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Letters to the editors

Dear WDDTY:

In response to your article on blood transfusions (WDDTY vol 5 no 4), in 1951, I became seriously anemic with hemolytic anemia and after six months of weekly blood transfusions, I eventually had my spleen removed to prevent further destruction of red blood cells.

However, the splenectomy was only partially successful, so for the next 14 years I required frequent transfusions 1600 pints of blood in all. During those 14 years I continued working, married and had a baby (I was transfused every six to eight weeks throughout the pregnancy).

In spite of the "primitive" methods used in those days, I suffered only one severe reaction to the blood, and it surprises me that in spite of modern techniques, blood transfusion today appears to be a far riskier procedure than it was in those early years.

I am now 63 years old and I am everlastingly grateful to all those members of the public who donated blood. I am convinced that there must be thousands of people like me whose lives have been saved by blood transfusions, and if we had to wait for "hard scientific data" to prove that transfusion is really necessary, our lives would have been very much shorter.

With regard to your statement that transfusion has been adopted as standard practice "without one shred of scientific proof", surely the proof is in the fact that the patient survives.

For myself and those thousands of others, donating blood is more than just "a good deed"; it is the gift of life, and I deplore your inference that perhaps it is not. Barbara Green, Enfield, Middlesex.....

WDDTY replies:

While we would not wish to denigrate the value that donated blood has had on your life, for many other thousands scientific studies now demonstrate that it has meant a worse outcome or even death all because medical science has believed all these decades in the self evident worth of blood transfusion for everyone, without bothering to carry out the scientific studies that are only now proving otherwise. Indeed, many of the latest studies show that even trauma patients do far better when left alone or given fluids to keep circulating volume up than when given donor blood (See WDDTY vol 3 no 2).



WDDTY Blog Speak

Blood transfusions: - More dangerous than we thought - The blood transfusion is a standard procedure in our hospitals, and many of us regard it as our social duty to give blood. Around 2.5 million units...

Alternatives to blood transfusion - The following are tried and tested alternatives to blood transfusion during various procedures. If you or a loved one is due to undergo surgery or gi...

So you think you need . . . a blood transfusion - Blood carries out the vital functions of human life. It is composed of cells, suspended in plasma, that carry oxygen and nutrients to organs, remove c...

A dubious good deed - A story published without fanfare in a recent issue of the British Medical Journal (see facing story, this page) revealed the astonishing statistic t...

So you think you need . . . a blood transfusion - What to do instead - * Opt for autologous blood deposit and transfusion. Your own blood can be taken and stored, ready to be given back to you as and when you need it.

Blood transfusion - ...

Patients do better with fewer blood transfusions - Hospitals should restrict their use of blood transfusions with critically ill patients as this will probably increase their chances of surviving. ...

So you think you need . . . a blood transfusion - If you must have a blood transfusion - * Discuss with your doctor whether he will accept a lower ‘transfusion trigger’ of haemoglobin in the blood