with any questions
Sincerely,
Dr Joshua J Zaritsky MD, PhD
Division Chief, Division of Pediatric Nephrology,
Department of PediatricsAte duPont
Nemours. ta fo Ce
12/07/15
‘To Mr. /Mrs. Aravind
Re: Aravind, Diya
Account #5130468
Dear Mr. /Mrs. Aravind:
We want to thank you for selecting Nemours/A.1. duPont Hospital for Children and strive to
provide your child with excellent services.
‘Thank you for your recent payment of $19,999,000 received on 12/03/2015.
If you have any questions, please email me at daperez@nemours.org
Best regards,
Damaris Perez CPC-H, CRCS-I/ CRCS-P
International. Medicine Financial Coordinator
Nemours/ A.I, DuPont Hospital for Children,
1600 Rockland Road
Wilmington, DE 19803
(302) 651-4993Nemours.
International Medicine
1600 Rockland Road
Wilmington, DE 19803
P (302) 651-4993
Internationalmedicine@nemours.org
December 14, 2015
To the Parent/Guardian of Diya Aravind
Welcome to the Nemours Alfred | duPont Hospital for Children and Nemours duPont Pediatrics!
‘We are so glad that you have chosen us to care for your child and family. We strive to provide
you the best and most comprehensive care possible in the way that you wish to recieve it and
When you want it. It is our mission to treat your child as our own.
There are many services and amenities here at Nemours that we hope you will take advantage of
during your stay. There are many restaurants, shopping areas and local parks should you decide
you need a break from the medical environment. Please reach out to me at any time for any
Specifics or refer to the included handouts.
‘We appreciate your business and have tried to create a schedule to accomodate your needs and
the needs of your family. If at any time during your stay you are overwhelmed or need
clarification please contact me as soon as possible. | am here to make sure that your visits go
smoothly and all of your needs are met
The following page has your itinerary.
‘Again, welcome to Nemours. | hope you enjoy your visit and stay with us.
Sincerely,
Margaret Z Lynch 6SN, MBA, RNC-NIC
Program Manager, International Medicine
302-651-5548
Margaret. Lynch@nemours.orgYou have the following appointments scheduled. Please bring your photo ID/passport with you.
| will plan to meet you 15 minutes prior to your fist appointment in the atrium of the hospital to
escort you to your schedule appointment on 1/22/16
Appt Date and Time Provider / Area Location Addre:
Date: 1/22/16 DIALYSIS - NURSE Nemours/duPont Hospital for Chiiren -
Time: 9:00 AM EST 1600 Rockiand Road
Wilmington, DE 19803,