this post was submitted on 08 Sep 2024
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If you keep reading it gives a reason why this is a requirement. Now whether you agree with the doctors or not is up to you but there is at least a reason for this.
From this, the reasoning appear to be this: there is a high risk that the living liver transplant will not take. In this case the patient may be at risk of dying instantly and thus need another liver transplant. Since the candidate doesn't not qualify for this other transplant, in the case where the transplant does not take, the patient will die instantly. This is in contrast with the patient being terminally ill however given time to live out the remainder of their life.
I guess then the question should be is that worse than definitely dying now, and where does this cross into the patient having the right to request their own treatment?
I will always defer medical guidance to medical professionals, I know nothing in comparison to them.
It is worse.
If the living partial liver doesn't take hold, it dies off and becomes necrotic, and would need another surgery to take out or it'll become necrotic and they'll die of sepsis. It's also unlikely they'd survive such second surgery, due to the already existing liver failure + first surgery trauma.
In this case, you'd be asking doctors to directly kill the patient in a more painful way for a very tiny chance that it may save them, on top of if they do survive, assuming they don't relapse into alcoholism and die anyway. All while technically injuring someone else (the live donor).
Thank you, that does sound like an awful way to die.
I try to never assume I’m smarter than others for seeing the “obvious” path. I had a coworker in another department once call me out for saying “why don’t you just” and it’s stuck with me since.
This is a bunch of CYA from the hospital that got a woman killed. The article talks about how transfer success rates are up around 80-85%. That's just for the 6% of people who magically fit through all the "qualifications" the hospital has decided determine whether you get to live. This lady had a doner tested and lined up, but was rejected on the "off chance" (read: low probability) that IF the transplant failed, she would almost certainly die without an immediate whole liver transplant. So the fuck what? Her options were to maybe die from surgery or absolutely 100% die an agonizing slow death from liver failure. The hospital took away her ONLY chance at life. This is murder by committee and I hope the estate sues the entire hospital into the ground.
15% failure rate is not low, it's a dice roll essentially on par with Russian roulette.
Is a 15% chance of death during the surgery lower than the 100% chance of death if she doesn't get the surgery?
Yes. Yes it is. It is THE lowest possible chance of death she had among her remaining options.
It's the lowest, but it's not low. If it was 95% chance of being unsuccessful, it would still be the lowest.