Seven integrated clinical areas. All under the same methodology: biomarkers first, protocol second.

01 — Immunological disorders

When the immune system attacks the body itself, data must guide every decision.

Autoimmune and immunological disorders represent one of the most complex diagnostic and therapeutic areas in internal medicine. NexusMed applies specific protocols grounded in the ASFA classification for therapeutic apheresis indications.

Conditions we evaluate
  • · Systemic lupus erythematosus (SLE)
  • · Guillain-Barré syndrome
  • · Myasthenia gravis
  • · Chronic autoimmune neuropathies
  • · Antiphospholipid syndrome
  • · Multiple sclerosis (support)
  • · Systemic vasculitis
  • · Crohn's disease / Ulcerative colitis
Scientific basis

ASFA classification: Categories I and II for plasmapheresis across more than 15 documented immunological indications.

Diagnostic protocol

Complete immunological evaluation → autoantibody panel → GEMA plasmapheresis protocol → follow-up with response biomarkers

1:01 · Spanish audio

Guillain-Barré syndrome

Medical education on the nervous system and therapeutic apheresis.

Liver disease

Cirrhosis and liver assessment.

Medical history, biomarkers and physician assessment guide each patient's protocol.

0:54 · Spanish audio

Cirrhosis and plasmapheresis

A medical explanation of liver disease and the role of plasmapheresis in protocol assessment.

Gloved hands hold tubes with blood and separated fractions
Separation of blood samples; interpretation requires laboratory analysis.
From biomarker to protocol

Clinical data is processed in a laboratory, not a spreadsheet.

Every sample is processed at a reference laboratory with documented chain of custody. The panel's 80+ parameters reach the physician within 48–72 hours and become part of the patient's clinical record for quarterly comparisons.

0:56 · Spanish audio

Liver assessment and biomarkers

The team discusses cirrhosis, plasmapheresis and monitoring parameters such as bilirubin.

80+
Parameters
48–72 h
Turnaround
6
Clinical groups

Clinical observation

Appearance needs context.

Visual variations in plasma require clinical and laboratory interpretation. A photograph does not establish a diagnosis or demonstrate therapeutic efficacy.

Four plasma bags with visible variations in color and appearance
Visual appearance varies and requires clinical and laboratory interpretation; color alone neither diagnoses disease nor demonstrates efficacy.
Educational documentation · Clinical observation

Educational record bringing together facial and eye observations and plasma. Without a verified case history, it must not be interpreted as before-and-after, causation, diagnosis or treatment outcome. Medical evaluation is required.

Observation collage with facial and eye details and plasma bags
Educational documentation. Requires medical evaluation and case context; not a before-and-after comparison or evidence of efficacy.
Elevated creatinine and triglycerides
When biochemistry falls out of range, plasmapheresis acts as a precision support: removing the pathological, preserving the functional.
Plasmapheresis · Clinical case

The right diagnosis is the first treatment.

Dr. Gerardo Zumbana speaking at an international medical congress
Medical publication

Dr. Zumbana's book: plasmapheresis protocols, regenerative medicine and chronic diagnostics

Available in Spanish, English and Russian for download. ISBN 978-9978-21-092-5.

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