NCMD CLINIC

Clinical staff Pediatrics:
Prof. dr. J. Smeitink (head)
Dr. E. Morava
Drs. M. de Vries
Dr. L. de Boer

Clinical staff Internal Medicine:
Dr. M. Janssen
Dr. M. den Heijer

Nurse practitioner:
Mrs. M. Hermans

Secretary:
Mrs. Annette de Boer 
Mrs. Anita Kerkhof
Tel: +31 24 3619118

Outpatient clinic:
Tel: +31 24 3614415          

Clinical ward Q2Strand:
Tel: +31 24 3613880         

General information: Patients suspected to suffer from a mitochondrial disorder are nearly always referred to the NCMD by pediatricians or neurologists and occasionally by general practitioners.The suspicion that a patient suffers from a mitochondrial disorder is mostly based on clinical presentation/course, results of laboratory metabolic screening studies in body-fluids and (neuro-)imaging results. Laboratory screening in general exists of measurement of lactate and pyruvate concentrations in blood and/or cerebrospinal fluid (CSF), amino-acid analysis in blood, urine and/or CSF, and organic acid analysis in urine. Occasionally, in patients with enzymatic and molecular established defects, these results may be normal. After written consultation, patients and their parents are seen first at the outpatient paediatric clinic or the internal medicine outpatient clinic by one of the NCMD clinicians. That moment, the additional necessary diagnostic steps are discussed and planned. If necessary, children are admitted at ward Q2Strand of the University Children's Hospital. Adults are either admitted at the internal medicine department or at the department of Neurology. 

Children from abroad are, after consultation, mostly directly admitted to ward Q2Strand. They need a so-called E112 form given by their insurance compagny. The University Medical Centre Nijmegen has facilities available for overnight stay for parents. Arrangements for this can be made via our ward Q2Strand.