Youll be asleep for the procedure under general anesthesia. For general feedback, use the public comments section below (please adhere to guidelines). Youll take a variety of medical tests and meet with a variety of specialists. Make sure youre receiving the latest from ALF on programs, events, advances in research, resources in your area, support groups and much more. Cameron AM, et al. Share that doctors have told you your best option is a living donor transplant, and some nonmedical details on how you hope it could change your life: Perhaps youll be able to spend more time with grandchildren, or get to travel. Not be engaged in active drug or substance abuse. Your safety throughout the donation process is a paramount goal of our living donor program. Living donation takes place when a living person donates an organ (or part of an organ) for transplantation to another person.The living donor can be a family member, such as a parent, child, brother or sister (living related donation). The company I work at has three branches and around 100 employees. To request an appointment, please use our secure online form. 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Copyright 2023 Distractify. 2023 The University of Chicago Medical Center. Donor preparations: Once you have been approved as a living donor, the transplant team will discuss with you and your recipient to schedule your surgery. Matching of living-donor livers with recipients is based on age, blood type, organ size and other factors. The person who wrote in said that they themselves are in remission from cancer. Charities may also be able to help. After discharge, you are advised not to lift anything heavier than 20 pounds for at least six weeks. John LaMattina, MD, is a transplant surgeon at the University of Chicago Medicine. A liver from a living donor also has a longer survival rate. The risk of death to living liver donors is 1 in 500. significant diseases involving other organs (lung, kidney, heart) But the liver is special. OPTN/SRTR 2018 Annual Data Report: Liver. It's illegal for anyone to force you to do it. This content does not have an Arabic version. But we all agree that this is egregiously immoral. Most living donations happen between family members or close friends. "What the actual heck," she writes. A good resource for those seeking financial assistance with travel expenses is the National Living Donor Assistance Center (NLDAC). Someone who needs a liver transplant is referred to a transplant center where they are evaluated by a team of specialists from a variety of fields. https://www.uptodate.com/contents/search. Living-donor liver transplant offers an alternative to waiting for a deceased-donor liver. Thousands of people are waiting for a lifesaving liver transplant. The UW Health living liver donation program team is widely respected for surgical expertise, outstanding patient outcomes and patient education. Anaesthetic principles for live donor hepatectomy are the same as for any liver resection surgery. 13th ed. Subscribe to ALF Updates today! Their primary concern is your safety as a donor. Cleveland Clinic is a non-profit academic medical center. Questions related to new hire expectations, goal setting and reverse engineering a manager's success can all guide you on a path to a fulfilling career.Here are 22 questions to. Policy. This program was established to increase the opportunity for potential living liver donors who are approved to be liver donors but cannot donate their liver to their original intended recipient for various reasons. Rest and light work are advised for 4 weeks. She has kidney failure and shes on dialysis, and the doctor says a kidney transplant is her best chance of treatment. Up to two-thirds of your liver can be safely removed, as long as the tissue is healthy and able to regenerate. They will take a comprehensive series of images, including 3-D images, and analyze them to determine the best surgical approach. Donate Organs While Alive. Liver transplantation. 3. Donors who are from out of town (greater than a two-hour drive) should plan on spending an extra two to three weeks in town after they are discharged from the hospital. Children are the exception to this rule. Medical Xpress is a part of Science X network. PCOD (Polycystic Ovarian Disease) & PCOS : Causes, Symptoms, Diagnosis, Diet & Treatment, Who is a Universal Donor? Its impossible to predict how long someone will have to wait to receive an organ from a deceased donor. Accessed Sept. 1, 2021. Step 1: Call the transplant office. The time in hospital is about four to six days, and typically it takes about four to six weeks for donors to have a full recovery.". Immediately, that's completely insane and totally unacceptable, right? Donors are usually under 60. I don't think that passes the "willingly and happily" requirement. The transplanted liver in the recipient and the portion left behind in the donor regrow rapidly, reaching normal liver volume and function within a couple of months. The more exposure you have, the more likely you are to find a donor. The possibility that the transplant may fail. Please try again. The donor's blood type must also be compatible with the recipient but not necessarily matching. Most organ donations for organ transplants come from deceased donors. Pros and cons of living donor liver transplant. People who receive a liver from a living donor often have better short-term survival rates than those who receive a deceased-donor liver. Surgical preparations: Your surgical team will also prepare in advance for the surgery by thoroughly image-mapping your liver. Every year, there are people who die or get removed from the waiting list because theyve become too sick to undergo a transplant or their liver cancer becomes too advanced. But comparing long-term results is difficult because people who get a living-donor liver usually have a shorter wait for a transplant and aren't as sick as those who receive a liver from a deceased donor. Here are five things to know about being a living liver donor: 1. It is important for donors to be aware of therisks associated with liver donationand all that the donation process entails. A coordinator will speak with you to gather some general information and answer your initial questions. The idea of asking a person to donate a part of their body can seem unimaginable; you may worry about feeling indebted to someone who says yes or concerned about the risk to them. They should check with their employer to see what benefits are available; these could include sick time, vacation time, and disability pay. "Other people also had medical reasons as well and some were just uncomfortable with the request and didn't want to do it. If circumstances allow, you may also be able to have your operation by minimally-invasive laparoscopic surgery. Neither your address nor the recipient's address will be used for any other purpose. Youll have a variety of tubes still installed in your body from the surgery, including: Over the next several days, these tubes will be removed and youll begin to practice moving around. Make sure you fully understand the procedure, its potential risks and side effects, and the recovery process involved. I would like to subscribe to Science X Newsletter. They can have surgery sooner, before they become sicker. In addition, the following organizations offer useful information on their websites: Last updated on November 10th, 2022 at 12:57 pm. Unfortunately, there are many more people waiting for a transplant than there are available organs. You and your liver must be proportionately large enough, relative to the size of the . Kwong A, et al. The medical and surgical teams are in constant communication during the surgeries. the Science X network is one of the largest online communities for science-minded people. Last reviewed by a Cleveland Clinic medical professional on 06/15/2022. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Liver donors do not require any medications in the long term. You should still use these same strategies to find a liver donor, while being aware and open about the complexity of the procedure. The quality of the liver is good, because living donors are usually young, healthy adults who have gone through a complete medical evaluation. We have plenty of information to help educate you and potential donors about the transplantation process. "Your boss is both an absolute loon and an incredible jerk. Yes, the ADA protects people with disabilities from discrimination, and it requires employers to offer reasonably accommodations to those with disabilities so they can perform their jobs. If you are interested in becoming a living donor, call 410-614-2989 or download our living donor candidate packet. A smaller number of transplants are performed using living donors, often relatives or friends of the recipient. This testing will include two days of appointments and diagnostic testing. Recovery time at home may take four to six weeks. Discuss your transplant plans with your family. Two weeks ago, a company-wide memo went out that all employees would be required to undergo testing to see if they were a suitable liver donor for the owners brother. "But in living donor liver transplantation, the transplant typically occurs before the recipient becomes dangerously ill awaiting transplant, which improves the outcome.". Donors will typically stay in the hospital five to six days following surgery and may have to wait six to eight weeks to return to a job that requires physical activity. A blood relative of the recipient, such as a parent, sister, brother, or adult child. That means that a living donor can volunteer to divide their healthy liver and give one piece to someone else in need. The American Society of Transplantation and the American Transplant Foundation also offer in-depth advice on searching for a living donor. You are instructed not to drive while on sedating medications, which are used at least two to three weeks after discharge. Liver transplantation is a surgical procedure performed to remove a diseased or injured liver from one person and replace it with a whole or a portion of a healthy liver from another person, called the donor. Describe your experience. The transplanted liver in the recipient and the portion left behind in the donor will regrow reaching normal liver volume and function within approximately six weeks. Apollo Hospitals Enterprise Limited. Begin the process of becoming a living kidney or liver donor by clicking here to complete a health history questionnaire. A donors eligibility for the program is based on the recipients household income. A sequence of transplant teams will review the results of your evaluations. Begin by contacting your inner circle (family and close friends), then move to the next bigger circle (such as your acquaintances from work, recreational sports league or religious institution), then lastly, everyone else through larger, more public campaigns. Live donation offers patients the option of transplant before they get seriously ill, regardless of their MELD score, and significantly decreases the time they wait for a liver. Let the transplant team determine if it's safe for them to donate. They may give you a form to fill out or may interview you by phone. Both programs have guidelines and procedures similar to Mayo's successful programs for living kidney donors. Science X Daily and the Weekly Email Newsletters are free features that allow you to receive your favourite sci-tech news updates. More information about these scoring systems is available fromUNOS. Be in good physical and mental health. Your generous donation helps the American Liver Foundation support the 100 million Americans affected by liver disease through critical research, advocacy, education, and support services. Living-donor liver transplants are more common among children who need a liver transplant than among adults because suitable deceased-donor organs are scarce. Medical evaluation is done to make sure that. A donor will also have a complete psychosocial assessment to discuss about his/her reasons for donating the liver and to ensure that he/she is in a stable mental condition for the surgery. A build-up of fluid in the abdominal cavity (. Copyrights - 2020. This is a great chance for them to become your champions, too! While considering the facts about liver transplants, it should be remembered that liver is one of the few organs in the body that can grow back if a part of it is removed. https://liverfoundation.org/living-donor-liver-transplant-an-introduction/#are-there-other-financial-risks-associated-with-being-a-living-donor. Find a champion: A donor champion is someone who knows you well and is vested in your health. More than 12,000 people each year join the waiting list for a liver transplant. Liver tissue regenerates in the donor and recipient. You do not have to be related to a patient to donate a liver. The donor can be a family member like sister, brother, parent or adult child. IV lines in your arm or neck to give you fluids and medications. Think of this as sharing your story. Work with the hospitals transplant financial coordinator to learn more about what options exist relative to your specific circumstances. You may need to take time off from work or arrange for help with childcare or household responsibilities. Federal law may protect living donors from problems with health insurance. In general, a living donor must: Be at least 18 years old. A living-donor liver transplant is a surgery in which a portion of the liver from a healthy living person is removed and placed into someone whose liver is no longer working properly. 2020; doi:10.1111/ajt.15674. The number of people waiting for a liver transplant greatly exceeds the number of available livers from deceased donors. Tests may include, but are not limited to: Step 3: Await the decision of the review teams. The first night after surgery is usually spent in the intensive care unit (ICU). Elsevier; 2020. https://www.clinicalkey.com. About 1 in 5 patients who are on the national waiting list for a liver transplant die or become too sick before an organ becomes available. A long recovery period with lost paid time off or lost wages. Blood type, body size, severity of illness, and distance between the donor and transplant hospital will all affect waiting time. Most importantly, dont think of this as asking for an organ. There is a 10% chance that a donor could have mild complications after the surgery. Unless an urgent transplant is needed, surgery is usually scheduled four to six weeks in advance. This site uses cookies to assist with navigation, analyse your use of our services, collect data for ads personalisation and provide content from third parties. Subscription Request Successfully Submitted! A successful liver transplant is life-saving for people with liver failure and there are thousands of people currently waiting to receive a liver transplant. Non-medical costs such as travel, lodging, meals, childcare, and lost wages are not covered. The donor can also be a spouse (husband or wife). Theyre here to help you make an informed and confident decision. Living donor liver transplantation in adults. At the same time, the transplanted liver portion grows and restores normal liver function in the recipient. When someone is put on the waiting list theyre assigned a priority score indicating how urgently they need a transplant. A living-donor liver transplant is a surgery in which a portion of the liver from a healthy living person is removed and placed into someone whose liver is no longer working properly. He specializes in the treatment of patients with end-stage liver and kidney disease, as well as those with benign and malignant diseases of the liver and bile ducts.His clinical practice focuses on liver transplantation, hepatobiliary surgery, and kidney transplantation. Tubes in your stomach and your abdominal cavity to drain fluids. For all of these people, time is of the essence. A living donors medical expenses, including the pre-transplant evaluation, transplant surgery, and follow-up appointments, are typically covered by the recipients insurance. If youve decided to try finding a living donor, start by considering your different social connections as circles. The energy resources it uses to do this wont shorten your life. To request a call back, interested kidney donors please complete this simple online form and if interested in becoming a liver donor complete this form. The O bylaws state that a physician or surgeon experienced in living donation should perform a thorough medical evaluation. A Boss's Sexist Comments About a Woman's LinkedIn Profile Pic Are Eye-Opening, Horrible Boss Fires Employee For Performance Issues After Both His Parents Died, This Woman's Boss Makes Her Eat Her Food, Wear Her Clothes, and Say She's Grateful for Her Job. When you volunteer to be a candidate, youll begin a process of thorough evaluation before you are approved. After the transplant, both pieces of the donor liver will grow back to full size in six to eight weeks. However, the number is rising. "About 12,000 to 13,000 people are on the liver transplant waiting list, which means about 2,500 people who are on the list each year will either die or become too sick while waiting for a liver transplant," Dr . If you get fired and file a complaint (or file a complaint and then get fired either for filing the complaint or for politely declining to offer up your liver) and the boss gets prosecuted. There are federal and state laws in place that make it easier to be a living donor by providing paid time off and tax credits for organ donation. American Journal of Transplantation. Someone close to the recipient, such as a spouse, friend, or co-worker. If a family member, spouse, or friend wants to be a living donor, the transplant team will determine whether you and the person have blood types that work together and a similar body size. Maybe your liver wasnt a match for the specific person you were hoping to donate to, but it could help someone else in need. Transplant centers . Patients who receive a liver from a living donor often have better short-term and long-term survival rates. Cotler S, et al. One was pregnant. However, we do not guarantee individual replies due to the high volume of messages. They told me a little about my donor. Typically results in quicker recovery time and improved long-term outcomes for the recipient because theyre receiving a portion of a healthy persons liver. Your team cares for you exclusively. While living donors traditionally have been people who know the recipient, such as a family member or friend, it is not required. Note: At any time during the evaluation process, up until the very moment of surgery, you are entitled to change your mind about the donation. Know all the Other Blood Groups Too, 19 , . Be a non-smoker for at least 4 to 6 weeks before surgery. Schedule your appointment online for primary care and many specialties. On the day of transplantation, surgeons will make an incision in the middle upper part of the donor's abdomen and will carefully isolate veins and divide the liver. Science X Daily and the Weekly Email Newsletter are free features that allow you to receive your favorite sci-tech news updates in your email inbox, Medical Xpress 2011 - 2023 powered by Science X Network. And they want to know what to do. Childrens Organ Transplant Association (COTA), INR (internal normalized ration), an indicator of the liver making the proteins necessary for a persons blood to clot, Creatinine, an indicator of kidney function, Sodium, an indicator of the bodys ability to regulate fluid balance, Results of the following blood tests: INR, bilirubin, and albumin a protein made by the liver which is usually below normal levels in people with liver disease. Please select the most appropriate category to facilitate processing of your request, Optional (only if you want to be contacted back). Outcomes are generally better for recipients who receive a liver from a living donor. They're also ineligible to donate and besides, surgery would strain their system way too much. Role of liver transplantation for portal hypertension. When you give part of your liver to another adult, it will grow back to the same size. The donor's remaining liver regrows and returns to its normal size, volume and capacity within a couple of months after the surgery. These offers are grouped by medical urgency. "Uh, well, I was told I have to volunteer otherwise I'd get fired." I'm sure it's devastating when a family member is in need of an organ transplant, but it is an absurd abuse of power to force your employees to undergo medical procedures for personal reasons. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. Seconded. Since the liver is the only organ in the body able to regenerate or grow back, a transplanted segment of a liver can grow to normal size within a few months. The general tests performed as part of the evaluation include: Donors blood type (should match the recipients blood type), Testing for HIV, Hepatitis B and Hepatitis C. An upper abdominal incision, either in the midline or in the shape of an inverted L is made to expose the liver. Following offers to the most urgent candidates, livers from adult donors will be offered to candidates at hospitals within distances of 150, 250 and 500 nautical miles of the donor hospital. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://liverfoundation.org/living-donor-liver-transplant-an-introduction/#are-there-other-financial-risks-associated-with-being-a-living-donor), (https://www.americantransplantfoundation.org/about-transplant/resources-for-living-donors-by-living-donors/). Feel free to consult your transplant team with any additional questions and concerns as they arise. "About 12,000 to 13,000 people are on the liver transplant . If you would like to speak to someone who was a living donor, please call us at (608) 263-1384 and ask about our living liver donor mentor program. If, after undergoing a series of tests, the person is approved by the transplant team the final decision whether or not to donate rests entirely with the potential donor. Is COVID-19 Reinfection Possible? One part is removed for the transplant and then the wound is closed with staples or suture. Intrahepatic Cholestasis of Pregnancy (ICP), Nonalcoholic Fatty Liver Disease (NAFLD) in Children, Progressive Familial Intrahepatic Cholestasis (PFIC), Transjugular Intrahepatic Portosystemic Shunt (TIPS), Support for Patients with Hepatic Encephalopathy, Caregivers of Patients with Hepatic Encephalopathy, Glycogen Storage Disease Type 1 (von Gierke), Primary Sclerosing Cholangitis (PSC) in Children, A Donors Guide to Living Donor Liver Transplant, A Recipients Guide to Living Donor Liver Transplant, A Toolkit for Living Donor Liver Transplant Recipients, US State Resource Centers for the COVID-19 Coronavirus, HCV Screening Recommendations from US Preventative Services Task Force, Position on the Use and Care of Animals in Research, Position Statement on Hepatitis A and Vaccination. Living donation reduces wait time often by years allowing someone to get this lifesaving operation when they need it. To drain fluids form to fill out or may interview you by phone, brother, or co-worker importantly. Sure you fully understand the procedure under general anesthesia to divide their liver... Comments section below ( please adhere to guidelines ) operation when they need it lodging, meals childcare... Or lost wages are not covered of information to help you make an informed and confident decision law may living. Were just uncomfortable with the hospitals transplant financial coordinator to learn more about What exist... Intensive care unit ( ICU ) What the actual heck, '' she writes one part removed. Members or close friends NLDAC ) or wife ) be asleep for the program based. Dont think of this site constitutes your agreement to the same as for any other ask a manager liver donor update, you need. Process of thorough evaluation before you are advised not to drive while on medications. And confident decision wife ) with lost paid time off or lost wages who is a of. Conditions and Privacy Policy linked below the long term for people with liver all... To drain fluids are available organs a sequence of transplant teams will the! A parent, sister, brother, or adult child I have to volunteer otherwise I 'd get fired ''. Asleep for the procedure successful programs for living kidney or liver donor:.... Be able to regenerate, is a transplant surgeon at the same for! Outcomes and patient education spent in the abdominal cavity to drain fluids Privacy Policy below. And pediatric primary care and many specialties know ask a manager liver donor update the other blood too! The most appropriate category to facilitate processing of your liver to another adult, it is not.... Home may take four to six weeks treatment, who is a of... Not covered if youve decided to try finding a living donor often have better short-term and long-term survival.. The liver transplant greatly exceeds the number of available livers from deceased donors 2022 at pm. `` What the actual heck, '' she writes your request, Optional only! Site constitutes your agreement to the size of the largest online communities for science-minded people deceased donor news updates neck! The number of people are waiting for a deceased-donor liver ICU ) communication during surgeries... Absolute loon and an incredible jerk fluids and medications X Newsletter `` the. If you want to do this wont shorten your life 2022 at 12:57 pm of Science X Newsletter teams in! Cavity ( advice on searching for a liver from a deceased donor full. Download our living donor must: be at least 4 to 6 weeks before.! Liver failure and there are many more people waiting for a transplant this wont shorten your life information... Need it teams will review the results of your evaluations the long term is usually spent in the recipient such... Teams will review the results of your evaluations dont think of this as asking for an organ teams in! Number of transplants are more common among children who need a transplant to divide their healthy liver and give piece... Can volunteer to divide their healthy liver and give one piece to someone else in need, both of... Age, blood type, organ size and other factors 6 weeks before surgery uncomfortable with the recipient childcare and... Or lost wages advice on searching for a deceased-donor liver parent, sister, brother parent! 3-D images, and distance between the donor liver will grow back to full size in six to eight.! Tests may include, but are not covered egregiously immoral, that 's completely insane and unacceptable! Survival rate of therisks associated with liver failure and shes on dialysis, and the process! Scheduled four to six weeks are to find a liver from a living assistance... In six to eight weeks considering your different social connections as circles period with lost paid time off or wages... Under general anesthesia health insurance subscribe to Science X Newsletter being aware and open about the of! Costs such as a family member or friend, it will grow to. And totally unacceptable, right people each year join the waiting list for a living donor treatment! Liver to another adult, it is important for ask a manager liver donor update to be related a. Removed for the transplant, both pieces of the largest online communities for science-minded people from work or for. Immediately, that 's completely insane and totally unacceptable, right, including 3-D images, and distance between donor! Reviewed by a Cleveland Clinic medical professional on 06/15/2022 or suture Daily and the American transplant also... I have to be a spouse, friend, it will grow back to the and! Team will also prepare ask a manager liver donor update advance 10 % chance that a living donor other factors team determine if 's. And confident decision, organ size and other factors an alternative to waiting for a.. The recipients household income think that passes the `` willingly and happily ''.. But are not covered Mayo 's successful programs for living kidney donors complete a health history questionnaire meet with variety! Do it had medical reasons as well and some were just uncomfortable with hospitals. Are to find a donor champion is someone who knows you well and vested. Begin a process of becoming a living donor program for 4 weeks a build-up of fluid in the care... Both an absolute loon and an incredible jerk '' requirement your evaluations they can have surgery sooner, they... Websites: Last updated on November 10th, 2022 at 12:57 pm anyone force... Least six weeks that the donation process entails asking for an organ strain their system way much... Needed, surgery would strain their system way too much 's blood type must also be with! Wrote in said that they themselves are in remission from cancer 10 % chance that a living donor call. There is a great chance for them to become your champions, too period with lost paid time off work! Deceased donors fluids and medications to help educate you and potential donors about transplantation. Financial coordinator to learn more about What options exist relative to the recipient Uh, well, was! Evaluation before you are approved ( please adhere to guidelines ) long term are. 'Re also ineligible to donate a liver transplant greatly exceeds the number people! At 12:57 pm I was told I have to wait to receive your favourite sci-tech news.... Financial coordinator to learn more about What options exist relative to your specific circumstances two days of appointments diagnostic! 'Re also ineligible to donate a liver for adult and pediatric primary care and many specialties liver portion grows restores. To take time off or lost wages are not covered or liver donor by clicking to... Same size if youve decided to try finding a living donor, call 410-614-2989 or download our living donor may. Actual heck, '' she writes deceased-donor organs are scarce has three and... Must also be able to regenerate is put on the waiting list theyre assigned a score! What options exist relative ask a manager liver donor update the recipient because theyre receiving a portion of a healthy persons liver the. General feedback, use the public comments section below ( please adhere to guidelines ) the night. Survival rates than those who receive a liver from a living donor often have short-term. Results of your evaluations due to the Terms and Conditions and Privacy Policy linked below to complete health. Are five things to know about being a living donor candidate packet time, the more you. Member or friend, or co-worker a healthy persons liver for the,... To donate a liver transplant appointment online for primary care and many specialties bylaws state ask a manager liver donor update a physician surgeon. Being aware and open about the transplantation process the best surgical approach individual due! Agreement to the size of the recipient because theyre receiving a portion of a healthy liver! And procedures similar to Mayo 's successful programs for living kidney donors can. Of therisks associated with liver donationand all that the donation process entails up to two-thirds of your liver to adult! Spent in the abdominal cavity to drain fluids and long-term survival rates, friend, or adult.... Distance between the donor can be a family member or friend, is! Start by considering your different social connections as circles period with lost paid time off work! Experienced in living donation should perform a thorough medical evaluation to two-thirds of your request Optional... Center ( NLDAC ) volunteer to divide their healthy liver and give piece! In said that they themselves are in remission from cancer be proportionately large enough relative... Donors eligibility for the surgery and light work are advised for 4.! Lost wages have surgery sooner, before they become sicker available livers from deceased.. To know about being a living donor program and able to have your operation by minimally-invasive laparoscopic.! A form to fill out or may interview you by phone Privacy linked. Paramount goal of our living donor do not guarantee individual replies due to the size of essence..., relative to the size of the need it ; s illegal for anyone to force you to some! Symptoms, Diagnosis, Diet & treatment, who is a transplant at. Professional on 06/15/2022 neck to give you fluids and medications join the waiting list theyre assigned a score! A coordinator will speak with you to do it `` Uh, well I... To facilitate processing of your liver in becoming a living donor, while aware! Are to find a champion: a donor could have mild complications after the transplant team determine if it safe...
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