Friends do let friends donate?

Are your kidneys available to me? - Tenth in a series

If you had a son or daughter or parent who decided to donate a kidney, would you want to offer them any advice or assistance? If a person were sincerely convinced it would be right and good to donate, what influence could you have? Yet if anything were to go wrong, it could affect your life and others in your family significantly.

If our churches taught on biomedical topics that touch on the sanctity of life, we could become aware of potential risks and any ungodly aspects they pose, despite being endorsed by our culture — and many churches.

If people could reflect on these matters before becoming emotionally involved in real life situations, they would stand a good chance of making a decision based on Scripture and obedience to God, not on emotion and yes, ignorance of facts.

Hmm, this is beginning to sound like an “if” piece.

Kipling’s If comes to mind:

If you can keep your head when all about you
       Are losing theirs and blaming it on you,
If you can trust yourself when all men doubt you,
       But make allowance for their doubting too;…

Can we Christians keep our heads in a society where others are emphasizing progress through science, while pursuing answers ourselves in the same venues, but putting first God’s kingdom and righteousness?

It could help to study these things together. A sanctity of life Sunday school series could have a class on live kidney donation. What does God think about this? To begin, what are the risks to the body — that belongs to him? For you are not your own (1Co 6:19). Gathering information on this topic, we find the risks are downplayed on many websites. Examples:


The class could also observe transparency on some sites that are seeking living donors:

Unfortunately, some donors have lost their kidney function and require dialysis several years after donation. There is a priority system in place so that donors receive extra points for deceased donor kidney transplant when they are on the waiting list. (ref)

Maybe we would call that one the “The Big Give and Take”.

Another site explains

Your emotions when you donate a kidney
Kidney donors may have a wide range of emotions, including joy, relief, anxiety or a sense of loss throughout the process. Even if you are elated at the thought of giving the gift of life, as a potential kidney donor you should have a support system throughout the process. Family, friends, spiritual guidance, organized support groups and mental health counseling can be helpful.
Getting a nephrectomy done
There are two methods to remove a kidney: an open nephrectomy and a laparoscopic nephrectomy.
In an open nephrectomy, an incision approximately 12 inches long is made in the abdomen. Sometimes the surgeon must remove a rib. The ureter (the tube that carries urine from the kidney to the bladder) is cut between the bladder and the kidney, and blood vessels are cut and clamped before the kidney is removed. The incision is closed with stitches or staples. The procedure can take up to three hours. Some benefits of open nephrectomy include:
    - Allowing surgeons to place sterile ice directly on the kidney to prevent damage during surgery
    - Donors experience less urinary leakage after surgery…(ref)

After studying these facts, what discussion might follow?

An excellent website to include would be LivingDonor101.com, which shares information on risks without asking anything in return except a donation to help them host their site. It describes the physical and some psychosocial risks for living kidney donors such as: Adrenal Insufficiency/Addison's Disease, Bleeding, Cardiac/Heart issues, Chylous Ascites (lymph gland related), Chronic Pain, Insurance and Financial issues, Gastrointestinal issues, Hernia, Hypertension, Infection, Kidney Failure, Chronic Kidney Disease, End-Stage Renal Disease, Martial/Relationship Conflict, Nerve Damage, others.

Another site, OrganFacts.net, offers lots of information on organ donation with a spotlight on whether the “brain dead” donor is actually dead.

A prospective donor might start to wonder: How will my living donation affect my family and friends? Do I have the right to expose them to potential time-consuming difficulties on my behalf? If I do not recuperate fully, can I/my family afford it? Would I ask others to donate their kidney for me? What has been the cause of the recipient’s need? If through self abuse, would that pattern continue and my gift not be appreciated?

Nevertheless, in some cases, would God approve of live kidney donation?

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Can the dilemmas of kidney transplantation be resolved? For Christians?

Are your kidneys available to me? - Ninth in a series

  • Hiring dynamic leaders to manage the operations of the hospital departments,
  • Working with Congress to revise legal and financial barriers,
  • Settling the question of when death occurs— or efforts to do so,
  • Stepped up solicitations for living donors, and more,

are all being done.

An Organ Donor Bill of Rights and the Living Donor Advocate are also in the mix.

The Organ Donor Bill of Rights was penned by Nancy Scheper-Hughes, who has stated, “If you were able, as I have been, to talk to kidney sellers the world over, you would find that even years after the operation, the sellers are still suffering from its effects on their bodies, minds, social status, intimate relations, and working lives.” She hopes this Bill will be read by the body brokers.

Article 1
All humans have the right to bodily integrity. Organs are every person’s birthright, their bodily patrimony. Humans both are and have a body. (A post-Cartesian notion of the person is not ‘cogito ergo sum’ but rather ‘I am embodied, therefore I am’.)
Article 2
There are no ‘spare’ kidneys, lungs, or part-livers. To share these human parts is a sacrifice not to be normalized, routinized, or taken lightly.
Article 3
Although living donation is honorable and ethical, it is never to be presented by the recipient or his surgeons as an obligation.
Article 4
Green donation (deceased donors) should be the default system. Red donation (living donors) should be viewed as the exception, not the rule.
Article 5
Acknowledge that vulnerable populations – young people, the unemployed, prisoners, the mentally ill, the mentally deficient, guest workers, the uninsured, economic and political refugees, those in debt – are exploitable and that the ‘choice’ to sell a kidney is often coerced.
Article 6
Recognize the role of relative power/powerlessness based on gender, race, class, education, citizenship, nationality in organ selling, transplant tour, internet brokering schemes.
Article 7
Establish a principle of solidarity with the weak, the frail, the sick and the economically and existentially shaken.
Article 8
Recognize that the medical, psychological, social and political consequences of kidney selling, like the scars themselves, are often kept hidden from view.
Article 9
Revise hospital protocol to increase surveillance of living donation to include a ‘donor’s doula’, a guardian-advocate at the bedside, independent of and un-beholding to, or financially dependent on the transplant team, to represent the living donor during screening, surgery, and post-surgical follow up.
Article 10
No living organ donation from the unemployed or medically uninsured. (ref)

Dr. Scheper-Hughes suggests, “if you are able and willing to pay someone for a kidney (or a liver lobe) to save your life, please make sure that the money is paid to someone you know, even to someone you love, someone who you will be able to watch out for over the long term should their health fail and, turning the tables, they may need you to give them a helping hand.”

Article 9 is now part of the current American regimen:

In the US, all transplant hospitals are required to have either a Living Donor Advocate or a Living Donor Advocate Team. The role of this job is to screen candidates who desire to be living organ donors to ascertain if they understand the risks and benefits of donation, if they can provide informed consent, and to look after their safety and welfare. They aim to discover the motivations and expectations about donating, and if there is any coercion to donate. (ref)

Other attempts to solve the dilemmas of kidney transplantation are being carried out in biotech labs. Will lab-grown kidneys fix our transplant waiting lists? Various experiments have shown promise. Example:

Scientists removed the cells from a rat kidney, leaving only its collagen scaffolding, then re-seeded the scaffolding with neonatal kidney cells and endothelial cells, producing a functional man-made kidney that, when transplanted into rats, filters waste and produces urine. It raises hopes for a bioengineered human kidney.

The referenced article also mentions at-home and portable dialysis as new techniques, but stresses that one new kidney is what frees patients from devices.

The prospect for growing kidneys in labs using stem cells from human embryos or for developing inter-species kidneys for human transplant are real, yet these are not expected to be on the market anytime soon.

Would you want to have a kidney that came from a pig? Many people have porcine (pig) or cow heart valves in place of their own and may be considered chimeras, yet there is a significant difference between a man who has a pig valve in place of his own faulty valve, and animal embryos merged with human in a petri dish to invent a chimeric kidney or other body part.

Animals have long been incubators for human medical advancements, but where do you draw the line?

For the Christian, the line is drawn at using human embryos in research. Life begins at conception. This is a scientific truth that, like the definition of death, is now disregarded. It is rejected by those who desire to use human embryos “for the greater good.” An excellent article that explains why life begins at conception is here.

Also, for the Christian, there should be no acceptance of fusing the types or “kinds” that God created, but regenerative therapies may hold promise, and these, I believe, could meet with Christian approval.

What other lines should a Christian draw? We cannot steer the sciences but we should have our own insights and convictions to live by and to share as we may feel led.

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Angel fish
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...and every living creature that moveth, which the waters brought forth abundantly, after their kind, and every winged fowl after his kind ... the living creature after his kind, cattle, and creeping thing, and beast of the earth after his kind ...the beast of the earth after his kind, and cattle after their kind, and every thing that creepeth upon the earth after his kind: and God saw that it was good. -Genesis 1

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A SistersSite eBook

Flesh and Bone and The Protestant Conscience is an e-book on Amazon.com. It is 99¢ and in the Amazon lending library as well. It is also available here in PDF format. The book description follows.

Would you let your conscience be your guide?

Does God care if the skin and bone of the dead are passed along to the living for medical uses? Is organ donation OK with God? Should you sign a Living Will?

Did you know that dead organ donors are often anesthetized before their organs are removed? Do you know the current definition of death? The conscience cannot function without facts.

As we ponder the ethics of in vitro fertilization, stem cell research and man-made chimeras, our thoughts trail off. How then should we live? (Ez 33:10)

How should a Christian think about euthanasia by starvation when doctors and the state attorney general all agree it is time to withhold feeding from a brain injured patient? Some things are family matters, but someday it may be our family.

Here is a small book to help you think about whether you want to sign your driver's license, donate a kidney, cremate your loved one, and many other practical questions that may arise in the course of your healthcare decisions or watch over others.

It offers a special focus on the doctrine of the Resurrection that is related to such decisions. Sunday School classes and Bible Study groups could use this book to facilitate discussion about the issues covered.