Faith overcame fear for these grateful new parents of twins
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By admin
For the twenty countries currently most affected by COVID-19 worldwide, the bars in the chart below show the number of deaths either per 100 confirmed cases (observed case-fatality ratio) or per 100,000 population (this represents a country’s general population, with both confirmed cases and healthy people). Countries at the top of this figure have the most deaths proportionally to their COVID-19 cases or population, not necessarily the most deaths overall.
https://coronavirus.jhu.edu/data/mortality
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By TrueTomHarley
Would it be fair to surmise your post as a “conspiracy theory?” I am working on a post on that topic now, a few separate items having gelled together over the last few weeks.
Maybe, depending on the action here, I will even put it on this thread—not as a competing idea, nor dovetailing—just the same topic as seen from another angle—with focus on how it relates to our people.
When push comes to shove, all is a manifestation of the whole world lying in the power of the you-know-who of 1 Jn 5:19. It is odd that Tom Irregardless’s remark (quoted from Willie Whitepebble’s recollection) comes across as so stupid on the surface and so spot-on overall:
“And to think that Tom Irregardless, when confronted with some news report he didn’t understand, which was almost anything, would dismiss it all with ‘it just goes to show we need the Kingdom!’ How long had he been saying that?”
I’ve known plenty of people apt to use that quick retort. I becomes exasperating. Still, that does not mean that it is wrong.
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By admin
https://www.zerohedge.com/health/perpetual-crisis-now-who-telling-us-covid-19-may-never-go-away
The truth is that this pandemic could still potentially be in the early chapters. The Spanish Flu pandemic lasted for three full years, and we could possibly be facing a similar scenario.
And this week WHO official Mike Ryan warned that this virus could even become “endemic”, and if that happens it “may never go away”…
In other words, Ryan is saying that this virus could become like a flu that keeps reappearing year after year.
So what are we going to do if that happens?
Are we supposed to have shutdowns every year whenever a new wave of COVID-19 infections starts happening?
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By Isabella
Cheryl Pitts was having trouble breathing, could barely walk and her skin was turning gray. She needed heart surgery, but her choice of hospitals was limited.
A Jehovah’s Witness, Pitts couldn’t accept a blood transfusions or other treatment with blood products because of her religious beliefs.
In need of a bloodless surgery, the 64-year-old Portsmouth woman decided to go to OhioHealth Grant Medical Center — one of seven Ohio hospitals that offer blood alternative solutions to adults.
“I just can’t handle the thought of having to take blood,” Pitts said. “Even before I became a Jehovah’s Witness, I would not take blood.”
She didn’t trust receiving blood because of the possible complications that come with blood transfusions.
Blood transfusions replace blood that is lost through surgery or injury or if a person’s body is not making blood properly. Though generally considered safe, there is some risk of complications and allergic reactions, according to the Mayo Clinic.
In central Ohio, only Grant Medical Center and Nationwide Children’s Hospital have a blood conservation program that uses methods to limit blood loss during surgery and provides blood alternatives to people who don’t want to do transfusions for religious reasons or safety concerns.
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By Guest Nicole
ATLANTA - Shawntrel Dyess remembers the phone call that changed everything.
"It was December 3rd, I will never forget that call, ever." Dyess says. "I was here in Georgia."
Her 19-year old son Cameron, 2,400 miles away in Fremont, California, had been badly injured in a wreck. His cousin, the driver, was dead, Cameron barely hanging on in a trauma center.
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"They couldn't tell us anything, except that he was in critical," Dyess says.
Dyess' had broken legs, a shattered pelvis, and internal injuries. To save him, surgeons uses blood transfusions.
"They said he was literally about to die, he was bleeding out at that time," Dyess says.
Dyess was grateful to the doctors, but deeply torn about the transfusions.
She is a Jehovah's Witness, and believes the Bible forbids Christians from receiving blood, even in an emergency.
About 2 percent of Georgia adults are Jehovah's Witness, and just under 1 percent of all Americans, according to the Pew Research Center. Members are known for going door-to-door, sharing their faith. Â
They're also known for abstaining from blood.
"Because it's Bible-based, it's something we, as Jehovah's Witnesses, have to obey," Dyess says.
Cameron Dyess is not Jehovah's Witness. Â
But, when doctors wanted to transfuse him again, down the road, when his hemoglobin levels dropped, his mother asked him to make the call.
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By Bible Speaks
Important article
The rise of bloodless medicine: how we treat those who cannot receive blood products for religious reasons or others
To Carlton D. Mill, Joseph J. Shatzel and Thomas G. Deloughery
The Discovery of the characterization of blood and the subsequent ability to infused blood safely has revolutionized medicine and has allowed people to survive lethal bleeding complications related to surgery, traumatic and non-traumatic injuries and even pregnancy.
While the transfusion has been beneficial to many patients, there are persons who, for religious or other reasons, reject blood products. This, in addition to the growing knowledge of certain risks associated with transfusion, has led to innovative approaches to the handling of blood loss.
As a result, among the health institutions, there is an increasing number of "Non-blood medicine" programmes that focus primarily on the best way to pay attention to patients who reject blood-derived products, the most common of which They're Jehovah's witnesses. Our group of medicine recently published our own best practices in several areas relevant to the care of these patients, including and intraoperative management, acute blood loss, trauma, pregnancy and malignancy.
Focus on non-blood
One of the central principles of medicine without bloodshed is to establish the individual beliefs of a person before he enters a situation related to blood loss, more commonly the surgery. However, establishing what a person is willing or unwilling to accept can be difficult. In Modern medical practice, human blood components (including red blood cells, platelets and coagulation proteins) are separated using laboratory techniques in what is known as "fractions" of blood, either of which can be transfused Of a particular patient needs
While there may be general rules regarding transfusion within a given religion, individual members may accept different fractions of blood depending on their own specific beliefs. However, some patients may have little or no knowledge of the blood fractions or the transfusion alternatives available to them. For this reason, patients in our institution can meet with a member of our medical program and an associate member of the religious community (as a representative of Jehovah's witnesses of the local hospital liaison committee) to help analyze the Transfusion. And their alternatives in detail and to help make decisions about acceptable treatments that align with the objectives of that patient.
We and others have suggested that this meeting be conducted in private with the patient only to avoid any coercion from third parties, including family members (patients may also opt to receive transfusions in private). This information on patient preferences can be used to facilitate discussions with surgical equipment, anesthesiology and in order to create a strategy for surgery and post-operative care.
Medical optimisation is also critical. Before surgery, we examine all patients to detect anemia and treat any underlying iron or vitamin deficiency that could be contributing to the decrease in the production of blood cells. If the patient is ready, we can also provide a hormone called erythropoietin (EPO) to help increase red blood cell levels, a treatment that is currently approved by the FDA for anaemic patients undergoing certain types of high-risk elective surgery. During surgery, a number of medical, surgical and anesthetic techniques may be implemented which relate to the reduction of bleeding.
What to do during the acute blood loss?
However, it remains particularly challenging when significant acute blood loss occurs, including bleeding that emerges after the operation, as well as traumatic and non-traumatic injuries. As the bleeding progresses, it decreases hemoglobin (a vital protein in red blood cells transporting oxygen to body tissues) and increases the risk of mortality.
Although the minimum haemoglobin required to maintain life is unclear, a Jehovah's witness study that rejected blood products after surgery showed that some patients were able to survive with the least amount of hemoglobin of 2.1-3.0 GRAMS PER DECILITER, which It's about 15-25 % normal. This suggests that even in the context of deep blood loss, transfusions are not the only option for survival.
In Case of acute bleeding, medical care providers must simultaneously search for what blood products they want and do not want to receive a patient (if not known or documented), provide resuscitation (such as intravenous fluids or other medicines to improve blood pressure) , reduce the additional blood loss (including the reduction of blood thinners and investigate the source of bleeding through surgery, images or endoscopy) and reverse any deterioration of the underlying coagulation (such as those related to the use of anticoagulants).
If a patient is willing, we can also provide other products to help stop bleeding, including medicines that inhibit the breakdown of the clot (such as acid, which is particularly beneficial in trauma-related bleeding) as well as derived coagulation factors Of the laboratory (as recombinant factor viia, which is produced from modified hamster cells containing the human coagulation gene, factor vii). Although it has not yet been approved by the FDA, our center also has experience in the use of "Oxygen-based oxygen transporters", which is an artificial blood substitute using hemoglobin derived from bovine animals to help transport the oxygen by the Body.
Pregnancy is another common area where non-blood drugs can provide benefits. Post-partum haemorrhage occurs in about 11 per cent of pregnancies worldwide, and is the main cause of maternal death worldwide, with studies showing that the risk of bleeding mortality is significantly higher for witnesses From Jehovah. Given the increased risk of complications, adequate prenatal preparation is essential at the beginning of pregnancy (generally under the care of an obstetrician familiar with high-risk pregnancies) to help ensure safe birth. This preparation includes appropriate advice, treatment of underlying anaemia and active collaboration with anesthesiologist and haematological.
If a post-partum haemorrhage occurs, it can be treated with intravenous fluids, medicines, repair of lacerations and manoeuvres such as uterine massage. If these measures do not control bleeding, invasive procedures or surgeries may be performed, including hysterectomy as a measure of last resort. Of particular interest, the recently completed woman study, which is a clinical trial of more than 20,000 women with postpartum haemorrhage, found that acid significantly reduces mortality, particularly if it is administered within 3 hours of the start of Bleeding.
Although not associated with the obvious loss of blood, cancer patients can also benefit significantly from drugs without bloodshed. Modern chemotherapy can have impressive healing rates in some cancers if it is aggressively treated. However, this often results in side effects related to chemotherapy, as well as severe anaemia and low platelets, of which patients may require significant transfusions to survive their treatment.
This poses a challenge to those who can potentially be cured but who reject blood products, because modifications to chemotherapy (such as dose reduction), although more tolerable, can compromise the ability to achieve healing; handling these Patients are extremely complex and should be considered on a case-by-Case basis. In patients for whom the purpose of treatment is not curative (i.e. a "palliative" Strategy), we recommend adjusting chemotherapy in such a way that it does not require transfusions. Notably, small studies and reports of patients with cancer of Jehovah's witnesses have reported a favourable response to treatment when they are supplemented by aggressive support measures and tolerance to the court of significant anaemia.
While patients who reject blood products may present significant ethical and medical challenges for health care providers, the risks of harm and death can be significantly reduced with careful and extensive planning. Ideally, this takes place long before an early event related to blood loss or anaemia, including elective surgery, pregnancy and cancer treatment. With progress in our understanding of anaemia and the advent of new medicines, surgical techniques and support support measures (including early detection and careful handling of anaemia), these patients can be successfully treated in a "No-spill" way Of blood ". although some of these novel treatments only have limited data to support their use, these interventions should still be considered if the bleeding threatening life persists despite other measures.
This study, treatment of individuals who cannot receive blood products for religious or other reasons, was recently published by Carlton D. Mill, Joseph J. Shatzel, Thomas G. Deloughery in the American Journal of hematology.
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By Guest Nicole
Bloodless medical care seeks to avoid the need for transfusions. The following is a review of the most important considerations for setting up a bloodless care center.
“Bloodless” medical care was first recognized in the 1970s when Denton Cooley, MD, performed cardiac surgery on hundreds of patients who were Jehovah’s Witnesses (JW).1 These patients were often turned away by other physicians because they were prohibited from receiving allogeneic transfusions. Bloodless care became more common in the 1980s, when the risks for viral infections transmitted through transfusion reached an all-time high, especially for HIV and viral hepatitis. The practice of bloodless medicine was further developed and promoted by the Society for the Advancement of Blood Management (SABM), which was founded in 2001 and continues to specialize in this area today.
Bloodless care shares many principles in common with “patient blood management” (PBM),2 which aims to prevent and manage anemia, optimize coagulation to reduce or prevent hemorrhage, and promote optimal blood conservation, and to achieve these goals in order to improve outcomes with an evidence-based, patient-centered focus.3 PBM was an outgrowth of multiple randomized clinical trials, all of which compared a restrictive with a liberal transfusion strategy based on hemoglobin (Hb) triggers of 7 to 8 versus 9 to 10 g/dL, respectively, in which every trial showed either no benefit from or increased adverse outcomes with the liberal strategy.4-11 Perhaps these trigger trials were a natural progression from the high prevalence of viral risk that emerged in the blood supply during the 1980s or were efforts to reduce other transfusion-related risks and complications. Nonetheless, it is now generally accepted that “less is more” when it comes to transfusion, with the exception of ischemic brain and ischemic heart syndromes, for which the ideal Hb trigger is yet to be determined.12 Bloodless care can be thought of as extreme PBM, in which the goal is to avoid rather than reduce the need for transfusions.
In this article, we will review the top 10 issues to consider when setting up a bloodless program, which are summarized in Table 1.
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