Blood Donation 4: At the Philippine General Hospital

Below are my facebook notes today when I went to the Philippine General Hospital (PGH) to donate blood to a patient who has been at the intensive care unit (ICU) for a month now…

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Arrived at the hospital around 7:30am. Guard at the entrance won't allow me because I don't have written authorization letter from the patient or his/her guardian that I am donating blood. I said I don't have one because the notice to ask for blood donors was done only via facebook.

Anyway, I went to the 6th floor, patient's room. I was told to go to 2/F, ICU, the patient is there. I saw Rosalie at the ICU, my heart sank. The staff there gave me a form to give to the blood bank as my authorization letter.

At the blood bank, there were many donors in a small room, air con. I arrived there around 7:50am. Guard gave me the form to fill up, medical questionnaire to prove that donor is indeed in good health (no HIV, no malaria, no tatoo, no body piercing, no maintenance drugs, etc.). Then guard said, "Balik na lang po kayo 10am, next batch na po kayo"

Aray ko, paano trabaho ko, sabi ko sarili ko. Pero andito na ako, hintayin ko na, as I remember the sorry condition of the patient. I went out for breakfast, then to an internet shop.

I have donated blood 3x to 3 different patients before. At Makati Med, Asian Hospital in Alabang, and Medical City Ortigas. Donors are treated well in all of them -- clean, air-con, big rooms with cable TV, but few donors. Clean CR is just nearby. The staff there are very friendly and courteous, they told me they really lack blood donors, the hospital has to buy blood somewhere sometimes.

Went back to blood bank section at 10am as instructed, guard said it's only for further interview of our response to the questionnaire, the doctor that will take our BP, heart rate, check any suspicious physical problem, will come at 11am, ouch, then blood sample extraction. All these were finished by 11:30am. We were told to come back after 1 1/2 hours (ie, 1pm) as they will analyze our blood for any impurities (ie, free of HIV, malaria, dengue, whatever viruses/bacteria).

I just got out of PGH compound and crossed Taft to eat and walk around, when the incoming President of the PGH Medical Foundation, JB Baylon, called me. He was in his car and he's going to the PGH, what a coincidence. He asked me to hop in, I did. He brought me to the Foundation office, we talked about many things about public health, PGH, private giving, the Foundation, etc. Thanks for the lunch treat and the chat, JB.

Went back to blood bank around 1:30pm, only to see that those who came ahead of me have never been called yet for the final blood letting. Waited till 2pm, still nothing...

When situation gives you lemon, make a lemonade, so they say. So I walked around and toured the various wards of PGH -- pedia, orthopedic, neurosciences, trauma, etc. My first tour of the hospital actually, by myself. The air around the hospital rooms and corridors seems suspiciously unhealthy. I remember the issue of anti-microbial resistance (AMR) and hospital rooms as nests of new and evolving diseases themselves.

Went back to blood bank around 2:30pm, no one was called for half hour for the actual bloodletting. Many fellow blood donors waiting outside getting more bored, like me.

I went inside and asked what's going on. I saw 6 empty chairs, the staff inside were chatting among themselves, I saw a lady trying to selli bags to the staff.

I controlled my anger as I was told by Andy of the PGH Medical Foundation that the hospital has only one "centrifuge", a machine that tests blood samples for any impurities, which then will be the basis whether to accept or reject a prospective blood donor. That's one major reason why things are soooo slow at the blood bank.

The staff inside, instead of chatting among themselves, at least one of them should have gone out and explain to the waiting blood donors outside, why things are slow, why an ordinary blood donation would ruin practically their whole day's work, but none of that. One male staff, the one who got my blood sample, looked irritated why I asked them when will they call again blood donors so we can go home or go to work.

Later, a lady explained to me that they have to perform 8 different tests to each blood sample. Even if a sample passes 7 of those but fails in one test, a potential donor will be rejected. Sometimes they repeat the tests if they doubt the results. I think it is a valid explanation, but if I didn't ask, she will not explain it to me or to anyone among the donors.

Sensing my impatience, she asked me to sit on the reclined chair for the actual blood letting. Which took me only about 5-7 minutes to fill one bag. Then 15 minutes mandatory rest period.

Went inside the Blood Bank around 7:50am, finished everything by 3:20pm, 7 1/2 hours!