In New Mexico, a woman was subjected to days of preparation for donation, even after her family said that she seemed to be regaining consciousness, which she eventually did. In Florida, a man cried and bit on his breathing tube but was still withdrawn from life support. In West Virginia, doctors were appalled when coordinators asked a paralyzed man coming off sedatives in an operating room for consent to remove his organs.
Stories like these have emerged as the transplant system has increasingly turned to a type of organ removal called donation after circulatory death. It accounted for a third of all donations last year: about 20,000 organs, triple the number from five years earlier.
Most donated organs in the United States come from people who are brain-dead — an irreversible state — and are kept on machines only to maintain their organs.
Circulatory death donation is different. These patients are on life support, often in a coma. Their prognoses are more of a medical judgment call.
They are alive, with some brain activity, but doctors have determined that they are near death and won’t recover. If relatives agree to donation, doctors withdraw life support and wait for the patient’s heart to stop. This has to happen within an hour or two for the organs to be considered viable. After the person is declared dead, surgeons go in.
This one’s a bit brutal for morning coffee. You might want to wait a few hours to read it.
Dr. Heidi Klessig: The body you give away for free is worth around $5 million in billable charges.