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THIRD THINKER



TME 77: What To Do Before You Need a Transfusion: The Truth Nobody Tells You About Blood Loss
Crystalloids = speed
Colloids = staying power
Blood = survival
You cannot hydrate your way out of anaemia.
You cannot “volume expand” your way out of coagulopathy.
You need blood when the body needs oxygen, clotting, and long-term support.
Dr. ARUN V J
Dec 95 min read


TME 76: Understanding the Impact of Cancer on the Body
Cancer is not just a disease.
It is exhaustion—in the body, in the family, in the healthcare system, and silently, in the blood bank that supports every treatment step.
People often focus only on chemotherapy, radiation, surgery, or immunotherapy. But behind the scenes, blood transfusion holds up the entire treatment.
Dr. ARUN V J
Nov 214 min read


TME 75: “SDP vs RDP: The Truth No One Told You About Apheresis Platelet Donation”
Apheresis = Specialized donation where only platelets/plasma are collected.
RDP = Pooled platelets from multiple donors.
SDP = Platelets from one donor via apheresis.
SDP is safer and cleaner, but costs more.
RDP is quicker and cheaper, but carries higher exposure risk.
Both save lives — the right choice depends on the patient’s condition, not myths.
Dr. ARUN V J
Nov 125 min read


TME 74: The Truth About the “Universal Donor”: What is Universal Donor? Why O-Negative Blood Isn’t Always Universal
Most people think:
👉 “O negative blood can be given to anyone.”
Sounds simple. Feels heroic.
But here’s the truth — it’s not that simple.
I’ve seen it firsthand in the blood centre.
We call O negative the “universal donor” blood because it lacks A, B, and Rh antigens — the main flags our immune system looks for.
So when a patient’s blood group is unknown, especially in emergencies, we grab O negative. It saves lives.
Dr. ARUN V J
Oct 305 min read
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