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April 2024 Challenge

Malcolm Needs

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Everything posted by Malcolm Needs

  1. Malcolm Needs
    Gosh, I remember those! Awful things!
  2. Malcolm Needs
    Hi ANgela and welcome.
  3. Malcolm Needs
    Loads, and I could only get to page 3. The site wouldn't let me go any further.
  4. Malcolm Needs
    This is another poll in which 16 people voted, but nobody replied. I don't think there were any comments to make.
  5. Malcolm Needs
    I don't think this one required any replies Cliff. It was just that I wanted somewhere to hang the algorrithm, and I had forgotten on to which thread it should go!
  6. Malcolm Needs
    29 people voted on this one Cliff, it's just that none of us made any comments. As my good friend Rashmi started this thread, I am quite happy to make some comments, but they may not get through the firewall!
  7. Malcolm Needs
    Hi Anna, Thanks for that. Now, I know you're not going to believe this, but I actually understood your explanation! Wonders will never cease! :excited::eyepoppin:excited:
  8. Malcolm Needs
    It could well be that the adhesive on the back of the labels has not been proven to be safe. By this, I mean that some adhesives have been shown to migrate through the plastic of the bag and leech into the blood. We had this problem in the UK. We had to get labels with an adhesive that was proven not to go through the plastic, or did not affect the blood if it did (I think the former).
  9. Malcolm Needs
    Oh yes Rashmi. I agree that writing the Technical Agreement is easy enough. Getting them to take any notice whatsoever is another thing entirely. As you know, we have Service Level Agreements with all of our hospitals, and this covers the hospitals responsibilities to us, as well as ours to them. One bit of this involves providing samples that are fit for purpose (fully labelleed, adequate in volume, etc), and yet we have to reject a goodly proportion of samples sent to us because they are either poorly labelled or are just plain inadequate in volume (and this is after me regularly having a rant at TAG meetings).
  10. Malcolm Needs
    Yes, I thought that availability could be a problem.
  11. Malcolm Needs
    , but then a procedure stating transfusion staff involvement might just be easier to do?
  12. Malcolm Needs
    Have you tried getting supplies from the Bio Products Laboratory in the UK. I believe I am correct in saying that they have been awarded an FDA licence. That having been said, I do not know about availability or price, but if you are short it could be worth a try.
  13. Malcolm Needs
    Yes, I meant anti-C3c in my earlier post; not anti-C3b. 54 and I still don't know what I'm talking about!!!!!!!!!!!!!!!!!!!!!!!!!!
  14. Malcolm Needs
    Hmmm, I have my doubts.
  15. Malcolm Needs
    Well, we are the blood supplier, but yes, we do test most (if not all) units for high titre ABO antibodies and put the information on the blood bag labels.
  16. Malcolm Needs
    No! I wouldn't be seen dead in an aluminium suit, and as for those sun glasses!
  17. Malcolm Needs
    That's an excellent point about giving group O blood in case of maternal IgG anti-A and/or anti-B, but at the same time you should also make sure that the unit is negative for high titre anti-A and/or anti-B.
  18. Malcolm Needs
    Sorry, I've had a look on the internet in the UK, and I can't find any either.
  19. Malcolm Needs
    I missed that bit John. I agree with your obvious worries about this.
  20. Malcolm Needs
    I don't I'm afraid. I know that one used to have to order them directly from Montgomery Scientific Publications.
  21. Malcolm Needs
    Hi David, The card containing all of these reagents is produced by DiaMed, but I seem to remember that Anna (galvania) saying that it is only on sale in Europe. It is what we routinely use, but it must be remembered that we are a Reference Laboratory (something I forget myself sometimes when I'm posting on here, and answering a question from a Hospital Blood Banker) and so many of the samples referred have already been tested by either broad spectrum reagents or by monospecific anti-IgG and anti-C3d. Just occasionally, we receive a sample from a patient who is clinically showing a picture of WAIHA, but with a negative DAT at the hospital, that gives a positive DAT in our hands with anti-IgA only. I attach a not very good photograph so that you can see what the card looks like. :) IgA DAT.zip
  22. Malcolm Needs
    Hi Tristram, Please could you tell me what you were able to rule out with your first panel, and what you were trying to rule out with your second? This is quite important information to know before making any suggestions. Thanks.
  23. Malcolm Needs
    Well, a lot of people have accused me of having a split personality!
  24. Malcolm Needs
    We use monospecific anti-IgG, anti-IgA, anti-IgM, anti-C3b and anti-C3d in a gel card, with a control column.
  25. Malcolm Needs
    We get irritated when they ask for blood!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! :D:D
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