Sunday, 25 May 2008

Haemoglobin...

So, one of my patients is probably, to put it mildly, a little anaemic. For those of you out there who are medical people, you know pre -op bloods are important before surgery. One of our guys who came in for surgery tomorrow, walking, talking, laughing, having travelled from Nigeria (!!)was found to have a haemoglobin of 3.6. I am not kidding you, 3.6! Man alive (normal Hb of someone without severe medical problems would be at least 12). We get twitchy in my hospital if an HB is less than10, transfuse under 8, and under 5... well. But 3.6!!?? We'd all be having hernias by now, seriously too close to 0 for my liking.
Instead, the blood from one of our crew was calmly drawn a little later, and one unit given and his blood to be checked again tomorrow. Our blood supply is our crew on board, so we are all on alert to be called day and night in case we're needed. Yes things are a little different here, I guess that's why I love it so much!

1 comment:

sarah said...

Oh my goodness! that's crazy low! I work in a lab and I've never had someone walk in to the clinic with a Hb under 5 - and usually those in the 5's are leukaemia patients and aren't feeling too good! Wow!