Virtual Clinic v4
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Hmmmm....Originally posted by ndmmxiaomayi:News said one. Nobody tell me. I don't think I misunderstood. I read it.
The initial treatment is by IV fluids 0.9% NaCl solution to the patient, as much as possible because the patient is losing fluid (by losing blood).
Some people may have up to 6 packs of IV fluids transfused per day while the rest who are more severe may go up to 12-15 packs per day (1 pack = 500 mL).
When the condition deteriorates up the point of Dengue Hemorrhagic Syndrome, the best bet is to transfuse platelets (fresh frozen platelets = FFP) because the patient will undergo a complication of blood coagulation disorder which is called Disseminated Intravascular Coagulation (DIVC) whereby the blood will get clot everywhere without any sole purpose because the whole blood coagulation cascade is messed up pretty badly. -
The aim is to treat what the patient loses... plasma is a blood substitute free from cells and corpuscles. You can also use that, but is not very important when patient enters the stage of DHF or DSS and develops the complication...
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hmm... not sure if this has been asked b4...
but then when we donate blood platelet to the leukaemia patients, can we donate a lot of times?? -
When we donate, we donate the whole blood (what the Americans call it packed cells)...Originally posted by coolger03:hmm... not sure if this has been asked b4...
but then when we donate blood platelet to the leukaemia patients, can we donate a lot of times??
We donate once every 6 months to allow the blood cells to recuperate in our body before we can go and donate again...
The blood that we donated will be sent for centrifugation (a device that rotates rapidly and uses centrifugal force to separate substances of different densities) and divided into many other parts based on the components of the blood.
Some may only contain a certain factor (Factor VIII for Hemophilia Type A patients) while some may contain many combined factors (IX, X, XI or XII - cyrosupernatant).
The leukemic patients usually receive whole blood / packed cells. -
hmm... i always thot when we donate to leukemia patients, they usually take the blood from ur back? the spine or something one?Originally posted by renorenal:When we donate, we donate the whole blood (what the Americans call it packed cells)...
We donate once every 6 months to allow the blood cells to recuperate in our body before we can go and donate again...
The blood that we donated will be sent for centrifugation (a device that rotates rapidly and uses centrifugal force to separate substances of different densities) and divided into many other parts based on the components of the blood.
Some may only contain a certain factor (Factor VIII for Hemophilia Type A patients) while some may contain many combined factors (IX, X, XI or XII - cyrosupernatant).
The leukemic patients usually receive whole blood / packed cells. -
Originally posted by renorenal:Hmmmm....
The initial treatment is by IV fluids 0.9% NaCl solution to the patient, as much as possible because the patient is losing fluid (by losing blood).
Some people may have up to 6 packs of IV fluids transfused per day while the rest who are more severe may go up to 12-15 packs per day (1 pack = 500 mL).
When the condition deteriorates up the point of Dengue Hemorrhagic Syndrome, the best bet is to transfuse platelets (fresh frozen platelets = FFP) because the patient will undergo a complication of blood coagulation disorder which is called Disseminated Intravascular Coagulation (DIVC) whereby the blood will get clot everywhere without any sole purpose because the whole blood coagulation cascade is messed up pretty badly.The aim is to treat what the patient loses... plasma is a blood substitute free from cells and corpuscles. You can also use that, but is not very important when patient enters the stage of DHF or DSS and develops the complication...
Oh.....
News report wrongly. No wonder, because I was wondering why. I learn that in school that plasma is an important component of the body. It helps to carry away wastes and some other important functions. -
coolger03
You may ask why the need to centrifuge and give the patients different components of the blood and why not give the whole since the patient can then get everything in one pack.
The reason being is that the whole blood, even though screened, can have a small risk of transmission of Hepatitis B, Hepatitis C and HIV to the receiver. Screening can miss out these potential virus when it is in their window period (viral antigens not seen during these time, because of antibody suppression)...
The other reason being is that some patients may only need one factor, and it is wise to give them what they only need to save cost and to reserve the others for those who are in need of them...
The final reason is that those who only requires one component and not the whole blood will be safe from acquiring the whole thing, as it can lead to fluid overload in the patient... -
That is bone marrow donation from the iliac crest of the pelvis. This is done for a potential cure for the leukemic patient. Bone marrow donation is different from blood donation.Originally posted by coolger03:hmm... i always thot when we donate to leukemia patients, they usually take the blood from ur back? the spine or something one?
Prior to carrying out a bone marrow donation, the patient and the donater need to be screened for HLA-match, if it doesn't match, the body will reject it and the transplant will then be useless. The best is to get it from your twin sibling or get it from 1st degree relatives (your parents or your siblings - not twin)... -
Yes, and amongst other functions of transporting nutrition, oxygen, hormones and vital bodily chemicals as well...Originally posted by ndmmxiaomayi:Oh.....
News report wrongly. No wonder, because I was wondering why. I learn that in school that plasma is an important component of the body. It helps to carry away wastes and some other important functions.
That is the basic-most of what you need to know in Biology... -
Forgotten liao. Only remember the transportation of waste. All return to teacher liao.Originally posted by renorenal:Yes, and amongst other functions of transporting nutrition, oxygen, hormones and vital bodily chemicals as well...
That is the basic-most of what you need to know in Biology...
Need to take out Biology textbook and revise........ -
Biology is interesting to me, I don't really fancy Chemistry and Physics, though I have to know a little as it applies to Laboratory Investigations and the Principles of Orthopaedics...Originally posted by ndmmxiaomayi:Forgotten liao. Only remember the transportation of waste. All return to teacher liao.
Need to take out Biology textbook and revise........ -
Chemistry and Biology appeals to me, but Physics is a no-no. I fall asleep practically for during Physics lessons......Originally posted by renorenal:Biology is interesting to me, I don't really fancy Chemistry and Physics, though I have to know a little as it applies to Laboratory Investigations and the Principles of Orthopaedics...
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I run out of questions..........
I will wait for other forumers to post and ask related questions...............
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Aiyar... no questions go and rest lar...Originally posted by ndmmxiaomayi:I run out of questions..........
I will wait for other forumers to post and ask related questions............... 
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Don't want. I want to learn more.Originally posted by renorenal:Aiyar... no questions go and rest lar...
Waiting for forumers to post.......... -
You want to learn more ar? Can... stop studying IT and take up medical course lorOriginally posted by ndmmxiaomayi:Don't want. I want to learn more.
Waiting for forumers to post..........
Just kidding lar... dun angry hor...
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LOL, cannot switch course. Deadline to switch course is June 2005, long after I got to learn sgforums. Besides, my grades are not good enough to make it for the medical course.Originally posted by renorenal:You want to learn more ar? Can... stop studying IT and take up medical course lor
Just kidding lar... dun angry hor...
Maybe will study it at university, but with only secondary school's biology, it is going to be hard.....
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Like my prof used to say... you don't need anything to study medicine... everything you need to learn you will learn it again in foundational course (1st year of medicine)... you need LOGIC to study it...Originally posted by ndmmxiaomayi:LOL, cannot switch course. Deadline to switch course is June 2005, long after I got to learn sgforums. Besides, my grades are not good enough to make it for the medical course.
Maybe will study it at university, but with only secondary school's biology, it is going to be hard..... -
Sure or not? I see the universities medicine courses all got requirements, which I did not study.Originally posted by renorenal:Like my prof used to say... you don't need anything to study medicine... everything you need to learn you will learn it again in foundational course (1st year of medicine)... you need LOGIC to study it...
I don't see how logic can help us to study it. Like that will kill people because we use assumptions. You say cannot assume unless necessary........ -
The only tough time in medicine is trying to get into it... after that, everything requires logical thinking... if you don't believe me, ask any doctorsOriginally posted by ndmmxiaomayi:Sure or not? I see the universities medicine courses all got requirements, which I did not study.
I don't see how logic can help us to study it. Like that will kill people because we use assumptions. You say cannot assume unless necessary........
Logic is not assumption wat... logic means you know what will happen when you do something, assumption is you donno whether can or not, but you think can so just do it... -
Get into it? You mean getting into the course? Or is it trying to understand concepts?Originally posted by renorenal:The only tough time in medicine is trying to get into it... after that, everything requires logical thinking... if you don't believe me, ask any doctors
Logic is not assumption wat... logic means you know what will happen when you do something, assumption is you donno whether can or not, but you think can so just do it... -
Getting into the course...Originally posted by ndmmxiaomayi:Get into it? You mean getting into the course? Or is it trying to understand concepts? -
Hello ask another question
If your intestine is not so good ....
Is it related to the water that you drink???
and
Why after I eat still got gastric pain
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What do you mean by 'not good intestine'?Originally posted by gorby107:Hello ask another question
If your intestine is not so good ....
Is it related to the water that you drink???
and
Why after I eat still got gastric pain
Secondly, before stepping into conclusion for your gastric pain, have you ever been investigated by a scope to show that you hvae an ulcer?
Anywayz, there are two types of peptic ulcer disease, which typically presents as below...
... one comes before eating anything, but gets well upon eating some food (duodenal ulcer - meaning the ulcer occurs at the duodenum)...
...the other comes after eating food (gastric ulcer - mostly in the lesser curvature of the stomach itself), and is relieved by antacid (there are some useful ones such as Lucid)... -
Doctor Renorenal, I have come up with questions!!!!!!
Here comes the question: I practise qigong for health and notice that my body will warmer than normal body temperature. However, after I cool down, it will go back to normal body temperature. The real challenge: My friend says that by just concentration, you can make your body's temperature goes higher. She stared at her left hand continuously for a few minutes and touched me, her left hand is as hot as when I am practising qigong. Why is it so?