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The new guidelines would do away with a specific amount of time that transplant surgeons must wait to declare cardiac death, leaving that determination to the doctors on a case-by-case basis.
Gail Van Norman, who is a bioethicist at the University of Washington, said that according to the new UNOS guidelines, “every hospital in America can now develop its own definition of ‘dead,’ and that is profoundly disturbing. . . . We are, it seems, admitting that we are willing to take the chance of procuring organs from someone who is not dead yet.”
Those who support the changes in the transplant rules claim that they are simply catching up with the current state of medical knowledge and practice. They also argue that the new guidelines help to satisfy the wishes of those do who want to donate their organs after their deaths.
“The ultimate goal is to facilitate the dying wishes of patients who wish to be donors and save the lives of the 112,000-plus patients who are in need,” said Charles Alexander, the immediate past president of UNOS. “We are always very aware of our public trust.”
However, opinion within the medical community on the changes in transplant rules is divided. Robert Veatch, a Georgetown University bioethicist, who serves on the separate, 31-member UNOS ethics committee, says that at a recent committee meeting in Chicago, there was an emotional discussion over whether the medical state of DCD patients really should be considered “irreversible.” He called the debate, “a remarkably heated battle.”
Michael A. Grodin, a professor of health law, bioethics and human rights at Boston University suspects the motives of the transplant community saying, “The bottom line is that they want to do everything they can to increase organ donation.”
They new UNOS guidelines also identify certain types of patients, such as those with severe spinal cord injuries, and terminal diseases such as muscular dystrophy and ALS (Lou Gehrig’s disease), as potential organ donors before they reach the end stage. Critics worry that this will encourage doctors to subtly pressure these into voluntarily foregoing the most heroic medical measures in order to gain access to their organs for transplant that much sooner.
Critics of the new UNOS standards say that they increase the risk that potential organ donors will be treated more like living human tissue banks than critically sick patients who deserving every chance to live, or to have their wishes to die peacefully respected.
“This change in policy creates the appearance that the patient is always being evaluated as a possible donor, which I think would make the public uneasy, and rightfully so,” said Leslie Whetstine, a Walsh University associate professor of medical ethics.
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What better proof do we need than the recent war with Hamas in Gaza, dubbed “Operation Protective Edge,” that transformed the pain and suffering of three families into a sense of unparalleled unity and outpouring of love of the entire nation of Israel?
So many families are mourning, and all along we mourned with them.
In addition to his great erudition, Rabi Akiva was known for his optimism.
What can we do to help him stop feeling so sad all the time?
Children with dyslexia or dysgraphia frequently have problems in social relationships.
Israel’s neighbors engaged in hostilities from the onset. The War of Independence was a hard-won battle. Aggression and enmity has followed for 66 years.
The contest will include student-created sculpture, computer graphic design, collage, videography, PowerPoint and painting.
David, an 8-year-old boy on the autism spectrum, recently attended a Friendship Circle event. As he entered he told his Dad, “I love coming to the FC programs ‘cause everyone loves each other.”
Goldsmith himself went on his own “voyage of discovery” to the places where his grandfather and uncle landed and were sent.
Frank proclaimed himself Zvi’s successor and the reincarnation of King David.
Almost immediately the audience began singing and clapping and continued almost without stop throughout the rest of the concert.
As of late, vintage has definitely been in vogue in the Orthodox community.
Leon experienced the War of Independence from a soldier’s perspective, while remaining true to his Jewish ideals and beliefs.
Printed from: http://www.jewishpress.com/sections/health/new-organ-transplant-guidelines-raise-ethical-questions/2012/01/09/
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