Patient & Family Narrative · Personal Account
In this Jehovah's Witness blood policy family narrative, Elisha Cummings recalls seeking religious guidance as her aunt needed additional blood transfusions—and the grief that endured after Shirley Ann Figaro died on July 9, 2024.
Editor's Note. This narrative is based on written accounts and clarifications supplied by Elisha Cummings in October 2026. Her descriptions of hospital events and conversations with congregation elders are reported as her recollections and understanding. AJWRB has not examined Shirley Ann Figaro's medical records, verified her cause of death, or independently corroborated the elders' statements. According to Elisha, Shirley received an initial transfusion; this is not a case in which the patient is known to have refused blood. Elisha has authorized publication of her own name and the photograph.
The Aunt Who Was Her Mother
In a photograph shared with AJWRB, Elisha Cummings stands beside Shirley Ann Figaro. For Elisha, Shirley was much more than an aunt. She was the woman who raised her and whom she knew as her mother.
Elisha recalls that Shirley lived with disabilities from birth, including difficulties with hearing, eyesight, speech, and walking. She also had longstanding heart problems and other health complications. Yet Elisha's memories begin not with those conditions, but with the relationship that defined her childhood.
“She was not just my auntie. She was the mother I grew up with.” — Elisha Cummings
Elisha became one of Jehovah's Witnesses about 20 years ago and remains a Witness today. She never imagined that a medical emergency involving the person she loved so dearly would leave her questioning a decision she believed was required by her faith.
July 2024: A Medical Emergency
In July 2024, Shirley was hospitalized after an episode of dangerously elevated blood pressure. According to Elisha, doctors discussed a possible pressure-related problem involving a blood vessel in Shirley's head. Blood tests also showed a severely low blood count, and Elisha was told that an urgent transfusion was needed.
Elisha has since clarified a significant detail: Shirley received an initial unit of blood. Her doctors then determined that additional transfusions were urgently necessary. Elisha says relatives donated blood, but she understood that further blood was not readily available and that obtaining it involved additional expense and delays.
What Elisha describes is therefore not a refusal of blood by Shirley. Rather, it is a family's reported struggle to obtain enough blood for continuing treatment, and Elisha's conflict over whether she herself could help.
When Religious Guidance Shaped Her Decision
Elisha wanted to donate blood for her aunt. But because she was a Jehovah's Witness, she sought advice from elders in her congregation.
She recalls that the elders showed her scriptures and explained that she should not donate blood. According to Elisha, they warned that an attempt to save Shirley's life through blood donation might place her relationship with Jehovah in jeopardy. They encouraged her to focus on the hope of seeing her aunt again in the promised new world.
Elisha then asked whether she could at least contribute money toward purchasing the blood that the family was trying to obtain. She says she was told that financial assistance for that purpose would also be inappropriate. Trusting the counsel she received, she chose not to donate or contribute money.
“I really thought it was the right thing I was doing.” — Elisha Cummings
On July 9, 2024, Shirley Ann Figaro died. Elisha reports that Shirley deteriorated rapidly after delays in securing additional blood and difficulties obtaining needed blood privately. She understands the death to have involved complications of severe anemia and blood loss.
Those medical details are significant, but they remain Elisha's report of what she was told and understood. Without medical records, AJWRB cannot independently confirm the precise cause of death, the role of any blood-supply delay, or whether an additional donation or financial contribution would have changed the outcome.
Grief That the Policy Changes Could Not Resolve
For Elisha, the death of the woman who raised her brought profound grief. With the passage of time, that grief was joined by questions about the religious guidance she had followed.
She does not describe herself as someone who acted carelessly or without love. She describes a person trying to honor both her aunt and the teachings she sincerely believed. The decision that once seemed right now weighs heavily on her.
Her pain has also been compounded by what she experienced when she tried to discuss it with fellow believers. Elisha says she confided in a sister in her congregation, but felt that the woman distanced herself. She also recalls being encouraged to trust the Governing Body and watch organizational videos, when what she most needed was a compassionate listener.
“Sometimes a person does not need a video or an explanation,” she wrote. “Sometimes they need compassion, understanding, and a safe place to express what is in their heart.”
What Changed in September 2026
On September 18, 2026, Jehovah's Witnesses announced that members could decide for themselves whether to accept the four main components of donated blood—red cells, white cells, plasma, and platelets—and whether to donate blood for the stated purpose of providing components or fractions. Transfusion of donor whole blood remains prohibited. 1, 2
These changes gave Elisha reason to revisit a painful decision made more than two years earlier, under the religious guidance she understood at the time.
But the comparison requires care. Elisha has not identified the precise product Shirley required or how a potential donation would have been processed. The 2026 change does not establish that Elisha's proposed donation would have been permitted in every form, much less that it would have saved Shirley's life. Nor has AJWRB established that the advice Elisha recalls about contributing money reflected a universal written rule of the organization.
The Bioethical Questions
Patient choice must be distinguished from family choice. Shirley reportedly accepted one unit of blood, and the record provided does not indicate that she refused further transfusion on religious grounds. The account concerns Elisha's decisions about donation and financial help, not a patient's informed refusal of treatment.
Conscience and influence can coexist in tension. Individuals are entitled to decide whether to donate blood or contribute financial support. Yet Elisha's account illustrates how a decision can be experienced as religiously obligatory when advice from trusted authorities is linked to fear of spiritual consequences. This is an ethical question about voluntariness and influence; it is not an independently verified finding about the elders' intentions.
Medical causation requires evidence. Elisha's new details make the chronology more specific: one transfusion was given, additional transfusions were reportedly sought, and Shirley subsequently died. They do not, by themselves, establish how much any delay contributed to the death or whether Elisha's assistance could have prevented it. These distinctions protect both factual accuracy and Elisha from unwarranted personal blame.
Remembering Shirley Ann Figaro
Elisha's story begins and ends with Shirley: a woman who lived with disabilities and health difficulties, raised a child who loved her as a mother, and died on July 9, 2024. The photograph they shared is a reminder of a relationship that was far larger than one medical crisis.
Elisha remains a Jehovah's Witness. What she seeks is the freedom to grieve, to ask sincere questions, and to be heard without being judged.
“My grief deserves compassion, and my questions deserve to be treated with understanding, not rejection.” — Elisha Cummings
Her testimony cannot settle the medical causes of Shirley's death. It does, however, illuminate the emotional consequences that can follow when family loyalty, religious authority, and urgent medical needs converge—and why those consequences deserve a place in the ethical discussion of religious medical policies.
References and Further Reading
- Jehovah's Witnesses. Each Witness Now Decides Whether to Accept or Donate Main Blood Components. September 18, 2026.
- Jehovah's Witnesses. Medical Information for Clinicians. Official medical resources.
- AJWRB. Jehovah's Witness Blood Policy 2026: Major Change. September 18, 2026.
Revised October 31, 2026, incorporating Elisha Cummings's clarification of October 30, 2026. Contributor approved publication of the article and photograph on October 31, 2026.

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