Our precious blood..

I personally don't like to write and express what I'm feeling to others. Not until I need to..

I never liked pediatrics, and am still struggling to find the likable things in every subdivision to make my study interesting. Sure, all the febrile convulsions and the CNS infections, acute diarrhea and acid-base imbalance, hemorrhagic fever and all the tropical infections. But hematology? It sure was one thing that I thought would never caught my attention.

Until one jam-packed night shift, when I met this thalassemia patient. Fourteen years old, notable Cooley face, pale and powerless, bulging rock-hard abdomen of severe hepatosplenomegaly (11cm/6cm palpable liver, Schuffner 5), waiting for a pack of PRC since 11AM that morning (it was around 7PM). Nothing special, until the blood was administered. So he suffered from a mild allergic reaction, lightheadedness, malaise, itching all over the body, uncomfortable for him but not life-threatening.

Then, his 11-year old little brother (who was almost bigger than him) came and rub him on the forehead, fanning him with a stack of paper, calming his older brother. Such simple gesture, as silent as an owl's flight in the hectic emergency department, the kind of body language that speaks louder than 1000 lines of "everything's gonna be alright".

Long story short, the first pack is administered, so the rest of the packs (3 more packs) was going to be administered the day after at the outpatient clinic. Then, they actually asked the doctors for the permission to sleep on the floor outside the emergency room, to just wait until tomorrow when the outpatient clinic's opened in the morning. So the whole family slept the night through, on the floor outside the emergency room, beneath the green chairs.

It was later until I know that this kind of event is somewhat a luxury among thalassemia patients. All other less-fortunate patients just sleep alongside the river near our beloved hospital, the whole family, on a several cardboard boxes, just to wait for the working hours to restart, and it's blood transfusion with all the risks all over again. (end of story)

Our erythrocytes' life span is around 4 months, actively reproduced as we never realized it. They need a pack every 21-35 days. A bottle of You C 1000 is just 3 gulps of refreshing drink for us. It's lethal for them. We would go mad if one of our weekends is disrupted with a 12-hours night shift. They need at least a day off every month for blood transfusions. We complain for every protruding spring on our spring beds. They would be thankful for a couple of cardboard boxes from a nearby kiosk. We would be thankful to live in our 70s. They would be grateful to live in their 20s.

Don't tell me it's not your problem.

I'm a blood-type O, the so-called universal donor.

The way I see it,

maybe this blood isn't mine to keep..