A tale of two patients Louise Phillips

2. Presentation at TORC 2011 Annual Seminar Perioperative Patient Blood Management A tale of two patients Louise Phillips

3. Patient 1: 43 y.o. Female Diagnosed with Colorectal Cancer, Stage IIIB Otherwise healthy

4. At Diagnosis: Hb 114 TRF 6 TRF Sat 8 Ferritin 5 8 Days Later At Surgery: Hb 108

6. Patient 2: 43 y.o. Female Diagnosed with Colorectal Cancer, Stage IIIB Otherwise healthy One significant difference.......

7. At Diagnosis: Hb 114 TRF 6 TRF Sat 8 Ferritin 5 Requested (and received) Iron Infusion 8 Days Later At Surgery: Hb 129

9. FE INFUSION FOR PATIENT 2 TRANSFUSION PATIENT 1

10. Three Phases of Patient Blood Management FE INFUSION FOR PATIENT 2 TRANSFUSION PATIENT 1

11. Patient 1 Patient 2

12. As a patient • I want (expect) the best care possible • I need to believe I am going to get it • I am prepared to be involved in the decision making but... • I (like you) am unusual in my level of knowledge

13. Interaction between Doctor and Patient Doctor Patient Meaningful Exchange of Information Discussion of the options Shared Decision Making

14. Thanks to.... • My Medical Team • Dr David Slonim, Mr Martin Chin, Dr Malcolm Cunningham, Dr Ian Haines • Help with the presentation • Prof James Isbister • Dr Zoe McQuilten