Word: shander
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When Jackson was wheeled into the institute, Dr. Aryeh Shander, chief of anesthesiology and critical-care medicine, and his team moved swiftly. First, they essentially paralyzed the patient with drugs to reduce the demand for oxygen by his muscles, brain, lungs and other organs. Next, they gave him high-potency formulations of iron supplements and vitamins, plus "industrial doses" of a blood-building drug, synthetic erythropoietin, that stimulates the bone marrow to produce red blood cells. Finally, intravenous fluids were administered to goad what little circulation he had left...
...days his blood count had risen significantly. Soon after, he was shaking his head in disbelief and telling his doctors, "If it wasn't for this, I wouldn't be here." It was around then that the first hospital called to ask whether Jackson was dead. With undisguised satisfaction, Shander told them, "He's not only not dead, but he's well and ready for discharge, and he'll soon be about his usual business...
...Shander, 49, an Israeli-born physician who majored in Asian languages as an undergraduate, is passionate about anything, it is blood. Not only because it is, as Goethe observed, "a very special juice," the fluid pumped by our hearts through arteries, veins and capillaries, and without which the body's cells would be starved of oxygen and nutrients; nor only because he knows blood transfusions save lives; nor simply because 70% of those transfusions are administered by anesthesiologists...
What concerns Shander most is how blood has become a convenient tool for his fellow anesthesiologists, and how it is sometimes used cavalierly when it need not be given at all. According to some estimates, 25% of U.S. transfusions are unnecessary. There are also indications that patients cannot tolerate levels of hemoglobin as high as previously thought and that young people especially have a built-in reserve of blood. These findings, Shander believes, support the need for a more sparing use of blood products. As one of the directors of the Englewood institute, he is convinced that withholding blood...
...November, it will dissolve El Al. If that happens, the government may create a new airline or sell El Al's assets. The unions believe that Begin is bluffing. Three previous governments threatened to shut El Al down but later relented. This time, however, El Al President Itzhak Shander says, "Enough is enough...