Word: donors
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Dates: during 1960-1969
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Jelinek based his attack on the technique that has so often been successful in the South--mobilization of Northern sentiment. After the CBS special, SRRP received 20,000 pounds of raw hamburger from a Northern donor. The hamburger itself might be of some help--it could give perhaps a tenth of the poor families one wholesome meal. But it would obviously be only a token effort, unless SRRP could exploit it to change the national programs...
Just two months ago, when Dr. Christiaan Barnard remarked that he would not hesitate to remove a still-beating heart for transplantation if the donor had suffered indisputable "brain death," the suggestion still seemed shocking to many surgeons. Since then, heart transplants have become increasingly common and the criteria of brain death generally agreed upon. Thus, gathering last week in Manhattan, most of the world's transplant surgeons accepted the idea of a beating-heart transplant with Barnardian aplomb...
...sugar and other carbohydrates, the patients most likely to need a transplanted pancreas are victims of the severe juvenile form of diabetes. The pancreas, said Minneapolis' Dr. Richard C. Lillehei, is so inaccessible that it is the only major organ that is harder to get out of the donor than to put into the recipient. He has made three grafts of an entire pancreas, with the patient surviving 41 months in the most successful case. Be cause all three died of infection rather than rejection of the graft, Lillehei declared confidently: "We know enough to justify going ahead...
Worse, the antigens come in many different shapes and compositions even among individuals of the same species. Result: the chance that any two people (except identical twins) will have the same "antigenic constitution" is virtually nil. Transplanters have tried to get around that by matching donor organs with recipients whose antigen patterns seem fairly similar, but these resemblances are not close enough to exclude the rejection mechanism...
...responsibility of determining death. And if there is any prospect of a transplant, those physicians must not be members of the transplant team. On the need for this division of authority, Sir Leonard Mallen said: "Doctors must never be in a position where it could be said that a donor was murdered to obtain an organ for a transplant...