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Biomedical Engineering

The Biomedical Engineering blog is the place for conversation and discussion about topics related to engineering principles of the medical field. Here, you'll find everything from discussions about emerging medical technologies to advances in medical research. The blog's owner, Chelsey H, is a graduate of Rensselaer Polytechnic Institute (RPI) with a degree in Biomedical Engineering.

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The Waiting List & Life After the Transplant (Part 4)

Posted February 02, 2010 12:00 AM by Jaxy

Trying to be an organ recipient can be difficult and complex. The wait for an organ once you are on the waitlist can range from just under a year, to several years depending on the organ. Once you receive an organ, you still need to continue to monitor the health of both the organ and the whole body.

The Waiting List

For information on steps to get on the waiting list, see this website. Once you are on the waiting list, you can wait for over 1,121 days to get an organ. The following chart shows the organ and the average wait time for receiving the transplant:

Organ Average Wait Time Survival Outside the Body
Heart 230 Days 4-6 hours
Lung 1,068 Days 4-6 hours
Liver 796 Days 12-24 hours
Kidney 1,121 Days 48-72 hours
Pancreas 501 Days 12-24 hours

Since thoracic organs (heart and lungs) can only survive 4 - 6 hours outside the body, people who live nearby are given top priority. The transplant team then starts systematically searching zones farther away if there is no match near the donor. Organs that can survive over 12 – 24 hours outside the body give greater flexibility when finding a recipient. Different tests are used to assess matches between donors and recipients.

After the Transplant

Usually after receiving a transplant, there are many medications that need to be taken. Some are new medications, while others may be continued medications. Depending on the medication, you may have to take it several times a day or only on certain days. Your doctor may have to change medications or adjust dosages as needed to find the best combination for minimum side effects with the maximum benefit.

Laboratory tests become a regular activity for a transplant recipient. Doctors need to monitor the transplanted organ and the whole body for years after the surgery. Recipients are more vulnerable to infections from taking immunosuppressants, which prevent the body from rejecting the transplanted organ.

While confidentiality of donors and recipients is required by law, it is possible for contact to be arranged if both sides agree. Different transplant centers have different procedures, so if you want to contact either the donor or the recipient, be sure to contact the transplant center you visited to understand the procedures.

Resources:

http://organdonor.gov/transplantation/matching_process.htm

http://organdonor.gov/transplantation/transplantation_life.htm

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#1

Re: The Waiting List & Life After the Transplant (Part 4)

02/02/2010 8:36 PM

Thanks Jaxy.

Great stuff as always.

JAE

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Anonymous Poster
#2

Re: The Waiting List & Life After the Transplant (Part 4)

02/03/2010 12:53 AM

Mywife had to wait years for a kidney transplant. Our life was severly restricted by the need for dialysis. Receiving news of an available kidney for transplant was something like winning the lottery (although her body rejected the kidney 6 months later)

I urge everyone who is not listed as an organ donor to become one.

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Power-User

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#3

Re: The Waiting List & Life After the Transplant (Part 4)

02/03/2010 3:01 PM

I've been a little squeamish about being an organ donor, but after listening to a report on Morning Edition, I'm even more horrified at the thought that Haitian orphans' organs may be "harvested" by unscrupulous traffickers. I'm assuming the provenance of any organ would have to be documented - how hard would that be to falsify?

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Power-User

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#4

Re: The Waiting List & Life After the Transplant (Part 4)

02/03/2010 3:40 PM

One of the harder issues to deal with when getting a transplant is being called to get the transplant and then not getting it. This is very common and causes considerable strain on everyone. This is usually because because you are a backup for someone else ( they never waste an organ ) , you are running a temperature, or the organ gets rejected at the last minute ( perhaps damaged in transport ). This is very common and causes considerable strain on everyone.

By the way, your stats didn't include the numbers of deaths from not getting an organ in time..... FYI... There is no dialysis for a liver.

Be safe. Never keep Tylenol where the kids can find it!

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