• Snot Flickerman@lemmy.blahaj.zone
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    7 months ago

    Just so everyone knows, you can’t really transplant dead organs (at least not as safely or with the success of live organs).

    They can only use your organs if you die in a hospital setting. They will keep pumping blood to your organs after you die to keep them “fresh” and “alive.”

    Post-death organ transfer exists but is way more risky than an organ that was recently in a living, functioning body.

    So if you’ve ever considered it, keep in mind that you have to die at a hospital for it to happen, and even then, they’re still technically forcing your body to be alive to keep these organs alive.

    Source: Friend who lost his leg to amputation during a COVID-coma. They didn’t think he would make it. He woke up in the donor ward. EDIT: Just to be clear, this happened during peak COVID before the vaccines when bodies were just piling up everywhere. I don’t think a coma patient waking up in the donor ward is a normal thing, I think it happened because COVID was a fucked up situation and people were overwhelmed.

    • OsrsNeedsF2P@lemmy.mlOP
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      7 months ago

      What does it even look like when you wake up in a donor ward? Was he a write-off and the doctors were just like ‘oh shit, he’s awake’? Do non-donors simply get disposed of instead of being brought there?

      • Snot Flickerman@lemmy.blahaj.zone
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        7 months ago

        He’s older and it’s been tough to get explicit details from him, but yeah it sounds like because it was during COVID and beds for bodies were so scarce, on top of the fact that they didn’t have high hopes for him surviving (so many people his age with COVID just never made it), that they were keeping in there for simplicity’s sake. Anyway, it spurred me to begin looking into organ donation actually functions, and I mean, it makes sense, I just hadn’t really thought about it before that you technically have to have your body being kept alive to be able to donate the organs. A rotting organ probably isn’t very useful. That’s why it usually happens with terminal patients where the outcome is 100% they are gonna die. During COVID, with bodies piling up, and lack of open beds in hospitals, it at least makes sense to me that he would have ended up there, in case he didn’t wake up. It was pandemonium, at the time. Sadly, it seems to have kind of messed with his head to wake up in that situation, he’s a lot less trustful of doctors now.

          • NightoftheLemmy@sh.itjust.works
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            7 months ago

            It’s not the leg amputation, I believe, they considered him “as good as dead” when he went into coma. He knew he was getting an amputation. What he didn’t expect was that he would wake up to a nightmare of being prepped for his other organs to be removed.

    • dingus@lemmy.world
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      7 months ago

      Sorry to hear about your friend.

      I don’t think knowing this fact should discourage anyone from choosing to be a donor, though. It just means that yeah, it’s unlikely that you’ll be in a position where they can use your organs when you die, but it doesn’t hurt to be put on the list just in case.

      Iirc, I think a lot of organ donations end up being from people in motor vehicle accidents.

      I did get to see one case where they harvested the person’s bones instead of their organs. Didn’t even know that was a thing. I’m not sure if they died in a hospital setting or not. Might be you get more time to harvest bones as opposed to organs?

      • Snot Flickerman@lemmy.blahaj.zone
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        7 months ago

        Oh yeah, I hope I don’t dissuade anyone. I just hadn’t ever really deeply thought about it before, despite being a registered organ donor. It’s an interesting conundrum to me, because you need fresh, live organs, but you can’t reasonably take those from fresh, live people most of the time, so you need people who are literally on death’s door, who aren’t going to make it, to have their bodies kept artificially alive for the purpose of organ transfer. COVID was just a fucked up situation all around with not enough beds and so many people dying. My friend had a rough experience, but it’s hardly the norm.

        • dingus@lemmy.world
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          7 months ago

          Yeah I’m so glad that we’re not still in that disaster. I mean, I know COVID is still out there, but thankfully in much smaller numbers and we have a much greater capacity to treat it nowadays… especially without hospitals being overwhelmed.

          I’ve seen cases where patients actually ended up getting lung transplants in an attempt to save them with COVID. I handled the diseased lungs and they were so bizarre looking.

          • communism@lemmy.ml
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            7 months ago

            Wow, I didn’t know about the covid lung transplants. If you don’t mind me asking, could you describe the covid lungs/how they looked different to healthy lungs? Just morbidly curious

            • dingus@lemmy.world
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              7 months ago

              Sure thing. It’s been a while and I’ve only seen a few, but I’ll do my best.

              So normal lungs are puffy enough, and smooth and glistening on the outside. On the inside, they resemble a kitchen sponge. They are soft and pliable, and able to easily contract and expand to inhale and exhale air.

              In these COVID lungs, the outside was very ragged and shaggy. They were distorted with a lot of contracted areas. When you cut into it, there was some residual spongy areas, but a lot of it was white, firm, and solid. Think of how you might get a gnarly scar on your arm from a bit cut. Except instead of just being a single scar, almost the entirely of the lungs are scarred and firm. They aren’t able to contract and expand easily anymore because of how firm and rigid they’ve become. And because they no longer have the spongy architecture, it means many of the airspaces are lost and there is far less areas for potential gas exchange.

              So I’m not positive, but I’m fairly sure these COVID lung transplant attempts are primarily performed on younger patients after their body was able to clear the virus. It’s just that in these individuals, although they no longer had COVID, the resulting scar tissue absolutely destroyed their lungs. It doesn’t happen in every case thankfully…or even most cases, but when it does it’s a bit scary.

              I remember one of my cases being a young pregnant woman who had to be put on an ECMO machine (artificially oxygenates the blood when your heart and/or lungs cannot). I don’t know whatever came of her, but I hoped she was able to go on and lead a relatively normal life.

              You can read a bit more about this sort of thing here: https://en.wikipedia.org/wiki/Interstitial_lung_disease