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PostPosted: Mon Apr 25, 2011 4:05 pm 
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It doesn't have to be for everybody. That's the best part of allowing it. You'd then have the freedom to sell you organ or call those people crazy and never do it. I don't know, under the right conditions, I could see selling a kidney. But not much else for me.


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PostPosted: Mon Apr 25, 2011 4:10 pm 
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I guess that's people's problem with most things. People believe they know better than the people they're dictating to how they should be able to run their own lives.

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PostPosted: Mon Apr 25, 2011 4:29 pm 
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Arathain Kelvar wrote:
Raltar wrote:
I look at it this way: if I could sell some of my redundant organs, some people would get them now and be able to live and my family could sell the rest if I died(assuming they were still viable). As it stands right now, no one is getting anything from me and they won't as long as organs aren't legal to sell.


You really think there would be a big number of people selling their organs whilst still alive? There's no F-ing way I would sell a kidney or anything else for that matter.

Maybe a tooth.


Probably not so much while you were alive, but certainly leaving it to your realatives as part of your estate.

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PostPosted: Mon Apr 25, 2011 5:58 pm 
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Kidney transplants are the exception when it comes to selling organs, because one can sell a kidney and still remain healthy. It doesn't work so well with any other organ.


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PostPosted: Mon Apr 25, 2011 6:01 pm 
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Except for the one's it does work well with...

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PostPosted: Tue Apr 26, 2011 7:26 am 
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Xequecal wrote:
Kidney transplants are the exception when it comes to selling organs, because one can sell a kidney and still remain healthy. It doesn't work so well with any other organ.

There are a few other organs it works for. I know you can give part of your liver away. Bone marrow, while not an organ, can be donated as well. There are actually quite a few things we could give to other people.


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PostPosted: Tue Apr 26, 2011 8:06 am 
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Rorinthas wrote:
Arathain Kelvar wrote:
Raltar wrote:
I look at it this way: if I could sell some of my redundant organs, some people would get them now and be able to live and my family could sell the rest if I died(assuming they were still viable). As it stands right now, no one is getting anything from me and they won't as long as organs aren't legal to sell.


You really think there would be a big number of people selling their organs whilst still alive? There's no F-ing way I would sell a kidney or anything else for that matter.

Maybe a tooth.


Probably not so much while you were alive, but certainly leaving it to your realatives as part of your estate.


Sure, though I'm already a donor. Still, if your father died and his estate sold his organs, and gave you $50,000, what would you do with that money?

That would be... weird.

"Hey, man, where'd you get the car?"
"Sold my dad's heart."


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PostPosted: Tue Apr 26, 2011 8:08 am 
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Ienan wrote:
Xequecal wrote:
Kidney transplants are the exception when it comes to selling organs, because one can sell a kidney and still remain healthy. It doesn't work so well with any other organ.

There are a few other organs it works for. I know you can give part of your liver away. Bone marrow, while not an organ, can be donated as well. There are actually quite a few things we could give to other people.


It cost me ~$50 for the kit to take the test to be on the marrow donor list. I'm not interested in selling my marrow, but I'd like to not have to pay to donate it. They need to find a way to fix that.


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PostPosted: Tue Apr 26, 2011 8:18 am 
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Arathain Kelvar wrote:
That would be... weird.

"Hey, man, where'd you get the car?"
"Sold my dad's heart."

Only because it's not currently the norm.

"Hey man, where'd you get the horse?"
"Sold my dad's castle."

Would be just as weird 500 years ago.

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PostPosted: Tue Apr 26, 2011 8:20 am 
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Arathain Kelvar wrote:
Ienan wrote:
Xequecal wrote:
Kidney transplants are the exception when it comes to selling organs, because one can sell a kidney and still remain healthy. It doesn't work so well with any other organ.

There are a few other organs it works for. I know you can give part of your liver away. Bone marrow, while not an organ, can be donated as well. There are actually quite a few things we could give to other people.


It cost me ~$50 for the kit to take the test to be on the marrow donor list. I'm not interested in selling my marrow, but I'd like to not have to pay to donate it. They need to find a way to fix that.

It was free for me. Who did you do it through?

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PostPosted: Tue Apr 26, 2011 9:12 am 
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Vindicarre wrote:
I guess that's people's problem with most things. People believe they know better than the people they're dictating to how they should be able to run their own lives.

Tell me about it. I see it everyday at work. Everyone thinks they know better how the other should work. The big problem comes when you need to do the work in shared spaces.

It's because humans have a hard time ceding control, especially those who thrive on control. Control = power and it can be intoxicating.


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PostPosted: Tue Apr 26, 2011 9:22 am 
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Kaffis Mark V wrote:
Arathain Kelvar wrote:
That would be... weird.

"Hey, man, where'd you get the car?"
"Sold my dad's heart."

Only because it's not currently the norm.

"Hey man, where'd you get the horse?"
"Sold my dad's castle."

Would be just as weird 500 years ago.


That would be pretty weird now. :D


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PostPosted: Tue Apr 26, 2011 9:25 am 
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Hopwin wrote:
It was free for me. Who did you do it through?


Damnit. /sigh

I can't remember who it was through. I thought it was through the main national donor program.

Maybe it was a scam. I'm probably being cloned right now. Hate that.


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PostPosted: Tue Apr 26, 2011 11:27 am 
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LadyKate wrote:
It is my understanding that transplants are given on some sort of point scale. Didn't we discuss this before? For example, the young mother of two is more likely to get a transplant before the 50 year old bachelor or something like that? My point being that just because this guy is being evaluated doesn't mean he will get a transplant. He will be bumped on the list in favor of someone else.


20 years ago this would have been true. There were transplant boards which ranked the 'most worthy' to get transplants just like you said. Also, a person with a 'self induced illness' such as liver failure from alcoholic cirrhosis would never get a liver transplant. And people with illnesses that would reoccur in the transplanted organ, such as the infection Hepatitis C, or liver cancer, would not be transplanted.

Let us now fast forward to the land of political correctness. People get transplants based on how sick they are. The sickest gets the organ, even if they are so sick they are not likely to survive the operation. They get it even if they are unwilling or unable to take the medicine to prevent rejection. They get it even if as soon as they can get access to their recreational drug of choice they will start using again (they only have to say once they they will stop. :P ). They will get it even if performing the transplant will not lengthen their life because the underlying disease will kill them. (Think about what happens when a person with active cancer or infection is given immunosuppressive drugs. The cancer and infection run wild.)

My opinion is that many organ transplants are a waste of limited money and resources. Just because we CAN do something does not mean we SHOULD do something.

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PostPosted: Tue Apr 26, 2011 11:38 am 
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Squirrel Girl wrote:
My opinion is that many organ transplants are a waste of limited money and resources. Just because we CAN do something does not mean we SHOULD do something.

Unfortunately, I think this can be applied to a lot of things in modern health care.

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PostPosted: Tue Apr 26, 2011 11:58 am 
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Squirrel Girl wrote:
They get it even if as soon as they can get access to their recreational drug of choice they will start using again (they only have to say once they they will stop. :P ).


Sounds like they should get a brain transplant as well.


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PostPosted: Tue Apr 26, 2011 12:28 pm 
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Lex Luthor wrote:
Squirrel Girl wrote:
They get it even if as soon as they can get access to their recreational drug of choice they will start using again (they only have to say once they they will stop. :P ).


Sounds like they should get a brain transplant as well.


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PostPosted: Tue Apr 26, 2011 1:23 pm 
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Ienan wrote:
There are a few other organs it works for. I know you can give part of your liver away. Bone marrow, while not an organ, can be donated as well. There are actually quite a few things we could give to other people.


Yeah, you can donate part of your liver, but it's a huge hit to your quality of life. I mean technically you could also donate a lung and survive, but that's even worse. I doubt people would sign on to donate anything but a kidney to a total stranger even for millions of dollars. Bone marrow is also not analogous to whole organ donations because the donated bone marrow can be stored for a long period of time. It's not like a heart, lung, or liver where it must be transplanted within 24 hours or it's useless.

Squirrel Girl wrote:
20 years ago this would have been true. There were transplant boards which ranked the 'most worthy' to get transplants just like you said. Also, a person with a 'self induced illness' such as liver failure from alcoholic cirrhosis would never get a liver transplant. And people with illnesses that would reoccur in the transplanted organ, such as the infection Hepatitis C, or liver cancer, would not be transplanted.

Let us now fast forward to the land of political correctness. People get transplants based on how sick they are. The sickest gets the organ, even if they are so sick they are not likely to survive the operation. They get it even if they are unwilling or unable to take the medicine to prevent rejection. They get it even if as soon as they can get access to their recreational drug of choice they will start using again (they only have to say once they they will stop. :P ). They will get it even if performing the transplant will not lengthen their life because the underlying disease will kill them. (Think about what happens when a person with active cancer or infection is given immunosuppressive drugs. The cancer and infection run wild.)

My opinion is that many organ transplants are a waste of limited money and resources. Just because we CAN do something does not mean we SHOULD do something.


This "political correctness" came out of some severe abuses of early transplant committees. In biomedical ethics we learned about a certain hospital that only let people of the same religion as the hospital's get time on their new dialysis machine, for example.


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PostPosted: Tue Apr 26, 2011 1:44 pm 
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Xequecal wrote:
This "political correctness" came out of some severe abuses of early transplant committees. In biomedical ethics we learned about a certain hospital that only let people of the same religion as the hospital's get time on their new dialysis machine, for example.


Public hospital, or private?


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PostPosted: Tue Apr 26, 2011 1:48 pm 
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You know I honestly don't remember if it was public or private, but I would guess private. Do public hospitals have religious affiliations? It was pretty obtrusive though, you had to be seen in the local church or prove weekly attendance at another one or they'd take you off dialysis. (which was a death sentence, back then)


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PostPosted: Tue Apr 26, 2011 1:51 pm 
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Xequecal wrote:
Ienan wrote:
There are a few other organs it works for. I know you can give part of your liver away. Bone marrow, while not an organ, can be donated as well. There are actually quite a few things we could give to other people.


Yeah, you can donate part of your liver, but it's a huge hit to your quality of life.


You do know that the liver regenerates right?

http://pennyfoolish.blogspot.com/2006/1 ... organ.html

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PostPosted: Tue Apr 26, 2011 3:59 pm 
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PostPosted: Tue Apr 26, 2011 9:11 pm 
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Hopwin wrote:
Xequecal wrote:
Ienan wrote:
There are a few other organs it works for. I know you can give part of your liver away. Bone marrow, while not an organ, can be donated as well. There are actually quite a few things we could give to other people.


Yeah, you can donate part of your liver, but it's a huge hit to your quality of life.


You do know that the liver regenerates right?

http://pennyfoolish.blogspot.com/2006/1 ... organ.html


It takes literally decades for a lobe of your liver to regenerate. You have to completely quit drinking, for one thing. There is also a substantial list of foods you have to avoid because their metabolism can monopolize crucial liver enzymes that you now have far less of. You also can't take a long list of drugs, this includes a lot of painkillers like Vicodin, which depending on the individual can be really crippling.

Like I said, you can do it, but it really hurts your quality of life.


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PostPosted: Wed Apr 27, 2011 6:51 am 
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Xequecal wrote:
It takes literally decades for a lobe of your liver to regenerate. You have to completely quit drinking, for one thing. There is also a substantial list of foods you have to avoid because their metabolism can monopolize crucial liver enzymes that you now have far less of. You also can't take a long list of drugs, this includes a lot of painkillers like Vicodin, which depending on the individual can be really crippling.

Like I said, you can do it, but it really hurts your quality of life.


I am not sure where you get your information from...

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Recovery

In one study, 24 donors recovered within 3.4 months. In another study, patients reported a mean complete recovery time of 13 weeks (range, 4 to 52 weeks). Both studies relied on donor self-report of recovery time. (124)

29 to 38% of donors felt that recovery was longer than expected, 33 to 53% found the pain worse than expected, and 30 to 40% of donors reported that the surgical scar was worse than expected. (117)

A survey of 27 liver donors reported a "mean hospital stay was 8 days (range, 3 to 14 days). Ninety-two percent of LDs reported that their hospital stay was shorter than expected or as expected." When asked about their surgical experience, 33% experienced more pain than anticipated, and 37% reported a larger surgical scar than expected. (127)

Donors reported a mean time to complete recovery of 12 weeks (range, 1 to 52 weeks). Compared with what they expected before surgery, 33% of LDs reported that it took more time than expected to completely recover. Of all donors, 80% have returned to their previous level of physical activity, and 80% have returned to their previous level of social activity. A decrease in sexual activity was reported by 15% (127)


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The liver possesses amazing regenerative properties. Within two months of the surgery, the remaining portion of your liver grows back to full size. Note that the liver does not assume its former complete anatomy. Instead, the remaining portion (e.g., the right lobe) simply enlarges.


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Recent studies have shown that hepatic function declines slightly in donors after hepatectomy. This is characterized by an increase in serum bilirubin
level in the range of 3 to 5 mg/dL and prolongation in prothrombin time by 2 to 3 seconds above control. The international normalization ratio rarely increases to greater than 1.5. In most cases, these laboratory study results return to normal within 3 to 5 days of hepatectomy. A more severe prolongation in prothrombin time or much greater increase in bilirubin level should prompt an investigation of the remaining liver within the donor.

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