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Plasma Donation Process – Getting Started

Select your diagnosis from the list below

Complete the pre-screening form below to find out if you qualify. A representative will contact you with more information shortly.
1.
Are you currently being seen by a doctor or clinic for this condition?

YesNo. I am no longer seeing a doctor.No. I did not see a doctor.

2.
When did you first visit the doctor for this condition?
3.
Do you currently have any symptoms for this condition?

YesNo. I had symptoms at first but they are mostly gone nowNo. I never had any symptoms

4.
If you no longer have symptoms, how long ago did they go away?
5.
Did the doctor prescribe any medications to you for this condition?

Yes I am still taking the medicationYes. But I am NO longer taking the medicationsNo. The doctor did not give me any medication

6.
Can you provide copies of any recent results or lab work related to your diagnosis?
(if Yes, you can email, fax to 760.931.8456, or upload)info@accessclinical.com

YesNo

7.
What symptoms are you currently experiencing ?
(Please include the approximate date of onset of each symptom)
8.
Have you ever been diagnosed with:
(check all that apply)

SyphilisHIV/AIDSHepatitis CHTLV

9.
Contact Information (All fields are required)

Select your diagnosis from the list below

Hepatitis A {HAV, Hep A} is a liver disease caused by the Hepatitis A virus. Hepatitis A {HAV, Hep A} can affect anyone. Good personal hygiene and proper sanitation can help prevent Hepatitis A.

Are there long term effects?

There is no “chronic” (long term) infection and once you have had Hepatitis A (HAV, Hep A), you cannot get it again. Only about 15% of people infected with HAV will have prolonged or relapsing symptoms over a 6-9 month period.

What are the symptoms?
  • Jaundice (yellowing of the skin/eyes)
  • Fatigue
  • Abdominal Pain
  • Loss of Appetite
  • Nausea
  • Diarrhea
  • Fever
Resources:

www.webmd.com

Hepatitis B is caused by a virus that attacks the liver. The virus, which is called Hepatitis B Virus (HBV), can cause lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death.

How is Hepatitis B spread?

Hepatitis B, or HBV is spread when blood from an infected person enters the body of a person who is not hepatitis B positive. HBV is spread through having sex with an infected person without using a condom, by sharing drugs, needles when shooting drugs, through needle sticks or sharps.

What are the symptoms of Hepatitis B?
  • Jaundice (yellowing of the skin or of the whites of your eyes)
  • Tiredness
  • Loss of appetite
  • Nausea
  • Abdominal discomfort
  • Dark urine
  • Clay-colored bowel movements
  • Joint pain
What are the risk factors for Hepatitis B?
  • Having sex with someone with HBV
  • Having sex with more than one partner
  • IV drug use
  • In the same house with someone who has chronic (long term) HBV infection.
  • Have hemophilia
  • Travel to areas where a hepatitis B positive diagnosis is common
Is there treatment for Hepatitis B?

There are no medications available for recently acquired (acute) HBV infection. There is a Hepatitis B vaccine available for the prevention of the infection. If you are hepatitis b positive, there are antiviral Hepatitis B drugs available for the treatment of chronic HBV infection. This is why it is crucial for anyone who is Hepatitis B Positive / HBSAG positive to participate in our Hepatitis B plasma donation program. We need your Hepatitis B plasma donation to help in several Hepatitis B clinical Trials and hepatitis be studies. Call to schedule a donation today!

Additional Hepatitis B Resources:

www.righthealth.com/topic/hepatitis_b
www.webmd.com

Healthy people who become infected with Toxoplasmosis often do not have symptoms because their immune system usually keeps the parasite from causing illness. When illness occurs, it is usually mild with “flu-like” symptoms (e.g., tender lymph nodes, muscle aches, etc) that last several weeks and then go away. However, the parasite remains in the body in an inactive state. It can become reactivated if the person becomes immunosuppressed.

How is it spread?
  • Touching or coming into contact with infected cat feces (cats get the infection from eating infected rodents, birds or other small animals).
  • Eating raw or undercooked meat that’s infected.
  • Eating uncooked, unwashed fruits or vegetables that have been contaminated by manure.
  • Being born with it (a woman who gets a toxoplasmosis infection while pregnant may pass the parasite on to her unborn child through the bloodstream)
How long will it last?

Although toxoplasmosis parasites may grow and multiply within 1 week after entering a person’s body it may be weeks or months before symptoms of the infection appear (if they appear at all).

Once a person has become infected with toxoplasmosis, the infection remains in the body for life, usually in the “inactive” form that won’t cause the person any side effects or harm. The infection can be reactivated, however, if the immune system becomes compromised by an HIV infection or cancer therapy.

Resources:

www.righthealth.com/topic/toxo
www.webmd.com

Between 50% and 80% of adults in the United States are infected with CMV by 40 years of age. Cytomegalovirus is a member of the herpes virus family, which includes herpes simplex viruses and the viruses that cause Chicken Pox (VZV/Varicella Zoster Virus) and infectious mononucleosis (Epstein Barr Virus).

How long will it last?

Once CMV is in a person’s body, it stays there for life; most infections are “silent”, meaning they cause no signs of symptoms in an infected person.

How is it spread?

Transmission of CMV occurs from person to person, through close contact with body fluids (urine, saliva/spit, breast milk, blood, tears, semen, and vaginal fluids)

Resources:

http://www.righthealth.com/topic/cytomegalovirus_(cmv)
www.webmd.com

Auto-Immune Fact Sheet

Definition:

An autoimmune disorder is a condition that occurs when the immune system mistakenly attacks and destroys healthy body tissue. There are more than 80 different types of autoimmune disorders. In patients with an autoimmune disorder, the immune system can’t tell the difference between healthy body tissue and antigens. The result is an immune response that destroys normal body tissues. With autoimmune disorders, the immune system reacts to normal body tissues. The cause of the immune system to no longer distinguish between healthy body tissues and antigens is unknown.

Symptoms:

Symptoms of an autoimmune disease vary widely and depend on the specific disease. A group of very nonspecific symptoms often accompany autoimmune diseases, which may include: dizziness, fatigue, general ill feeling and low grade fever.

Treatment:

The goals of treatment are to reduce symptoms and control the autoimmune process while maintaining the body’s ability to fight disease. Treatments vary widely and depend on the specific disease and your symptoms.

Resources:

www.ask.com
www.webmd.com

Types of Autoimmune disorders

ANCA (aka: P-ANCA/C-ANCA, Crohn’s Disease)
Cardiolipin (aka: anti-cardiolipin, Cardiolipin Antibodies, SLE, other auto immune disorders)
Gliadin (aka: Gliadin Antibodies, Celiac, Celiac Disease)
Jo-1 (aka: connective tissue disease)
Microsomal disease (aka: TPO, Thyroid Peroxidase, Graves disease, addisons disease, hashimoto’s disease)
Mitochondrial (aka: primary biliary cirrhosis)
Lupus (aka: ANA, Antinuclear Antibodies-Centromere, Speckled, and Homogeneous pattern)
Parietal Cell (aka: pernicious anemia, or in association with ANA antibodies)
Arthritis (aka: RF, RA, Rheumatoid Factor, CCP/Cyclic Citrullinated Peptide)
Smith (aka: Smith antibodies, RNP antibodies, SM/RNP)
Smooth Muscle (aka: primary biliary cirrhosis, and Hepatoma)
Sjogren’s (aka: SSA/SSB, Lupus)
Thyroid (aka: Thyroid Peroxidase, Thyroglobulin, Hashimotos, Graves, Addison’s)
DNA (aka: dsDNA, ssDNA, Lupus, and other auto immune diseases)
Tissue Transglutaminase (aka: TTG, Celiac Sprue Disease, IgA deficient patients)
Scleroderma (aka: SCL-70, Scleroderma Antibodies)
Beta 2 Glycoprotein (aka: Beta 2, anti-beta 2,  antiphospholipid syndrome, SLE/Lupus)
Antiphospholipid Antibody (aka: Anticardiolipin antibodies, Lupus anticoagulant)
Celiac Disease (aka: Tissue Transglutaminase, TTG, sensitivity to gluten/wheat in diet)
Other: (any other auto immune disorder not mentioned above)

Lyme disease is an infection that is spread by ticks. You can get Lyme disease if you are bitten by an infected tick. But most people who have had a tick bite do not get Lyme disease. Lyme disease is common in the United States. It can also be found in Canada, Europe, and Asia.

What Causes Lyme disease?

Lyme disease is caused by bacteria. Infected ticks spread the bacteria by biting people or animals.

What are the symptoms?

One sure sign of Lyme disease is a round, red rash that spreads at the site of a tick bite. This rash can get very large. Flu-like symptoms are also very common. People in the early stages of Lyme disease may feel very tired and have headaches, sore muscles and joints, and a fever.

Resources:

www.righthealth.com/topic/lyme
www.webmd.com

Mononucleosis, also called “mono” (EBV, Epstein Barr Virus) is a common viral illness that can leave you feeling tired and weak for weeks or months. Mono goes away on its own.

What are the symptoms?

Mononucleosis (Mono, EBV, Epstein Barr Virus) most common symptoms are a high fever, a severe sore throat, swollen glands and tonsils and weakness and fatigue.

How is it treated?

Usually only self-care is needed for mono. Get plenty of rest. (You may need bed rest, which could keep you away from school or work for a little while.) Gargle with salt water or use throat lozenges to soothe your sore throat. Take acetaminophen or ibuprofen to reduce fever and relieve a sore throat and headaches.

Resources:

www.righthealth.com/topic/mono
www.webmd.com

Pneumonia is a lung infection that can make you very sick. You may cough, run a fever and have a hard time breathing. For most people, pneumonia can be treated at home. It often clears up in 2-3 weeks. But older adults, babies, and people with other diseases can become very ill. They may need to be in the hospital.

What causes it?

You can get pneumonia in your daily life, such as at school or work. This is called community-based pneumonia. You can also get it when you are in a hospital or nursing home. This is called hospital-based pneumonia. It may be more severe because you are already ill.

Pneumonia usually starts when you breathe the germs into your lungs. You may be more likely to get the disease after having a cold or the flu. When you have mild symptoms, your doctor may call it “walking pneumonia”.

What are the symptoms?
  1. Cough (you will likely cough up mucus from your lungs. Mucus may be rusty or green or tinged with blood)
  2. Fever
  3. Fast breathing and feeling short of breath.
  4. Fast heartbeat
  5. Feeling very tired or feeling very weak.
  6. Nausea and vomiting
  7. Diarrhea
  8. Shaking and “teeth-chattering” chills. (you may have this only one time or many times)
Resources:

www.righthealth.com/topic/pneumonia
www.webmd.com

Chickenpox is a common illness that causes an itchy rash and red spots or blisters (pox) all over the body. It is most common in children, but most people will get chickenpox at some point in their lives if they have not had the chickenpox vaccine.

Chickenpox usually isn’t serious in healthy children. But it can cause problems for pregnant women, newborns, teens and adults, and people who have immune system problems that make it hard for the body to fight infection. After you have had chickenpox, you are not likely to get it again. But the virus stays in your body long after you get over the illness. If the virus becomes active again, it can cause a painful viral infection called Shingles.

What causes it & how is it spread?

Chicken pox is caused by the varicella zoster virus. It can spread easily. You can get if from an infected person who sneezes, coughs, or shares food or drinks. You can also get it if you touch the fluid from a chickenpox blister. A person who has chickenpox can spread the virus even before he or she has any symptoms. Chickenpox is most easily spread from 2-3 days before the rash appears until all the blisters have crusted over. You are at risk for chickenpox if you have never had the illness and have not had the chickenpox vaccine. If someone you live with gets chickenpox, your risk is even higher because of the close contact.

What are the symptoms?
  • Fever
  • Headache
  • Sore throat
  • Chickenpox blisters

It usually takes 14-16 days to get the symptoms of chickenpox after you have been around someone with the virus (incubation period). After a chickenpox red spot appears, it usually takes about 1-2 days for the spot to go thru all its stages; this includes blistering, bursting, drying and crusting over. New red spots will appear every day for up to 5-7 days.

Resources:

www.righthealth.com/topic/chickenpox
www.webmd.com

Questions?

If you have any questions, please check our FAQs.
If you would prefer to speak with an Access Biologicals Donor Representative, please call us at: 800.510.4003 option #2.

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