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Organ Donation

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  • Registered Users, Registered Users 2 Posts: 8,097 ✭✭✭Hitchens


    Doctors at St. Joseph's hospital in Central New York were in the process of starting surgery to harvest a dead woman's organs when that woman opened her eyes. She was still alive.

    Read more: http://www.dailymail.co.uk/news/article-2358597/Woman-opened-eyes-doctors-New-York-hospital-began-organs-donation-believing-brain-dead.html

    even though a nurse had told them she had responded to stimuli they still were going ahead with the "harvest" :eek:


  • Moderators, Recreation & Hobbies Moderators, Science, Health & Environment Moderators, Technology & Internet Moderators Posts: 95,031 Mod ✭✭✭✭Capt'n Midnight


    Hitchens wrote: »
    Doctors at St. Joseph's hospital in Central New York were in the process of starting surgery to harvest a dead woman's organs when that woman opened her eyes. She was still alive.

    Read more: http://www.dailymail.co.uk/news/article-2358597/Woman-opened-eyes-doctors-New-York-hospital-began-organs-donation-believing-brain-dead.html

    even though a nurse had told them she had responded to stimuli they still were going ahead with the "harvest" :eek:
    There are stories of people being found alive in morgues, sh*t happens.

    But this is why we should have an opt-out system. I don't have the exact stats but most people waiting for an organ will die on the waiting list so there is an unnecessary pressure to harvest organs because it will save other lives.

    In the US some doctors / hospitals make too much money on the shortage of organs :mad:
    Also I would be truly shocked if those doctors were using checklists ( this is a no brainer and should be mandatory here for all surgery )


  • Closed Accounts Posts: 12,468 ✭✭✭✭OldNotWIse


    I'm undecided if its for me. I'm fairly pickled now :/

    I definitely think it should be opt in.

    Opt out is a violation of the constitutional right to bodily integrity. We should not have to take any positive action in order to assert such a right.

    I wouldnt like if Trocaire decided to take money from my ac every week, placing an onus on me to go to the bank and fill out forms to opt out of paying.

    That said, numbers should be higher. More needs to be done to encourage people to donate, but an opt out system is not the way to go imo.

    One thing that does freak me out (and I know its necessary for prompt harvest) is how those harvesting are so...well...prompt. They just remind me of vultures or something. I know thats horrible but like, if someone you love is dying do you really want people hovering around with forms etc waiting for their bit?


  • Posts: 50,630 ✭✭✭✭ [Deleted User]


    In the US some doctors / hospitals make too much money on the shortage of organs :mad:
    Also I would be truly shocked if those doctors were using checklists ( this is a no brainer and should be mandatory here for all surgery )

    "Time Out" is used in Ireland prior to surgery. Time out wouldn't have helped in this instance though. This should have been picked up before the patient was even prepped for Theatre. It's shocking that it happens, but I would be quite confident it is very unlikely in Ireland (thought nothing is impossible).

    I had to give permission to turn off a life support machine once. Those "what if" thoughts always sit at the back of your mind to some degree. However, the amount of time we had to wait for all the tests and scans, the time we had to wait for all of the sedatives to be cleared from the system to ensure proper test results. It seemed like a lifetime to wait at the time but it sure as hell gives you reassurance that the correct decision is being made.

    In the end, the hospital kept an organ without informing us. We found out through the organ retention helpline. A pretty devastating experience to be honest but, like you said, sh*t happens!!


  • Registered Users, Registered Users 2 Posts: 2,045 ✭✭✭martinedwards


    double page atricle in the Belfast telegraph today about one guyswho gave life via 2 kidneys, heart, live, lung, several chuncks of colon and his corneas as well.

    aught to be compulsory.


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  • Moderators, Recreation & Hobbies Moderators, Science, Health & Environment Moderators, Technology & Internet Moderators Posts: 95,031 Mod ✭✭✭✭Capt'n Midnight


    aught to be compulsory.
    maybe not ...

    NSFW


  • Closed Accounts Posts: 10,250 ✭✭✭✭bumper234


    When i am gone they can take what they want. I would even give permission to use my face in a face transplant (am no Brad Pitt but not too ugly either:D) Have also instructed everyone close to me that the are in no way to impede the harvesting of my body parts.

    FFS i will be dead so it's not like it will bother me and i will be cremated. Why burn perfectly good parts that could help others to live long lives. Personally think that non donors are selfish (my personal opinion and not looking for a fight:))


  • Moderators, Recreation & Hobbies Moderators, Science, Health & Environment Moderators, Technology & Internet Moderators Posts: 95,031 Mod ✭✭✭✭Capt'n Midnight


    OldNotWIse wrote: »
    I'm undecided if its for me. I'm fairly pickled now :/

    I definitely think it should be opt in.
    Opt in means you are comfortable with people dying or living donors putting their lives at risk, because you are too lazy to tick a box once when.

    Simplest way is to add this to the health services card / medical card renewals. Your family would still get asked. The way it works for blood donors is that they don't get charged if they use blood later on. Perhaps something similar ?


    Also remember in most cases a transplant is cheaper than on-going treatment, never mind the quality of life.

    The alternative is that if we were to double the number of live donors all it would do is stop the transplant list getting longer. (and you'd have a live donor die or suffer major problems every few years because surgery does carry risks)


    There simply aren't enough donors to go around. ~650 people on the waiting list so I'd guess the numbers of preventable deaths per annum are more than any improvements from the RSA could produce.



    http://www.organdonation.ie/facts.html
    In 2012 the total number of donors was 78 deceased and 32 live donors. There were 239 solid organ transplants performed: 163 kidney; 50 liver; 14 lung; 10 heart; 2 pancreas.

    Total number of patients on the Transplant List in December 2012 was 563, 35 more people than at the end of the previous year.


  • Closed Accounts Posts: 12,468 ✭✭✭✭OldNotWIse


    Opt in means you are comfortable with people dying or living donors putting their lives at risk, because you are too lazy to tick a box once when.

    Simplest way is to add this to the health services card / medical card renewals. Your family would still get asked. The way it works for blood donors is that they don't get charged if they use blood later on. Perhaps something similar ?


    Also remember in most cases a transplant is cheaper than on-going treatment, never mind the quality of life.

    The alternative is that if we were to double the number of live donors all it would do is stop the transplant list getting longer. (and you'd have a live donor die or suffer major problems every few years because surgery does carry risks)


    There simply aren't enough donors to go around. ~650 people on the waiting list so I'd guess the numbers of preventable deaths per annum are more than any improvements from the RSA could produce.



    http://www.organdonation.ie/facts.html[/QUOTE]

    Nothing lazy about it at all. Its the principle of it. As I already stated, bodily integrity is a constitutionally protected right. An opt in system violates this.

    If one feels strongly enough about donation they too simply have to tick a box. Unless they too are "too lazy to do so" - but thats hardly justification for a system that requires positive action in order to benefit from a constitutionally enshrined human right.


  • Registered Users, Registered Users 2 Posts: 12,775 ✭✭✭✭Gbear


    I don't think that bodily integrity should count if you're dead.

    I think it should be mandatory. It's utter infantile bollocks to want to hold on to organs after you're dead.


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  • Closed Accounts Posts: 12,468 ✭✭✭✭OldNotWIse


    Gbear wrote: »
    I don't think that bodily integrity should count if you're dead.

    I think it should be mandatory. It's utter infantile bollocks to want to hold on to organs after you're dead.


    But it does. Look at the scandal of the baby organ retention. Would you accuse the grieving parents of "infantile bollocks" for being devastated that their babies organs were harvested and retained without the parents consent? The babies were dead, so by your logic, who gives a fuuck?

    I am not arguing against donation. I am arguing against the opt in system. Like I already said, if you feel that strongly about it, opt in.


  • Registered Users, Registered Users 2 Posts: 7,060 ✭✭✭conorhal


    OldNotWIse wrote: »
    But it does. Look at the scandal of the baby organ retention. Would you accuse the grieving parents of "infantile bollocks" for being devastated that their babies organs were harvested and retained without the parents consent? The babies were dead, so by your logic, who gives a fuuck?

    I am not arguing against donation. I am arguing against the opt in system. Like I already said, if you feel that strongly about it, opt in.

    There is a difference between harvesting organs without informing anybody and retaining them for whatever purpose and harvesting organs while informing the family for the purpose of, say, saving another childs life.
    I'd be infavour of an opt out clause but probably not in the case of minors, that might be too emotive.


  • Moderators, Recreation & Hobbies Moderators, Science, Health & Environment Moderators, Technology & Internet Moderators Posts: 95,031 Mod ✭✭✭✭Capt'n Midnight


    OldNotWIse wrote: »
    Nothing lazy about it at all. Its the principle of it. As I already stated, bodily integrity is a constitutionally protected right. An opt in system violates this.

    If one feels strongly enough about donation they too simply have to tick a box. Unless they too are "too lazy to do so" - but thats hardly justification for a system that requires positive action in order to benefit from a constitutionally enshrined human right.
    The problem is that most people don't feel strongly one way or another.

    I've already suggested an opt-out system for those getting the European Health Insurance Card http://www.hse.ie/eng/services/list/1/schemes/EHIC/ or a Medical Card. One tick box that you can change at any time online or at any medical place or by post.


    I can't understand the mentality that would consciously allow others to suffer for years with little likelyhood of a normal life just so they don't have to tick a box once. You don't have to donate , even if you tick the box your family will still decide. And I'll repeat it again, live donation carries risks.


    Let's be 100% clear about one thing. You have already spent way more time trying to explain why you don't like the idea than it would have taken to tick the opt out box. So actually the mentality I can't understand is the one that goes out of it's way to actively block possible donations by those who "don't really care either way".



    People who don't want to donate won't ever have to.


  • Closed Accounts Posts: 12,468 ✭✭✭✭OldNotWIse


    conorhal wrote: »
    There is a difference between harvesting organs without informing anybody and retaining them for whatever purpose and harvesting organs while informing the family for the purpose of, say, saving another childs life.
    I'd be infavour of an opt out clause but probably not in the case of minors, that might be too emotive.

    I am aware of that, but I was applying the line of logic put forward, namely:

    It doesnt matter what happens to your body when you're dead.

    And therefore it shouldnt matter what is done with the organs post-death - whether they are used or not. In fact, its "infantile bollocks" to even care what happens.

    I'm curious about your point about it being too emotive for minors to be donors - dont minors die too? Aren't minors also on the waiting list? Isn't it just as upsetting (and I would say more upsetting) when a minor dies waiting for an organ?

    Again, I am not arguing against organ donation, I am against an opt in system (and that has nothing to do with the time it takes to opt out btw, its the principle that bodily integrity is not something people should have to take active steps to enjoy. Whether said steps take 1 minute or 1 year is, in fact, irrelevant to my point)


  • Registered Users, Registered Users 2 Posts: 12,775 ✭✭✭✭Gbear


    OldNotWIse wrote: »
    But it does. Look at the scandal of the baby organ retention. Would you accuse the grieving parents of "infantile bollocks" for being devastated that their babies organs were harvested and retained without the parents consent? The babies were dead, so by your logic, who gives a fuuck?

    I am not arguing against donation. I am arguing against the opt in system. Like I already said, if you feel that strongly about it, opt in.

    I think the real problem there is surprise.

    If it's accepted and known by all that all organs are recycled then emotion wouldn't enter into it. There'd be no shock.

    You'd never have a doctor even having to broach the subject with a grieving family.


  • Closed Accounts Posts: 12,468 ✭✭✭✭OldNotWIse


    The problem is that most people don't feel strongly one way or another.

    I've already suggested an opt-out system for those getting the European Health Insurance Card http://www.hse.ie/eng/services/list/1/schemes/EHIC/ or a Medical Card. One tick box that you can change at any time online or at any medical place or by post.


    I can't understand the mentality that would consciously allow others to suffer for years with little likelyhood of a normal life just so they don't have to tick a box once. You don't have to donate , even if you tick the box your family will still decide. And I'll repeat it again, live donation carries risks.


    Let's be 100% clear about one thing. You have already spent way more time trying to explain why you don't like the idea than it would have taken to tick the opt out box. So actually the mentality I can't understand is the one that goes out of it's way to actively block possible donations by those who "don't really care either way".



    People who don't want to donate won't ever have to.


    You're missing my point. It's not about the merits of donation. It's about the unconstitutionality of an opt out system. I dont see many people arguing that they dont agree with transplants end of.

    And like I already said, if you feel so strongly about donating, you too "simply have to tick a box".

    People who want to donate will not be prevented from doing so.


  • Registered Users, Registered Users 2 Posts: 7,060 ✭✭✭conorhal


    OldNotWIse wrote: »
    I am aware of that, but I was applying the line of logic put forward, namely:

    It doesnt matter what happens to your body when you're dead.

    And therefore it shouldnt matter what is done with the organs post-death - whether they are used or not. In fact, its "infantile bollocks" to even care what happens.

    I'm curious about your point about it being too emotive for minors to be donors - dont minors die too? Aren't minors also on the waiting list? Isn't it just as upsetting (and I would say more upsetting) when a minor dies waiting for an organ?

    Again, I am not arguing against organ donation, I am against an opt in system (and that has nothing to do with the time it takes to opt out btw, its the principle that bodily integrity is not something people should have to take active steps to enjoy. Whether said steps take 1 minute or 1 year is, in fact, irrelevant to my point)

    I agree, clearly it does matter, even dead, you don't instantly become a peice of meat to anybody but a sociopath, and certiantly not to your family. That doesn't mean that assumed consent with an opt out clause can't be handled with sensitivity and compassion, there is room for both in such a process and any process that treats relatives with hostility and their loved one as soylient green would be rightly condemned.
    As for minors, yes, I think it is more emotive an upsetting when a child dies and it might require aditional sensivity in that case, namely requesting organ donation of the parents.


  • Moderators, Recreation & Hobbies Moderators, Science, Health & Environment Moderators, Technology & Internet Moderators Posts: 95,031 Mod ✭✭✭✭Capt'n Midnight


    OldNotWIse wrote: »
    You're missing my point. It's not about the merits of donation. It's about the unconstitutionality of an opt out system. I dont see many people arguing that they dont agree with transplants end of.

    And like I already said, if you feel so strongly about donating, you too "simply have to tick a box".

    People who want to donate will not be prevented from doing so.
    You are missing the point.

    An opt in system means that hundreds of people will continue to die.


    IF we had a system where there were enough people opting in then you might have a point. Until then you are asking for other people to be sacrificed to appease your concerns.


    unconstitutionality - you keep using that word - care to point out where in the constitution these right are ??
    https://www.constitution.ie/Documents/Bhunreacht_na_hEireann_web.pdf

    and just a reminder getting a health card is an Opt-In anyway
    and you can't use everyman arguments because things like death and taxation are inevitable


  • Closed Accounts Posts: 2,520 ✭✭✭allibastor


    when i die they can take what they want and thow me in a ditch for all i care.

    On a serious note, just think if you did donate you could save a life or three.


  • Closed Accounts Posts: 10,250 ✭✭✭✭bumper234


    allibastor wrote: »
    when i die they can take what they want and thow me in a ditch for all i care.

    On a serious note, just think if you did donate you could save a life or three.

    Ah but if you don't have your heart when you present yourself to St Peter at the heavens gates then you can't get in and this would make the baby Jesus cry bejeepers and begohrahh to be sure for sure:mad:


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  • Registered Users, Registered Users 2 Posts: 8,097 ✭✭✭Hitchens


    what would be the outcome if you didn't opt out, but when you died, your family objected to your organs being harvested?


  • Closed Accounts Posts: 10,250 ✭✭✭✭bumper234


    Hitchens wrote: »
    what would be the outcome if you didn't opt out, but when you died, your family objected to your organs being harvested?

    The outcome would be your organs would be harvested (such a nasty word am going to use donated from now on) The same as if you carry a donor card now, if your family object it does not matter (afaik) and your organs are donated.


  • Posts: 50,630 ✭✭✭✭ [Deleted User]


    bumper234 wrote: »
    The outcome would be your organs would be harvested (such a nasty word am going to use donated from now on) The same as if you carry a donor card now, if your family object it does not matter (afaik) and your organs are donated.

    This is totally incorrect. Donor cards do absolutely nothing except notify your next of kin of your desire to donate.

    Ultimate decision lies with your next of kin.


  • Moderators, Recreation & Hobbies Moderators, Science, Health & Environment Moderators, Technology & Internet Moderators Posts: 95,031 Mod ✭✭✭✭Capt'n Midnight


    Hitchens wrote: »
    what would be the outcome if you didn't opt out, but when you died, your family objected to your organs being harvested?
    It's not so much that the family can veto,
    it's that the donation can only happen if family give informed consent.

    So even if we had an opt-out system the family would still have final say.

    AFAIK The current opt-in system means the family won't even be asked unless there is a donor card or a driving license with the box ticked in.


    http://www.organdonation.ie/medical.html
    The coordinator then travels with the transplant teams to the donating hospital and meets the donor family. We explain what is involved in the donation and a little about the patients who would benefit from the donation, and any questions the family may have are answered by us. Having spoken with the coordinator if the family then wish to proceed with organ donation, and there are no contraindications to donation, the family will then be asked for consent for transplantation of the organs they wish to donate. Only organs which are specifically consented for are taken for transplantation and only if a suitable recipient has been identified.


  • Posts: 50,630 ✭✭✭✭ [Deleted User]


    AFAIK The current opt-in system means the family won't even be asked unless there is a donor card or a driving license with the box ticked in.

    If the patient is a suitable candidate for donation, the next of kin will indeed be asked.


  • Closed Accounts Posts: 10,250 ✭✭✭✭bumper234


    This is totally incorrect. Donor cards do absolutely nothing except notify your next of kin of your desire to donate.

    Ultimate decision lies with your next of kin.

    My apologies i have just read up on that and you are right. I have already told my kids if they try to stop my organs being donated i will haunt them :D


  • Closed Accounts Posts: 12,468 ✭✭✭✭OldNotWIse


    You are missing the point.

    An opt in system means that hundreds of people will continue to die.


    IF we had a system where there were enough people opting in then you might have a point. Until then you are asking for other people to be sacrificed to appease your concerns.


    unconstitutionality - you keep using that word - care to point out where in the constitution these right are ??
    https://www.constitution.ie/Documents/Bhunreacht_na_hEireann_web.pdf

    and just a reminder getting a health card is an Opt-In anyway
    and you can't use everyman arguments because things like death and taxation are inevitable

    Art 40.3.1 - the doctrine of unenumerated rights. Constitutional right to bodily integrity was establised in 1965 (Ryan v. AG). If I'm not mistaken, it was one of the arguments invoked by Marie Fleming recently?

    It's not a matter of just downloading the Constitution and hitting ctrl F and searching for "bodily integrity" (which is what I assume you did).

    I stand by what I said. Bodily integrity is a constitutional right, and an opt in system is a violation of that right. Even if thousands were dying, that doesnt change. You can talk about sacrifice and use emotive arguments all you want but that doesnt actually strengthen your argument (for an opt in system, of course it strengthens your argument for donation in general, but thats not the issue here).

    People were p1ssed a while ago when an out of date search warrant meant that a certain judge could not be charged with certain offences. But, there exists a constitutional right ot due process, and evidence obtained without a valid warrant violates that right. You cannot simply change or override a right because people are dying or you dont agree with it or you think certain cross sections of society are lazy or whatever other argument you choose to throw out there.

    Surely it would be a wiser investment of energy to run campaigns and actually get people moving on the issue themselves (because I think we are all in agreement that we do need more donors!). For now, we disagree on how those numbers can be increased.

    I did hear people mention before that only those who are donors could avail of organs if they needed them - what are the views on that? :)


  • Closed Accounts Posts: 12,468 ✭✭✭✭OldNotWIse


    bumper234 wrote: »
    My apologies i have just read up on that and you are right. I have already told my kids if they try to stop my organs being donated i will haunt them :D

    As if ghosts aren't creepy enough...now we will have organless ghosts ;) lol


  • Closed Accounts Posts: 2,520 ✭✭✭allibastor


    bumper234 wrote: »
    Ah but if you don't have your heart when you present yourself to St Peter at the heavens gates then you can't get in and this would make the baby Jesus cry bejeepers and begohrahh to be sure for sure:mad:

    If god is up there and he turns me away for giving my heart away to save someone else, he can go **** himself and I will hang in hell knowing that someone else gets to live for a while longer.


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  • Closed Accounts Posts: 12,468 ✭✭✭✭OldNotWIse


    Anyone ever see that super cheesey film with David Duchovny called "return to me"?


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