"Basics of Blood Management" by Dr. Petra Seeber and Dr. Aryeh Shander - Inaccuracies and Myth

by OrphanCrow 48 Replies latest watchtower medical

  • OrphanCrow

    From Penton's book...picking up where he left off...:

    But the whole matter caused some bad feelings, particularly among those elders who had given so much service to their brethren. The society's arguments over personal and family rights seemed facetious at best to many who were quite aware of the fact that a Jehovah's witness could be and would be disfellowshipped for voluntarily accepting a blood transfusion. Also, it seemed equally evident that unless Brooklyn itself thought of something first, it was not willing to accept new ideas. Then, finally, some of the elders affected negatively by the clampdown began to feel that the Governing Body cared little about human health or welfare, only the preaching work. Curiously, however, the Governing Body soon recognized the value of what it was to dub "Hospital Liaison Committees" and gave a green light for the re-establishment of those bodies.

    Okay. This is a good place to stop and fill in some blanks and, at the same time, maybe answer Penton's curiosity. Why did the WT re-establish the hospital committees?

    I am going to assume that this happened in 1979 - the date that Seeber/Shander gave in their textbook. That makes sense. Because it is time to look at another doctor that Seeber/Shander elevate to "pioneer" of the blood management movement - Ron Lapin.

    It is Ron Lapin and his surgical practice that became an important cog in the HLC machine. His story fills in the gap between Brooklyn giving the thumbs down to the hospital committees in the mid 70s and their sudden reversal of heart in 1979.

    After claiming that "bloodless programs" came about through the efforts of the HLC, The Seeber/Shander duo introduces Ron Lapin this way:

    This laid the foundation for organized “bloodless programs.” One
    of the hospitals with such a program was the Esperanza
    Intercommunity Hospital in Yorba Linda, California,
    where a high percentage of patients were Witnesses. Herk
    Hutchins, an experienced surgeon and a Witness himself,
    was known for his development of an iron - containing
    formula for blood - building. Among his team was the
    young surgeon Ron Lapin, who was later famed for his
    pioneering work in the area of bloodless therapies. Critics
    labeled him a quack. Nevertheless, he continued and was
    later honored for opening one of the first organized
    bloodless centers in the world, as well as for publishing
    the first journal on this topic, and for his efforts to teach
    his colleagues. During his career, he performed thousands
    of bloodless surgeries.

    So much to say. Where to start? The inaccuracies in Seeber/Shander's account are many. And bad.

    Firstly, I would like to say that the blood management is really pulling from extremes. First, they give credit to one of the best heart surgeons the world has ever known - "Denton Cooley is our pioneer!". A surgeon at the top of his field. And then...they go and scrape the bottom of the barrel and pull up...Ronny Lapin. The bloodless butcher.

    What a shame. To put Denton Cooley's achievements on the same page as Ron Lapin.

    Time for a break...Ronny is a full installment all by himself. I will return (soon) with Herk's Hot-Line and Ronny's Hot-Knife...and what was the real reason that the WTS took the HLC under its wing in 1979.

  • OrphanCrow

    The Esperanza Intercommunity Hospital in Yorba Linda, California. This hospital was owned by Jehovah's Witnesses.

    Ron Lapin worked at this hospital in the early 80s, after he had ran out of other hospitals to work at. He had a little problem with malpractice suits following him around.

    Dr. Herk Hutchins. He was NOT working at the Esperanza Hospital when Lapin started there. Hutchins was retired when he met Lapin. Hutchins, a JW, was the "medical adviser" for an insurance company owned by himself and two other JWs at the time they approached Lapin with an offer. The insurance company sold health insurance only to married JW couples and only if both were JWs in good standing. They asked Lapin to put in a "hot-line" so that they could route JW patients to him.

    Ron Lapin was not part of Dr. Herk Hutchins surgical team but Lapin did manage to talk old Herk into being part of his team - the old guy donned scrubs and assisted Lapin eventually.

    Seeber/Shander say that "Critics labelled him a quack". Now there is an understatement. For details and background on Lapin's shady life:

    The rise and fall of Ron Lapin

    Note that the hospital that Seeber/Shander refer to - Esperanza Intercommunity Hospital - was investigated by the California Medical Association and the facility's management replaced.

    Ron Lapin was unable to get a medical doctor's degree in the States (he was an osteopathic surgeon) and resorted to eventually getting one from a Netherlands Hospital in 1983 - Lapin submitted his doctoral paper as from Tel Aviv and in it, he reported on 4,632 JW patients who he operated on from 1973 to 1982.

    The Feasibility and Physiological Aspects of Anesthesia and Surgery Without the Use of Homologous Blood Transfusions

    SeeberShander say that Lapin started the first blood management/bloodless journal. Yes, Lapin had to. He didn't have anybody to call on as an 'expert' to back him up when he was being investigated by the CMA - and there wasn't any scientific literature that supported him. He had to start a journal - he needed material to present to the CMA when he was being investigated and couldn't find any or anybody...so he made up his own credibility. And so was born the 'evidence based' source that blood management needed.

    The one event that happened in 1979 that is significant, and the one that I think was the reason that the WTS made the hospital committees official, was an event that Ron Lapin was somewhat involved in.

    The Fluosol- DA trials. The blood substitute that was going to be a miracle. The product developed and supplied by a Japanese company - Green Cross. The first human trials.

    Ron Lapin claims that he was approached by a Japanese doctor who wanted Lapin to help with setting up clinical trials for this new product (an oxygen carrier that mice could be submerged in and still live) and the reason that he wanted Ronny's help was because of Herk's Hot-line and the connections Ronny had to the target test group - Jehovah's Witnesses.

    That was in 1979. The trials started in November 79 but the product had received FDA approval in February.

    Ronny got really angry that he was not the first doctor to use Fluosol-DA in the States - that honor went to someone else and of course, the first patient was a JW.

    Even though Ronny thought that he was the special chosen one to get Fluosol-DA into the US market, what is evident is that the FDA approval was already in place when Lapin got involved. And the other thing is that the FDA gave approval only to use Jehovah's Witness as a test group. Which means that there were was Jehovah's Witness representation at the FDA hearing leading up to the Feb 1979 approval. Somebody from the Watchtower would have had to attend those hearings.

    All of those negotiations - the FDA approval, the contracts to supply test subjects to Green Cross in Japan...all of that kind of administration that would go along with that type of testing, would require an official backing for the Jehovah's Witnesses test group. And, the need to take control - first taking the power away from these somewhat self organized groups and then establishing the "official" hospital committees - was vital for the long term plan. And, the need for a tax-free place to park the funds that would change hands would become vital at this point. As well as the funds that the WT would expect to come rolling in from their investment into the biotech world.

    The WT bloodless cult hit the big time in 1979 - they thought they had hit the jackpot.

    Instead, Fluosol-DA 20 was found to be unsafe.

    But that didn't stop them. A few needless deaths from Fluosol-DA 20 shouldn't matter. After all, they were going to die anyways, right?

  • TheWonderofYou

    1. Edition 2007 Basics of Blood Management pdf


    2. Edition 2013: Basics of Blood Management Google book preview - Chapter "A brief history"


    Concerning: "I am going to assume that this happened in 1979 - the date that Seeber/Shander gave in their textbook"

    Has the textbook really played a role 1979 was it not publsihed 2007?

    Exciting upfolding story!

  • OrphanCrow
    WofY: Was the textbook given in 1979 or 2007?

    The Seeber/Shander textbook "Basics of Blood Management", was first published in 2007. Second edition 2013.

    Yes, the HLC became official in 1979. After years of preparation and shuffling around to get organized.

    The WTS operates the Hospital Information Services which is the parent organization of the HLC network worldwide and a clearing house for all things related to blood.

    Chapter 20 in the Seeber/Shander textbook has more details about the current structure of the medical arm of the WTS.

    The material that the HLC used in 1979 would have been built on those first three volumes that Penton spoke about - the first being published in 1973. That volume of blood alternatives grew into a ten volume set by 2001:


    What the HLC uses now for a reference manual, I don't know. The Seeber/Shander textbook is not directed towards the HLC. It is for use in the education of blood management professionals - who may or may not be JWs.

  • Vidiot

    Jeezus, the Org must have convinced themselves that the "bloodless" medical technology field would end up a f**king gold mine.

    Actually, now that I think about it, it fits with the overall "true believer" JW worldview...

    ...the utterly resolute confidence that their efforts were virtually guaranteed success, simply due to the initiative's so-called "scriptural" foundation.

  • OrphanCrow
    Has the textbook really played a role 1979 was it not publsihed 2007?

    The textbook is the place that 1979 was mentioned. Seeber/Shander give the history of blood management. I am filling in some blanks and examining the inconsistencies with the actual history. The Seeber/Shander account is myth building history, not entirely factual.

  • OrphanCrow
    vidiot: Jeezus, the Org must have convinced themselves that the "bloodless" medical technology field would end up a f**king gold mine.

    It is a f**king gold mine.

    Don't forget that it was only 5 years ago that the noblood societies, that the Org is aligned with, attended the United Nations WHO conference in Dubai and it was at that conference that Shander et al successfully convinced the WHO that patient blood management is the "golden standard of care"...for the entire world.

    Patient blood management - using the patient's own blood

    Blood management - avoiding donor blood

    Both concepts are now adopted by WHO - a United Nations organization - as the optimum way to handle blood supply...for the world. Our blood guidelines are now set by noblood societies with ties to the religion which prohibits blood transfusions.

    And that is why I am so interested in deconstructing the Seeber/Shander account of where and how this blood management movement took hold. And the root of the movement is yours truly - the Watch Tower Society.

    The global blood management movement, which effects everybody, is a Watch Tower movement.

  • OrphanCrow

    Picking up where I left off, sort of...which was here, from Seeber/Shander's textbook Basics of Blood Management:

    In 1979 the governing body of the Jehovah’ s Witnesses announced the formation of Hospital Liaison Committees...

    Seeber/Shander go on to say this:

    These continued to “support Jehovah’s Witnesses in
    their determination to prevent their being given blood
    transfusions, to clear away misunderstandings on the part
    of doctors and hospitals, to establish a more cooperative
    spirit between medical institutions and Witness patients
    (our italics) ” and to “alert hospital staff to the fact that
    there are valid alternatives to the infusion of blood ” .

    It is in this paragraph that the SABM duo of Seeber/Shander try to distance the WTS from the HLC. The duo emphasize, through their italics, that it was the Jehovah's Witnesses themselves who desired the HLC. The responsibility for the medical intervention then comes, not from above, but is placed squarely on the individual's shoulders.

    This is inaccurate.

    Firstly, this account totally ignores that the individual JW's position has been dictated by the WTS to begin with. As James Penton pointed out, we are all "quite aware of the fact that a Jehovah's witness could be and would be disfellowshipped for voluntarily accepting a blood transfusion. "

    Secondly, the Jehovah's Witnesses who were involved in the HLC were not representative of the general JW population. Penton has revealed that the JWs in Canada who were instrumental in setting up hospital committees were "leading Canadian Witnesses (including Watch Tower officials at the Canadian branch)". It is likely that these leading Canadian Witnesses had interests in the medical world and related fields. For example, Alex Tost was a chemist. And, in the States, there were several doctors besides Dr. Dixon, the Bethel doctor, who were Jehovah's Witnesses.

    Dr. Dixon and Gene Smalley wrote Jehovah's Witnesses - The Surgical/Ethical Challenge which was published in JAMA 1981. In that article, Dixon/Smalley claim that

    Jehovah's Witnesses accept medical and surgical treatment. In fact, scores of them are physicians, even surgeons.

    Scores of JW doctors. How many is that? It is over 40 and probably less than 100.

    I don't know who all these doctors were but some names are evident.

    Mostly osteopathic doctors - Dr. W. E. Winslow. Dr. Henri Enfroy. Dr. Ronald Broadwater. Dr. Herk Hutchins. All JWs. And "scores" more, according to Dixon/Smalley.

    There is a small part in the Dixon/Smalley article that I want to talk about. Keep in mind that this article was published only two years after the HLC went official and became a department of the WTS. The new hospital department had a mission: to promote the notion of not using donor blood - to promote the ideology of keeping blood pure, not contaminated.

    Dixon/Smalley reveal that the WTS lobbied for support. They asked doctors to produce articles that supported their position.

    In response to our request, Cooley recently did a statistical review of 1,026 operations, 22% on minors, and determined "that the risk of surgery in patients of the Jehovah's Witness group has not been substantially higher than for others."

    I am going to take a break for now, and will return with more thoughts on what Dixon/Smalley said about Cooley's report. But in the meantime, if anybody is even reading this, and if you feel so inclined, I challenge anyone to find that "statistical review". Please do.

  • TheWonderofYou
    In fact, scores of them are physicians, even surgeons

    It seems that more and more J.W. were seeking worldly careers and caught hold of their dream job - being physician. After that they played a role in promotion of what now is the bloodmanagement project. If you start scraching on the surface you will certainly find more. Note: that is in strict opposition to GB Lösch order not to seek wordly careers, a resounding slap for him, that the most clever J.W.s become physicians and achieve to be payed by pharmaceutical companies but all clear their job decision is as well a matter of conscience.

  • OrphanCrow

    ....with more thoughts on what Dixon/Smalley said about Cooley's report

    The reason I am bringing up an seemingly unrelated article - the Dixon/Smalley article - on a thread about the Seeber/Shander textbook is that it is the Dixon/Smalley type of promotion that was critical in the formation years of blood management. It was published in 1981, right after the official launch of the hospital committees.

    The Dixon/Smalley article quotes from a report that they claim they had petitioned from Dr. Cooley. However, the Cooley report has never been published. It doesn't exist anywhere except, presumably, in the Hospital Information Service's archives. A person cannot check the source and in fact, it isn't even sourced in the article.

    Given the WT's poor record of taking quotes out of context, I would discard any information that is inferred from a quote that is not referenced.

    And yet...that quote shows up over and over again online...it has been used and misused to promote bloodless medicine. And there is no way to check the quote for what Dr. Cooley had actually said. We have no idea what the rest of the report said and it is suspiciously unavailable. On that basis, it is a bogus quote. It cannot be checked.

    That is the kind of promotion that the WT engaged in - promotion that used a shady interpretation of a quote and no reference for the quote.

    And speaking of bogus...retracted medical studies have found their way into the Seeber/Shander textbook.

    Basics of Blood Management contains references to at least 3 medical studies that have been retracted:

    1. Cerebral effects and blood sparing efficiency of sodium nitroprusside-induced hypotension alone and in combination with acute normovolaemic haemodilution

    2. Acute phase response to nitroprusside-inducedcontrolled hypotension in patients undergoingradical prostatectomy

    3. A New Plasma-Adapted Hydroxyethyl Starch Preparation: In Vitro Coagulation Studies

    All three of those studies were co-authored by Dr. Joachim Boldt, the 'expert' who was quoted in an Awake! magazine as supporting bloodless methods.

    More about Dr. Boldt's fraudulent research here:


    And here:

    Joachim Boldt (born September 29, 1954[1]) is a German anesthesiologist who was previously considered a leading researcher into colloids. He has been stripped of his professorship and is under criminal investigation for possible forgery of up to 90 research studies.

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