Article
Care
Creed
Easter
Trauma
1 min read

Understanding the power of blood

From hospitals to hymn books, it's significant for a reason.

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A bag of blood connected to a drip.
Give blood.
Aman Chaturvedi on Unsplash.

With one billion molecules of oxygen packed into each of your 30 trillion red blood cells, blood is sometimes known as the red river of life. Countless lives have been saved through blood transfusion, but why, throughout history, across continents and cultures, has there been a special interest in the blood of one man crucified 2,000 years ago, believing it alone to have “wonder-working power”?  

Whether you are a newborn baby with half a pint of blood, or an adult with nearer nine pints, “what is certain is that you are suffused with the stuff”, writes author Bill Bryson in his book, The Body.  

Once thought to ebb and flow in waves like the sea, from the liver to other organs, having been heated in the heart, blood in fact flows in a network of vessels measuring some 60,000 miles, with the heart acting as pump, not heater. Cleverly conserved through a complex system of blood-clotting in the case of injury, blood is a precious resource that needs replacing if lost in large amounts. Victims of road traffic accidents can require up to fifty units of blood; significant amounts are needed for organ transplantation, severe burns or heart surgery. 

The first human blood transfusion in Britain, using blood from a lamb, was performed by Dr Richard Lower in 1667, given not to replace blood loss but to change character: could the old be made young, the shy be made sociable through blood transfusion? Apparently not.  

Safe transfusion awaited the discovery of blood types by Dr Karl Landsteiner in the early 20th century. Today, NHS Blood and Transplant deliver 1.4 million units of red cells to 260 hospitals each year for transfusion; about 85 million units are transfused worldwide, given to replace blood loss after accident, surgery, ulcer, ectopic pregnancy or for anaemia in cancer. Also used to boost blood cell numbers in malaria, sepsis, HIV, leukaemia and sickle cell anaemia, blood transfusion is now amazingly safe. Fatal reactions are extremely rare, “occurring only in one out of nearly two million transfusions”, writes physician Dr Seth Lotterman. “For comparison, the lifetime odds of dying from a lightning strike are about 1 in 161,000,” he adds. The risk of HIV infection has dropped dramatically, to less than one in seven million. 

History tells though of the danger of transmitting disease from the blood donor during transfusion. The World Health Organization recognises risk of infection with HIV, hepatitis, syphilis, malaria, and Chagas disease. The Contaminated Blood Scandal saw an estimated 30,000 people in the UK given blood transfusions and blood products infected with hepatitis C, hepatitis B and HIV. More than 3,000 people died as a result, and thousands more live with on-going health complications. For my final Christmas article for Readers Digest, I wrote on Stephen Christmas, a tireless campaigner for blood safety who lived with haemophilia and died in 1993, having contracted HIV through contaminated blood. 

I was a blood donor. However, I am now unable to donate blood or organs for the rest of my life since there is a possibility that my blood is ‘stained’, possibly with prion disease, after adopting embryos. The Blood Transfusion Service will not accept donations from women who have had various fertility treatments. 

And there’s another uncomfortable truth about blood donation – the NHS does not have enough blood, organs, tissues, platelets, plasma or stem cells to treat everyone who needs it. As a nurse, I remember caring for a man dying of liver cancer. Suffering from sudden, massive melaena (blood loss in black, tarry stools as a result of internal bleeding), he received emergency blood transfusion, with bag after bag of blood being infused, until the consultant called for the treatment to stop, because the bleed was too big – and blood supplies too scarce.  

Struggling to accept the stark reality of stained blood and dangerous shortages, I kept coming back to an old Sunday School song about blood, where absolute abundance and ultimate cleansing are instead promised. 

There is a fountain filled with blood 
   Drawn from Immanuel’s veins; 
And sinners, plunged beneath that flood, 
   Lose all their guilty stains. 

Gruesome and graphic in its imagery, but full of deeper meaning. And as a nurse, I’m accustomed to blood, sometimes lots of it. I’ve seen that man bleed out on the ward that night; I’ve attended a road accident, where a boy lost his leg – but not his life, because towels stemmed the massive flow of blood. I’ve raced a patient to the operating theatre after her aortic aneurysm burst within; I’ve stemmed arterial bleeding from the groin by applying prolonged pressure to the site punctured by a catheter during cardiac stenting. According to the World Health Organization, severe bleeding after childbirth is the leading cause of maternal mortality world-wide. Each year, about 14 million women experience postpartum haemorrhage resulting in about 70,000 maternal deaths globally.  

In the Bible, and in hymns of praise like this one, there is also no getting away from blood. “Like it or not, the Bible is a bloody book,” writes  Kyle Winkler. It runs through the book like a crimson thread. There’s a story of a woman bleeding for twelve years, until she touched the hem of Jesus’ garment and was healed.    

Elsewhere the Bible keeps returning to the idea of blood, shed in sacrifice, used to cleanse, save, and heal in a spiritual sense. In the Old Testament, animal blood was painted on doorposts at Passover as a sign of protection from judgment, and sprinkled ritually on the altar as a sacrifice for human sin, restoring relationship with God.  

On Good Friday, Jesus himself shed (and sweat) his blood, sacrificing his life on the cross to “wash our souls” once and for all. Millions of Christians across the world take a sip of communion wine each Sunday in commemoration of this act. It’s a beautiful gift, coming with a promise that the shed blood will “preserve thy body and soul unto everlasting life”, through the forgiveness of sins. It’s no wonder then that churches love to sing about this blood. “Would you be free from the burden of sin? There's pow'r in the blood, pow'r in the blood,” goes one hymn, while another simply says, “Your blood has washed away my sin, Jesus, thank you”.  

“God’s intention for blood isn’t gory—it’s beautiful! And I’m certainly not offended or scared by it,” writes Kyle. “Rather than question how little blood I can get by with, I’d rather stand under the cross to be covered in all that I can get!” Thank God for the fountain of forgiveness that flows from Good Friday. 

  

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Article
Belief
Christmas culture
Creed
Wisdom
5 min read

How to have a philosophically happy Christmas

Raise a glass to the invasion of history by the author of history.

Professor Charles Foster is a Fellow of Exeter College, Oxford, and a member of the Oxford Law Faculty.

A fish eye lens view of a person standing silhouetted, looking up to a colourful night sky with the Milky Way across it
Greg Rakozy on Unsplash.

A few years ago, I had dinner with a well-known philosopher. Knowing that he is no friend of religion, and curious how he’d respond, I set about mocking the credulity of Christians and parroting the lines I’d so often heard: superstition degrades and obfuscates; let’s act and think like grown-ups, not craven children; we’re free to write our own rules, and we can write better rules than barbarous Levantine goat-herders; we’re brave enough to say that when we die we rot. And so on. The standard fare.  

He looked at me over the top of his glass. ‘Have you never been taught’, he said acidly, ‘that if you destroy the premises of an argument, the argument collapses? The same is true of history.’ 

I’ve slowly learned that he was right.  

‘What have the Romans ever done for us?’, asked John Cleese, as the leader of the People’s Front of Judea. He’s famously answered by his troops. The modern version of the question, which is just as embarrassing, is ‘What have the Christians ever done for us?’  The historian Tom Holland, not (as far as we know) himself a professed Christian, has made a good living by providing a long and meticulously documented list. I’m not going to review it here.  My own personal list would include Chartres Cathedral, Paul’s tectonic notion that there is ‘neither Jew nor Greek, slave nor free, male nor female’ (and hence universal human dignity and suffrage), and Christmas

The Christians say that Christmas is the commemoration of a historical fact: an invasion of history by the author of history; of creation by the creator.  

This is too much for many to swallow.  If that’s true for you, is it dishonest to celebrate Christmas? 

A mathematician friend works on imaginary numbers. An imaginary number is a real number multiplied by the ‘imaginary unit’, i. i2 = -1, and so i = √-1. Think about it. It’s an impossibility. It’s absurd. Descartes talked about ‘imaginary numbers’ only to laugh at the idea. But they are enormously useful in real life. You are reading this on a phone or computer screen courtesy of imaginary numbers. Sometimes it’s worth suppressing, or at least muting, a contemptuous laugh. Tom Holland’s list, and mine, depend on theological and historical numbers that might (or might not) be imaginary. You don’t have to stop dubbing the numbers ‘imaginary’ – don’t stop having to call them ludicrous – to carry on reading your screen.  

Christmas, for me, is a celebration not only of family, gluttony and intoxication, but of four facts (if the Christians are historically correct) and four principles which are generated by those facts - whether the facts are real or imaginary. The principles work, just as my computer screen does. 

First: human agency is cosmically colossal. The invasion I mentioned above was invited (so preventing it from being rape) by a Palestinian Jewish girl. She could have said ‘No’, and so scuppered the whole project.  

Second: Christmas drafts a completely new account of power. In the Christian story of Easter, all the powers of darkness are disarmed by one broken man dying on a piece of wood between dying criminals. It was a continuation of the story that began at Christmas: the birth, in a shitty stable, to a teenage mother accused of fornication, of a child soon to be a refugee, driven to another country to escape the murderous authorities. It’s all about the subversion of political and military power by the irresistible power of the powerless.  

Third: the universe is surprising. Nobody predicted the invasion. Yes, I know the Christians say, with the confidence given by the retrospectocope, that there were hints in the Hebrew scriptures, but they weren’t seen at the time, and the most learned Jews today, even with the retrospectoscope, still don’t see them. Yes, I know that the ancient world was awash with tales of the impregnation of mortals by gods, and with virgin births (think of Dionysos, Attis, Romulus and Remus and many others). But they didn’t look remotely like this. Those tales were told to prop up conventional claims to power, not explode them. Bethlehem burst onto the blind side of history, injecting unforeseen possibility. The virgin conception smashed pre-conceptions. A new way of being had gestated. If that was possible, what wasn’t?   

Fourth: The most revolutionary thing about Christmas, perhaps, is that it shows that mythos is real – part of the web and weave of reality.  

After dinner at Magdalen College, Oxford, on 20 September 1931, J.R.R. Tolkien, C.S. Lewis and Hugo Dyson walked together along Addison’s Walk, part of Magdalen’s grounds. They were discussing the resurrection of Jesus. Lewis knew all about the ubiquitous tales of dying and rising gods. The Christian resurrection stories were no different, he said. They were poetically resonant, no doubt, but essentially ‘lies and therefore worthless, even though breathed through silver.’ 

‘No’, said Tolkien. ‘They are not lies,’ There was a sudden rush of wind in the still night. In Lewis’s rooms the conversation continued into the early hours. The stories were indeed myths, Tolkien contended, but true myths.  

This conversation propelled Lewis finally into Christianity.   

The Christmas story suggests that Tolkien was right (and those notoriously mystical quantum physicists – some of the most adept handlers of imaginary numbers, by the way - are right): there is no robust boundary between history and legend, between physics and metaphysics, between matter and spirit. This, in fact, is our working assumption, whether we’re explicitly religious or not. However icy our reductionism, we think that we matter, that there is more than matter, and that whatever that ‘more’ is, it is heavier and more enduring than matter, and matters more than matter. We love our children far more than reciprocal altruism or kin selection suggests we should. However sturdy our atheism we dab our eyes at the St Matthew Passion and put flowers on our parents’ graves.  

It is reassuring to have a festival which enjoins us to lift our glasses and toast the way we live when we’re being the kind of people we urge our children, our friends and our politicians to be. It commands us to admit mystery to the dining table, and to celebrate being as mysterious as we know we are.  

Christmas, authentically celebrated, is part of the foundation on which rest Chartres cathedral, freedom, suffrage, dignity and many things we innocently and dangerously take for granted. Like it or not, that foundation, as the austere philosopher observed, is the premise of the argument for the civilization that until recently succoured us before we replaced it with – well, with what?  

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