» Organ Transplant & Donation Where the World Finds Bioethics Fri, 24 Jun 2016 14:48:31 +0000 en-US hourly 1 White House, private sector act to reduce organ transplant waiting list Tue, 14 Jun 2016 12:26:56 +0000 0 BIOETHICSTV: House of Cards Shuffles The Deck on Organ Allocation Mon, 04 Apr 2016 20:14:39 +0000 by Craig Klugman, Ph.D.

BioethicsTV is an occasional feature where we examine bioethical issues raised in televised medical dramas.

This past weekend I was binging on House of Cards, season 4. Although this is not a medical drama, a story arch this season is relevant to this column.

If you have not watched yet, please be warned that this post is a big spoiler. Read no further if you care about such things.

One of the storylines this season is about President Underwood being shot and most of his liver removed.…

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Most Americans Would Donate a Kidney for Cash Fri, 25 Mar 2016 15:39:25 +0000 0 New Procedure Allows Kidney Transplants From Any Donor Thu, 10 Mar 2016 18:25:42 +0000 0 First Uterus Transplant in the US Gives 26-year-old Woman Chance at Pregnancy Wed, 02 Mar 2016 17:34:06 +0000 0 The Bell Tolls for Death by Neurologic Criteria: Aden Hailu Fri, 04 Dec 2015 06:42:54 +0000 by Craig Klugman, Ph.D.

A judge in Reno, Nevada this week denied a request by St. Mary’s Regional Hospital to conduct an evidentiary hearing to determine that a patient is dead. Aden Hailu was a 20-year-old student at the University of Nevada, Reno (UNR) when she was hospitalized April 1 with abdominal pain. During exploratory surgery, she had a heart attack that led to low blood pressure and lack of oxygen to the brain. Hailu never awoke. A ventilator is now maintaining her body, an IV introduces fluids and nutrients, and medications are maintaining blood pressure.…

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Hashtag Advocacy or Slacktivism: How Should We Evaluate the Impact of Social Media Campaigns for Public Health? Mon, 31 Aug 2015 12:00:25 +0000 by Macey L. Henderson, J.D.

It takes more than a TV news story or a Twitter hashtag campaign to save lives. Last August’s viral ice bucket challenge did more than just improve public health awareness of an issue. Its now been reported to have made a real impact into research for a rare disease, not just for improved public education and awareness.

An estimated 5,000 persons receive a diagnosis of Amyotrophic Lateral Sclerosis (ALS) each year in the United States, with an estimated prevalence of 12,000 cases according to the Centers for Disease Control and Prevention (CDC).…

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A Matter of Ethics and Policy in the Era of Regenerative Transplantation in the United States Mon, 17 Aug 2015 20:41:08 +0000 by Macey L. Henderson and Brianna L Doby

Why do we need to care about the ethical development of health policies that impact research, donation, and transplantation in the United States? The story of Zion Harvey is a good place to start.

Zion lost all of his limbs to amputation from sepsis at the age of two. The infection that ravished his body and took his limbs also caused renal failure, resulting in a successful kidney transplant when he was 4 years old.…

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Persistent Problems in Death and Dying Sat, 01 Aug 2015 16:58:07 +0000 0 Addressing Consent Issues in Donation After Circulatory Determination of Death Sat, 01 Aug 2015 16:54:13 +0000 0 Investigating Two Claims Against Planned Parenthood: Center of Medical Progress’s Secret Videos Mon, 27 Jul 2015 22:00:39 +0000 by Craig Klugman, Ph.D.

Before you being reading, I have a disclaimer: Growing up, my mother worked for Planned Parenthood. As a nurse, she practiced in their clinics offering well women services, counseling, and contraception. After many years, she went on to direct their clinic’s in vitro fertilization program. I also heard the word “Planned Parenthood” stated with a quick northeastern accent. Said that way, as a child, I thought the place was called “Plant Parenthood” and wondered what plants had to do with women’s health.…

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Financial Interventions and Living Organ Donation Research in a Learning Healthcare System Fri, 12 Jun 2015 07:40:48 +0000 by Macey L. Henderson

Living kidney donation can potentially provide a solution for the growing waitlist in the United States, which is now holding steady at over 100,000 people. Through paired donation and kidney chains living donors could realistically be the solution to providing an unlimited number of transplants to those in need throughout the world, but the number of donors has been decreasing since 2004. Why? Leading groups of transplant surgeons and professionals have called for the active pursuit of health policies which achieve financial neutrality for the donor—meaning the donor wouldn’t be any financially worse off after donation than before.…

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Black market trade in organs targeted in anti-trafficking treaty Wed, 01 Apr 2015 01:20:15 +0000 0 Ethics of Penile Transplants Mon, 16 Mar 2015 23:13:04 +0000 by Craig Klugman, Ph.D.

This weekend, doctors in South Africa announced a new first—a successful penis transplant. The 9-hour operation took place in December 2014. After three months of recovery, the recipient is able to urinate, achieve an erection and a sexual response. As of yet, the recipient does not have full sensation in the organ.

The recipient was 18 years old when he underwent a ritual circumcision that went wrong and left him with 1cm of the original penis.…

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China’s ‘blood famine’ drives patients to the black market Tue, 17 Feb 2015 19:54:01 +0000 0 Transplant first: Organ donation from UK newborn Wed, 21 Jan 2015 00:13:58 +0000 0 Assessing the Likely Harms to Kidney Vendors in Regulated Organ Markets Wed, 01 Oct 2014 18:20:24 +0000 0 Selling Ourselves: The Ethics of Paid Living Kidney Donation Wed, 01 Oct 2014 18:14:58 +0000 0 Organ shortage prompts debate over compensating donors Thu, 07 Aug 2014 17:16:40 +0000 0 More Live Organ Donations Needed To Address Gap in California Thu, 07 Aug 2014 17:15:43 +0000 0 Getting An Earful Fri, 06 Jun 2014 06:25:22 +0000 by Craig Klugman, Ph.D.

In the book (and film) Jurassic Park by Michael Crichton, dinosaur DNA from in insects that bit the dinosaurs and are now preserved in amber. Scientists are then able to extract the dinosaur DNA and using West African bullfrog DNA to fill in the blanks in the genome, they recreate many dinosaurs in a park. The book and film were works of science fiction adventure since the dinosaurs go out of control. The story is a warning about the hubris of playing with DNA and bringing back the past.…

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Death Panels: Can We Handle the Truth? Mon, 17 Mar 2014 22:57:13 +0000 by Thaddeus Mason Pope, JD, PhD

In December, I defended the term “death panel” on this blog.  Specifically, I demonstrated that we already have, and for over 50 years have had, quite a number of tribunals that act as death panels.  For example, at least daily, UNOS denies potentially life-saving organ transplant requests.  While the term “death panel” has a pejorative connotation, the essential concept and function is necessary.  Particularly in situations of strict scarcity, life and death decisions must be made. …

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Centralizing organ removal shows promise for transplants Tue, 25 Feb 2014 20:15:11 +0000 0 Potential Organ Donation + HIV Infection = HOPE Fri, 22 Nov 2013 00:00:21 +0000 by Craig Klugman, Ph.D.

Last week, the U.S. House of Representatives passed the HOPE Act (HR 698), a companion bill to one passed by the U.S. Senate (S 330) back in June. The HIV Organ Policy Equity Act would permit the harvesting of organs from people infected with HIV to be transplanted to other individuals with HIV. Previously no organ could be taken from a person infected with HIV.

The Act calls for regular reviews of research on HIV-infected organs to maintain quality standards.…

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Paying Kidney Donors Can Save $$, Help Patients Fri, 25 Oct 2013 18:49:07 +0000 0 Anthony Stokes, Dying Georgia Teen, Denied Heart Transplant Due To Low Grades, Legal Troubles, Family Says Tue, 13 Aug 2013 21:08:06 +0000 0 U.S. Congress Moves Closer to Lifting Ban on Transplanting Organs From HIV-Positive Donors Fri, 19 Jul 2013 20:31:34 +0000 0 NY hospital nearly took organs from living woman Thu, 11 Jul 2013 21:26:28 +0000 0 10-year-old lung transplant recipient contracts pneumonia in right lung Tue, 09 Jul 2013 18:34:54 +0000 0 Would A Human Head Transplant Be Ethical? Wed, 03 Jul 2013 18:52:19 +0000 0 Lungs for Sarah Murnaghan Raise Ethical Questions Tue, 02 Jul 2013 19:35:03 +0000 0 Organ Donors Will Sign Up on Facebook Tue, 18 Jun 2013 19:00:10 +0000 0 Boston Children’s Hospital starts world’s first pediatric hand transplant program Mon, 17 Jun 2013 18:29:43 +0000 0 Girl Prompts Small Change to Organ Transplant Policy Tue, 11 Jun 2013 17:27:24 +0000 0 Panel Reviews Organ Transplant Policies For Kids Mon, 10 Jun 2013 18:13:28 +0000 0 Video: Magnus on Second child placed on adult transplant list Fri, 07 Jun 2013 18:06:10 +0000 0 JUDGE PUTS ANOTHER CHILD ON ADULT TRANSPLANT WAITING LIST AFTER MOM SUES Thu, 06 Jun 2013 22:57:58 +0000 0 Lung Transplants and the Bandwagon Bioethics Thu, 06 Jun 2013 19:43:22 +0000 by Craig Klugman, Ph.D.

In case you have not heard, the big bioethics story this week comes out of Philadelphia where a 10-year-old girl with cystic fibrosis is in need of a lung transplant to survive. Sarah M has been on the transplant list for a while but her chances of getting a lung are slim. According to United Network for Organ Sharing (UNOS) rules, children under 12 can only get lungs from child donors and can only be offered adult lungs after all potential adult donors have been approached.…

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Video: Sebelius won’t intervene in girl’s transplant case Wed, 05 Jun 2013 18:06:42 +0000 0 Toward a More Stable Blood Supply: Charitable Incentives, Donation Rates, and the Experience of September 11 Tue, 04 Jun 2013 21:22:59 +0000 0 Policy Makes Lung Transplant Out of Reach for 10-Year-Old Tue, 04 Jun 2013 20:51:39 +0000 0 Defending Disability Discrimination Fri, 31 May 2013 19:06:41 +0000 by Thaddeus Mason Pope J.D., Ph.D.

In May 2013, Oklahoma enacted the Nondiscrimination in Treatment Act (NITA).  This law provides: “A health care provider shall not deny to a patient a life-preserving health care service the provider provides to other patients, and the provision of which is directed by the patient or [surrogate] . . . on the basis of a view that treats extending the life of an elderly, disabled, or terminally ill individual as of lower value than extending the life of an individual who is younger, nondisabled, or not terminally ill.”

Like a similar statute enacted in Idaho in 2012, the Oklahoma NITA is directed at disability discrimination. …

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Parents say organ donation rules unfair to sick 10-year-old, demand change Wed, 29 May 2013 17:42:27 +0000 0 Rabbi okays HIV-positive organ donation Tue, 07 May 2013 18:09:21 +0000 0 Parents needn’t tell donor children their origins’ says leading British think-tank Mon, 22 Apr 2013 18:43:15 +0000 0 Medical first? Woman who had five-organ transplant gives birth Thu, 14 Mar 2013 18:07:46 +0000 0 Heart transplant patients are living longer, better, thanks to advancements Mon, 25 Feb 2013 22:39:49 +0000 0 Charity worker survives six-organ transplant ordeal Tue, 19 Feb 2013 18:48:27 +0000 0 Bill Would Ensure Medical Marijuana Users Can Receive Organ Transplants Wed, 13 Feb 2013 18:37:31 +0000 0 Mass donor organ fraud shakes Germany Thu, 10 Jan 2013 19:33:33 +0000 0