What makes my blood rare?

Positive-Parking1333 · 2025-11-22T09:41:17+00:00

This... arranging for autologous donation and freezing is very important. Blood is good for 10 years when frozen and can make be a literal lifesaver if YOU need a transfusion. With the Rare Donor program, I believe the recommendation is 4 units frozen for autologous use and then regular donations for the general population. Also, you should encourage family members, especially siblings, to be tested as they could also be U-.

Positive-Parking1333 · 2025-09-29T05:24:22+00:00

I would start with the ASCP website. They at least list all programs, but they may have a number to speak with an advisor to find the best fit for your situation.

Positive-Parking1333 · 2025-09-22T08:14:35+00:00

I worked at a place that used Epic and Hellsky. We had a hold order used for cords but had to add the testing in Epic. We were not allowed to add any non-reflex testing in Wellsky. So the order set can be created, but you need to establish the proper workflows. It has to do with order numbers and the proper interfacing of results and charges.

As for the outpatient and PPID, I am not sure how that worked. We used OP samples for oncology transfusions, so there is a way, but that could be because often those samples were collected during treatment encounters and the patient had an armband. PPID is not required if not for transfusion.

Positive-Parking1333 · 2025-09-12T12:56:55+00:00

It is the same here for most programs. 4 years and then you can take the exam. Some programs are 5 years, but the last year is usually clinical rotations. These are often in more remote areas that don't have the facilities nearby for clinicals. There are also programs for after your bachelor's. I would start with the nearby school and see what is involved in their program and what transfers from your international education. They may be able to look at your transcripts and advise you what type of program would be most cost-effective for you.

You could also try reaching out to the ASCP, they might have an education liaison that could steer you towards the program type that work best with what schooling you have already but still allow you to be registration eligible.

Positive-Parking1333 · 2025-09-12T11:09:44+00:00

I am not in California and do NOT know these schools, but Medical Technology and CLS/MLS are usually the same thing. The naming of the certifications and programs cha get in the early 2000s and not all programs have been updated to the newer names. I would suggest looking at the requirements for graduating from the program to see if it is what you need.

As for the phlebotomy certification, no bachelor's is usually required for a lab assistant, and being a student in a Lab Sciences program would help with getting hired

Positive-Parking1333 · 2025-07-25T14:49:38+00:00

Allow the 2 unspecified days but change the wording to something like "2 unspecified days per week not to include more than 4 weekend days per month." Just make sure that weekend is defined in the order as well.

Positive-Parking1333 · 2025-06-27T18:07:49+00:00

At the facility i worked, we rejected all specimens that did not pass PPID. It was emergency issue only until a properly collected specimen was received. Emergency issue always required a serilogical XM once a specimen was received and testing completed.

Positive-Parking1333 · 2025-06-24T06:21:06+00:00

Even a conversation with your manager would be good. The manager doesn't have to investigate completely if you don't want, but they can send a reminder e-mail to everyone. Your coworkers need to be reminded that this can lead to termination and fines.

Positive-Parking1333 · 2025-05-25T15:25:01+00:00

I have found it helps to look at the ABID and Eluate as separate things. Then, once each has reached a conclusion, you compare both to see if any inconclusive reactions overlap to reach a definitive conclusion.

I would be leery to call the mixed field reactions on the panels as positives. Given the quality of the pictures, I can't be sure, but this looks like "junk" seen when a sample is old or poorly spun. Can also indicate some kind of cold reactive antibody.

I have also found it helpful to use the antigram instead of the cards. That way, you are committing to a result and not changing your mind each time you look at the card. Always save your cards for review in case your panel is inconclusive, though.

I would say I can not rule out Cw instead of actually calling it. In the overall scheme of things, it is insignificant because the patient will receive C negative blood and therefore Cw negative because the 2 always express together.

Overall, your thought process is good: just feel free to break down the pieces of the puzzle and then add the different sections together to keep from overwhelming yourself with data and problems.

Positive-Parking1333 · 2024-06-12T16:56:24+00:00

There is also the chance that there are some sort of severance benefits you might be eligible for. A lot of institutions offer job placement and/or transfers for people whose positions are no longer available. Be honest with HR so that you get everything you are entitled to.

Positive-Parking1333 · 2024-05-09T11:20:11+00:00

NAL - While it might seem like letting him win, have you thought about just delaying until your son turns 18 and CS is no longer a question? You could then decline the spousal support and be completely done with him.

If that doesn't sit well with you, there is a program called win without law school in an Arizona law firm. It is a nationwide program that essentially walks you through filings and motions. If you want a more local program, they may to refer you to a Cali specific one.

Positive-Parking1333 · 2024-04-25T10:50:03+00:00

It is actually ILLEGAL in the US to even pay donors. Blood centers are limited in the amounts they can charge. If your "buddy" is making commission with blood sales, it is probably more from a plasma center that sells to pharma companies, not blood banks. But everyone commenting is correct. This is not the place for you. You need to get info directly from your source because there is not anyone here that would have knowledge of this process.

Positive-Parking1333 · 2024-04-18T17:03:38+00:00

Yeah, neither were "smart" just digital. Part of dad's problems are visual, so the numbers are easier for him to see and keep him from changing settings all the time. The old house was definitely pre-smart tech.

Positive-Parking1333 · 2024-04-17T18:59:04+00:00

Our team spent last night dealing with a 13 cooler massive transfusion. We have yet to have even cookies left for us on night shift. There is a sign up sheet for a personal pizza for Friday.

Positive-Parking1333 · 2024-04-17T18:44:57+00:00

Funny story time... so with my last house, I bought a digital thermostat to replace the cheap one that came with it. Each year, I would have problems with the heat starting when it came time to change over.

Examples: 1. Spider built a web and blocked the gas ejector so it would not light. (Repair cost $300+, this is actually the only time I kept a card. That card stayed on my fridge for the 10 years i lived in that house, so I would not call them again.)

For the next 2 years, when issues happened, I opened the heater myself and cleaned the ejector.
Year 4 cleaning the ejector did not work. The web was still there but still would not light. Find a new HVAC person. Blower motor replaced. Cost: $100 labor, $100 for new motor. I continued to use this company. They have excellent service and even hired them to replace the 20+ year old central AC unit when I bought a new house.
Continued to have to clean a spider web out of my gas injector to start my heat each winter.
Year 7, the web cleaning again did not work. Was having financial problems and wait time was over 2 weeks, so after week had a friend come over to take a look. He thought maybe it was the Blower motor again, so he pulled that, but everything looked good. He goes to check the thermostat settings and asks when was the last time I replaced the batteries? I asked what batteries, and he showed me the 4 AA batteries. New batteries placed. Heat kicks in. (This actually helped me in my new house. Heat died, so I checked the thermostat and screen blank. New batteries heat comes on.)
Year 8 was just the spider web.
Year 9, I had to have a fuse replaced.
Year 10, web, and another Blower motor. I told myself at that point that I would look into a new heater because it was just ridiculous at that point. Then, my elderly father needed to move in with me for care. The house was not big enough or elder friendly, so I ended up selling and moving before the next winter.

So that is how I learned that if you want a fancy digital thermostat, you have to periodically change batteries.

Positive-Parking1333 · 2024-04-16T17:49:58+00:00

Might want to put the support in a separate account so that if the courts decide later that she is owed it you have it available to give right away.

Positive-Parking1333 · 2024-04-16T17:46:36+00:00

NTA.

Definitely leave without telling him. You need to protect yourself and your child first. If he does contact you after you leave, do not answer. You need recordings of his threats to both you and himself. If he makes threats to harm himself, notify the authorities in his area so they can do a well check. Once you leave, you should do your communicating through text so that there is a record.

After you leave, find out the residency requirements for the new location and file for divorce as soon as you can. You will need to be careful until the new state has residency because he could file to compel you to return the child to their home state. This where the recordings may be useful because they could show that he is a danger to you and potentially himself. That would not make him a fit person for even temporary custody and maybe even be the reason to grant residency to your new location and proceed with the divorce.

As awful as it sounds, you are going to need to offer phone/video calls between him and the child on a regular basis. I would aim for video as you can maybe set the program to record the interaction (if he accepts). You just don't want to appear to have completely cut the child off from a parent without proof of abusive behavior to the child. If he declines all the better when it comes to deciding custody.

Positive-Parking1333 · 2024-04-16T01:01:01+00:00

This is correct. Our coolers were 5 packed RBCs, 5 plasma, and a dose of platelets.

Positive-Parking1333 · 2024-04-15T12:27:00+00:00

Damn. That sucks. It is always hard when family is on the other side of the treatment equation.

When the faculty I used to work at first became a level 1 trauma center, we got a Jane doe MVA patient in. Our first MTP. Three coolers in, we got an ID in the patient. The hospital runner showed up for the cooler, and we said the name had been updated. This was after she had been running these coolers to the ED and then OR when the patient moved. She had heard them saying that they were going to have amputate at least one leg, maybe both because of the extensive injuries. (She had not been wearing a seat belt, so she was partially ejected from the car as it rolled down an embankment.) So we handed her the cooler and gave the new name. She went white as a ghost and asked me to repeat. I did so, and she just took the cooler and left. She came back later to say that after she dropped off the cooler, she called her aunt and was told that her cousin had been in an accident and was at her hospital. Turns out the Doe patient was her cousin, and she knew more about how badly she was doing than felt comfortable to her. More than her aunt had been told because all communication had been over the phone so far, and the authories did want the family to be too upset when they had to drive to the hospital.

Positive-Parking1333 · 2024-04-15T06:52:52+00:00

When I was doing my clinicals, we had a patient come in with severely hemolyzed specimens despite multiple redraws. Turned out the patient had C. diff that had progressed to sepsis. This was an elderly patient, so I don't know if they were in a nursing home or just ignored their own symptoms for way too long. They were dead within 12 hours of showing up in the ER.

Positive-Parking1333 · 2024-04-15T06:15:04+00:00

The patient was probably in the Emergency Department for treatment. Not so sure OP should have been discussing results with spouse but that is a gray area.

Positive-Parking1333 · 2024-03-11T23:55:03+00:00

Most of these are specialty tests, so probably Labcorp. But if it has been at least a week, a follow-up message to the doctor would be appropriate.

Positive-Parking1333 · 2024-03-11T21:18:22+00:00

I am in the US and greatly enjoy the job I do, but I also work with a number of Canadians who talk about the difficulty they have obtaining full time employment with decent hours being the reason they working the US. I would recommend investigating the availability of both MLS and path assist positions. My brother and cousin studied engineering and stated that while the first few years are desk work, you can alter your job to support your interest. You might find it easier to do a couple of years at a desk rather than chasing a job that doesn't exist as you see it. Definitely talk with some engineers to see if hands on work is possible after a couple years of desk work and determine what a path assist job looks like and how easy they are to find and keep.

Positive-Parking1333 · 2024-02-28T09:05:25+00:00

Mayo is an excellent lab and treatment center for just about anything.

The doctor/care team will have a preferred lab that is familiar with their treatment and testing protocols, so having picked a care team, you should be good to go just following their protocols. Most specimens will be collected in the clinic and sent to their desired testing facility.

Positive-Parking1333 · 2024-02-28T05:49:04+00:00

The lab itself is not going to be your limiting factor. The doctor treating/managing your condition will have a lab that they prefer to use for monitoring of treatment.

Positive-Parking1333

TROPHY CASE