[HSF] blood product in open heart surgery

Sun Apr 1 20:19:43 EDT 2007

Miranda !! sge is Claudia !! to us.
Prasanna

On 3/31/07, erdinç naseri <enaseri at hotmail.com.tr> wrote:
>
> Dear Miranda,
> Thank you for clarification. It releaved me to know that at
> least  inBrazil
> there are some centers with the facilities close to us..Any way at least
> in
> the next 10 years I will be working as my own bare foot hematologist(
> reference to chinese medical system during the great famine days).
> erdinc
> PS:hematologists are not very interesred in this type of job.( at least
> those whom I know)
>
>
> >From: "claudia miranda" <cvteles at gmail.com>
> >Reply-To: OpenHeart-L at lists.hsforum.com
> >To: OpenHeart-L at lists.hsforum.com
> >Subject: Re: [HSF] blood product in open heart surgery
> >Date: Mon, 26 Mar 2007 17:11:23 -0300
> >
> >Prasanna,
> >
> >You are so kind, as always.
> >I would like very much  to see you operating. It must be showtime! :-)
> >In Brazil it is common for a physician to have many jobs. I spend my
> >wednesday nights inside a local small hospital ICU, where I keep my hands
> >skilled with the procedural part of my intensive care nature  - and every
> >other week I spend 12 hours during the weekend  in a prehospital setting
> >emergency system gathering the pieces of some trauma victims - this is
> only
> >to keep my epinephrine circulating. :-)
> >I still work in that government hospital, but not in the post surgical
> ICU
> >- recently I was invited to be the responsible for the anticoagulation
> and
> >hemostasis clinic there, and also to work as a clinical research
> physician.
> >I do this during the morning. In my private practice,  I take care of the
> >hemostasis lab of one of the best hospitals in my town,  during the
> >afternoon.Right now, I am writing to you from this private hospital´s ICU
> >-
> >which is right beside the lab, and where I spend a lot of time, attending
> >rounds, discussing lab results, etc.
> >Now, of course I was pulling his leg.
> >We did not have an hematologist at our hospital until recently.
> >Ten years ago, the blood bank coordinator in the poor government hospital
> >where I developed my practice was a paediatrician. The blood bank was a
> >small cubicle with a fridge, and a microscope. She decided to take care
> of
> >that because no hematologist was available in the state government health
> >care department that would voluntarily apply for the job.
> >This nice and caring doctor - who became by practice a true commited
> >hemotherapist and hematologist,  has enrolled a specialization course and
> >was kept on charge during all these years - but she´s  had a lot of hard
> >work, many times performing selfteaching and lonely research to discover
> >how
> >to deal with some problems. She now counts with two hematologists and
> >several technicians with her, both of the docs did medical residence
> >training in hematology/hemotherapy like me, but since I am the
> >only hematologist in the hospital who also has critical care and
> >cardiovascular background, and who is deeply interested in coagulation
> and
> >hemostasis,  I pilot the rotational  thromboelastometer at the OR
> together
> >with the anaesthesiology team, and also  take care of the anticoagulation
> >clinic - which is fastly becoming an independent department at our
> >hospital.
> >We only achieved this number of professionals after many years of
> constant
> >complaints to our health system administrators who, most of times simply
> >ignore the need for a specialized professional for running the blood
> bank.
> >
> >Erdinc, I believe you have a hospital, and I understand your point of
> view,
> >of course, but your institution will improve a lot in quality if you
> demand
> >from the ones who set the rules that they bring you an hemotherapist and
> >hematologist who really enjoys the job. Find an hematologist who enjoys
> >molecules, cells and coag cascades to help you. Molecules are important
> for
> >surgeons and anaesthesiologists.
> >
> >My 0,00000000000000000000002 brazilian cents.
> >
> >Claudia Teles, MD
> >Hematologist and Intensivist
> >Hemostasis Lab Medical Coordinator  - Pro Cardiaco Hospital
> >Anticoagulation Clinic - Instituto Estadual de Cardiologia Aloysio de
> >Castro.
> >
> >
> >
> >
> >
> >
> >2007/3/23, prasannasimha <prasannasimha at gmail.com>:
> >>
> >>Erdinc,
> >>She is pulling your leg . She has also worked in a government hospital
> >>before going to a plush job in private practice. She has gone through
> >>the same trials and tribulations as us . She has struggled to become a
> >>top notch hematologist now and I always wait for her opinions on
> >>hematological problems.
> >>Prasanna
> >>erdinç naseri wrote:
> >> > Claudia,
> >> > Although I completely agree with you that a medical school hospital
> >> > must have a well developed blood bank and at least a hematologist, I
> >> > am sure that not all the hospitals in the world have a hematologist(
> >> > even USA) and still they are considered as hospitals .
> >> > Erdinc Naseri
> >> > Tokat medical school-Turkey
> >> >
> >> >> From: "claudia miranda" <cvteles at gmail.com>
> >> >> Reply-To: OpenHeart-L at lists.hsforum.com
> >> >> To: OpenHeart-L at lists.hsforum.com
> >> >> Subject: Re: [HSF] blood product in open heart surgery
> >> >> Date: Fri, 23 Mar 2007 14:04:33 -0300
> >> >>
> >> >> WHAAAT?
> >> >> No hematologist in the hospital??????
> >> >> Then you don´t have an hospital at all.
> >> >> :o)
> >> >>
> >> >> Claudia Teles, MD
> >> >> Hematologist- Intensivist
> >> >> Lamina Laboratories - Pro Cardiaco Unit
> >> >> Anticoagulation and Hemostasis Clinic
> >> >> Instituto Estadual de Cardiologia Aloysio de Castro
> >> >> Rio de Janeiro, Brazil.
> >> >>
> >> >>
> >> >>
> >> >>> No hematologist in the hospital
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-- 
Prasanna Simha M