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View Full Version : 10-year-old girl who fought organ donation guidelines had second lung transplant



badbart
06-28-2013, 02:28 PM
Maybe doctors know better then judges. Maybe their was a good reason for the rule to keep kids off the adult transplant list, they are making a difficult operation more difficult wasting lungs on kids with low probability of survival.



http://www.foxnews.com/health/2013/06/28/family-reveals-10-year-old-girl-who-fought-organ-donation-guidelines-had-second/



Sarah Murnaghan, the 10-year-old Pennsylvania girl who made headlines as she waited for a life-saving double-lung transplant, actually received two sets of lungs and underwent two operations, according to a new statement from her parents.

Sarah – who had been dying of cystic fibrosis – is now doing well after the surgeries, her parents said. She is able to communicate, and they added she has even sat on the side of the bed and has started exercising her arms and legs.

Janet and Fran Murnaghan announced on June 12 that their daughter’s first lung transplant had been a success, but according to their statement, her health quickly began to deteriorate after the initial operation.

“That evening, as we waited for Sarah to be transitioned back to her room, an emergency code blue was announced,” Sarah’s parents wrote in the statement. “Sarah's vital signs had begun descending rapidly as her new lungs started to fail.”

After the operation, the surgeons at Children’s Hospital of Philadelphia – where Sarah had received the transplant – had to perform immediate emergency surgery in order to transition Sarah to a veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) machine, which helps provide cardiac and respiratory support to patients.

The doctors told the Murnaghans that Sarah was suffering from a complication called primary graft failure (PGF), one of the leading causes of death in the first 30 days after a transplant procedure. Further analysis of Sarah’s new lungs revealed the PGF was due to the poor quality of the donated organs.

Three days later on June 15, the family was told that new lungs were available for Sarah, but they were considered high-risk, as they had been infected with pneumonia. According to the Murnaghan’s statement, the new lungs were Sarah’s only hope.

“By 1 p.m. that same day, Sarah was wheeled in for her second transplant, performed by the same surgeon who did her first transplant, Dr. Thomas Spray,” the Murnaghans said in the statement. “The second transplant operation was truly a success - she made it through the surgery and no longer needed to be on VA ECMO, but her little body was very traumatized by all she had been through.”

Since the second transplant, the Murnaghans said that Sarah’s lung function has continued to improve, needing less and less support from the ventilator. A week after the transplant, on June 21, Sarah underwent surgery yet again to close up her chest, which had been left open to aid in the healing process.

Prior to Sarah’s operation, the Murnaghans had been in the midst of a prominent legal battle over the established rules for organ donation, after filing a lawsuit to have the guidelines changed to help save their daughter's life. Under the current guidelines for organ donation, children under the age of 12 must wait for pediatric lungs to become available, and adult lungs cannot be offered to children under 12 until they are offered to adults and adolescents first.

The Murnaghans argued the rule keeping Sarah off the list was "discriminatory."

A federal court judge granted a temporary order on June 5 that allowed Sarah to join an adult organ transplant list.




http://www.usatoday.com/story/news/nation/2013/06/07/lung-transplant-girl-ethics/2397701/


Q: Why don't they allow children under 12 to get adult lungs?

Caplan: "Adult lungs don't fit well in children's bodies and that makes it hard to transplant them. You are looking at using a piece of lung instead of a whole lung, and that makes it makes it a more difficult procedure and less likely to work.

"Lung transplants are a difficult operation, and they do fail. At three years after a lung transplant, about a third of the people who got them are dead. It doesn't work all that well compared to other kinds of transplants. That's partly because when you transplant lungs you have to give immunosuppressive medication so that they don't reject the lung. That opens up the lungs to infection. The lungs are constantly exposed to viruses and bacteria so infection is a huge problem with lung transplants."

Moreno: "Children tend to be too small to get adults lungs. Every time you give one person a lung or part of a lung, you aren't giving it somebody else."

badbart
06-28-2013, 02:32 PM
Is this a good thing?

Not if doctors are forced to transplant organs into people that have a low probability of survival.

BEATINGU
06-28-2013, 02:35 PM
Not if doctors are forced to transplant organs into people that have a low probability of survival.

Did you even read the article? The first lung given to her was discovered to be of poor quality and it led to a common complication. It has nothing to do with her age.

lasher
06-28-2013, 02:37 PM
Not if doctors are forced to transplant organs into people that have a low probability of survival.

strong analytic skills for a 40 year old.

badbart
06-28-2013, 02:38 PM
Did you even read the article? The first lung given to her was discovered to be of poor quality and it led to a common complication. It has nothing to do with her age.


The second set of lungs were high risk.

lasher
06-28-2013, 02:41 PM
The second set of lungs were high risk.

they would have been high risk for anyone. They were infected.

BEATINGU
06-28-2013, 02:42 PM
The second set of lungs were high risk.

How is it possible that someone can live on this planet for 40 years and be incapable of reading a simple Fox News article.

The doctors told the Murnaghans that Sarah was suffering from a complication called primary graft failure (PGF), one of the leading causes of death in the first 30 days after a transplant procedure. Further analysis of Sarah’s new lungs revealed the PGF was due to the poor quality of the donated organs.

The doctors told the Murnaghans that Sarah was suffering from a complication called primary graft failure (PGF), one of the leading causes of death in the first 30 days after a transplant procedure. Further analysis of Sarah’s new lungs revealed the PGF was due to the poor quality of the donated organs.

The doctors told the Murnaghans that Sarah was suffering from a complication called primary graft failure (PGF), one of the leading causes of death in the first 30 days after a transplant procedure. Further analysis of Sarah’s new lungs revealed the PGF was due to the poor quality of the donated organs.

The doctors told the Murnaghans that Sarah was suffering from a complication called primary graft failure (PGF), one of the leading causes of death in the first 30 days after a transplant procedure. Further analysis of Sarah’s new lungs revealed the PGF was due to the poor quality of the donated organs.

The doctors told the Murnaghans that Sarah was suffering from a complication called primary graft failure (PGF), one of the leading causes of death in the first 30 days after a transplant procedure. Further analysis of Sarah’s new lungs revealed the PGF was due to the poor quality of the donated organs.

The doctors told the Murnaghans that Sarah was suffering from a complication called primary graft failure (PGF), one of the leading causes of death in the first 30 days after a transplant procedure. Further analysis of Sarah’s new lungs revealed the PGF was due to the poor quality of the donated organs.

ClaptonDeCheeks
06-28-2013, 03:01 PM
strong reading comprehension

metroins
07-08-2013, 04:29 PM
Now she has pneumonia in her right lung.

2 sets of lungs and now pneumonia. They say the first set were bad, but who knows if an adult could have used them; hopefully she recovers from this pneumonia so the second set doesn't go to waste like the first.


A 10-year-old Pennsylvania girl who had a pair of adult-lung transplants after her parents sued to change national rules regarding organ donations has developed pneumonia in her right lung, which her mother described on Monday as "a large setback."

http://www.startribune.com/lifestyle/health/214632581.html

Oh and the second set she had paralysis in her diaphragm.

http://articles.washingtonpost.com/2013-07-02/national/40316097_1_janet-murnaghan-lungs-transplant-rules


The operation performed at Children’s Hospital of Philadelphia is expected to allow Sarah Murnaghan to breathe on her own. Sarah has needed a breathing tube since the successful June 15 transplant because she suffered a partial paralysis of her diaphragm during that procedure.

amtharin
07-08-2013, 04:49 PM
Now she has pneumonia in her right lung.

2 sets of lungs and now pneumonia. They say the first set were bad,but who knows if an adult could have used them hopefully she recovers from this pneumonia so the second set doesn't go to waste like the first.



http://www.startribune.com/lifestyle/health/214632581.html

Oh and the second set she had paralysis in her diaphragm.

http://articles.washingtonpost.com/2013-07-02/national/40316097_1_janet-murnaghan-lungs-transplant-rules

They could have ended up in a 13 year old to begin with.

Soonerjohn
07-08-2013, 05:19 PM
Refuse to be on organ donor list, have instructed family to donate organs to a kid instead of an adult.

GregariousWolf
07-08-2013, 05:22 PM
A week after the transplant, on June 21, Sarah underwent surgery yet again to close up her chest, which had been left open to aid in the healing process.

Something about this disturbs me.