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Published - Monday, April 07, 2008

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RN: Families need to discuss organ donation plans


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Betty Nigh wished she had that conversation with her brother about organ donations.

Her brother, Harold, had a major blood clot to the lungs, which caused a massive heart attack and stroke, and left him with no brain function at Gundersen Lutheran Medical Center.
Nigh said the topic of unplugging the ventilator and organ and tissue donation was inevitable. Her brother’s son was supportive of organ donation, but some family members were fearful that the body would be disfigured and had doubts.

She said the family reached a compromise — donate any organs that would not affect viewing for an open-casket funeral service. A liver and two kidneys were harvested.

In the end, her brother died at the age of 62 on Dec. 28, 2006. He helped three people from Illinois, Wausau and Beloit with his organ donations.

Nigh, a registered nurse for the Vernon County Health Department, has become an advocate for organ donations and had worked with dialysis patients on waiting lists for kidney transplants or who have experienced organ failure.

She gave a presentation April 3 during an organ donation awareness program at a downtown La Crosse Rotary Club luncheon.

“No one to my knowledge has ever discussed organ donation or end-of-life decision-making with Harold, so his wishes were not readily apparent, and we were left guessing,” Nigh said.

She said her brother was a giving person who always lent a hand to someone.

“I wish I would have had the conversation with my brother about organ donation,” Nigh said.

Nigh said she wants people to have that discussion about organ donation with family members and their physician.

She said her family members feel good about their decision today.

“Just because you may be older and may have chronic health problems, you still may have very vital organs and tissues within your body that might help others live,” Nigh said.

“My brother’s legacy of helping others lives on today through three organ transplant recipients,” she said.

To be A donor

What you need to do to make sure your organs are donated:

  • Consent of the closest relative is needed for a donation, so discuss the issue with family; make sure your wishes are clearly known.

  • Sign a donor card and the back of your driver’s license to indicate your wishes.

  • Fill out advanced directives; have them put in your medical record.

    Terry Rindfleisch can be reached at trindfleisch@lacrossetribune.com, or (608) 791-8227
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    Darwin wrote on Apr 8, 2008 7:46 AM:

    " Wizewitch..... I do see you point but if it was your child dying of a genetic defect would you feel differently? I personally know of a woman who was 25 yrs old when she received a kidney from her brother - she's still going strong 10 yrs later. I can't imagine her parents thought, "well, honey, everyone dies eventually. Tough cookies."
    I'd like to believe if the system is deluged with donations so that the demand decreases we'd have a safer, less-expensive system. "

    Krusty wrote on Apr 7, 2008 9:24 PM:

    " Wizewitch, that's fine if you feel that way, but you personally should be denied any sort of transplant or blood donation even if it is to save your life. Like I said before, if you refuse to give you should under no circumstances be able to receive. It's that simple. "

    wizewitch wrote on Apr 7, 2008 8:59 PM:

    " I've let it be known that I DO NOT want to donate my organs. Here's why . . . first, I think it's bad medicine. Just because a procedure can be done doesn't mean it should be done. Everyone dies eventually. These procedures are just very expensive ways of holding off the inevitable for little while longer.
    Second, this sort of experimental medicine for a select few contributes to high cost of preventive care for all.
    Finally, I think the system of procurement is inherently corrupt. If you have cash or are famous, you get to the head of list when maybe you shouldn't (alcoholic major league ball players and drug addled rock stars for example).
    Sorry if this offends someone but it's just how I feel about it. "

    conscience? wrote on Apr 7, 2008 2:49 PM:

    " Unless you have discussed your wishes with family that little sticker on your license will mean nothing. I'm not listed as an organ donor, because I've made my wishes known to my family. I want my family to know who my organs are going to. I would give any part of my body to a child. On the other hand I'm not giving my liver to an alcoholic and my lungs aren't going to a chronic smoker. I think it should be my right to make a decision like that with such an important gift. "

    Darwin wrote on Apr 7, 2008 9:59 AM:

    " Krusty, it sure would be something if we were actually allowed to become worm food, but instead we're placed in obscenely expensive (and air-tight) caskets and vaults, thus stretching the time of decay to years, instead of, at the very least, feeding the soil. "

    Krusty wrote on Apr 7, 2008 9:39 AM:

    " When I die I want every last piece of flesh that can be used to be given away. Why let a liver or kidney rot when you can give it to someone and save their life? Just how selfish can you be that you would rather feed the worms than save someone's life? "

    Darwin wrote on Apr 7, 2008 9:14 AM:

    " I wish I could understand why people won't donate organs.
    If one is deeply religious, I ask this: isn't it the spirit which transcends? And once we're dead, isn't the body that happily (hopefully) housed that spirit simply a carrying case? If you're willing to accept that an embryo is human life, and should be saved at all costs, isn't it a sin to bury a perfectly good organ which could save one or more lives?
    Or if one thinks that putting in a different organ desecrates a body, what would you call enballimg? That is a truly morbid practice.
    This seems like an issue that changes depending on if we're talking about strangers who need a kidney versus, for instance, your child. "

    Krusty wrote on Apr 7, 2008 7:43 AM:

    " There should be a law that prevents anyone from receiving an organ donation unless he/she was previously on a donor list, not counting people that can't donate due to age or disease. If you won't donate you surely shouldn't be allowed to receive. "


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