<s>[INST] My mom has hemocromotosiis(spelling) she has to get her blood drawn out every 3 months.  They have to take 32 tubes out,however her veins are too small and they cant get that much out.  She went today and out of 32 tubes they got 10.  They even put warm rags on her to try and help.  So the nurse said something about a picc tube? But the doc called back and said that will not work.  So now she doesnt know what to do? [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. In hemochromatosis, increased iron deposition ocurrs in tissues leading to tissue damage.2. Red cell removal helps in using the iron for new RBC production. Phlebotomy or bleeding or withdrawal of blood used to be commonly done.3. Now a days, red cell apheresis is very useful and can remove large quantity in single sitting. Discuss with your doctor regarding this. Followup with iron studies.Hope it helps.Any further queries, happy to help again. </s>