ORGAN DONATION A GIFT OF LIFE INTRODUCTION • • • • • • end stage organ failure given up hope but …. generosity of donors and their families life saving gift a serious shortage of organs pledging YOUR ORGAN HISTORY • Humans have long realized the possibilities that transplantation of organs and tissue provides. • Throughout history, people have always been intrigued by the possibilities of transplantation of organs and tissues • In the 6th Century BC Indian surgeons described how to reconstruct facial wounds by transplanting the skin from one place on the body to the other NEED FOR ORGAN DONATION Organ transplantation is the only definite cure for end-stage organ damages of the liver, kidney, heart and lungs. In India, about 2.5 lakh people die each year on an average, due to non-availability of organs. About one lakh people in India are awaiting a liver transplant, about two lakh people are awaiting a kidney transplant and about 50,000 people need a heart transplant. However, there is a wide gap between the number of transplants awaited, and the organs available. WHO CAN DONATE ? • ANY PERSON - age, race or gender • DONOR CARD signature • UNDER 18 - consent of parent/legal guardian • BRAIN DEAD PERSON - family members • Medical suitability - time of brain death WHAT IS BRAIN DEATH ? • Medically and legally dead • Cessation of brain stem function • Heart may beat for a limited time - artificial support • Irreversible brain damage - Severe head injury, stroke, brain tumour or other serious illnesses • CERTIFIED : – specific tests are performed 2 x 6 hrly – 4 doctors (Govt of India in Transplantation of Human Organs act 1994) WHICH ORGANS CAN BE DONATED? • ORGANS - Heart, Lungs Kidneys, Liver, Pancreas • TISSUES - Corneas, Skin, Heart Valves, Tendons , Bones • Army Hospital : – KIDNEY – LIVER – CORNEA DOES DONATION LEAVE THE BODY DISFIGURED? • • • • • • NO! Trained surgical team OT under asepsis Surgical incision - stitched & dressed Relatives may see after operation Does not interfere with the customary funeral or burial arrangement MYTH • If I agree to donate my organs, the hospital staff would not work as hard to save my life Fact: When you go to the hospital for treatment, doctors focus on saving your life. • The medical team treating you is separate from the transplant team. • The team coordinating the donation is not notified until all lifesaving efforts have failed and death has been determined. • The transplant team would not be notified until your family has consented for organ donation. RELIGIOUS BELIEFS vs. DONATION! • NO RELIGION PROHIBITS ORGAN DONATION EXCERPTS FROM SOME RELIGIOUS TEXTS • HINDUISM : “…….it is said that the soul is invisible, knowing this you should not grieve for the body.” Daan is the act of selfless giving. -Bhagvad Gita , chapter 2:25. • SIKHISM : “The dead sustain their bond with the living through virtuous deeds”. Guru Nanak, Guru Granth Sahib, p 143. • ISLAM : “Whosoever saves the life of one person would be as if he saved the life of all mankind”.- Holy Quran, chapter 5:32 • CHRISTIANITY : Sacrifice and helping others are consistent themes in Christianity, which teaches the principle of seeking for others what you hope others would do for you. Teaching of Jesus Christ:- “…. Freely you have received, freely give.”- Mathew, chapter 10:8. • BUDDHISM : “Organ donation is an extremely positive action…. it will not harm in any way the ‘consciousness’ that is leaving the body. On the contrary, this final act of generosity accumulates good karma”. – Sogyal Rinpoche-The Tibetan Book of Living & Dying LAW ABOUT ORGAN DONATION • Transplantation of Human Organs act 1994 Is the family asked for permission for donation even if a signed donor card is found? • YES. • IMPORTANT - SHARE your decision with your family members so that it is easier for them to carry out your wishes Armed Forces Organ Retrieval & Transplantation Authority WHERE IN ARMED FORCES IS ORGAN DONATION DONE ? • In hosp recognized for organ transplantation • CH(EC) CH(SC) CH(CC) – KIDNEY – CORNEA • Army Hospital : – KIDNEY – LIVER – CORNEA Don’t take your organs to h for God knows we need the DON’T TAKE YOUR ORGANS TO HEAVEN FOR GOD KNOWS WE NEED THEM HERE!