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jayinsat

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Everything posted by jayinsat

  1. jayinsat
    You didn't mention whether or not the patient had been recently transfused. So, even though she is prenatal, I will ask. Has she been transfused in the last 90 days or so? Maybe you are getting a 2+ due to donor cells.
  2. jayinsat
    I donate 4times/year I have been donating since 1985 (26 years) I work 40 hours/week
  3. jayinsat
    A facility where I previously worked sent antibody cards to the patients. They were helpful to other facilities SOMETIMES. Often, the patients lost them, never presented them or just plain ignored them. Some patients would get confused and panic because of them, thinking we either gave them a disease or had some rare blood disorder that they should worry about. No matter how we worded the letter, we would get several phone calls/week asking us to explain what the card/letter meant. That said, I would still send them as they were helpful when the patients presented them to our facility upon admission. Well, that is, if the nurse decided to share that information with the blood bank. Just know you will get calls.
  4. jayinsat
    I say the benefits of switching to Gel as your primary methodology will outweigh any negatives that you will run into with Gel. As was previously mentioned, you will need to maintain a good tube backup method with either LISS or PEG for the "gel" antibodies.
  5. jayinsat
    We used it at one facility where I worked and we saw NO decrease in blood usage! In my opinion, it was a waste. It was useful in determining the best product but it seemed the physicians most likely to benefit never relyed on it.
  6. jayinsat
    If you're really concerned it may be a HTR, then I suggest crossmatching the patients pre and post samples against the suspected units completely through AHG phase. This will indicate whether or not you need to do an antibody screen for rarer, lower frequency antigens that may not be present on your screening cells. If the coombs crossmatch is compatible then you most likely have nothing to worry about.
  7. jayinsat
    I'm forever answering my home phone "Blood Bank, this is James, how may I help you?" This is usually followed by a brief pause and either a giggle or confused "Is this the Williams residence?" Also, I always get a little miffed when I get a call from a Physian (or nurse) "This is Dr. So-and-So, is my patients blood ready?". Sure doc, which of the 35 patients whom I currently have blood set up on would be yours????? They always think they are the only ones.:confused:
  8. jayinsat
    Hi, I'll explain this the way I explain it to my students. Having the FyA antibody (anti-Fya) means that, at some time in the past you were exposed to the FyA antigen. Antigens are proteins that sit on the surface of your red blood cells. Everyone has them and everyones combination of proteins (antigens) are unique. Since you don't have the FyA antigen (you are negative for FyA), if you are exposed to the FyA antigen, your body will see it as foreign and produce antibodies against it. Hence, why you have anti-FyA. This is a defense mechanism, which is what gives us immunity to viruses, bacteria, etc. It is not and abnormal thing, we just have to be sure any blood you receive in the future is negative for the FyA antigen. hope that helped. James
  9. jayinsat
    I think I may be using improper terminology. I was considering anything thats not routinely on the screen cells and panels (Co(, Do, V, LuA etc) to be "low frequency". At least here in the states, on Ortho 0.8% panel A, these antigens are seldom included.
  10. jayinsat
    I'd say that suggests an antibody against a low frequency antigen. As far as transfusion goes, all crossmatches should be AHG compatible. You can try running a select cell panel of low frequency antigens if you have available cells to select. Keep us informed. I'd like to know the conclusion of the matter. James
  11. jayinsat
    The validation guide for the Immucor ECHO is very thorough. Follow it and you should be fine. Correlate as many samples as you need to feel comfortable with the technology.
  12. jayinsat
    it's the "rare" situations that get me. Seems like the more "rare" the probability, the more likely it happens when i'm involved. We Type/screen patients who've donated autologous blood just the same as everyone else. With my luck, the autologous patient will be the routine surgery that "rarely" requires blood yet winds up bleeding out, who is o neg with anti-JkA, FyA and E in the middle of a shortage.:raincloud:raincloud shleprock.
  13. jayinsat
    I used to donate every 8 weeks for many years up untill about the last 5 years. I started having trouble keeping my H&H up and would have to take 6months off and self treat with iron supplements. Our local blood donor center also hired a group of phlebotomist who were, we'll say, less-than sensitive and not customer friendly. They were truthfully very rude! It has made it very unpleasant for me to donate with them. I feel bad because I am O+ and, as a blood banker, I understand the importance. However, that's a big needle and, in the wrong hands, can be very painful.
  14. jayinsat
    Thanks Malcolm. I learned a lot from this one
  15. jayinsat
    i'ts not that I would exclude such antibodies as anti-V, I may be trying to prove the presence of these antibodies to account for persisitent stray reactions after excluding all other significant systems. I would, of course,be giving AHG crossmatch compatible units. I guess it's just academic and my own personal desire for resolution to be able to show that all reactions are explained.
  16. jayinsat
    bevydawn makes a good point. How do you QC a cell you are using to prove a LuA, Bg, Smith etc? I would thing that it be very difficult to keep anti-V, anti-LuA, anti-Cw etc for smaller hospitals.
  17. jayinsat
    if the patient is a frequent flyer or if the antibody screen pattern reacts consistent with the historical antibody, I will often test a select cell (rule out) panel, running only cells negative for the antigens of the known antibody. I believe this helps in identifying anything new as the reactions from the known antibody won't be there.
  18. jayinsat
    Larry will certainly be missed. I am an advid mountain biker so Larry and I had much in common. See you in Glory bro!
  19. jayinsat
    I wonder if this nurse calls her bank to check to see if they have money before she goes shopping? smh...:disbelief:disbelief:disbelief
  20. jayinsat
    I just remembered once, when I first started working in the lab while I was in the U.S. Army. I was assigned to Urinalysis and Parasitology that day and a coworker delivered a "stool sample" for Ova and Parasite work-up. I was just beginning to glove up to make direct smears and start the concentration procedure when he walked in, took the cup containing the "stool sample", opened the lid, stuck his finger in and grabbed the "sample" and popped it in his mouth, chewed and swallowed!:eyepoppin:shocked: He, and the rest of my co-workers, when they finally stopped laughing at the look on my face, told me that the sample was really a wad of Tootsie Rolls he had chewed up to look like feces and spit in the cup. This happened just after lunch so I almost lost mine!
  21. jayinsat
    The hospital system I work for here in the states use this procedure regularly. We use it primarily for patients with Warm Auto's where the xm was performed with phenotypically matche units that were serologically incompatible with neat plasma and least incompatilbe with adsorbed plasma. We draw a pre-transfusion plasma hemoglobin, give a test dose of washed prbc's and draw a post plasma hemoglobin 10 min later. If there is no significant change in plasma hgb levels, the entire washed unit is transfused. From the stone ages, James
  22. jayinsat
    Congrats! I am about to apply to an SBB program myself. Upon completion, I am moving to the UK to study for 1 full year under Malcolm. Make room for me buddy, you're my ticket to certification!:D:D:D:D
  23. jayinsat
    AMEN! I've seen many anti-E's prewarmed away by techs with little knowledge of bb theory.
  24. jayinsat
    happy lab week!:mad::mad::mad::mad::mad::mad: You gotta love FDA.
  25. jayinsat
    Isn't the proper term for this a "warm autoantibody with anti-e specificity"?
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