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Organ Donor Here's What You Lose When You Sign That Card - Shocking!

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Giving away your organs sounds noble, but have doctors blurred the line between life and death?

The article below quotes Robert Truog, professor of medical ethics, anesthesia and pediatrics at Harvard Medical School, about the possible pain felt by an organ donor who has been declared brain dead. Mr. Teresi writes that Dr. Truog “compared the topic of pain in an organ donor to an argument over ‘whether it is OK to kick a rock.’ ” A review of Mr. Teresi’s notes after the publication of the essay reflects that Dr. Truog, when asked whether a donor feels pain, said “it’s like kicking a rock.” Dr. Truog, however, denies that he used the analogy. “I can tell you in the strongest possible terms that I am certain I never said anything like this.” In a separate issue, recipients of single-organ transplants—heart, intestine, kidney, liver, single and double lung and pancreas—are charged an average $470,000, ranging from $288,000 for a kidney transplant to $1.2 million for an intestine transplant, according to consulting firm Milliman. A previous version of this article incorrectly said that average recipients are charged $750,000 for a transplant, and that at an average 3.3 organs, that is more than $2 million per body.

 

The last time I renewed my driver’s license, the clerk at the DMV asked if she should check me off as an organ donor. I said no. She looked at me and asked again. I said, “No. Just check the box that says, ‘I am a heartless, selfish bastard.’”

Doctors don’t have to tell you or your relatives what they will do to your body during an organ harvest operation because you’ll be dead, with no legal rights.

Becoming an organ donor seems like a win-win situation. Some 3.3 people on the transplant waiting list will have their lives extended by your gift (3.3 is the average yield of solid organs per donor). You’re a hero, and at no real cost, apparently.

But what are you giving up when you check the donor box on your license? Your organs, of course—but much more. You’re also giving up your right to informed consent. Doctors don’t have to tell you or your relatives what they will do to your body during an organ harvest operation because you’ll be dead, with no legal rights.

The most likely donors are victims of head trauma (from, say, a car or motorcycle accident), spontaneous bleeding in the head, or an aneurysm—patients who can be ruled dead based on brain-death criteria. But brain deaths are estimated to be just around 1% of the total. Everyone else dies from failure of the heart, circulation and breathing, which leads the organs to deteriorate quickly.

The current criteria on brain death were set by a Harvard Medical School committee in 1968, at a time when organ transplantation was making great strides. In 1981, the Uniform Determination of Death Act made brain death a legal form of death in all 50 states.

The exam for brain death is simple. A doctor splashes ice water in your ears (to look for shivering in the eyes), pokes your eyes with a cotton swab and checks for any gag reflex, among other rudimentary tests. It takes less time than a standard eye exam. Finally, in what’s called the apnea test, the ventilator is disconnected to see if you can breathe unassisted. If not, you are brain dead. (Some or all of the above tests are repeated hours later for confirmation.)

Here’s the weird part. If you fail the apnea test, your respirator is reconnected. You will begin to breathe again, your heart pumping blood, keeping the organs fresh. Doctors like to say that, at this point, the “person” has departed the body. You will now be called a BHC, or beating-heart cadaver.

Still, you will have more in common biologically with a living person than with a person whose heart has stopped. Your vital organs will function, you’ll maintain your body temperature, and your wounds will continue to heal. You can still get bedsores, have heart attacks and get fever from infections. Read the full story here: https://www.jbbardot.com/lose-sign-organ-donor-card-shocking/

Source: The Wall Street Journal — http://online.wsj.com/article/SB10001424052970204603004577269 Written by DICK TERESI



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