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Re: RTHR, blood donation and transfusion

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Eileen:

I'm 45 and have had two new hips in 3 years. I donated 2 pints of my

own blood ahead of time for each operation. This seemed to be

standard operating procedure (pun intended) for my surgeon.

-Ed

>

> My 46 year old husband is scheduling a RTHR soon. One of the things

> mentioned in the information provided about the THR sugery is that

it

> may be necessary to have a blood transfusion as a result of the

> surgery and that you might need to donate your own blood if your

> physician prescribes it.

>

> Why shouldn't he donate his own blood ahead of time regardless?

> Wouldn't it be so much better if a transfusion is needed to have

his

> own blood and are there reasons that someone would not donate ahead

> of time even if they are deemed healthy enough? It seems like a

great

> precaution.

>

> I'd be interested in hearing what others with THR have experienced

> regarding autologous donation and transfusion. Thank you.

>

> Eileen

>

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I'm 56 and had a TLHR on 2/4/09; donated a unit of blood exactly a week before

my surgery and received it as a transfusion in the recovery room--

Jane

---- emiller_22207 <emiller_22207@...> wrote:

> Eileen:

>

> I'm 45 and have had two new hips in 3 years. I donated 2 pints of my

> own blood ahead of time for each operation. This seemed to be

> standard operating procedure (pun intended) for my surgeon.

>

> -Ed

>

>

> >

> > My 46 year old husband is scheduling a RTHR soon. One of the things

> > mentioned in the information provided about the THR sugery is that

> it

> > may be necessary to have a blood transfusion as a result of the

> > surgery and that you might need to donate your own blood if your

> > physician prescribes it.

> >

> > Why shouldn't he donate his own blood ahead of time regardless?

> > Wouldn't it be so much better if a transfusion is needed to have

> his

> > own blood and are there reasons that someone would not donate ahead

> > of time even if they are deemed healthy enough? It seems like a

> great

> > precaution.

> >

> > I'd be interested in hearing what others with THR have experienced

> > regarding autologous donation and transfusion. Thank you.

> >

> > Eileen

> >

>

>

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Prior to both of my hip replacements, I donated a unit of blood to myself and I

received each unit back during surgery without any problems.

From: sdh09876 <jeeiama@...>

Subject: RTHR, blood donation and transfusion

Joint Replacement

Date: Monday, February 9, 2009, 1:38 PM

My 46 year old husband is scheduling a RTHR soon. One of the things

mentioned in the information provided about the THR sugery is that it

may be necessary to have a blood transfusion as a result of the

surgery and that you might need to donate your own blood if your

physician prescribes it.

Why shouldn't he donate his own blood ahead of time regardless?

Wouldn't it be so much better if a transfusion is needed to have his

own blood and are there reasons that someone would not donate ahead

of time even if they are deemed healthy enough? It seems like a great

precaution.

I'd be interested in hearing what others with THR have experienced

regarding autologous donation and transfusion. Thank you.

Eileen

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Thanks everyone for the feedback. Lots to think about!

Eileen

From: Joint Replacement

[mailto:Joint Replacement ] On Behalf Of

jcraig@...

Sent: Monday, February 09, 2009 5:21 PM

Joint Replacement

Cc: emiller_22207

Subject: Re: Re: RTHR, blood donation and transfusion

I'm 56 and had a TLHR on 2/4/09; donated a unit of blood exactly a week before

my surgery and received it as a transfusion in the recovery room--

Jane

---- emiller_22207 <emiller_22207@... <mailto:emiller_22207%40> >

wrote:

> Eileen:

>

> I'm 45 and have had two new hips in 3 years. I donated 2 pints of my

> own blood ahead of time for each operation. This seemed to be

> standard operating procedure (pun intended) for my surgeon.

>

> -Ed

>

>

> >

> > My 46 year old husband is scheduling a RTHR soon. One of the things

> > mentioned in the information provided about the THR sugery is that

> it

> > may be necessary to have a blood transfusion as a result of the

> > surgery and that you might need to donate your own blood if your

> > physician prescribes it.

> >

> > Why shouldn't he donate his own blood ahead of time regardless?

> > Wouldn't it be so much better if a transfusion is needed to have

> his

> > own blood and are there reasons that someone would not donate ahead

> > of time even if they are deemed healthy enough? It seems like a

> great

> > precaution.

> >

> > I'd be interested in hearing what others with THR have experienced

> > regarding autologous donation and transfusion. Thank you.

> >

> > Eileen

> >

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Eileen,

I had RTHR surgery (anterior) on 12-8-08. I donated 2 units of my own

blood, which the OS didn't use during surgery.

Unfortunately, after surgery, my hematocrit dropped to 26% (39% is

minimum for men). In other words ,I was very anemic. I was told that

this was due to my blood donations, not the surgery.

I had a transfusion with my own blood the next day, but the hematocrit

dropped to 23. The OS said, he'd prefer not to do a second transfusion,

since the risk outweighed the benefits.

I've been on prescription iron supplements ever since. My " crit " is up

to 38.

I'm having the other hip done in March and the OS suggested I do only

one donation, instead of two.

Ed

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As I had posted yesterday, this is the reason why my OS does NOT have

patients donate blood prior to surgery because the donation ITSELF

creates the need.

On Feb 10, 2009, at 6:55 AM, Eddiegr wrote:

> Eileen,

> I had RTHR surgery (anterior) on 12-8-08. I donated 2 units of my own

> blood, which the OS didn't use during surgery.

> Unfortunately, after surgery, my hematocrit dropped to 26% (39% is

> minimum for men). In other words ,I was very anemic. I was told that

> this was due to my blood donations, not the surgery.

> I had a transfusion with my own blood the next day, but the hematocrit

> dropped to 23. The OS said, he'd prefer not to do a second

> transfusion,

> since the risk outweighed the benefits.

> I've been on prescription iron supplements ever since. My " crit " is up

> to 38.

> I'm having the other hip done in March and the OS suggested I do only

> one donation, instead of two.

> Ed

>

>

>

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I wound up needing two units of blood during my surgery. BT info was

included with the surgical info package, but it didn't even cross my

mind that I would need one.

When I woke up from the surgery, the first thing I asked was the time.

It was 4 hours after my scheduled surgery time and the doc told me it

would take 1.5 - 2 hours. I asked what took so long and that's when

they told me I needed two units and the surgery couldn't continue until

that issue was stabilized. I'm told it happened pretty much when he cut

into me.

My poor husband was in the waiting room wondering why my surg was

taking so long.

Don't know if this answers your question. I didn't donate my own blood

in the event of a transfusion. Next time, (if there is one), I might.

I'm wondering if this is a common thing with this type of surgery? I

thought I was just a bleeder and what happened to me wasn't all that

common.

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For what it is worth..

I asked my doctor about donating blood. I was concerned because I have had a

kidney transplant and was concerned that receiving antibodies that would

make an other transplant (if needed) a serious problem. He said that I

should not worry about that as they would use blood in such a way that it

would not be aproblem.

I any event, I did not give blood and did hot need any. Happy ending

On Wed, Feb 11, 2009 at 3:49 PM, <sparksals@...> wrote:

> I wound up needing two units of blood during my surgery. BT info was

> included with the surgical info package, but it didn't even cross my

> mind that I would need one.

>

> When I woke up from the surgery, the first thing I asked was the time.

> It was 4 hours after my scheduled surgery time and the doc told me it

> would take 1.5 - 2 hours. I asked what took so long and that's when

> they told me I needed two units and the surgery couldn't continue until

> that issue was stabilized. I'm told it happened pretty much when he cut

> into me.

>

> My poor husband was in the waiting room wondering why my surg was

> taking so long.

>

> Don't know if this answers your question. I didn't donate my own blood

> in the event of a transfusion. Next time, (if there is one), I might.

>

> I'm wondering if this is a common thing with this type of surgery? I

> thought I was just a bleeder and what happened to me wasn't all that

> common.

>

>

>

--

P Kollin

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Hi,

For my first operation 20 years ago I donated my own blood but did

not need it. For my more recent revision I did not donate and did

not need any blood. My revision will need to be revised shortly and

my OS says he may need 2 units. I think the blood supply is much,

much safer today than 20 years ago and I will skip the donation (also

my insurance will not cover the extra cost of a donation of my own

blood, but will cover any blood needed in surgery).

Jon

>

> > I wound up needing two units of blood during my surgery. BT

info was

> > included with the surgical info package, but it didn't even cross

my

> > mind that I would need one.

> >

> > When I woke up from the surgery, the first thing I asked was the

time.

> > It was 4 hours after my scheduled surgery time and the doc told

me it

> > would take 1.5 - 2 hours. I asked what took so long and that's

when

> > they told me I needed two units and the surgery couldn't continue

until

> > that issue was stabilized. I'm told it happened pretty much when

he cut

> > into me.

> >

> > My poor husband was in the waiting room wondering why my surg was

> > taking so long.

> >

> > Don't know if this answers your question. I didn't donate my own

blood

> > in the event of a transfusion. Next time, (if there is one), I

might.

> >

> > I'm wondering if this is a common thing with this type of

surgery? I

> > thought I was just a bleeder and what happened to me wasn't all

that

> > common.

> >

> >

> >

>

>

>

> --

>

>

> P Kollin

>

>

>

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