How Dangerous are Blood Transfusions really?

by TheWonderofYou 33 Replies latest watchtower medical

  • Vidiot
    jwfacts - "...JWs have been sacrificial lambs, and for no justifiable reason."

    * gasp *

    You mean advancing the Org's agenda isn't a justifiable reason? :open_mouth:

  • OrphanCrow
    WonderofYou: Shannon or Shander?

    Both of them.

    Shander is the doctor face and Shannon Farmer is the WT face. Farmer shadows Hofmann - they are blood buddies

    SABM/NATA guys - the unholy alliance.

    Who is this fellow? Prof. Zacharowski. Is he a JW?

  • Island Man
    Island Man

    Blood transfusions are less dangerous than the medical conditions they mitigate. This why the JW arguments about risks associated with blood, are utterly brainless. They're as brainless as someone refusing to perform the Heimlich maneuver on a person choking to death, because of the relatively small risk of organ damage posed by the procedure.

  • TheWonderofYou

    There is a study that Farmer S. (shannon) and Shander A published together, one of those countless studies

    Five drivers shifting the paradigm from product-focused transfusion practice to patient blood management.

    Hofmann A1, Farmer S, Shander A.

    These are:

    1. the aging population with a leveraged demand for blood products opposed to a shrinking donor base;
    2. the growing awareness that transfusion is a complex service involving many different cost centers within a hospital and representing a multiple of the blood product cost;
    3. the continuous effort to protect blood pools from known, new, or re-emerging pathogens while facing uncertainty over their potentially long silent carrier states;
    4. the emerging evidence that transfusion is an independent risk factor for adverse outcomes;
    5. and finally, a lack of evidence for benefit of transfusion for the vast majority of recipients.
  • TheWonderofYou

    Here is a newer lecture of Dr. Hofmann as flash, which he held at the Anemia 2015 in Madrid.

    You can listen to the full lecture and read at the same time or download the pdf.

    Included is his usual disclosure, which shows from which institutions or enterprises who financially supported him as consultant.

    Select him or any other speaker after skipping the intro.

    Another lecture which he held in 2011, about health economic aspects held at a symposium for the Austrian Government.

    Lecture 2012 at Austrian hospital addressing USA, Australia and Austria,

    Interview A. Hofmann about the nervosity on the blood market [translate with google translate from german to english]

    Expert roundtable 2015 adressing PBM [translate with Googletranslate from german to english]

  • prologos

    I can not forget that the Canadian Governments paid out at least a billion dollars in compensation to blood transfusion victims, and Canada is a small - population,-- low-litigation country. Blood transfusion only as a very last resort for me and the mine, when blood services again toying with the proposition to draw again from high risk groups.

  • TheWonderofYou

    The summary that appeared in the above mentioned article of the austrian medical journal sounds like it was a Watchtower draft. (google translated)

    The myth of the saving blood transfusion

    Transfusion triggers and anemia tolerance. In transfusion triggers two groups can be distinguished. On one hand, the hemoglobin level is used as a trigger. Meier: "That's easy to understand, but does not meet the physiological needs of the patient." On the other hand there are triggers such as tachycardia, hypotension, ECG changes or central venous O2 saturation. "The golden bullet 'was here not yet found, among other reasons, because the anemia tolerance of the whole organism may be different from the individual organs," said Meier.

    Situation in Austria. While PBM now studied in different countries, and partly such as was also introduced across the board in Australia, the concept in Austria is recognized in principle, but it is not yet implemented in the majority of Austrian hospitals. Exception is the Linz General Hospital, where the former head of the Department of Anesthesiology, University Professor. Dr. Hans Gombotz, has begun implementation of PBM. This was continued by his successor Univ.-Prof Dr. Jens Meier. Under the aegis of Gombotz were also the two "Austrian benchmark" studies "- both funded by the federal health agency - performed.

    The first in 2007 published study showed the one hand a high degree of blood transfusions in several indications (knee and hip replacement, coronary surgery) and on the other hand a high degree of variability between individual hospitals within the same indication. So was for example transfusion rate in total hip 16-85 percent. And in 19 percent of patients had a preoperative anemia, which was not corrected before the procedure. compared to the first study, the second, in 2014 published, Austrian benchmark study showed a drop in the average rates of transfusion in orthopedic procedures (from 41 to 30 percent for hip replacement and from 41 to 25 percent for knee replacement), but not in aortocoronary bypass (57 vs . 55 percent).

    As before, there was the problem that the majority of preoperative anemia is not corrected adequately. Specifically, the annual consumption of foreign blood is around 50 units per 1,000 inhabitants, is the stated objective is 20 / 1,000. the transfusion volume decreased by 70 percent - at Linz General Hospital, which focuses on PBM, was within eight years - with an unchanged mortality.

    Although I dont understand the scientific details I draw your attention to Prof. Gombotz who already retired.

    For many years he was chief of the hospital department in Linz where hundreds of J.W. got a treatment, while other hospitals even refused to care for J.W. patients at least in one case. So obviously Linz became center of excellence beginning with 2001. The creation of centers of excellence all over Austria were his last efforts as head of the department. There is no inidication that he is member of J.W.

    But already before Prof. Gombotz in Graz treated hundreds of J.W.

    Quote: In 2001 he became New Head of Anesthesiology Linz.

    Since yesterday, February 1, 2001, Univ.-Prof. Dr. Johann Gombotz the new Head of Anesthesiology and Intensive Care. Previously, he was Deputy Head of the Department of Anesthesiology for Cardiovascular Surgery of the University Hospital Graz. Univ.-Prof. Dr. Johann Gombotz has significantly contributed in Graz in building the emergency system. With more than 500 helicopter missions he is one of the most experienced flight doctors. Since 1990 has Univ.-Prof. Dr. Johann Gombotz about the teaching qualification for the subject anaesthesiology and intensive care. The new Head of anesthesia is 52 years old, married and has a son.

    Under the participation of Univ.-Prof. Dr. Johann Gombotz developed at Graz University special blood saving methods and then used. Using this method far more than 100 Jehovah's Witnesses were successfully operated without allogeneic open heart. Also at the Linz General Hospital will in future increasingly used such methods.

    Already 1989 the reports titled 10 years operation at J.W. on open heart.

    First Austrian Benchmarkstudy 2007

    Second Austrian Benchmarkstudy 2014

    Concept of PBM by Prof. Gombotz

    Further similar lectures form 2011 by Prof Hans Gombotz and others like Hofmann, Rehak adressing benchmark study at the austrian gov. site.

  • TheWonderofYou

    prologos: Interesting possible sideeffect, we are already treated as playthings.

  • steve2

    I can not forget that the Canadian Governments paid out at least a billion dollars in compensation to blood transfusion victims, and Canada is a small - population,-- low-litigation country. Blood transfusion only as a very last resort for me and the mine, when blood services again toying with the proposition to draw again from high risk groups.

    Again, it probably doesn't need to be reiterated but I will anyway:

    This is not a symptom of blood transfusions per se (something often lost sight of in the damnation of transfusions) but of the less vigorous screening procedures in the 1980s-early1990s for blood donations.

    Screening procedures have now been significantly tightened; it is now possible at source of blood donation to screen for blood borne diseases.

    In addition, donated blood is also now heat treated which eliminates any blood borne diseases that may have escaped screening (an extremely rare occurrence).

    Will JW organization ever inform its readers of these advances - or hark back to the earlier less vigorous screening of donated blood? We know the answer. Sometimes it remains convenient to hark back to what once was to bolster current medically unsupportable beliefs.

  • Vidiot

    TheWonderOfYou - "How dangerous are blood transfusions really?"

    About as dangerous as any other form of tissue transplantation.

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