Some time ago, One day at work, I heard a noise in the corridor. Later, it was said that the security guards joined forces with the police [caught several blood heads]. A few days later, Heard that the blood head was sentenced, the crime is [illegal organization selling blood]. In fact, there has always been blood head in our hospital, and the hospital has always asked the security guard to drive the blood head away, but every time the security guard intervened, he was beaten by the blood head. This time, the hospital finally made up its mind and joined forces with the public security to handle them.
It is illegal to sell and buy blood
According to < < Measures for the Administration of Clinical Blood Use in Medical Institutions > > and < < Blood Donation Law of the People’s Republic of China > >, selling blood and accepting selling blood are illegal acts.
Why is it forbidden to sell blood? In fact, it is easy to understand that when blood donation involves economic benefits, it is difficult to ensure safety at the source of blood and the way blood is collected.
Many people who do not meet the qualification of blood donation will sell blood for money. Driven by interests, illegal blood collection agencies will also appear, health cannot be guaranteed, and various diseases will be spread. In the 1980s and 1990s, [AIDS villages] in Henan were infected with the virus because villagers collectively sold blood.
No one will sell blood if they have enough food and clothing?
Some people may ask, a few decades ago, many people had difficulty in ensuring food and clothing, which is why they sold blood. Now that people’s living standards have improved, there should be no selling blood for money, right?
Wrong, selling blood for money is almost equivalent to getting something for nothing.
For many people with low incomes, this extra profit is a welcome opportunity. Think about it, every time Apple releases a new iPhone, how many people shout to sell kidneys? This is a truth. Believe me, if you can really sell kidneys, someone will definitely go.
There is a big gap in the amount of unpaid blood donation.
In order to avoid the above consequences, the state strictly stipulates that blood donation must be free of charge.
This has led to another problem-insufficient blood volume, and the amount of blood donated each year is far from enough for the amount of blood used. This problem is especially obvious in Beijing.
On the one hand, patients from all over the country come to Beijing for surgery. The more large-scale surgery, the more they will come to Beijing, and the more blood they will use. On the other hand, Beijing often hosts large-scale activities, and these activities all need blood protection. For example, during the APEC period a few days ago, the blood from Beijing’s blood bank was taken to protect the conference and all hospitals were ischemic.
In order to encourage people to donate blood, various places have issued encouraging policies, generally promising how much blood donors and their immediate family members can use free of charge within a few years.
Blood donation is free of charge and blood is charged.
First of all, I would like to explain the questions of many people: Why do people donate blood free of charge, but they have to charge for blood? Is the blood donation center selling blood for profit?
In fact, this is not the case. After blood is collected, it must be strictly tested to ensure that there are no infectious diseases. After that, it must be separated to separate plasma from red blood cells, white blood cells, platelets, etc. to ensure that blood can be fully utilized.
These processes all cost money, plus labor costs, so people have to pay a certain fee for blood.
[Blood Donors Use Blood Free] Still Have to Pay First,
In practice, the promise that [blood donors can use blood free of charge] is not as simple as we understand.
On the one hand, [free] is not to use blood directly without paying the money, but to pay the money first and then take the invoice to the blood donation center in the place where the blood donation is made to reimburse the expenses.
On the other hand, it is the place that is even more criticized by patients: due to blood shortage, blood cannot be used even if money is paid.
Prepare blood before operation, you may have to donate blood first.
When it comes to organs with abundant blood supply, blood needs to be prepared before surgery, such as liver surgery in our hepatobiliary surgery. Generally, 3 units (200 milliliters per unit) of blood need to be prepared for surgery, and more will be required for major surgery.
The day before the operation, we will tell the family members to go to the hospital blood bank to prepare blood.
When there is plenty of blood in rare cases, family members only need to apply.
In more cases, for about ten months in a year, family members need to donate the same amount of blood to the blood bank before they can apply for blood preparation.
When the blood is more tense, not only the same volume should be donated, but also the same blood type as the patient’s blood.
This regulation is hard and fast. If it is not satisfied, the patient cannot prepare blood and can only cancel the operation.
Preoperative blood preparation requires two or three people to donate blood.
A person’s blood donation volume is generally one unit. If an individual strongly requests it, it can be up to two units. In other words, two to three people are required to donate blood for general surgery.
Many people may think that this is not difficult to achieve, but this is not the case.
Many patients who come to Beijing for surgery from other places are accompanied by a family member, who is likely not to meet the conditions for blood donation, such as infectious diseases, catching a cold or being weak. Even if the family member meets the conditions, there is not enough one person.
Can’t prepare blood before operation? Blood head help you!
The operation will be held tomorrow, and there is no blood available today. What should I do?
At this time, the blood head appeared. The blood head will usually be kept at the blood donation office of the blood bank, telling the family members who need blood preparation that as long as you give money, he can help you find someone to donate blood.
The price of blood donation is floating according to the blood tension. When I heard the highest, a unit of blood costs 6,000 yuan, that is, 30 yuan for 1 milliliter of blood. The cost of blood for patients in our hospital is 3 yuan for 1 milliliter.
Is the blood head robbing in troubled waters or giving timely help?
When I first heard that there was blood head, I was very angry. Isn’t this a robbery?
But then many family members told me that if there was no blood head, they really could not find the blood, and the operation that the patient had a hard time arranging would have to be cancelled.
Therefore, they are very grateful to the blood head. As long as the operation can be performed, the money spent is not what. Now that the blood head is caught, the hospital is indeed in better order, but it is also more difficult for patients to prepare blood.
In this way, the hospital that does not donate blood or perform surgery seems to have become the inhuman one.
The Dilemma of Hospitals
However, the hospital is really helpless. If the stock of blood bank is not guaranteed, it will not be able to enter or leave, and there will soon be no blood available.
Of course, in case of an emergency during the operation, when the amount of blood used exceeds the amount of blood prepared, the doctor will not be from ruin.
A few days ago, I underwent a liver hemangioma operation. The patient’s tumor was bigger than basketball. Other hospitals did not dare to do it, so they sent it to us.
The operation was extremely difficult, with the patient bleeding 10,000 milliliters (bleeding while transfusing blood) and using 30 units of blood. At that time, the situation in the operating room was the same as that in the TV play. The anesthesiologist kept reporting blood pressure and heart rate and yelling at the nurse: “Go to the blood bank to get blood, get as much as you have!” The blood bank was really awesome, and finally the patient was saved.
Of course, this is when there is blood in the blood bank. If there is no blood, it is really, can only watch the patient die.