Organ Donation: Get the Facts

http://www.organdonor.gov/SecInitiative.htm

ORGAN DONATION

1. Description of the necessity of organs. 2. Kind of organs can be transplanted. 3. How you can become an organ donor. 4. Finally, I am hoping to leave you today

with a new desire to be an organ donor, and at last a life saver.

ORGAN DONATION

“My soul can find no staircase to heaven unless it is through earth's loveliness”-Michelangelo-

THE NEED In India:- 175,000 patients need a kidney transplant.- 45,000 need a liver transplant.- 40,000 are in need of a heart tx. The numbers :- about 8000 kidney transplants

are done, 1200 liver transplants in about 25 centers, and about 15-20 heart transplants in a few select centers are done.

As many as 92% transplants are from living donors in India.

Since the law in 1994, we have managed a little over 900 organ donations, i.e. about 900 donors.

EVERY DAY

About 30 people die every dayNot because they were in a car accident,

Not because they were gunned down, Not because their time had come,

not even because they weren’t in the hospital,

but simply because they couldn’t obtain a transplant in time.

30 people will die because the organ transplant they need will not be

possible.

Who can donate?Who can donate?

• Almost everybody can be considered for organ and tissue donation after death.

• There are specific criteria for all organs, i.e. They should be healthy, and some upper and lower age limits for some tissues.

• There is no upper age limit for eye donation.

• A Medicolegal/ Coroner’s consent may be needed for donation

What organs and tissues can be donated?

Who can be a donor?

Just about anyone can donate life!

Donation either occurs:

After death (deceased donation)

OR

While a person is still living (living donation)

Registering to be a donor

Registering to be a donor means you are choosing to give your organs and tissues to people who are sick after your death.

Registering to be a donor does not include living donation.

Donation after Brain Death Donation after Brain Death (DBD)(DBD)

• Potential donors are usually patients in critical care areas

• Death is confirmed by Brain Stem Death (BSD) testing.

• No upper age limit.• Only absolute contraindication is CJD.• A Coroner’s consent may be required

prior to donation. • Potential organs for donation include:

Heart, Lungs, Liver, Kidneys, Pancreas, Small Bowel.

• Tissue donation is also possible.

All deceased donors suffer some kind of severe head injury

Doctors and medical professionals do everything they can to save the patient

Donation can only take place after a patient has died

Deceased Donation

BRAIN DEATH

Irreversible cessation of brain function. Usually:- i. Severe Head Injuriesii. Cerebral Insults (SAH,SDH,CVA)iii.Primary Brain Tumorsiv.Cerebral Anoxia (Near-drowning, Drug

ODs,MIs,)v. Homicides/Suicidesvi.Metabolic Disorders (DKA)

Brain Death

Patient maintained on ventilator, Heart beating

Organs are removed in the operating room while the patient is maintained on a ventilator.

Tissue recovery follows organ donation

1987Florida Brain Death Law

Determination of death must be made by two eligible or certified physicians

Usually 2 neuro-physicians; independent of the treating physician are required.

A series of tests are done to determine.

Within 72 hours of brain death – most patients will also have a circulatory death…i.e. the heart will laso stop.

AVAILABLE ORGAN

Clinics consider blood type, body size, medical urgency, time waiting, and geographical proximity as the criteria for distribution.

Factors such as race, gender, age, income, or celebrity status are never considered.

Organ allocation.

MYTH If emergency room

doctors know you’re an organ donor, they won’t work as hard to save you.

FACT

If you are sick or injured and admitted to the hospital, the number one priority is to save your life. Organ donation can only be considered if you die and after your family has been consulted.

MYTH

When you’re waiting for a transplant, your financial status or celebrity status is as important as your medical status.

FACT

When you are on the

transplant waiting list for a

donor organ, what really

counts is the severity of your

illness, time spent waiting,

blood type and other important

medical information.

MYTH

Having "organ donor" noted on your driver's license or carrying a donor card is all you have to do to become a donor.

FACT

While a signed donor card and a driver's license with an "organ donor" designation are legal documents, organ and tissue donation is always discussed with family members prior to the donation. To ensure that your family understands your wishes, it is important that you share your decision to donate LIFE.

MYTH

My family will be charged for donating my organs.

FACT

There is no cost to the donor's family or estate for organ and tissue donation. Funeral costs remain the responsibility of the family.

What’s the difference from a coma?

Coma entails some lower level of brain electrical activity, however absence of any cortical activity

Coma does NOT equal Brain Death

WHY DOES IT MATTER?

More than 260,000 adults and children currently await life-saving transplants in our country.

Every minute someone or the other gets their name added to the transplant waiting list.

Not many will be able to wait for long.

An average of 2300 people die each year from the lack of available organs for transplant in Maharashtra alone.

In India we have had approximately 900 donors since 1995.

In USA 25000 people donate their organ each year.

India – organ donation rate is 0.05 per million, whereas in Spain its 42, USA – 25, UK – 30.

1998 – India had 1% of the worlds road vehicles and 6% of the world accidents.

By 2006 the number of RTA in India contributes to 12% of the worlds accidents.

By estimates 90,000/y people die in accidents.

Approx 245/day. Other causes of brain death. If 10% donate -----????

How does one express voluntary donation wishes?

Registries: DMV Donor cards Advance directives aka,

Living Wills Sharing your thoughts

and decisions with your family

Two that you can influence are:

• Family members saying no to donation after the death of their family member because they are unaware of the deceased wishes regarding donation.

• Care providers being reluctant to raise the issue of donation with family members as they are fearful of causing distress.

Research indicates that:

• The majority of people are in favour of donation regardless of ethnicity or religious preference.

• Family members are not distressed by being asked about donation, they value the opportunity to consider this option.

Doctors will try to save my life first, right?

Yes! Doctors do everything in their power to treat each patient – their number one priority is saving YOUR life.

The doctors involved in treating you are not the same doctors involved in the transplant process. Donation is only an option after death.

Are donors treated with respect?

Yes! Donors are treated with great care and dignity.

Organ and tissue recovery is a respectful surgical procedure, and donors are able to have an open casket funeral or any type of viewing.

What does my religion say about donation?

All major religions either support donation as a generous and compassionate act or leave it up to the individual as a personal choice.

If you have a question about your religion, talk with people you trust.

Jackson

Liver Transplant Recipient

Liver, stomach, pancreas,small bowel and piece of colon recipient

Liver and small bowelrecipient

heart recipient

Trine

Liver Recipient

REMEMBER…..

There is a huge need for organs. Almost any organ can be

transplanted to anyone. There are different ways of making

sure that your organs are donated after you die.

The opportunity to sign up as a Donor….. Sign a donor card, let your family know.

Don’t take your organs to Don’t take your organs to heaven…. God knows we need heaven…. God knows we need

them here!them here!