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Ifeanyichukwu Ifechidere: Coagulation Fundamentals for Result Interpretation in Clinical Practice
Apr 30, 2026, 16:19

Ifeanyichukwu Ifechidere: Coagulation Fundamentals for Result Interpretation in Clinical Practice

Ifeanyichukwu Ifechidere, Specialist Biomedical Scientist at Sheffield Teaching Hospitals NHS Foundation Trust, shared a post on LinkedIn:

“From lost in the MDT… to adding real clinical value

I still remember my first MDT meeting as a newly qualified biomedical scientist.

I walked in thinking: ‘I know my coagulation. I’ll be fine’

Within minutes…Ahh, I was completely lost.

The room was filled with consultants, haematologists, nurses, pharmacists – speaking a language that sounded familiar, but somehow not the same as what I’d learned in the lab.

They weren’t talking about ‘results.’

  • ‘Recurrent VTE despite anticoagulation…’
  • ‘Possible underlying malignancy…’
  • ‘Inflammatory markers trending up…’

And I sat there thinking:

My God! Where does my APTT result fit into all of this?

But here is my turning point

What changed wasn’t my technical knowledge.

It was my perspective.

I started asking different questions:

Why was this test requested?

What decision is this result influencing?

What could make this result misleading?

Suddenly, coagulation wasn’t just numbers – it was context.

From reporting results to interpreting meaning

Instead of just releasing results, I began to notice patterns:

  • A short APTT in a patient with inflammation – could this reflect elevated factor VIII?
  • Low fibrinogen by Clauss – interference or true deficiency?
  • Unexpected results – do they fit the clinical picture?

And slowly… I started speaking up.

The first time I contributed

I still remember the moment, that quite confident.

A case was being discussed with ‘low fibrinogen.’

Something didn’t add up.

I hesitated… then said:

‘Could this be assay interference rather than true hypofibrinogenaemia?’

The room paused.

Then someone nodded.

Then the discussion shifted.

And just like that – I wasn’t invisible anymore.

Where I am now

Today, I don’t just attend MDTs – I contribute.

I flag potential interferences

I provide interpretive comments

I help connect lab data to clinical decisions

Because biomedical scientists aren’t just behind – the – scenes.

We are part of the clinical decision – making process.

I have been there

Feeling lost at the start doesn’t mean you don’t belong.

It means you’re learning to think clinically, not just analytically.

And that’s where real impact begins.

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Ifeanyichukwu Ifechidere: Coagulation Fundamentals for Result Interpretation in Clinical Practice

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