The Emergency Room, transfusions and blood donors
I dont know if it was the severity of my condition, or the fact that my mother is good friends with a big cheese at the hospital, but I didn’t sit in the little waiting room out side the ER for more than 10 minutes. I was on a stretcher, IV’s were inserted at my wrist and the anticubital (the bend of the arm), an EKG was performed and away we went. In the outside world the results of a Complete Blood Count(CBC) test takes a few days, in the ER, it takes less than an hour. The results said my blood was in a downward spiral. I needed a transfusion. So we—-my mother, my father, and my brother(who drove in record time from Baltimore), and I—-waited. And waited.
Here comes a complaint. And no it has nothing to do with the tedium of waiting hours and hours in a emergency room, that is to be expected. Every patient there feels they are the priority, they are all in some degree of emotional or physical discomfort, their problem is the most important one. That mixed with an intensified, chaotic atmosphere equates to mass confusion—my father insists the problem is the staff spinning their wheels, my mother thinks its a case of too many cooks spoiling the broth—whatever the problem, there is an undeniable lack of progress.
Back to my complaint. While waiting I recieved a chest X-ray. According to the National Institute of Health, a chest X-ray is ordered with chest pain (I had no complaints of chest discomfort), persistent cough or the coughing up of blood ( forget about blood,I havent coughed since at least December), or trouble breathing (my oxygen saturation never fell below 100, breathing was of no issue).
The reasoning behind that X-ray is layered: its covers the hospital just in case they face a malpractice suit down the road where a missing chest X-ray is the smoking gun, it most likely falls under the routine procedure tag a.k.a following mindless protocol; But most importantly its another line on the hospital’s itemized bill, another service that needs to be paid.
[I have requested the itemized bill of my hospitalization, when I receive it I will post the price of that X-ray and everything else. The eradication of fee-for-service health care will be addressed on this blog---probably ad nauseam---in the future, for now I will get back to the story]
A little more than eight hours after I entered the hospital my first bag of blood was hung. The transfusion ran through the catheter inserted at my wrist. Prior to all this the phrase blood transfusion sounded complicated, terrifying, and something I was positive I wanted nothing to do with, I was misinformed. A blood transfusion is the most painless, boring, unnotable process you can go through. During the two I had done on my first night in the hospital I ate dinner, read, used the bathroom, watched TV and slept throughout.
Lost in the chaos of my first day and night in the hospital was the ability to reflect, I’ll make up for it now. I’m a wimp, I never have donated blood in my entire life, I made excuses when my father or my friends went and gave blood…to busy, to tired, deep down always to scared.
Thank you to those who have given blood and continue to do so, it—-not to be a bumper sticker—-truly does save lives. As soon as I am cleared, donating blood is a priority. Enter your zip code here to find out where you can donate.





July 7th, 2009 at 8:43 pm
Two posts in, and I’m already really liking this. Particularly enjoy your ER complaint. I was in the ER once (for something much less serious), and there was a lot of unnecessary testing and plenty of guesswork on the doctors’ part.
Insightful stuff, keep it up.
August 6th, 2009 at 7:04 pm
Hi
I’m starting at the beginning with your journey.
My bro was diagnosed with AA today.
I’m greedy for info, there’s a bunch of med stuff online but few real patient stories.
So thank you for writing this, and godspeed.
August 6th, 2009 at 7:15 pm
Riz,
Sorry to hear your brother was diagnosed with AA, but at least he has knows the issue now, and he has the peace of mind that it can be treated. For me those few days the doctors stared at me with blank faces and said “we don’t know what’s wrong” were the worst.
Please do not hesitate to e-mail me with any questions, concerns,etc.
And please give your brother my best. Great that he has family to support him, it makes it that much easier.
-MCS
August 8th, 2009 at 8:33 am
Matthew
Thank you very much for replying. I completely understand how awful the waiting and not knowing is: my brother, who’d been feeling tired, and bruising easily, went to give blood and was found to be anemic and told to see his doctor, which he did, and the doctor sent him to hospital. That was Thursday 30th July. The next day he had a bone marrow biopsy, chest X ray, ECG and a whole load of other tests and transfusions. He was sent home for the weekend with very little info – I’m still angry about that – and had a pretty normal weekend. On Sunday night he began vomiting and having diarrhea and was readmitted as an emergency on Monday. When I went to see him he looked dreadful.
He was stabilised, and given more transfusions and tests but it wasn’t until Thursday that the working diagnosis was AA.
Meanwhile, I’d been frantically reading everything I could find about pancytopenia, looking at his blood test results, working out that the WBC was way too low to be Leukemia or lymphoma but nobody would tell the patient, or family, anything much at all. It was utterly hideous and terrifying, and I’m only at one remove, how much more dreadful it must have been for my brother and his wife.
So your story here has been a godsend. I’m going to tell my family about your blog and let them know that it is here when they are ready to look. It’s been such a shcok and because of the reading, I’m a week ahead of everyone else in the family.
I hope that your supportive treatment and your family and friends continue to help you and I’m sending you very best wishes for strength and healing from here in the UK. Thank God we have free healthcare in the form of the NHS (National Health Service) – your struggles with the system are awful to read about and can’t be helping things.