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Medical Forum / General / General / March 2006

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For those in need of a blood transfusion

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LavaDragonRed - 23 Mar 2006 16:26 GMT
For those in need of a blood transfusion and whose religious
convictions or individual concerns prohibit the process, an
alternative program is being offered by Allegheny General Hospital
(AGH) in Pittsburgh.

More than 200 people from the Fayette County area gathered at the
Route 40 Holiday Inn in Uniontown Saturday to learn about a unique
program at AGH that offers patients in need of surgery the option of
forgoing blood transfusions.

"Whether due to religious convictions or concerns over the safety of
blood transfusions, a growing number of people in our country are
expressing an interest in bloodless medicine programs. At Allegheny
General, we have established one of the nation's most comprehensive
centers to accommodate such patients," said Perry Doebler, a
coordinator of AGH's Center for Bloodless Medicine and Surgery.

The alternatives are all available at AGH and for those specifically
to the Jehovah's Witness congregations since religious convictions
prohibit blood transfusions.

Several other reasons why the alternatives are desirable to a patient
are because it avoids contracting a disease, a reaction, quicker
recovery, lower costs and lower risks of cancer.

"Most blood transfusion patients fear diseases such as HIV, HCV,
Hepatitis B and others,'' Doebler said. This program takes away those
chances.''

The rates, Doebler explained, for getting HIV from a blood transfusion
is one in 1.7 million; HCV, 1 in 1.5 million; and Hepatitis B, one in
166,700.

The Center for Bloodless Medicine and Surgery at AGH was established in 1998.

One process involves an intraoperative blood salvage or the
"cell-saver system,'' whereby the system collects and returns the
patient's own blood lost during surgery.

Another technique, Erythropoietin, involves a synthetic hormone,
Procit, that stimulates the body's ability to produce red blood cells.

"By treating anemia and increasing the red blood cell supply before
surgery, the hemoglobin level is increased and remains higher during
and after surgery.''

This process would be done at 21 and 14 days before surgery, the day
before surgery and the day of surgery, thus eliminating the need for
having blood stored from oneself or relying on blood from a blood
bank.

Other measures include Hemodilution, a temporary replacement of blood
with intravenous fluids to reduce blood loss, volume expanders whereby
the blood is "watered down" the blood contains a lower concentration
of red blood cells and the amount of (cell) lost is reduced.

And other alternatives include use of an Argon beam coagulator, a
blood clotting process; Electrocautery, use of heat to stop vessels
from bleeding; blood-conservation, micro-sampling, whereby very small
amounts of blood are taken for testing; skin monitoring, a
non-invasive method of tracking oxygen levels during surgery;
pharmacological agents; and meticulous surgical techniques to minimize
blood loss.

Most of the 200 attending Saturday's session were Jehovah's Witness
members. Their belief that accepting whole blood or any of the four
primary components of blood violates God's law because blood is
sacred.

According to the Watch Tower Bible and Tract Society, "Jehovah God
told our common ancestor Noah that blood must be treated as something
special and by rejecting God's law, one could contaminate others.''

With that belief, Louisiana Jones from the Brownsville Kingdom Hall,
who moved here from Maryland, said the alternatives at AGH are very
encouraging to congregation members.

"We will not have blood transfusions, honoring our belief," said Jones.

"These alternatives to blood transfusions still honor our beliefs and
will be helpful if ever needed.''

Jehovah's Witness members deeply hold their religious convictions that
blood transfusions are something they are not willing to accept, no
matter the situation.

Jones said she has never had the need for a blood transfusion.

If ever the need would arise and was needed to save her life or family
member, they would refuse.

"We would die,'' she said.

A Jehovah's Witness man said his concern involves his age element and
the fact he may need hip surgery sometime down the road.

"I can't walk as well as in my younger days," said the elder man, who
asked not to be identified.

"I may have to have hip surgery, but won't go through it if I felt I
would have to have a blood transfusion.''

Doebler explained much blood loss is common in hip surgeries and the
alternatives would be very helpful in recovery.

The AGH Center for Bloodless Medicine and Surgery treats approximately
200-300 patients per year, some traveling from as far away as Florida,
Arkansas, West Virginia and Ohio. At AGH, highly complex surgical
procedures, such as organ transplantation, brain, vascular,
gynecological, cardiac, orthopaedic and gastrointestinal surgery can
be performed without the necessity of transfusion.

According to AGH coordinator Deborah Tatro, "successful bloodless
medicine programs require first and foremost an experienced, uniquely
dedicated medical and surgical staff. At AGH, physicians representing
just about every major clinical specialty are accessible to patients
requiring a bloodless option for their care."

She explained that the need for such a program sparked about two to
three years ago when the West Nile virus was spreading here.

"We saw an upswing in the concern for blood transfusions and the
concerns Jehovah's Witness members had in avoiding contamination,''
Tatro said.

Those interested in contacting the AGH Center For Bloodless Medicine
and Surgery may call 412-359-8787 or 1-877-284-2000.

(c)The Herald Standard 2006
Skeptic - 23 Mar 2006 16:41 GMT
Are you kidding me?  First, there is no such thing as a bloodless surgery.
Second, every Jehovah's witness I've talked to who objects to blood
tranfusions (too many) also objects to a cell saver, which is STILL A BLOOD
TRANSFUSION.  For the same reason, they object to pre-banking blood (same
thing really).  Third, you make it sound like most people don't try to
minimize bleeding.  Don't be a fool.  Bleeding is always attempted to be
kept to a minimum.  You think an argon laser is something special and only
used for people who don't want transfusions???? It's commonly used.  A
bloody field is often a surgeon's enemy and nightmare.

Your post is thoroughly fruitless.  Bottom line is this - the methods you
described below are routinely used to varying degrees and should add nothing
to a decision to proceed with surgery or not.

Personally, I won't operate on a person who refuses blood transfusions if
there's a chance he or she will need one.

For those in need of a blood transfusion and whose religious
convictions or individual concerns prohibit the process, an
alternative program is being offered by Allegheny General Hospital
(AGH) in Pittsburgh.

More than 200 people from the Fayette County area gathered at the
Route 40 Holiday Inn in Uniontown Saturday to learn about a unique
program at AGH that offers patients in need of surgery the option of
forgoing blood transfusions.

"Whether due to religious convictions or concerns over the safety of
blood transfusions, a growing number of people in our country are
expressing an interest in bloodless medicine programs. At Allegheny
General, we have established one of the nation's most comprehensive
centers to accommodate such patients," said Perry Doebler, a
coordinator of AGH's Center for Bloodless Medicine and Surgery.

The alternatives are all available at AGH and for those specifically
to the Jehovah's Witness congregations since religious convictions
prohibit blood transfusions.

Several other reasons why the alternatives are desirable to a patient
are because it avoids contracting a disease, a reaction, quicker
recovery, lower costs and lower risks of cancer.

"Most blood transfusion patients fear diseases such as HIV, HCV,
Hepatitis B and others,'' Doebler said. This program takes away those
chances.''

The rates, Doebler explained, for getting HIV from a blood transfusion
is one in 1.7 million; HCV, 1 in 1.5 million; and Hepatitis B, one in
166,700.

The Center for Bloodless Medicine and Surgery at AGH was established in
1998.

One process involves an intraoperative blood salvage or the
"cell-saver system,'' whereby the system collects and returns the
patient's own blood lost during surgery.

Another technique, Erythropoietin, involves a synthetic hormone,
Procit, that stimulates the body's ability to produce red blood cells.

"By treating anemia and increasing the red blood cell supply before
surgery, the hemoglobin level is increased and remains higher during
and after surgery.''

This process would be done at 21 and 14 days before surgery, the day
before surgery and the day of surgery, thus eliminating the need for
having blood stored from oneself or relying on blood from a blood
bank.

Other measures include Hemodilution, a temporary replacement of blood
with intravenous fluids to reduce blood loss, volume expanders whereby
the blood is "watered down" the blood contains a lower concentration
of red blood cells and the amount of (cell) lost is reduced.

And other alternatives include use of an Argon beam coagulator, a
blood clotting process; Electrocautery, use of heat to stop vessels
from bleeding; blood-conservation, micro-sampling, whereby very small
amounts of blood are taken for testing; skin monitoring, a
non-invasive method of tracking oxygen levels during surgery;
pharmacological agents; and meticulous surgical techniques to minimize
blood loss.

Most of the 200 attending Saturday's session were Jehovah's Witness
members. Their belief that accepting whole blood or any of the four
primary components of blood violates God's law because blood is
sacred.

According to the Watch Tower Bible and Tract Society, "Jehovah God
told our common ancestor Noah that blood must be treated as something
special and by rejecting God's law, one could contaminate others.''

With that belief, Louisiana Jones from the Brownsville Kingdom Hall,
who moved here from Maryland, said the alternatives at AGH are very
encouraging to congregation members.

"We will not have blood transfusions, honoring our belief," said Jones.

"These alternatives to blood transfusions still honor our beliefs and
will be helpful if ever needed.''

Jehovah's Witness members deeply hold their religious convictions that
blood transfusions are something they are not willing to accept, no
matter the situation.

Jones said she has never had the need for a blood transfusion.

If ever the need would arise and was needed to save her life or family
member, they would refuse.

"We would die,'' she said.

A Jehovah's Witness man said his concern involves his age element and
the fact he may need hip surgery sometime down the road.

"I can't walk as well as in my younger days," said the elder man, who
asked not to be identified.

"I may have to have hip surgery, but won't go through it if I felt I
would have to have a blood transfusion.''

Doebler explained much blood loss is common in hip surgeries and the
alternatives would be very helpful in recovery.

The AGH Center for Bloodless Medicine and Surgery treats approximately
200-300 patients per year, some traveling from as far away as Florida,
Arkansas, West Virginia and Ohio. At AGH, highly complex surgical
procedures, such as organ transplantation, brain, vascular,
gynecological, cardiac, orthopaedic and gastrointestinal surgery can
be performed without the necessity of transfusion.

According to AGH coordinator Deborah Tatro, "successful bloodless
medicine programs require first and foremost an experienced, uniquely
dedicated medical and surgical staff. At AGH, physicians representing
just about every major clinical specialty are accessible to patients
requiring a bloodless option for their care."

She explained that the need for such a program sparked about two to
three years ago when the West Nile virus was spreading here.

"We saw an upswing in the concern for blood transfusions and the
concerns Jehovah's Witness members had in avoiding contamination,''
Tatro said.

Those interested in contacting the AGH Center For Bloodless Medicine
and Surgery may call 412-359-8787 or 1-877-284-2000.

(c)The Herald Standard 2006
Mark Sornson - 23 Mar 2006 18:16 GMT
> Are you kidding me?  First, there is no such thing as a bloodless surgery.

"Bloodless surgery" and "bloodless medicine" are common labels
used by the medical industry itself to describe assorted medical
techniques and regimens that avoid blood transfusions.  Examples
of use are:

 http://www.theuniversityhospital.com/bloodless/
 http://www.bloodlessmed.com/

> Second, every Jehovah's witness I've talked to who objects to blood
> tranfusions (too many) also objects to a cell saver, which is STILL A BLOOD
> TRANSFUSION.  

Then you haven't talked to a wide-enough sample of JWs.
There are JWs who don't object to the cell-saver machine.

According to the article that was posted, JWs do not catagorically
reject the use of cell-savers.

At times JWs donate money to purchase cell-savers:

http://72.14.203.104/search?q=cache:jv24FqsiAXMJ:www.ruh-bath.swest.nhs.uk/docum
ents/press_statements/05.09.09%2520Cell%2520Saver.pdf+%22cell+saver%22+donated&h
l=en&gl=us&ct=clnk&cd=2


Here's a link that says that the WTS acted as a pass-through
agent, to distribute donated cell-savers (from the USA) to
countries in Europe that didn't have access to the technology:

http://www.humed.com/html/prnew/press_release00/0006/000616a.shtml

And here's a link to an article that says that a JW-run charity
donated a cell-saver to a hospital:

http://www.poolehos.org/press/JW.htm

>              For the same reason, they object to pre-banking blood (same
> thing really).  

Some may feel that way, but others do not.

>                 Third, you make it sound like most people don't try to
> minimize bleeding.  Don't be a fool.  Bleeding is always attempted to be
> kept to a minimum.  You think an argon laser is something special and only
> used for people who don't want transfusions???? It's commonly used.  A
> bloody field is often a surgeon's enemy and nightmare.

Blood conservation techniques are better than they
have ever been, and awareness of tools and techniques
for blood conservation is similarly on the rise.  But
that is so, at least in some measure, because the
medical community has responded to the JW request for
surgery without transfusions.  There is still plenty
of room to improve awareness on the part of doctors and
patients about options that reduce or eliminate the
use of blood transfusions.

> Your post is thoroughly fruitless.  Bottom line is this - the methods you
> described below are routinely used to varying degrees and should add nothing
> to a decision to proceed with surgery or not.

They matter to the decision made by the JW patient to
proceed with the surgery.

> Personally, I won't operate on a person who refuses blood transfusions if
> there's a chance he or she will need one.

That is your choice.  I presume that JWs don't give you their
business [if they need surgery].

JWs appreciate the courage and skill of doctors who are willing
to respect their request to refuse blood transfusions.  Those
doctors have helped expand the boundaries of medical techniques
to the benefit of all.

-mark.

> For those in need of a blood transfusion and whose religious
> convictions or individual concerns prohibit the process, an
[quoted text clipped - 126 lines]
>
> (c)The Herald Standard 2006
Robert - 23 Mar 2006 19:54 GMT
> At times JWs donate money to purchase cell-savers:

We are involved in clinical trials with hemoglobin substitutes in instead of
transfusions. Will JW object to these solutions in the future?

My experience with JW have been that they have extreme views and not only
blood transfusions but blood products including EPO, factor VII. With
significant bleeds then FFP and platelets are needed. Anything remotely
related to blood is a no no for them.
Mark Sornson - 23 Mar 2006 21:53 GMT
>>At times JWs donate money to purchase cell-savers:
>
> We are involved in clinical trials with hemoglobin substitutes in instead of
> transfusions. Will JW object to these solutions in the future?

I don't know ... I'd have to know more about them before
I'd be able to venture a guess.

> My experience with JW have been that they have extreme views and not only
> blood transfusions but blood products including EPO, factor VII.

I know JWs who have taken EPO.  I don't know any
who have dealt with factor VII.

Have you ever been in contact with anyone from the
JW 'Hospital Liason Committee' from your area?

>                                                                   With
> significant bleeds then FFP and platelets are needed. Anything remotely
> related to blood is a no no for them.

JWs realize that their position may put doctors in
a bind from a medical perspective, but they appreciate
it when doctors are willing to respect their
consciences and find 'work-arounds' for their problems.

Even if a JW was willing to take all blood products,
but for some reason the blood supply ran short so that
none was available for them within their window of
treatment time, what then?  Doesn't the medical community
recognize a certain need to push beyond current
means and methods (which have limitations), so that,
one day, perhaps, there will be other options which
make blood-based product shortages a moot point?

-mark.
Robert - 23 Mar 2006 22:32 GMT
> >>At times JWs donate money to purchase cell-savers:
> >
[quoted text clipped - 3 lines]
> I don't know ... I'd have to know more about them before
> I'd be able to venture a guess.

They are essentially free hemoglobin protein that is red in color. It can
take on oxygen and deliver it to tissues without the blood cells or plasma.

> > My experience with JW have been that they have extreme views and not only
> > blood transfusions but blood products including EPO, factor VII.
>
> I know JWs who have taken EPO.  I don't know any
> who have dealt with factor VII.

factor VII can decrease the need for blood cell transfusions by plugging up
the site of bleeding as in trauma or factor VIII deficient individuals.
These are recombinant proteins and not extracted from blood.

> Have you ever been in contact with anyone from the
> JW 'Hospital Liason Committee' from your area?

I am sure they have although options are limited once the anemia is severe.

> >                                                                   With
> > significant bleeds then FFP and platelets are needed. Anything remotely
[quoted text clipped - 4 lines]
> it when doctors are willing to respect their
> consciences and find 'work-arounds' for their problems.

They do but as I stated some JW don't know where to draw the line. Are
recombinant proteins considered a no no?

> Even if a JW was willing to take all blood products,
> but for some reason the blood supply ran short so that
> none was available for them within their window of
> treatment time, what then?

Then if they die it wasn't because one did not try. The other option is to
see one bleed to death and do nothing.

Doesn't the medical community
> recognize a certain need to push beyond current
> means and methods (which have limitations), so that,
> one day, perhaps, there will be other options which
> make blood-based product shortages a moot point?
>
> -mark.

Yes, which is why I brought up the point of artificial blood. I was involved
with a case in which the person had a hematocrit of 14 in a major trauma and
survived because of the artificial blood.
The only problem is that they might consider hemoglobin as blood and refuse
it.
Mark Sornson - 24 Mar 2006 13:41 GMT
>>>>At times JWs donate money to purchase cell-savers:
>>>
[quoted text clipped - 9 lines]
> They are essentially free hemoglobin protein that is red in color. It can
> take on oxygen and deliver it to tissues without the blood cells or plasma.

Very interesting.

Just of out of curiousity, can hemoglobin be manufactured
synthetically, or is it (at present only) extracted from
blood?  [I ask because I wonder if it subject to contamination
from bloodborne diseases, like factor VII is/was (do I
understand correctly that factor VII can now be produced
synthetically?).]

>>>My experience with JW have been that they have extreme views and not
>
[quoted text clipped - 8 lines]
> the site of bleeding as in trauma or factor VIII deficient individuals.
> These are recombinant proteins and not extracted from blood.

For what it's worth (to you), the Watchtower published an
article in 2000, and reprinted it in 2004, that indicated
that blood-fraction products like factor VII are NOT classified
as 'strictly banned' (because they are not what could be said
to be "blood"), but rather are up to each JW to decide.

>>Have you ever been in contact with anyone from the
>>JW 'Hospital Liason Committee' from your area?
>
> I am sure they have although options are limited once the anemia is severe.

No offense ... but you seem to be answering a different question
than the one I asked.  I was wondering if YOU had ever talked to
anyone from a JW HLC in your area (even if it was in conjunction
with treating a JW patient).  I'm not trying to 'force' you into
contact/conflict with them; but I only mention them as a source of
reliable information about various aspects of the 'official JW
viewpoint' on blood, blood fractions, and various forms of treatment
that involve them.

>>>                                                                  With
>>>significant bleeds then FFP and platelets are needed. Anything remotely
[quoted text clipped - 7 lines]
> They do but as I stated some JW don't know where to draw the line. Are
> recombinant proteins considered a no no?

There's two separate issues, here.

If some JWs are truly ignorant about ALL the issues, that's
as may be, and may be because they aren't paying attention
(for some bad reason).  Despite a few claims to the contrary,
the WTS makes a reasonable effort to inform all JWs of the issues,
and has created the internal HLC structure to assist individual
JWs with getting information about treatment options that is
more up-to-date than what might be 'in print' (in WTS material).

The second issue (from the JW perspective, which is obviously
not YOUR perspective) has to do with the fundamental ambiguity
of (what I will call) 'blood fractions' because they aren't
blood, per se, but are (or were, at first) derived directly
from blood.  The JW 'aversion' to blood derives from their
interpretation of the NT command to the first Gentile Christians
to "abstain ... from blood" (Acts 15:20,29; 21:25).  Some
JWs may feel that if a blood product is derived directly
FROM blood, to their conscience, that requires them to "abstain"
from the product.  To others, since the product in isolation
is 'not blood' (just as oxygen split from a water molecule is no
longer 'water'), the injuction to "abstain" is not enjoined upon
them, according to their conscience.

If a particular protein is synthetically created (is that
what recombinant means?), then, it's likely that there would
be no objection (but who am I do say that no one would
object?).

I personally believe that the fundamental issue [underlying the JW
view on blood] is that blood, from a living being, is viewed by God
as symbolic of the life of that being (whether animal or human), and
that God's claim of 'ownership' over blood equates to his (rightful)
claim of ownership of life.  The JW view is virtually identical to
the view expressed independently by the late German scholar
Gerhard von Rad (http://en.wikipedia.org/wiki/Gerhard_von_Rad), who
wrote the following about the Noachian prohibition on blood (at
Gen 9:4):

 "... [it is] an ordinance for all mankind.  Even when
 man slaughters and kills, he is to know that he is
 touching something, which, because if its life, is in
 a special manner God's property; and as a sign of this
 he is to keep his hands off the blood.  This regulation
 of man's relation to the animal world could be designated
 a regulation of necessity. ... But the establishment of
 the divine sovereign right over human life is expressed
 apodictically and unconditionally.  It is absolutely
 inviolable and, moreover, not for man's sake because of
 some law of humanity, or "reverence for life," but because
 man is God's possession and was created in God's image."
 - _Genesis, A Commentary_, translated by John H. Marks,
 p.128 (1961).

Because JWs view the command to Christians in Acts to be a
confirmation of the validity and applicabilty of Noachian
law to them, and because the law on blood is "absolutely inviolable,"
they at least glance askance at blood fractions that originate
with blood, because they originate with an actual life.  SYNTHETIC
products, however, do not originate with life, but merely copy what
life creates.  So, at least in theory, it's likely that a fair number
of JWs wouldn't have a problem with such synthetic products.

[Side note/disclaimer: I'm not claiming von Rad 'agrees
with JWs on blood transfusions' -- for I have read nothing
about his views that might be related directly to them.
I'm only taking note that his comments on Gen 9:4 are
what they are, very similar to the JW view on Gen 9:4.]

One last thought on the point of "knowing where to draw the line":
regardless of your own position on the issues, it's a line that
you cannot draw for them.  They must draw it on their own, and
take responsibility for their choice.

>>Even if a JW was willing to take all blood products,
>>but for some reason the blood supply ran short so that
[quoted text clipped - 3 lines]
> Then if they die it wasn't because one did not try. The other option is to
> see one bleed to death and do nothing.

To "try" is all JWs are asking their physicians, to
"try" to help them with all other means as though the
needed blood were simply not available.

>  Doesn't the medical community
>
[quoted text clipped - 8 lines]
> with a case in which the person had a hematocrit of 14 in a major trauma and
> survived because of the artificial blood.

I know that some JWs have survived having had levels
lower than that without blood or artificial blood.
I'm not, however, doubting, that the artificial blood
benefited that person.

> The only problem is that they might consider hemoglobin as blood and refuse
> it.

You are correct that some "might."  Others might not.
See above.

-mark.
Robert - 24 Mar 2006 20:32 GMT
"Mark Sornson" <deletethisprefix.marksnewsaccount@verizon.net> wrote in

> Just of out of curiousity, can hemoglobin be manufactured
> synthetically, or is it (at present only) extracted from
> blood?  [I ask because I wonder if it subject to contamination
> from bloodborne diseases, like factor VII is/was (do I
> understand correctly that factor VII can now be produced
> synthetically?).]

I had to look up the a link to see and according to the site it
Is manufactured from human red blood cells using steps to reduce the risk of
viral transmission.

So I guess it's an extraction from blood.

http://www.northfieldlabs.com/polyheme.html

So is it in or out as an alternative for you guys?
Mark Sornson - 25 Mar 2006 22:02 GMT
> "Mark Sornson" <deletethisprefix.marksnewsaccount@verizon.net> wrote in
>
[quoted text clipped - 8 lines]
> Is manufactured from human red blood cells using steps to reduce the risk of
> viral transmission.

Thanks for checking.

> So I guess it's an extraction from blood.
>
> http://www.northfieldlabs.com/polyheme.html
>
> So is it in or out as an alternative for you guys?

If it is in the same category of products like EPO,
then I suspect that there is no absolute answer, but
rather, it's up to the conscience of each individual.

-mark.
Skeptic - 23 Mar 2006 22:39 GMT
>>>At times JWs donate money to purchase cell-savers:
>>
[quoted text clipped - 31 lines]
> one day, perhaps, there will be other options which
> make blood-based product shortages a moot point?

Companies have been trying for years and years to do this.  They've come up
with a number of products - all of which have crashed and burned.  Blood
loss will always exist in major surgeries, no matter how good the tools get.
Mark Sornson - 24 Mar 2006 13:48 GMT
>>>>At times JWs donate money to purchase cell-savers:
>>>
[quoted text clipped - 35 lines]
> with a number of products - all of which have crashed and burned.  Blood
> loss will always exist in major surgeries, no matter how good the tools get.

Acknowledged.  That's why JWs have their particular spiritual
perspective: their religious beliefs give them a hope for
the future that, when realized, will make these here-and-now
issues (of great difficulty) moot.  But faith/beliefs aside,
JWs appreciate the efforts doctors and others have made that
directly or indirectly accomodates their religious views in
the present.

-mark.
Skeptic - 23 Mar 2006 22:08 GMT
>> At times JWs donate money to purchase cell-savers:
>
[quoted text clipped - 6 lines]
> significant bleeds then FFP and platelets are needed. Anything remotely
> related to blood is a no no for them.

That has been the bulk of my experience as well.  Not all, but certainly a
vast majority.  When the pain becomes too much to take, however, it's
amazing how religious convictions can often fly out the window and suddenly
they're signing consent forms for blood transfusions.
ÐoÖoZ - 24 Mar 2006 00:09 GMT
> That has been the bulk of my experience as well.  Not all, but certainly a
> vast majority.  When the pain becomes too much to take, however, it's
> amazing how religious convictions can often fly out the window and suddenly
> they're signing consent forms for blood transfusions.

You claimed earlier that you do not operate on them. How do you know
they sign consent forms?
Skeptic - 24 Mar 2006 03:37 GMT
>> That has been the bulk of my experience as well.  Not all, but certainly
>> a
[quoted text clipped - 5 lines]
> You claimed earlier that you do not operate on them. How do you know
> they sign consent forms?

years of training, partners, colleagues, etc.  Many many ways.
Truth-Galore - 24 Mar 2006 04:53 GMT
> You claimed earlier that you do not operate on them. How do you know
> they sign consent forms?
'
Why are you passing as a woman poster from ARJ-W Jabriol?
Signature

TG.......
I submit that we are both atheist, I simply believe in one fewer
god than you. When you can understand why you dismiss all
other gods, then you will understand why I dismiss yours.
             -Stephen F. Frost-
-=*=-   -=*=-   -=*=-  -=*=-   -=*=-   -=*=-   -=*=-   -=*=-

Mark Sornson - 24 Mar 2006 13:52 GMT
>>>At times JWs donate money to purchase cell-savers:
>>
[quoted text clipped - 11 lines]
> amazing how religious convictions can often fly out the window and suddenly
> they're signing consent forms for blood transfusions.

Well, yes ... pain is an amazing thing.  That's why torture
is so effective in getting people to sign confessions.  But
the question is, are things that people sign under the influence
of severe pain truly indicative of their thoughts and the values
that they hold under normal conditions?

-mark.
¬ Saba Gracile ¬ - 24 Mar 2006 17:26 GMT
>>>>At times JWs donate money to purchase cell-savers:
>>>
[quoted text clipped - 17 lines]
>
> -mark.

Mark I think he meant psychological pain, fright of loss, not physical pain.
Are you not able to mentalize feelings, are you an autist (Aspergers?). You take
everything literally.

Saba
Mark Sornson - 24 Mar 2006 17:51 GMT
>>>>>At times JWs donate money to purchase cell-savers:
>>>>
[quoted text clipped - 21 lines]
> Are you not able to mentalize feelings, are you an autist (Aspergers?). You take
> everything literally.

Skeptic didn't use any language that would indicate
that he intended to 'mentalize feelings.'  That seems
to be your thing, however.  What's your compulsion to
take everything figuratively?

Skeptic is free to clarify what he meant, if he wants to.

-mark.
¬ Saba Gracile ¬ - 24 Mar 2006 18:07 GMT
¬ Saba Gracile ¬ wrote:

> "Mark Sornson" <deletethisprefix.marksnewsaccount@verizon.net> skrev i melding
> news:%XRUf.3632$3t1.1494@trndny08...
[quoted text clipped - 26 lines]
> Are you not able to mentalize feelings, are you an autist (Aspergers?). You take
> everything literally.

Skeptic didn't use any language that would indicate
that he intended to 'mentalize feelings.'  That seems
to be your thing, however.  What's your compulsion to
take everything figuratively?

Skeptic is free to clarify what he meant, if he wants to.

-mark.

--So you think that people make that desicion under severe physical pain?
Think a little, most of the time it's a person who's going into operation or is
unconscious about what's going on. So therefore it's the relatives who's in *pain*
as to whether it should involve a blood transfusion. Pain can be on other levels
than physical. Now I understand why you don't understand the bible at all, you
don't understand simple mental states.

Saba
Skeptic - 24 Mar 2006 20:48 GMT
> ¬ Saba Gracile ¬ wrote:
>
[quoted text clipped - 53 lines]
> you
> don't understand simple mental states.

If someone has a large renal tumor, it can be quite painful.  When that
tumor was smaller it may have been just a discomfort, he would have been
evaluated and told it's 90% likely to be a kidney cancer and needs surgery.
He may have refused based on his beliefs.  Later, when that pain is keeping
him up at night, preventing him from enjoying life, or even getting daily
tasks done, he may decide (and some do) that maybe his religious convictions
can have some leeway and he'll get his surgery and consent for a blood
transfusion.
Koi-lo - 25 Mar 2006 02:11 GMT
> If someone has a large renal tumor, it can be quite painful.  When that
> tumor was smaller it may have been just a discomfort, he would have been
[quoted text clipped - 4 lines]
> can have some leeway and he'll get his surgery and consent for a blood
> transfusion.

No morphine..??
ÐoÖoZ - 25 Mar 2006 06:17 GMT
> No morphine..??
=====================
Why are you posting as a woman now jabriol, using woman's NYMs?
Signature

Do....
All the JWs wish for is walking around the COUNTRYSIDE (never any towns
pictured in the WT rags) smiling like the village idiot and carrying
baskets of veggies and fruit with them.  Also note they all live in suit
pants and dress shirts.  The women live in housedresses of 1952 vintage.....
and they call that paradise?  Any normal human being would rapidly be bored
to death looking at trees, grass, each other's ever smiling faces and eating
a vegetarian diet.
They'd soon be longing for a good book, a movie, a Mall or a steak
dinner..... (Carol)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Marie GuDarro - 25 Mar 2006 07:40 GMT
> If someone has a large renal tumor, it can be quite painful.  When that
> tumor was smaller it may have been just a discomfort, he would have been
[quoted text clipped - 4 lines]
> can have some leeway and he'll get his surgery and consent for a blood
> transfusion.

You would think the Watchtower would stay out of people's personal lives.
They don't.  They even invaded the sacred bed of married couples back in the
1980s causing many marriages to be destroyed with their teachings.  This
cult is deadly to families, friendships and marriages.

Marie........
Skeptic - 24 Mar 2006 20:45 GMT
¬ Saba Gracile ¬ wrote:

> "Mark Sornson" <deletethisprefix.marksnewsaccount@verizon.net> skrev i
> melding news:%XRUf.3632$3t1.1494@trndny08...
[quoted text clipped - 31 lines]
> You take
> everything literally.

Skeptic didn't use any language that would indicate
that he intended to 'mentalize feelings.'  That seems
to be your thing, however.  What's your compulsion to
take everything figuratively?

Skeptic is free to clarify what he meant, if he wants to.

Both could be true but physical pain was my original meaning.
¬ Saba Gracile ¬ - 25 Mar 2006 03:08 GMT
> ¬ Saba Gracile ¬ wrote:
>
[quoted text clipped - 37 lines]
>
> Both could be true but physical pain was my original meaning.

oh ok. I didn't read the whole thread. I got the impression that most of the
time the blood issue is at accidents and other acute situations.  I haven't imagined
anybody wanting for blood because of some pain. But a tumour,ok. A tumor
that can cause big blood loss I suppose.

Saba
MaryAnn Milquetoast - 24 Mar 2006 19:23 GMT
> Well, yes ... pain is an amazing thing.  That's why torture
> is so effective in getting people to sign confessions.  But
> the question is, are things that people sign under the influence
> of severe pain truly indicative of their thoughts and the values
> that they hold under normal conditions?

Are you telling us your god would rather see us humans suffer intense agony,
including children - to his glory rather than see us get relief?  If so,
then why do you need a devil and demons as your god would fit the bill there
as well.
Signature

MAM........
In light of the fact that there is no physical
evidence any God exists, I find it very strange that all these
different "Gods" are superior to everybody else's.  Perhaps the
whole concept of GOD is simply designed to make ourselves feel
superior to everybody (and everything) else.  Campbell.

><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~
Skeptic - 24 Mar 2006 20:29 GMT
>>>>At times JWs donate money to purchase cell-savers:
>>>
[quoted text clipped - 17 lines]
> of severe pain truly indicative of their thoughts and the values
> that they hold under normal conditions?

Yes, they are.  It simply puts life in perspective and clears away the
clutter.
Precision - 25 Mar 2006 23:47 GMT
>>> At times JWs donate money to purchase cell-savers:
>>
[quoted text clipped - 11 lines]
> amazing how religious convictions can often fly out the window and
> suddenly they're signing consent forms for blood transfusions.

Back during the time I was studying the Bible with Jehovah's Witnesses as a
teen in the late 1970's, I was hit by a car on a major street while riding
my bike. I was thrown through the air across the intersection and landed on
my head. As the car hit me, I was convinced at that moment that I was dead
(or about to be dead). I woke up staring at blue skies, disoriented, in the
intersection surrounded by police and paramedics.

Most onlookers thought I had died instantly when the car hit me at around 40
mph. Someone in my congregation witnessed the accident and convinced police
to call a local hospital that was friendly to Jehovah's Witnesses, where I
was taken. I was passing in and out of consciousness during the ride to the
hospital.

In the emergency room, a woman who looked like a nun dressed as a nurse
asked me to explain my reasons for refusing a blood transfusion in the event
I needed one. I quoted various scriptures by memory and she was amazed
considering my condition. I must have lost consciousness again because when
I woke up, I was on a gurney surrounded by doctors and nurses, and a form on
a metal clipboard was hovering over my head. They lifted my hand, placed a
pen in it, and said that I should understand that if I sign this consent
form, I will not receive a blood transfusion in the event one is needed, and
could die.

Did my convictions "fly out the window" and did I suddenly sign the consent
form?

Quite the opposite. I believed God was testing my appreciation for His laws
for abstaining from blood in the Bible, and that if I died, I would be
resurrected by God at some unknown time in the future. That was enough for
me to sign that consent form.

Much has changed in the decades passed. It is possible to receive various
blood components in good conscience. Medical technology has changed that
might have negated a blood transfusion in the situation I experienced with
my accident getting hit by a car on a bicycle.

I've asked myself, if I suddenly woke from consciousness in that emergency
room and was asked to sign that consent form all over again, knowing what I
know now, would I sign that form.

I think that I speak for more Jehovah's Witnesses than you can possibly
imagine in answering, "yes I would."

Before anyone jumps to the wrong conclusions as to why people are willing to
give their lives under various circumstances for God they do well to fully
research and understand the "why"?

These convictions on the part of Jehovah's Witnesses, whether you agree or
disagree, have lead to the great advances in blood technologies that will
save countless millions of lives during surgery, on the battlefield and in
new treatments to prevent disease and death.
Skeptic - 26 Mar 2006 00:06 GMT
>>>> At times JWs donate money to purchase cell-savers:
>>>
[quoted text clipped - 64 lines]
> save countless millions of lives during surgery, on the battlefield and in
> new treatments to prevent disease and death.

Again, to reiterate - surgical practice has advanced for many reasons,
religious quacks is not one of them.  They are too small a group of people
to have an impact.  Rather, there are MANY reasons for surgeons to want to
minimze blood transfusions, such as fluid shifts, transfusion reactions, an
incredibly large number of people on various blood thinners such as
coumadin, etc etc etc etc.  JW's don't even enter that equation.

As for your above story, if true, you were lucky.  Others who refuse
transfusions in similar situations die.  You must be better than them in the
eyes of your god.  If you think your god was testing  you, maybe he could
have left a 15 question quiz on your desk at home rather than have you
smashed by a car, eh?  That kind of god seems like a god hell bent (pun
intended) on inflicting harm and suffering - consistent with many of the
other gods throughout history - warmongers.
Robert - 26 Mar 2006 00:32 GMT
> >>> At times JWs donate money to purchase cell-savers:
> >>
[quoted text clipped - 63 lines]
> save countless millions of lives during surgery, on the battlefield and in
> new treatments to prevent disease and death.

No not the role of JW that lead to changes in techology but the limiting
aspects of not getting in blood sooner in the field and preventing death at
the scene. One can not store blood that has a shelf life of 30 days under
refrigeration available on the spot where that patient is. Sometimes it
takes hours for extraction from remote sites. One has that golden hour in
which to restore blood circulation as if it happens after that one can still
die as a result of organ damage.
People still bleed to death within the hospital when they can't keep up the
blood loss.
The techology shifts are toward a life saving solutions that can susbstitute
for blood because of practical reasons and not solely religious ones. Even
with severe vascular damage these solutions may not be adequate. One still
needs the heart to pump and have most of the plumbing going for circulation
to occur.
The other problem is inadequate testing for certain conditions such as Mad
Cow disease or West Nile Virus where if you go to europe then it excludes
you from donating. This causes a blood shortage. We also have blood
shortages every winter and summer when people go on vacations.
Skeptic - 23 Mar 2006 22:05 GMT
>> Are you kidding me?  First, there is no such thing as a bloodless
>> surgery.
>
> "Bloodless surgery" and "bloodless medicine" are common labels

No, they're pointless labels but not common.

> used by the medical industry itself to describe assorted medical
> techniques and regimens that avoid blood transfusions.  Examples
[quoted text clipped - 9 lines]
> Then you haven't talked to a wide-enough sample of JWs.
> There are JWs who don't object to the cell-saver machine.

I'm not saying they don't exist.  JW's who accept routine blood transfusions
exist.  But they're not the rule but the exception.  If you don't agree,
your exposure is likely too limited.

> According to the article that was posted, JWs do not catagorically
> reject the use of cell-savers.
[quoted text clipped - 18 lines]
>
> Some may feel that way, but others do not.

I've never met one that agreed to a cell saver but refused autologous blood
transusions - or vice versa.  And if I did I'd probably lose what hair I
have left.

>>                 Third, you make it sound like most people don't try to
>> minimize bleeding.  Don't be a fool.  Bleeding is always attempted to be
[quoted text clipped - 4 lines]
> Blood conservation techniques are better than they
> have ever been,

It's not "blood conservation" technique.  It's surgical technique.  It is
better today than it was in 1980 which was better than it was in 1960 which
was better than it was in 1940.  It'll continue to improve as instruments
continue to improve.  The goal is improving outcomes - of which minimizing
blood loss has always been just one factor.

> and awareness of tools and techniques
> for blood conservation is similarly on the rise.

Amongst the public maybe.  Amongst those operating, we've always been up to
date.

>  But
> that is so, at least in some measure, because the
> medical community has responded to the JW request for
> surgery without transfusions.

No, that has not played a part in it.  If you think has and have some
evidence to the contrary, I'd love to see it.  The thing that has pushed
minimizing blood loss perhaps more than other things are operating on those
with heart disease and operating on those on blood thinners.  Not religious
fanatics.

>  There is still plenty
> of room to improve awareness on the part of doctors and
> patients about options that reduce or eliminate the
> use of blood transfusions.

Aha.  And you're going to do that?  ok...

>> Your post is thoroughly fruitless.  Bottom line is this - the methods you
>> described below are routinely used to varying degrees and should add
>> nothing to a decision to proceed with surgery or not.
>
> They matter to the decision made by the JW patient to
> proceed with the surgery.

Not really - if they're against a blood transfusion and they may need one
during surgery, they really shouldn't proceed.

>> Personally, I won't operate on a person who refuses blood transfusions if
>> there's a chance he or she will need one.
>
> That is your choice.  I presume that JWs don't give you their
> business [if they need surgery].

What part of I don't operate on them didn't you understand?

> JWs appreciate the courage and skill of doctors who are willing
> to respect their request to refuse blood transfusions.  Those
> doctors have helped expand the boundaries of medical techniques
> to the benefit of all.
>
> -mark.

No, Mark, all that JW's have done for the surgical field is give a lot of
doctors chest pain.  They have not at all helped advance the field of
surgery.  We would be right where are today if JW's didn't ever exist.

>> For those in need of a blood transfusion and whose religious
>> convictions or individual concerns prohibit the process, an
[quoted text clipped - 126 lines]
>>
>> (c)The Herald Standard 2006
Mark Sornson - 26 Mar 2006 00:22 GMT
>>>Are you kidding me?  First, there is no such thing as a bloodless
>>>surgery.
>>
>>"Bloodless surgery" and "bloodless medicine" are common labels
>
> No, they're pointless labels but not common.

OK, they aren't "common," if common means used by all
in the medical community (including yourself).  They
are, however, being used by an increasing number of medical
professionals to target a style of care to a particular
client-base.

Those labels are not meaningless to those who seek
surgical treatment without the use of blood transfusions.
Those labels represent an attitude of respect for those
who make that choice, which includes an attitude which
lacks any perjorative assertions about those who seek
that sort of treatment (whether they be about their
religious beliefs, or about their state of mind and their
ability to make rational choices for themselves).

>>used by the medical industry itself to describe assorted medical
>>techniques and regimens that avoid blood transfusions.  Examples
[quoted text clipped - 13 lines]
> exist.  But they're not the rule but the exception.  If you don't agree,
> your exposure is likely too limited.

?? -- I didn't say that no JWs have ever, when pushed by
trying circumstances, compromised on this issue.  There
are also JWs who compromise on other moral issues, too.
But, as you say, they aren't the rule, but the exception.

The JWs who do accept the use of a cell saver don't
view it as a transfusion (under the exigent circumstances
in which it is used), but more of an in-the-moment way
to fix a breach of their circulatory system.  I'm not
saying that YOU couldn't make a different argument from
your perspective; but I do believe I'm accurately
conveying how JWs tend to view using one.

>>According to the article that was posted, JWs do not catagorically
>>reject the use of cell-savers.
[quoted text clipped - 22 lines]
> transusions - or vice versa.  And if I did I'd probably lose what hair I
> have left.

So, you're saying that you've met JWs who have

 * agreed to a cell saver AND to an autologous blood transfusion

and those who have

 * refused the use of a cell saver and similarly refused an
   autologous blood transfusion.

but that you haven't met any who have

 * agreed to a  cell saver but who have refused an autologous
   blood transfusion.

I presume your argument is that since a cell-saver
returns the patient's own blood to him, that process
is implicitly an autologous blood transfusion.

That may be so, but JWs make a distinction between accepting
an in-the-moment use of the cell saver to return their
in-the-moment lost blood to them, and the pre-operative
storage of their blood for later return during surgery as an
autologous transfusion.  Whether or not you feel that that
distinction makes sense, JWs believe there is some importance
to it.

>>>                Third, you make it sound like most people don't try to
>>>minimize bleeding.  Don't be a fool.  Bleeding is always attempted to be
[quoted text clipped - 6 lines]
>
> It's not "blood conservation" technique.  It's surgical technique.  

Well yes -- but they are techniques that have the minimization
of blood loss in mind, as improvements on other techniques (whether
earlier or contemporary) that lose more blood which is then
replaced by transfusion.  The techniques were development with
the goal in mind to minimize blood loss, either because it just
made good sense to do so, or because replacement blood was not
available or was ruled out by patient choice.

>                                                                     It is
> better today than it was in 1980 which was better than it was in 1960 which
> was better than it was in 1940.  It'll continue to improve as instruments
> continue to improve.  The goal is improving outcomes - of which minimizing
> blood loss has always been just one factor.

But as a "factor," it is something that surgeons have
made a conscious choice to address.  In some instances,
they have addressed it because their patients have
refused to accept blood transfusions.  Those surgeons
took a we'll-see-what-we-can-do-to-help-you approach,
rather than a we-can't/won't-help-you-so-just-go-home-
and-die approach.

>>and awareness of tools and techniques
>>for blood conservation is similarly on the rise.
>
> Amongst the public maybe.  Amongst those operating, we've always been up to
> date.

If you personally have always been up to date, that
is just fabulous.

I believe the many stories about JWs that I have read
are accurate, however, and many of those stories are
of the following form:

 Dr. A tells them, "Your operation CANNOT be done without blood.
 You will die without the operation and without blood.  I will
 not operate without blood.  There are no other options for you."

 Dr. B, whom they seek out after rejection by Dr. A, tells them,
 "I will operate without giving you a blood transfusion.  It's
 risky, but I will do it."  The operation is performed, and they
 live.

I also believe what I have seen and read that it takes
time for "those operating" everywhere to become fully
informed on what it "up to date," AND to have ready access
to new technology that enables them to practice what they
have been informed about.

>> But
>>that is so, at least in some measure, because the
[quoted text clipped - 6 lines]
> with heart disease and operating on those on blood thinners.  Not religious
> fanatics.

It doesn't sound to me as though you'd "really
love to see" any evidence that response to JW
requests for surgery without transfusions has
had any bearing on the state of the technology today.

If you saw such evidence, would it make any difference
to you?

>> There is still plenty
>>of room to improve awareness on the part of doctors and
>>patients about options that reduce or eliminate the
>>use of blood transfusions.
>
> Aha.  And you're going to do that?  ok...

I'm making no claims for what I personally have the
time and resources to do, but I know that the Watchtower
Society's Hospital Information does this:

 http://www.watchtower.org/library/g/1993/11/22/article_01.htm

and that other JWs privately (i.e,. independantly from
the WTS) are doing that:

 www.noblood.org  [I know JWs are involved with this website]

>>>Your post is thoroughly fruitless.  Bottom line is this - the methods you
>>>described below are routinely used to varying degrees and should add
[quoted text clipped - 5 lines]
> Not really - if they're against a blood transfusion and they may need one
> during surgery, they really shouldn't proceed.

As I said above, I've read many stories about JWs who were
told by one doctor that they "needed" a transfusion during
surgery, but they found another doctor who was willing to
operate without the "needed" transfusion.

I'm not claiming, however, that in-the-moment, all forms
of surgery have been perfected to eliminate transfusions.
Most JWs know that they are up against the limits of
technology and techniques for certain problems, but again,
they appreciate finding doctors who are willing to push
the boundaries of the state-of-the-art for them, and are
usually willing to take the risk.

>>>Personally, I won't operate on a person who refuses blood transfusions if
>>>there's a chance he or she will need one.
[quoted text clipped - 3 lines]
>
> What part of I don't operate on them didn't you understand?

Well, then, does this mean that you WILL operate or
HAVE operated on JWS, but ONLY for operations where you
felt there was no chance that they would need a transfusion?

Or does this mean that you ALWAYS feel that there is a
chance a transfusion will be needed, and therefore, you
NEVER operate on JW patients at all (unless, of course,
they are in the minority and will compromise their
beliefs and accept a transfusion)?

>>JWs appreciate the courage and skill of doctors who are willing
>>to respect their request to refuse blood transfusions.  Those
[quoted text clipped - 5 lines]
> No, Mark, all that JW's have done for the surgical field is give a lot of
> doctors chest pain.  

Too bad for them.

Doctors offer a service for money.  As customers, JWs
have a right to seek the services of those doctors who
are willing to care for their needs, with their stipulated
restrictions.  Some doctors have been willing to do that
without so much judgmentalism on their part toward their
patient's religious views.

>                      They have not at all helped advance the field of
> surgery.  

Because they aren't doctors?  Is that your point, that
what I say seems to be siphoning off glory from the
god-heros of medicine?  Patients who are willing to
risk undergoing cutting-edge (and sometimes experimental)
technology should only be worshipfully greatful to
the doctors who deign to operate on them?

>           We would be right where are today if JW's didn't ever exist.

You are entitled to your opinion.  I'm a skeptic too.
I do not believe that you truly speak for all doctors.

-mark.

>>>For those in need of a blood transfusion and whose religious
>>>convictions or individual concerns prohibit the process, an
[quoted text clipped - 126 lines]
>>>
>>>(c)The Herald Standard 2006
ÐoÖoZ - 23 Mar 2006 22:24 GMT
> Personally, I won't operate on a person who refuses blood transfusions if
> there's a chance he or she will need one.
===============
The JWs are a doomsday cult believing the end is just around the corner -
any minute now.  They don't value human life at all since they feel this
life is very temporary until they get into the Watchtower Society's Paradise
(which is just around the corner now for over 125 years.).   They will die
willingly for the WTS and allow innocent children to die for their cause as
well.  It's very sad.
Signature

Du........
How did we get here?
http://www.talkorigins.org/faqs/homs/
~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*~~

Terraz Barabel - 23 Mar 2006 22:36 GMT
From: ÐoÖoZ
===============
The JWs are a doomsday cult believing the end is just around the corner
-
any minute now.  They don't value human life at all since they feel
this
life is very temporary until they get into the Watchtower Society's
Paradise
(which is just around the corner now for over 125 years.).

-->I was wondering when you were going to inject your stupidity into
the thread. If they did not value life, why go to a doctor at all?

They will die willingly for the WTS and allow innocent children to die
for their cause as well.  It's very sad.
--

---> The american public has allowed their own soldier to kill children
in other countries in the name of war on terrorism and have allowed
their own children to die for the same. It seem it is natural evolved
tendency to allow children to die or to kill. Therefore your point is
moot. Beside if what you say was true, then JW's simply would not take
their kids to the doctors.
Skeptic - 23 Mar 2006 22:48 GMT
From: ÐoÖoZ
===============
The JWs are a doomsday cult believing the end is just around the corner
-
any minute now.  They don't value human life at all since they feel
this
life is very temporary until they get into the Watchtower Society's
Paradise
(which is just around the corner now for over 125 years.).

-->I was wondering when you were going to inject your stupidity into
the thread. If they did not value life, why go to a doctor at all?

They will die willingly for the WTS and allow innocent children to die
for their cause as well.  It's very sad.
--

---> The american public has allowed their own soldier to kill children
in other countries in the name of war on terrorism and have allowed
their own children to die for the same. It seem it is natural evolved
tendency to allow children to die or to kill. Therefore your point is
moot. Beside if what you say was true, then JW's simply would not take
their kids to the doctors.

:REPLY:
And you support that?  You support the "right" to let your sick kid sit at
home and die becuase someone doesn't want them to get medical attention?
You justify this based on some meaningless war in the Middle Least???

Are you sick or just demented?
ÐoÖoZ - 24 Mar 2006 00:06 GMT
Skeptic wrote:>
> :REPLY:
> And you support that?  You support the "right" to let your sick kid sit at
> home and die becuase someone doesn't want them to get medical attention?

The reply was for Carol to show how idiotic her reply was. She has no
intention of defending children. Her participation was an lame attempt
to bash JW's, At every opportunity availible. If the thread would have
gone in favor of JW's sje would have issued a Troll alert and request
that you remove the JW NG from the thread declaring it off topic.
The point is Jehovah's Witnesses have been targets of false
accusations-barefaced lies and twisted presentations of their
beliefs. As a result, they have been the object of unjustified attack
in some lands. Further, because they seek nonblood medical treatment
that is in harmony with their desire to obey the Bible's command to
'abstain from blood,' they have wrongly been labeled "child
murderers" and "a suicide cult." (Acts 15:29) But the fact is
that Jehovah's Witnesses place a high value on life, and they seek to
obtain the best available medical care for themselves and their
children. The accusation that numerous children of Jehovah's
Witnesses die each year as a result of refusing blood transfusions is
totally unfounded.

> You justify this based on some meaningless war in the Middle Least???

No war is "meaningless". Or are you suggesting that children killed in
wars are not of due importance?
Skeptic - 24 Mar 2006 03:36 GMT
> Skeptic wrote:>
>> :REPLY:
[quoted text clipped - 24 lines]
> No war is "meaningless". Or are you suggesting that children killed in
> wars are not of due importance?

I'm stating that there is no winning or losing the conflict and it is thus a
meaningless war.  It serves no purpose for Americans.
J.J. Lofkins - 24 Mar 2006 04:34 GMT
>> > No war is "meaningless". Or are you suggesting that children killed in
> > wars are not of due importance?
>
> I'm stating that there is no winning or losing the conflict and it is thus a
> meaningless war.  It serves no purpose for Americans.

Many kids are losing, And it does serve a purpose for americans. High
school drop outs join the army and get killed in Iraq. The smart ones
goes to collegage. It is called social engineering.
¬ Saba Gracile ¬ - 24 Mar 2006 18:42 GMT
>> Skeptic wrote:>
>>> :REPLY:
[quoted text clipped - 26 lines]
> I'm stating that there is no winning or losing the conflict and it is thus a meaningless war.  It
> serves no purpose for Americans.

Bombing kids to a pulp for economic interest in the area, isn't it? or are we
suggesting a noble act of freedom that the genious leaders of your country use
to excuse it I wonder.

S
Betty Boop - 24 Mar 2006 03:56 GMT
Jabber's BS!

Please don't feed the nym-shifting, nym-stealing, sock-puppet using,
cross-posting creationist troll known as Jabriol.  If you must, please do so
in your own NG and remove the others.  Thanks.
Signature

JJ.......
If you (JWs) are going to insist on using other people's dislike
of your religion as some sort of barometer of God's feelings, I
have to tell you that as far as that goes, you couldn't even
begin to compare yourself to the Jews.  If that is your
criteria, then I'm afraid you have no chance of being God's
People (nor can I understand why you would want to be).
(Credit To Campbell)

>>>> + <<<<    >>>> + <<<<    >>>> + <<<<    >>>> + <<<<
ÐoÖoZ - 24 Mar 2006 04:20 GMT
I guess Carol can't use the thread to bash JW's anymore. so
predictable.

> Jabber's BS!
>
[quoted text clipped - 11 lines]
> (Credit To Campbell)
> >>>> + <<<<    >>>> + <<<<    >>>> + <<<<    >>>> + <<<<
Truth-Galore - 24 Mar 2006 04:55 GMT
I guess Carol can't use the thread to bash JW's anymore. so
predictable.

Why are you trying to pass as a woman poster on ARJ-W Jabriol?
Signature

TG.........
I submit that we are both atheist, I simply believe in one fewer
god than you. When you can understand why you dismiss all
other gods, then you will understand why I dismiss yours.
             -Stephen F. Frost-
-=*=-   -=*=-   -=*=-  -=*=-   -=*=-   -=*=-   -=*=-   -=*=-

J.J. Lofkins - 24 Mar 2006 04:29 GMT
> Jabber's BS!
>
> Please don't feed the nym-shifting, nym-stealing, sock-puppet using,
> cross-posting creationist troll known as Jabriol.  If you must, please do so
> in your own NG and remove the others.  Thanks.
> --

Another Carol Sock puppet.. where is lamey?

these groups need his blessing.
Truth-Galore - 24 Mar 2006 04:57 GMT
these groups need his blessing.

Why are you trying to pass as legitimate woman posters from ARJ-W Jabriol?
Do you have sexual identity issues?
Signature

TG..........
I submit that we are both atheist, I simply believe in one fewer
god than you. When you can understand why you dismiss all
other gods, then you will understand why I dismiss yours.
             -Stephen F. Frost-
-=*=-   -=*=-   -=*=-  -=*=-   -=*=-   -=*=-   -=*=-   -=*=-

J.J. Lofkins - 24 Mar 2006 04:10 GMT
> "Terraz Barabel" sock-puppet of JABRIOL
<Use-Author-Address-Header@[127.1]> wrote in message
> news:1143149806.933361.140600@i39g2000cwa.googlegroups.com...
The american public has allowed their own soldier to kill children
> in other countries in the name of war on terrorism and have allowed
> their own children to die for the same. It seem it is natural evolved
[quoted text clipped - 8 lines]
>
> Are you sick or just demented?
=======================
If you really want to know just Google "JABRIOL" and you'll have your
answer.  The JWs will take their children to the Dr. and have them treated
up to the point of their needing blood to save their lives.  At that point
the child or loved one is forced to obey the Watchtower's teaching - and
die.  Jabriol aka "Terraz Barabel" seeing nothing wrong with that.  Many
innocent yet gullible people have died thanks to the teachings of this cult.
Signature

JoJo........
If you (JWs) are going to insist on using other people's dislike
of your religion as some sort of barometer of God's feelings, I
have to tell you that as far as that goes, you couldn't even
begin to compare yourself to the Jews.  If that is your
criteria, then I'm afraid you have no chance of being God's
People (nor can I understand why you would want to be).
(Credit To Campbell)

>>>> + <<<<    >>>> + <<<<    >>>> + <<<<    >>>> + <<<<
Skeptic - 24 Mar 2006 06:07 GMT
>> "Terraz Barabel" sock-puppet of JABRIOL
> <Use-Author-Address-Header@[127.1]> wrote in message
[quoted text clipped - 21 lines]
> innocent yet gullible people have died thanks to the teachings of this
> cult.

Thankfully, if a child is in the care of a doctor and needs a transfusion to
live - he can get it as the parents can be deemed incompetent and legally
bypassed.  It's when they are not brought it ... the cases we don't see ...
that are troubling.
Truth-Galore - 24 Mar 2006 11:44 GMT
> Thankfully, if a child is in the care of a doctor and needs a transfusion to
> live - he can get it as the parents can be deemed incompetent and legally
> bypassed.  It's when they are not brought it ... the cases we don't see ...
> that are troubling.

A cop out. Why not just go to to  the congress and senate and declare
all JW's incompetent. And remove all their children, and then write a
law decalring that no JW should have kids? Why return custody to the
parents if they were declared incompetent to begin with?
C A III A - 24 Mar 2006 14:25 GMT
>> Thankfully, if a child is in the care of a doctor and needs a transfusion
>> to
[quoted text clipped - 7 lines]
> law decalring that no JW should have kids? Why return custody to the
> parents if they were declared incompetent to begin with?

Incompetent to make a medical decision, not parenting. Do not strecth it
please.
Koi-lo - 24 Mar 2006 15:17 GMT
> >> Thankfully, if a child is in the care of a doctor and needs a transfusion
> >> to
[quoted text clipped - 10 lines]
> Incompetent to make a medical decision, not parenting. Do not strecth it
> please.

So? If a person is incompetent to make a medical decision for his child
then he is incompetent to be a parent. Part of parenting is health care
for the child.
C A III A - 24 Mar 2006 15:38 GMT
>> >> Thankfully, if a child is in the care of a doctor and needs a
>> >> transfusion
[quoted text clipped - 17 lines]
> then he is incompetent to be a parent. Part of parenting is health care
> for the child.

Not necessarily.
Scenario from TV: a child is sick and needs immediate surgery. father had a
very bad experience at that hospital blaming doctors for his mom's death. he
wants to do surgery asap in another hospital. he will not sign paperwork.
doctor takes over by proxy and does the surgery.
Dad is not a bad parent.
Koi-lo - 24 Mar 2006 16:17 GMT
> >> Incompetent to make a medical decision, not parenting. Do not strecth it
> >> please.
[quoted text clipped - 9 lines]
> doctor takes over by proxy and does the surgery.
> Dad is not a bad parent.

TV is not real life, and the laws varies from state. In real life if a
court removes custody of any  kids for what ever reason, delcaring a
incompetent parent,  in most cases all children are removed. That is
real life, but this doesnt happen with medical emergency.
I think there is a dual standard here.

In your TV hypothesis, the Father seem to be a genuine whack job. And
shouldn't have custody of his kids.

Now then who is responsible if the court mandated surgery fails? And
who is responsible for the Parent mental and emotional state, knowing
that he has a child, that from his point of view has been violated by
the goverment and medical comunitty? And what make you think that the
parent would ever return to get treatment for his children again? As
you know JW's and others do not fear jail because of their religious
beliefs.
C A III A - 24 Mar 2006 17:01 GMT
>> >> Incompetent to make a medical decision, not parenting. Do not strecth
>> >> it
[quoted text clipped - 29 lines]
> you know JW's and others do not fear jail because of their religious
> beliefs.

TV episode is an illustartion of what is going on in hospitals accross US
every day. It does not matter where the example is from. Law is: if there is
a danger to a patient, doctors do not need consent to proceed.
The father in my example is questioning competency of physicians. We do it
too, when there is history of bad decisions.
As for as who is guilty will be determined by the panel and courts.
And about JW's: their beliefs go against a modern medical procedure.
Whatever. They are adults and if they want to die for their beliefs they can
do so. But they cannot make their children do that. Other than that I do not
see anything wrong with their parenting skills.
Koi-lo - 24 Mar 2006 17:30 GMT
> >> >> Incompetent to make a medical decision, not parenting. Do not strecth
> >> >> it
[quoted text clipped - 33 lines]
> every day. It does not matter where the example is from. Law is: if there is
> a danger to a patient, doctors do not need consent to proceed.

Then I guess once parents of dissenting religions are aware of this
more children will die, because doctors refuse to look for an
alternative. And as Mentioned many parents do not fear jail for thier
beliefs.

> The father in my example is questioning competency of physicians. We do it
> too, when there is history of bad decisions.
[quoted text clipped - 3 lines]
> do so. But they cannot make their children do that. Other than that I do not
> see anything wrong with their parenting skills.

Dual Standard. You cant have a Parent who makes half good decision for
child. the child is in constant jeopardy. As I said, the Parent might
not return to the doctor with the child if he lost custody once. Dual
standard even more so. I don't see doctor contradicting children when a
13 yr old wish to have an abortion, essentially killing another unborn
child.
C A III A - 24 Mar 2006 17:37 GMT
>> >> >> Incompetent to make a medical decision, not parenting. Do not
>> >> >> strecth
[quoted text clipped - 63 lines]
> 13 yr old wish to have an abortion, essentially killing another unborn
> child.

If the parent does not bring the child back it is negligence and will be
taken away. If he dies, parent goes to jail. There was a case where JW
female had to have blood transfusion. Doctor used up everything from living
to not leaving children alone, the woman did not budge. Then he cleared the
room and said everything once again and promised that no one but him her and
the nurse will know about the transfusion. She went for it and lived. So,
knowing that, a JW family can still bring their child in knowing doctors
will override their decision and make that kid live.
As far as abortions: Fetus! It is fetus! Plus, do you know of complications
of childbirth in kiddies?
MaryAnn Milquetoast - 24 Mar 2006 19:37 GMT
> "Koi-lo" JABRIOL's stolen NYM/sock-puppet<geister@mailinator.com> wrote in
message
> Note: Jabriol is now trying to pass as a woman.
> news:1143217844.380252.243230@i40g2000cwc.googlegroups.com...

I don't see doctor contradicting children when a
> > 13 yr old wish to have an abortion, essentially killing another unborn
> > child.
>
> As far as abortions: Fetus! It is fetus! Plus, do you know of complications
> of childbirth in kiddies?

Jehovah's Witnesses like JABRIOL do not care or value human life like other
people do.  The WTS is a Doomsday cult.  Life is cheap to these people since
they believe Armageddon is going to happen at any moment.  If a 12 year old
is raped they force her to bear the unwanted child at any cost - even if she
dies or is left mentally and physically scarred for life.  They believe
their god is a cold, uncaring and punishing god.  They don't admit this
until you back them into a corner.
Signature

MAM....
In light of the fact that there is no physical
evidence any God exists, I find it very strange that all these
different "Gods" are superior to everybody else's.  Perhaps the
whole concept of GOD is simply designed to make ourselves feel
superior to everybody (and everything) else.  Campbell.

><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~
MaryAnn Milquetoast - 24 Mar 2006 19:31 GMT
> So? If a person is incompetent to make a medical decision for his child
> then he is incompetent to be a parent. Part of parenting is health care
> for the child.

Right Jabriol (geister@mailinator.com) - the JW parent just let's the child
die because Paradise is right-around-the-corner (for over 2000 years now).
BTW, why are you trying to pass as legitimate woman posters?
Signature


MAM...
In light of the fact that there is no physical
evidence any God exists, I find it very strange that all these
different "Gods" are superior to everybody else's.  Perhaps the
whole concept of GOD is simply designed to make ourselves feel
superior to everybody (and everything) else.  Campbell.

><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~
R. Nunnely - 25 Mar 2006 06:19 GMT
Part of parenting is health care
> for the child.
============
Why are you posting as a legitimate woman poster Jabriol?  Too ashamed to
use your own NYM?
Signature

Nu...........
"Where two or three are gathered together in MY name, I am in their midst:"
[Matt 18:20]  No Watchtower Society needed.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<~~<{@

MaryAnn Milquetoast - 24 Mar 2006 19:24 GMT
---------   SNIP nym-shifter's pro-cult blather ------------
Signature

MAM.........
In light of the fact that there is no physical
evidence any God exists, I find it very strange that all these
different "Gods" are superior to everybody else's.  Perhaps the
whole concept of GOD is simply designed to make ourselves feel
superior to everybody (and everything) else.  Campbell.

><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~
J.J. Lofkins - 24 Mar 2006 04:05 GMT
JABRIOL -->I was wondering when you were going to inject your stupidity into
the thread. If they did not value life, why go to a doctor at all?
============
I was wondering when you were going to inject your stupidity into this
thread under yet another NYM.  They go to avoid suffering pain,  not to
avoid dying for the Watchtower Society.  You obviously know little about
this Doomsday cult of WT ware peddlers and yet claim you are a JW in good
standing.

Snip Jabriol flame-war mongering BS.
Signature

JoJo........
In light of the fact that there is no physical
evidence any God exists, I find it very strange that all these
different "Gods" are superior to everybody else's.  Perhaps the
whole concept of GOD is simply designed to make ourselves feel
superior to everybody (and everything) else.  Campbell.

><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~ ><> ~~~
Robert - 23 Mar 2006 19:43 GMT
>For those in need of a blood transfusion and whose religious
>convictions or individual concerns prohibit the process, an
>alternative program is being offered by Allegheny General >Hospital
>(AGH) in Pittsburgh.

Hemoglobin compounds are in clinical trials right now involving trauma
patients in the field. These red colored solutions carry oxygen and are
hemoglobin based. They can be stored at room temperature and last for years
vs units of blood which require refrigeration and last only a month.

For others the use of autologus blood transfusions is appropriate.
One donates blood for oneself  a month before surgery and then can be
infused during surgery. This eliminates the infectious risk as you are
recieving your own blood.