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Thalassaemia Society of Victoria (TSV)

333 Waverley Road, Mount Waverley VIC 3149

Phone: 1300 300 318- Email: info@tsv.org.au - Web: www.tsv.org.au

“The TSV is committed to the promotion of knowledge and understanding of thalassaemia and related conditions.”

About TSV

TSV provides information and community education about thalassaemia and other genetic blood disorders. TSV also raises funds for thalassaemia research, puts people in touch with others and provides an informed point of contact on topics related to thalassaemia.

The web site contains fact sheets about the different types of thalassaemia. It also contains a link to a thalassaemia chat room, and an email bulletin list to join.

TSV is currently working towards having a new treatment product listed under the PBS scheme. This will help make the product an affordable treatment option.

History of TSV

TSV was started in 1976 by doctors to raise funds to purchase treating equipment for the hospital to give to patients. The inaugural meeting was held on 10th March 1976.

The group has witnessed a significant change in treatment in that time. TSV celebrates its 30th anniversary this year.

About Thalassaemia

Thalassaemia is the most common inherited genetic condition worldwide. It is a blood disorder affecting haemoglobin production in the red cells. (Haemoglobin is a protein in the blood containing iron which is important in carrying oxygen around the body.) The result of thalassaemia is lifelong anaemia.

Around 160 Victorians have Thalassaemia Major requiring treatment, while many more people are healthy “carriers” of the condition.

Treatment

Treatment involves blood transfusions and daily subcutaneous injections to remove excess iron. The injections take approximately 10 hours and the infusion pump is generally worn overnight, although it can be worn underneath clothing.

While the injections are inconvenient, they are a significant improvement in treatment from thirty years ago, when a person with thalassaemia was unlikely to live long enough to become a teenager. There is hope that a new tablet will be able to replace the injections very soon.

Sotirios’s Story: Living with Thalassaemia

I was born in Melbourne, to Greek Australian parents. Part of my heritage included thalassaemia. My mother had heard of thalassaemia in Greece. Later, when I was appearing rather ill and anaemic as a four year old, it was diagnosed at the hospital.

An illness that made me feel very tired as a child, unable to walk long distances or to play with the energy of other children, soon provided other ‘nightmares’ as part of the treatment. Around five years old, I began having regular blood transfusions at hospital. These varied from fortnightly to eight weekly. Due to the lack of volume of blood in my body and the weak development of my veins, transfusions were particularly traumatic for me as a child. The painful search for a suitable vein to put the drip into and the stays in hospital became part of the experience of living with thalassaemia.

Around seven years old, I had my spleen removed as it was using too much of my valuable red cells (it was trying to do its job of removing the sick thalassaemic red cells and had become bloated in its desperate drive to destroy them). Without my spleen my immune system was further compromised and penicillin was prescribed. To this day, however, I have not suffered a major infection other than the regular cold.

Regular transfusions now provided another challenge. The extra iron left from all those blood transfusions could not be removed by my body and was beginning to store itself in my vital organs. Desferal was prescribed to be administered as a single intra-muscular injection daily. This became another painful daily reminder of thalassaemia. The Royal District Nurse would come to my school on weekdays and I would be called to have the injection. Other children saw this and it added to their curiosity. I did not reveal to them what I had to live with.

During my early teen years the Desferal injection was replaced by a more effective administration regime. Using a device called a slow-infusion pump, I now administered the Desferal injection myself. The pump administered the injection over a ten-hour period (overnight). Of course, as a teenager this meant a severely curtailed nightlife. I did not want to have this thing strapped to me while going out. I didn’t want people to see me as different or pity me, and I did not want to deal with their questions, no matter how well intentioned.

Diet was not a real issue for me apart from abstaining from high-iron foods like lentils, which I did not care too much for. As long as I kept up with regular blood transfusions and using my pump, I could lead a normal life. But using the pump is painful physically and a hassle socially. If I was not vigilant in its use I was warned that other complications could arise such as heart and liver problems, diabetes and eventually death. Ironically, the transfusions would kill me. It’s a life-long condition but one that is not impossible to deal with. Excellent support at hospital by people that I now have known for over 25 years means I have an extended family to support me.

Plans for the future need to be realistic. In finding a life partner I have to be conscious of the possibility that thalassaemia could be passed on to my children and its severity depends on my partner’s carrier status.

I was asked once whether I regret having been born with this condition. I sincerely say that I would live through it all again because I have learned so much and it has made me a stronger-willed person.

Reprinted with kind permission from TSV. Thanks, Sotirios, for sharing your story.

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