Monday, October 10, 2005

Bloodless



Since I am on the Med Consult service, I have to give resident report this upcoming Wednesday (in two days...yikes! Better get workin'!)

I've decided to do a case report/presentation on a patient who was a 37 year-old female Jehova's Witness who needed to have a total knee replacement performed due to severe pain from osteoarthritis in her right knee. The care of such patients brings up some interesting medical & ethical issues since one of the core teachings of this religion is the refusal of transfused blood products. Previously, a lot of surgeons would refuse to perform procedures on such patients due to the lack of an ability to transfuse patients packed red blood cells should the procedure go awry. Now there is a movement towards offering surgery to Jehova's Witnesses--most physicians have come to realize that they cannot ethically withhold a treatment which could be beneficial for a patient, and furthermore there have been several advances in the field of "Bloodless Medicine", which is what I intend to explore in my presenation.

There are lots of options, including the injection of erythropoietin (a substance which can stimulate the body to produce more red blood cells), the use of intra-operative technologies such as cell savers (machines which "save" an individual's red blood cells as they are shed during surgery), and even specialized centers around the country which are devoted to the idea of bloodless medicine--we have one in the Hospital of University of Pennyslvania System...

Regarding the theories of Jehova's Witnesses...why do they refuse blood? I can't pretend to be an expert by any stretch of the imagination, but there is a pretty useful explanation that can be found via the Jehova's Witnesses official web site.

BTW...my own personal opinion is that there is no rational reason to refuse blood transfusions, particularly in life-threatening situations in which blood transfusion may make the difference between life & death...however we're all adults here and if somebody's religious beliefs are that strong, who am I to force a treatment on them?

Enough procrastinatin'...time to start preparing for this talk! PEACE OUT.

5 Comments:

Anonymous Anonymous said...

SUMMARIES OF OVER 1100 JEHOVAH'S WITNESSES MEDICAL LAWSUITS & OTHER COURT CASES


The following website summarizes over 600 U.S. court cases and lawsuits affecting children of Jehovah's Witness Parents, including 375 cases where the JW Parents refused to consent to life-saving blood transfusions for their dying children:

DIVORCE, BLOOD TRANSFUSIONS, AND OTHER LEGAL ISSUES AFFECTING CHILDREN OF JEHOVAH'S WITNESSES

http://jwdivorces.bravehost.com


The following website summarizes over 500 Jehovah's Witnesses Employment related lawsuits, etc, including DOZENS of court cases in which JW Employees refused blood transfusions, and/or other cases involving Worker's Comp, medical, health, and disability issues:

EMPLOYMENT ISSUES UNIQUE TO JEHOVAH'S WITNESS EMPLOYEES

http://jwemployees.bravehost.com

8:30 AM  
Blogger oakleyses said...

michael kors outlet, coach factory outlet, michael kors outlet, coach outlet, tiffany and co, air max, louboutin shoes, coach outlet store online, burberry outlet, jordan shoes, burberry outlet, prada outlet, longchamp outlet, ray ban sunglasses, kate spade handbags, oakley sunglasses cheap, nike shoes, longchamp handbags, michael kors outlet, chanel handbags, air max, polo ralph lauren, gucci outlet, michael kors outlet, oakley sunglasses, true religion jeans, christian louboutin, michael kors outlet, oakley sunglasses, ray ban sunglasses, prada handbags, coach purses, michael kors outlet online sale, louboutin, louboutin outlet, rolex watches, polo ralph lauren outlet, tory burch outlet, nike free, longchamp handbags, tiffany and co, kate spade outlet

7:16 PM  
Blogger oakleyses said...

nike free pas cher, nike roshe run pas cher, air max, ray ban sunglasses, air jordan, michael kors, lululemon outlet online, air max pas cher, michael kors pas cher, north face, hollister, hollister, ray ban pas cher, true religion outlet, nike tn, true religion outlet, nike blazer, sac longchamp pas cher, sac guess, air max, vanessa bruno, sac hermes, polo lacoste, true religion jeans, polo ralph lauren, sac burberry, new balance pas cher, oakley pas cher, nike air max, vans pas cher, abercrombie and fitch, hogan outlet, timberland, converse pas cher, longchamp, nike free, michael kors uk, north face, ralph lauren, louboutin, nike air force, mulberry

7:20 PM  
Blogger oakleyses said...

babyliss pro, valentino shoes, nfl jerseys, north face outlet, reebok outlet, soccer jerseys, nike roshe, new balance shoes, hollister clothing store, mcm handbags, ferragamo shoes, timberland boots, jimmy choo outlet, nike roshe run, abercrombie and fitch, lululemon outlet, north face jackets, p90x, soccer shoes, mont blanc, instyler, nike trainers, ghd, oakley, mac cosmetics, chi flat iron, insanity workout, baseball bats, longchamp, nike huaraches, birkin bag, celine handbags, iphone 6 cases, air max, giuseppe zanotti, vans shoes, asics running shoes, beats by dre, herve leger, bottega veneta, hollister, wedding dresses

7:24 PM  
Blogger oakleyses said...

converse, ugg, ugg, converse shoes, swarovski, coach outlet store online, juicy couture, juicy couture outlet, pandora jewelry, toms shoes, ray ban, ugg boots clearance, karen millen, links of london, marc jacobs, rolex watches, wedding dresses, ugg pas cher, ralph lauren, sac lancel, cheap uggs, ugg boots, pandora charms, uggs, abercrombie, hollister, gucci, supra shoes, ugg outlet, swarovski crystal, uggs outlet, pandora charms, montre homme, air max, thomas sabo, louboutin, ugg, vans

7:34 PM  

Post a Comment

<< Home