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Plasma Donation Via Apheresis (Plasmapheresis)

Stats:
Pulse rate: 76
BP:  100/69
Temperature: 98.6 F
HCT: 42

While I am waiting to donate my marrow, I started looking into other types of live donations: whole blood, plasma and platelets.  Whole blood is the easiest to do, you go in and get a pint taken out. Simple and effective, but interestingly harder on the donor than plasma donation.  Plasmapheresis takes a little longer because you are hooked up to an apheresis machine.  They remove your whole blood via a tube in your arm hooked up to this machine (called a "a draw"), it is spun in a machine called a centrifuge, the plasma is spun out and removed and the remainder, your white and red blood cells, is put back into you (called "a return").  

Saturday, January 7, 2006
Today I started my search for a facility.  I swear I am starting to think these organizations don't want you to donate.  I was originally looking into platelet donation so I called at least 5 different businesses in the greater Las Vegas area.  Either they were not set up for platelet apheresis or they were closed.  One company, Pyramid Biological Corporation of Las Vegas was not set up for it--fine, they only do plasma.  However, she cut me off at the end when I was trying to found out further and where I could go.  She spoke over me with "Okay, thank you Buh-bye"  *click*  

So, after some Googling I left a my name and number with the Red Cross at 1-800-GIVE-LIFE.  Now we'll see just how long it takes to get a response.  

In the mean time I started to look more into plasma donation at the Pyramid Biological Corporation on Fremont street.  It's my consolation prize, if you will.  So, I called them back and it was busy *sigh*  It is getting too close to 3 pm so I figure no point in trying again until tomorrow.

Sunday, January 8, 2006
Since Pyramid Biological Corporation is open today I called them again or plasma donation.  Every time I called, it was either busy or it just rang and rang.  So, I left a message for them to call me back.  Hopefully they will call me back soon.

Monday, January 9, 2006
I'll give you two guesses on who called me back today, but you're only going to need one.  No one.  This is unbelievable!  Is it me???  Do I stink over the phone??  What is it???  I waited all day and nothing.  Thank God I am not a selfish individual who gives up easily.  I will continue to call every day until I get an appointment. 

Tuesday, January 10, 2006
Today the Pyramid phone operator was a friendly male and explained that people show up beginning at 6 AM and then by about 1 PM they usually have all the plasma they need for the day.  It turns out that Pyramid Biological is for profit (commercial) and sells their human sera to pharmaceutical companies.  This isn't a true donation.  Apparently, if you get paid to give plasma it can only be used for pharmaceutical companies, private labs, etc. and not for transfusions.  Freely donated blood, platelets and plasma can be given to patients in need.  Even though I can make about $180. per month, I decided to pass on that.  You basically show up as a first come first serve basis to these commercial harvesting corporations.  So basically it will be filled with people who just want money and are "selling" their plasma, not people who are doing it for the good of man.  It sorta cheapens the whole experience, doesn't it?

I am going with United Blood Services which is not for profit.  *Do the right thing, M*

Tuesday, January 10, 2006
Today I called United Blood Services in Las Vegas 2.9 miles SE - 3935 E Charleston Blvd, Las Vegas, 89104 - (702) 438-9850 and I got in today!!  My appointment for plasma donation, or plasmapheresis, is between 3:00 and 3:30 PM today  I am excited!  I ate a good meal beforehand, a half of a salmon fillet, a half an apple and a half a cup of sugar snap peas.  Plus plenty of water.

There was traffic so we got there right at 3:30 PM.  It turns out I picked the farthest office from my house!

I was met by a really nice lady who gave me some paperwork after I signed in.  She had me read over the paperwork and sign that I was aware of the risks.  After I gave her the signed paper, she let me know they were offering 2 free tickets to Bite, a sensual review in Las Vegas about vampires, as a promotional tool if I donated.  How clever that it was about vampires!  I later found out it was a topless show, and although I have never seen a topless review, it was about vampires and I have always found the topic intriguing.  Having grown up in New Orleans, attending Anne Rice's yearly vampire balls were always fun, and this did sound interesting. I accepted the tickets and signed my name noting I had received them.  She then let me know that I would be interviewed soon.  

Shortly, I was met by a nice man named John who would be conducting my interview which consists of a ton of medical questions.  Crazy questions like have I ever paid for or have been paid for sex, have I ever given someone drugs for sex or had sex for drugs, am I donating to get a free HIV test, etc.  Of course I already know I am HIV-free because of having my tests for surgery plus already being on the marrow donor list BUT they have to test you again anyway.  

At the beginning of the interview they gave me a Hematocrit test, or HCT, via a fingertip prick (which hurt far less than I expected and agonized over) to determine how much iron I had in my blood.  I had to have at least a 38%, I had 42%.  John said the average for females of my age and weight is between 38% and 50%.  So I passed the first test.  

He then took my blood pressure which was about 100/70 if I remember correctly, which I remarked was high for me.  He was surprised because that is low.  I usually don't get above 98 for systolic.  My heart rate, or pulse, was low as usual too, about 88 BPM if I remember correctly.  I will be sure to update this info next time I go there, if it is wrong.  Anyway, he said I was healthy.

We finished up the interview and he took me to the donation room.  I could see Marc so I went to him to give him my coat, sunglasses, etc.  I also I had to run to the bathroom because of all the water I had drank prior.  John said, 'oh yes be sure you go now.'  **Make sure to go to the bathroom before you start your donation because you reeeally don't want to have to go during your donation. They'd have to unhook you before you could be excused.  You should just hold it if you forget to go.

John gave me the IV, we had to use the right arm because my left vein was hiding today.  It hurt a wee but it was over pretty fast. They taped the IV down as normal but they also taped my arm down to the armrest!  I didn't expect that but it makes total sense.  Before they started the first draw John took out I think like 4 or 5 vials for testing: I think 2 red top tubes, a purple top tube, I know one was taken for an HIV test and I also took part in a West Nile Virus/SARS clinical so they withdrew an extra vial.

The First "Draw"
The cuff was on my arm pretty tightly and really started to make my arm feel numb when they turned on the pump.  All was fine I thought but I started losing sensation in my arm.  They instruct you to pump a stress ball (I switched to a squishy, stress apple soon after) every 3 seconds, but it became difficult for me to do so because I had barely any feeling in my arm.  My arm also got white light purple splotches on it. 

Then it happened... The room began to spin, I started salivating, I got really hot, I couldn't hear very well and started feeling as though I was going to throw up or pass out, one or the other--maybe both!  I remember mumbling something and pointing at my head to let them know I was gonna pass out. I don't think I made sense but Julie, a really cool nurse/phlebotomist/technician? rushed over and either she or John turned off, or down, the pump.  This part is hazy because I was not very alert at this point and more or less in a natural state of bodily panic.   She got me some really neat ice packs made from water and ammonium nitrate crystals which automatically gets cold when they mix (cool!). I had 4 of them--one under my neck, two on the front of my neck and one on my face.  I started remarking how really thirsty I suddenly felt and they got me a few sips of cool water which really helped me feel better.  They turned the pump back on and The IV area was puffy and swollen and when John pressed on the area I swear it burned so badly.  He said he could feel it vibrating and they turned it down even more.  Julie said I may only be able to have one draw but they were able to "baby" out the full donation eventually.  I know on the first draw they kept it on 50 or 60.  I think this means that only 50 or 60 ml per minute is removed by the machine.  Any faster and my blood pressure would drop and would make me feel icky again.  Not sure if they turned it up on my second draw.  Those ice packs were a lifesaver!

About 6 minutes later, I felt like myself again but my arm was still really numb and it was very difficult to squeeze that ball.  But at least I was no longer feeling sick.  It was like night and day.  Julie made sure I was alright throughout the draw.  She Rocks!

The "Return"
The machine beeped and Julie came over to watch the adjust the return pressure.  Talk about instant relief.  You know when your foot goes to sleep and when circulation is restored you start getting tingly and you can start to feel sensation again.  This is what it was like.  When they return your red and white blood cells I think it is mixed with saline so it looks a little watery at first then it is red again going back in.  I was still a little warm so I had the cold packs on but casually on my upper chest and stomach and still one behind my neck.  I may look a little worn thin but, trust me, I felt loads better.

my first return feeling way better

**The machine to the left of me above is not my machine, mine was to the right of me - or rather to my own left.  This machine was used by the guy that was there when I arrived.  

The second draw was uneventful.  No problems and my arm was not totally numb like it was on the first draw.  It went by really fast too.  On the second, and last, return I felt no problems although I was a little colder the second time so I took off the ice packs and put them on the left armrest.

my second draw Julie wrapping my arm Yay Pink!!!

The machine beeped and I was finished.  Julie took the IV out and covered it with a 2x2 square gauze pad and had me hold it in place and put my arm above my head.  When she went to check it and I released pressure I started to bleed a little so she told me to raise it again.  When she checked it again, it had stopped.  She asked me to pick a color for the 3M bandage I was going to get. I said purple at first because I had seen a purple one on the guy next to me.  I asked her what other colors she had and she rattled off a few colors and pink was one of them. Those of you who know me know that pink was the winner.  I loudly said "PINK!" like I was 4 years old. 

  

  
  

the apheresis machine my plasma!

Recovery
Recovery is the best part! 
After she bandaged me up, I went into the recovery area for 15 minutes as is health code and got to eat some Oreos and some orange juice.  Marc had Milano cookies and apple juice although he didn't give plasma!  But he will next time he said.  Everyone knows he can't turn down junk food.  I was a little cold and shivering but I warmed up pretty fast once I got to leave and get in my car.  I put on my seat warmer and heater on my side of the car and was warm in about 2 minutes.

I also had a surprise! Marc got me flowers!  I look a little worn out as you can see.   The whole experience took about an hour and a half, but once I am an established donor it will only take about an hour.

feeling a little washed out - haggard!

How Often Can You Donate Plasma
Donating plasma is easier on your body than donating whole blood because they give you back your red and white blood cells.  You can donate whole blood every 8 weeks, but can donate plasma every few days and no more than 24 times a year if it is to a commercial lab.  However, United Blood Services will only allow you to donate every 28 days as with every other non-profit volunteer donation.  I can donate again on the 7th of February or after.

My Feelings on Plasma Donation
Donating your plasma takes no more than 2 hours out of your month.  I feel that something such as this can benefit so many people, why not do it?  Being a living donor is a selfless, and generous act.  Please help others less fortunate than you!


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