(Giving) Life after death

Organ and tissue donation provide life for some and meaning for others.

by Liz Maher
Even now, 21 years later, Jill Halimi tears up when she remembers Jeff Kleven. "He was really great," she says, smiling even though she's crying. Halimi remembers Kleven as charismatic, social and outgoing. But in the middle of describing her long-dead boyfriend, Halimi's words become choppy and she turns quiet. "He was really great," she whispers.

Kleven was killed in a motorcycle accident in 1990 when he was 25 years old. Halimi, who had been dating Kleven for six months at the time, was at the hospital with his family when they were unexpectedly confronted with the decision about whether or not to donate Kleven's organs. "There was no hesitation. We all knew it was what he would have wanted," she says. As a result, Kleven's kidneys and heart valves got second lives.

Many people don't think about organ and tissue donation until they are confronted with a tragedy. That's mostly due to a lack of awareness surrounding the issue, according to Becky Ousley, the senior public relations coordinator at LifeSource. LifeSource is a non-profit organization that arranges organ donations and transplants from its office in Minneapolis. According to LifeSource's mission statement, the organization is working to save lives and offer hope and healing through excellence in organ and tissue donation.

LifeSource has been federally designated to manage all organ donation and much of the tissue donation in the upper Midwest, including Minnesota, North Dakota, South Dakota, and western Wisconsin. The non-profit approaches the issue of organ donation from three angles: clinical challenges, hospital services, and public affairs responsibilities. Clinical challenges involve managing the technicalities of donations. Hospital services include educating health professionals in administration, intensive care units, and emergency rooms. Public affairs responsibilities consist of informing the public about donation and providing an aftercare program for donor families.

Becoming an organ and tissue donor is actually very easy, according to Ousley. Driver's license and state ID card applications have an organ and tissue donation option. Donor registration is also available online at DonateLife MN . While Kleven's family knew he would have wanted to donate his organs, it's not always that easy. If family members are unaware of an individual's desire to donate, viable, life-saving organs and tissues can be wasted. That's why Ousley says she cannot stress enough the importance of individually sharing one's donor preference with family members.

Ousley explains that each donor has the potential to save and improve the lives of as many as 60 people by organ and tissue donation. Organ donations can include the heart, lungs, kidneys, pancreas, liver, and intestines. Tissue donations, including corneas, skin, veins, tendons, bone, and connective tissue can all be utilized to save lives.

Tissue donation
Jim Wendt knows first-hand the value of tissue donation. A healthy, active real estate broker and appraiser in Milwaukee, Wis., Wendt was walking down a flight of stairs in 1995 when his femur broke. X-rays revealed the break was caused by a benign bone tumor that was extremely destructive to his femur and hip. "It was questionable whether my leg could be saved," he says. "There was a possibility that it would have to be amputated."

Luckily, Wendt's doctor was a specialist in allografting-- bone transplantation-- and decided Wendt was a candidate for this type of surgery. He just needed a new femur bone.

Donor bones are available freeze-dried or frozen from a variety of donor banks across the U.S., so Wendt was able to receive a bone that was similar in size to his own without being on a waiting list. He was on the road to recovery soon after the 12-hour surgery that joined the femur with the donor bone and stabilized the graft and joints with a rod and bands.

"After surgery, I was on crutches for several months, progressed to a cane, and finally to walking on my own," Wendt says. "Rehabilitation was intense."

Receiving organs or tissues for transplant isn't always as simple as it was for Wendt. In fact, the national waiting list for organs currently exceeds 110,000 people, according to LifeSource. Almost 88,000 are waiting for kidneys alone. According to Dr. Sandra Taler M.D., a nephrologist on the Kidney Transplant Selection Committee at Mayo Clinic in Rochester, Minn., 75 percent of kidney transplants at Mayo come from living donors, while 25 percent are from cadaver donations. About 200 people receive kidney transplants at Mayo each year.

The process of becoming eligible for organ donation can be complicated. "The person has to be sick enough to need the organ," says Taler. "But not so sick that they are not likely to survive very long or make it through the first year after transplant surgery." This is often the most emotionally challenging issue for transplant selection committees. Taler says that sometimes a very ill patient cannot receive a transplant because of his or her prognosis. "We know that when we turn someone down they will very likely die within several years if not sooner."

Although Taler wishes the transplant team could help all patients who need kidneys, transplant centers like Mayo face rigorous federal performance standards. These standards require extremely high success rates, with less than 2 to 5 percent of patients experiencing kidney failure after transplantation. If a transplant center does not meet these standards, it will lose approval status, and insurance companies will not cover transplant procedures performed at a center without federal approval status. "If that happens, we can't help anyone," Taler says.

In addition, organ transplantation logistics are crucial. In order for organs to be viable, the donor must have died in a hospital setting, suffered a non-recoverable brain injury, and been placed on a ventilator. Ousley says that about only 5 percent of the population dies under these conditions.

Even if these criteria are met, a strict timeframe still exists to keep organs healthy for transplant. Some organs, like the heart and lungs, must be transplanted within six hours, while the pancreas, kidneys, and intestines can be preserved for between 12 and 24 hours.

An incredible irony
The organ and tissue donation process can have powerful emotional impacts on the lives of those involved. Wendt's bone transplant and Halimi's experience with Kleven's donation changed them forever. Both now find themselves passionate proponents of organ and tissue donation-- Halimi in a career at LifeSource and Wendt as a volunteer spokesman in Wisconsin. "It's one way that I can attempt to give back for the donor gift that I received," Wendt says.

Although donated organs and tissues have the power to save lives, they are available only because someone else has died. Grief counseling, experts agree, is important for donor families. Halimi facilitates LifeSource's aftercare program for donor families, which gives grieving loved ones a chance to mourn together and share stories. She also offers bereavement resources and provides an opportunity for donor and recipient families to connect-- an option that Halimi says less than 10 percent of donor families choose. The resulting relationships from such contact can last for years.

"Donation is the one positive that can come from their tragedy," Ousley says. "There is no better way to help people than to truly help save lives."

Promotional video for Donate Life MN




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