Beep beep! While strolling through the streets of London, I couldn’t resist taking a photo with the adorable, little red car that actually made me look tall for a change!
Here’s an unrelated medical story I’d like to share with you for some #midweekmotivation ! 🏽#truestory
Yesterday I ordered 2 units of blood to transfuse a patient with dropping haemoglobin levels. Looking through his old reports, I found out that he had a rare blood disorder - a cold agglutinin disease - that causes haemolytic anaemia i.e. causes his blood count to drop. I hadn’t come across this disease outside of text-book contexts so it was fascinating to see first hand!
After re-checking his blood tests and confirming that the auto-immune anaemia wasn’t flaring, I spoke with the on-call haematology consultant who told me that the blood needed to be heated prior to transfusion to stop his cells clumping together. The problem was...nobody on the ward knew how to warm the blood!
My colleague and I joked that we’d rub the bag of blood in between our hands until it got to the 40 degree target. But, of course, that wasn’t the solution.
I called the transfusion lab - they weren’t sure- they only provide the blood at room temperature. I hung up and went to the High Dependency Unit. They didn’t have the device available! I called a few other wards - dead ends again - how frustrating! I kept trying. I called the haematology team again, no answer. Then I tried emergency theatres who pointed me to an operating department practitioner (odp) who knew where the devices were kept! Success!
It was a long and winding road but I eventually found the warming device and, after what seemed like a lifetime later, a bag of correctly matched red blood cells was flowing through the blood warmer and into the patient’s system! It was just a little win but it made my day - I was so glad that I persevered for the sake of my patient!
For me, this was a lesson of patience and perseverance. Whatever you’re working on right now, even though you’ll face bumps in the road, you have to keep going, keep trying because it will be worth the extra effort when you finally reach your destination 🏽 #humpday - 1 hour ago