Turning One Kidney Into Ten
freakonomics.blogs.nytimes.com
freakonomics.blogs.nytimes.com
We couldn't get the study to prove his brain death until morning, and he was bleeding like a sieve. In 15 years of being a ER/ICU nurse, I've never given one single person more blood products. There was a team of 5 or 6 of us giving him massive transfusions, all to keep this young man's organs alive the rest of the night.
In this ICU, we also took care of patients that had just received kidney transplants. They are some of the most patient, long-suffering and most grateful people you'll ever meet. Why? Because for the previous three to five years, these people's lives have been consumed by having to go to dialysis three times a week for four hours a session. They can't live any other way, and a transplant gives them a new lease on life.
We were able to get the study to prove brain death the following morning, and the organ donation team harvested his organs.
Two weeks later, our ICU received a letter from the organ bank, giving us a brief update on each of the _24 people_ that received organs from this young man. It was one of the most rewarding experiences I've ever had as a nurse.
All that to say, when organ donation happens, it's a truly beautiful thing, and one of those things that renews my hope in humanity. I've had the donor box checked on my driver's license for years. I'd encourage people to do the same.
In this case "altruistic donor" could mean, for example, a mother with a sick kid, which she wants to save by donating her kidney, but it doesn't help because they are not a good match.
So she just gives her kidney to some random kid, with a hope that others in a similar situations would do the same, which would eventually lead to her kid getting a matching kidney.
Altruistic, because it's not guaranteed that her kid will get the right kidney in time (only that there will be some donated kidney left at the end). But if the "chain of trust" keeps going on, chances are high everybody would get the matching kidney.