Monday , January 18 2021

Fresh Air: Transplant Surgeon Joshua Mezrich On & When Death Becomes Life & # 39;: Shots



Surgery received 21,000 kidney transplants and 8,000 liver transplants in 2018, according to the national organ sharing network.

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Form Load / Form Load / Getty Images

Surgery received 21,000 kidney transplants and 8,000 liver transplants in 2018, according to the national organ sharing network.

Form Load / Form Load / Getty Images

Joshua Mezrich was a medical student on the first day of surgical rotation, entering the surgery room to see a kidney transplant.

That day he saw it changed.

Then, after the kidney pulled out of the ice and released the hugs, he said: "Rose rose literally before my eyes, this urine went to the field."

Mezrich was blown away: "I have been in this regard, that is:" This is so amazing, what we are doing, and a great gift. And can I ever do it? "Can I ever be part of the exchange, this beautiful thing?"

The transplant was a surgeon and he transplanted hundreds of kidneys, liver and pancreas. He has also contributed to operations affecting other organs.

Each organ transports the transplant into another way.

"The liver begins to thrive in anger. Lungs start breathing," says Mezrich. "Maybe the most dramatic organ, of course, is your heart, because you put it and it's like a computer is hit, maybe it's a little shock and it starts to sting, which is pretty dramatic."

Mezrich is a member of the transplant division in the Madrid Public Health School of Wisconsin, Wisconsin School of Public Health and Medicine. She reflects on her experiences as a transplant surgeon and shares her story in her book, Death becomes Life.

Interviews Highlights

In different types of donor organs

There are several scenarios [where] We take organs from dead donors, those who are dead in the brain. Patients do not give blood flow to the brain, so they are legally dead, but the heart is still gaining, the organs are getting blood flow and in many situations they are stable, so we can take our time.

It is a second type donor, a donation called "DCD" or a post-circulation death. These patients are still alive, but they have taken the decision they can take. And in one of these patients, we waited to wait for help and, often, when the family is in the room, the first doctor does not receive help. …

You know, it's an interesting thing, because you really think of death. How is it defined? Does the patient do the same way? The challenges in being in this field are some of the really interesting types.

The transplant takes a long time and doctors demand a physical condition

I train many people for a transplant, we call them fellows. … These are the people who have finished the residential surgery and are getting additional training [in] transplant, and they are excellent. … Being a surgeon, especially the liver transplant, is a type of bowel strength or internal strength. You need to keep your mind and strength, maybe it's going wrong and through all the struggling things. It's definitely a liver transplant.

Recommendations for nursing by giving liver disease sickness

The transplant is a surprising science and surgery is very heroic, but if there is no capacity for social protection and organ care, it will probably fail. You need to take all these medications to avoid the claim. You have to track a lot. Sometimes you have to fight against different complications, and so a country needs it, if necessary, to make the transplant any type.

When we think of a transplant of liver, the subject is very important. In the first days of the liver transplant -> # 60s, & # 39; 70s – initially, the illness of the liver disease did not take patients and thought they were not worth it. Today, most people believe that alcoholism is a disease, and it is a disease that is difficult to treat and can not be returned.

Instead of thinking that, "these people are stupid," or they're too big friends who drink too much, they really have this dependency and are just like diseases like other diseases, such as another type of hepatitis C. We transplant them with more complex names. And we can obtain good results from alcoholic liver disease, as they receive information about the disease, and have a support system for the subsequent transplant treatment.

But it is controversial, because the illnesses of liver disease suffer from many relationships, they have many challenges in their lives, they do not have great family support. It is a challenge to talk about these patients and asks us to get the best results if this transplant really solves the problem. I think that our heroine likes these heroic treatments like liver transplants, but we do not have enough access to prevention, really understand and manage the disease, and sometimes it is a challenge. We have had incredible triumphs that have transplanted lies [patients with] Liver liver disease, but we have had accidental errors.

It's like talking to donors families

This is, in my view, transplant in my opinion as a surgeon. I was really nervous thinking about the family of a former relative, they also thought that I was thinking of getting those bodies out of their love, and it seemed to me that they seemed to me. .

But I never would have forgotten that interaction and most of it was with the lenders: they've been hanging on all words. … They wanted to know about recipients. It was a beautiful estate that they really loved, often unexpectedly killed, sometimes giving a young person, and a positive thing to keep up in such horrible things.

It is very unique, and I believe the lenders, even the dead lenders, as much as our patients receive. It is very important to get in touch with the family, let's understand the process, make it an excellent job to make an incredible gift. It is quite emotional. It is really an incredible connection when we interact with these families.

Before the starter is talking about some words about the email

How many donors do I remember so many times, how many heroes are for us, and I always remember that stories and gifts are being given. It is very emotional during these recruits, and when we make a recruitment in our team, we are operating in the operating room, we always interrupt and our body recruitment team will read something after silence to our people. Often, people who love a poem or something have asked us about the person, perhaps who they were, what was most important. Sometimes it has a religious base, sometimes not.

And we sit and think of all kinds, and it's very special. It's emotional And when the second is over, we go ahead and after the task. It's so interesting. You have this emotional experience, then you have to push very quickly and move on to an operation, but it's always very special.

Sam Briger and Moj Zadiek produced and released the audio of this interview. Bridget Bentz, Molly Seavy-Nesper and Scott Hensley have adapted for the website.


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