Such patient needed blood infusion at least one week ago...

while the American guideline says the blood infusion may be done only when the patient's hemoglobin fall to 7.0.

However, this patient's bone marrow got inhibited by Xeloda, and his kidney was damaged by low perfusion and ischemia (created by previous hospital). And this patient got no way to produce more red blood cells by himself. Therefore, his hemoglobin would soon or later to fall to 7.0.

If the patient could receive an early blood infusion, his kidney will get a sooner recovery, and his symptom such as bleeding and clotting could be prevented.

The blood infusion is a matter sooner or later required, why just do it earlier.  Such a guideline should be flexible...in order to be good for both the patient and the hospital.

The doctors should be more inteligent, and deal witth those guidelines for reason.