Janosky's Posts
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The plot of land, 80x100, (with already completed 3 bedroom bungalow) for sale in Asaba ,with very good road network for direct access to Asaba/Onitsha/Lagos Highway and connect inside Asaba/Okpanam/Ugbolu environs...... |
xscoffy:Bros, upgrade am to at least #3m to #4m, then you can get lucky.... |
Hairyrapunzel:It's that all ? Lols.... ******** It's you ARA ADIGHI RAPU that's "having anxiety disorders and depression because you rant out your FRUSTRATIONS & DEPRESSIONS over what JWs do or don't do... that is your only preoccupation. You no get other work.. ******* Have you ever taken the tally of all your posts on NL forum? You're over- obsessed with JW matters , that's where you get your erections.... Everyone here knows YOU'RE VERY SICK !!!!! *********** Whatever JWs do is between them and Jehovah God, NONE EVER is accountable to you, nor do we infringe on your rights. If you like go hug any DISCOs transformer, we no send you...... Since JWs kicked you out, you've been stuck for life! Come back here & vent your Psychotic FRUSTRATIONS , Ara adighi rapu. FRUSTRATED, BROKEN HEARTED PSYCHO... Tueh !!!!!!! |
Hairyrapunzel:Take it or leave it. Jesus Christ, his disciples risked their lives for their beliefs, like wise JWs...same principles. Acts 20:24-25 "But I don't place any value on my own life..." ********** Philippians 2:30 because he nearly died for the work of Christ, risking his life...." Phil2:8,Jesus risks his own life to the point of death" That's the point. "Abstain from sex", simple instruction with many ramifications. " Abstain from blood" simple instructions with many ramifications.. Even the blood transfusions propaganda you dey champion, is it risks free ? The mad blood you received long ago still dey disturb you ara adighi rapu.... Blood transfusions kills, medical researchers prove it, this painful truth dey burst your brain. "Abstain from blood", your Bible commands. JWs gladly stick to it. Only God can judge JWs , not a psychopath like you who gleefully mock the death of your fellow man because you're EVIL minded. JW matter dey give you High BP... Go & check your BP, it's not normal. No go mind your business... your brain's overheating.... kpele.... |
Hairyrapunzel:LIAR ! Jesus Christ & his apostles proved you wrong ! Hairy ara adighi RAPU..... Idiotic pagan. *********** The beliefs of Apostle Paul and Stephen caused their deaths,they risks their lives and refused to renounce their beliefs to save their lives. Still, other disciples risked their lives for their beliefs. ******* Acts 20:24-25 "But I don't place any value on my own life. I want to finish the race I'm running. I want to carry out the mission I received from the Lord Jesus-the mission of testifying to the Good News of God's kindness." ********** Acts 21:13 Then Paul answered, "Why are you weeping and breaking my heart? I am ready not only to be bound, but also to die in Jerusalem for the name of the Lord Jesus.." ********** Philippians 2:30 because he nearly died for the work of Christ, risking his life to make up for your deficit of service to me. *********** Stephen> Acts 7:1-60. All these men copied that example from Jesus Christ Phil 2:8 "And being found in fashion as a man, Jesus humbled himself and became obedient unto death, even the death of the cross {Gr. stauros – stake}." Matt 10:32-40, Jesus Christ says your beliefs are more important than your life or family ties. For the prospect of eternal life, obedience was more important to Abraham than the life of his son. Hebrew 11:17-19 Christ values obedience to his beliefs as more valuable than his own life. ************** Fairweather NL Churchians & mumu pagans pretending to be Christian. |
Hairyrapunzel:A Sane person can not do what hairyrapunzel had been doing here. Hairyranpunzel has been gleefully mocking and celebrating the death of adults and children alike who have never done him any wrong, simply because they hold a belief he does not subscribe to. No sane person does that. Hairyrapunzel has demonstrated he's a psychopathic ,intolerant bigot and a demon. The blood of psychopaths was transfused into you & your heart and thoughts are EVIL. This other thread is solid proof: https://www.nairaland.com/3486648/ what-spiritual-implication-blood- transfusion/3 Hairy ARA ADIGHI RAPU..... Tueh !!!!!! |
OLAADEGBU:Olaadegbu confirms deeper life is a cult.. No wahala |
Hairyrapunzel:(***1) g 94 12 / 8 p . 30 From Our Readers Awake!—1994 From Our Readers Faithful Youths I was touched by the series “Youths Who Put God First.” (May 22, 1994) When I was a teenager, I had a brain tumor. As one of Jehovah’s Witnesses, I told the doctors: “I don’t want to take a blood transfusion.” Although a court order was obtained to force blood on me, the surgery went well without it. As I read about these faithful young servants of God, I had tears in my eyes. They had been through the same experience as I! Their stories have touched my heart and strengthened my love for God. M. P., United States *************** Since I suffer from an incurable form of leukemia, the experiences of young ones who have proved their devotion to Jehovah were quite encouraging to me as an adult. Many thanks. H. K., Austria" ** Hairy ARA ADIGHI RAPU is too sick to read & comprehend... You just dey type anyhow... ****2). Just dey deceive yourself. Numerous testimonials on NL forum already testified that your sanity is off key and very suspect..... definitely!! Who knows whether na nutcase donor recipient you be.... You know say that time, BT procedures get more loopholes than now..... This other thread is solid proof: https://www.nairaland.com/3486648/what-spiritual-implication-blood-transfusion/3 Hairy ARA ADIGHI RAPU..... |
Hairyrapunzel:(***1) g 94 12 / 8 p . 30 From Our Readers Awake!—1994 From Our Readers Faithful Youths I was touched by the series “Youths Who Put God First.” (May 22, 1994) When I was a teenager, I had a brain tumor. As one of Jehovah’s Witnesses, I told the doctors: “I don’t want to take a blood transfusion.” Although a court order was obtained to force blood on me, the surgery went well without it. As I read about these faithful young servants of God, I had tears in my eyes. They had been through the same experience as I! Their stories have touched my heart and strengthened my love for God. M. P., United States *************** Since I suffer from an incurable form of leukemia, the experiences of young ones who have proved their devotion to Jehovah were quite encouraging to me as an adult. Many thanks. H. K., Austria" ** Hairy ARA ADIGHI RAPU is too sick to read & comprehend... You just dey type anyhow... ****2) Numerous testimonials on NL forum already testified that you sanity is off key..... |
Hairyrapunzel:LIAR.... HAIRY ARA ADIGHI RAPU ,kpele... you done take that pill to cool your sick brain tonight? ***************** October 26, 2017 Open-Heart Surgery Achieves Success Without Blood Transfusions By SharingMayoClinic Teamwork and careful planning allowed for successful surgery to treat a congenital heart defect in an infant who, for religious reasons, could not receive blood transfusions or blood products. When RaeLynn Gehrke was born in December 2016 with a complex heart condition called tetralogy of Fallot , her parents knew they were up against a difficult situation. The family, who live in Bemidji, Minnesota, learned that an operation was required to correct the malformations caused by RaeLynn's condition. However, as Jehovah's Witnesses whose faith prevents them from receiving blood transfusions, her parents knew that the standard of care for most patients would not be acceptable for RaeLynn. Recognizing the family's concerns and the complex circumstance it put them in, the pediatric cardiologist treating RaeLynn in Fargo, North Dakota, connected them with Mayo Clinic cardiovascular surgeon Sameh Said, M.D. Following months of careful planning and a coordinated effort among a team of clinicians, on July 17, 2017, the infant was able to undergo open-heart surgery at Mayo Clinic's Rochester campus using a procedure that was in line with the family's beliefs. "It was really an example of an extraordinary team effort," Dr. Said says of the successful surgery — the first of its kind in a pediatric patient at Mayo Clinic. The teamwork RaeLynn's parents saw in action and the communication among the team members assured them their daughter would receive the highest caliber of care. "They realized our fears going into it," says RaeLynn's mother, Summar Gehrke. "We knew how confident and determined they were to not only get the procedure done safely but without any blood." Perfecting the plan When Dr. Said received the request to consult on RaeLynn's case, his first thought was that the operation was technically possible, but it would take careful planning. "How can we do it and keep the results excellent and make sure the child is safe?" Dr. Said says. "We thought if we had the right team and preparation, we'd be able to do the operation with minimal risks." Dr. Said assembled a team of specialists that included Caitlin Blau, in cardiac perfusion, Paul Stensrud, M.D. , in cardio- thoracic anesthesia, nurse practitioner Corissa Hebb, Grace Arteaga. M.D. , in pediatric critical care, and medical secretary Rachel Johnson. The group's focus became devising a surgical strategy for RaeLynn, the team's most important player. "Cardiac surgery is really a team sport," says Dr. Stensrud. "We normally work in teams and sometimes teams of teams, depending on what we need to do. This was focused on the cardiac surgical team, but there was a lot more communication than usual." "We thought if we had the right team and preparation, we'd be able to do the operation with minimal risks." — Sameh Said, M.D. Babies who require open-heart surgery and are placed on cardiopulmonary bypass — sometimes called the heart-lung machine — receive blood products during surgery. Blood is added to the heart-lung machine to maintain hemoglobin levels and decrease the hemodilution that can result from the machine, especially in babies, due to their small blood volume. People who have heart surgery also are often given blood transfusions to counteract the blood lost during the operation and the blood draws required for laboratory measurements used to guide therapy during and after the operation. "We had to modify every single step during that time," Dr. Said says. Devising a surgical plan that wouldn't involve blood products or transfusions began with determining what was acceptable to RaeLynn's parents. "The parents were very knowledgeable and were very specific," Dr. Said says. "Her mom asked me to basically write the protocol exactly how we were going to do this case. So we did that and emailed her. That was even before we met face-to-face." In addition to sending RaeLynn's parents details of the surgical protocol, several phone calls were made between Dr. Said, and Summar and Frank Gehrke, RaeLynn's father. That measure further increased RaeLynn's parents' confidence in her Mayo Clinic physicians. Redefining open-heart surgery Months before the surgery date, the plan was put in motion. It started with RaeLynn taking iron supplements and the hemoglobin- enhancing medicine erythropoietin. Those measures helped the baby's bone marrow produce high levels of red blood cells, which meant that she had more blood than typical patients going into the surgery. Perfusionist Caitlin Blau, who was responsible for operating the heart-lung machine during the surgery, used a formula that determined how low RaeLynn's hemoglobin would fall if no blood was used, and then calculated what her starting value had to be to sustain life. "We found that in order to do the procedure, we needed a hemoglobin between 15 and 16," Blau says. The day of the surgery, RaeLynn's hemoglobin was in that range at 16 grams/ deciliter (g/dL). But her hemoglobin level wasn't the only hurdle the team had to handle. "For newborns and infants, it's the norm to prime the machine with someone else's blood, so that made this case particularly challenging," Blau says. Instead of blood, a crystalloid solution was used to fill the machine's tubing and reservoir. The heart-lung machine itself was also modified with smaller tubing and was positioned close to RaeLynn to make the tubing as short as possible. These changes minimized the volume of blood moving out of RaeLynn, into the machine, and then back into her body. "For newborns and infants, it's the norm to prime the machine with someone else's blood, so that made this case particularly challenging." — Caitlin Blau "Another critical discussion revolved around the blood we normally draw for certain labs throughout the case. We decided as a team the minimum amount we could do, the better," Blau says. "I drew less than I normally would, while still safely monitoring RaeLynn's lab values." When the procedure was over and the surgery successfully completed, RaeLynn's hemoglobin count was 12 g/dL — higher than the 10 g/dL she had before she was given the iron and erythropoietin supplements prior to surgery. Envisioning a better standard of care Even with all of the preparations, RaeLynn's parents were ready to face complications. "We were prepared for something to go wrong. So when everything went so well, we were so relieved and so happy," Summar says. Just two days after having her chest opened and her malformations corrected, the baby was happy and smiling. At RaeLynn's two- week post-operative visit, her doctors declared that "her ticker was working great," Summar says. "We are so thankful for the care taken by the whole team. Her doctors and all of her nurses took such good care of our little girl and stayed so respectful of our beliefs," Summar says. "They had such great communication with us from the beginning to the end of the entire process." Franks says that since her operation, RaeLynn has grown tremendously. She's become stronger, has more energy, and her personality has blossomed. "We are so thankful for the care taken by the whole team. Her doctors and all of her nurses took such good care of our little girl and stayed so respectful of our beliefs." — Summar Gehrke The experience has not only enabled RaeLynn's development but has advanced her physicians' knowledge about this kind of unique surgery. "Transfusions can be lifesaving, but transfusions are not without risks," says Dr. Stensrud. "This was a learning experience because we can adapt everything we did here." Indeed, the future of neonatal and infant cardiac surgery may look much like the example set by RaeLynn's surgery, adds Blau. "This case really highlights the fact that we can do this," she says.' " |
Hairyrapunzel:HAIRY ARA ADIGHI RAPU ,kpele... you done take pill to cool your sickness tonight? ********* Jehovah's Witnesses who refuse blood transfusions ... https://www.cbsnews.com › news › jehov AP (CBS News) New research shows that Jehovah's Witnesses who refuse blood transfusions after cardiac surgery are at no greater health risks than people who undergo the procedure. The study, which was published in the Archives of Internal Medicine on July 2, intended to look at patients who do not undergo blood transfusions after cardiac surgery. Because Jehovah's Witnesses believe on religious grounds that they are not supposed to ingest the blood of another, they made ideal test subjects. The study looked at 48,986 non-Witnesses who had blood transfusions and 322 Witnesses who refused to have blood transfusions who all underwent cardiac surgery between 1983 to 2011. After matching the patients up by similar cases, RESEARCHERS FOUND BOTH GROUPS HAD SIMILAR RISKS FOR DYING AT THE HOSPITAL . However, Witnesses had lower chances of having additional operations for bleeding, renal failure and sepsis compared with non- Witnesses who received transfusions." (Trending News What is the coronavirus illness blamed for multiple deaths in China? Death index: Top 50 ways Americans die Conjoined twins (WARNING: GRAPHIC IMAGES) Depression, anxiety, suicide increase in this age group) "It behooves us to examine more closely some Jehovah Witness processes of care and implement them in our routine surgeries," study author Dr. Colleen Koch, a cardiothoracic anesthesiologist at Cleveland Clinic in Ohio, said to HealthDay. Witnesses spent less time in the intensive care unit and less time in the hospital than the other group. They also had higher survival rates compared to the people who were non-witnesses at 95 percent and 89 percent respectively. Both groups had close 20-year survival rates (34 percent versus 32 percent). According to the Mayo Clinic, blood transfusions can cause a number of health complications, including allergic reactions, fevers, lung injury, spread of bloodborne infections and acute immune hemolytic reaction - a rare transfusion reaction in which a person's body attacks the new blood because it's not the proper type. But, HealthDay points out that screening techniques introduced in the 1990s have made it safer than it previously was. Transfusion is typically ordered because of the risk of anemia - which the National Institutes of Health defines as a condition where the body does not have enough red blood cells. Anemia can cause the person to feel tired or weak, have headaches and shortness of breath, as well as problems concentrating or thinking. Dr. Victor A. Ferraris, a professor of cardiothoracic surgery at the University of Kentucky, wrote in an accompanying commentary that the study shows that it might do doctors well to look at their own practices. "The findings of this analysis by Pattakos and colleagues add to the increasing data that suggest that more conservative use of blood transfusions would be in our patients' interest, in both Witnesses and non- Witnesses," he stated. But, Dr. Gregory Fontana, chair of cardiothoracic surgery at Lenox Hill Hospital in New York City, warns HealthDay that the results don't indicate that we should expand the findings to everyone. "just because this paper is published, we cannot willy nilly start treating everyone like Jehovah's Witnesses," he told HealthDay. "It does provide further evidence that transfusion with real indication carries a risk that heretofore has been underestimated." ******* Hallelujah, Praise Jah !!! |
Emusan:Straw man post. Do you agree with these scriptures, the words spoken by Jesus Christ, which are "rants" to you ? Matt 24:12-14 12 Because of the multiplication of wickedness, the love of most will grow cold. 13 But the one who perseveres to the end will be saved. 14 And this gospel of the kingdom will be preached in all the world as a testimony to all nations, and then the end will come.… *************** Matthew 10:22 You will be hated by everyone on account of My name, but the one who perseveres to the end will be saved. ************ Luke 21:19 By your patient endurance, you will gain your souls. ************ Matthew 10:22 And ye shall be hated of all men for my name's sake: but he that endureth to the end shall be saved. *********** Mark 13:13 And ye shall be hated of all men for my name's sake: but he that shall endure unto the end, the same shall be saved" **************** Those scriptures are mere " rants" to Emusan. |
OLAADEGBU:Olaadegbu is not a follower of Jesus Christ and does not study the holy Bible. He reads a satanic verse of 2 John5:7, not the holy Bible. Olaadegbu wayo man will bring the textus receptus FRAUD to this thread, he won't disappoint to post the FRAUD. Greek Theos= a god/God. John1:1"The word was Theos (a god/God)." Olaadegbu wayo man. |
Hairyrapunzel:These young people are very brave to stand up for their beliefs with firm conviction. They have faith like Abraham's. Heb11:17-19. They are not cowardly bigot like you who showcase your insanity on NL. g 94 12 / 8 p . 30 From Our Readers Awake!—1994 From Our Readers Faithful Youths I was touched by the series “Youths Who Put God First.” (May 22, 1994) When I was a teenager, I had a brain tumor. As one of Jehovah’s Witnesses, I told the doctors: “I don’t want to take a blood transfusion.” Although a court order was obtained to force blood on me, the surgery went well without it. As I read about these faithful young servants of God, I had tears in my eyes. They had been through the same experience as I! Their stories have touched my heart and strengthened my love for God. M. P., United States *************** Since I suffer from an incurable form of leukemia, the experiences of young ones who have proved their devotion to Jehovah were quite encouraging to me as an adult. Many thanks. H. K., Austria |
Emusan:I know say you go lie your "once saved always saved" is not your belief... |
OLAADEGBU:Olaadegbu LIAR. blood transfusions kills... ************** https://www.independent.co.uk/news/ transfusions-kill-patients-say- doctors-1070012.html Transfusions kill patients, say doctors Jeremy Laurance | @ jeremylaurance | | BLOOD TRANSFUSIONS given routinely to tens of thousands of critically ill patients may be killing them, doctors have found. Canadian researchers have found that giving extra blood, despite its essential role in maintaining life, can cause more harm than good in those who have been thought in greatest need of it. The unexpected finding, from a study of more than 800 critically ill patients, will deliver a serious blow to the idea of accident victims being stretchered into hospital with a bag of life-giving blood suspended above them. Doctors had assumed that any means of boosting oxygen supply to the body's tissues in those who were seriously ill would improve their chances of survival. But the Canadian research shows that critically ill patients who received more blood were up to twice as likely to die as those who received less......" |
Emusan:Jesus words to his disciples, "he who strives, endures/persevere to the end is the one that will be saved" ,those scriptural references confirmed Emusan lacks sense. Go & quarrel with Jesus, him say your "once saved always saved" na FRAUD. JWs who persevere to the end will be saved, 100% confident !!!! Go & check your PB |
Hairyrapunzel:What of the "lab rats" your 'life saving' blood transfusions claimed their 'life ? The so called ' BT life saving' with out any issues propaganda has been claiming lives since the practice began. "Abstain from blood" is a scriptural injunction & how JWs follow it is none of your bizness !! I say I don't want BT, it's my right & my choice, RESPECT IT. JWs don't owe you anything for the position we take on any issues, after all, you no be God. From bigotry to insanity. Go get a life jare..... |
Emusan:Emusan no get sense...... You get so worked up for nothing as if JWs owe you anything.... You no know your problem.... Lols Matt 24:12-14 12 Because of the multiplication of wickedness, the love of most will grow cold. 13 But the one who perseveres to the end will be saved. 14 And this gospel of the kingdom will be preached in all the world as a testimony to all nations, and then the end will come.… *************** Matthew 10:22 You will be hated by everyone on account of My name, but the one who perseveres to the end will be saved. ************ Luke 21:19 By your patient endurance, you will gain your souls. ************ Matthew 10:22 And ye shall be hated of all men for my name's sake: but he that endureth to the end shall be saved. *********** Mark 13:13 And ye shall be hated of all men for my name's sake: but he that shall endure unto the end, the same shall be saved" |
CaveAdullam:John 17:21-23 21 THAT THEY MAY ALL BE ONE ,JUST AS YOU, FATHER ARE IN ME, AND I IN YOU THAT THEY ALSO MAY BE IN US, so that the world may believe that you have sent me. 22 The glory that you have given me I have given to them, THAT THEY MAY BE ONE EVEN AS WE ARE ONE " ****************** Again, Jesus Christ in John 20:17 rejected your twisting of John20:28. Jesus is saying his disciples and himself worship the same God, he is ascending to. Jesus is theos (a god/God) who has his God. Yahweh,the Most High has no God. Psalms 83:18. Psalms 110:1(ASV). In heaven, Yahweh Commanded Jesus: "Sit at my right hand" *********************** Rev3:5,12 In heaven Jesus Christ is a servant of his God, Yahweh. CaveAdullam, you are LYING and you choose to be blind to the truth. Enjoy your delusion. |
Seun:The same 'blood transfusion live saving ' fable have brought death and misery to tens of thousands of children and adults all over the globe. https://www.independent.co.uk/news/transfusions-kill-patients-say-doctors-1070012.html ****"********* BBC News Navigation Sections What is the contaminated blood scandal? By Nick Triggle Health correspondent 14 June 2019 Share Related Topics UK contaminated blood inquiry Image copyright PA The infection of up to 30,000 people with contaminated blood has been called the biggest treatment disaster in NHS history. Thousands have died. A public inquiry is now under way - but what is already known about the scandal? Who was affected? People with haemophilia and other bleeding disorders were given blood infected with HIV and hepatitis viruses, during the 1970s and 1980s. It was the result of a new treatment intended to make their lives better. A clotting agent called Factor VIII was introduced to help their blood clot. Before this, patients faced lengthy stays in hospital to have transfusions, even for minor injuries. People who had blood transfusions after an operation, or childbirth, are also thought to have been exposed. About 5,000 people are believed to have been infected - but some estimates put the number at 30,000. Nearly 3,000 people have died. The public inquiry has heard the stories of some of those affected. One of the first to take the stand was Derek Martindale, who has haemophilia . He was 23 when he was diagnosed with HIV and given a year to live, in 1985. He survived but his brother - who was also infected with HIV - did not. How did it happen? The UK was struggling to keep up with demand for the Factor VIII blood clotting treatment, so supplies began to be imported from the US. But much of the human blood plasma used to make it came from donors such as prison inmates and drug-users, who sold their blood. These groups were at higher risk of blood- borne viruses. However, at the time, HIV had not been diagnosed and understanding about hepatitis was still developing. The risk of contamination was raised further because Factor VIII was made by pooling plasma from up to 40,000 donors and concentrating it. How long did this last? By the mid-1980s, once it was clear HIV was blood-borne, the products started to be heat-treated, to kill the viruses. But questions remain about how much was known before this time. Despite these precautions, some of the contaminated blood products remained in circulation and continued to be used. Screening of all blood products began in 1991. And by the late 1990s, synthetic treatments for haemophilia became available, removing the infection risk. What are the aims of the inquiry? This UK-wide inquiry now under way is the first that can demand that witnesses give evidence. It comes after decades of campaigning by victims, who claim the risks were never explained and the scandal was covered up. The government has been strongly criticised for dragging its heels. Infected blood victim 'wanted to die' Blood inquiry seeks answers at last The secret in my blood Liz Hooper: The woman who lost two husbands to the scandal A previous, privately funded inquiry held no official status. It could not compel witnesses to testify, or demand the release of important documents. In Scotland, a seven-year investigation was criticised as a "whitewash" when it was published in 2015. The current inquiry, due to last two years, was announced only after the UK government faced a possible defeat in a Commons vote demanding one. Have people been infected elsewhere in the world? There have been thousands of cases of people being given infected blood in the US. But other countries also imported blood products during the 1970s and 1980s. In Europe, cases in France, Ireland, Portugal and Italy have been identified. Japan, Canada, Iran and Iraq have also been caught up in the scandal. In the US, companies that supplied infected products have paid out millions of dollars in out-of-court settlements. In other countries, politicians and drug companies have been convicted of negligence. None of that has happened in the UK - although victims have been given limited financial support. At the opening of the inquiry, it was announced that criminal trials could follow." ********** |
Seun:The same 'blood transfusion live saving ' fable have brought death and misery to tens of thousands of children and adults all over the globe. https://www.independent.co.uk/news/ transfusions-kill-patients-say- doctors-1070012.html BBC News Navigation Sections What is the contaminated blood scandal? By Nick Triggle Health correspondent 14 June 2019 Share Related Topics UK contaminated blood inquiry Image copyright PA The infection of up to 30,000 people with contaminated blood has been called the biggest treatment disaster in NHS history. Thousands have died. A public inquiry is now under way - but what is already known about the scandal? Who was affected? People with haemophilia and other bleeding disorders were given blood infected with HIV and hepatitis viruses, during the 1970s and 1980s. It was the result of a new treatment intended to make their lives better. A clotting agent called Factor VIII was introduced to help their blood clot. Before this, patients faced lengthy stays in hospital to have transfusions, even for minor injuries. People who had blood transfusions after an operation, or childbirth, are also thought to have been exposed. About 5,000 people are believed to have been infected - but some estimates put the number at 30,000. Nearly 3,000 people have died. The public inquiry has heard the stories of some of those affected. One of the first to take the stand was Derek Martindale, who has haemophilia . He was 23 when he was diagnosed with HIV and given a year to live, in 1985. He survived but his brother - who was also infected with HIV - did not. How did it happen? The UK was struggling to keep up with demand for the Factor VIII blood clotting treatment, so supplies began to be imported from the US. But much of the human blood plasma used to make it came from donors such as prison inmates and drug-users, who sold their blood. These groups were at higher risk of blood- borne viruses. However, at the time, HIV had not been diagnosed and understanding about hepatitis was still developing. The risk of contamination was raised further because Factor VIII was made by pooling plasma from up to 40,000 donors and concentrating it. How long did this last? By the mid-1980s, once it was clear HIV was blood-borne, the products started to be heat-treated, to kill the viruses. But questions remain about how much was known before this time. Despite these precautions, some of the contaminated blood products remained in circulation and continued to be used. Screening of all blood products began in 1991. And by the late 1990s, synthetic treatments for haemophilia became available, removing the infection risk. What are the aims of the inquiry? This UK-wide inquiry now under way is the first that can demand that witnesses give evidence. It comes after decades of campaigning by victims, who claim the risks were never explained and the scandal was covered up. The government has been strongly criticised for dragging its heels. Infected blood victim 'wanted to die' Blood inquiry seeks answers at last The secret in my blood Liz Hooper: The woman who lost two husbands to the scandal A previous, privately funded inquiry held no official status. It could not compel witnesses to testify, or demand the release of important documents. In Scotland, a seven-year investigation was criticised as a "whitewash" when it was published in 2015. The current inquiry, due to last two years, was announced only after the UK government faced a possible defeat in a Commons vote demanding one. Have people been infected elsewhere in the world? There have been thousands of cases of people being given infected blood in the US. But other countries also imported blood products during the 1970s and 1980s. In Europe, cases in France, Ireland, Portugal and Italy have been identified. Japan, Canada, Iran and Iraq have also been caught up in the scandal. In the US, companies that supplied infected products have paid out millions of dollars in out-of-court settlements. In other countries, politicians and drug companies have been convicted of negligence. None of that has happened in the UK - although victims have been given limited financial support. At the opening of the inquiry, it was announced that criminal trials could follow." ********** |
madridsta007:Dumb post. Jesus Christ himself is a Jehovah's witness. Isaiah 42:10-12. Rev 3:5,12-14. Acts3:13. John20:17. Jehovah's witnesses are Christians,we believe in Jesus Christ and his Father, Jehovah God. John 14:1. John17:3. Matt10:32-33. |
OLAADEGBU:After all your LIES that blood transfusions doesn't KILL.... *spits* The same lie the System told all the victims who are now enjoying their 'life saving' misery, anguish and death a couple of years later. Oya qwantirinu 'eating'.... In few years time, you will hear that the portions you ate may claim your life.... *********** But, Why do you go to extremes to want to force another person to eat potentially poisonous food he forbids ? Olaadegbu Intolerant bigot . |
eyinjuege:I read your link.... it's well understood. In the situation Where a mature minor firmly insists to refuse blood transfusions, the Court may or may not accede to the patients request. (These Laws on Minor's Rights are slightly different in USA,England and Scotland). The trial Judge would pass a verdict after thorough assessment of all the factors peculiar to that particular case. ********** From the link I shared,this points below highlight what the article explained... (A) Minors ( i.e. , individuals under the state- specific age of consent, usually 18) generally cannot provide consent for or refuse medical treatment. States vary on exceptions to this rule ( e.g. , many states carve out specific types of care that minors may consent to on their own—such as sexually transmitted infection treatment). (B) (10). In the majority of cases, however, a parent must provide consent or refusal. This principle is not absolute, as is the case when a JW parent refuses blood for their minor child. While the U.S. Constitution protects the freedom to practice religion, courts have not interpreted that freedom to include the right to refuse lifesaving treatment for a child on the basis of that religion (11). Instead, courts confronted with the issue have upheld a hospital’s ability to provide blood even against a parent’s wishes (11). (**C) Some states even have specific laws that authorize a court to order treatment under certain circumstances, though such laws are not required since a court can make an independent determination based on the state’s inherent interest in protecting the child (11,12,13). (**D). Exception for Mature Minor There is one notable exception for cases that involve adolescents. In a minority of states, a “mature minor” doctrine allows minors who demonstrate a requisite level of maturity the right to consent for, and potentially refuse, treatment (14). While 17 states recognize the doctrine to varying degrees and in different settings, only a handful of the states have allowed an adolescent to refuse live-saving treatment (14). Outcomes vary based on state-specific legal precedent and the facts ( e.g. , genuineness of the religious belief, whether treatment would be curative)" (****E) Transfer or collaboration considerations. Ensure that the care team has considered whether collaboration with or transfer to another facility with more experience in bloodless techniques is an option. The HLC, if involved in care, can be a valuable resource in arranging for consultation or coordinating transfer. Continual and critical assessment. In cases involving a JW, the care team should continually and critically assess the patient’s condition and options to determine whether withholding blood or alternate options might be medically appropriate." Our HLC is ever willing to collaborate with medical professionals and we sincerely appreciate the expertise of the medical teams who respond to our emergencies to save lives with utmost regard for our bible based beliefs. Dalu rinne. Eshe gaan. Wadooo. Urhuese. ************ God bless. |
eyinjuege:The info above is clearly understood. Thanks for sharing. God bless. |
Janosky:Pls see this: https://forum.ashrm.org/2018/03/29/risks-and-legal-issues-in-caring-for-minor-jehovahs-witness-patients/ SPORTS TECHNOLOGY UNCATEGORIZED ENTERPRISE RISK MANAGEMENT (ERM) • LEGAL & REGULATORY • PATIENT SAFETY/CLINICAL CARE Risks and Legal Issues in Caring for Minor Jehovah’s Witness Patients March 29, 201810 Min Read A fundamental right of modern healthcare is that a patient can refuse medical treatment (1). In most circumstances, this extends to a parent’s right to refuse treatment for their minor child (2). When the rationale for refusal is religion, and especially when the treatment being refused is potentially lifesaving, the situation becomes more complex. This may arise when working with families from the Jehovah’s Witness (JW) community, a group that largely rejects whole blood products, including transfusion. This article provides background and practical tips for risk managers who may be asked to consult on cases involving the refusal of blood for minor patients from the JW community. Background There are an estimated 8.3 million JW in the world, primarily in the United States (1.2 million), Mexico (859,000) and Brazil (829,000) (3,4). The majority of JW interpret the Bible as prohibiting receiving whole blood products (5). The JW community actively instills the importance of this prohibition, encouraging members to carry “blood refusal cards” and execute Advance Directives detailing their wishes regarding blood. This extends to their children who are aware of the prohibition (6,7). JW who accept blood may be subject to repercussions within their community, which reportedly can include shunning ( .Given the inherent challenges in obtaining bloodless care, the JW community has become sophisticated in healthcare matters. JW Hospital Liaison Committees (HLCs) operate in 110 countries around the world, including 1,700 chapters within the United States (9). HLCs, comprised of male elders, aid patients and families by providing spiritual and practical assistance in the hospital, as well as aiding healthcare providers. In this role, they may offer literature on bloodless techniques, assist with consulting providers experienced in bloodless care or help with arranging transfer to other facilities. HLCs also provide educational lectures to providers and staff on working with JW families. Legal Landscape Minors ( i.e. , individuals under the state- specific age of consent, usually 18) generally cannot provide consent for or refuse medical treatment. States vary on exceptions to this rule ( e.g. , many states carve out specific types of care that minors may consent to on their own—such as sexually transmitted infection treatment) (10). In the majority of cases, however, a parent must provide consent or refusal. This principle is not absolute, as is the case when a JW parent refuses blood for their minor child. While the U.S. Constitution protects the freedom to practice religion, courts have not interpreted that freedom to include the right to refuse lifesaving treatment for a child on the basis of that religion (11). Instead, courts confronted with the issue have upheld a hospital’s ability to provide blood even against a parent’s wishes (11). Some states even have specific laws that authorize a court to order treatment under certain circumstances, though such laws are not required since a court can make an independent determination based on the state’s inherent interest in protecting the child (11,12,13). Exception for Mature Minor There is one notable exception for cases that involve adolescents. In a minority of states, a “mature minor” doctrine allows minors who demonstrate a requisite level of maturity the right to consent for, and potentially refuse, treatment (14). While 17 states recognize the doctrine to varying degrees and in different settings, only a handful of the states have allowed an adolescent to refuse live-saving treatment (14). Outcomes vary based on state-specific legal precedent and the facts ( e.g. , genuineness of the religious belief, whether treatment would be curative) (15). In one of the most well-known recent cases, a 14- year-old JW in Washington State was allowed to refuse blood products, ultimately leading to his death, despite the fact that blood transfusions likely would have saved his life (16). In practice, when blood is emergently needed to save a minor’s life, hospitals likely will provide the blood and document it in the patient’s medical record. After the emergency ends or in non-emergent or chronic condition situations, hospitals typically seek a court order to provide blood products. The court will generally hold a hearing, allowing the hospital and the parent and/or minor to explain their positions. The judge then makes a determination, issued via court order, which should be entered into the patient’s medical record. Practical Tips Risk managers should consider the following when working on these challenging cases: Blood refusal by JW not a given. Not all JW ascribe to the blood prohibition, so healthcare providers should not assume a self-identified JW will refuse blood (17). It is important to discuss the need for blood privately with both the parent and the patient (if appropriate), as the presence of other JW (including close family members and HLC members) may make the parent or patient feel pressured to refuse. Nontraditional consent . Although rare, some adult JW have reportedly appointed a non-JW to provide consent on their behalf (18). Similarly, a JW parent may be amenable to temporarily delegating another individual the power to consent for their child’s transfusion. Transfer or collaboration considerations. Ensure that the care team has considered whether collaboration with or transfer to another facility with more experience in bloodless techniques is an option. The HLC, if involved in care, can be a valuable resource in arranging for consultation or coordinating transfer. Continual and critical assessment. Providing blood is often done as a matter of course based on hospital protocol or when laboratory values reach a certain threshold. In cases involving a JW, the care team should continually and critically assess the patient’s condition and options to determine whether withholding blood or alternate options might be medically appropriate. Patient and family inclusion. Healthcare providers may discount the importance of communicating with the patient and the family since, in the end, the hospital will often be able to provide blood. Despite this, risk managers should ensure that, at every hospitalization, the patient and family are: (A) given the opportunity for their wishes to be heard, (B) given a clear explanation of the hospital’s position and any obligations that the hospital has under law or policy and (C) informed of and kept updated on the hospital’s actions ( g. , seeking a court order). Child protection considerations. The majority of states specifically exempt treatment refusal on religious grounds from the definition of child neglect. If this is true in your state, child protection authorities should not be contacted based solely on a JW parent’s refusal of blood (12). Court preparation . If your hospital does seek a court order: Work with the court and/or hospital legal counsel to prepare. Beyond assistance with forms and procedures, ask the following: will the court accept testimony from any member of the care team ( g. , social work, case management) or does it require the attending physician? Will the court accept a written statement or telephone testimony or is in-person testimony required? Generally, the court order will relate only to the provision of blood products and the parent will retain all other parental rights, including the right to consent for (or refuse) other types of treatment. When court is involved, a parent sometimes mistakenly believes that their parental rights are broadly being taken away, a distressing misconception. If given the opportunity to propose language for the court order, draft one that authorizes blood products throughout the admission or condition ( g. , long-term treatment for leukemia) to prevent return trips to court. Conclusion Care teams should work closely with patients and families from the JW community to ensure that, while the hospital may need to provide blood with or without court proceedings, it can be handled in a positive manner. Risk managers should encourage the entire care team to approach these cases with an open mind and transparency, with a focus on clearly communicating the hospital’s obligations and plans while minimizing the patient’s or family’s fears of repercussions (whether from the JW community, the hospital, or the court/legal system). References 1. Cruzan v. Director, Missouri Dep’t of Health, 497 US 261 (1990). 2. We use “parent” throughout as shorthand for parent(s) or guardian(s) . 3. Watchtower Bible and Tract Society of New York, Inc. (2016) 2017 yearbook of Jehovah’s Witnesses: 2016 grand totals. Retrieved from https:// www.jw.org/en/publications/ books/2017-yearbook/2016-grand- totals/ 4. Watchtower Bible and Tract Society of New York, Inc. (2016) 2017 yearbook of Jehovah’s Witnesses: 2016 service year report of Jehovah’s Witnesses worldwide. Retrieved from https:// www.jw.org/en/publications/ books/2017-yearbook/jehovahs- witnesses-service-report-2016/ 5. For example, Genesis 9:4: “Only flesh with its soul—its blood—you must not eat”; Leviticus 17:14: “You must not eat the blood of any sort of flesh, because the soul of every sort of flesh is its blood. Anyone eating it will be cut off”; Acts 15:20: “Abstain . . . from blood.” See JW.org, (n.d.) What does the Bible say about blood transfusions? Retrieved from https:// www.jw.org/en/bible-teachings/ questions/bible-about-blood- transfusion/ . The official JW stance is that while whole blood products are prohibited, it is up to the individual to determine whether they will accept blood fractions ( g. , gamma globulin, interleukins)—under the theory that “at some point fractions that have been extracted from blood [may] cease to represent the life of the creature from which the blood was taken.” Use of certain blood techniques ( e.g. , hemodilution, cell salvage) is also up to the individual’s determination. JW.org, Keep yourself in God’s love, appendix: blood fractions and surgical procedures. Retrieved from https:// wol.jw.org/en/wol/d/r1/lp- e/1102008086 6. Watchtower Bible and Tract Society of New York, Inc. (2005) Could your child make a mature decision? Our kingdom ministry, 48(12). Retrieved from https://www.scribd.com/ document/303664572/Watchtower- Kingdom-Ministry-2005-issues 7. Watchtower Bible and Tract Society of New York, Inc. (2015) She stuck to her beliefs. Awake! Retrieved from https://wol.jw.org/en/wol/d/r1/lp- e/102015286 8. Smith S. (2016) Jehovah’s Witnesses incapable of free, informed refusal of blood, former adherent says. CBC News (Montreal). Retrieved from http://www.cbc.ca/news/canada/ montreal/jehovah-s-witnesses- incapable-of-free-informed-refusal-of- blood-former-adherent- says-1.3829778 9. org (2012) Hospital liaison committees for Jehovah’s Witnesses. Retrieved from https://www.jw.org/ en/medical-library/strategies- downloads/hospital-liaison- committees-jehovahs-witnesses/ 10. Guttmacher Institute (2018) An overview of minors’ consent law. Retrieved from https:// www.guttmacher.org/state-policy/ explore/overview-minors-consent-law 11. Woolley, S. (2005) Children of Jehovah’s Witnesses and adolescent Jehovah’s Witnesses: what are their rights? Archives of Disease in Childhood 90(7), 715–719. doi:10.1136/adc.2004.067843 12. Sandstrom A. (2016) Most states allow religious exemptions from child abuse and neglect laws. Retrieved from http://www.pewresearch.org/ fact-tank/2016/08/12/most-states- allow-religious-exemptions-from- child-abuse-and-neglect-laws/ 13. National District Attorneys Association (2015) Religious exemptions to child neglect. Retrieved from http://www.ndaa.org/ pdf/2-11-2015%20Religious% 20Exemptions%20to%20Child% 20Neglect.pdf 14. Coleman D.L., & Rosoff P.M. (2013) The legal authority of mature minors to consent to general medical treatment. Pediatrics 131(4), 786-793. doi:10.1542/peds.2012-2470 15. Blake V. (2012) Minors’ refusal of life- saving therapies. AMA Journal of Ethics: Virtual Mentor 14(10) 792-796. doi:10.1001/ virtualmentor.2012.14.10.hlaw1-1210 16. Raftery I. (2015) When a 14-year-old chooses to die because of religion, can anyone stop him? KUOW News and Information. Retrieved from http://kuow.org/post/when-14-year- old-chooses-die-because-religion- can-anyone-stop-him 17. See, for example, the Advocates for Jehovah’s Witness Reform on Blood (AJWRB), a group of dissident JW who do not ascribe to the blood prohibition. 18. Karkowsky C.E. (2013) How I treat patients who refuse blood transfusions. Slate. Retrieved from http://www.slate.com/articles/health_ and_science/medical_ examiner/2013/06/jehovah_s_ witness_blood_transfusions_how_a_ doctor_works_around_doctrine.html Denise Winiarski, JD, CPHRM, Associate General Counsel at the University of Michigan, advises Michigan Medicine, the University of Michigan’s academic medical center, on risk management and litigation issues. Emily Klatt, JD, is Associate General Counsel at the University of Michigan, advising Michigan Medicine on regulatory matters. Amir Kazerouninia, MD, PhD is a graduate of the University of Michigan Medical School and an internal medicine/pediatrics resident at Baylor College of Medicine / Texas Children’s Hospital"" |
eyinjuege:Pls, don't get me wrong. I have never passed any wrong info on this thread. Note, I have already said "JWs usually respect the outcomes of court judgments" whether or not it is in our (JW) favor. That your link didn't open,not accessible now. Pls see this: https://forum.ashrm.org/2018/03/29/risks-and-legal-issues-in-caring-for-minor-jehovahs-witness-patients/ |
eyinjuege:Even in the USA, the laws of each State are different, what obtains in State of A" maybe different from State B". The Judge is in a position to determine whether or not to allow a Minor's testimony, on a case by case basis. Every minor do not possess the same capacity for understanding or conviction about any matter. JWs usually respect the outcome of Court judgements. ************** Hardly will you find a medical journal that has never published research findings about bloodless medical procedures and breakthroughs in that aspect. Many medical professionals are already aware of these advances, there is positive progress, more will come.... The HLC have done well to promote cordial relationship and better understanding of JW positions on alternatives to bloodless medical treatment. Both sides are very interested & committed to better, improved healthcare for patients who are Jehovah's witnesses. JWs respect & appreciate the medical professionals for their understanding and cooperation. God bless. |
eyinjuege:Doctors no be Almighty God, but their services & expertise are well appreciated. They are still learning more & more to improve their competency. I'm not here to dictate how you should practice your professional calling. Every case is different, You & I were not there at the scene it occurred, there are vital , details we do not know about which would have given us the true ,unadulterated picture of what transpired there. ************** It makes good sense to note this statement by your medical professional journal: "The unique problems of the tiny premature neonate whose blood volume may only be eight teaspoons are formidable. Yet an open mind to the alternatives and options in the use or non- use of blood and blood products is an essential attitude for the modern practitioner in this field.", **********"*""**** God bless. |
eyinjuege:eyinjuege post: " Severe jaundice may need exchange blood transfusion," You're being speculative... The child's parents insisted on other life saving forms of medical treatment other than BT.. It's not a crime to prefer Option A over Option B ,C,or D. **************** The Government officials and the medical staff were simply overzealous.. With better communication and cooperation with the hospital authorities, BT wouldn't have been necessary. Our HLC would have stepped in & managed the situation very well without recourse to the Courts. https://www.nataonline.com/node/450 "The unique problems of the tiny premature neonate whose blood volume may only be eight teaspoons are formidable. Yet an open mind to the alternatives and options in the use or non- use of blood and blood products is an essential attitude for the modern practitioner in this field." ************ Very true.... |
eyinjuege:There are other result oriented alternative to blood transfusions, that is what the JW parents wanted & requested for... They loved their child as every parent would. ************** According to a medical journal: "Concurrently the search for effective alternatives to blood and blood product transfusion should earnestly be pursued for children and adults alike. If a procedure classically considered as bloody as ever, a liver transplantation can be preformed without transfusing red blood cells <|[31]|> , then certainly many procedures typically thought to require transfusion can be reexamined. To that end, erythropoietin has been used in burn victims <|[32]|> and others in concert with other prudent measures such as prudent blood drawing for testing and the use of tourniquets for control of bleeding during the harvest of skin grafts. Another recent useful adjunct for the burn victim, and particularly the burned child is the use of fibrin glue when placing and harvesting skin grafts <|[33]|> , significantly decreasing the amount of blood required. MISCELLANEOUS Extracorporeal Membrane Oxygenation (ECMO) pioneered by Doctor Robert Bartlet of Michigan, found its greatest applicability in the therapy of neonates with pulmonary hypoplasia and persistent pulmonary hypertension. In this category the incidence of congenital diaphragmatic hernia was most frequently seen. As with classic cardiopulmonary bypass, blood and blood products were frequently employed <|[34]|> . In addition, the prolonged use of an extracorporeal circuit in these patients led to a high incidence of clotting disturbances <| [35]|> . Lately ECMO has diminished in the frequency of its use with alternative ventilatory techniques gaining favor. Yet there remains a role for ECMO especially in selected neonates with diaphragmatic hernia, and so it is prudent to search for ways to decrease bleeding and need for transfusion in such babies <|[36]|> . CONCLUSIONS As in many fields of medical endeavor, pediatric surgery has kept pace with the increasing realization of the shifting burden- benefit calculus in the transfusion of blood and blood products. The unique problems of the tiny premature neonate whose blood volume may only be eight teaspoons are formidable. Yet an open mind to the alternatives and options in the use or non- use of blood and blood products is an essential attitude for the modern practitioner in this field." Appendix: References 1. Hall TL et al. Neonatal mortality following transfusion of red cells with high plasma potassium levels. Transfusion, 1993; 33 (7): p. 606-609. https://www.nataonline.com/node/450 http://bloodless.com.br/optionsalternatives-to-blood-transfusions/ |
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