Sorry

This feed does not validate.

In addition, interoperability with the widest range of feed readers could be improved by implementing the following recommendations.

Source: http://feeds.feedburner.com/WhatsHot/WhatsNew

  1. <?xml version="1.0" encoding="UTF-8"?>
  2. <?xml-stylesheet type="text/xsl" media="screen" href="/~d/styles/rss2full.xsl"?><?xml-stylesheet type="text/css" media="screen" href="http://feeds.feedburner.com/~d/styles/itemcontent.css"?><rss xmlns:media="http://search.yahoo.com/mrss/" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:geo="http://www.w3.org/2003/01/geo/wgs84_pos#" xmlns:creativeCommons="http://backend.userland.com/creativeCommonsRssModule" xmlns:feedburner="http://rssnamespace.org/feedburner/ext/1.0" version="2.0"><channel><title>What's Hot / What's New</title><link>http://transplantexpert.blogspot.com/</link><atom10:link xmlns:atom10="http://www.w3.org/2005/Atom" rel="self" type="application/rss+xml" href="http://feeds.feedburner.com/WhatsHot/WhatsNew" /><description>Cutting edge, expert commentary on what is happening in the world of transplantation and organ donation from a transplant and organ donation surgeon who is also the family member of 2 transplant recipients and a live kidney donor.</description><language>en</language><managingEditor>[email protected] (Amy L. Friedman)</managingEditor><lastBuildDate>Sat, 18 Nov 2017 20:07:09 PST</lastBuildDate><generator>Blogger http://www.blogger.com</generator><openSearch:totalResults xmlns:openSearch="http://a9.com/-/spec/opensearchrss/1.0/">41</openSearch:totalResults><openSearch:startIndex xmlns:openSearch="http://a9.com/-/spec/opensearchrss/1.0/">1</openSearch:startIndex><openSearch:itemsPerPage xmlns:openSearch="http://a9.com/-/spec/opensearchrss/1.0/">25</openSearch:itemsPerPage><feedburner:info uri="whatshot/whatsnew" /><atom10:link xmlns:atom10="http://www.w3.org/2005/Atom" rel="hub" href="http://pubsubhubbub.appspot.com/" /><itunes:owner><itunes:email>[email protected]</itunes:email></itunes:owner><itunes:explicit>no</itunes:explicit><itunes:subtitle>Cutting edge, expert commentary on what is happening in the world of transplantation and organ donation from a transplant and organ donation surgeon who is also the family member of 2 transplant recipients and a live kidney donor.</itunes:subtitle><geo:lat>42.987329</geo:lat><geo:long>-75.967632</geo:long><creativeCommons:license>http://creativecommons.org/licenses/by-nd/3.0/</creativeCommons:license><image><link>http://transplantexpert.blogspot.com</link><url>http://transplantexpert.blogspot.com</url><title>TransplantExpert</title></image><feedburner:emailServiceId>WhatsHot/WhatsNew</feedburner:emailServiceId><feedburner:feedburnerHostname>https://feedburner.google.com</feedburner:feedburnerHostname><item><title>A WHOLE LOTTA HOPE </title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/vYInBhb2Elc/a-whole-lotta-hope.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Mon, 02 Dec 2013 04:03:08 PST</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-6838428130238421477</guid><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><description>After an organized, well fought, and fully bi-partisan effort, the HOPE (HIV Organ Policy Equity) Act became U.S. law, signed by President Obama on November 21, 2013. This new legislation removes the...&lt;br/&gt;
  3. &lt;br/&gt;
  4. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/vYInBhb2Elc" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/12/a-whole-lotta-hope.html</feedburner:origLink></item><item><title>WHAT EVER HAPPENED TO DICK CHENEY?</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/9QOSTYjXOzA/what-ever-happened-to-dick-cheney.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Thu, 01 Aug 2013 05:46:05 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-3286473738330913994</guid><media:thumbnail url="http://2.bp.blogspot.com/-eBM3dXL7Y6Y/UfpYWD5VVgI/AAAAAAAAAU4/rGwuZ5gUkJo/s72-c/Major+transplant+benchmarks.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><description>Time can fly, especially for transplant recipients. Remember the buzz and controversy surrounding former Vice President Richard Cheney's heart transplant on March 24, 2012 at the age of 71? That news...&lt;br/&gt;
  5. &lt;br/&gt;
  6. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/9QOSTYjXOzA" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/08/what-ever-happened-to-dick-cheney.html</feedburner:origLink></item><item><title>EVEN MORE HOPE !</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/XmISXCgQ2hE/even-more-hope.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Mon, 22 Jul 2013 10:52:42 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-385561792537040864</guid><media:thumbnail url="http://2.bp.blogspot.com/-H9qfVQXp-V8/Ue1xEsnytrI/AAAAAAAAAUc/8kXTvSowix0/s72-c/HIV+++++++++++++++++++++HIV.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><description>An earlier post on June 19, 2013 delved deeply into the rationale behind the HOPE Legislation currently in the U.S. Congress to permit cautious exploration of the use of HIV +ve donor organs for...&lt;br/&gt;
  7. &lt;br/&gt;
  8. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/XmISXCgQ2hE" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/07/even-more-hope.html</feedburner:origLink></item><item><title>TRANSPLANT JARGON EXPLAINED</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/bPdyVfyM2j0/transplant-jargon-explained.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Fri, 19 Jul 2013 11:28:55 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-6631196647886884834</guid><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><media:content url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/a8L96AM0LtU/Kidney_Proposal_FAQ.pdf" fileSize="102354" type="application/pdf" /><itunes:explicit>no</itunes:explicit><itunes:subtitle>A GLOSSARY OF TRANSPLANT TERMINOLOGY allocation - algorithm for distribution of a deceased donor organallograft - a donor organ from a non-identical member of the same species (e.g., parent to child)autograft - a donor organ from a genetically identical m</itunes:subtitle><itunes:author>[email protected] (Amy L. Friedman)</itunes:author><itunes:summary>A GLOSSARY OF TRANSPLANT TERMINOLOGY allocation - algorithm for distribution of a deceased donor organallograft - a donor organ from a non-identical member of the same species (e.g., parent to child)autograft - a donor organ from a genetically identical member of the same species (e.g., between clones or identical twins)cold ischemia - time between cessation of blood flow to the donor organ and restoration of blood flow during transplantationen bloc - organs that remain anatomically connected (e.g., 2 pediatric kidneys still attached to the aorta and vena cava)DCD - Donor after Circulatory Death is a deceased organ donor whose death was declared based on cessation of cardiac activitydeceased donor - a human being whose organs have been removed after death for the purpose of transplantationdelayed graft function (DGF) - a newly transplanted organ that is alive (receiving blood flow) but has not yet begun to function (e.g., a transplanted kidney that is not yet making urine)donor service area (DSA) - the geographic region that is the smallest unit of organ allocation and is served by one OPOEPTS (estimated post transplant survival) - a formula based on&amp;nbsp;four medical factors about the transplant candidate (age, time on dialysis, presence of diabetes, history of a prior transplant) that determines the statistical likelihood of survival of a patient in comparison to other patients&amp;nbsp;expanded criteria donor (ECD) - a deceased organ donor who meets the UNOS definition of a less than optimal donor because of age, cause of death or medical history. In general, these organs are more vulnerable to all types of transplant related injury than standard criteria organs.graft - organ +/- tissue that is transplantedKDPI - kidney donor profile index is a numerical measure that combines ten dimensions of information about a donor, including clinical information and demographics, to express the quality of the donor kidney relative to other donors.(optn KDPI source info). Ranging from 1-100%, a value of 75% means that this kidney has a relative risk of failing that is higher than 75% of deceased donor kidneys.immunosuppression - pharmacologic or biologic therapy administered to diminish the strength of the response of the immune system import - an organ that has been recovered in a different UNOS region or DSA and transported in to the transplant center and patient. Importanting an organ prolongs the cold ischemia period.LYFT (life years from transplant) - the statistical quality adjusted survival benefit provided by the transplantation of&amp;nbsp;a given organ to a given recipient multi-visceral - a transplant in which more than one abdominal organ is transplanted, usually involving the liver +/- pancreas, duodenum, stomach, small intestineNOTA (National Organ Transplant Act) - federal legislation, P.L. 98-507, &amp;nbsp;enacted in 1984 to address the organ donation shortage and to improve organ matching and placement. The act and its amendments establish the national registry for organ matching and call for a transplant network to be operated by a non-profit organization under federal contract. opo&amp;nbsp;(organ procurement organization) - a private, non-profit organization responsible for increasing donor registration in the assigned donor service area and for coordinating the donation process in the service area hospitals.OPTN (organ procurement and transplantation network) - established by the U.S. congress&amp;nbsp;when it enacted the National Organ Transplant Act (NOTA), this is a unified transplant network to be operated by a private, non-profit organization under federal contract.rejection&amp;nbsp;- recognition and attack of the transplanted organ and tissue by the host's immune systemstandard criteria donor (SCD) - a deceased organ donor who does not meet the UNOS definition of an expanded criteria donor. In general, these organs are most likely to function promptly after transplantation, and most likely to continue functioning for may years.SRTR</itunes:summary><description>A GLOSSARY OF TRANSPLANT TERMINOLOGY
  9. allocation - algorithm for distribution of a deceased donor organallograft - a donor organ from a non-identical member of the same species (e.g., parent to...&lt;br/&gt;
  10. &lt;br/&gt;
  11. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/bPdyVfyM2j0" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/07/transplant-jargon-explained.html</feedburner:origLink><enclosure url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/a8L96AM0LtU/Kidney_Proposal_FAQ.pdf" length="102354" type="application/pdf" /><feedburner:origEnclosureLink>http://optn.transplant.hrsa.gov/ContentDocuments/Kidney_Proposal_FAQ.pdf</feedburner:origEnclosureLink></item><item><title>AMERICAN LEGISLATORS SLOWLY JOINING THE IMMUNOSUPPRESSIVE DRUG COVERAGE EFFORT</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/1O3wCOx31BE/american-legislators-slowly-joining.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Fri, 12 Jul 2013 05:31:26 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-2316114990591831445</guid><media:thumbnail url="http://1.bp.blogspot.com/-XVp1QEY2qEw/Ud_2lB5epFI/AAAAAAAAAUA/1BY1erLZtZ4/s72-c/Legislative+7-12-13.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><description>U.S. congressional efforts are slowly in process, seeking to close the ridiculous catch-22 that ensnares kidney transplant recipients 36 months after transplantation. This bureaucratic trap halts...&lt;br/&gt;
  12. &lt;br/&gt;
  13. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/1O3wCOx31BE" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/07/american-legislators-slowly-joining.html</feedburner:origLink></item><item><title>FACE + HAND TRANSPLANTS : NEW NAME, NEW REGULATORY NICHE</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/Ut5SnwlQ1Fg/face-hand-transplants-new-name-new.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Mon, 08 Jul 2013 17:23:12 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-7077644953911359328</guid><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">10</thr:total><description>Clinical transplantation has moved forward in leaps and bounds, surpassing the speed of the U.S.&amp;nbsp; government in addressing regulatory standards for new transplant types. This is neither an...&lt;br/&gt;
  14. &lt;br/&gt;
  15. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/Ut5SnwlQ1Fg" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/07/face-hand-transplants-new-name-new.html</feedburner:origLink></item><item><title>KIDNEY TRIAGE BECOMING MORE SEVERE</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/TRi3AElmHcM/kidney-triage-becoming-more-severe.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Wed, 03 Jul 2013 13:30:33 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-342902177648925116</guid><media:thumbnail url="http://3.bp.blogspot.com/-egiBvghwDNk/Uc8IefHbPKI/AAAAAAAAATc/3-8c1chffkY/s72-c/Problems+Addressed+With+New+Kidney+Allocation+System.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><description>Acknowledging reality, the Board of Directors of the United Network for Organ Sharing (UNOS)&amp;nbsp; accepted recommended changes to the allocation policy for deceased donor kidneys throughout the U.S....&lt;br/&gt;
  16. &lt;br/&gt;
  17. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/TRi3AElmHcM" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/06/kidney-triage-becoming-more-severe.html</feedburner:origLink></item><item><title>NO GUARANTEE WITH THIS ORGAN</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/lWaLjzSdDss/no-guarantee-with-this-organ.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Mon, 24 Jun 2013 03:50:44 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-877944280404649760</guid><media:thumbnail url="http://4.bp.blogspot.com/-4mw_DhoSguw/UcduT66AAxI/AAAAAAAAAS4/3d3yIPQzzy4/s72-c/Informed+consent.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">0</thr:total><media:content url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/QoAffMi45VY/issueopen.cfm" type="application/pdf" /><itunes:explicit>no</itunes:explicit><itunes:subtitle>Any donated human organ or tissue may harbor an unwanted, undiscovered or unrecognized infection, malignancy or other disease. With the transplant, irregardless of the best intentions and most up to date testing, that disease is donated too and may cause </itunes:subtitle><itunes:author>[email protected] (Amy L. Friedman)</itunes:author><itunes:summary>Any donated human organ or tissue may harbor an unwanted, undiscovered or unrecognized infection, malignancy or other disease. With the transplant, irregardless of the best intentions and most up to date testing, that disease is donated too and may cause serious illness(even death) in a recipient. To minimize this risk, to allow assessment of the risk, and to facilitate informed judgement about whether or not to proceed......in advance of the transplant..... are the objectives. But risk cannot be completely eliminated. The U.S. Centers for Disease Control and Prevention (CDC) has just issued long awaited guidelines for use in preventing the transmission of Hepatitis B (hep B),&amp;nbsp; Hepatitis C (hep C) and HIV through organ transplantation. They are based on currently available evidence and expert opinions, and formally update guidelines last published in 1994. An essential difference between organ donation and blood or tissue donation led to the restriction of these new guidelines only to the former field. In organ donation transplantation must proceed within hours of the procurement of the donated material that might bear infection. In contrast, both blood and tissue are typically recovered, processed and stored for a longer period of time varying from multiple days to even months or longer. During that interval definitive testing and further risk reduction can clearly be performed. This rapid time frame within which results of any laboratory testing must be available so that organ procurement and transplantation are not unduly delayed defines different ground rules than in most medical scenarios. For example, only a few labs throughout the country perform the most specialized testing (nucleic acid testing -NAT) for Hep B, Hep C and HIV with 24/7/365 availability and rapid turn around. Blood samples are typically sent by courier to one of these labs when testing of a deceased donor is required. Of course, these steps do increase the cost of transplantation. A practical approach was, by necessity, taken by the U.S. Public Health Service in developing the guidelines. For example, if one of the test results indicates the presence of&amp;nbsp; Hep B, Hep C or HIV when the virus is really not present (a false positive result), the inappropriate exclusion of the organ donor would be a serious consequence costing&amp;nbsp;one or more lives. The need to balance the potential benefit to be gained from a successful transplant, with the statistical risk of using the possibly infected organ is acknowledged in the guidelines. Thus, it might be reasonable to use a liver from a donor who is suspected of having a false positive test if the liver candidate is at death's door and no other organs are available. But, it would not be reasonable to use the same donor's tissue without clarification of the possible infection. Wisely, these guidelines also delve deeply into the important issue of involving the patient or family (if the patient is unable) through education when transplantation is only a concept, and through full informed consent when the detailed risks and benefits are known. This is a codification of the timing and content of informed consent similar to other approaches in this tightly regulated field. Behavioral factors that increase the donor's risk of infection with Hep B, Hep C or HIV include sex with an infected person in the preceding 12 months, male-male sex within the preceding 12 months, people who have had sex with a person in exchange for money or drugs in the preceding 12 months, people who have had sex with a person who injected drugs in the preceding 12 months, a child &amp;lt; 18 months born to an infected or at risk mother, a child who has been breastfed within the preceding 12 months by an infected or at risk mother, people who injected drugs in the preceding 12 months, people in lockup, jail, prison or a juvenile correctional facility &amp;gt; 72 hours in the preceding 12 months, and people newly diagnosed with a sexually transmit</itunes:summary><description>Any donated human organ or tissue may harbor an unwanted, undiscovered or unrecognized infection, malignancy or other disease. With the transplant, irregardless of the best intentions and most up to...&lt;br/&gt;
  18. &lt;br/&gt;
  19. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/lWaLjzSdDss" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/06/no-guarantee-with-this-organ.html</feedburner:origLink><enclosure url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/QoAffMi45VY/issueopen.cfm" length="-1" type="application/pdf" /><feedburner:origEnclosureLink>http://www.publichealthreports.org/issueopen.cfm?articleID=2975</feedburner:origEnclosureLink></item><item><title>HOPE - A LEGISLATIVE ACT NEEDED IN TRANSPLANTATION</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/ZONrNFrzipo/hope-legislative-act-needed-in.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Wed, 19 Jun 2013 08:14:24 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-4913685256305365164</guid><media:thumbnail url="http://4.bp.blogspot.com/-s-Dzjcxd7b8/UcHJ3t9ovvI/AAAAAAAAASk/TLGmjpkiztE/s72-c/HIV+table.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">84</thr:total><description>U.S. federal law currently prohibits the transplantation of organs from HIV positive donors - a hold over from an early stage in the HIV era.&amp;nbsp;But today many believe that&amp;nbsp;cautious...&lt;br/&gt;
  20. &lt;br/&gt;
  21. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/ZONrNFrzipo" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/06/hope-legislative-act-needed-in.html</feedburner:origLink></item><item><title>FUNDAMENTALS OF ORGAN DONATION</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/yAboSBD_6aU/fundamentals-of-organ-donation.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Sat, 15 Jun 2013 07:33:20 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-7995530758580354240</guid><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><description>Pathways through which people may become organ and tissue donors can be confusing. Pathways to consent for donation (for yourself) while still alive thereby authorizing action upon your own wishes...&lt;br/&gt;
  22. &lt;br/&gt;
  23. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/yAboSBD_6aU" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/06/fundamentals-of-organ-donation.html</feedburner:origLink></item><item><title>NO POLITICS, ONLY GOOD THOUGHTS FOR A RECIPIENT + GRATITUDE  TO A DONOR</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/zur-yV4JVGs/no-politics-only-good-thoughts-for.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Wed, 12 Jun 2013 10:02:39 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-3476104320605495606</guid><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">3</thr:total><description>If an&amp;nbsp;ABCnews&amp;nbsp;report is accurate, Sarah, the young protagonist &amp;nbsp;in the lung allocation controversy is about to have her chance. Apparently, someone has died and given the gift of life...&lt;br/&gt;
  24. &lt;br/&gt;
  25. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/zur-yV4JVGs" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/06/no-politics-only-good-thoughts-for.html</feedburner:origLink></item><item><title>PROFESSIONAL RESPONSE TO PLEAS + DIRECTIVES FOR LUNG TRANSPLANT ACCESS</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/JMPWWiImSgQ/professional-response-to-pleas.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Wed, 12 Jun 2013 05:10:39 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-2701154029678415136</guid><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><media:content url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/e3W_0VkgktU/OPTN_Exec_Comm_mtng_materials_06-10-13.pdf" fileSize="3589732" type="application/pdf" /><itunes:explicit>no</itunes:explicit><itunes:subtitle>Challenged by the public, the legal system, and by recognition of the validity of concerns about possible unfairness to pediatric patients in need of lung transplants, the transplant community has responded rapidly. On Monday, June 10, 2013 the 16 member </itunes:subtitle><itunes:author>[email protected] (Amy L. Friedman)</itunes:author><itunes:summary>Challenged by the public, the legal system, and by recognition of the validity of concerns about possible unfairness to pediatric patients in need of lung transplants, the transplant community has responded rapidly. On Monday, June 10, 2013 the 16 member Executive Committee (and invited guests) of the&amp;nbsp; United Network for Organ Sharing/ Organ Procurement and Transplantation Network (OPTN) convened a meeting by conference call to review data, policies, and input from various sources pertaining to the allocation of organs for lung candidates age 11 or younger. The meeting agenda included: Statement from the American Society of Transplant Surgeons + American Society of TransplantationLetter from the House of Representatives' Doctors' CaucusLetter from Senator Robert Casey&amp;nbsp;Statement from Stephen Harvey, Esquire (attorney for the family of a critically ill pediatric lung candidate)&amp;nbsp;Comments from 3 other Committees (Ethics, Thoracic and Pediatrics)&amp;nbsp; Correspondence with Secretary Sebelius of HHSUNOS data about lung transplantation Current lung allocation policyThe outcome was a unanimous vote to effect an immediate change to policy&amp;nbsp; Policy 3.7.6.4 (Lung Candidates with Exceptional Cases) to permit transplant centers to request prospective review and additional listing (for adult lungs) of pediatric cases age 11 or younger from the Lung Review Board. This policy change will expire on July 1, 2014 pending reconsideration by the entire UNOS/OPTN Board of Directors and additional study and recommendations of the Policy from relevant Committees. This is an example of the system and the transplant community at its finest. A data driven, comprehensive review with input from all stakeholders. Transparency in the processes defined and executed as outlined, and fully shared with the public (follow the links above). Making the best possible judgement while simultaneously acknowledging the tragedies to befall those receiving the short ends of allocation straws. But, it would be so wrong to celebrate a process when the lives of dying patients are at stake. This system does not serve them all. It cannot unless we become more successful in addressing the organ shortage. Register now to be an organ and tissue donor. Become an effective ambassador for this cause and these patients. Join our team.</itunes:summary><description>Challenged by the public, the legal system, and by recognition of the validity of concerns about possible unfairness to pediatric patients in need of lung transplants, the transplant community has...&lt;br/&gt;
  26. &lt;br/&gt;
  27. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/JMPWWiImSgQ" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/06/professional-response-to-pleas.html</feedburner:origLink><enclosure url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/e3W_0VkgktU/OPTN_Exec_Comm_mtng_materials_06-10-13.pdf" length="3589732" type="application/pdf" /><feedburner:origEnclosureLink>http://optn.transplant.hrsa.gov/ContentDocuments/OPTN_Exec_Comm_mtng_materials_06-10-13.pdf</feedburner:origEnclosureLink></item><item><title>JUDICIAL INTRUSION INTO ORGAN TRANSPLANTATION?</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/_x3vKpVjwJM/judicial-intrusion-into-organ.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Mon, 10 Jun 2013 03:25:09 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-3775109568388564461</guid><media:thumbnail url="http://3.bp.blogspot.com/-E3HnDS32EMM/UbVLnvwnmeI/AAAAAAAAASA/8goRvJJavgk/s72-c/Donors+2000-2010.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">7</thr:total><description>Desperate transplant candidates and families caught in the vast organ shortage in the U.S. should not be criticized for turning over every rock in search of a life-saving organ. But they can not all...&lt;br/&gt;
  28. &lt;br/&gt;
  29. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/_x3vKpVjwJM" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/06/judicial-intrusion-into-organ.html</feedburner:origLink></item><item><title>COMPELLING PATIENT WITH A POIGNANT STORY</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/zBk2yw4MAw8/compelling-patient-with-poignant-story.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Thu, 06 Jun 2013 08:11:05 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-6552115505637011276</guid><media:thumbnail url="http://1.bp.blogspot.com/-TWAqnBjuFAA/UbB9i7o8fTI/AAAAAAAAARo/fJ_cvtRb2G8/s72-c/Slide1.JPG" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">20</thr:total><description>The moving story describes a person desperately in need of an organ transplant(s) that may not happen in sufficient time to avert death. We learn that&amp;nbsp; (first name) (last name)&amp;nbsp; is ____...&lt;br/&gt;
  30. &lt;br/&gt;
  31. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/zBk2yw4MAw8" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/06/compelling-patient-with-poignant-story.html</feedburner:origLink></item><item><title>RESPONSIBLE JOURNALISM WANTED: DEAD OR ALIVE - NOT BOTH</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/V-aa0ShJOg4/responsible-journalism-wanted-dead-or.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Fri, 31 May 2013 04:32:47 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-5077103069465557045</guid><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">13</thr:total><description>Determining that a human being has died is not an arbitrary process. It does not happen solely on the assessment(s) of untrained observers. And importantly, it does not necessarily follow the...&lt;br/&gt;
  32. &lt;br/&gt;
  33. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/V-aa0ShJOg4" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/05/responsible-journalism-wanted-dead-or.html</feedburner:origLink></item><item><title>UPDATE: SIGNIFICANT CONGRESSIONAL PROGRESS ON IMMUNOSUPPRESSION CATCH-22</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/6RPi2DM-IFM/update-significant-congressional.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Mon, 27 May 2013 08:24:26 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-4283938140077306321</guid><media:thumbnail url="http://4.bp.blogspot.com/-RwnBmLKymoE/UaN4zc9dUNI/AAAAAAAAAQw/XpmrHE03x4s/s72-c/Drug+Coverage+Chart.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><description>Progress in Congress is exciting. Slow progress is better than none. The awful immunosuppressive drug Catch-22 that limits Medicare coverage of the anti-rejection drugs for renal transplant...&lt;br/&gt;
  34. &lt;br/&gt;
  35. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/6RPi2DM-IFM" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/05/update-significant-congressional.html</feedburner:origLink></item><item><title>NOW A LIFE IS SAVED WITH AN EMERGENCY FACE TRANSPLANT IN POLAND</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/MymILAm0Edk/now-life-is-saved-with-emergency-face.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Thu, 23 May 2013 12:52:21 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-4297094363142689782</guid><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">5</thr:total><description>What happens when the center of your face and skull are suddenly destroyed by a machine meant to cut stone.......and you don't die.&amp;nbsp;Amazingly, Grzegorz was kept alive by healthcare teams in...&lt;br/&gt;
  36. &lt;br/&gt;
  37. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/MymILAm0Edk" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/05/now-life-is-saved-with-emergency-face.html</feedburner:origLink></item><item><title>IS FOCUSING ON "PATIENT SURVIVAL" REALLY IN OUR PATIENTS' BEST INTERESTS?</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/Xkl1GbDZADQ/is-focusing-on-patient-survival-really.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Fri, 17 May 2013 10:14:46 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-9036311848438510228</guid><media:thumbnail url="http://2.bp.blogspot.com/-3CTSe8qQsas/UZYOi4hpOGI/AAAAAAAAAQQ/bZff7F4Yn80/s72-c/Patient+Survival.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">4</thr:total><media:content url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/Ybek1n_pr_g/OPTN_Bylaws.pdf" fileSize="2043915" type="application/pdf" /><itunes:explicit>no</itunes:explicit><itunes:subtitle>Healthcare stakeholders are "buzzing" about the QUALITY of healthcare - rightfully so. As in other arenas, excellence is easily recognized and can be magnificent but is difficult to achieve. A central issue in the ongoing discussion is how to measure and </itunes:subtitle><itunes:author>[email protected] (Amy L. Friedman)</itunes:author><itunes:summary>Healthcare stakeholders are "buzzing" about the QUALITY of healthcare - rightfully so. As in other arenas, excellence is easily recognized and can be magnificent but is difficult to achieve. A central issue in the ongoing discussion is how to measure and describe points along the Quality spectrum with sufficient accuracy for patients, payers and providers themselves to make decisions based on the results.&amp;nbsp; How do we deliver care? When do we deliver care (is it timely?)? Are &amp;nbsp;the outcomes of care are what they should be? &amp;nbsp;Even whether end of life care was compassionate and competent are some of the questions being asked. In the field of transplantation, even the most basic outcome measure - Patient Survival 1 Year Following Transplantation -&amp;nbsp; already in use by United Network for Organ Sharing (UNOS)&amp;nbsp; and Center for Medicare and Medicaid Services (CMS) (and virtually all healthcare payers) to determine whether or not transplant centers meet regulatory expectations, has multiple imperfections as a quality measure. Let's examine why use of the 1 Year Patient Survival measure to assess the quality of care at a specific transplant center is so tricky. If an imaginary center called the "Chimera Center" has a 1 Year Patient Survival for liver transplants of 100%, it would appear to be doing an excellent job, right? In fact, to achieve that rate, the Chimera team may have turned down patients that were quite sick and, they feared, had too high a likelihood of not surviving the transplant. But, at least some of these patients would likely have been considered acceptable candidates at other transplant centers, and were therefore being denied access to transplantation. Similarly, the Chimera team may have been too "selective" about which organs they accepted for transplantation - again denying patients adequate access to transplantation. The (mythical) Chimera team that appears to deliver outstanding quality liver transplantation might also be loathe to participate in clinical trials of new drugs or therapies for their patients because of potential adverse impact on their center's patient survival rates. So, unfortunately, the regulatory focus on patient survival rates tends to impede clinical research that may offer advances in transplantation. If the Chimera Center's most recent 1 Year Patient Survival rate was significantly below the expected rate, any of the factors discussed above may have been responsible. However, it is also possible that the transplants were not well performed, the care during the first post-transplant year was sub-optimal, or there was a combination of both issues. Regardless, changes would be required within the Center's approaches. But, now the Center will have difficulty persuading payers to allow subsequent transplants to be performed at Chimera. This negative selection bias will drive away the best quality patients (however that is measured) and tend to leave the sickest patients for transplantation at Chimera. The Center will therefore be facing a major uphill battle to re-establish a good 1 Year Patient Survival Rate even if all of the appropriate changes have been implemented. Local patients will still have limited access to transplantation because of the challenges of traveling to remote centers and the issues facing Chimera. This issue of clinical data measurement is front and center in the field of clinical transplantation. The annual American Transplant Congress is about to begin in Seattle, Washington. Stay tuned for updates on this and other topics in subsequent posts. </itunes:summary><description>Healthcare stakeholders are "buzzing" about the QUALITY of healthcare - rightfully so. As in other arenas, excellence is easily recognized and can be magnificent but is difficult to achieve. A...&lt;br/&gt;
  38. &lt;br/&gt;
  39. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/Xkl1GbDZADQ" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/05/is-focusing-on-patient-survival-really.html</feedburner:origLink><enclosure url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/Ybek1n_pr_g/OPTN_Bylaws.pdf" length="2043915" type="application/pdf" /><feedburner:origEnclosureLink>http://optn.transplant.hrsa.gov/ContentDocuments/OPTN_Bylaws.pdf#nameddest=Appendix_D</feedburner:origEnclosureLink></item><item><title>TISSUE ENGINEERED KIDNEYS + TRACHEA ARE NEW ON THE BLOCK</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/2o1Mwvx9NgA/tissue-engineered-kidneys-trachea-are.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Mon, 06 May 2013 03:43:20 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-3415828437202049877</guid><media:thumbnail url="http://2.bp.blogspot.com/-CvS-t6ixwZo/UYeHxouZnKI/AAAAAAAAAPc/wFNeDDOpqk4/s72-c/Tissue+engineering.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">4</thr:total><description>Tissue engineers strive to construct whole organs for clinical reconstruction or transplantation from components that did not naturally co-exist or may not even be natural. The world has been in a...&lt;br/&gt;
  40. &lt;br/&gt;
  41. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/2o1Mwvx9NgA" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/05/tissue-engineered-kidneys-trachea-are.html</feedburner:origLink></item><item><title>WHY TRANSPLANT A UTERUS?</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/c7ZMiyCYHzQ/why-transplant-uterus.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Thu, 02 May 2013 13:38:09 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-6895944038870237402</guid><media:thumbnail url="http://3.bp.blogspot.com/-FpoWsFj5Z0k/UYKjDE_dVJI/AAAAAAAAAOI/hRaTe_Ebekg/s72-c/Uterus+transplant+pub.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">2</thr:total><description>Roughly half of humanity does just fine without a uterus. The rest of us only experience function during a minor (approximately 12 -48 years of age) portion of our life cycle. While even those years...&lt;br/&gt;
  42. &lt;br/&gt;
  43. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/c7ZMiyCYHzQ" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/05/why-transplant-uterus.html</feedburner:origLink></item><item><title>CITIZEN ACTION NEEDED TO HELP KIDNEY PATIENTS - AGAIN</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/zOXlQBf_7Lo/citizen-action-needed-to-help-kidney.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Sun, 28 Apr 2013 19:30:08 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-3942428572056513514</guid><media:thumbnail url="http://1.bp.blogspot.com/-2rAOdGNjuEI/UX1DiUyEIcI/AAAAAAAAANU/nqjUzN54Lmc/s72-c/House+progress.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><description>U.S. kidney transplant patients are caught in a political/fiscal Catch-22 that leads to cessation of Medicare coverage for their anti-rejection medications at approximately $10,000 to 20,000 per...&lt;br/&gt;
  44. &lt;br/&gt;
  45. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/zOXlQBf_7Lo" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/04/citizen-action-needed-to-help-kidney.html</feedburner:origLink></item><item><title>&lt; SIX DEGREES OF TRANSPLANT</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/0ngzY3lGcrw/six-degrees-of-transplant.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Thu, 25 Apr 2013 06:02:01 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-4180400136575901033</guid><media:thumbnail url="http://1.bp.blogspot.com/-xYHIGinT37Q/UXgp9H5alJI/AAAAAAAAAM8/uX69rnR4h4U/s72-c/Six+Degrees+jpg.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">1</thr:total><description>Organ donation and transplantation have steadily become so intertwined with the cultures of the developed world that it is difficult NOT to find connections to our own lives. Just this weekend while...&lt;br/&gt;
  46. &lt;br/&gt;
  47. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/0ngzY3lGcrw" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/04/six-degrees-of-transplant.html</feedburner:origLink></item><item><title>Transplants Bridge Divides </title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/30_QjRJTqzM/transplants-bridge-divides.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Thu, 18 Apr 2013 06:01:03 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-3380925323424653493</guid><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">16</thr:total><description>A 16 year old Pakistani girl received an urgent live donor liver transplant in India two months ago. Previously an Israeli suicide bombing victim donated a kidney to a Palestinian woman. Conversely,...&lt;br/&gt;
  48. &lt;br/&gt;
  49. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/30_QjRJTqzM" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/04/transplants-bridge-divides.html</feedburner:origLink></item><item><title>Now the US Will Use Prisoners' Organs Too!</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/M2EPp1-wHBo/now-us-will-use-prisoners-organs-too.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Mon, 15 Apr 2013 08:55:35 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-252771549486136383</guid><media:thumbnail url="http://3.bp.blogspot.com/-O92bCKJD1dE/UWtjgG8Gw3I/AAAAAAAAAMc/UCRfzcY2lCM/s72-c/Reality.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">6</thr:total><media:content url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/wFImok9NzDw/hb0026.pdf" fileSize="25226" type="application/pdf" /><itunes:explicit>no</itunes:explicit><itunes:subtitle>News stories of "donated" organs from executed Chinese prisoners being transplanted have horrified the transplant community because of concern about the lack of donor consent and other corollary ethical issues. Now comes news from the first of our fifty s</itunes:subtitle><itunes:author>[email protected] (Amy L. Friedman)</itunes:author><itunes:summary>News stories of "donated" organs from executed Chinese prisoners being transplanted have horrified the transplant community because of concern about the lack of donor consent and other corollary ethical issues. Now comes news from the first of our fifty states to have torn down legal obstacles to the same practice. On March 28th, Utah's governor Gary Herbert signed legislation, H.B. 26, that expressly permits prisoners to make anatomical gifts if the inmate dies while in the custody of the Department of Corrections. Death row inmates are not excluded. With passage of the bill, the names of 247 inmates who expectantly signed organ donation documents have been added to the state donor registry according to JoNel Aleccia, writing for NBC news. Pro arguments for the use of prisoners' organs include the desperate need for more organs to stem 18 deaths per day on the U.S. wait list for transplants. And why should commitment of a crime serious enough to land a person in jail necessarily imply an inability to give informed consent for organ (and tissue) donation? Should inmates really be denied the right to make one or more altruistic acts upon their death? Is the notion of reforming a human's ability to behave honorably a complete lost cause? Con arguments abound as well. Today, we would consider any prisoners' organs to fall within the definition of "CDC high risk" because of the increased prevalence of HIV infection. Would a jury and judge feel more at ease sentencing a defendant to death knowing that organ donation was already checked off on the driver's license? Reality can be unpleasantWithout absolute answers to any of these questions, a practical issue arises. Once an organ recovered from a Utah prisoner organ enters the national UNOS system, it will be allocated to a patient somewhere in the U.S. That patient may be located outside of the state of Utah. Similarly, tissue may be distributed throughout Utah, Idaho, Wyoming or Nevada, according to the Intermountain Donor Services 2012 Annual Report. The anonymity that is intrinsic to both organ and tissue donation systems assures that recipients will not be informed that their anatomic gifts were donated by a prisoner, regardless of their state of residence. Thus, passage of the Utah law implies that the entire U.S.&amp;nbsp; is now engaged in the practice of using organs from prisoners. Reality can be unpleasant. The organ shortage is terrible. Commission of a crime serious enough to land a person in prison merits serious punishment. So long as transparency is retained within a system that requires informed consent of donors and recipients, this new law may be an important step forward for inmates and transplant candidates. Utah has dragged the entire U.S. into an ethically challenging arena. The implications must be clarified and openly acknowledged. Alternatives are not readily apparent, especially to those who can expect to die waiting for organs not otherwise available.</itunes:summary><description>News stories of "donated" organs from executed Chinese prisoners being transplanted have horrified the transplant community because of concern about the lack of donor consent and other corollary...&lt;br/&gt;
  50. &lt;br/&gt;
  51. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/M2EPp1-wHBo" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/04/now-us-will-use-prisoners-organs-too.html</feedburner:origLink><enclosure url="http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~5/wFImok9NzDw/hb0026.pdf" length="25226" type="application/pdf" /><feedburner:origEnclosureLink>http://le.utah.gov/~2013/bills/hbillenr/hb0026.pdf</feedburner:origEnclosureLink></item><item><title>Every Transplant Surgeon's Learning Curve</title><link>http://feedproxy.google.com/~r/WhatsHot/WhatsNew/~3/AfUvA_sWGoI/every-transplant-surgeons-learning-curve.html</link><author>[email protected] (Amy L. Friedman)</author><pubDate>Wed, 10 Apr 2013 04:15:59 PDT</pubDate><guid isPermaLink="false">tag:blogger.com,1999:blog-3793985196458137403.post-8718093956058190312</guid><media:thumbnail url="http://3.bp.blogspot.com/-Kw4KO7msSiI/UWONrfNznWI/AAAAAAAAAMI/0mNwL01ahDk/s72-c/Learning+Curve.jpg" height="72" width="72" /><thr:total xmlns:thr="http://purl.org/syndication/thread/1.0">14</thr:total><description>Who should be selected to perform a transplant, a surgeon who has performed 100 prior transplants or one with the experience of 500 previous cases? Most of us would indicate that the more experienced...&lt;br/&gt;
  52. &lt;br/&gt;
  53. Who knew how many ways donation + transplantation would pique your interest, be on the cutting edge of science and medicine, and be so intriguing? Follow this blog to stay up to date.&lt;img src="http://feeds.feedburner.com/~r/WhatsHot/WhatsNew/~4/AfUvA_sWGoI" height="1" width="1" alt=""/&gt;</description><feedburner:origLink>http://transplantexpert.blogspot.com/2013/04/every-transplant-surgeons-learning-curve.html</feedburner:origLink></item><media:rating>nonadult</media:rating></channel></rss>
  54.  
Copyright © 2002-9 Sam Ruby, Mark Pilgrim, Joseph Walton, and Phil Ringnalda