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Roberta was trained as a journalist and she applied those skill for more than 20 years at the University of Manitoba, at CancerCare Manitoba and currently at Transplant Manitoba – Gift of Life, where she is a Communications Specialist. She works with one of five teams that deal with persons waiting for a life-saving transplant and, comforting those who have given a transplant. One can donate a kidney, a portion of one’s liver and the lower part of a lung. In Manitoba, the only transplant that can take place is that of a kidney. If other transplants are needed (heart, lung or liver), these are done in a different province. Transplants were initially undertaken in the 1930s and rejections were a concern. In the 1960s transplant rejections were overcome to the point that 80-95% of the transplant recipients are doing well one year after the transplant. Although many individuals have signed an organ donor card, it is important to register this information online (at SIGNUPFORLIFE.CA) and to have this conversation with family members because they are consulted before the organ - or organs - are removed. In Canada, organ transplants are a GIFT from the donor but 54% of the family members say “no” because they never had that discussion with the donor and do not feel they can make that decision on behalf of the donor. The donor registry has been online since 2012 and by 2015 there were already 10,000 registrants. Current registrant number is just over 60,000. It’s not the age but the health of the donor that determines whether a donation is acceptable. Typically, acceptable donations come from a person that has had a catastrophic injury (like brain death) and is no longer able to breathe on their own (i.e. people on life-support systems). Currently there are about 4000 Canadians waiting for a transplant – typically 250 of them will die before the organ needed becomes available. One donor can save up to 8 lives and enhance the lives of another 75 through tissue donations. Where the conditions are right for a donation and the family says “Yes” to the organ or tissue donation, an incredible process begins – a hundred phone calls, a lot of testing, and matching of blood and tissue types, donor and acceptor size (no adult to child transfers) – a process that can take up to 48 hours or more. Because Winnipeg is centrally located, teams can be coming from east to west for the donated organs and/or tissues. A recent procedure has included a moment of silence before the surgery to retrieve the donated items starts, in order to recognize and honour the donor. The National Donor program matches mixed-match pairs where if you have a donor that is not a match for you, they run an algorithm that they run for three months for those pairs, then make a match. So if there’s a match in Newfoundland, for example, the donor goes to Newfoundland, the other donor comes to Manitoba and each recipient gets the kidney that they need but not from the person they were expecting to get it from. The program has logged over a thousand matches so far. The oldest organ donor in Canada was 92 – that was for a liver donation. All religions have worked around the “It’s against my religion” idea as a reason for not making or accepting an organ donation. Things we learned from the Q& A that followed the presentation: - While there are countries that have the “opt out” model of donor registration, in Canada, only Nova Scotia has the opt-out model. In the rest of the country, donors have to “opt-in” to the donor registry. In either system, family consent is still required.
- After a young Bronco’s hockey player killed in the bus-truck incident had been identified as an organ donor, over 150,000 Canadians registered as organ donors (over 7000 people in Manitoba registered in April 2018).
- The match-up between-family members is not necessarily more common.
- While matching an organ age to recipient age may take place, it is up to the recipient to decide on whether or not to accept the donated organ. The organ needs to be healthy enough to be offered as a donation in the first place.
- “Matching” includes blood typing and tissue typing.
Acting President Glenn thanked Roberta for her presentation, which he said had two “take-aways” – register online for making organ donations and talk to your family members about your decision to make the organ donations. |