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Alternatives to blood transfusions

Started by Kyle Nelson2 · · 👁 4 views · 10 replies

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Participants Kyle Nelson2Scott Allen10Jose Miller3
Kyle Nelson2 Kyle Nelson2 RegularOP
475 messages
joined Jun 2008
#1 ·
Look, I’m not coming at this from a religious angle or anything, but I’m trying to find some solid medical arguments against blood transfusions.
I’m not JS (nor am I an advocate), but I’ve heard enough "info" from them suggesting that a transfusion carries way more risk than benefit.
Specifically, I watched one of those "documentaries" they push that makes methods like autologous transfusions look great—you know, using meds to boost your red blood cell count before surgery, or donating your own blood ahead of time so you can just recycle it during the procedure.

But what I really want to know is: where are the flaws in those methods?
And what about things like car accidents?
In what percentage of cases—where it's not even an emergency—could those alternative methods actually work, versus how often is it just a matter of needing to save a life right now?

Just to be clear, I’m all for whatever method saves a life; I’m just looking for a professional opinion here.
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#2 ·
The thing is, even here in the States, we still see blood transfusions being used when they aren't even necessary. It really just depends on how things play out, but honestly, TK shouldn't be happening if the hemoglobin is over 80. Some doctors actually think even that threshold is way too high...
JS are basically the polar opposite, and of course, they’ll try to flex their muscles to spin all sorts of wild narratives and throw every argument they can at you against TK.
The only real alternative to a standard transfusion would be autologous transfusion. Basically, before a scheduled surgery, they draw some blood from the patient and save it so they can pump it right back in during the procedure if needed. Obviously, you can't store gallons of it, so if they still end up needing more TK despite that, you're back to the old-school transfusion method....
Autotransfusion also involves using those specialized surgical kits that collect and filter the blood to cycle it right back into the patient's veins.
But when things get urgent and there's zero time for prep work, there's simply no alternative to TK!
In those critical situations where someone needs 5, 10, 15, or even more units of blood, there isn't any other way to handle it.
It’s hard to pin down an exact percentage, but if we take a more reasonable and critical look at how much blood we actually need, we could definitely cut down on usage overall... but when the moment hits, you need it, and there's no other option.
Erythropoietin is pretty expensive and doesn't even factor into emergency situations because it takes—I can't remember exactly, so feel free to correct me—weeks to actually kick in.

TK isn't risk-free... not by a long shot... so you have to be incredibly careful when administering it. You need even more caution when picking donors, handling the processing, and making sure everything is stored perfectly. The scariest part is realizing that even if you do everything by the book, every single dose of TK still carries a potential risk of being infected with some nasty pathogen. There just isn't a transfusion method out there that can guarantee a 100% safe dose of blood. That's exactly why every single bag has that warning on it: "Despite testing, this unit may contain infectious agents!"
Kyle Nelson2 Kyle Nelson2 RegularOP
475 messages
joined Jun 2008
#3 ·
thanks.

how much of a risk are we actually talking about with those diseases?
and when people say that, are they referring to random unknown stuff and parasites... or are they talking about things like hepatitis, HIV, and that kind of thing?
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#4 ·
Kyle Nelson2 said:thanks.

how much of a risk are we actually talking about with those diseases?
and when people say that, are they referring to random unknown stuff and parasites... or are they talking about things like hepatitis, HIV, and that kind of thing?

Yeah, things like hepatitis, HIV, and that sort of thing....
Honestly, thanks to how advanced blood transfusion tech is in the States nowadays, the risk is incredibly low... but you can't say it's zero. Still, the benefit of using TK totally outweighs any potential chance of catching something.
The thing is, there are these tiny little windows during HIV or hepatitis testing where the pathogen just hasn't shown up yet, so someone could technically pass an infection through a blood donation.
Like, imagine someone has a risky encounter... then a day or two later they head over to a clinic like the Mayo Clinic to donate blood... the tests come back negative for HIV... but because they're still in that early incubation phase, the virus isn't detectable yet... it works a bit like that....
Kyle Nelson2 Kyle Nelson2 RegularOP
475 messages
joined Jun 2008
#5 ·
alright..

one more thing, and it’s probably a pretty stupid question...
how much higher is the risk when you're talking about organ transplants? I mean, give me some actual numbers—like, how many times more likely are the complications?

yeah, I get that the risk of organ rejection and all that stuff is way higher, but I want to hear the official word... just as a final question. 🙂
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#6 ·
I’m a little lost here. How many times more likely are we talking about when it comes to complications... compared to what exactly? Like, are we talking versus getting a blood transfusion?
Kyle Nelson2 Kyle Nelson2 RegularOP
475 messages
joined Jun 2008
#7 ·
Yeah

Look, it’s not like I don't realize there aren't complications... but I just want to hear an official opinion on this... (don't ask me why)...
Like, roughly what percentage of transfusions end up having some kind of complication versus the percentage when you're doing an organ transplant?
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#8 ·
Even though TK is technically a type of transplant, we’re really looking at two totally different beasts here, so I honestly don't even know how to wrap my head around an answer for you.
Since TK isn't quite in the same league as something like an organ transplant, trying to pin down an exact percentage feels like a bit of a stretch...
Jose Miller3 Jose Miller3 Regular
446 messages
joined Mar 2024
#9 ·
I mean, why on earth would anyone's opinion on a forum be considered OFFICIAL?
Scott Allen10 Scott Allen10 Regular
315 messages
joined Jun 2005
#10 ·
Jose Miller3 said:I mean, why on earth would anyone's opinion on a forum be considered OFFICIAL?

👍...yeah, honestly, I was just about to ask the exact same thing...
Kyle Nelson2 Kyle Nelson2 RegularOP
475 messages
joined Jun 2008
#11 ·
Look, I’m posting this here because I know there are actual professionals in this thread, so I guess I was indirectly addressing you guys when I said that

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