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Debra JGL
08-03-2010, 08:35 PM
I was planning on donating 2 pints of blood for my surgery, as the doc said if I need blood then I could use my own. I gave blood today for my upcoming surgery, and though I didn't pass out I came pretty close (sweaty and pale) - I feel a little whimpy. They did get the 1 pint, but the nurse recommended I don't give the 2nd pint. I do have a pre-op consult next week and I'll ask Dr. B if he thinks I will need it. Did anyone whose had the surgery need both pints? I know I can use the blood bank too.

debbei
08-03-2010, 08:36 PM
Hi Debra,
Lucky for me, in my family we all have the same blood type, so I donated one pint, and so did my husband and teenage son. I was given all 3 pints during the surgery.

jsully
08-03-2010, 09:02 PM
My husband donated a pint for me, which I got and the DR said he also gave some of my own blood back to me. Not sure how as I didn't donate any?
Many people say if you do donate your own, you will need more after surgery.
Janet

LisaB
08-03-2010, 09:19 PM
My doctor won't let me donate to myself; wants me to go in "fully leaded" so to speak. They are saying I may need 2 pints. I'm going to have to rely on the blood bank. My 2 children both have their father's blood type. I was adopted so I have no family members with my blood type. I'm O neg and none of my friends are O neg and that's the only blood I can take. But I can donate to everyone else! But I know they really screen the blood bank blood well these days.

titaniumed
08-03-2010, 09:52 PM
Same with me, went in fully leaded. I did need 2 pints from the blood bank, about 3 or 4 days later.

My offer for donation was rejected.
Ed

rohrer01
08-03-2010, 10:16 PM
My husband donated a pint for me, which I got and the DR said he also gave some of my own blood back to me. Not sure how as I didn't donate any?
Many people say if you do donate your own, you will need more after surgery.
Janet

They probably used cell salvage. That's a process in which your blood is vacuumed up as you bleed, sent through a machine and filtered for any debris then put back into you. It's a very handy tool that all but eliminates the risks of blood transfusions. I believe Dr. Hey uses it a lot. When I read his blogs, I haven't seen a single person transfused, not to say that he doesn't. But since I have been reading about him I haven't seen one. Of course, he doesn't necessarily post about what happens a day or two later. But it's still quite impressive!

LindaRacine
08-03-2010, 10:58 PM
My husband donated a pint for me, which I got and the DR said he also gave some of my own blood back to me. Not sure how as I didn't donate any?
Many people say if you do donate your own, you will need more after surgery.
Janet

Cell Saver. I've never heard of a scoliosis surgery done without it.

LindaRacine
08-03-2010, 11:06 PM
I was planning on donating 2 pints of blood for my surgery, as the doc said if I need blood then I could use my own. I gave blood today for my upcoming surgery, and though I didn't pass out I came pretty close (sweaty and pale) - I feel a little whimpy. They did get the 1 pint, but the nurse recommended I don't give the 2nd pint. I do have a pre-op consult next week and I'll ask Dr. B if he thinks I will need it. Did anyone whose had the surgery need both pints? I know I can use the blood bank too.

Hi Debra...

I saved 8 units prior to my surgery, but only needed 2.

I work in a spine center where there are at least 8-10 major spine surgeries done every week. The surgeons do not encourage patients to have their own blood banked. I think they would actually discourage it in your case.

Blood bank blood is very thoroughly screened, so there is very little chance of getting anything contagious from it. I think that blood donated by friends and relatives is actually less thoroughly screened, so there may be more of a risk with that source.

Either way, do not stress out about it.

Regards,
Linda

JenM
08-04-2010, 03:45 AM
Hi Debra-

Dr. B also recommended donating 2 pints, and I did both. It was the first time I have ever donated in my life and I felt wimpy too. I didn't need the blood during the surgery, but that night, when I was in the PACU, they had to give both pints back to me. I would definately donate both as you may need both, unless you don't mind getting someone else's blood from the blood bank.

WHat levels are you getting fused from? Also, are you getting posterior-only surgery, or A/P surgery?

THanks for the email the other day. WHen I get a chance, I'm definately going to write back. Hard to find time with the kids and still taking long naps during the day!

Take care,
JenM

jsully
08-04-2010, 07:08 AM
I figured it was something like "Cell Saver" I just never heard of that before. I was wondering what if there were bone fragments but as someone mentioned, they filter it first. Neat!

leahdragonfly
08-04-2010, 08:20 AM
My surgeon also won't allow me to predonate (wants me to be tanked up when I go into surgery), and he told me he quit using cellsaver I think to cut down on risk of infection. He told me I would need blood bank blood.

My surgery is expected to be about 8 hours posterior, fusion T10 to sacrum with pelvic fixation. There is also a large amount of arthritis, severe spinal stenosis, spondlyloisthesis at L4, lateral listhesis at several levels, as well as an unstable 47+ degree lumbar curve that will all be fixed. This is a revision as I had an uninstrumented fusion 25 years ago L4-S1 with non-union of L4-5. My surgeon told me I would be intubated and on the vent overnight "as a safety issue." I am so worried about this part of it, although he reassured me I would be heavily sedated. Still, I am terrified at the prospect.

Has anyone else been told this or experienced this? I know I have asked here before, but am hoping for a few more replies.

DebraJGL,

good luck with your surgery in September. I will look forward to hearing about your recovery.

Gayle

Vali
08-04-2010, 08:26 AM
My surgeon asked for three units, but i could only give two as my haemoglobin fell below the benchmark. They cross matched my third and i also had Cell Saver. I did not require my blood in an 'emergency' type way and therefore had it returned to me over the next 24 hours after surgery as a sort of 'pick me up'.

ADMoul
08-04-2010, 10:13 AM
My situation was sort of an exception to the rule so don't let it scare you. I donated 1 pint about 2 weeks pre-op (probably shouldn't have) and then had totally unexpected, severe bleeding during surgery which required 8 units to be transfused. All the blood testing before and after showed no indication why this occurred. I have had surgery in the past and never had a problem like this. The complication was managed extremely well, and I had no other problems post-op other than swelling/fluid retention. According to my Dr., this was a bizarre complication and most importantly, they knew how to handle it. Despite this, I have had a great recovery.
Good luck with everything--you'll do just fine.

Singer
08-04-2010, 11:17 AM
I gave one unit but decided on my own not to give anymore after I felt totally wiped out afterwards. (I'd never given blood before, as I'm too small to qualify for regular donations.) I just let the secretary know that I was stopping at one unit and it was fine. Dr. B used the cell saver on me and as it turned out I didn't need any additional blood after my surgeries anyway.

Debra JGL
08-04-2010, 12:23 PM
Well, like everything it seems about this surgery, this isn't black or white either. Thanks so much for your responses, I really feel more prepared to understand what Dr. B recommends. I'm very willing to try to give another pint and would really love to have it on tap, but maybe it's not the best thing for me weeks before surgery. Like you, Chris, I felt wiped out afterwards, but i do feel fine today. Jen - I'm having posterior only, but i still don't know how long the fusion will be. This wed. I'm having an mri of my lumbar to see in what condition the disks are and a pre op visit with Dr. B. Hopefully I'll know then how long my fusion will be. There is arthritis in L1 &L2 and maybe L3, so Dr. B doesn't want to end the fusion for sure in L1 or 2. I am a candidate for selective fusion as well because my lumbar curve corrected to below 25 on bending xrays. So, my 2 possibilities are t3 - t11, saving my lumbar disks, but with less of a correction (probably to 35 or 40 deg.) & with the possibility of needing an extension in the future, OR t3 to L3 or 4 with a poss. correction 25 - 30. There are pros and cons to both, so I'm just going to see what Dr. B thinks is the best option for me. Also, Linda - WOW 8 pints - I'm impressed.

JenniferG
08-04-2010, 03:19 PM
My surgeon didn't ask me to pre-donate. He used cell-saver and blood bank blood.

doodie
08-04-2010, 07:45 PM
Dr. Kebaish also does not recommend his patients donating their own blood prior to surgery...I relied solely on banked blood and had no issues. He preferred his patients to be fighting ready!

Years ago I was contacted by the Red Cross for blood donations (I am AB+) and the first time I went in I passed out on the cot before they even got the pint and that nurse would not unhook me until she got it. I woke up with an ammonia capsule under my nose and her saying, "Keep squeezing, keep squeezing!" :D After 3 hours of juice and cookies and having to call someone to pick me up (they wouldn't let me drive myself home) she told me not to donate anymore! And that was fine with me...

gmw
08-05-2010, 05:57 AM
Debra -- I used two units of blood from the blood bank. I'm 11 weeks post op and am doing great.

Glenda