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Lesson 39 God’s View of Blood

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[Image:] A microscopic view of the bloodstream.

[Press play to hear the MP3 of the Lesson]

Blood is vital. Without it, none of us could live. As the Creator, God has the right to say how blood may be used. What has he said about blood? Can it be eaten or transfused? And how can you make good decisions on this matter?

1. What is Jehovah’s view of blood?

Jehovah told his worshippers in Bible times: “The life of every sort of flesh is its blood.” (Leviticus 17:14)


[Quotation] Leviticus 17:14: For the life of every sort of flesh is its blood, because the life is in it. Consequently, I said to the Israelites: “You must not eat the blood of any sort of flesh because the life of every sort of flesh is its blood. Anyone eating it will be cut off.” [End Quotation]


To Jehovah, blood represents life. Since life is a sacred, or holy, gift from God, blood is also sacred.

2. What use of blood does God forbid?

Jehovah commanded his pre-Christian worshippers not to eat blood. (Read Genesis 9:4 and Leviticus 17:10.) He confirmed this command when the governing body instructed Christians to “keep abstaining . . . from blood.” Read Acts 15:28 and 29.


[Read scripture] Genesis 9:4: Only flesh with its life, its blood, you must not eat. [End of Read scripture]


[Read scripture] Leviticus 17:10: “‘If any man of the house of Israel or any foreigner who is residing in your midst eats any sort of blood, I will certainly set my face against the one who is eating the blood, and I will cut him off from among his people. [End of Read scripture]


[Read scripture] Acts 15:28 and 29: For the holy spirit and we ourselves have favored adding no further burden to you except these necessary things: to keep abstaining from things sacrificed to idols, from blood, from what is strangled, and from sexual immorality. If you carefully keep yourselves from these things, you will prosper. Good health to you!” [End of Read scripture]


What does it mean to abstain from blood? If a doctor told you to abstain from alcohol, you would not drink it. But would you eat foods that contained it or have alcohol injected into your veins? Obviously not. Likewise, God’s command to abstain from blood means that we should not drink blood or eat meat that has not been bled. Nor should we eat any food to which blood has been added.


What about the medical use of blood? Some procedures clearly violate God’s law. These include the transfusion of whole blood or any of its main components, red cells, white cells, platelets, and plasma. Other medical procedures may not be a clear-cut violation of God’s law. For example, some procedures involve the use of fractions of one of the main components of blood. Other procedures involve the use of a person’s own blood. When weighing these options, each of us must make a personal decision. * [Footnote] * See Lesson 35, “How to Make Good Decisions.” [End of footnote] (Galatians 6:5)


[Quotation] Galatians 6:5: For each one will carry his own load. [End Quotation]


Dig Deeper

Examine how to make medical decisions regarding the use of blood.

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3. Make medical decisions that please Jehovah

How can you make medical decisions that harmonize with God’s view? Play the video How to Make Health-Care Decisions Regarding Blood (5:47), and then discuss the importance of taking the steps that follow.


[Disclaimer: The following video is created by Watchtower Bible and Tract Society; however, the audio description has been added by independent blind and sighted volunteers to assist those who are blind or have low vision]

[Click for Transcript]|[How to Make Health-Care Decisions Regarding Blood]
[Text: Reenactment] [quickly wheeled through a hospital, a man on a stretcher, grimaces as he speaks to a doctor who urgently writes on a clipboard]
Brother 1: Everything happened so fast. Everyone thought that because so much blood was lost, my life was in danger, and I would need a blood transfusion.
[A woman in a hospital bed]
Sister 1: The medical professionals were describing treatments that I wasn’t familiar with. I was (in my mind) trying to think: ‘Have I heard of this? ‘Do I know what this is? Have I read about it?’
[A Woman in a Doctor’s office]
Sister 2: She explained that it was a complicated surgery and that because I didn’t take blood, it would be obviously more serious.
Presenter: We love life, and in any medical situation, we want treatments that preserve or restore our health. But more important, we want to respect the Creator of life and his law on blood.
[Noah and his family leave the Ark with animals]
God first spoke that law to Noah’s family. After the Flood, God told them that the animals could serve as food, but he added: Only flesh with its life, its blood, you must not eat.
[Text: Genesis 9:4]
Blood represents the life of a creature and should not be misused.
[Law being read to Jews]
God repeated this law to ancient Israel with clear instructions: You must not eat it. You should pour it out on the ground like water.
[Deuteronomy 12:24]
It was the same for early Christians. They received written direction to “keep abstaining... from blood.
[Acts 15:29]
Jehovah’s Witnesses still obey that command today, even though it can be a challenge to understand how that command should be applied to the numerous medical treatments now available.
[All three doing personal research]
Donated whole blood is often separated into its four main components,
[Test tube of blood]
red cells, white cells, platelets, and plasma. We abstain from blood by refusing to accept a transfusion of whole blood or of any of those four main components. How did one brother demonstrate the strength necessary to abstain from blood during an emergency?
Brother 2: When it comes to blood, we have to be prepared. So that’s what I did. I researched it, and I prayed to Jehovah so that I could understand his thoughts and follow them. And then I wrote down my wishes.
[Puts folded paper into wallet]
I never thought that I would have such an accident.
[On the stretcher showing open wallet to doctor]
I am very thankful to Jehovah that he helped me understand all of these things, and because of that, I was able to make and stick to a decision that pleases him.
Presenter: Blood fractions are things that are extracted from any one of the four main blood components. But the Bible does not provide specific direction about using these fractions. So, to accept them or not is a personal decision. Some believe that a small, isolated fraction is no longer blood. Others feel they can’t use anything that came from blood.
[Scientist looks in microscope]
How did one sister make an informed decision about which medications containing blood fractions to accept?
Sister 1: When it came to fractions, for me, the challenge was figuring out what I really felt about it and deciding for myself what I would or wouldn’t accept and why.
[She highlights in a book and compares the Bible]
At stake is our relationship with Jehovah and having a clean conscience before him. So, it’s something that no one else could have done for me. I had to make clear to my doctor that I absolutely would not accept blood or any of the four main components. And I also explained to him what medications and other treatments I was willing to accept.
Presenter: What questions should Christians ask themselves about medical procedures involving their own blood? What if during the course of a therapy or procedure some of my blood will be diverted outside my body and the flow might be interrupted for a time? Does my conscience allow me to view this blood as still part of me, thus not requiring that it be poured “out on the ground”? What if during a medical procedure some of my own blood will be withdrawn, modified, and directed back into (or onto) my body? Does it trouble my Bible-trained conscience? Or could I accept such a procedure? Am I aware that refusing all medical procedures involving the use of my own blood means that I would not accept a blood test, haemodialysis, or the use of a heart-lung bypass machine? What did one sister do to ensure she made a decision that would not disturb her conscience?
Sister 2: So, my doctor presented me with an effective, alternative procedure. It was something that I knew about, but I asked her to clarify the details to make sure that what she was talking about was OK with my conscience.
[Taking notes, she peers over a Bible and highlights literature]
So, I made it a personal study project, and I also asked a mature friend to help me go through all the information. I made my decision with a clean conscience, and I knew it would make Jehovah’s heart glad.
Presenter: How can you make informed decisions about the medical use of blood? Pray for God’s wisdom and holy spirit. Meditate on what the Bible teaches and learn about the medical treatments that may be offered to you. If needed, ask for help to understand the options. And finally, put your decisions in writing. Jehovah God knows what is best for us. And when our resolve to obey him is tested, he doesn’t want us to feel alone. He wants to help us. When we accept this help and show respect for life that comes from him, we can look forward to a paradise with perfect health and everlasting life.
[The two sisters and brother interviewed are shown in a row of three frames, joyfully smiling]
(Logo: Black capital letters JW.ORG inside a white box. Copyright 2021 Watchtower Bible and Tract Society of Pennsylvania) [Click to close]

Pray for wisdom.

[Quotation] James 1:5: So if any one of you is lacking in wisdom, let him keep asking God, for he gives generously to all and without reproaching, and it will be given him. [End Quotation]


Research Bible principles and how they apply.

[Quotation] Proverbs 13:16: The shrewd person acts with knowledge, But the fool exposes his own foolishness. [End Quotation]

Find out what options are available where you live.


Identify which options are clearly unacceptable to you.


Make sure your decision will leave you with a clean conscience.

[Quotation] Acts 24:16: Because of this I always strive to maintain a clear conscience before God and men. [End Quotation] * [Footnote] * See point 5, “When Blood Fractions Are Involved,” and Endnote 3, “Medical Procedures Involving Blood.” [End of footnote]


Recognize that no one, not even your spouse, an elder, or your Bible teacher, should tell you what decision to make in matters of conscience. (Romans 14:12)


[Quotation] Romans 14:12: So, then, each of us will render an account for himself to God. [End Quotation]

Put your decision in writing.

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[Image:] Collage: A man making a medical decision. 1. He prays. 2. He does research using the Bible, Bible-based publications, and an electronic tablet. 3. He talks with his doctor.

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4. Jehovah’s Witnesses seek quality medical care

It is possible to adhere to God’s law about blood and receive quality nonblood medical care. Play the video Interview of Professor Massimo P. Franchi, M.D. (1:36).


[Disclaimer: The following video is created by Watchtower Bible and Tract Society; however, the audio description has been added by independent blind and sighted volunteers to assist those who are blind or have low vision]

[Click for Transcript]|[Interview of Professor Massimo P. Franchi M.D]
[Text: Massimo P. Franchi, M.D. Professor of Obstetrics and Gynaecology. University of Verona, Chief of Obstetrics and Gynaecology Department. University Hospital of Verona]
[Text: How has treating Jehovah’s Witnesses influenced your medical practice?]
Professor Massimo P. Franchi M.D: “In my professional career, I thank Jehovah’s Witnesses. They made a traditional doctor like myself consider the possibility and importance of reducing the use of blood. I believe that you, not you as people but as a clinical set-up, have greatly changed my attitude and thereby also that of my collaborators.
[Text: In your practice, has refusing a blood transfusion ever resulted in a patient’s death?]
I have lengthy clinical experience of over 30 years. And in my clinical experience, I have never had any such cases, neither in my experience as a medical examiner nor have my colleagues ever had them. I don’t think it is correct to say that someone will die because they didn’t accept blood. It’s an exceedingly complex situation and should be considered on a case-by-case basis. Blood, anyway, has risks, so even a transfusion carries a high level of risk to the patient. We have to evaluate risks versus benefits. As a doctor, I believe that a patient who comes well-prepared for a surgical operation or to give birth has a minimal risk. We can’t exclude it. But then again, we can’t exclude a death following a transfusion.
(Logo: Black capital letters JW.ORG inside a white box. Copyright 2018 Watchtower Bible and Tract Society of Pennsylvania) [Click to close]

Read Titus 3:2, and then discuss the question that follows:


[Read scripture] Titus 3:2: to speak injuriously of no one, not to be quarrelsome, but to be reasonable, displaying all mildness toward all men. [End of Read scripture]


Why should we show a cooperative and mild spirit when dealing with medical professionals?

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5. When blood fractions are involved

Blood has four main components, red cells, white cells, platelets, and plasma. These components contain many smaller parts, called blood fractions. * Some fractions are used in medicines that help to fight diseases or help to stop bleeding. [Footnote] * Some doctors view the four main components of blood as fractions. Therefore, you may need to explain your personal decision not to accept transfusions of whole blood or of red cells, white cells, platelets, or plasma. [End of footnote]


When it comes to blood fractions, each Christian must make his own decision based on his Bible-trained conscience. Some may decide to refuse a medical treatment or procedure that involves blood fractions. Others may feel that their conscience allows them to accept fractions.

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[Image] A test tube containing blood separated into its four main components, which are labeled A, B, C, and D.

Unacceptable

A. Blood plasma

B. White cells

C. Platelets

D. Red cells


Christian to decide

A. Fractions from plasma

B. Fractions from white cells

C. Fractions from platelets

D. Fractions from red cells


When making your decisions, consider this question:


How would I explain to a doctor why I reject or accept the use of certain blood fractions?

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Someone May Ask: “What’s wrong with accepting blood transfusions?” What do you think? [End of box]

Summary

Jehovah wants us to avoid misusing blood.

Review

Why does Jehovah view blood as sacred?


How do we know that God’s command to abstain from blood applies to blood transfusions?


How can you make good decisions about the medical use of blood?

Goal

Use the articles in the Explore section to help you make your decisions regarding (1) blood transfusions, (2) medicines containing blood fractions, and (3) the use of your own blood in the course of a medical procedure. Then write your decisions down. Set Other Goals


Explore
 
What factors should influence your decisions regarding medical procedures involving your own blood? “Questions From Readers” (The Watchtower, October 15, 2000)

[Click for article]|[Coming soon] [Click to close]

What should you consider when deciding whether to accept minor fractions of blood? “Questions From Readers” (The Watchtower, June 15, 2004)

[Click for article]|[Coming soon] [Click to close]

What led a physician to believe that Jehovah’s view of blood is reasonable? “I Accepted God’s View of Blood” (Awake!, December 8, 2003)

[Click for article]|[Coming soon] [Click to close]

Learn how elders who serve on Hospital Liaison Committees support their brothers and sisters. Jehovah Supports the Sick (10:23)

[Click for transcript]|[Coming soon] [Click to close]

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