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To get a better understanding as to what bloodless medicine and blood management mean, let us go back to the roots of these disciplines. Their attitude toward the sanctity of blood greatly influences their view of blood transfusion.

This was described as early as in their journal The Watchtower December 15, Although the decision to refuse blood transfusion is a completely religious one, the Witnesses have frequently used scientific information about the side effects of donor blood transfusion to convince their physicians that their decision is a reasonable one and is corroborated by scientific evidence. The sins of omission are crimes of commission.

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Blame the victim - the victims of the WT's blood policy. Vidiot "Stealth evangelism" minus the evangelism at its finest. I wonder if this'll ever have a chance at coming back and biting them on the ass? OrphanCrow vidiot: I wonder if this'll ever have a chance at coming back and biting them on the ass?

The authors have put Cooley's contribution after talking about events in the late 70s to make it appear like Cooley was responding to the JWs' efforts to 'educate' the medical profession: Among the first to rise to the challenge was the heart surgeon Denton Cooley of Texas.

In the early s, his team devised methods to treat Witness patients. In , Cooley reported his experiences with more than patients [2]. Cooley describes his early efforts with using a blood prime to start the heart and lung machine in order to divert the blood away from the heart pg : For the earliest open heart operations using an elaborate system with a Gibbon console.

On the morning of surgery, blood had to be collected from ten or twelve donors of the same blood type. This greatly complicated the procedures. Often, even though we started to collect the blood before dawn, we didn't get enough matching units to start a procedure until the afternoon or evening. Although the red cells were cross-matched, the other blood components couldn't be tested. Once the individual units were mixed together, minor incompatibilities sometimes produced adverse reactions. This problem was originally described by Dr. Howard Gadboys and Dr.

Robert Litwak, who believed that it could be solved by using a non-blood prime. They had used this method successfully in dogs. So Dr.

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2: Basics of blood groups and antibodies

Cooley started using a non blood primer in his open heart surgeries: In my associate Dr. Atthur Beall and I began to perform dog experiments with a prime consisting of 5 percent dextrose in distilled water, and we were impressed with the results. We began to use this solution instead of blood to prime the pump for open heart operations in our patients.

Before long, my team and I were doing eight or ten opeartions a day, whereas institutions that still used a blood prime did only one or two operations a week. By August we had operated on one hundred patients using this technique, which not only greatly facilitated open heart surgery but also eliminated blood-borne illnesses. Our simplified methods were a major advance. Within a year we'd done cases using a non-blood prime.

Basics of blood management

I believe that my popularizing this technique silenced the remaining critics of open heart surgery and led to the rapid acceleration in its growth. For this reason. I think it is one of my most important contributions. Although others, including Dr. Nazih Zuhdi and Dr, Allen Greer, had used a similar technique in a few cases, no one had pushed to make it an acceptable method.

Cooley does not describe his motivation for using a no blood prime as "rising to the challenge" of operating on Jehovah's Witnesses in response to the JWs setting up visiting committees. That didn't happen. The JWs had nothing at all to do with Dr. Cooley's innovation. But, they were able to take advantage of his brilliance: The use of a bloodless prime also allowed me to pioneer open heart surgery on patients of the Jehovah's Witness faith.

Basics of Blood Management by Petra Seeber, Aryeh Shander - reldisccheckhandni.gq

Jehovah's Witnesses refuse to receive blood transfusions or any other blood products because of their interpretation of several verses in the Bible. Refusal of blood places them at high risk for any surgical procedure in which serious blood loss could be an issue.


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Unless the operation is done quickly and precisely, the patient could bleed to death. Shortly after beginning to use a non-blood priming solution, I did the world's first open heart surgery on a Jehovah's Witness.

Patient Blood Management: Aryeh Shander, MD

That was in May , and within a year I had done six more cases. For many years I was the only surgeon willing to operate on Jehovah's Witnesses. Cooley went on to perform , heart surgeries and the JWs only made up a small part of that monumental feat. Almost all of Cooley's open heart procedures were bloodless - it was the nature of the procedure itself - it had nothing to do with the JW blood refusal.

Cooley's methods were not a response to the JWs- they were a response to his profession.


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  8. The JWs have used Cooley's innovations to promote their no blood ideology. They have tried to take credit for something that are not entitled to. I have a little bit more to say about Dr. Cooley and the JWs' attempt to ride his coat tails but I need to take a break Vidiot OrphanCrow - " TheWonderofYou OrphanCrow: As if the sudden success of Bloodmanagement could save Jehovahs damaged reputation, that has been "besmirched" by senseless human sacrifices, watchtower prophecy and scandals like the high rate of child abuse and suicidals and as if the efforts to give Watchtowers victims a honorable place in the medicine school books-history - pardon text books - would ever compensate for their senseless deaths.

    OrphanCrow vidiot: I often wondered, "shouldn't the Biblical injunction itself be enough? In part. Things get waaaay more complicated than that. We are just getting started. They often offered literature that dealt with techniques that were acceptable to Witness patients, informing physicians of the availability of so - called transfusion alternatives. James Penton, in his third edition of Apocalypse Delayed , speaks of the early "hospital committees" that were formed in Canada Dixon, the WT doctor, which contains a subtle threat that if doctors chose not to let JWs refuse blood for themselves and their children, that they will face court action.

    And an article by Dr. Kevorkian in support of child sacrifice. And a bunch of newspaper clippings and medical studies. And WT publications. Basics of blood management Item Preview. EMBED for wordpress. Want more?

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    Advanced embedding details, examples, and help! Back to Glossary List. As defined by one of the leaders in the field, Dr. Patient blood management programs typically have three areas of emphasis: Recognizing and treating pre-operative anemia See episode of the Blood Bank Guy Essentials Podcast for a great discussion on this topic Minimizing intraoperative and postoperative blood loss Making evidence-based transfusion choices throughout the process All of these programs emphasize an honest look at the risks of transfusion in comparison to the benefits, and they also embrace evaluation of alternatives to transfusion.