Transplant Surgery Quotes

Resigned to the fact that surgery advances faster than social norms, I had my eyes transplanted to my nipples. Finally, you saw me.   *

Of the many 'firsts' with which I have been involved at the Texas Heart Institute —including the first successful human heart transplant in the United States and the first total artificial heart transplant in the world—the achievement that may have the greatest impact on health care did not occur in the operating room or in the research laboratory. It happened on a piece of paper... when we created the first-ever packaged pricing plan for cardiovascular surgical procedures.

The sick suffer alone, they undergo procedures and surgeries alone, and in the end, they die alone. Transplant is different. Transplant is all about having someone else join you in your illness. It may be in the form of an organ from a recently deceased donor, a selfless gift given by someone has never met you, or a kidney or liver from a relative, friend or acquaintance. In every case, someone is saying, in effect, “Let me join you in the recovery, your suffering, your fear of the unknown, your desire to become healthy, to get your life back. Let me bear some of your risk with you.

My eyes focused on the chart that hung on the wall behind him. It was a diagram of the human heart, with detailed renderings of the muscle and tissue, and I immediately thought how fortunate I would be to have something as simple as a heart problem. There were surgeries for that. Clinically proven medications to prescribe. Transplants, even. Labels identified the organ's components in words like chamber, ventricle, atrium, valve. It all looked so simple. Like the parts of a machine. But the human brain was like the uncharted depth of the oceans. Science was still wading around in the shallows.

A heart kept on ice can be transplanted up to four hours after death. A liver, ten. A particularly good kidney will last twenty-four hours, and sometimes as long as seventy-two if doctors use the right equipment after surgery. This is known as the “cold ischemic time.” Consider it the five-second rule, but for organs.

We also had some fun with another hard-drinking and know-it-all reporter from one of the ‘red top’ tabloids. I solemnly informed him that his luck was in, because one of our trainee surgeons was a real wizard at organ transplantion. We told him that, if he was shot through the belly, we would try to exchange his worn-out liver for a new one – and then he could start his prodigious drinking career all over again. While that was sinking in, we even asked if he had any objection to receiving an Argentine donor organ if one became available. It was all a bit of military black humour of course, but the poor chap went white-faced, and tried to make me swear on the Bible that I’d never arrange such a procedure, and would finish him off with a lethal injection instead. Transplant surgery in a Forward Dressing Station? Come alongside, Jack…

As an LA transplant the concept of being fake was still a bit lost on me. Don’t get me wrong. I was familiar with fake tans, fake nails and of course fake boobs having already undergone my breast enhancement surgery but I didn’t have any idea how insincere and calculated people can be. It never dawned on me that the girls I was about to be spending a lot of time with had ulterior motives beyond simply being friendly and that all of their encouragement was just for show. As I’d come to learn, they saw me as a useful pawn in their twisted game of Playboy chess.

You’re just living a normal life — never been sick, never been unhealthy, and all of a sudden you are fighting for your life. And this is happening to individuals every day,” Thomas said. The infection went to her blood stream and bone marrow and caused septic shock and organ failure. After undergoing multiple surgeries including a bone-marrow transplant and a “never-ending cycle of antibiotics,” she survived the ordeal.1​➔​ Thomas survived relatively intact. Some don’t, losing limbs in a desperate bid to stop the infection from spreading and then living permanently debilitated lives. Others aren’t even that “lucky.” Denis

In March 2002, the National Academy of Sciences, a private, nonprofit society of scholars, released a high-profile report documenting the unequivocal existence of racial bias in medical care, which many thought would mark a real turning point. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care was so brutal and damning that it would seem impossible to turn away. The report, authored by a committee of mostly white medical educators, nurses, behavioral scientists, economists, health lawyers, sociologists, and policy experts, took an exhaustive plunge into more than 480 previous studies. Because of the knee-jerk tendency to assume that health disparities were the end result of differences in class, not race, they were careful to compare subjects with similar income and insurance coverage. The report found rampant, widespread racial bias, including that people of color were less likely to be given appropriate heart medications or to undergo bypass surgery or receive kidney dialysis or transplants. Several studies revealed significant racial differences in who receives appropriate cancer diagnostic tests and treatments, and people of color were also less likely to receive the most sophisticated treatments for HIV/AIDS. These inequities, the report concluded, contribute to higher death rates overall for Black people and other people of color and lower survival rates compared with whites suffering from comparable illnesses of similar severity.

The impact of second-class treatment on black people’s bodies is devastating. It is manifested not only in the black–white death gap but also in the drastic measures required when chronic disease is left unmanaged. Black patients are less likely than whites to be referred to kidney and liver transplant wait lists and are more likely to die while waiting for a transplant.68 If they are lucky enough to get a donated kidney or liver, blacks are sicker than whites at the time of transplantation and less likely to survive afterward. “Take a look at all the black amputees,” said a caller to a radio show I was speaking on, identifying the remarkable numbers of people with amputated legs you see in poor black communities as a sign of health inequities. According to a 2008 nationwide study of Medicare claims, whites in Louisiana and Mississippi have a higher rate of leg amputation than in other states, but the rate for blacks is five times higher than for whites.69 An earlier study of Medicare services found that physicians were less likely to treat their black patients with aggressive, curative therapies such as hospitalization for heart disease, coronary artery bypass surgery, coronary angioplasty, and hip-fracture repair.70 But there were two surgeries that blacks were far more likely to undergo than whites: amputation of a lower limb and removal of the testicles to treat prostate cancer. Blacks are less likely to get desirable medical interventions and more likely to get undesirable interventions that good medical care would avoid.

The procedure works along the same principles as a probiotic, but rather than adding just one strain of bacteria, or even 17, it adds all of them. It's an ecosystem transplant-an attempt to fix a faltering community by completely replacing it, like returfing a lawn that's overrun by dandelions. Khoruts showed this process at work by collecting stool samples from Rebecca before and after her transplant. Beforehand, her gut was a mess. The C-diff infection had completely restructured her microbiome, creating a community that "looked like something that doesn't exist in nature-a different galaxy", says Khoruts. Afterwards, her microbiome was indistinguishable from her husband's. His microbes had stormed into her dysbiotic gut and reset it. It was almost as if Khoruts had done an organ transplant, throwing out his patient's diseased and damaged gut microbiome and replacing it with the donor's shiny new one. This makes the microbiome the only organ that can be replaced without surgery.

To have lost her husband, faced a terminal illness, then to have gone through transplant surgery and come out the other side still believing in love was amazing.

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This is why I love the field of transplant. Since I began taking care of sick people, I have noticed that one of the hardest things about getting sick, really sick, is that you are separated from the people you love. Even when families are dedicated to the patient, illness separates the well from the sick. The sick suffer alone, they undergo procedures and surgeries alone, and in the end, they die alone. Transplant is different. Transplant is all about having someone else join you in your illness. It may be in the form of an organ from a recently deceased donor, a selfless gift given by someone who has never met you, or a kidney or liver from a relative, friend, or acquaintance. In every case, someone is saying, in effect, “Let me join you in your recovery, your suffering, your fear of the unknown, your desire to become healthy, to get your life back. Let me bear some of your risk with you.

From World War II onward, the picture shifted radically. Sulfa, penicillin, and then numerous other antibiotics became available for treating infections. Drugs to control blood pressure and treat hormonal imbalances were discovered. Breakthroughs in everything from heart surgery to artificial respirators to kidney transplantation became commonplace. Doctors became heroes, and the hospital transformed from a symbol of sickness and despondency to a place of hope and cure.

Why?” I asked him quietly. “Why were you taking essence from the boy?” “H-he… He had so much. I didn’t think it would hurt him and I…” He cringed back from me as he spoke the last words. “I…needed to grow some hair.” I blinked my eyes slowly. Twice. “Did you say…hair?” “Rogaine didn’t work!” he all but wailed. “And that transplant surgery wasn’t viable for my hair and skin type!” He bowed his head and ran fingertips through his thick head of hair. “Look, see? Look how well it’s come in. But if I don’t maintain it…” “You…used black magic. To grow hair.” “I…” He looked everywhere but at me. “I tried everything else first. I never meant

the case of Nelene Fox. Fox was from Temecula, California, and was diagnosed with metastatic breast cancer in 1991, when she was thirty-eight years old. Surgery and conventional chemotherapy failed, and the cancer spread to her bone marrow. The disease was terminal. Doctors at the University of Southern California offered her a radical but seemingly promising new treatment—high-dose chemotherapy with bone marrow transplantation. To Fox, it was her one chance of cure. Her insurer, Health Net, denied her request for coverage of the costs, arguing that it was an experimental treatment whose benefits were unproven and that it was therefore excluded under the terms of her policy. The insurer pressed her to get a second opinion from an Independent medical center. Fox refused—who were they to tell her to get another opinion? Her life was at stake. Raising $212,000 through charitable donations, she paid the costs of therapy herself, but it was delayed. She died eight months after the treatment. Her husband sued Health Net for bad faith, breach of contract, intentional infliction of emotional damage, and punitive damages and won. The jury awarded her estate $89 million. The HMO executives were branded killers. Ten states enacted laws requiring insurers to pay for bone marrow transplantation for breast cancer. Never mind that Health Net was right. Research ultimately showed the treatment to have no benefit for breast cancer patients and to actually worsen their lives. But the jury verdict shook the American insurance industry. Raising questions about doctors’ and patients’ treatment decisions in terminal illness was judged political suicide.

The Lord tells us in the book of Ezekiel that, “I will give you a new heart and put a new spirit in you; I will remove from you your heart of stone and give you a heart of flesh” (Ezek. 36:26, NIV). God removed the old, hardened heart that was cold and unloving. He gave you in its place a new, tender, touchable heart. Now, wouldn’t God be a cruel masochist if your entire life were a long, bloody open-heart surgery, where He removed your heart bit by bit? This heart transplant was a one-time transaction. The old is gone; the new has come.

Cardiac surgery, to me, is very black and white. If you do a good job, the patients do fine. If you don’t, they die.