How to Post

[L106]

Just checking if this is how you post a new thread.

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[tbostock]

A suggestion for all who post: try to put a key word or two in the post title. It's more helpful than a generic "help" or "hi guys, can you help" title. Makes it easier to search if you have a key word in the title too. Thanks to all.

[DR VAISHALI]

hi. i have recently joined this community. i want to post new questions regarding blood bank equipments like refrigerator and deep freezer and gel cards. so pls help.

[Malcolm Needs]

hi. i have recently joined this community. i want to post new questions regarding blood bank equipments like refrigerator and deep freezer and gel cards. so pls help.

If you go to the Forum, and scroll down to Equipment, and double click on "Equipment", all of the threads under this subject will appear. Somewhere near the top, towards the left hand side, you will see an icon that says (something like) "NEW THREAD".

You just click on that, chose a heading, and then away you go!!!!!!!!!

[irshadaad]

i want know composition of modified LISS

[Stoogiesfreak]

We currently have a patient that we have crossmatched and transfused many times over the past year. This patient has been typed as A Neg by six different blood bank techs and received at least 16 units all A Negative. He is receiving chemo, but the dosage has been lowered.
Last week he came in again and this time he is typing as A Positive - very weak +/- to 1+ on immediate spin. This in on four different sample all collected by 4 different phlebotomists.
I am lost for an explanation. In the meantime we have decided to leave him as A Neg and give A Neg if necessary. Any ideas? I am starting to lean in the area of something to do with his chemotherapy. Help! Thanks, John

[Malcolm Needs]

We currently have a patient that we have crossmatched and transfused many times over the past year. This patient has been typed as A Neg by six different blood bank techs and received at least 16 units all A Negative. He is receiving chemo, but the dosage has been lowered.
Last week he came in again and this time he is typing as A Positive - very weak +/- to 1+ on immediate spin. This in on four different sample all collected by 4 different phlebotomists.
I am lost for an explanation. In the meantime we have decided to leave him as A Neg and give A Neg if necessary. Any ideas? I am starting to lean in the area of something to do with his chemotherapy. Help! Thanks, John

Could you tell us why the patient is having chemotherapy? There are certain haematological oncology conditions where it is known that the D antigen is weakened, in some rare cases, so much so that an apparant anti-D is produced.

[Stoogiesfreak]

Hi Malcolm,

This particular patient is in end stage lung cancer.

Thanks,
John

[aakupaku]

Patient is receiving A Neg units so how can he produce Anti-D?
Did he receive any IV IgG?
Any plasma or platelets? I am thinking regarding passive anti-D???

Can you check to see id anti-D IgM/IgG/ mixture of both?

[Stoogiesfreak]

This patient was scheduled to receive platelets, but they reduced his chemo dosage and his count responded and platelets were not given. Our Anti-D sera is a mixture. I also checked and he has not been at any other facility. There is no record of IgG being given. Sorry, I wish I had more information.
Also, the patient's antibody screen is negative and an ID panel was performed just to rule out anything and we did not pick up anything on an ID panel either. ???

Thanks,
John