Saturday, July 26, 2008

Donation

A group in Pluto decided recently to set off and explore measures to promote organ donation. Noble as it sounds, I find the preliminary suggestions innovative.

For example, the guideline says that specific procedures to preserve the organ perfusion will be started when the Glasgow Coma Scale of a patient (with obvious irreversible brain insult) falls to 5 or below.

The obvious question is who would make the treatment order.

For sure not the transplant team. Otherwise it means their taking over the care of all dying patients - and for the team's own agenda.

"Could he be the patient's original doctor in-charge ?" Those extra-terrestrials suggest.

In that case is this doctor acting according to the benefit of the patient (who is still alive by law), or that of those potential recipients ?

PS. The composition of this extra-terrestrial committee is in itself remarkable - all being permanent citizens of this most distant planetary (i.e. those who are involved in receiving the organs) and none from other parts of the solar system (alas, those who take care of potential donors, such as intensivists and neurosurgeons). Oh, is that some careful planning by certain Humphrey Appleby ?

3 comments:

TW said...
This comment has been removed by the author.
TW said...

Wow, if I were you, I might have jumped out of the window in the middle of the meeting, gd for you though :)

CC Szeto said...

No, I don't have to sit in those meetings (although I have to in some others). These are what we hear from certain chair professor.