Living Renal Donation

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The Benefits, Risks, Gifts, Sacrifices and Curious Events
That Lead to Living Renal Donation
Kidney organ donation is a hot topic these days due to the fact that so many End-Stage Renal Failure Patients are dying while waiting for a living or deceased transplant. The big questions, should healthy adults become living kidney donors to complete strangers? Should a healthy adult family member become a living kidney donor to a friend or family member? If a loved one is an organ donor upon their death, should their wishes be fulfilled? The following will help clarify some of the questions, concerns and misnomers with living organ donation, specifically living renal donation while the medical community is divided on this topic as renal patients lose their lives waiting for a deceased donor, many lives could be saved if more people stepped forward and became living organ donors. How can being educated highlight the need for living and deceased organ donation which will allow a longer and sustainable life for a recipient in End Stage Renal Failure? Most people are not aware that a healthy adult can donate one of their native kidneys to a family member or a stranger and still lead a happy healthy life with one kidney. This is not to say that everyone should just start giving away their kidneys, however, it does make you stop and think about becoming an organ donor should a relative or close friend be in need. Advances in education and medicine are common similarities in the authors POV. M.D. Stegall in “A Curious Chain of Events” acknowledges that chain transplants or PKD can save certain death of renal patients on dialysis whereby granting them an allograft donor kidney bypassing the long wait on the UNOS deceased donor list. This impact of removal from UNOS also allows another potential recipient to be moved up on the UNOS list. Alison Tierney states in “Gift or Sacrifice”, the need for further education for patients’ families with End Stage Renal Disease. Many potential recipients are unable to receive a kidney due to the deceased families’ denial of a kidney out of fear (Tierney). Julie R. Ingelfinger discusses the changes in medical testing and immunosuppression drugs since the first kidney transplant in the 1950’s. She goes on to explain that the use of PKD is a winning situation for both the recipient and the donor. Again, appealing to emotion, she explains the emotional and physical side of organ donation (Ingelfinger). I agree with both the emotional and educational side of organ donation. Knowing the hows and whys of kidney donation can help make a donorhelp someone obtain a kidney as well as dealing with the emotional side of the debate Often, donating a kidney to a family member or close friend is out of necessity, however, different emotions come into play when the donation is to a stranger (Ingelfinger). Donating through PKD allows a stranger to receive your kidney and in return your loved one will receive their kidney as well. This is a winning situation for everyone involved.

Julie R. Ingelfinger states in “Risks and Benefits” published in The New England Journal of Medicine that advances in immunosuppression drugs along with paired kidney donation (PKD) (which matches one incompatible recipient and donor pair in the same circumstance) alleviate the long wait for a deceased transplant and need for dialysis allowing recipients to receive a living transplant (Ingelfinger). Alison J. Tierney, Editor in Chief at The Journal of Advanced Nursing and M. D. Stegall comments in “A Curious Chain of Events” published in the American Journal of Transplantation also agree that living organ donation needs to be a more common practice (Tierney 125). However, Tierney is basing her comments and opinions on an article and audit that took place in Scotland and a registry in Spain. She isn’t using scientific data, but relying on the emotional appeals of patients families whereas, M. D. Stegall based his commentary...
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