Complex conditions which make similar components/procedures acceptable or unacceptable
Witness May Not Accept... | Witnesses May Accept...... | |
Whole blood [2] | IF taken as "blood transfusion" | IF taken together with bone marrow transplants [3] |
Plasma proteins [2] | IF taken together as "plasma" | IF taken separately as an individual blood component (albumin, globulin, clotting factors) |
White blood cells [2] | IF taken as "white blood cells" | IF taken as "peripheral stem cells" [4] [5] |
Autologous blood [2] | IF tube connection to the patient's body is interrupted OR IF it is stored | IF tube connection to the patient's body is maintained (hemodilution, cell saver) IF taken as "peripheral stem cells" (even if it is stored) [3] |
Stem cells [6] | IF taken from umbilical cord blood [7] | IF taken from peripheral blood or bone marrow [3] |
Heart-lung machine [2] | IF blood is used to prime the machine | IF blood is circulated in the machine |
Blood patch [8] | IF blood is removed from vein and reinjected | IF injecting syringe is connected to vein via tube |
Blood donation [9] | IF donated by JWs for use of JWs and others | IF donated by non-JWs for use of JWs and others |
References 1. You Can Live Forever in Paradise on Earth. Brooklyn: Watch Tower Bible and Tract Society of Pennsylvania, 1989, p216. 2. Dixon JL, Smalley MG. Jehovah's Witnesses. The surgical/ethical challenge. Journal of American Medical Association 1981;246:2471-2. 3. Questions from readers. The Watchtower; 1984 May 15:31. 4. Kerridge I, Lowe M, Seldon M, Enno A, Deveridge S. Clinical and ethical issues in the treatment of a Jehovah's Witness with acute myeloblastic leukemia. Archives of Internal Medicine 1998;157:1753-7. 5. Muramoto O. Medical ethics in the treatment of Jehovah's Witnesses. Archives of Internal Medicine 1998;158: 6. Malak J. Jehovah's Witnesses and medicine: An overview of beliefs and issues in their care. J Med Assoc Georg 1998;87:322-327 7. Questions from readers. The Watchtower; 1997 Feb 1:29 8. Kanumilli V, Kaza R, Johnson C, Nowacki. Epidural blood patch for Jehovah's Witness patient. Anesthesia Analgesia 1993;77:872-873 9. Questions from readers. The Watchtower; 1961 Jan 15:64 |