Thursday, August 31, 2006

A long break...

Taken a long break from blogging... have been busy with preparations for my Internal Medicine boards... 6 more days to go...
 
Transfusion Medicine has been a good rotation... lots of free time to study for boards...
 
Overall it has been a good month... certainly the exposure to how blood banking works has been educational to say the least. A field of medicine that I have had very little exposure to in medical school and residency.
 
Things I have learnt in Transfusion Medicine (TM):
1. The word 'Clinician' is often a bad word in TM. It is often amusing to hear what the TM folks say about us 'consumers' of their precious products. The term 'Clinician' is also often accompanied by a smirk, and rolling of the eyes.
2. Cross matching can sometimes be a long, complicated process when patients have all kinds of allo-antibodies. I will have to learn to be patient when ordering blood products the next time.
3. Platelet refractoriness, the methods to test for it (FLAP, Luminex), and the ways to get around the allo-immunization. Often an area of disagreement with the 'clinicians' as well.
 
To be continued...

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