Anti-D with no hx of tranfusion and no recent pregnancies

[L106]

Oh, I remember those days, too, when the "AA" (Australian Antigen) test was new and somewhat experimental. I also remember a situation where one of our hematologists/oncologists solicited several of us in Blood Bank to be drawn for a unit of blood in the morning so we could centrifuge them and make "fresh" platelet concentrates to give to a patient having surgery that afternoon. (Boy, what we do for our jobs sometimes!! Talk about customer service!)

[Advertisement]

[AMcCord]

I've also been a walking blood bank in the past. I got called in one day on my day off years ago because there was a bad trauma case and they needed more hands. Once I got there, I was asked my blood type and the medical director decided they needed my blood worse than they needed my hands! One of our local state troopers and the hosptial CEO were O neg. They got a lot of calls and were always very willing donors.

The craziest situation was that one of our surgeons always wanted 'fresh, whole blood' and he would march over from surgery once his patient was on the way to the recovery room, demand that we draw a unit of his blood, grab the unit out of our hands immediately after we pulled the needle from his arm and take it straight to the patient and hang it. (We scrambled to do the quickest crossmatch we could once he stomped out the door, blood in hand.) Crossmatch? He didn't need no stinking crossmatch!!! His blood was perfect. Our medical director lacked the fortitude to stop him. Those were the days..........and I'm glad they are dead and gone!

[Malcolm Needs]

I've also been a walking blood bank in the past. I got called in one day on my day off years ago because there was a bad trauma case and they needed more hands. Once I got there, I was asked my blood type and the medical director decided they needed my blood worse than they needed my hands! One of our local state troopers and the hosptial CEO were O neg. They got a lot of calls and were always very willing donors.

The craziest situation was that one of our surgeons always wanted 'fresh, whole blood' and he would march over from surgery once his patient was on the way to the recovery room, demand that we draw a unit of his blood, grab the unit out of our hands immediately after we pulled the needle from his arm and take it straight to the patient and hang it. (We scrambled to do the quickest crossmatch we could once he stomped out the door, blood in hand.) Crossmatch? He didn't need no stinking crossmatch!!! His blood was perfect. Our medical director lacked the fortitude to stop him. Those were the days..........and I'm glad they are dead and gone!

Hmmm. I'd be a bit worried about his blood-borne viruses.

I wonder if he ever worried how much the damages would be were his blood to infect the patient with, for example, Hep C?

[TimOz]

Walking blood banks are not uncommon in very remote part os Australia. It is organised and potential walking donors are prequalified, tested and are screened for infectious diseases on a routine basis. They are not used except as a last resort like a mining disaster in a very remote area. Better to preplan and keep the potential donors tested. There os not guarantee that you will hit a window period infection but this system lowers the risk significantly.

[jeanne.wall]

Hmmm. I'd be a bit worried about his blood-borne viruses.

I wonder if he ever worried how much the damages would be were his blood to infect the patient with, for example, Hep C?

I remember those docs as well! My experiences were when Hep C was non A, non B hepatitis and a long time before litigation - physicians were Gods and no one would consider suing a doctor! Now days, those kinds of docs would be out on their cans – no physician would consider that kind of behavior. Blood Banking certainly has changed in the last 40 years, it isn’t just about the knowledge, the technology, and the reagents – climate too! Maybe even for the better, although there is something to be said for the “good old days”

[L106]

I've also been a walking blood bank in the past. I got called in one day on my day off years ago because there was a bad trauma case and they needed more hands. Once I got there, I was asked my blood type and the medical director decided they needed my blood worse than they needed my hands! One of our local state troopers and the hosptial CEO were O neg. They got a lot of calls and were always very willing donors.

The craziest situation was that one of our surgeons always wanted 'fresh, whole blood' and he would march over from surgery once his patient was on the way to the recovery room, demand that we draw a unit of his blood, grab the unit out of our hands immediately after we pulled the needle from his arm and take it straight to the patient and hang it. (We scrambled to do the quickest crossmatch we could once he stomped out the door, blood in hand.) Crossmatch? He didn't need no stinking crossmatch!!! His blood was perfect. Our medical director lacked the fortitude to stop him. Those were the days..........and I'm glad they are dead and gone!

How can you not respect a hospital CEO like that?

As for your second paragraph - amazing. I can only imagine how impressed his patients were when he described to them how he first saved their life in surgery, then saved it a second time with his one unit of blood!!! (Can you spell the word "EGO?")

[dal6164]

your patient by chance does not have thrombocytopenia does she? we had a doctor who used to give medication called WinRho for thrombocytopenia and it is nothing but anti-D. Hope this helps

[dal6164]

check to make sure the patient is not on WinRho I have had patients that received this drug for thrombocytopenia and it is anti-D

[bbbirder]

WinRho is only given to Rh positive patients with ITP (and not that often).

My mom formed anti-D more than 40 years ago when she was transfused when my younger sister was born. Her transfusions were from walking donors, at least one of whom was Rh positive. She still has the antibody (very strong) all these years later.