[HSF] blood product in open heart surgery
Prasanna Simha M
prasannasimha at gmail.com
Mon Apr 2 09:21:04 EDT 2007
Thanks Claudia and the Croatian typewriter has different alphabets so my
spelling is disastrous !!
On 4/2/07, claudia miranda <cvteles at gmail.com> wrote:
>
> 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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