2 DOCTORS TELL OF TREATMENTS JEHOVAH'S WITNESSES ACCEPT AP Published: November 29, 1981
Doctors are finding more ways to treat and perform surgery on members of Jehovah's Witnesses without the blood transfusions that most of the sect's followers reject, The Journal of the American Medical Association has reported.
Many doctors once avoided treating Jehovah's Witnesses, but attitudes are changing and more physicians now consider their care a medical challenge, according to an article in the Nov. 27 issue.
Operations are now done successfully with substitutes for blood transfusions, according to the article's authors, Dr. J. Lowell Dixon and M. Gene Smalley of the medical and research department of the world headquarters of Jehovah's Witnesses.
Dr. Dixon, a surgeon, acknowledged in an interview that many physicians might be frustrated by a patient's refusal to have a blood transfusion, but he said, ''Doctors are finding that they can get by on a lot less blood than they once thought they could in an operation - or not use blood at all.'' 'Beliefs Can Be a Problem'
''As patients,'' he went on, ''we acknowledge that our beliefs can be a problem for a doctor, but taking that as a consideration, doctors across the country are finding that they can treat us and are considering us not as fanatics, but as exceptions and challenges.''
There are half a million Jehovah's Witnesses in the United States, the Journal's article says. Citing Biblical passages that, they believe, rule out transfusions, members of the sect will not accept whole blood, blood cells or plasma from donors.
Members will accept nonblood replacement fluids, synthetic alternatives and some blood proteins. They will also accept techniques to reduce the flow of blood in surgery, such as electrocautery, or lowered blood pressure or body temperature. Those methods, Dr. Dixon said, are available in well-equipped hospitals.
The Journal article said doctors had successfully performed operations including major urologic and orthopedic surgery, posterior spinal fusion, and cardiovascular surgery. Operations Without Transfusions
Dr. Dixon said he had not compiled statistics on how many operations had been done on members of Jehovah's Witnesses without blood transfusions that might normally be required.
He and Dr. Smalley quoted a 1977 article in the Journal that reported 542 cardiovascular operations had been performed on membeers of Jehovah's Witnesses without blood transfusions. It concluded that the procedure could be carried out ''with an acceptably low risk.''
The authors of the 1977 article surveyed 1,026 operations and determined ''that the risk of surgery in patients of the Jehovah's Witness group has not been substantially higher than for others.''
sKally