Organ Donation: The Gift of Life
by Charles Downey
Many people are alive today and leading productive lives because medical science has become so skilled in transplanting some essential organs. Nonetheless, there is a shortage of donors, and many patients die while still on the waiting list.
Although most people support the idea of donation, misinformation and a lack of communication prevent donations from occurring. Organ donation is one of the most rigorously monitored medical procedures. Strict rules and regulations are put in place to make sure that people have a fair chance at receiving vital organs. It is illegal for people to buy or sell organs in the US.
How Many People Are Waiting?
More than 116,000 Americans are waiting for an organ transplant. Kidney and liver are the two most commonly needed organs according to the Organ Procurement and Transplantation Network (OPTN). Currently, donated organs are distributed within local areas, then in several regions, then nationally.
How Are Organs Matched to a Transplant Candidate?
Organs are matched to transplant candidates by a complex point system devised by the United Network for Organ Sharing (UNOS) that considers blood and tissue type, time spent on a waiting list, medical urgency, and other factors. Transplant candidates are assigned a status starting with the most ill, then are reorganized based on the other classifications.
Who Are the Transplant Recipients?
Candidates for organ transplant are carefully screened by their local doctors and often a transplant team before their names are submitted for transplant surgery.
Timing is important. The sooner a person gets the new organ, the better the chances are at having a successful transplant. Many health plans ask organ transplant candidates if they are well enough to wait for their organ at a motel or hotel near a registered US transplant center. Because this often involves temporary relocation, some health plans also pay the travel expenses of a family member.
Since so many factors must be coordinated, many health plans assign a case worker to organ transplant candidates. Treatment often includes psychological and spiritual counseling for the entire family prior to the transplant, and then follow-up reminders about diet, exercise, lifestyle, and medications after the surgery. Any organ transplant requires life-long doses of anti-rejection medications that have a number of side effects.
If you or someone you know needs a transplant, it is important to know all aspects of what is involved. Take some time to research the ins and outs of organ transplantation.
Who Is on the Transplant Team?
A typical transplant team includes the surgeon, a specialty doctor, an infectious disease doctor, a social worker, pastoral care staff, a psychologist, a nurse transplant coordinator, and the health plan's case manager. When a health plan evaluates a candidate for transplant, they usually consider the person's age and health, the support of family members, substance abuse, and other factors.
The Decision to Be a Donor
Often, families deny organ donation at the time of death because they think it is against their religion or that their loved one will go to their grave unwhole.
In reality, most organized religions support organ donation. They typically consider it a generous act that is the person's or the family's choice. Moreover, donated organs are removed surgically in a routine operation. Donation does not disfigure a loved one nor change the way they look. Normal funeral arrangements are possible.
Nonetheless, many families will not agree to donation. Often, a person who, in life, wanted to donate has not left clear instructions for his next of kin. Even if he or she is carrying an organ donor card at the time of death, no tissues can be harvested unless a family member gives consent. Organ cards can be obtained at your local Registry of Motor Vehicles or downloaded from the US Government on Organ Donation and Transplantation website.
If you would like to be an organ donor, talk to your family and friends about your decision. That way, if the time arrives, they will be clear on your wishes.
Here is what potential donors often ask UNOS staff members:
Who can become a donor?
You should always consider yourself a potential organ donor, unless you have be specifically told not to. Your medical condition at the time of death will determine what organs and tissues can be donated.
What can I donate?
Both organs and tissue can be donated. Organs include the heart, kidneys, pancreas, lungs, liver, and intestines. Examples of tissue that you can donate include bone, skin, eyes, tendons, ligaments, cartilage, arteries, veins, and heart valves.
Will my decision to become an organ and tissue donor affect the quality of my medical care?
No. Organ and tissue recovery takes place only after all efforts to save your life have been exhausted and death has been legally declared. The doctors working to save your life are entirely separate from the medical team involved in recovering organs and tissues.
Does it cost anything to donate organs and tissues?
No. Donation costs nothing to the donor's family or estate.
Is there an age limit for donating organs?
No set age limit exists for organ donation. At the time of death, the potential donor's organs are evaluated to determine their suitability for donation. Therefore, people of any age wishing to become organ and tissue donors should complete a donor card and inform their family that they wish to donate.
What medical conditions exclude a person from donating organs?
Conditions like HIV and cancer exclude people from donating organs. Otherwise, the organs are evaluated at the time of death.
A Second Chance at Life
Organ recipients must closely monitor their health, diet, exercise, lifestyle, and medications, but otherwise they live normal, active lives. Many recipients are so overjoyed about a second chance at life that they compete in the annual winter and summer World Transplant Games, a series of Olympic-style events for athletic people who have received a major organ.
Organ Donor—US Government on Organ Donation and Transplantation
United Network for Organ Sharing (UNOS)
Canadian Association of Transplantation
Trillium Gift of Life Network
Data. Organ Procurement and Transplantation Network website. Available at: https://optn.transplant.hrsa.gov/data. Accessed September 11, 2017.
Facts about organ donation. United Network for Organ Sharing website. Available at: https://www.unos.org/donation. Accessed September 11, 2017.
Organ donation statistics. Organ Donor—US Government on Organ Donation and Transplantation website. Available at: https://organdonor.gov/statistics-stories/statistics.html. Updated August 2017. Accessed September 11, 2017.
The transplant team. Organ Donor—US Government on Organ Donation and Transplantation. Available at: https://optn.transplant.hrsa.gov/learn/about-transplantation/the-transplant-team. Accessed September 11, 2017.
Transplant process. Organ Donor—US Government on Organ Donation and Transplantation website. Available at: https://optn.transplant.hrsa.gov/learn/about-transplantation/transplant-process. Accessed September 11, 2017.
Who can donate? Organ Donor—US Government on Organ Donation and Transplantation website. Available at: https://www.organdonor.gov/about/donors.html. Accessed September 11, 2017.
Last reviewed September 2017 by EBSCO Medical Review Board Michael Woods, MD, FAAP
Last Updated: 11/13/2013
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