Bloodless Surgery 226
isaacbowman writes "Dr. Charles Bridges, a Pennsylvania Hospital cardiologist, says says regarding new bloodless surgery options - "Among the benefits are reductions in recovery time, hospital stay, cost and complications -- as well as an estimated $20,000 in savings per patient." Advances in medicine have made this possible and Dr. Bridges also says, "There's no downside to it that we can see, and there's certainly no downside that's been documented." Dr. Patricia Ford, director of Pennsylvania Hospital's Center for Bloodless Medicine & Surgery, further states, why blood transfusions are dangerous, saying that they are "like getting a transplant; they can be risky and should be a last resort.""
The sad part... (Score:2, Interesting)
Transfusion != Transplant (Score:5, Interesting)
On the other hand I have taken care of hundreds of patients who have had blood transfusions. While not harmless, a blood transfusion has a miniscule risk of infection (from potential pathogens we are not aware of or cannot test for) or reaction. Only two of my patients have had transfusion reactions which requires stopping the transfusion, some medication, and maybe two extra hospital days. These patients did not need long term immune supression or chronic doses of borderline toxic medications as a result of the transfusion.
Just my little nit pick with the article.
---sam
JW article on Bloodless Surgery (Score:5, Interesting)
Cool stuff (Score:5, Interesting)
I'm planning on applying to med school in the next couple of years with the goal of going into surgery, so seeing an article like this on Slashdot is nice. The advancements in medicine over just the last decade have been incredible and I see no end to it. I'm looking forward to how much more it will advance by the time I'm in residency.
thinking too literally (Score:5, Interesting)
It also avoids potential problems like this [bbc.co.uk]. (synopsis: Red Cross Canada pleads guilty to killing over 3,000 people due to distributing tainted blood; 1000 contracted HIV, 20,000 hep-c). The less foreign substances you put in your body, the better, besides the fact that stored blood isn't nearly as effective as your own natural blood at carrying oxygen.
Works for Me (Score:1, Interesting)
I had a bowel resection where they literally scooped my intestines out of my body cavity and laid them on the table beside me. After cutting out the bad bits and stitching the good ones back together, they tucked it all back in. While they were in there they took out my appendix and sewed up a fistula to my large intestine.
This left me with a scar from above my navel down to my pubic bone, but no transfusion was required. In fact, I asked before surgery if I should self-donate blood so I could avoid the dangers of a transfusion from someone else and they told me they didn't expect to need any blood.
Still amazes me.
Re:Driving force for bloodless surgery (Score:2, Interesting)
$20,000 per patient! - more like $500 per unit (Score:4, Interesting)
.
That $20,000 sounds like it's been pulled out of someone's exagerated butt - maybe for a very, very, very bloody heart transplant. Probably >90% of operations don't require a blood transfusion.
I'm an orthopaedic surgeon, and for those of you who don't know, most orthopaedic surgeries tend to resemble Aztec ceremonies. But anyway, my last 20 knee and hip replacements haven't required a transfusion. Most patients who do need a transfusion - i.e. bloody messes scraped off the pavement after being ejected from their car wreck, only need about 2-4 units.
Would it be cool if we found a safe, effective blood substitute? - yes. But today the risks from transfusion are approximately 1 in 350,000 of being exposed (not catching) hepatitus, and 1 in 2,000,000 exposure to the HIV. In other words, don't worry about it, your risk of being hit by lightning is about the same.
Not just for religion (Score:3, Interesting)
So this is also good news to some of us who may be concerned with limited supplies of compatible blood in an a system already struggling to meet demand. Hooray.
Re:Transfusion != Transplant (Score:3, Interesting)
"2tbdiafuf"
Or:
When you learn this shorthhand, your problems aren't all solved, but you'll understand far more of what's going on.
Re:Dr. Bridges said it best... (Score:2, Interesting)
Hi.
I've been sitting reading and re-reading your comment, and wondering what it is you're actually trying to say here.
The only idea I've had so far is that you're possibly disputing that the "bloodless" description of the surgery is incorrect terminology? Have I misunderstood this point?
Please clarify this comment, as I don't see why this would need an insane-sounding rant at the end.
If I've got it wrong, let me know, as I'd like to know what could have provoked such an extreme and intense comment.
Thanks.
Re:Cool stuff (Score:4, Interesting)
My point is that the cell saver is not a panacea for transfused blood. We did use it on several Jehovah's Witnesses; apparently there is some thought that if the circuit of blood is not broken (ie the suctioned material is constantly processed and immediately transfused) then there is no breach of their belief system.
Re:Driving force for bloodless surgery (Score:0, Interesting)
for the record, there is no biblical mandate that forbids blood transfusions. the mandate was against drinking blood - which was a religious action, not a life saving action.
the JWs misapply the drinking blood for religious reasons prohibition to mean that saving lives via transplant is bad.
just as they used to misapply whatever they thought meant that vaccines were bad. of course, the bible never said vaccines were bad - they didn't exist at the time the bible was written. just as transplants didn't exist.
the scripture that does apply here is...
Mr 3:4 - Then Jesus asked them, "Which is lawful on the Sabbath: to do good or to do evil, to save life or to kill?" But they remained silent.
just as the pharisees remained silent, so do the JWs. just as the pharisees put legalism above love, kindness, compassion and mercy... so do the JWs.
keep in mind that the penalty for sabbath breaking was death. the penalty for drinking blood wasn't nearlt as severe.
the JWs presided over uncounted deaths due to their wrong, erroneous legal centered at the expense of love, irrational views wrt vaccines. they now do the same thing wrt to transfusions.
having said that, bloodless surgeries should be investigated and, if better, should be used. not b/c of the misapplication of scripture and the lack of love, care and concern on the part of the devotees, but b/c it is the rational, good thing to do.
now, the JWs will say they love their children as much as anyone. in a sense, they will be right. it can't feel good to watch your child die and then living your life knowing that your decisions likely killed your own child.
however, it IS NOT love to sentence one's child to death based on misapplied scriptures (and it has to be misapplied, by definition, since blood transfusions "to save life" were NEVER discussed in the scriptures). the love of god doesn't reign in their lives, the adherence to man made concepts of righteousness does reign. this mirrors the same major error that the pharisees made - and listen to how jesus, who represents all that is love and goodness, spoke to them.
note: to prevent people from extrapolating, i DO NOT judge the christianity of JWs. iow, any given JW may be a christian and may be walking with god. that i do not know. however, i do speak out against their teachings that are wrong.
everyone has errors in their belief systems - so errors can't be used to identify christians. if they could, there would be no chritians alive today.
it *is* better to do good and save life. *you* do not have to silent like those who heard jesus' proclamation. do you value an organization of men more than the words of jesus?
Ro 13:10 Love does no harm to a neighbor; therefore love is the fulfillment of the law.
allowing your child to slowly die an unavoidable death is harmful to your child and, therefore, by biblical definition, is not love AND, by definition, IS BREAKING THE LAW.
the irony here is that these scriptures are clear and on point.
to allow your child to die an unavoidable death is to break the law.
yet the JWs reject them in favor of misapplying religious related blood drinking to life saving blood transfusions.
put the horse back in front of the cart and stop fearing men and placing them as your master. you only have one master - and that master tells you to do good, save life and not to harm your neighbor.