Conversation: The conversation between human and AI assistant.
[|Human|] My grandmother who is 87 had an injury to her nose as result of falling out of her wheelchair.  She did lose alot of blood due to blood thinner.  This accident ocurred 2 weeks ago.  She is doing better but her H&H levels are low 8.2 was 8.7 2 days ago and 25.2%   They want to send her for blood transfusions but I have read risks and not confident this is the way to go.  They are taking her blood daily and they took it this morning hence the lower levels and they started her back on coumedin therapy too.  Can her H&H levels be lower in the am?
[|AI|]  Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Both reduced hemoglobin and reduced hematocrit indicates anemia.2. However, 8.2g% is not significant, unless she has associated co-morbidities like cardiac failure.3. If she has cardiac problems or any breathing difficulty, she will require packed red cell transfusion to avoid further complications. Daily blood Chat Doctor.  Continue all medications. She needs to be on blood thinner to avoid heart attack or stroke. Hope it helps. Any further queries, happy to help again.