Discussion Forums > General Chatter
Just wondering how Umair is doing and if anyone has heard from him
nice friend:
hey sis,
a good news, if i havn't mentioned about it before .. that is . as i thought 39kg was bcoze of weighing machine's fault or something else , my weight is again 43kg ..
(14 - 16 cc/kg) - 688cc to 602cc on the lower end .. (20cc/kg) 860cc ... i m right na .???
thanx for helping me to understand these calculations ... i will ask to my doctors about it...
Umair
Sharmin:
Umair,
That is correct:)
Sharmin
Sharmin:
Umair,
Oakland has advised me that the goal of each transfusion is to increase hemoglobin by 35-45 g/L and this is usually achieved by transfusing the patient at hg 10.0 - a volume of 14-16cc/kg. In your case, if you were transfused at a hg of 10.0 in a week then the volume of blood that you should receive would be between 602 to 688cc/kg.
Please ask your doctor for the Coombs Test also known as the antiglobulin test, the information obtained from this test will be very helpful in determining what is causing your increased transfusion frequency. The information will also be helpful in the crossmatch process so that the transfusions will last longer. I am glad that you are getting fresh blood as this is one factor in determining how long your tx will last. I also hope that you will ask your doctor to take a blood sample and have it sent to either UK, US or Canada (Toronto) so that you can have genotyping done - this is the one way to BEST match your blood. Your friend at the blood bank may now how and where to send your blood. I know that the blood should not be spun after it is drawn when it is sent for this test - but I am sure that the lab where the testing is done will inform you on how it should be prepared for testing.
Please Umair, do not delay in taking these steps. Make sure that you are getting the right volume of blood, get the Coombs test done and if at all possible get the genotyping done.
I am so glad that you are chelating, regardless of tx frequency the more you chelate the better.
Take care,
Sharmin
nice friend:
Hi Sis ,
Thank you for helping alot , you are soo kind and helping . i m making notes in light of the information yo provided , i will ask to my doctor investigate my case completely , and to advice treatments if needed ... i will ask to my thal center's staff that give me the details of that you mentioned ( blood volume , and sending the sample and procedure ) ...
] i will also provide them this info , and will ask to them abt their formula or calculation of setting the volume of blood ....
Thanx again sis for helping me alot ... i m realy thankful of you ..
Take Care
Umair
Sharmin:
Umair,
Also try getting a slow rate transfusion. I don't know what rate you are usually transfused, but it may be worthwhile spreading your transfusion over a longer period. If you get two units, it may not hurt to do them over two days one after the other. The slower you transfuse the longer the tx seems to last - even when transfusing the same volume. If there is some immune reaction going on, your body is less likely to react to the slow increase in red blood cells than a fast one, plus I think that less damage is done to the cells when they go through the line slower. After all, you want each transfusion to last as long as possible to keep your hg high and minimize the iron.
Sharmin
Navigation
[0] Message Index
[#] Next page
[*] Previous page
Go to full version