When I made my latest appointment to donate blood, I was asked if I'm a "random" donor. I didn't know what that meant! Turns out it means that I'm donating to the general blood bank, not donating for a particular patient.
So I guess I'm Random Doctor Q.
* * * * *
Wanna discuss a controversy? I've been hearing differences of opinion about what blood bank policies should be about using the newest vs. oldest donated blood when a patient needs a transfusion. Suppose they have units of blood that were donated from 1 day to several weeks ago. When somebody needs a transfusion, which blood should they use?
1. If they use the oldest blood first, there is the least chance that a unit will expire without being used. Since blood is sometimes in short supply, this policy must clearly be best.
2. If they use the newest blood first, the patient may get the biggest "boost" from it. The other blood in the blood bank might not even turn out to be needed. Since it can help a patient to the maximum extent possible, this policy must clearly be best.
3. Suppose Person A needs blood during routine surgery (say a joint replacement) while Person B is regularly transfusion dependent. Person A just needs to replace some lost volume and will soon regenerate their own. Meanwhile, Person B has medical reasons to minimize the number of transfusions they get, so they would benefit from having the freshest possible blood. So Person B should get fresher blood and Person A less-fresh blood, no matter who asked first. This serves both patients well, so this policy must clearly be best.
4. But Person B makes much greater demands on the blood bank for their regular transfusions. If that one person keeps getting the freshest blood, many others are getting less-fresh blood than they would otherwise. It's not fair to favor one person over many people, so it's better to give medium-fresh blood to Person B but save the rest for all of the other people. Since this helps more people, this policy must clearly be best.
Not that easy to decide, is it? When you hear about policymakers having to make life-or-death decisions, it's usually not in the literal sense, but here's such a case!