The Pacific Northwest knows Bloodworks as the go-to resource for all things blood. While this may feel like a limited scope—the red stuff that comes out of your arm when you donate–blood impacts all aspects of life.
When it comes to patient care and the number of services offered, conditions treated, diagnostics performed, and research conducted, Bloodworks is a diverse organization, spanning the spectrum of medicine from diagnosis through specialized testing to treatment by our clinical programs to prevention via blood research.
Blood is complex.
Take platelets, the part of the blood that controls bleeding. If a patient’s platelet counts becomes low, they are at risk of uncontrolled, unwanted bleeding. This is bad. Bloodworks collects and distributes platelets to help these patients control bleeding.
If this goes in the opposite direction — platelet counts become too high or can’t properly regulate their function — the patient may experience unwanted blood clotting. This is also bad.
Thrombotic thrombocytopenic purpura (TTP) is one example of unwanted platelet activity and demonstrates how Bloodworks works together to treat patients.
“TTP is a rare disorder, but it’s a devastating disorder,” said Dr. Jose Lopez, Chief Scientific Officer. “If someone gets TTP and it’s left untreated, it’s almost universally fatal. So it’s really important to get a diagnosis and get it treated promptly.”
However, TTP research and care has broader impact.
“In trying to help patients with a very rare disease, we quite often learn about diseases that are very common,” added Dr. Lopez.
It’s a collaboration.
Bloodworks laboratories performs the diagnostic studies that can determine TTP and clotting and bleeding disorders.
“The beauty of these small labs is that they are very flexible and we can kind of add tests as necessary,” said Gayle Teramura, manager of Bloodworks’ Genomics Testing, Platelet Immunology and Hemostasis Reference Laboratories.
One of these tests measures ADAMTS13 activity.
ADAMTS13 is an enzyme involved in blood clotting. When working as it should, ADAMTS13 keeps the body’s clotting mechanisms in balance. TTP occurs when something, like antibodies from an infection, autoimmune disorder, or medication, inhibits ADAMTS13 activity, though only about half of TTP cases have a clear trigger.
When TTP is suspected, Bloodworks receives samples from local hospitals, runs tests to determine ADAMTS13 activity, and then sends them back to the hospitals once we know the results.
But that’s not where it stops.
If a test results indicate TTP, “we notify WACAT that there’s a patient with low protease activity,” said Gayle. “We do that to allow them some time to prepare as a possibility of having to perform a procedure on this patient.”
She adds, “That requires that the whole team at Bloodworks has to kick in: we need blood products and a variety of things for us to do the procedure, and it has to be perfectly orchestrated because this disease is life-threatening.”
This procedure, therapeutic plasma exchange, is similar to a platelet, plasma, or red cell donation via apheresis.
“During the treatment, we sure use a ton of plasma to replenish fresh ADAMTS13 that the patient is deficient,” said Dr. David Lin, medical director of Washington Center for Apheresis Therapy (WACAT).
An apheresis machine uses a centrifuge to separate and remove unwanted blood components, in this case the plasma containing harmful antibodies, then returns the rest of the blood components and replacement plasma to the patient.
Sometimes, however, the test results in Gayle’s labs do not fit the symptoms or the diagnosis.
“We’re finding out through all our expert research that it could be the sensitivity of the assay (analytic test) we’re running, or it could be that there are different epitopes (the part of an antigen that an antibody attaches to) that possibly could be a target that we’re missing,” she explained.
Twenty years ago,Dr. Dominic Chung, a senior scientist at Bloodworks Research Institute was in the group that first identified the ADAMTS13 enzyme and its role in blood clotting – including working on diagnostic assays.
“In our ongoing efforts to understand TTP, we have leveraged our understanding of protein chemistry, and actually developed several new assays that are relevant to TTP,” he said.
These compliment the clinical tests. Whenever a clinical test gives results that aren’t clear, we can use the tests that Bloodworks Research Institute developed to get a better picture of the patient’s situation to help their physicians improve their outcome.
One of these tests is a reagent that can measure protein levels. Another is an immunological assay to look at ADAMTS13 antibodies; Dr. Chung’s lab isolated these antibodies and turned them into a simple dipstick test.
“The enzyme that is missing in TTP turns out also to be involved in many other conditions, including severe trauma or severe sepsis – yes, including COVID-19 – so there is an increasing need of measuring this enzyme,” he said.
Simpler, easier tests, like the ones Dr. Chung is developing in his lab, will address this need in the future.
There’s no substitute for donated blood – unless…
Bloodworks always has a need for donated platelets and, like blood centers across the country, has seen a decrease in blood and platelet donors in the past decade, leading to shortages.
Bloodworks’ Cord Blood Program banks donated umbilical cord blood for stem cell transplantation. However, not every cord that is collected has enough cells to be banked for transplant, and those that do not make the cut may be used for research.
Bloodworks Research Institute, in partnership with Bloodworks Bio, is currently embarking on research to try to make platelet-like cells from cord blood. Time will tell if this is an effective source of platelets for transfusion, but one thing is for sure: we have the science to determine either way.
This is just one of the many ways we work across disciplines to save lives in the Pacific Northwest and beyond.
Bloodworks in the Community – Bloodworks Northwest BlogBloodworks Northwest Blog
Blood connects all of us as human beings. Bloodworks’ lifesaving mission allows us to connect and celebrate with members of the communities we serve around the year, 24/7/365.
However, the summer months give us an opportunity to not only share our mission but to recognize, commemorate, and honor others as we observe certain events that bring us together.
In June, we celebrated two important events: Juneteenth and Pride.
Iesha James and Rozi Romanesco spread awareness of Bloodworks Cord Blood Program at two Juneteenth events in Seattle.
70% of patients in need of a stem cell transplant will not find a donor within their family. Those patients will need to hope that there is an unrelated match within the international stem cell registry. Because genetics are tied to family ancestry, you’re more likely to find a match within your own ethnic background. Unfortunately, Black and African American patients have a lower chance of finding an unrelated match than individuals of other races.
Cord blood dramatically increases the potential for a match compared to adult bone marrow because the cells in the umbilical cord are more adaptable. This is one reason why it’s so important to have more Black and African American cord blood donors.
Iesha shares more on why you should consider donating your baby’s cord blood.
While Bloodworks serves everyone in our community in need of a lifesaving blood transfusion, it’s an unfortunate reality that many gay and bisexual men cannot donate blood due to FDA restrictions.
Bloodworks has been an active supporter of changing the MSM deferral for over a decade.
We participated in Seattle PrideFest to thank our LGBTQIA+ donors and to educate the community on other inclusive ways to get involved through donation for research, volunteer opportunities, and current job openings.
Want to do more? Local ad agency (and Bloodworks partner) Green Rubino put together a campaign to end donation discrimination.
Bloodworks staff in their own words
We were so pleased to return to PrideFest, and join for both days this year. The energy is always inspiring. Bloodworks is proud to stand with its LGBTQIA+ employees and support the broader Seattle community. Sharing our resources on cord blood and other donation opportunities is vital to our work, and it was a fantastic weekend meeting current and potential donors.
We talked to many people about community blood donation, and reminded quite a few to donate again! We also explained to many inquisitive visitors that folks ineligible for the community blood supply may be able to donate for research. Marci and Jesse from HR stopped by to deliver handouts about open positions, so we also shared info about promising new careers at Bloodworks. Of course, I shared the wonders that cord blood donation can do for patients suffering from leukemia, lymphoma, and sickle cell disease.
I really enjoyed being at Pride Fest this year and was very touched to see all the people who had interest in helping give back in some way – whether it be donations, volunteering or applying to work with us, it felt more like it should be called ‘Love Fest’ to me for that reason. Everyone there was so happy and so accepting of one another and it’s just great to be somewhere that everyone feels they can truly be themselves and not be judged, even if it is just for two days a year, it gives me hope for the future.
On a different note, I was a bit saddened by the fact that even in this day-in-age and with all the technology that we have for testing blood, etc., the FDA still states that homosexual men cannot donate blood unless they have abstained for 3 months. To me this is a little bit archaic and I wish it would change. One man came up and said he was saddened by this because he was in a bad car accident in HS and needed many pints of blood throughout his recovery and wishes that he was able to give back in some way all these years later but cannot because he is a gay man… it hurt to hear and I hope that it changes. Other than that, it was an amazing experience and I encourage everyone to go at least once in their lives! It was awesome to be there representing BWNW as well!
First off I want to say that that the people who joined us to represent Bloodworks truly represent our mission. They were so excited to tell everyone about the various options to help the community through blood donation and awareness. We had a lot of folks come up to tell us that they appreciate what we do, which meant so much. Many people who came up to our booth did not know that donating blood for research or creating awareness about our cord blood program can be hugely impactful in saving lives. We had a great chance to also create awareness about the initiatives to change the policies for blood donation to a more science based approach, which I think was appreciated.
Last weekend being my first time attending this event, I was thankful for the acceptance our community has for its people, and had a wonderful time despite the uncharacteristically hot weather!
A Father’s Day Gift Like No Other — Stanford Blood Center
We hope everyone had a very happy Father’s Day! It’s one of life’s joys to be able to spend quality time with your family on special occasions. Our Marketing and Communications Specialist, Felicia Gonsalves, knows first-hand the impact blood donors have on patients’ lives. She shares her story of how her family came awfully close to losing that valuable time, and how it motivated her to pay it forward.
It was a day Felicia Gonsalves will never forget and one that changed her life forever. She had just returned to the Bay Area after a family trip to Lake Tahoe during the Fourth of July weekend in 2019.
That’s when she got a call no one wants to receive: her dad was in the emergency room. The doctors tested him for what they considered to be worst-case scenario — and it turned out to be just that. After significant strain on his heart, David Gonsalves’ aorta had dissected (torn). His diagnosis was so critical that he had to be life-flighted to UC Davis Medical Center in Sacramento. Felicia quickly drove up to UC Davis to be at her father’s side.
“It’s a struggle to watch it happen to a loved one. Panic set in, not knowing what was going to happen to him,” said Felicia. “The waiting was excruciating, and you feel helpless because you’re not able to do anything for him.”
Fortunately, her father survived, but it was a harrowing experience. “Honestly, it was a miracle! The doctors told us that most patients with a similar diagnosis don’t survive.” Felicia remembers seeing some of the life-flight crew that took her dad to the hospital come by to check on him a few days later after he was out of ICU. They were so happy to see her dad because they knew from experience that most people who go through this ordeal don’t make it. In fact, his recovery is so rare, that doctors at Barton Memorial Hospital in Lake Tahoe have asked to do a case study on David’s situation.
Once her dad was back on his feet, Felicia asked herself what could she possibly do to show her gratitude to all those on his care team who helped her father bounce back and regain his health. “A simple thank-you note wasn’t enough. I could write each and every one of them, but it wouldn’t be able to express how grateful I was for their compassion and kindness,” said Felicia.
That’s when she was finally able to muster up enough courage to donate blood. Despite working at SBC, Felicia was always scared to donate blood. In addition to having a fear of needles, she also had particularly tricky veins that made it more challenging to donate. But, after the experience her family went through, she was determined to overcome her fear and make a difference. “The best thank you I could possibly give was to give the gift of life,” she said.
It was also a way to honor her father who was an avid blood donor. David has worked for years at a local elementary school, where he made a habit of donating at mobile blood drives. Though his medical situation has made it impossible for him to donate currently, he still spreads the word about the need for donors and shares his story every chance he gets.
David Gonsalves was given a second chance. A chance to spend quality time with family and friends. And a chance to enjoy Father’s Day with his daughter. “It’s always front of mind this time of year,” said Felicia. “I got this time with my dad that others unfortunately don’t always get to experience. So, as a blood donor, the only way I could show thanks was to try to do the same for somebody else.”
Just after the two-year anniversary of her father’s recovery, Felicia’s grandfather, Ernesto became very sick. They found out that both of his kidneys and his liver were failing. At the hospital, he had been given several transfusions, but they learned that he didn’t have much time left. Over the next four months, he continued to receive blood products before passing away in February of 2022. Felicia and her family are so grateful for the extra time they had with Ernesto. The gift of time is something Felicia and her family want to continue giving to other families.
Felicia continues to advocate for the importance of blood donation. She has encouraged friends to donate, and some have taken her up on that offer. “Donating blood takes only about an hour, but can have such a large impact on someone else’s life. There’s no better way to thank someone for giving you more time; it’s priceless!”
Like Father, Like Daughter — Stanford Blood Center
Balaji Iyer recently made his 100th milestone blood donation at our Mountain View center — a moment he had hoped to share with someone very special. Unfortunately, illness delayed his 16-year-old daughter Satvika from making her very first donation that same day. But sometimes things have a funny way of working out. Satvika finally got a chance to donate blood last week, just as we get ready to celebrate Father’s Day! Their donation was a very special gift for this father/daughter duo, and a life-saving gift for someone’s parent or child in need.
Ross Coyle, Public Relations Officer, interviewed the two about making blood donation a family affair.
What led you to donate blood the first time?
I have been donating blood since I was 20 years old. I grew up in Mumbai, India and was part of a volunteer group that would provide blood donations for patients in a hospital blood center. I thought of blood donation as one of the easiest ways to contribute positively to society. There was an element of sacrifice (time and logistics) involved that made the contribution worth the effort. I also liked the fact that it was a random act of kindness: I was blind to who got the donation, absolving myself from judgment of whether the recipient deserved that kindness. The truth is we all deserve kindness without judgment and that is enshrined in this act.
Is there a motivation behind becoming a blood donor?
I have benefited enormously from all that society has to offer. I have been blessed with a great education, financial freedoms, good health and the things that money cannot buy. I am grateful to my country and the community that I live in. Blood donation is one way of doing good and giving back a little. It definitely involves time and priority management. We all have busy lives, but it’s important to make time to do good. I have AB+ blood (meaning I can give universal plasma, aka “liquid gold,” which only about 4% of the U.S. population has) and know that when I donate, there are many lives that benefit.
Did you ever think you would reach your 100th Milestone donation?
Not really, I was not focused on a specific number. Since my parents lived in India and I had business that took me there (and India is an endemic malaria zone with a three-month donation deferral period now for travel), I had multiple years of deferrals throughout my years of donations with Stanford Blood Center. Once I got close to my 90th donation, I definitely wanted to celebrate the milestone of giving my 100th donation with my daughter, Satvika, as she became old enough to do her first.
Every milestone in life should be celebrated. It was an opportunity to realize that I was on the path of making a difference. Every journey is a collection of small steps in life. I also realize that there are many donors with 700+ lifetime donations, so there is also that “good competition!” The idea is to do the best that you can, in ways that you can. Be a force for good in life. I also openly talk about this milestone with friends and family. This could be misinterpreted as boisterous pride, but my objective is to spread awareness and encourage others to do what they can.
What does it mean to have your daughter making her very FIRST donation?
Yes, it is great to see my daughter choosing to commit to contribute positively to society. Satvika wants to lead organizing the next SBC blood donation drive at her high school. She is developing into a great leader there as president of the environmental society. Satvika also contributes with her data science skills to research remotely as an intern in a lab associated with studying the development of neurological diseases at St. Jude’s Children’s Hospital. All this while keeping her weighted GPA at 4.6 this past school year. I hope she continues to contribute to her community and society!
What have you told her about becoming a blood donor?
We have been blessed with a lot in life, do the best that you can! Choose to be a force for good. Focus on your health by investing time in regular exercise and good nutrition and hydration. You have a role to play in keeping your body fit for a donation. Do what you can, when you have the opportunity to; health is not something that you can take for granted and factors beyond your control can also affect you. Choose to give and your cup will be filled. Enjoy giving and contributing to your neighborhood and society. There is such a thing as good karma and we do live in a circular society, we may not often realize this but what we put into the universe comes right back to us.
Is it extra special for you as we approach Father’s Day?
I feel blessed and grateful that she is healthy and able to contribute. You can never take anything for granted. I am happy that she believes in the cause and to the extent that I have been an influence in helping her make that choice. I feel like I am doing my job. I remember her as a kindergartener, joining me on bike rides to SBC enthusiastically to snack on the cookies and POG. Glad that she can earn her own POG now!
Note: Interviewed just prior to donation
Are you excited about your very first blood donation with Stanford Blood Center?
Yes! I’m so excited for my first blood donation at the center, hopefully one of many more to come. I believe that if you have ample access to such an essential resource as blood, it is your responsibility to share with others.
How are you feeling as you’re about to donate? Excited? Nervous? A little of both?
I am so excited to donate. When I was younger, my dad and I would bike in tandem to his donation, and I think it’s a full-circle moment to go into my first donation in tandem. Honestly, the photos my dad sends me while donating recently make it seem comparable to a cozy movie night in — curled up in a blanket while watching a movie, sipping on bottomless POG juice and toting some cookies; the reward for an invaluable donation seems to arrive in waves, some in the form of instant gratification.
Has this been something you’ve been wanting to do for a while?
Along with the list, including filing as an organ donor and getting my drivers permit, this experience is something I have wanted to do as soon as I could. A lif- altering pint in my body seemingly lazing around as surplus when it could find its defining purpose in another stream undercuts the potential of that blood, and along with giving that blood purpose, it gives me fulfillment as well.
Do you think you will become a regular blood donor?
Oh, most definitely. Plasma, or liquid gold as my dad likes to call it, is sourced only through human donation (like other blood products), and is imperative for the treatment of genetic and contracted diseases alike. It’s a simple way to give back to my community, and I know I will make time for it regularly going forward.
I understand you want to be a blood donation advocate for your high school. Have you already begun taking steps to help spread the word with your classmates?
Yes! I actually contacted Stanford Blood Center and my school’s principal in order to organize a mobile blood drive. I also believe in sharing education, since as high schoolers we can be wary and almost dismissive of anything shrouded in mystery, and the process of blood donation could be a point of less of interest in high schoolers. I think knowing the inner workings and impact of blood donation will go a long way in producing lifelong donors. Don’t hold the cookies either!
You’re making your first donation right before Father’s Day. What does that mean to you?
Imitation is the sincerest form of flattery that mediocrity can pay to greatness, or in my case, a daughter can pay to their father. I think this is a testament to the impact my parents have had on my life so far, and, in general, the habits we see practiced by our parents are the ones we take to and emulate most easily. The fact my dad is a blood donor bodes well for his future commitment to our joint workouts, racquetball matches and Scrabble marathons: he’s not going to stop anytime soon!
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