[HSF] blood product in open heart surgery

Sun Apr 1 23:52:51 EDT 2007

Prasanna & all,

Full name Claudia Miranda Teles.
Claudia for the friends - like in CCM-L or HSF.
Dr Miranda or Dr Teles professionally.

Best,

Claudia

2007/4/1, Prasanna Simha M <prasannasimha at gmail.com>:
>
> 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
> _______________________________________________
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