3013805    เวชศาสตร์การบริการโลหิตทั่วไป    General Transfusion Medicine

ความรู้ทั่วไปด้านเวชศาสตร์การบริหารโลหิต การเตรียมและการจัดเก็บเลือดและองค์ประกอบของเลือด ปัจจัยที่มีผลกระทบต่อการตรวจทางห้องปฏิบัติการ การตรวจทางเวชศาสตร์การบริการโลหิต การแปลผลการให้เลือดและส่วนประกอบของเลือด

(General knowledge of transfusion medicine; preparation and storage of blood and blood components; factors affecting transfusion medical tests; basic transfusion medical tests; interpretation, and transfusion of blood and blood components.)

(3013805 จุฬาลงกรณ์มหาวิทยาลัย)

3013906    เวชศาสตร์การบริการโลหิตขั้นสูง 1    Advanced Transfusion Medicine I

หลักการและการปฎิบัติในการทำหน้าที่เป็นพยาธิแพทย์ที่เกี่ยวข้องกับการให้เลือดและส่วนประกอบของเลือด การให้คำปรึกษาแก่แพทย์สาขาอื่นในเรื่องการให้เลือดและส่วนประกอบของเลือด ในเรื่องการวินิจฉัยและแก้ไขปัญหาจากการให้เลือด เทคโนโลยีสมัยใหม่ในเวชศาสตร์การบริการโลหิต

(Principles and practical duty as a clinical pathologist for blood and blood components transfusion to general practitioners; consultation for diagnosis and correction of tranfusion complication to general practitioners, modern technology in transfusion medicine.)

(3013906 จุฬาลงกรณ์มหาวิทยาลัย)

3013907    เวชศาสตร์การบริการโลหิตขั้นสูง 2    Advanced Transfusion Medicine II

การบริหารจัดการธนาคารเลือด การบริหารและควบคุมคุณภาพงานเวชศาสตร์การบริการโลหิต นโยบายการบริการโลหิตในระดับประเทศ

(Blood bank management, quality management and control; national policy on blood transfusion.)

(3013907 จุฬาลงกรณ์มหาวิทยาลัย)

Courtesy by: timesofindia

JAIPUR: Rajasthan mainly depends upon replacement donors to meet blood requirement for transfusion. However efforts are being made at government

and individual levels to improve the participation of voluntary donors. The Swasthya Kalyan Blood Bank and Thalassemia Research Center released a reference guide for voluntary blood donation on Saturday.

The guide has specifically been targeted to the role of non-government organization. “A better understanding of the blood donation process and importance of voluntary donation will help these organisations to convince more people to come forward for this noble cause,” said Dr S S Agarwal. Doctors at the blood bank said under pressure of replacement blood donation at times even unsuitable people come forward to donate and practices like professional donors increase. As there are no way to produce blood, voluntary donation must be increased.

3020795    เวชศาสตร์ธนาคารเลือด    Transfusion Medicine

การเตรียมส่วนประกอบของเลือด ข้อบ่งชี้ในการใช้ส่วนประกอบของเลือดการจัดการเมื่อเกิดปฏิกิริยาหลังจากการให้เลือด

(Preparation of blood components, indications of the use blood components; management of adverse reactions from blood transfusions.)

(3020795 จุฬาลงกรณ์มหาวิทยาลัย)

3143618    คลินิกอายุรกรรมโรคเลือดและการถ่ายเลือด    Blood Transfusion Medicine Clinic

ปฏิบัติการทางคลินิกในการวิเคราะห์สาเหตุของภาวะเลือดจาง กระบวนการเตรียมสัตว์ตัวให้และตัวรับก่อนการถ่ายเลือด การประเมินความเข้ากันได้ กระบวนการถ่ายเลือด การตรวจติดตามหลังการถ่ายเลือดและภาวะความผิดปกติที่เกิดขึ้นได้หลังการถ่ายเลือด

(Clinical practice in diagnosis of anemia, preparing the donor and recipient for blood transfusion, learning the in-house laboratory techniques in cross-matching, performing blood transfusion, monitoring the post-transfusion reaction and abnormalities after blood transfusion.)

(3143618 จุฬาลงกรณ์มหาวิทยาลัย)

Après une nuit passée avec grand-maman Jacqueline, Nayla et “Jackye” sont allées promener. Avant de sortir, elles ont demandé aux infirmières si elles osaient ramasser des feuilles dehors afin de les dessiner en rentrant. On leur a dit que c’était une bonne idée, mais que par prudence il serait judicieux de prendre des feuilles sur les arbres plutôt que de les prendre au sol…

Après le dîner, les infirmières ont lancé une deuxième transfusion sanguine pour donner un coup de pouce au taux de globules rouges de Nayla. La leucémie nécessite souvent plusieurs transfusions de globules rouges et plusieurs transfusions de plaquettes, ça n’a donc rien d’inquiétant, mais ce sont des moments désagréables, voire angoissants pour notre petite Nayla…

So this entry, instead of a typical blog entry, is more of a “shout-out and query” to all you HCPs out there who read this here bloooog.  My question is this:

When a patient is anemic, how do you or your peers go about deciding when to transfuse that patient?  Is it entirely based on Hgb and Hct?  Or is it more symptom-based?

6800531    การบริหารจัดการงานบริการโลหิต    Management of Blood Transfusion Services

การกำหนดนโยบายระดับชาติ การพัฒนาระบบบริการโลหิตของประเทศ ประเมินความต้องการโลหิตในปัจจุบันและอนาคต การวางแผนการจัดหาและคงไว้ซึ่งผู้บริจาคโลหิต การออกแบบศูนย์และคลังโลหิต สาขาทั่วทุกภูมิภาค การกำหนดมาตรฐานเครื่องมือพื้นฐานของศูนย์บริการโลหิต การควบคุมสต็อก การขนส่งและจำหน่ายออก การควบคุมคุณภาพในศูนย์บริการโลหิต การป้องกันการติดเชื้อจากการใช้โลหิต การศึกษาและการพัฒนาอย่างต่อเนื่อง การบริหารบุคลากร การวางแผนอัตรากำลัง ความรับผิดทางกฎหมายต่อผู้บริจาคโลหิตและผู้รับโลหิต การจัดสรรงบประมาณเพื่อการวางแผนระบบบริการโลหิตระดับชาติ การใช้โลหิตและส่วนประกอบของโลหิตอย่างเหมาะสม และการใช้คอมพิวเตอร์ในงานบริการโลหิต

(Formulation of a national program; development of a national blood transfusion service; calculation of present and projected blood needs; donor recruitment and retention; design of premises for a blood transfusion center; procurement standardization basic equipment for blood transfusion centers: calibration rpocedures; inventory control storage distribution/transport and disposal and quality control in blood transfusion centers; transfusion and viral infection: prevention of transfusion- transmitted AIDS and hepatitis; continuing education and improvement in the blood transfusion; personnel management; planning the workforce; legal responsibilities to blood donors and recipients; basic financial considerations for planning a national blood transfusion program; appropriate use of blood and blood components; use of computers in the blood transfusion service.)

(6800531 จุฬาลงกรณ์มหาวิทยาลัย)

Not completely up on my Seward backstory, but had a couple of BGsO (Blinding Glimpses of the Obvious) this morning.

“Journals for go, recordings for show.” Like all of the characters, we only know of Seward what we read in his personal papers.  While the Harker and Murray journals are personal papers, meant for each other and possibly their descendants, Seward’s notes get laid over to Gramophone with an eye (ear?) toward permanence.  As a “physician,” Seward would have been educated to keep scrupulous notes.  Van Helsing even comments on the fact that Seward’s case-books were always the best of all his students.  I can’t help but get the sense that Seward records knowing that these reels will be used as source material for some future generations’ research.  Contrast his reels with the journals kept by the others and Seward’s tone is decidedly more professional, which would be expected.  That said, he also comes off as much more of a self-promoter and the reels end up sounding, in many ways, like what Seward meant to function as medical cases-work ended up working much more as a Book of Grievances.

Locker room talk sucks regardless of age or century.  Seward proposes to Lucy (assuming, I get the feeling, as close to a sure thing as Victorians would be capable of) and gets a tearful rejection because Lucy’s heart already belongs to another.  Later, he hears that his wasn’t the only proposal on the table.  I make that assumption based on the sausagefest Quincey sets up at the end of Chapter V as Holmwood promises to bring messages which will “make both your ears tingle.” One can only imagine much later that night as Morris drunkenly pulls Jackie aside and drunkenly whispers, “Dude, I totally tapped that” as they all three drank healths to Lucy.  Sure it was a kiss.  But even if we take Lucy to be a reliable source, “just a kiss” would have been the sociological equivalent of a party hook-up.

“‘Let’s be friends’” cuts deep. So having his proposal rebuffed by the Hot One, and the Hot One’s BFF also removed from the pool by reason of her previously engagedness to that prig Harker, Seward can’t even throw himself into the work of guiding poor fly-eating Renfield down the corridors of madness before he’s summoned by his rich friend Holmwood to check up on the Hot One, now in waning health. (Chapter 9).  So Seward gets to check up on a weakened Former Love Object, including, we assume, some amount of diagnostic palpating and such.  Considering the times, wouldn’t have this been the equivalent of asking Seward to play eunuch and take good care of the harem?  I think yes.

But wait there’s more.  Seward is just about to give blood for the first of Lucy’s transfusions when Holmwood bursts into the room.  ”Come,” Van Helsing commands, all but pushing Seward aside.  ”You (Holmwood) are a man and it is a man we want.  You are better than me, better than my friend John.”  Call for Dr. Inadequacy, call for Doctor John Seward Inadequacy.  Please report to the Emasculation Suite, stat!

THEN, when Seward’s blood is finally called for, only a half-measure is taken, the blood of “her lover, her fiance,” being better suited to the purpose.

Thrice shunned from Lucy.  Twice required to become at least medically intimate with Lucy.

Is it any wonder some amount of rumor/speculation exists that links Jack Seward and Jack the Ripper to each other.  You KNOW that if this was a comic book universe that we would have had an entire series devoted to Seward the Ripper.

I for one, am maybe interested a bit more now in the Seward/Holmwood/Lucy dynamic than I was before.  Let’s keep an eye on that one.

I failed to Pay Attention to Detail and Have a Questioning Attitude.  I don’t know what it is about blood transfusions that get me down, but here I am again. 

I had a patient with hemolytic anemia.  Basically her body destroyed  it’s own red blood cells… for whatever reason.  The hemotologist decided, when her hemogloblin dropped two points to 6.6, that he would try to transfuse her with warmed, washed, packed red blood cells.  He had hoped that warming and washing the blood could reduce the risk of reaction during transfusion.

Well, the lab was unable to wash the blood due to the blood characteristics not meeting requirements for such a procedure.  On top of that, her blood was not warmed because of me.  I failed to Pay Attention to Detail when I didn’t notice that the instructions to infuse warm blood was placed under a “nursing order” and not a “laboratory order”;  I was supposed to warm the blood.  I failed to Have a Questioning Attitude when I didn’t asked one of my more experienced collegues about how to go about transfusing warmed blood.

At the end of it all, my patient had a reaction twenty minutes into the transfusion and I went home with a face full of tears thinking that it was my fault.  I dreaded going to work the next day but avoiding the path of self-destruction I finished my weekend.  By seven o’clock Sunday evening, I was happy again. 

While I left work traumatized the evening before, I search, found and clung to the silver lining in that dark cloud.  My patient lived through the experience, she felt a lot better than she had the day before and her hemoglobin actually began improving.  I convinced myself that I unfairly jumped to conclusions because only God knows why she actually had the reaction.  Last but not least, I learned to pay more attention to detail, to have a questioning attitude even in light of certainty and that a blood warming machine could be found in the operating room.

This was my third attempt to give blood.

The first time I tried was in the early ’90s when there were more stories about HIV/AIDS than the X-factor in the papers and no enthusiasm for donors whose blood had ever darkened the Dark Continent.

By the end of the 90s the mention of Africa no longer sent the NHS screaming into a corner and my 10-year conviction for having been there was allowed to drop off my donor licence. Sadly, one glimpse into the lecture theatre where prostrate bodies lay hooked up to lines and bags bulging with the red stuff, like a field hospital from the Crimea, and the blood drained right out of me. My second attempt ended with smelling salts, which was pretty much par for the course. I’m someone who passed out so regularly during school biology lessons they banned me from sitting on those wooden lab stools and installed a beanbag so I didn’t have so far to fall.

The spirit was willing but the flesh was oh, so ridiculously squeamish.

blood banking on friends

Then came an email from a friend still reeling from the news that her father, young, fit and 11,000 miles away in Australia, had been admitted to hospital with minor chest pains and rapidly transfered by helicopter to a special unit for a quintuple heart by-pass. Pre-empting all the ‘if-there-is-anything-I-can-do’ responses her message ended with the following appeal:

“Please give blood. It’s largely painless, you get a mars bar at the end and you could literally be saving someone’s life. It’s particularly healthy for your own heart as it’s meant to lower your iron count, and an excess iron count can lead to heart disease. It’s also a complete credit crunch donation – costs you nothing, yet you get the warm buzz of being able to contribute positively to the social fabric.”

It was time to test that third time lucky saying…

personal services

I’m going to pass over the details of the paperwork to be completed in advance. Not that it was long or complicated or anything. Just a tad, shall we say, personal (in the sense shops use the term to mean anything concerned with matters below the waist and above the visible panty line).

And to note in passing that Africa is now SO last decade. It’s South America, indelibly linked with Swine Flu thanks to this year’s media obssession, that now sets alarm bells ringing at the Blood Donor clinic  – or  ’the bleed’ as I heard the staff rather unnervingly refer to it among themselves.

I was shown first to a row of chairs and asked to have a big drink and read the small print. Unfortunately, my appointment letter hadn’t mentioned it helps speed the bleed – and recovery – if you drink copious amounts of water ahead of donating. Thanks to a Starbucks voucher in that day’s Guardian my blood was almost pure Americano (presumably making it a pefect match for any sick journalists).

Next I was led behind a screen so a nurse could check my paperwork. It wasn’t entirely in order: in my haste to demonstrate what a healthy, clean-living type I now am I’d answered the men’s questions as well as the women’s.

The nurse looked up at me just a little sternly: “You did read these statements before ticking them didn’t you?”

more in the same vein

A small sample of blood taken for testing, then another nurse brought me to one of a half dozen beds set out in a circle in the middle of the room. It all looked quite convivial – more campfire than circled wagons – and once a third nurse and I had established that I am squeamish and might be there to give blood but best not to mention it or let me see anything ressembling blood, I was hooked up to one of the machines, good to go.

It was all pretty painless, took less than 10 minutes, and though I did get my usual touch of the vapours at the end it was nothing three more cups of water couldn’t put right. Which is pretty amazing considering what brilliant stuff blood is.

Among the things I learned are:

• that the NHS gets great value from each donation because the blood breaks down into red cells, platelets and plasma which are all vital for treating certain conditions
• that 53% of all donations go to help people being treated for cancer, leukaemia, sickle cell disease and similar conditions; it never occurred to me before, when I’ve been wanting to support friends and relatives with cancer, that becoming a blood donor is a fantastic way of giving active support
• and that only 5 percent of those who can give blood do so.

local heroes

In the months I’ve been experimenting with acts of kindness this was one of the best experience I’ve had. Of course it helped that the lovely staff got all excited to be bleeding a ‘first-timer’ and made a point of thanking and congratulating me at every stage along the way. (A Mars Bar afterwards would have helped even more but perhaps it’s only the Aussies who know what comfort there is in chocolate; in austere Britain it’s Rich Tea all round.)

But sugar rushes aside,  the 40 minutes  I spent at a community centre in Newport Pagnell were an embodiment of what this blog is all about: anonymous acts of giving, where what is in my heart, my intention,  counts for more than how much I spend or what, if any, thanks or reward I get. 

Three months ago a friend was found to have pancreatic cancer – one of the cancers that causes people to speak in an even more hushed tone than usual. The good news was the doctors decided it was worth operating on and after eight long hours under the surgeon’s knife he’s sufficiently recovered to enjoy whipping up his shirt to show off the pyramid-shaped scar cutting his chest in half.

 The fact that he’s in a position to turn my stomach at all is down to a dozen people who gave up their time to attend a bleed.

I’ll never know how and where and who my small donation will help. But what I do know is that I won’t have to feel quite the same degree of helplessness next time I hear of a friend’s cancer, pass the shocking evidence of an accident as I whizz up the motorway, or switch on the news to more tales of distress and disaster.

Perhaps it’s time to wear the badge of a bleeding heart liberal with pride?

links

National Blood Service  Do It!

And while we’re at: organ donation at The Wall of Life

Does the Watchtower Society still hold to the NO BLOOD argument?  Find out below. 

Watchtower Leadership and Blood

'48

TYPE: War, Thriller, Mystery

RATING: 8/10

REVIEW:

Most of the times, I am not that fond of war novels (or even war games for that matter), but this one felt a bit different. The start did feel a bit too stretched out and even though I have completed the book, the beginning does give me the same feeling.

Maybe it’s because I read the novel too late, but the storyline keeps reminding me of a movie which does seem to be on similar terms, ‘I Am Legend.’ The stories do not eactly coincide, but maybe the movie did borrow a lot of stuff from the book, like being the lone survivor, having a dog, blowing up cars on the street, and having ready to use cars among other stuff.

This was a good read and it does get to nail-biting suspense as soon as you get through the first one-third of the novel. The end is a brilliant one too and overall the book gave me an effect of being the character in the book rather than just a viewer of the sequence of the events.

DESCRIPTION:

In 1945 Hitler unleashed the Blood Death on Britain as his final act of vengeance.

Hoke, an American pilot and one of a tiny minority with a blood group unaffected by the killer disease, has survived among the debris and the dead of the London for three years.

Now in ‘48, he is running for his life – hunted through the ruined city’s ravaged streets by a desperate group of slow dying Fascist Blackshirts.

They’re after his blood.

Courtesy by: phillyburbs.com

FLORENCE – Peyton Green may seem a little shy at first, but she’s as courageous and strong-willed as the Disney princesses she adores.

The 3-year-old has Diamond Blackfan anemia, a rare blood disorder that prevents her bone marrow from making red blood cells, which carry oxygen through the body.

Peyton has to receive a blood transfusion every three weeks to survive.

“She’s very brave,” said Ashley Green, Peyton’s mother. “She’s our hero.”

On Wednesday, Green, husband Thomas and the American Red Cross will hold a blood drive at the Florence Fire Department on Firehouse Lane from 1:30 to 7:30 p.m. to help treat the disorder.

“This is our second blood drive,” Green said. “We had one in May and there was a really good turnout. We collected 34 units of blood, so I decided to try and do it every six months.”

According to the Diamond Blackfan Anemia Foundation, patients with the disease can live long and healthy lives with appropriate medical treatment.

Blood transfusions are one of two common forms of treatment. The other, a corticosteroid medication, forces the bone marrow to make red blood cells, but Green said it didn’t work for Peyton.

Patients may elect to undergo a bone marrow transplant, but the foundation considers it a risky and dangerous procedure and Green said it’s the absolute last option for her daughter.

Green said Peyton was diagnosed with the disorder when she was 8 weeks old.

“She stayed in the hospital for seven days and had five blood transfusions,” she said. “They confirmed her diagnosis with a bone marrow biopsy.”

The biopsy revealed unusually low hemoglobin levels.

“They found her hemoglobin to be 2 (grams per deciliters),” Green said. “A normal level would have been 10 to 13.”

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Green said Peyton has gone as long as four weeks without a transfusion but can’t risk waiting longer than that.

“If she does (wait four weeks), her hemoglobin will go even lower. She becomes irritable and she won’t eat and her bones hurt,” Green said.

But that wasn’t the case during an interview at the family’s home Friday. Peyton chased her new puppy around the living room and jumped into her mother’s arms. Her most recent transfusion was Thursday.

Peyton gets her transfusions at Robert Wood Johnson University Hospital in New Brunswick. Because they cause an elevation in her iron levels, Peyton must also take medication to remove excess iron from her body.

About a quarter of the people with Diamond Blackfan anemia have a known genetic cause, according to the federal Centers for Disease Control and Prevention, but Green said there are no other known cases of the disease in her family.

“I couldn’t understand why it happened to my child, especially after having a perfectly healthy son,” Green said. “It took me a long time to understand. I’m getting more comfortable with making it public. It’s important to get the word out that this exists and it’s horrible. It’s hard for someone to live with it.”

Green said she decided to document Peyton’s progress through an online journal at www.caringbridge.org/visit/peytongreen28.

“I’m totally willing to get the word out,” she said.

Green said 21 people have already committed to Wednesday’s blood drive and she’s hoping for more.

“(Blood drives) are so important for any disease that requires a blood transfusion, like sickle cell or thalassemia,” she said.

For more information about the disease and the foundation, visit dbafoundation.org.

Por Juan P. Valles

La sangre es, como todos sabemos, una sustancia que circula por nuestro organismo y que es esencial para la vida. Los testigos han dicho y aceptado, además de sus muchas herejías, el de no aceptar ni ofrecer transfusiones de sangre, esto debido a una mala comprensión de las Escrituras.

En una publicación titulada “¿Cómo puede salvarle la vida la sangre?”, la organización Watchtower cita algunos pasajes aduciendo que éstos se refieren al comer sangre. Dicen:

“En la Ley se declaró vez tras vez la prohibición del Creador sobre el ingerir sangre para sostenerse la vida. La sangre es la vida; así que no deben comer la vida junto con la carne. Lo que deben hacer es derramarla en la tierra como agua. No la coman, y les irá bien a ustedes y a sus hijos por hacer lo recto. (Deuteronomio 12:23-35, VP; 15:23; Levítico 7:26, 27; Ezequiel 33:25)”[i]

La razón por la cual los testigos de Jehová no aceptan las transfusiones es que aducen que recibir sangre es como ingerirla, comerla. Y como ciertamente existen versículos que expresan que comer sangre es comer la vida o el alma, ellos creen tener motivo para no aceptar estas prácticas.

Ahora bien, ¿qué dice la Escritura exactamente?

En Levítico 17:10 se nos declara: “Si cualquier varón de la casa de Israel, o de los extranjeros que moran entre ellos, comiere alguna sangre, yo pondré mi rostro contra la persona que comiere sangre, y la cortaré de entre su pueblo”. Y en el capítulo tres, verso diecisiete del mismo libro dice: “Estatuto perpetuo será por vuestras edades, dondequiera que habitéis, que ninguna grosura ni ninguna sangre comeréis.”

Ahora bien, pudiéramos seguir citando versos aquí que hablen de la sangre y encontraremos que todos hablan de lo mismo: no comer sangre. Si el testigo de Jehová señala que la prohibición es porque no puede beberse la sangre, habrá que especificarle que la Biblia nada habla al respecto. ¿Dice la Biblia que no se beba sangre? En lo absoluto. En las prohibiciones que hay respecto a la sangre lo que se nos dice es que no comamos la sangre, queriendo especificar con ello que no comamos carne con sangre:

Dice la Palabra de Dios: “… decidles que me traigan cada uno su vaca, y cada cual su oveja, y degolladlas aquí, y comed; y no pequéis contra Jehová comiendo la carne con la sangre”. (1Samuel 14:34) En otro texto dice: “No comeréis cosa alguna con sangre.” (Lev 19:26) Y en Deuteronomio habla: “Solamente que no comas su sangre; sobre la tierra la derramarás como agua.” (15:23)

Es común que el testigo cite el Nuevo Testamento para apoyar su teoría con respecto a la sangre, y específicamente citará hechos 15:28 y 29. Como ya se dijo antes, el capítulo 15 de hechos presenta a los principales líderes de la iglesia primitiva acordando sobre las leyes judías y los gentiles. Ahora bien, qué dice exactamente el texto?

“que os abstengáis de lo sacrificado a ídolos, de sangre, de ahogado y de fornicación; de las cuales cosas si os guardareis, bien haréis. Pasadlo bien.” (Hechos 15:29)

Este verso, como muchos otros más, no habla de beber sangre como puede querer inferir el testigo, sino de “comer” la carne con la sangre. Tal prohibición se recalcó el concilio de Jerusalén. Lo que no se explica es qué relación pueda tener todas estas cosas con las transfusiones, y puede verse que ninguna. Tal vez por razones de salud Dios quiso que así fuera, pero no habla nada de las transfusiones.

La Biblia admite en un pasaje muy bien conocido el hecho de beber sangre, y aunque no lo establezca de manera literal, ¿permitirá el Señor alguna contradicción en su Palabra?

“…Y tomando la copa, y habiendo dado gracias, les dio, diciendo: Bebed de ella todos; porque esto es mi sangre del nuevo pacto…” (Mateo 26: 27,28)

De por sí, Dios no nos acepta por lo que comamos, como dice: “Si bien la vianda no nos hace más aceptos ante Dios; pues ni porque comamos, seremos más, ni porque no comamos, seremos menos.” (1Corintios 8:8).

De todo lo que se vende en la carnicería, comed, sin preguntar nada por motivos de conciencia; porque del Señor es la tierra y su plenitud. Si algún incrédulo os invita, y queréis ir, de todo lo que se os ponga delante comed, sin preguntar nada por motivos de conciencia. (1Corintios 10:25-27)

¿Es cuestión de interpretación? Evidentemente. Aunque el texto no infiere nada de eso, el testigo de Jehová no salvará la vida a alguien que la necesite por cuestiones de interpretación bíblica. Jesús estuvo contra gente de esta clase:

“Enseñaba Jesús en una sinagoga en el día de reposo; y había allí una mujer que desde hacía dieciocho años tenía espíritu de enfermedad, y andaba encorvada, y en ninguna manera se podía enderezar. Cuando Jesús la vio, la llamó y le dijo: Mujer, eres libre de tu enfermedad. Y puso las manos sobre ella; y ella se enderezó luego, y glorificaba a Dios. Pero el principal de la sinagoga, enojado de que Jesús hubiese sanado en el día de reposo, dijo a la gente: Seis días hay en que se debe trabajar; en éstos, pues, venid y sed sanados, y no en día de reposo. Entonces el Señor le respondió y dijo: Hipócrita, cada uno de vosotros ¿no desata en el día de reposo su buey o su asno del pesebre y lo lleva a beber? Y a esta hija de Abraham, que Satanás había atado dieciocho años, ¿no se le debía desatar de esta ligadura en el día de reposo?” (Lucas 13:10-16).

En este caso no se toca el tema de la sangre, pero es semejante, ya que por cuestiones de interpretación y legalismo unas personas no permitían que se sanara a otra que estaba enferma. Nadie puede utilizar la Ley de Dios para dañar a otra persona; ese no es el ejemplo dado por el Señor que pidió que nos amáramos los unos a los otros. Y si alguien quiere tocar el tema de la Ley no quedará más que decir con el apóstol:

“Porque toda la ley en esta sola palabra se cumple: Amarás a tu prójimo como a ti mismo” (Gálatas 5:14). Así que si alguien necesita de sangre para sanar, ¿por qué no ayudarle? O, como dijera el Señor Jesús: “Os preguntaré una cosa: ¿Es lícito en día de reposo hacer bien, o hacer mal? ¿salvar la vida, o quitarla?” (Lucas 6:9). “Nadie tiene mayor amor que este, que uno ponga su vida por sus amigos.” (Juan 15:13)

Courtesy by: samaylive

Chennai, Sept 16 An eight-year-old girl suffering from Thalassemia has been cured by ‘cord blood stem cell transplantation’ at a hospital here.

The doctors used her younger brother’s cord blood stem cells for transplantation and the hospital authorities claimed it was the first time this method was practised.

Thalassemia is a genetic blood disorder in which the body makes an abnormal form of hemoglobin that results in excessive destruction of these cells and causes severe anaemia that can occur months after the birth. The patient then has to undergo monthly blood transfusion.

Mayur Abhaya, president and executive director of LifeCell International, a leading stem cell bank, told reporters here that Thamirabhurani was suffering from Thalassemia for the last six and a half years.

She went through painful blood transfusion and medication until the stem cell Cord blood stem cell transplantation cures minor girl, he said.

“The stem cell transplantation was recently done by Dr Revathi Raj at Apollo Hospital and it helped the girl get rid of Thalassemia,” he said, adding doctors had recommended that the patient start on iron reducing medication initially.

“The doctors then asked her parents to consider another pregnancy and go for umbilical cord blood stem cell banking”, he added.

Raj said a pre-natal test confirmed that the foetus was not affected with Thalaseemia.

Courtesy by: timesofindia

VARANASI: Stem cells are the wonder cells and there is a growing need to spread awareness about the importance of these cells to realise their

potential, says Dr CV Nerikar. Nerikar is the former blood transfusion officer, Nagpur Medical College, and the chief executive officer of the country’s only stem cell bank. He was speaking at a continuing medical education (CME) programme in the city on Sunday evening.

The programme was organised by Varanasi Obstetrics and Gynaecologists Society (VOGSI). As he stressed on the need to promote stem cell banking in the country, its advantages were also emphasised. “These cells are preserved at very low temperature (-196 degree Celsius) and can be used for nearly 130 years (two generations),” he said on the occasion.

“The stem cells have inherent capacity to multiply and regenerate into all specialised cells of the body and could be used in multiple life threatening diseases, including genetic disorders,” informed Dr Neriker. Stem cell transplant has successfully treated complicated and life threatening diseases including blood cancer (acute leukemia), thalassemia, blood disorders and other immune deficiencies. “Currently, stem cell research is also going on a number of diseases including spinal cord injury, cardiac diseases, diabetes and stroke,” he added.

He also said the umbilical cord blood is the easiest source of retrieving stem cells and the blood that is usually thrown as wastage should be preserved for complex diseases, especially for treating genetic disorders in the family.

President, VOGSI, Dr Amod Prakash and other senior obstetricians and gynaecologists were also present on the occasion.

A person’s confidence is best measured by his or her willingness to take risks. Fear is best reflected by the degree to which a person seeks to avoid risk. The old saying, “Nothing ventured, nothing gained” will always be true. Risk, the possibility of loss, is a necessary to success as air is to life.

Imagine what would happen if everyone decided to try to live 100 percent risk-free:

• No farmer would plant a crop because there might be too much rain or too little. Or the market price for the grain might collapse.
• No one would start a business because comptition might cause it to fail.
• No television programs would be produced because there might be too few viewers to attract advertisers.
• Investors would not put money into new construction, into oil well exploration, and into new ventures.
• Artists and authors would stop work because people might reject their activity,

To be completely secure, people would take their money out of banks (the banks may fail), hoard food (there may be an atomic war), refuse to drive cars (I may have an accident), and patients in hospitals would refuse blood transfusions (the blood may be contaminated). A goal of 100 percent security would almost overnight destroy our economy.

To avoid risk completely, no one would apply for a job (you may not get it), submit a poem to a literary journal (it may be rejected), speak up in a meeting (you may be laughed at), or ask for an order (the prospect may say No).

Here is an important point: Success-oriented people take risks and sometimes the risks turn out to be losses. Thirty-seven percent of today’s millionaires went broke after accumulating wealth. But they came back to win. No investor is always “right,” and people who build shopping centers, rersidential neighborhoods, and office buildings sometimes lose money. In the oil drilling business, a majority of wells turn out to be dry holes.

How we react to defeat is the key. You have heard people who have failed in a job or in a business of their own say, “I’ve had it. Never again!”

At times, we all feel like giving up. And if we’re not careful, we will give up. Pressure from peers to surrender can be powerful. They tell you, “Look, you tried. The plan didn’t work. Why beat your head against a wall? Don’t feel bad. Most people who try something new fail.”

These people – your peers and “friends” – are often glad to see you surrender. It’s disappointing but it’s true. They don’t have the courage to do something on their own. If they see you fail, they feel better about themselves; you are one of them – another mediocrity.

My Consultancy–Asif J. Mir - Management Consultant–transforms organizations where people have the freedom to be creative, a place that brings out the best in everybody–an open, fair place where people have a sense that what they do matters. For details please visit www.asifjmir.com, Lectures, Line of Sight

Courtesy by: geo.tv

PESHAWAR: Over 5000 children are born with transfusion dependent thalassemia annually in Pakistan and 65 percent of them belonge to NWFP.

According to the three yearly report of Hamza Welfare Foundation in Peshawar the NGO has provided 14,543 patients with healthy blood.

Presently 550 patients are registered with the organisation. Out of which 455 patients are suffering from thalassemia; 58 from haemophilia and 37 from blood cancer. The majority of the patients include minors.

The Foundation is making efforts for facilitating free medical services to the poor and deserving; and a large number of people are supporting the organisation in this regard.

Cooked PeGsOn

Ok so I thought I would do a quick video blog just to end the week in ready for the Weekend. I’m also looking at new nebulizers that would be better for my nebulized antibiotics.

I currently use a Pari but am Looking for something that may get the antibiotics to my lungs more efficently so If you have any ideas leave me a comment..Don’t forget to check my live stream out..I try to get onit as often as I can..

Would anyone be keen for a neb blowing competition.You basically try to blow different shapes or anything with the vapour from your neb…just an idea.

……..

PeGsOn

pegson1986@hotmail.com

Iron Transfusions.

So I didn’t really know what to write about so after running through general ideas I decided to write about my Experience with an IRON transfusion.

Now my first and only Experience to date with an Iron transfusion came early this year when I was in hospital doing a course of IV antibiotics for a Chest Infection

I had just changed doctors within my CF clinic after my old Doctor (Dr Saltos) had retired and my New Doctor (DR Wark) and I were trying some new ideas out, to try and change up my treatment plan and our first point of call was an Iron Transfusion.

The reason for me deciding to have an Iron Transfusion were quite simple.. My Iron was quite low and has been forever so I have always had supplements usually Ferro Gradumet & Vitamin C, but since I was hospital and we were looking into way of bettering my health with fresh eyes we decided to give an
Iron Transfusion a go and hopefully I would get a good kick out of it and be moon walking around instead of hobbling.

The Culprit

Ok so the Iron transfusion looks like a syrup coloured bag of saline and runs through an iv machine via picc, canula and in my case my Port-O-Cath.
So with all transfusions of any nature there is a small risk of reaction, Usually these reaction are small and one can put up with them..So in to help limit or avoid a reaction the first 40 mls of an Iron transfusion are ran in over two hours, thus allowing ample time for a reaction to occur without having to much pumped into your system..

So after the first 40 mls of my Iron Transfusion had ran in over the allotted 2 hours with no issues arising, the remaining 460 mls were ran in over a 3 hour period..

On completion I felt fine, no different than, even the mind over matter issues of being told a reaction is possible had disappeared and I felt comfortable that I was out of the woods and there was going to be no reaction and to be honest it wasn’t even a thought on my mind..

Well How wrong was I going to be???very wrong.

At about 7 pm that night My mate Haydnson rang and we had a chat. At around 7.15pm I started to get aches and pains and a feeling of internal coldness…You know when your hot under your clothes but on the inside you feel cold aches. By 7.30 pm It was becoming impossible to continue a conversation so I said to Haydn I had to hang up since I was feeling rather ordinary.

By 8 pm I was so cold and aching head to toe that I was pacing around my 2 metre length of IV tubing..

So I Buzzed the nurse and mentioned how bad I was feeling but unless your screaming or bleeding or have one of your regular nurses they don’t really take much notice…So I decided to jump in the shower and try to warm up as I have had similar feeling where this has helped.

Hospital showers are pretty average at the best of time..lack of pressure and the water is never piping hot . But its all I had. So after spending 30 minutes under Luke warm water I was feeling no better…So I decided to jump in bed and try sleep these pains off…Sleeping things off has worked wonders in the past for me with all kinds of issues..Ie Alcohol.

After about an hours sleep I woke up drenched in sweat and in agony…The pain was all over my body by now, but more focused in my arms and legs. The closest thing to this pain that I could describe is if you leave a tourniquet  on to long you get this deep internal ache that feels likes its about to explode and that’s exactly how my whole body felt especially my arms and legs

So I called the nurse again and explained my worsening situation…She was an agency nurse…one of those nurses that go from hospital to hospital filling in and she couldn’t give a shit..So she gave me some panadole and an hour later the pain was no better. I was reduced to rocking back and forth on my bed saying repetitive words to try and clam myself as I was starting to panic..

So finally I got another nurse to page the doctor and he turned up younger than myself and asked a million questions almost as if I was being quizzed..Than the great doctor offered me ibuprofen. I remember yelling are you f#cking joking I am in f#cking in agony. Do you want me to scream and cry to show how painful this is…I have always found us CF’ers are so good at covering and handling pain sometimes you have to put on a bit of an over reaction to get attention since our whole lives are usually spent under reacting to our numerous aches and pains.

After trying to get through the pain for the next couple of hours I decided  to call my mum..By this time it was 3 am and I was in a terrible state and was crying on the phone. Even though mum always says to call her no matter what time..she wasn’t to impressed and later that morning when she came up the nursing staff copped the full brunt of her lack of sleep.

After crying to myself I decided humiliation  of the nurses was the only tactic…No Joke…it works..So I buttoned up the back of my gown so only half me pecka was showing, (ha-ha a man can dream) unplugged the iv machine, and started to wheel my sorry arse down the hall away…The nurses at the station could see me coming from a mile away as I was moving sub grandpa pace..

Eventually when I made it to the nurses station they expected me to stop and talk but I kept on shuffling my sorry arse down the hall way…One nurse yelled out to me where you going mister? I replied Emergency…I had decided to wheel myself off to emergency in attempt to get some decent help for this agony I was suffering..

After a few heated words they convinced me to come back to my room and assured me they would page the doctor. Again.

About 20 minutes later the Doctor turned up and this time after I had a performed a song and dance he finally prescribed me morphine which seemed to help in allowing me to sleep.

The overall effect of the Iron transfusion lasted for 5 days…They involved aches and pains…internal

The Protest

coldness…constant sweats…dry mouth to the point where your lips stuck to your teeth….Fever that jumped between 35 and 40.3 and on the second day stomach cramps right up into the oesophagus that caused the doctors and myself to think maybe I was having a heart attack…Buscapan and Mylanta got that part under control only after 12 hours…yes things are slow in a hospital.

So Unless I was desperately needing another iron transfusion to survive I wouldn’t even consider having one again…and I think my doctor would say the same thing…So I’m going to stick to the tablets.

However one thing I have learnt. If you are going to have an Iron Transfusion have the Transfusion at the very start of your hospital stay as I made the mistake on leaving it towards the end of my stay, already having been on IV Antibiotics for 2 weeks and after 5 days of dealing with issues caused by the Iron Transfusion my chest was back to where it was before my hospital admission…

So in conclusion be weary of the Iron Transfusion but remember my case was the exception to the rule as my doctor had never experienced a reaction quite this severe and so delayed. We believe it was because of my liver condition that the issues appeared all at once and not gradually as the Iron most likely was processed by my damaged liver all at once and became over loaded. Oh and have morphine ready and on tap.

Please comment or email your experiences, ideas etc I really love hearing them even if its just pointing out one of the numerous spelling mistake. lol

PeGsOn
Pegson1986@hotmail.com

Retweet me please……

Just on a side note I receiving a couple anonymous comments complaining about the way I write my posts. Yes how pompous must they be..But I write it as I feel it..I don’t set our nor want to write these artistic pieces one may come to expect from other.. As long as I get my point across I’m a happy man. I like to write raw…raw baby raw.