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Lost in transplantation
Imagine you’ve been granted a coveted spot on a waitlist for a new organ, such as a kidney. You spend months waiting anxiously, then the call comes: Your turn.
Drop what you’re doing. Get to the hospital. Get prepped for surgery. Get put under.
Except when you wake up from anesthesia, your situation hasn’t changed. There’s no new kidney. Your new lease on life, you’re told, was lost in transit.
On this week’s episode, we teamed up with Kaiser Health News for a close look at the complex world of organ transportation: what can go wrong, and what could be working better.
Because organ transportation is not a centralized system, no government agency keeps a definitive, comprehensive set of records. But one national coordination center, the United Network for Organ Sharing (UNOS), has data that offer an unprecedented glimpse of the system and its shortcomings.
Out of just over 8,800 UNOS shipments of organs and tissue over roughly four years, more than 7% had transportation problems. Nearly 170 organs never got transplanted, and almost 370 were delayed between two and 12 hours.
In a system where any logistical failure is widely considered unacceptable, this rate of failure shocked doctors that Kaiser Health News reporters interviewed.
“Some of these organs wind up getting trashed,” said Dr. Christie Gooden, a transplant surgeon in Dallas. “That’s just ridiculously frustrating. We have way too many people on the list, way too many people waiting to lose an organ just because of logistics.”
Read more: Lifesaving Organs Go Missing in Transit
Also in the episode …
“Honor walks” are a new ritual being adopted by hospitals across the U.S. to pay tribute to organ donors. After a person has died and before their organs are recovered, hospital staff, friends and acquaintances line the hallways to pay tribute. Amid what for many families is a disastrous, unexpected loss, it’s a simple but powerful ritual. Watch one here.
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