alnorth
05-28-2009, 07:51 PM
The United States of America is one of the most charitably-inclined countries in the world, with huge amounts of money donated every year to many worthy causes. However, there is one vital need in every community in the US that is always in short supply because it requires time rather than money to give something that can not be bought or made.
I have always been a huge believer in blood donation, so maybe once every couple years or so I post some sort of PSA about it. Since I heard somewhere that June 14th 2009 is world blood donor day (I guess they have a day/week/month for everything), here it is!
Are we really short of blood?
About every 2 seconds, someone in the United States needs blood. Nine out of ten people who live to age 70 will need blood sometime in their lifetime (sometimes many, many units of blood). About 37 percent of Americans are eligible to donate blood, but only three percent do. As a blood donor, you would be joining a very select group of people.
Generally, people are very willing to step up and donate blood when some kind of disaster strikes. However, red blood cells only have a shelf life of 35-42 days, and platelets must be used within a week, so these occasional outbursts of giving are good, but most communities scrape by with a few days supply through constant blood drives and the support of "regulars" who donate several times a year.
The blood supply tends to run particularly low during the summer and winter months, but there is no "season" where we really need more than usual. We all depend on a constant steady supply of donors. Some of the most reliable donors tend to be older people who are now beginning to fall out of eligibility or die out, which has led many states to lower age requirements and encourage older high school students to consider blood donation. Donations by 16 and 17-year olds now account for about 8% of all whole blood collected by the American Red Cross. (This sort of makes sense, if kids are being encouraged to go ahead and just try it at least this once, and many of them dont stick around)
Blood can not be manufactured, there is absolutely no way to get it other than regular volunteer donations throughout the year. If you have an illness or trauma that requires several units of blood, you may survive only through the grace of a few strangers 40 miles and 4 days ago giving blood at their office blood drive.
Can I give blood?
If you are a healthy adult with acceptable blood pressure and weight, you probably can. There are many restrictions that may cause you to be deferred temporarily or indefinitely, which you can find here (http://www.bloodbook.com/donr-requir.html). In most states, a minor at age 17 can give blood with parent's consent. (Kansas and Missouri both allow it at 16 with parent's permission)
Where can I give blood?
Fortunately, most communities have blood drives going on all the time. Many of us have blood drives a few times a year at our work site or university. If you dont have a convenient blood drive coming by work periodically, you can probably use google to find your local blood bank or try https://www.givelife.org/
What can I expect if I do give blood?
You will first go through a 2-part confidential screening. First you will be asked to answer several questions that would possibly lead to a deferrment right away. (That way as little of your time is wasted as possible if it turns out you cant give blood). Your pulse and blood pressure will be taken to ensure that you are healthy enough to give, and one of your fingers (your choice) will be pricked to gather a tiny amount of blood in a test to ensure that giving blood will not cause you to become anemic. I believe the only information that is permanantly kept from this screening is the relevant information necessary if you are deferred. (For example, if someone has AIDS, they obviously need to know about that in a confidential deferrment list so they dont try to donate in the future).
If you pass the screening, you will lie down comfortably in a reclined chair or medical table. You will tell them which arm you want to use, which they will sterilize before inserting the needle. You should only feel a slight pinch. I give blood around 6 times a year, and in my experience they usually do a flawless job 5 out of 6 times. Once a year they dont quite get it right and they have to adjust the needle slightly. Obviously a small amount of pain should be expected when the needle goes in, but if it hurts more than usual, you should let them know. The needle that will be used will be new, so there is no risk of getting an infectious disease through donating blood.
The collection should only take 5 to 10 minutes. (It varies, sometimes your going fast, sometimes not) After this, they will bandage your arm, make you wait about 5 more minutes to make sure your ok, then send you to a "refreshment area" to chow down free cookies and juice for another 10-15 minutes. In a whole blood donation, your body replaces the fluids in 24 hours, and the red blood cells are replaced in 8 weeks.
What will they do with my blood?
If you make a whole blood donation (the most common type) your blood will be seperated into several units, usually blood cells, platelets, and plasma. Most patients only need one specific type of blood product, so your donation may be used to help up to 5 people.
So, what should I do if:
I tried before and was deferred?
Thank you for giving it a shot. Depending on the specific reason, you may want to check to see if you can donate in the future. Most deferrments are temporary, and some situations that may have gotten you "indefinitely deferred" before may no longer defer you. It doesnt hurt to check that link above, restrictions are changed and updated every year. (For example, it used to be that every time you got a piercing or tattoo, you were automatically out for at least a year. Now some states will no longer defer you if you got the tattoo or piercing at a state-licensed facility that is regularly inspected to follow safety precautions.)
I dont want to donate blood. It's not that I have a medical problem, its a pain and just not for me.
Well, ok. I hope you remember those who did donate if you ever have a need.
I've never done this before
Tell them that. They will then know your nervous, pay special attention to you, and probably have someone who is highly experienced handle the needle.
I can donate a few times a year, but I want it to be over with as quickly as possible.
Like the vast majority of people, you will probably be donating whole blood. From the time you walk in and register until you leave with a bandage on your arm shouldnt take more than 45 minutes to an hour, unless they are absolutely swamped with blood donors. (not often) When you do a whole blood donation, you can donate again in 8 weeks.
I'm very busy, and I only really want to donate once or twice a year, but I'm fine with it taking a while when I am able to go in.
You may want to ask them if they are able to let you do a "double red" apheresis donation. This will give the blood bank two units of red blood cells that are most often used for trauma patients and surgeries. The process is similar except you are basically hooked to a machine that will take two units of whole blood, seperate out the red blood cells, and give the fluid (plasma and platelets) back to you. This takes longer than a normal donation, perhaps 1.5 to 2 hours, but you wont be asked to donate again for 16 weeks (which is fine for the person who only wants to go through it 2 or 3 times a year). Sometimes they use one needle to draw and return blood, or they may use two different needles, but this type of donation will often use a smaller needle than a whole blood donation.
I'm poor. How do I get paid?
Ideally, volunteer blood is preferable because they have been proven to generate a safer blood supply. Red blood cells and platelets are accepted only from volunteer donors, but plasma is often used in very large quantities for burn victims, treat serious disorders, and create disease prevention products. Because the Plasma donation process is more inconvenient than donating whole blood and they need a lot more plasma than what is found in a whole blood unit, some companies will pay for plasma. You wont find this in a blood drive, but if you look around, you can probably find it. Your body replaces plasma very quickly, and you will probably be allowed to donate twice a week.
I dont mind the idea of donating blood, but I have type AB+ blood
In other words, you are discouraged because you think that your blood isn't needed as much as the other types, and only people with your exact blood type can have your blood. You shouldnt let this stop you, because all blood types are needed. People with AB+ can receive other blood types, but if a unit of AB+ is available from you, that saves another unit of blood that someone else may really need tomorrow.
However, if this really bothers you, you may also want to consider donating plasma. Oddly enough, the usual rule about O- being the universal donor and AB+ being the universal recipient is reversed for plasma. In the world of plasma, AB is valuable because anyone can have AB+ plasma.
I donate regularly now, but I'm hardcore. What more can I do, I'm willing to do the most I can for the blood supply.
Well, if you really feel that strongly about donating blood, you can consider being a platelet apheresis donor. Platelets are most commonly needed by cancer patients, open heart surgery, and those receiving organ or bone marrow transplants. It takes about six units of whole blood to make 1 unit of platelets, which you can donate. If the 8-week wait for whole blood annoys you, this procedure allows you to donate every 2 weeks, and unlike paid plasma donations, not many people are as willing to do this.
This is similar to a double-red donation, except instead of taking two units, seperating, and returning the unused parts, they have to continually take and return blood while collecting platelets in a procedure that can last 70 minutes to 2 hours. They typically will have music, TV, and/or movies for the donor to watch during the procedure.
I have always been a huge believer in blood donation, so maybe once every couple years or so I post some sort of PSA about it. Since I heard somewhere that June 14th 2009 is world blood donor day (I guess they have a day/week/month for everything), here it is!
Are we really short of blood?
About every 2 seconds, someone in the United States needs blood. Nine out of ten people who live to age 70 will need blood sometime in their lifetime (sometimes many, many units of blood). About 37 percent of Americans are eligible to donate blood, but only three percent do. As a blood donor, you would be joining a very select group of people.
Generally, people are very willing to step up and donate blood when some kind of disaster strikes. However, red blood cells only have a shelf life of 35-42 days, and platelets must be used within a week, so these occasional outbursts of giving are good, but most communities scrape by with a few days supply through constant blood drives and the support of "regulars" who donate several times a year.
The blood supply tends to run particularly low during the summer and winter months, but there is no "season" where we really need more than usual. We all depend on a constant steady supply of donors. Some of the most reliable donors tend to be older people who are now beginning to fall out of eligibility or die out, which has led many states to lower age requirements and encourage older high school students to consider blood donation. Donations by 16 and 17-year olds now account for about 8% of all whole blood collected by the American Red Cross. (This sort of makes sense, if kids are being encouraged to go ahead and just try it at least this once, and many of them dont stick around)
Blood can not be manufactured, there is absolutely no way to get it other than regular volunteer donations throughout the year. If you have an illness or trauma that requires several units of blood, you may survive only through the grace of a few strangers 40 miles and 4 days ago giving blood at their office blood drive.
Can I give blood?
If you are a healthy adult with acceptable blood pressure and weight, you probably can. There are many restrictions that may cause you to be deferred temporarily or indefinitely, which you can find here (http://www.bloodbook.com/donr-requir.html). In most states, a minor at age 17 can give blood with parent's consent. (Kansas and Missouri both allow it at 16 with parent's permission)
Where can I give blood?
Fortunately, most communities have blood drives going on all the time. Many of us have blood drives a few times a year at our work site or university. If you dont have a convenient blood drive coming by work periodically, you can probably use google to find your local blood bank or try https://www.givelife.org/
What can I expect if I do give blood?
You will first go through a 2-part confidential screening. First you will be asked to answer several questions that would possibly lead to a deferrment right away. (That way as little of your time is wasted as possible if it turns out you cant give blood). Your pulse and blood pressure will be taken to ensure that you are healthy enough to give, and one of your fingers (your choice) will be pricked to gather a tiny amount of blood in a test to ensure that giving blood will not cause you to become anemic. I believe the only information that is permanantly kept from this screening is the relevant information necessary if you are deferred. (For example, if someone has AIDS, they obviously need to know about that in a confidential deferrment list so they dont try to donate in the future).
If you pass the screening, you will lie down comfortably in a reclined chair or medical table. You will tell them which arm you want to use, which they will sterilize before inserting the needle. You should only feel a slight pinch. I give blood around 6 times a year, and in my experience they usually do a flawless job 5 out of 6 times. Once a year they dont quite get it right and they have to adjust the needle slightly. Obviously a small amount of pain should be expected when the needle goes in, but if it hurts more than usual, you should let them know. The needle that will be used will be new, so there is no risk of getting an infectious disease through donating blood.
The collection should only take 5 to 10 minutes. (It varies, sometimes your going fast, sometimes not) After this, they will bandage your arm, make you wait about 5 more minutes to make sure your ok, then send you to a "refreshment area" to chow down free cookies and juice for another 10-15 minutes. In a whole blood donation, your body replaces the fluids in 24 hours, and the red blood cells are replaced in 8 weeks.
What will they do with my blood?
If you make a whole blood donation (the most common type) your blood will be seperated into several units, usually blood cells, platelets, and plasma. Most patients only need one specific type of blood product, so your donation may be used to help up to 5 people.
So, what should I do if:
I tried before and was deferred?
Thank you for giving it a shot. Depending on the specific reason, you may want to check to see if you can donate in the future. Most deferrments are temporary, and some situations that may have gotten you "indefinitely deferred" before may no longer defer you. It doesnt hurt to check that link above, restrictions are changed and updated every year. (For example, it used to be that every time you got a piercing or tattoo, you were automatically out for at least a year. Now some states will no longer defer you if you got the tattoo or piercing at a state-licensed facility that is regularly inspected to follow safety precautions.)
I dont want to donate blood. It's not that I have a medical problem, its a pain and just not for me.
Well, ok. I hope you remember those who did donate if you ever have a need.
I've never done this before
Tell them that. They will then know your nervous, pay special attention to you, and probably have someone who is highly experienced handle the needle.
I can donate a few times a year, but I want it to be over with as quickly as possible.
Like the vast majority of people, you will probably be donating whole blood. From the time you walk in and register until you leave with a bandage on your arm shouldnt take more than 45 minutes to an hour, unless they are absolutely swamped with blood donors. (not often) When you do a whole blood donation, you can donate again in 8 weeks.
I'm very busy, and I only really want to donate once or twice a year, but I'm fine with it taking a while when I am able to go in.
You may want to ask them if they are able to let you do a "double red" apheresis donation. This will give the blood bank two units of red blood cells that are most often used for trauma patients and surgeries. The process is similar except you are basically hooked to a machine that will take two units of whole blood, seperate out the red blood cells, and give the fluid (plasma and platelets) back to you. This takes longer than a normal donation, perhaps 1.5 to 2 hours, but you wont be asked to donate again for 16 weeks (which is fine for the person who only wants to go through it 2 or 3 times a year). Sometimes they use one needle to draw and return blood, or they may use two different needles, but this type of donation will often use a smaller needle than a whole blood donation.
I'm poor. How do I get paid?
Ideally, volunteer blood is preferable because they have been proven to generate a safer blood supply. Red blood cells and platelets are accepted only from volunteer donors, but plasma is often used in very large quantities for burn victims, treat serious disorders, and create disease prevention products. Because the Plasma donation process is more inconvenient than donating whole blood and they need a lot more plasma than what is found in a whole blood unit, some companies will pay for plasma. You wont find this in a blood drive, but if you look around, you can probably find it. Your body replaces plasma very quickly, and you will probably be allowed to donate twice a week.
I dont mind the idea of donating blood, but I have type AB+ blood
In other words, you are discouraged because you think that your blood isn't needed as much as the other types, and only people with your exact blood type can have your blood. You shouldnt let this stop you, because all blood types are needed. People with AB+ can receive other blood types, but if a unit of AB+ is available from you, that saves another unit of blood that someone else may really need tomorrow.
However, if this really bothers you, you may also want to consider donating plasma. Oddly enough, the usual rule about O- being the universal donor and AB+ being the universal recipient is reversed for plasma. In the world of plasma, AB is valuable because anyone can have AB+ plasma.
I donate regularly now, but I'm hardcore. What more can I do, I'm willing to do the most I can for the blood supply.
Well, if you really feel that strongly about donating blood, you can consider being a platelet apheresis donor. Platelets are most commonly needed by cancer patients, open heart surgery, and those receiving organ or bone marrow transplants. It takes about six units of whole blood to make 1 unit of platelets, which you can donate. If the 8-week wait for whole blood annoys you, this procedure allows you to donate every 2 weeks, and unlike paid plasma donations, not many people are as willing to do this.
This is similar to a double-red donation, except instead of taking two units, seperating, and returning the unused parts, they have to continually take and return blood while collecting platelets in a procedure that can last 70 minutes to 2 hours. They typically will have music, TV, and/or movies for the donor to watch during the procedure.