There’s a moment after a successful transplant when it can look like the story is over. The failing organ is gone. The donated organ is working. The recipient survived. Eventually, there may be pictures of them smiling. Going home. Returning to work. Celebrating a transplant anniversary. Living again. From the outside, it can look like: They’re fixed. But there’s something important to understand about organ transplantation: A transplant can save your life without ending your medical story. The Body Knows It Isn’t Yours A transplanted organ may be exactly what someone needs to stay alive. But the recipient’s immune system doesn’t understand the story behind it. It doesn’t know about the donor. It doesn’t understand the gift. It doesn’t know that this organ is the reason its owner is still alive. It recognizes something foreign. And its natural response can be to attack and kill it. That is rejection. So transplant recipients need medications that suppress (fool) the immune system and h...
Someone said yes. Maybe that person registered as an organ donor years earlier. Maybe a family is now honoring the decision their loved one made. Maybe a family, in the middle of an unimaginable loss, has been asked to consider donation. However that moment arrives, we often talk about the yes as though it is the end of the story. It isn’t. In many ways, it is the beginning of an extraordinary chain of events. Because a decision to donate does not mean doctors simply remove an organ, find someone who needs it and perform a transplant. What happens between donation becoming possible and another person receiving an organ involves evaluation, coordination, matching, medical judgment, transportation and teams of people working within very real time constraints. UNOS First, Donation Has to Be Possible Not everyone who wants to donate will ultimately be able to donate organs. Medical professionals evaluate a potential donor to determine whether organ donation is medically possible and which...