top of the mornin' to you...


email me. I have many pages of abstracts that show or prove the benefits of non-blood approach.

__________________
Mr. Jan B. Wade
Blood Management Consultant
Enhance Outcomes - Control Cost
For Information Call - 360 296-1807
Email

I suppose I should end this email with 'have a nice day!' then

Hi Jan
Thanks for the reply to my email.
What I really need is up to date info and data on work done in other centres which has resulted in a change in policy in blood prescription. I think this evidence based approach is what is necessary for the medical profession.
I am hoping to do a presentation to the Women and Child Healthcare Directorate and give them data from these other centers and also to do a retrospective audit on antenatal Hb on patients who have had a post delivary transfusion and hopefully give an obvious starting point in our efforts to reduce the amount of blood we are using. I think out problem is the amaenic state of our general population and the lack of pre-op/delivary optimisation
I will hopefully do the same with the medical and surgical directorates
Again, I think this is a fab web site and can see me using it very frequently.

Hope you can help

Regards

Aine

Aine,

We who participate at NoBlood believe evidence is necessary to prove the benefits of bloodless medicine to the majority of medical centers. Associations like SABM and NATA have said they would work to provide such. The evidence is slow at arriving. At least two private companies have developed software that promises to collate and report case data. Unfortunately the hospitals in contact with this website have not shared their data IF they have any. This is probably due to the lack of a reporting center or initiative. Hopefully someone will step up and attempt to take a leadership role in proving the efficacy of blood alternatives by seeking out what data dwells in existing bloodless centers.

In the mean time we have the published studies such as the ones I have offered to send to you.

__________________
Mr. Jan B. Wade
Blood Management Consultant
Enhance Outcomes - Control Cost
For Information Call - 360 296-1807
Email

Hi Jan

Can you send me the abstracts that you do have as they will probably make a good baseline to work from.

Thanking you in anticipation
Aine

Sure- email me with your email.

:-)

__________________
Mr. Jan B. Wade
Blood Management Consultant
Enhance Outcomes - Control Cost
For Information Call - 360 296-1807
Email

My brother-in-law's red blood cell count is not increasing, he is at 3.2. The doctors are giving him the procrit and iron. Also Vit B12 and folic acid once a week. What else can we do for him?

How long has he been receiving the anemia treatement? How did he become so anemic?

__________________
Mr. Jan B. Wade
Blood Management Consultant
Enhance Outcomes - Control Cost
For Information Call - 360 296-1807
Email

Hi Jan, He has been on life-support for 2 months, he was trached about 2 1/2 weeks ago after my sister forced them. He has developed sepsis, staff, pnuemonia, she had to fight to get his lungs drained. He started getting the CORRECT anemia treatment about 3 1/2 weeds ago. (initially they were'nt giving the iron) He is on morphine, neosenephrin, hepastarch. Ever since they initially refused blood, they have neglected him and my sister has had to fight for proper treatment for him, they want to let him wither away and die, and they won't release him to a bloodless hospital. I saw him for the first time yesterday, he looks like a corpse on life-support., eyes bulging with blood, he is not the same man that walked into that hospital 2 months ago., he has had two dialysis treatments. Out of desperation I started looking on line and found this website looking for some hope, is there possibly anything else we can do to get his red blood count up?

Thanks for the above.

You need to indicate WHY he was placed on life support. In other words what is his primary diagnosis or disease. You are obviously and understandably upset but you need to strip it down to the most simple terms. I will get you started...

• How old is the patient?
• You say he walked into the hospital two months ago...Why? Was he a surgical patient? If so what was he being treated for? What happened to send him to ICU?
• You say he walked into the hospital 2 months ago...was he discharged after that? Has he been re-admitted several times since then?
• Was he anemic before two months ago?
• What drugs was he taking?
• Does he have pre-existing disease (medical troubles)? What are those in detail? For example is he a renal patient? If so is he called an end stage renal patient? Is he on a transplant list etc.
• Is he a cancer patient?
• What type of facility is he in? For example, is it a University Hospital? A community Hospital?
• What city is the hospital in?

Tell the facts beginning with age, weight, smoker/non-smoker (even decades ago) and underlying health conditions. There are many capable nurses (I am not one) and physician's (again not me) that periodically monitor this website who may be able to provide information IF you provide them with something to work with.

Hope this helps you.

Jan

__________________
Mr. Jan B. Wade
Blood Management Consultant
Enhance Outcomes - Control Cost
For Information Call - 360 296-1807
Email