James D. Hardy : Getting To The Heart Of The Matter

The medical practice of organ transplantation has grown by leaps and bounds over the last 50 years. Each year the medical profession takes more risk with decisions regarding transplants, how to allocate for organs, and most recently conducting transplants on children with adult organs. “An organ transplantation is a surgical operation where a failing or damaged organ in the human body is removed and replaced with a new one” (Caplan, 2009). Not all organs can be transplanted. The term “organ transplant” typically refers to transplants of solid organs: heart, kidneys, liver, pancreas, and intestines. There are two ways of receiving an organ transplant: from a living human or an organ from a

It was only a matter of time before a businessman in Virginia saw a way to profit from the success of transplantation. In 1983 H. Barry Jacobs announced the opening of a new exchange through which competent adults could buy and sell organs. His failing was in his decision to use needy immigrants as the source of the organs (Pence 36). As a result Congress, passed the National Organ Transplant Act (Public Law 98-507) in 1984, which prohibited the sale of human organs and violators would be subjected to fines and imprisonment (“Donation Details”).

“It is a simple fact that many, if not most, of today’s modern medical miracles would not exist if experimental animals had not been available to medical scientists. It is equally a fact that, should we as a society decide the use of animal subjects is ethically unacceptable and therefore must be stopped, medical progress will slow to a snail’s pace. Such retardation will in itself have a huge ethical ‘price tag’ in terms of continued human and animal suffering from problems such as diabetes, cancer, degenerative cardiovascular diseases, and so forth.”

Since the WHO is not, in any way, going to lift the ban, and one of the most efficient ways to increase the supply of available organs for the thousands of people on organ waiting lists is to make some form of donation and selling legal, other options must be sought-after. By combining two opposing viewpoints it is possible for a whole new approach to this rapidly growing problem to transpire, for there may be more agreeable aspects than what meets the eye.

To begin, the experimental use of animals in medical studies is unethical. These creatures are confined in isolated cages where they are deprived of necessary environmental elements. It is not uncommon that they undergo ghastly methods of experimentation; including the inhalation of toxic fumes, the burning of their skin, and the crushing of their spinal cords ("People for the Ethical Treatment of Animals"). This information sheds light on the grim realities of animal experimentation. These creatures are living, breathing beings that do not deserve to be treated as they are nothing more than lab objects. Not only are they ripped from their natural habitats, but are forced to endure an irreversible psychological trauma . To put it in perspective, imagine a six-month-old child being taken from their parents and sent to a lab to undergo scientific experiments that could ultimately result in

The introduction of organ donation to society has since been a groundbreaking medical discovery and life-saving procedure, portrayed in myths dating back to Ancient times, before the 16th century. Early performed procedures we’re primarily successful skin grafts and transplants among individuals in need. It wasn’t until the early 1900’s that doctors had been documented performing experimental and risky transplants from animal organs to save human patients suffering from renal failure. Though successful, none of these patients lived more than a few days after the transplants. It wasn’t until December 23, 1954, that the first truly successful kidney transplant, from a living donor, was achieved. Dr. Joseph

“We cannot solve a problem by using the same kind of thinking we used when we created them” -Albert Einstein. In order to be successful in life, one must problem solve and strive to overcome obstacles. With this kind of thinking, one can achieve just about anything. Denton A. Cooley was an American cardiovascular surgeon from Houston, Texas. Cooley was a surgeon from 1944-2007 . He was an intern and resident at John Hopkins Hospital (Denton A. Cooley, 2016). Cooley performed the first successful artificial heart transplant, was pivotal in innovating medical technology, and impacted society by altering survival rates for people with heart disease and for this, was recognized in many different ways, such as, awards and recognition articles.

The need for organ donations creates another ethical dilemma for Emergency Room Physicians. “Obtaining organs from emergency room patients has long been considered off-limits in the United States because of ethical and logistical concerns” (Stein, 2010). The shortage of organs available for transplant has caused many patients die while waiting. A pilot project from the federal government “has begun promoting an alternative that involves surgeons taking organs, within minutes, from patients whose hearts have stopped beating but who have not been declared brain-dead” (Stein, 2010). “The Uniform Determination of Death Act

The medical industry had been achieving more in the stage of medical advancements, though they are still in the early phase. Artificial organs have been one of those achievements. Although they have achieved such, artificial organs are not perfect. Most doctors as well as patients would prefer to replace a dying organ with a compatible human organ, rather than with an artificial or animal organ. Yet due to a there being less organs donated than recipients, artificial and animal organs are becoming more common in transplants. Most of this issue is because people are unaware of how organ donation works, the organs that can be donated, how many people are in need, and the advancements that have happened in the field. Organ donation saves hundreds of lives every year, but many lives are recklessly lost due to a shortage of organ donors.

As technology advances and medical procedures and research expand, new treatments and new conflicts are created. A problem that has always plagued medical science is failing organs. As of today, organ failure is impossible to reverse and the only solution is replacement. There is a massive demand for healthy organs and with this demand comes the issue of bioethics.

D. Thesis - Organ donation and Transplants are the most remarkable success stories in the history of medicine. They give hope to

Our topic is on organ transplant. We will focus on the process and ethical dilemmas surrounding it. Our group chose this topic because we care and understand that this can happen to our love ones. We want to raise our concern about this worldwide issue, and where the black market for organs come into play. The stakeholders include the people (donors or receivers), doctors, government, businesses, and experts. We will be focusing on the culture and the ethical issues that related to organ transplant, conflict of interests, ethics in the design phases, debt/ financing, and regulation. Since our topic is quite detailed, we will start with what is the precise definition of “brain death” in a heart beating body that is kept

For the next 50 years, donating one’s body for scientific cadaver use would become more acceptable and commonplace. However, it wasn’t until 1882 that a medical institution, the Chicago College of Physicians and Surgeons, would offer a curriculum that incorporated cadaver dissection (Perry & Kuehn, 2006). It wouldn’t be until 1918 that an organization, The Anatomical Gift Association of Illinois, would manage the body donation program for medical research and educational institutions (The Anatomical Gift Association of Illinois, 2013).

In February 2003, 17-year-old Jesica Santillan received a heart-lung transplant at Duke University Hospital that went badly awry because, by mistake, doctors used donor organs from a patient with a different blood type. The botched operation and subsequent unsuccessful retransplant opened a discussion in the media, in internet chat rooms, and in ethicists' circles regarding how we, in the United States, allocate the scarce commodity of organs for transplant. How do we go about allocating a future for people who will die without a transplant? How do we go about denying it? When so many are waiting for their shot at a life worth living, is it fair to grant multiple organs or multiple

The patient died nine days later. Another experiment conducted in 1984 attempted to use a baboon’s heart to save a newborn baby; the baby only lived for twenty days. The longest time a patient has lived with an animal organ is nine months, where the recipient received a chimpanzee kidney. The early failures of xenotransplantation, however, led many to believe that animal organs are too different from human organs. The recipient’s immune system recognizes the foreign organ and rejects it in spite of immunosuppressive drugs. Powerful immunosuppressive drugs are given to any patient receiving an organ, human or animal, in order to suppress the body’s reaction to the foreign organ. Without the immunosuppressive drugs, the body will reject the organ within a few hours after surgery (Natural Life 23).