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Transplant Denied (Kidney)
Tampa Tribune/Tampa Bay Online ^ | 02/18/05 | SUSAN HEMMINGWAY JOHNSON

Posted on 02/21/2005 10:28:06 AM PST by LarkNeelie

His case had been reviewed, the letter said. ``In addition, we have reviewed your personal Web site.''

The American Society of Transplant Surgeons and LifeLink are ``strongly opposed to the solicitation of organs or organ donors by recipients or their agents through Web sites,'' the letter continued.

``After careful deliberation, we will not consider any living donor for you.''

Crionas was stunned by the decision.

``I was dumbfounded ... I'm, like, are you serious?''

The LifeLink letter said he could be put back on the national list to wait for a ``deceased'' kidney of someone who had made provisions to be an organ donor upon death. But Crionas, now 28, fears that wait might be as long as five to 10 years, due to factors such as his age and blood type.

Most of the 87,000 people on national waiting lists for organ transplants are waiting for kidneys.

Web Sites And Billboards

Like Crionas, hundreds of others seeking organ transplants have decided to quit relying solely on the nation's organ distribution system to find them hearts, lungs and kidneys.

They have set up Web sites and bought advertising space on billboards to make direct pleas for organ donors.

The system - put in place through the 1984 National Organ Transplant Act - may not be ready for them.

In November, after the first kidney transplant involving people who met through a Web site, www.Ma tchingDonors.com, the transplant surgeons' society issued a statement against personal or commercial Web sites that solicit organs.

The surgeons group urged centers not to accept patients who found living donors through Web sites.


(Excerpt) Read more at info.mgnetwork.com ...


TOPICS: Culture/Society; Philosophy
KEYWORDS: deceased; dialysis; donation; donors; health; healthcare; kidney; kotpl; live; medicine; organ; organdonation; surgeons; unos; website
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To: From many - one.
from many - one. said: "Here's the solution (long term)

'in order to get, you have to be willing to give' "

The only problem with that idea is that many patients who need transplanted organs have systemic syndromes and illnesses which degrade/erode their otherwise functioning organs.

Would you want a transplant from a long term drug abuser/alcoholic?

21 posted on 02/21/2005 11:48:13 AM PST by bd476
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To: LightCrusader
I don't see any reason why we can't use the organs from captured terrorists to help American citizens in need. It seems a waste to just kill or imprison them.

I really hope that was a joke, albeit one in pretty bad taste. I have only one kidney, compliments of a bout with kidney cancer a year ago. Obviously any kidney malfunction is a serious issue for me. But, I'll tell you, I'd rather spend the rest of my life on dialysis than put one cell of one of those those cowardly SOBs inside my body.

22 posted on 02/21/2005 11:52:38 AM PST by blau993 (Labs for love; .357 for Security.)
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To: MineralMan
Call me alarmist, but it seems that a "free-market" system that involves live donors may create a black-market for organs. Mafioso types may then decide that you need to contribute and force a "voluntary" donation. If the system allowed for anonymous donations (i.e. the donor is not known) the potential for criminal mischeif is enormous.

One of the scariest films I have ever seen involved a man who met a woman in a bar. She drugged him and he woke up naked and bloody a few days later in a bath-tub full of ice with a ringing phone next to him. When he answered the phone the female voice on the other end said, "Call 911". It's made obvious through a rapid sequence of scenes that he had just donated his kidney to a group of opportunistic doctors. While fiction, it makes the case convincingly.

23 posted on 02/21/2005 12:05:34 PM PST by DeltaZulu
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To: LarkNeelie

I've refused to sign an organ donors card in protest of it being against the law to sell organs.

However, were it legal to sell, I would be willing to have my organs donated (as in given away for free) my organs, on my death.

I don't give blood (except once in the wake of 9/11) for the same reason.


24 posted on 02/21/2005 12:09:42 PM PST by Celtjew Libertarian (Shake Hands with the Serpent: Poetry by Charles Lipsig aka Celtjew http://books.lulu.com/lipsig)
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To: Freebird Forever
According to Al-Jazeera we already do

So true. I say we just go with it.
25 posted on 02/21/2005 12:11:33 PM PST by July 4th (A vacant lot cancelled out my vote for Bush.)
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To: rellimpank
"what's wrong with a free market in donor organs?"

The "free market" is just what the AFTS and LifeLink are engaged in. They claim to be exercising their right, under an unregulated free market situation, to provide neither product nor services to anyone attempting to engage other suppliers. This case is a good example of the logical limits to a libertarian free market, devoid of any regulation.

--Boot Hill

26 posted on 02/21/2005 12:45:07 PM PST by Boot Hill ("...and Josuha went unto him and said: art thou for us, or for our adversaries?")
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To: bd476

This is the second time I've phrased it badly.

Everyone who thinks they might _ever_ want a transplant signs up voluntarily. That's most of us, probably. A few would hold out on religious grounds and some from inertia, but I think most people would sign up.

That means when most of us die our organs are automatically put into the "who needs this organ" pool. Sould we ever need one, we are eligible to get one.

There would be a timing factor. Maybe this is where I'm not being clear. When the program is put into existance there would be a period of time for adults to sign up. When young people reach 18 they would be expeccted to sign up.

Not signing up at the earliest possible opportunity puts you lower on the potential recipient list.

Does that clarify? I'm under the weather today and not as car as I'd like to be.


27 posted on 02/21/2005 12:50:45 PM PST by From many - one. (formerly e p1uribus unum)
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To: MoralSense; Mjaye; The Game Hen; Chesterbelloc; Petes Sandy Girl; MarMema; From many - one.; ...

28 posted on 02/21/2005 1:05:14 PM PST by Born Conservative (I need a new tagline. Any suggestions?)
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To: Boot Hill
A free market is one where there is an unrestricted market in goods or services. That is not the case in the US as organs cannot be sold.

In a free market, a "buyer" would be someone who needs a kidney. A "seller" would be someone, presumably with two (or more--I know of one individual who had three kidneys) healthy, compatible kidneys, one of which he was willing to sell. . They would agree on a price and presumably contract with a hospital and qualified physician, who for a fee, would do the transplant.

It would be the responsibility of the buyer and seller to do the medical followup necessary for the transplant to be successful. No governmental or other complications would be necessary.

29 posted on 02/21/2005 1:09:55 PM PST by rellimpank (urban dwellers don' t understand the cultural deprivation of not being raised on a farm)
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To: From many - one.
Hope you feel better, From many - one. Your first post was clear.

The idea of requiring someone to sign up as a donor in order to receive or be higher up on the donor list would rule out those with systemic, lifelong or catastrophic illnesses, in other words, those who have marginally healthy yet still functioning "other" organs.

30 posted on 02/21/2005 1:14:42 PM PST by bd476
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To: bd476

Why would you deny them the right to sign up?

Corneas, skin for grafts, all sorts of things even if organs are damaged.


31 posted on 02/21/2005 1:33:09 PM PST by From many - one. (formerly e p1uribus unum)
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To: From many - one.
My response was to your suggestion which seems to deny a patient the right to a timely transplant unless they were signed up and/or able to donate in kind.
32 posted on 02/21/2005 1:40:26 PM PST by bd476
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To: bd476

If they were not signed up...last on the list

If they had pre-existing conditions... no problem.

I'm being terse because I'm trying to stick to what I can be clear about. No real problem, I have a post traumatic seizure condition and the meds aren't doing their thing today.

Please assume that my posts are congenial, not hostile, whatever they sound like. Thanks


33 posted on 02/21/2005 1:56:51 PM PST by From many - one. (formerly e p1uribus unum)
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To: rellimpank
"That is not the case in the US as organs cannot be sold."

Which is a non-issue in the present case, as neither side is contesting the issue of price, but rather the issue is one of who brokered the deal.

--Boot Hill

34 posted on 02/21/2005 1:57:34 PM PST by Boot Hill ("...and Josuha went unto him and said: art thou for us, or for our adversaries?")
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To: From many - one.

No hostility intended and thanks for the explanation. God Bless you and hope you have some good days coming soon. Take care. :)


35 posted on 02/21/2005 1:59:50 PM PST by bd476
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To: DeltaZulu
My brother waited for months until he was put on the donor list. Once on the donor list he received a split liver from a live donor. This donor liver eventually turned bad due to infection, not rejection. He waited another six months as his health deteriorated until he received a liver from a deceased patient. He died on the table because of a clot that likely formed while he was ill prior to the last transplant.

Every day we bury perfectly good livers, kidneys, hearts, etc. If he had access to these livers he would be alive today. Less than half of those on a donor list live long enough to receive a needed organ.

When you are dead those organs are the gift of life to someone else. If you would consider this wonderful gift, talk to your family and spouse and make sure they know of your wish and desire. Please give this gift of life to those in need of an organ transplant.
36 posted on 02/21/2005 2:03:34 PM PST by cpdiii (roughneck, pilot, pharmacist, oil field trash. (OIL FIELD TRASH was the most fun))
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To: Egon

Oh that it were so...p.d avoids some of the negative side effects of hemodialysis. As a current p.d. patient, awaiting a transplant, I can say that we develop a completely different, yet even more debilitating, constellation of side effects. If I had to choose again, I'm not certain which way I would go. I never thought I'd get to the place where I thought hemodialysis looks good. It's not that I'm unthankful for this life-saving process. We have a good and gracious G-d, who I know will see me through.


37 posted on 02/21/2005 2:15:01 PM PST by 1lawlady
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To: 1lawlady
As a current p.d. patient, awaiting a transplant, I can say that we develop a completely different, yet even more debilitating, constellation of side effects.

Can you please be more specific, either here or via private reply?

We have yet to experience any side effects with him. If it's simply a matter of you being on longer than him, I'd like to know ahead of time about potential upcoming problems.

In any event, I will be praying for you. Whether hemo or P.D., it's a helluva burden.

38 posted on 02/21/2005 7:08:31 PM PST by Egon (Government is a guard-dog to be fed, not a cow to be milked.)
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To: Egon

Doesn't sound too appealing to me but maybe I should consider it. Sucks having to drive there three times a week.


39 posted on 02/22/2005 2:24:20 AM PST by Shellback Chuck (Go Navy!)
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To: Shellback Chuck; 1lawlady
Doesn't sound too appealing to me but maybe I should consider it. Sucks having to drive there three times a week.

It's definitley not a silver bullet, and you're right; it is more time intensive.

The poster's original point was that hemodialysis is not a static existence that can last indefinitely-- there are definite long-term side-effects that will most likely do you in. ...before you receive a transplant.

My only point was that, comparitively, P.D. is a more homeostatic option.

Another poster mentioned a different set of side-effects, though. I'd like to hear some feedback from her as well. Especially if it's something we haven't taken into account yet, but might end up seeing with my grandfather.

I'll be praying for you and your family as well. Dialysis sucks, regardless of the route taken. Beats the alternative, though.

40 posted on 02/22/2005 4:27:07 AM PST by Egon (Government is a guard-dog to be fed, not a cow to be milked.)
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