Former U.S. television network
POPULARITY
3 episodes with united network
3 episodes with united network
2 episodes with united network
2 episodes with united network
2 episodes with united network
2 episodes with united network
2 episodes with united network
2 episodes with united network
Based on AHLA's annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2025. In the sixth episode, Elizabeth Trende, Chief Legal Officer & General Counsel, United Network for Organ Sharing, speaks with Michelle Garvey Brennfleck, Shareholder, Buchanan Ingersoll & Rooney, about the current cyber threat environment for the health care industry and what health care entities can do to better protect themselves from cyberattacks. They discuss the proposed Health Infrastructure Security and Accountability Act, the importance of cyber risk assessments, and how the new administration may impact policies on protected health information. From AHLA's Academic Medical Centers and Teaching Hospitals Practice Group.Watch the conversation here.AHLA's Health Law Daily Podcast Is Here! AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this new podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.
Today's Headlines. Interview with Daniel Geraci, “United in Crisis? A True Story of God's Miraculous Power Working Through a United Network of Churches”.See omnystudio.com/listener for privacy information.
Shadi Rouhshahbaz (she/her) is an Associate Research Fellow at The Alfred Deakin Institute for Citizenship and Globalisation (ADI). She is a PhD student at the University of Melbourne and holds a Double-Joint Master's degree in International Development - Migration and Mediation from the Ca Foscari University of Venice and Paul Valery University, Montpellier 3. Shadi has worked with UN Women HQ, UNICEF and the United Network of Young Peacebuilders. Her research focuses on the intersections of foresight studies, youth, gender, peace and security, the Middle East and multilateral institutions. Shadi is committed to conducting research that influences policy by bridging the gaps between the lived experience of individuals and the required developments of systems and academia. We are grateful she shared her time with Trailblazer host Poppy Bell.
Diana Rogel is the diversity outreach and engagement coordinator at Live On Nebraska, one of 56 organ procurement organizations in the country. Live On is responsible for recovering organs and tissue from deceased donors for transplantation, and maintaining the state's donor registry. According to the United Network for Organ Sharing, more than 100,000 people in the United States are awaiting transplants. One donor can save up to eight lives. Part of Live On Nebraska's mission is to educate the public about the donation and transplant processes through outreach and events. In this conversation, Rogel and Michael Griffin talk about how a family illness and her background in community engagement led to her current role with Live On. Rogel also dispels common myths about organ donation, and explains how to register as a donor and why everyone should. Originally aired 7-29-24 --- Support this podcast: https://podcasters.spotify.com/pod/show/riversidechats/support
On today's special episode of Hot Topics and Kidney Health we're sharing audio from a recent webinar hosted by National Kidney Foundation on kidney xenotransplantation. Stay tuned to hear from the experts and learn about the latest updates on animal-to-human transplantation. Dr. Tatsuo Kawai is a professor of surgery at Harvard Medical School and the A. Benedict Cosimi Chair in Transplant Surgery at Massachusetts General Hospital. He is also director of the Legorreta Center for Clinical Transplantation Tolerance. He was awarded the Martin Research Prize at MGH in 2009 and the New Key Opinion Leader Award by the Transplantation Society in 2010 for this work. In the field of xenotransplantation, he has collaborated extensively with eGenesis over the past five years, achieving over two years of survival for genetically edited kidney xenografts in nonhuman primates, which was published in Nature in 2023. In March 2024, he successfully performed the world first kidney xenotransplantation from the pig with 69 genomic edits in a living patient with end stage renal disease. Vineeta Kumar MD, FAST, FASN is the lead nephrologist for the Living Kidney Donor and Incompatible Kidney Transplant programs at the University of Alabama in Birmingham. She is an expert in kidney transplantation, living kidney donation, incompatible kidney transplant, kidney paired donation and cardiovascular outcomes after kidney transplantation. Peter Reese, MD, PhD, is an NIH-funded transplant nephrologist and epidemiologist. His research focuses on: a) developing effective strategies to increase access to solid organ transplantation; b) improving the process of selecting and caring for living kidney donors; c) determining outcomes of health policies on vulnerable populations with renal disease, including the elderly; d) testing strategies to improve important health behaviors such as medication adherence; and e) transplant ethics. He was a recipient of a Presidential Early Career Award for Scientists and Engineers, was elected member of the American Society of Clinical Investigation, and was a Greenwall Faculty Scholar in bioethics. He is a past chair of the Ethics Committee for the United Network for Organ Sharing (UNOS), which oversees organ allocation and transplant regulation in the US, and is an Associate Editor for the American Journal of Kidney Diseases. He co-led the THINKER, USHER, MYTHIC, and SHELTER trials involving transplanting HCV-infected donor organs into uninfected recipients. His work has been generously funded by foundations and the NIH, including a K-24 to support mentoring. Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.
Send the show a text here!Brian is a paramedic who has worked 911 EMS, flight, and critical care transport, including patients who are at end of life and donating organs, and even the organs themselves. After hearing the experience that Anthony and Jessica DeCilio went through with their daughter's end of life care he graciously offered to shed light on how the process of organ donation and procurement usually works. We talk about how someone becomes an organ donor, how the DMV process is far from providing the "informed" part of informed consent, how brain death is determined clinically, how organ procurement occurs across the United States and most of the western world, the importance of talking with your loved ones about your wishes for end of life care early on, and where to find the information to help you make the best decisions for you when the inevitable occurs. One of those resources is the United Network for Organ Sharing https://unos.org/Join this and other conversations here: https://linktr.ee/tindelsrazorMusic by Scott Toddy: https://www.scotttoddy.com/
On this episode of The Broken Pack™: Stories of Adult Sibling Loss, Dr. Beth Hoffman, a surviving sibling, joins Dr. Dean to discuss the loss of her sister, Emily. Emily was tragically killed in a pedestrian accident. Dr. Hoffman shares how she navigates life as a sibling loss survivor following Emily's sudden death, including her experience in the ICU and honoring Emily's wish to be an organ donor. They discuss the complexities of sibling grief, the importance of normalizing conversations about loss, and the different ways people cope with the death of a sibling. Dr. Hoffman also discusses the challenges of navigating grief in a society that often avoids conversations about death and the importance of recognizing the different ways people experience and process loss.About Dr. Beth HoffmanDr. Hoffman is a researcher at the University of Pittsburgh, specializing in the intersection of popular media and health. Her work explores how television, social media, and other platforms can be used for health promotion and education, as well as the spread of health misinformation. She also teaches courses on community health and entertainment media.More About Emily:Caring Bridge - https://www.caringbridge.org/visit/emilycrewDonor Tribute on UNOS - https://unos.org/donor_tributes/emily-hoffman/Honoring Emily:Humane Animal Rescue of Pittsburgh's Catio (in Emily's Honor)Emily Johanna Hoffman Fund - supporting STEM & experiential learning programs, and other Pittsburgh nonprofits .To learn more about organ and tissue donation and to become a donor, please see:In the US:1. Donate Life America: https://donatelife.net2. United Network for Organ Sharing (UNOS) - https://unos.org/transplant/facts/Globally: https://tts.org/isodp-resources/isodp-organ-donSupport the Show.If you would like more information or to share your own adult sibling loss story, please contact me, Dr. Angela Dean, at contact@thebrokenpack.com or go to our website, thebrokenpack.com. Please like, subscribe, and share! Please follow us on social media:Facebook: @BrokenPackInstagram: @thebrokenpack TikTok: @the_broken_packYouTube: @thebrokenpackSign-up for Wild Grief™, our newsletter: https://thebrokenpack.com/newsletter Thank you!Angela M. Dean, PsyD, FTCredits:The Broken Pack™ Podcast is produced by 27 Elephants Media"If Tomorrow Starts Without Me" © ℗ 2023, 2024 Written by Joe Mylward and Brian Dean Performed by Fuji Sounds (feat. MYLWD.) Licensed for use by The Broken Pack™ Now available on all streaming platforms including Apple Music & Spotify: https://tinyurl.com/3vx3kk46
This week we will discuss Multi-Organ transplants with Zachary Colton. Zach is 35 years old and recently underwent a successful 5 organ multivisceral intestinal transplant surgery at the Toronto General Hospital in his home country of Canada. The organs he received were: stomach, small intestine, colon, liver, and pancreas. In 1954, the kidney was the first human organ to be transplanted successfully. Liver, heart and pancreas transplants were successfully performed by the late 1960s, while lung and intestinal organ transplant procedures were begun in the 1980s. From the mid-1950s through the early 1970s, individual transplant hospitals and organ procurement organizations managed all aspects of organ recovery and transplantation. If an organ couldn't be used at hospitals local to the donor, there was no system to find matching candidates elsewhere. Many organs couldn't be used simply because transplant teams couldn't locate a compatible recipient in time. Since that time UNOS was created in order to provide guidance to patients and physicians in the US with a goal of providing a more equitable base for individuals in need of transplanted organ(s). The United Network for Organ Sharing (UNOS) is a non-profit scientific and educational organization that administers the only Organ Procurement and Transplantation Network (OPTN) in the United States, established (42 U.S.C. § 274) by the U.S. Congress in 1984 by Gene A. Pierce, founder of United Network for Organ Sharing. Located in Richmond, Virginia, the organization's headquarters are situated near the intersection of Interstate 95 and Interstate 64 in the Virginia BioTechnology Research Park. United Network for Organ Sharing is involved in many aspects of the organ transplant and donation process: Managing the national transplant waiting list, matching donors to recipients. Maintaining the database that contains all organ transplant data for every transplant event that occurs in the U.S. Bringing together members to develop policies that make the best use of the limited supply of organs and give all patients a fair chance at receiving the organ they need, regardless of age, sex, ethnicity, religion, lifestyle, or financial/social status. Monitoring every organ match to ensure organ allocation policies are followed. Providing assistance to patients, family members and friends. Educating transplant professionals about their important role in the donation and transplant processes. (CREDITS: Wiki) Educating the public about the importance of organ donation.
VISIT the NETWORK here: https://bit.ly/Daughters-United-Network This month's topic: How to "DO LOVE" Even When It's Hard Sometimes we DO LOVE because we LOVE a person or we are motivated because of their love for us. There are other reasons too, we can DO LOVE out of an obligation, a duty, or a promise… On the sermon on the Mount, Jesus took this “heart issue” and took it to the next level when He said… “You're familiar with the old written law, ‘Love your friend,' and its unwritten companion, ‘Hate your enemy.' I'm challenging that. I'm telling you to love your enemies. Let them bring out the best in you, not the worst. When someone gives you a hard time, respond with the supple moves of prayer, for then you are working out of your true selves, your God-created selves. This is what God does. He gives his best—the sun to warm and the rain to nourish—to everyone, regardless: the good and bad, the nice and nasty. If all you do is love the lovable, do you expect a bonus? Anybody can do that. If you simply say hello to those who greet you, do you expect a medal? Any run-of-the-mill sinner does that.” Matthew 5:43-47 MSG What Jesus is giving us here is a mandate to DO LOVE… even when it's HARD… but he doesn't leave us without resources. We don't DO LOVE out of our own LOVE TANK… but HIS. As we draw on the depths of HIS MARVELOUS LOVE we become just the conduit for GODS LOVE to reach them…HE is the source. GOD's LOVE can sometimes be TOUGH LOVE. “Love is patient, love is kind. It does not envy, it does not boast, it is not proud. It does not dishonor others, it is not self-seeking, it is not easily angered, it keeps no record of wrongs. Love does not delight in evil but rejoices with the truth. It always protects, always trusts, always hopes, always perseveres.” 1 Corinthians 13:4-7 NIV ❤️ In Psalm 55: 12-14 King David cried out… “It is not an enemy who taunts, sneers, makes fun of, reproaches me— I could bear that. It is not my foes who so arrogantly insult me— I could have hidden from them. Instead, it is you—my equal, my companion and close friend. What good fellowship we once enjoyed as we walked together to the house of God.” “God BLESSES those who are merciful… for they will be shown MERCY.” Matthew 5:7 As we reflect GOD's MERCY… HIS MERCY will overflow in our own lives. Sometimes we DO LOVE because we LOVE a person or we are motivated because of their love for us. * MENTOR ME LIVE! is a monthly event where you can glean wisdom from our coaches panel to help you gain spiritual and practical insights to not only survive, but thrive in areas of Life, Relationships, Family, Identity and Equipping. You'll find the support you need in our UNITED NETWORK to recognize, rise up and run with your God-given gifts, callings, and NOW assignments. --- Send in a voice message: https://podcasters.spotify.com/pod/show/linette-rainville/message
PALERMO (ITALPRESS) - Deputati per due giorni, con l'obiettivo di conoscere dall'interno la politica siciliana e i suoi meccanismi, in particolare gruppi parlamentari e disegni di legge: destinatari dell'iniziativa sono 78 studenti provenienti da due licei dell'isola, gli istituti Pirandello di Bivona e Russo di Caltanissetta. L'evento, che prende il nome di "Parlamento siciliano. Statuto e cultura" e costituisce a tutti gli effetti una simulazione dei lavori dell'Assemblea regionale, si svolgerà dall'1 al 2 febbraio: a organizzarlo il presidente Ars Gaetano Galvagno in collaborazione con United Network a Europa e la Fondazione Federico II. I lavori si svolgeranno interamente a Palazzo dei Normanni, a Palermo. Nella prima giornata gli studenti formeranno i gruppi parlamentari, con l'elezione di tutte le componenti parlamentari (presidente, vicepresidenti, segretari, questori e ufficio di presidenza), e inizieranno la discussione di un disegno di legge (preparato dagli stessi ragazzi in prima istanza e completato da United Network) a sostegno del diritto allo studio nelle università e nel sistema di istruzione superiore siciliano; nella seconda giornata si passerà alla discussione e alla votazione degli emendamenti e in seguito all'approvazione del disegno di legge, prima articolo per articolo e dopo con votazione finale. L'iniziativa sarà inoltre fondamentale per sgombrare il campo da equivoci legati alle istituzioni del territorio in quanto, spiega Galvagno, “puntiamo a dare agli studenti un'infarinatura sulla nostra attività, a partire dallo statuto, ma anche sulla distinzione tra Palazzo dei Normanni e Palazzo d'Orleans, tra deputato e assessore, tra presidente dell'Assemblea regionale e presidente della Regione. Vogliamo riavvicinare i giovani alle istituzioni, provando a spiegargli come ci si occupa dello Stato”. xd8/vbo/gtr
This week on It Was a Thing on TV First, in television history, there have been several attempts at becoming a viable competitor to ABC, NBC, and CBS. Some have succeeded (FOX), while others were not so lucky (MyTV, PAX). In this installment, we turn the clock back to the mid-60s where a mogul in the warehouse industry started his own network which had a name change before going to air, aired one series in its existence, and lasted a month. Then, in the mid-to-late 2000s, VH-1 was looking for a comedic complement to its highly successful Best Week Ever. One such complement was this show, created by some names who would go on to bigger and better things, where the home audience decided which short series did not cut the mustard, and which ones would see another week because...they were acceptable (dot) tv. Follow us at all our socials via our Linktree page at linktr.ee/itwasathingontv Timestamps 0:36 - The Overmyer Network AKA The United Network and The Las Vegas Show 30:43 - This Week in Match Game-Hollywood Squares Hour History (1/16/84-1/20/84) 38:05 - Acceptable.tv 1:12:42 - The Russell Westbrook Update
In television history, there have been several attempts at becoming a viable competitor to ABC, NBC, and CBS. Some have succeeded (FOX), while others were not so lucky (MyTV, PAX). In this installment, we turn the clock back to the mid-60s where a mogul in the warehouse industry started his own network which had a name change before going to air, aired one series in its existence, and lasted a month.
Governor Glenn Youngkin will propose $50 million dollars in the state budget for the city of Richmond's Combined Sewer Overflow projects – city leaders say that's not enough; The United Network of Organ Sharing says a recent data breach may impact up to 1 point 2 million patient records; The Virginia Department of Wildlife Resources has named a suspect in its investigation into the death of a well-known Richmond buck.
In this episode, Dr. Dean speaks with Kelly Stiffler about losing her younger brother, Josh, from a seizure. Josh was an organ donor and Kelly shares how this loss has affected her and the family. We also explore how different roles and relationships mean grieving the same person differently, including how she is grieving differently from her sister, Kate who we heard from in the first episode of this season.To learn more about organ and tissue donation and to become a donor, please see:In the US:1. Donate Life America: https://donatelife.net2. United Network for Organ Sharing (UNOS) - https://unos.org/transplant/facts/For a list of organ donation organizations and informationby regions in the world, please see https://tts.org/isodp-resources/isodp-organ-donation-societiesSupport the showIf you would like more information or to share your own adult sibling loss story, please contact me, Dr. Angela Dean, at contact@thebrokenpack.com or go to our website, thebrokenpack.com. Please like, subscribe, and share! Please follow us on social media:Facebook: @BrokenPackInstagram: @thebrokenpack TikTok: @the_broken_packYouTube: @thebrokenpackSign-up for Wild Grief™, our newsletter: https://thebrokenpack.com/wild-grief/ Thank you!Angela M. Dean, PsyD, FTCredits:The Broken Pack™ Podcast is produced by 27 Elephants Media"If Tomorrow Starts Without Me" © ℗ 2023 Written by Joe Mylward and Brian Dean Performed by Joe Mylward Licensed for use by The Broken Pack™
In this episode, Dr. Dean speaks with Katie Kuehn about losing her older brother, Josh, from a seizure. Josh was an organ donor and Katie share the impact that his gift of life to others has made upon her. We also explore how different roles and relationships mean grieving the same person differently.To learn more about organ and tissue donation and to become a donor, please see:In the US:1. Donate Life America: https://donatelife.net2. United Network for Organ Sharing (UNOS) - https://unos.org/transplant/facts/For a list of organ donation organizations and information by regions in the world, please see https://tts.org/isodp-resources/isodp-organ-donation-societiesSupport the showIf you would like more information or to share your own adult sibling loss story, please contact me, Dr. Angela Dean, at contact@thebrokenpack.com or go to our website, thebrokenpack.com. Please like, subscribe, and share! Please follow us on social media:Facebook: @BrokenPackInstagram: @thebrokenpack TikTok: @the_broken_packYouTube: @thebrokenpackSign-up for Wild Grief™, our newsletter: https://thebrokenpack.com/wild-grief/ Thank you!Angela M. Dean, PsyD, FTCredits:The Broken Pack™ Podcast is produced by 27 Elephants Media"If Tomorrow Starts Without Me" © ℗ 2023 Written by Joe Mylward and Brian Dean Performed by Joe Mylward Licensed for use by The Broken Pack™
It can take years to get to the top of the waiting list for a donated kidney in the U.S. So when Sally Satel found out she'd need a kidney transplant, she wondered why she couldn't just buy one. We'll hear from a behavioral economist and a bioethicist who shed light on the ban on organ sales and whether it's possible to create an ethical compensation program for organs. Show notes:In addition to Sally Satel, this episode features interviews with: Jeffrey Kahn, Andreas C. Dracopolous Director of the Johns Hopkins Berman Institute of Bioethics Mario Macis, Professor of Economic, Johns Hopkins Carey Business School This episode references the National Organ Transplant Act (NOTA), passed in 1984. This act established the national Organ Procurement & Transplantation Network (OPTN), which is operated by an outside contractor, the United Network for Organ Sharing (UNOS). The OPTN has its own ethics committee that has written guiding principles that influence how organs are allocated in the US. You can read this guidance here. To learn more about the ethics issues raised in this episode, visit the Berman Institute's episode guide. The Greenwall Foundation seeks to make bioethics integral to decisions in health care, policy, and research. Learn more at greenwall.org.See omnystudio.com/listener for privacy information.
It can take years to get to the top of the waiting list for a donated kidney in the U.S. So when Sally Satel found out she'd need a kidney transplant, she wondered why she couldn't just buy one. We'll hear from a behavioral economist and a bioethicist who shed light on the ban on organ sales and whether it's possible to create an ethical compensation program for organs. Show notes:In addition to Sally Satel, this episode features interviews with: Jeffrey Kahn, Andreas C. Dracopolous Director of the Johns Hopkins Berman Institute of Bioethics Mario Macis, Professor of Economic, Johns Hopkins Carey Business School This episode references the National Organ Transplant Act (NOTA), passed in 1984. This act established the national Organ Procurement & Transplantation Network (OPTN), which is operated by an outside contractor, the United Network for Organ Sharing (UNOS). The OPTN has its own ethics committee that has written guiding principles that influence how organs are allocated in the US. You can read this guidance here. To learn more about the ethics issues raised in this episode, visit the Berman Institute's episode guide. The Greenwall Foundation seeks to make bioethics integral to decisions in health care, policy, and research. Learn more at greenwall.org.See omnystudio.com/listener for privacy information.
The following question refers to Section 8.5 of the 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure. The question is asked by Western Michigan University medical student & CardioNerds Intern Shivani Reddy, answered first by University of Southern California cardiology fellow and CardioNerds FIT Trialist Dr. Michael Francke, and then by expert faculty Dr. Shashank Sinha. Dr. Sinha is an Assistant Professor of Medical Education at the University of Virginia School of Medicine and an advanced heart failure, MCS, and transplant cardiologist at Inova Fairfax Medical Campus. He currently serves as both the Director of the Cardiac Intensive Care Unit and Cardiovascular Critical Care Research Program at Inova Fairfax. He is also a Steering Committee member for the multicenter Cardiogenic Shock Working Group and Critical Care Cardiology Trials Network and an Associate Editor for the Journal of Cardiac Failure, the official Journal of the Heart Failure Society of America. The Decipher the Guidelines: 2022 AHA / ACC / HFSA Guideline for The Management of Heart Failure series was developed by the CardioNerds and created in collaboration with the American Heart Association and the Heart Failure Society of America. It was created by 30 trainees spanning college through advanced fellowship under the leadership of CardioNerds Cofounders Dr. Amit Goyal and Dr. Dan Ambinder, with mentorship from Dr. Anu Lala, Dr. Robert Mentz, and Dr. Nancy Sweitzer. We thank Dr. Judy Bezanson and Dr. Elliott Antman for tremendous guidance. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. Question #30 Ms. V. Tea is a 55-year-old woman with a history of cardiac sarcoidosis, heart failure with mildly reduced ejection fraction (HFmrEF – EF 40%), and ventricular tachycardia with CRT-D who presents with recurrent VT. She has undergone several attempts at catheter ablation of VT in the past and previously had been trialed on amiodarone which was discontinued due to hepatotoxicity. She now continues to have episodic VT requiring anti-tachycardia pacing and ICD shocks despite medical therapy with mexiletine, metoprolol, and sotalol. Her most recent PET scan showed no active areas of inflammation. Currently, her vital signs are stable, and labs are unremarkable. What is the best next step for this patient? A Evaluation for heart transplant B Evaluation for LVAD C Dobutamine D Prednisone E None of the above Answer #30 Explanation The correct answer is A – evaluation for heart transplant. For selected patients with advanced heart failure despite GDMT, cardiac transplantation is indicated to improve survival and quality of life (Class 1, LOE C-LD). Heart transplantation, in this context, provides intermediate economic value. Clinical indicators include refractory or recurrent ventricular arrhythmias with frequent ICD shocks. Patient selection for heart transplant includes assessment of comorbidities, goals of care, and various other factors. The United Network of Organ Sharing Heart Transplant Allocation Policy was revised in 2018 with a 6-tiered system to better prioritize unstable patients and minimize waitlist mortality. VT puts the patient as a Status 2 on the transplant list. There was a contemporary analysis of patients with end-stage cardiomyopathy due to cardiac sarcoidosis, published in Journal of Cardiac Failure, in 2018 that demonstrated similar 1-year and 5-year survival after heart transplant between patients with and without cardiac sarcoidosis. Choice B (evaluation for LVAD) is incorrect. While bridge to transplant with LVAD is definitely a potential next step in patients with cardiac sarcoidosis, it is not recommended in patients presenting primarily with refractory ventricular arrhythmias due to granuloma-induced scarring. In this situation, patients benefit from direct heart transplant rather than bridge to transplant LVAD approa...
Organ transplantation has proven to be life-saving for thousands of patients and a growing number of disease processes. However, the gap between available organs for transplant and patients on organ transplant waiting lists continues to grow. In this episode, we will discuss the ICU management of the organ donor. Our guest is Dr. George Williams. He is a Professor of Anesthesiology, Critical Care and Pain Medicine, and Vice Chair for Critical Care Medicine at the McGovern Medical School of the University of Texas in Houston. Dr. Williams is also Medical Co-Director of the Surgical Intensive Care Unit at Lyndon B. Johnson General Hospital, and Executive Medical Director, for the Donor Specialty Care Unit- Memorial Hermann Hospital TMC. He is an Immediate Past-President of the Texas Society of Anesthesiologists and currently serves as Chair, for the American Society of Anesthesiologists Committee on Critical Care Medicine. Additional Resources: Management of the Potential Organ Donor in the ICU. A clinical guideline published by the Society of Critical Care Medicine: https://www.sccm.org/Clinical-Resources/Guidelines/Guidelines/Management-of-the-Potential-Organ-Donor-in-the-ICU Website for the United Network for Organ Sharing (UNOS): https://unos.org/ Critical Matters podcast episode – Death By Neurological Criteria: https://soundphysicians.com/podcast-episode/?podcast_id=342&track_id=1304762116 The rise of organ donation after circulatory death: a narrative review. Gardiner D, et al. ANESTHESIA 2020: https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.15100 Books Mentioned in this Episode: The Holy Bible, KJV: https://shorturl.at/wyLM4
The system for coordinating organ donations and transplants in the United States is broken, according to experts who have testified over the course of many years to Congress. In this episode, hear their testimony about what is wrong with the current system and then we'll examine the bill that aims to fix the problems. Please Support Congressional Dish – Quick Links Contribute monthly or a lump sum via Support Congressional Dish via (donations per episode) Send Zelle payments to: Donation@congressionaldish.com Send Venmo payments to: @Jennifer-Briney Send Cash App payments to: $CongressionalDish or Donation@congressionaldish.com Use your bank's online bill pay function to mail contributions to: Please make checks payable to Congressional Dish Thank you for supporting truly independent media! Background Sources August 3, 2022. Senate Finance Committee. Lenny Bernstein and Todd C. Frankel. August 3, 2022. The Washington Post. February 10, 2020. Senate Finance Committee. The Bill Audio Sources July 20, 2023 Senate Committee on Finance, Subcommittee on Health Care Witnesses: LaQuayia Goldring, Patient Molly J. McCarthy, Vice Chair & Region 6 Patient Affairs Committee Representative, Organ Procurement and Transplantation Network (OPTN) Matthew Wadsworth, President and CEO, Life Connection of Ohio Raymond J. Lynch, MD, MS, FACS, Professor of Surgery and Director of Transplantation Quality and Outcomes, Penn State Health Milton S. Hershey Medical Center Donna R. Cryer, JD, Founder and CEO, Global Liver Institute Clips 30:40 Sen. Ron Wyden (D-OR): HRSA, the Health Resources Agency, is on track to begin the contract process this fall and we're just going to be working here to complement their effort. 36:30 Sen. Chuck Grassley (R-IA): In 2005, I started the investigation of the deadly failures of UNOS, the monopoly tasked with managing the US organ donation system. Since then, more than 200,000 patients have needlessly died on the organ waiting list. There's a reason that I call UNOS the fox guarding the hen house. For nearly two decades, UNOS has concealed serious problems [at] the nation's organ procurement organizations, known as OPOs, instead of working to uncover and correct the corruption. This human tragedy is even more horrific because many of these deaths were preventable. They were the result of [a] corrupt, unaccountable monopoly that operates more like a cartel than a public servant. 44:45 LaQuayia Goldring: As a toddler, at the age of three, I was diagnosed with a rare kidney cancer that took the function of my left kidney. And when I was 17, I went back into complete renal failure and I received a first kidney transplant at that time. Unfortunately, in 2015, I went back into kidney failure. And at that time, I wasn't ready for another transplant, but I didn't have a choice but to go back on dialysis. I've been waiting nine agonizing years for a transplant, dependent upon a dialysis machine five days a week, just to be able to live. I was told that I would receive a kidney transplant within three to five years. But yet I am still waiting. I am undergoing monthly surgeries just to be able to get my dialysis access to work so that I can continue to live until I get a transplant. The UNOS waitlist is not like one to 100, where everybody thinks you get a number. I'm never notified on where I stand on the list or when I will get the call. I have to depend on an algorithm to make the decision of what my fate will be. 47:55 LaQuayia Goldring: Just a few weeks ago, a donor family reached out to me to be a directed kidney donor, meaning they chose me specifically for a kidney transplant. But unfortunately, due to the errors in the UNOS technology, I was listed as inactive and this was a clerical error. And all that they told me was this was a clerical error, and they could not figure out why I was inactive. But when it came down to it, I'm actually active on the transplant list. 51:45 Molly McCarthy: The Federal monopoly contractor managing the organ donation system, UNOS, is an unmitigated failure. And its leadership spends more time attacking critics than it does taking steps to fix the system. I've seen this firsthand in my five years as a patient volunteer with the OPTN and three years ago, I stepped into the role of Vice Chair of the Patient Affairs Committee, or PAC. 53:45 Molly McCarthy: Further, I have been called by a board member telling me to stop focusing on system outage and downtime of the UNOS tech system. He told me that having downtime wasn't a big deal at all, "the donors are dead anyway." That comment speaks volumes to me about the lack of empathy and respect UNOS has for donor families. 55:00 Molly McCarthy: Congress needs to break up the UNOS monopoly by passing 1668, ensuring that HHS uses its authority to replace UNOS as its contractor. 1:00:15 Matt Wadsworth: Break up the OPTN contract and allow for competition. 1:00:40 Matt Wadsworth: I commend this committee for introducing legislation to finally break up this monopoly and I stand ready to work with you in any way possible to ensure that this bill passes. It's the only way this industry will be able to save more patients' lives. 1:02:10 Dr. Raymond Lynch: I want to differentiate between organ donation, which is the altruistic decision of the donor patient and their family, and organ procurement, which is the clinical care provided by OPO staff. This is what turns the gift of donation into the usable organs for transplant. Organ procurement is a clinical specialty. It's the last medical care that many patients will ever receive. It's reimbursed by the federal government and it's administered by OPOs that are each the only provider in the territory to which they hold federal contracts. Right now patient care delivered by OPOs is some of the least visible in American healthcare. I can't tell you how many patients were evaluated by OPO workers in the US in 2022. I can't tell you how many patients were examined, or how many families were given information about donation, or how many times an OPO worker even showed up to a hospital to do this clinical duty. This lack of information about what OPO providers actually do for patients is a root cause of the variability in rates of organ procurement around the country. My research has shown that what we call OPO performance is a measurable restriction on the supply of organs that results in the unnecessary deaths of patients with organ failure. For example, if the lowest performing OPOs from around the country had just reached the national median over a recent seven year period, there would have been 4957 more organ donors, yielding an estimated 11,707 additional organs for transplant. Because many OPOs operate in a low quality data environment and without appropriate oversight, almost 5,000 patients did not get adequate organ procurement care, and nearly 12,000 other patients did not receive life saving transplants. 1:03:55 Dr. Raymond Lynch: OPO clinical work is currently not visible, it's not benchmarkable, and it's not able to be adequately evaluated, analyzed, or compared. However, much of the hidden data about how OPOs provide care to patients is known to one entity and that entity is UNOS. 1:05:20 Dr. Raymond Lynch: We need a new network of highly skilled specialist organizations, each attending to areas of expertise in the management of the OPTN contract. 1:21:15 Sen. Marsha Blackburn (R-TN): When we look at OPTN, and look at the Securing Organ Procurement Act, the bill would strip the nonprofit requirement for the manager of the Organ Procurement and Transplantation Network, which would open the door for profiting from organ procurement and donation. And to me, this is something that I think many people really fear, especially people that are on a waitlist. And so what I would like for you to do is to address that and address those concerns. And why or why not you think the Act has it right. Dr. Raymond Lynch: Thank you, Senator. I think it's unfortunate that people would be afraid of that and it needs to be changed. Many of the patients that you referenced are waitlisted at for-profit hospitals. For-profit is a part of American healthcare. And I can tell you that our not-for-profit entity doesn't work. And there are for-profit hospitals and for-profit transplant centers that do work. So patients don't need to be afraid of that. They do need to be afraid of the status quo. 1:28:30 Sen. Ben Cardin (D-MD): Ms. Cryer, do you have any views as to why it's much lower percentage chances for a racial minority to be able to have a transplant? Donna Cryer: Yes. And it really does come down to UNOS not doing its job of overseeing the organ procurement organizations. We know from many studies that black and brown communities donate organs in the same percentage they are the population. So it is not a problem of willingness to donate. It is a problem, as Miss Goldring was starting to discuss, about UNOS not ensuring that OPOs go out into the communities, develop relationships far before that horrible decision is needed to [be] made to donate the organs of a family member. 1:56:45 Sen. Elizabeth Warren (D-MA): And among the many reforms the legislation would support HRSA's proposal to break up the OPTN monopoly contract into multiple smaller contracts, which would allow some competition and allow the best vendors in the business to manage different parts of the transplant network operation. That means hiring IT experts to do the IT. It means hiring logistics experts to do logistics, and so on. 1:57:15 Sen. Elizabeth Warren (D-MA): UNOS does not want to lose control, so they're pushing to have the government limit eligibility only to nonprofit vendors that have worked in the past on organ donation, meaning, for instance, that the IT company that is hired to run OPTNs computers systems would have had to have worked on an organ transplant network in the past and be a nonprofit. So Ms. McCarthy, the requirement UNOS wants would seem to make it so that only one organization could apply for the new contract: UNOS. 1:58:35 Sen. Elizabeth Warren (D-MA): Right now, Congress has an opportunity to root out corruption in this system, but if we don't act before the current contract expires we won't have another shot for years. August 3, 2022 Senate Committee on Finance Witnesses: Brian Shepard, CEO, United Network for Organ Sharing (UNOS) Diane Brockmeier, RN, President and CEO, Mid-America Transplant Barry Friedman, RN, Executive Director, AdventHealth Transplant Institute Calvin Henry, Region 3 Patient Affairs Committee Representative, Organ Procurement and Transplantation Network (OPTN) Jayme Locke, M.D., MPH, Director, Division of Transplantation, Heersink School of Medicine, University of Alabama at Birmingham Clips 36:15 Sen. Ron Wyden (D-OR): A 1984 law created the first computerized system to match sick patients with the organs they need. It was named the Organ Procurement and Transplantation Network. Someone needed to manage that system for the whole country, so the government sought to contract an organization to run it. UNOS was the only bidder for that first contract in 1986. The contract has come up for bid seven other times, UNOS has won all seven. Today, the network UNOS overseas is made up of nearly 400 members, including 252 transplant centers, and 57 regional organizations known as Organ Procurement Organizations, or OPOs. Each OPO is a defined geographic service network. Families sitting in a hospital room thinking about donating a loved one's organs does not have a choice of OPOs. 37:40 Sen. Ron Wyden (D-OR): Between 2010 and 2020, more than 1,100 complaints were filed by patients and families, staff, transplant centers, and others. The nature of these complaints runs the gamut. For example, in a number of cases, OPOs had failed to complete critical mandatory tests for matters like blood types, diseases, and infection. Our investigation found one patient died after being transplanted with lungs that a South Carolina OPO marked with the wrong blood type. Similar blood type errors happened elsewhere and patients developed serious illness. Some had to have organs removed after transplant. Another patient was told he would likely die within three years after an OPO in Ohio supplied him with a heart from a donor who had died of a malignant brain tumor. UNOS did not pursue any disciplinary action. In a case from Florida, another patient contracted cancer from transplanted organs and the OPO sat on the evidence for months. In total, our investigation found that between 2008 and 2015, and 249 transplant recipients developed a disease from transplanted organs. More than a quarter of them died. 38:55 Sen. Ron Wyden (D-OR): Delivering organs has been another source of life threatening errors. We found 53 such complaints between 2010 and 2020, as well as evidence that this was just the tip of the iceberg. In some cases, couriers missed a flight. In others, the organs were abandoned at airports. Some organs were never picked up. Many of these failures resulted in organs being discarded. 39:20 Sen. Ron Wyden (D-OR): It's reasonable to assume that many more errors are going unreported. Why? Because filing official complaints with UNOS appears to accomplish zero productive oversight or reform. Organ transplant professionals repeatedly told the Finance Committee that the complaint process was, and I quote here, "a black hole." Complaints went in, UNOS went quiet. In interviews with the Committee UNOS leaders have dragged their feet, dodged tough questions, and shifted responsibility onto others. investigations and disciplinary measures rarely amount to much more than a slap on the wrist. Only one time -- just once -- has UNOS recommended that an OPO lose their certification. 55:05 Diane Brockmeier: We must update the archaic technology system at UNOS. As OPOs, we are required to work with UNOS technology DonorNet every day. DonorNet is outdated, difficult to us,e and often slow to function when every minute counts. Manual entry subjects it to error and OPO and Transplant Center staff are not empowered with the right information when time is critical. I did serve in leadership roles on the OPO Committee from 2017 to 2022. Committee members and industry leaders voiced repeated requests to improve DonorNet. The consistent response was UNOS IT did not have the bandwidth to address this work. The limitations of the UNOS technology are delaying and denying transplants to patients that are dying on the waitlist. Poor technology impacts the disturbingly high kidney discard rate in the United States, where one in four kidneys never make it to a patient for transplantation. Critical time is lost due to the inefficiency of DonorNet, wasting time on offers that will not be accepted. Of course an available organ should be offered to the patient in this sequence. However, far too much of the matching, particularly on older donors and organs that are difficult to place, are left to the individual OPOs and transplant centers to find each other despite, rather than facilitated by, UNOS technology. Mid-America Transplant intentionally identifies surgeons who accept kidneys that have been repeatedly turned down many times. These are life saving options for those patients. In May of 2022, one of these patients was number 18,193 on the list. Relying on DonorNet alone, that kidney would never had been placed and the chance to save a life would have been wasted. 55:20 Diane Brockmeier: UNOS lacks urgency and accountability around identifying and remediating this preventable loss of organs, and they are not required to publicly report adverse events when patients are harmed, organs are lost, or the quality of patient care is deemed unsafe. UNOS does not require clinical training, licensure, or certification standards for OPO staff delivering critical patient care. In this environment, who's looking out for the patient? Who's being held accountable for poor patient care? No OPO has ever actually been decertified, regardless of its performance or its safety record. 57:55 Diane Brockmeier: When an OPO goes out of sequence to place an organ that would otherwise be thrown away, UNOS requires an explanation; however, when organs are recovered and discarded, you must remain silent. 58:05 Diane Brockmeier: We must remove conflicts to ensure effective governance. From 2018 to 2020, I served as a board member for the OPTN. Serving on the board of the OPTN automatically assigns membership to the UNOS board. My board experience revealed that at times UNOS actions are not aligned with its fundamental vision of a life saving transplant for everyone in need. How can you fairly represent the country's interest and a contractor's interest at the same time? 58:35 Diane Brockmeier: Board members are often kept in the dark about critical matters and are marginalized, particularly if they express views that differ from UNOS leadership. Preparatory small group calls are conducted prior to board meetings to explore voting intentions, and if the board member was not aligned with the opinion of UNOS leadership, follow up calls are initiated. Fellow board members report feeling pressured to vote in accordance with UNOS leadership. 59:10 Diane Brockmeier: To protect patients, I urge Congress and the administration to separate the OPTN functions into different contracts so that patients can be served by best-in-class vendors, to immediately separate the boards of the OPTN and OPTN contractors, and to ensure that patients are safeguarded through open data from both the OPTN and OPOs. 1:00:45 Barry Friedman: Approximately 23% of kidneys procured from deceased donors are not used and discarded, resulting in preventable deaths 1:00:55 Barry Friedman: Organ transportation is a process left to federally designated Organ Procurement Organizations, OPOs. Currently, they develop their own relationships with couriers, rely on airlines, charter flights, ground transportation, and federal agencies to facilitate transportation. In many cases, organs must connect from one flight to another, leaving airline personnel responsible for transfers. While anyone can track their Amazon or FedEx package, there is currently no consistent way of tracking these life saving organs. 1:01:45 Barry Friedman: Currently there is no requirement for OPOs to use tracking systems. 1:02:20 Barry Friedman: I also believe there's a conflict of interest related to the management of IT functions by UNOS, as the IT tools they offer transplant centers come with additional costs, despite these being essential for the safety and management of organs. 1:02:35 Barry Friedman: UNOS is not effectively screening organ donors so that they can be quickly directed to transplant programs. UNOS asks centers to voluntarily opt out of certain organs via a filtering process. As a result, OPOs waste valuable time making organ offers to centers that will never accept them. Time wasted equates to prolonged cold ischemic time and organs not placed, resulting in lost organ transplant opportunities. 1:03:10 Barry Friedman: Due to the limited expertise that UNOS has in the placement of organs, it would be best if they were no longer responsible for the development of organ placement practices. The UNOS policy making [process] lacks transparency. Currently OPTN board members concurrently serve as the board members of UNOS, which creates a conflict of interest that contributes to this lack of transparency. UNOS committees are formed in a vacuum. There is no call for nominations and no data shared with the transplant community to explain the rationale behind decisions that create policy change. 1:11:35 Dr. Jayme Locke: The most powerful thing to know about this is that every organ represents a life. We can never forget that. Imagine having a medication you need to live being thrown away simply because someone took too long to get it to you. Your life quite literally in a trash can. Organs are no different. They too have shelf lives and they are measured in hours. Discarded organs and transportation errors may sound abstract, but let me make this negligence real for you. In 2014, I received a kidney that arrived frozen, it was an ice cube you could put in your drink. The intended recipient was sensitized, meaning difficult to match. The only thing we could do was tell the waiting patient that due to the lack of transportation safeguard, the kidney had to be thrown in the trash, the final generous act of a donor in Maryland. In 2017, I received a kidney that arrived in a box that appeared to have tire marks on it. The box was squished and the container inside had been ruptured. We were lucky and were able to salvage the kidney for transplant. But why should luck even play a role? 1:12:45 Dr. Jayme Locke: In one week, I received four kidneys from four different OPOs, each with basic errors that led to the need to throw away those life saving organs. One due to a botched kidney biopsy into the kidneys collecting system, another because of a lower pole artery that had been cut during procurement that could have been fixed if someone involved had assessed the kidney for damage and flushed it before packing, but that didn't happen. Two others arrived to me blue, meaning they hadn't been flushed either. 1:13:15 Dr. Jayme Locke: Opacity at UNOS means that we have no idea how often basic mistakes happen across the country, nor can we have any confidence that anything is being done to redress such errors so they don't keep happening. 1:13:40 Dr. Jayme Locke: Women who have been pregnant, especially multiple times, are harder to match, contributing to both gender and racial disparities in access to transplant. This is a very real example of how a constrained pool of organs and high discards disproportionately hurt women and women of color, who are more likely to have multiple pregnancies. 1:14:25 Dr. Jayme Locke: Number one, immediately separate the OPTN board from any of the boards of any contractors. Number two, bring in real experts to ensure our patients are served by the best of the best in each field, separating out key functions of the OPTN, including policy, technology, and logistics. And number three, ensure that patients are safer by holding all contractors accountable through public adverse event reporting and immediate redressing of problems. 1:22:00 Sen. Chuck Grassley (R-IA): The system doesn't seem to be fair to racial minorities or people living in rural communities. So what are your efforts underway to understand the root causes and help make the system fairer to patients on the waiting list to explain the factors that result in the disparity for minorities in rural populations in the process? And how can the federal government address a problem if we have to be involved in addressing it? Dr. Jayme Locke: One of the most important things that we don't currently do is we don't actually account for disease burden in terms of examining our waiting lists. So we have no way of knowing if we're actually serving the correct people, if the correct people are actually making it to the waiting list. Disease burden is super important because it not only identifies the individuals who are in need of transplantation, but it also speaks to supply. So areas with high rates of end stage kidney disease burden, like the southeastern United States are going to have much lower supply. And those waiting lists predominantly consist of African American or Black individuals. So if you want to make a truly equitable organ system, you have to essentially get more organs to those areas where there are higher disease burdens. I think the other thing is that we have to have more focus on how we approach donor families and make sure that we have cultural competence as a part of our OPOs, and how they approach families to ensure that we're not marginalizing minority families with regard to the organ donation process. 1:30:00 Brian Shepard: The OPTN IT system that UNOS operates has 99.99% uptime. It is a highly reliable system. We are audited annually by HRSA.... Sen. Ben Cardin (D-MD): My information shows it's had 17 days down since I think 1999. That's not correct? Brian Shepard: In 23 years, yes, sir. Sen. Ben Cardin (D-MD): Okay, well, every day there's a loss of life, isn't it? Brian Shepard: That's the total amount of time over the couse of -- Sen. Ben Cardin (D-MD): I hope our national event system isn't down 17 days a year. Brian Shepard: The system has never been down for a day. And to my knowledge, and I have not been at UNOS since 1999, there's been maybe one event that was longer than an hour, and that was three hours. But the total amount of time since 1999 -- Sen. Ben Cardin (D-MD): So you're satisfied with your technology? You think you have the right technology? You're satisfied with your tracking systems now? You think everything is okay? Brian Shepard: We constantly improve our technology. We're subjected to 3 million attempts a day to hack into the patient database and we successfully repelled them all. So we are never satisfied with our technology, but we do maintain 99.99% uptime. We disagree with the USDS analysis of our systems. 1:37:25 Brian Shepard: If you're asking whether UNOS can prevent an OPO from operating or for being an OPO -- Sen. Rob Portman (R-OH: Well not prevent them, but require them to do something .You don't have the ability to require them...? Brian Shepard: The peer review process has significant persuasive authority, but all the payment authority and all the certification and decertification authority live at CMS. 1:39:00 Sen. Rob Portman (R-OH: Do you think there should be tracking of organs in transit? Brian Shepard: I think that's a very beneficial thing. UNOS provides an optional service that a quarter of OPOs use. Many OPOs also use other commercially available trackers to do that. There is not a single requirement to use a particular system. 1:41:55 Sen. Elizabeth Warren (D-MA): Mr. Shepherd, you are the CEO of UNOS. We have documented these problems and you've received more than 1000 complaints in the last decade alone. So tell me, in the 36 years that UNOS has had the contract to run our national organ system, how many times has UNOS declared its OPO Members, any OPO members, not in good standing. Brian Shepard: Two times, Senator. 1:43:20 Sen. Elizabeth Warren (D-MA): How many times has UNOS put an OPO on probation? Brian Shepard: I don't know that number off the top of my head, but it's not a large number. Sen. Elizabeth Warren (D-MA): It's not large, in fact it's three. 1:45:20 Brian Shepard: Approximately 10% of the budget of this contract is taxpayer funded. The rest of that is paid by hospitals when they list patients. 1:49:30 Sen. Todd Young (R-IN): Once an OPO is designated not in good standing, Senator Warren referred to this as toothless. It does seem toothless to me. I'll give you an opportunity, Mr. Shepherd, to disabuse me of that notion and indicate for me what penalties or sanctions are actually placed on an OPO when they are designated not in good standing. Brian Shepard: The statute does not give UNOS any authority to offer sanctions like that. The certification, decertification, payment authorities belong entirely to CMS. UNOS's statute doesn't give us the ability -- Sen. Todd Young (R-IN): So it is toothless in that sense. Brian Shepard: It is designed to be, by regulation and contract, a quality improvement process, in contrast to the oversight process operated by a federal agency. 1:51:15 Sen. Todd Young (R-IN): To what extent is UNOS currently tracking the status of all the organs in transit at any given time? Brian Shepard: UNOS does not coordinate transportation or track organs in transit. We do provide a service that OPOs can use to use GPS trackers. Some of the OPOs use ours and some use other commercially available products. Sen. Todd Young (R-IN): So why is it, and how does UNOS plan to optimize organ delivery if you don't have 100% visibility into where they are at any given time? Brian Shepard: I think that the GPS products that we offer and that other people offer are valuable, they do help in the delivery of kidneys. Only kidneys travel unaccompanied, so this is a kidney issue. But I do think that GPS trackers are valuable and I think that's why you've seen more and more OPOs use them. 1:52:50 Sen. Ron Wyden (D-OR): Mr. Shepherd has said twice, with respect to this whole question of the power to decertify an OPO, that CMS has the power to do it. UNOS also has the power to refer an OPO for decertification under the OPTN final rule. That has been done exactly once. So I just wanted it understood with respect to making sure the committee has got what's really going on with respect to decertifying OPOs. 2:00:15 Dr. Jayme Locke: Obviously people have described that we have about a 25% kidney discard, so one in four. So if you look at numbers last year, these are rough numbers, but that'd be about 8000 kidneys. And really, I think, in some ways, these are kind of a victim of an entrenched and cumbersome allocation algorithms that are very ordinal, you have to go sort of in order, when data clearly have shown that introduction of multiple simultaneous expiring offers would result in more efficient placement of kidneys and this would decrease our cold ischemia time. 2:00:50 Dr. Jayme Locke: So if you take UNOS's organ center, they have a very rigid system, for example, for finding flights and lack either an ability or interest in thinking outside the box. So, for example, if there are no direct flights from California to Birmingham, Alabama, instead of looking for a flight from San Francisco to Atlanta, understanding that a courier could then pick it up in Atlanta and drive it the two hours, they'll instead put on a flight from SFO to Atlanta and allow it to go to cargo hold overnight, where it literally is rotting, if you will, and we're putting extra time on it. Sen. Ron Wyden (D-OR): Just to make sure everybody gets this. You're saying you've seen instances of something being put in cargo hold when it is very likely to rot? Dr. Jayme Locke: That is correct. So if the kidney arrives after 10pm at the Atlanta airport, it goes to cargo hold. We discovered that and made calls to the airlines ourselves and after several calls to the airlines, of course they were mortified, not understanding that that was what was happening and actually had their manager meet our courier and we were able to get the kidney out of cargo hold, but this went on before we figured out what was happening because essentially they fly it in, it sits in cargo hold, it comes out the next morning to catch the next flight. Instead of thinking outside the box: if we just get it to Atlanta, it's drivable to Birmingham. And those hours make a difference. Sen. Ron Wyden (D-OR): That sounds way too logical for what UNOS has been up to. 2:03:05 Sen. Ron Wyden (D-OR): Miss Brockmeier, UNOS has developed this organ tracking system. Do you all use it? I'm curious what you think of it. Diane Brockmeier: Thank you for the question, Senator. We did use and participate in the beta pilot through UNOS and made the decision to not move forward using their product, and have sought a commercial alternative. Sen. Ron Wyden (D-OR): And why was that? Diane Brockmeier: Part of the issues were some service related issues, the lack of the interconnectivity that we wanted to be able to facilitate a more expedited visual tracking of where the organ was. Sen. Ron Wyden (D-OR): Was the tracking technology low quality? Diane Brockmeier: Yes, sir. 2:11:25 Sen. Ron Wyden (D-OR): All right, let's talk for a moment about the boards that are supposed to be overseeing these, because it looks to me like there's a serious conflict of interest here and I'll send this to Ms. Brockmeier, and perhaps you'd like to get to it as well, Mr. Friedman. The Organ Procurement and Transplantation Network, which is the formal title of the organ network that operates under federal contract administered by HHS, and UNOS, which is the contractor that operates the network and controls information about the network, have the same boards of directors, despite efforts by the government to separate them. That means the people who look out for the best interests of UNOS, the multimillion dollar nonprofit, are the same people who look out for the interests of the entire organ transplant network. Sure sounds like a conflict to me. 2:12:55 Diane Brockmeier: I think there should be an independent board. I think the division of the responsibilities of the board and by the inherent way that they're structured, do pose conflicts. It would be like if you had an organization that was a supporting organization, you'd want to hold it accountable for its performance. And the current structure really limits that opportunity. 2:19:50 Dr. Jayme Locke: And if you think about IT, something as simple as having a system where we can more easily put in unacceptable antigens, this was a debate for many years. So for context, we list unacceptable antigens in the system that allows us to better match kidneys so that when someone comes up on the match run, we have a high probability that there'll be a good tissue match. Well, that took forever and we couldn't really get our unacceptable antigens in, so routinely people get offered kidneys that aren't going to be a match, and you have to get through all of those before you can get to the person that they really should go to. Those are simple examples. But if we could really have transparency and accountability around those kinds of things, we could save more lives. 2:23:10 Sen. Ron Wyden (D-OR): Mr. Shepherd told Senator Warren that only 10% of UNOS funds come from taxpayer money and the rest comes from fees paid by transplant centers who add patients to the list. But the fact is, Medicare is the largest payer of the fees, for example, for kidneys. So we're talking about inefficiency, inefficiency that puts patients at risk. And certainly, taxpayer dollars are used to cover some of these practices. May 4, 2021 House Committee on Oversight and Reform, Subcommittee on Economic and Consumer Policy Witnesses: Tonya Ingram, Patient Waiting for a Transplant Dr. Dara Kass, Living Donor and Mother of Transplant Recipient LaQuayia Goldring, Patient Waiting for a Transplant Steve Miller, CEO, Association for Organ Procurement Organizations Joe Ferreira, President, Association for Organ Procurement Organizations Matt Wadsworth, President and CEO, Life Connection of Ohio Dr. Seth Karp, Director, Vanderbilt Transplant Center Donna Cryer, President and CEO, Global Liver Institute Clips 5:15 Tonya Ingram: The Organ Procurement Organization that serves Los Angeles, where I live, is failing according to the federal government. In fact, it's one of the worst in the country. One analysis showed it only recovered 31% of potential organ donors. Audits in previous years found that LA's OPO has misspent taxpayer dollars on retreats to five star hotels and Rose Bowl tickets. The CEO makes more than $900,000. Even still, the LA OPO has not lost its government contract and it has five more years to go. 30:00 Rep. Raja Krishnamoorthi (D-IL): Unusual among Medicare programs, their costs are 100% reimbursed, even costs unrelated to care. So, extravagant executive compensation and luxury perks may be passed off onto the taxpayer. 46:55 Dr. Seth Karp: We have 10 hours to get a liver from the donor to the recipient, and about one hour to sew it in. For heart, we have about six hours. Time matters. 47:55 Dr. Seth Karp: Last year, I had the opportunity to co-write a viewpoint in one of the journals of the American Medical Association with TJ Patel, former Chief Data Scientist of the United States. In that article, we provided evidence that the metrics used to judge the performance of organ procurement organizations are basically useless. Until the recent OPO Final Rule, performance was self-reported, and OPO employees admitted to having gamed the system. When threatened with decertification, one of the OPOs themselves successfully argued that because the performance data were self reported and unaudited, they failed to meet a reasonable standard and the OPO should not be held accountable. In other words for decades, the metrics supposed to measure performance didn't measure performance, and the results have been disastrous, as you have heard. 49:45 Dr. Seth Karp: Whenever I, and quite frankly most everyone else in the field, gives a talk on transplantation, we usually make two points. The first is that organ transplantation is a miracle of modern medicine. The second is the tragedy that there are not enough organs for everyone who needs one. I no longer use the second point, because I don't believe it. Based on my work, I believe that there are enough organs for patients who require hearts, lungs, and probably livers, and we can make a huge improvement in the number of kidneys available. In addition to improving OPO performance, new technologies already exist to dramatically increase the organ supply. We need a structure to drive rapid improvement in our system. 54:00 Joe Ferreira: One common misconception is that OPOs are solely responsible for the entire donation and transplantation system, when, in fact, OPOs are the intermediary entity and their success is highly dependent on collaborations with hospitals and transplant programs. At the start of the donation process, hospitals are responsible for notifying any OPO in a timely manner when a patient is on a ventilator and meets medical criteria to be an organ donor. Additionally, transplant centers must make the decision whether to accept or decline the organs offered by OPOs. 57:55 Matt Wadsworth: As geographic monopolies, OPOs are not subject to any competitive pressure to provide high service. As the only major program in all of health care 100% reimbursed for all costs, we do not face financial pressures to allocate resources intelligently. 1:02:10 Rep. Raja Krishnamoorthi (D-IL): Mr. Ferreira, I'd like to turn to you. You run the OPO called the Nevada Donor Network. I have your OPO's 2019 financial statement filed with the CMS. It appears that your OPO spent roughly $6 million in 2019 on administrative and general expenses. Interestingly, in 2019, I see your OPO spent approximately $146,000 on travel meetings and seminars alone. And your itemization of Administrative and General has an interesting line item for $576,000 for "ANG". It took me a minute but that means you have an "Administrative and General" subcategory in your "Administrative and General" category. Very vague. Now Mr. Ferreira, I was informed by Mr. Wadsworth, a former executive of yours at the Nevada Donor Network, that your OPO has season tickets to the NHL's Las Vegas Golden Knights, isn't that correct? Joe Ferreira: That is correct, Mr. Chairman. Rep. Raja Krishnamoorthi (D-IL): And you also have season tickets to the Las Vegas Raiders too, right? Joe Ferreira: That is correct. Rep. Raja Krishnamoorthi (D-IL): And according to Mr. Wadsworth and others, your OPO took a board retreat to Napa Valley in 2018. Joe Ferreira: That is correct. Rep. Raja Krishnamoorthi (D-IL): And Sonoma in 2019, right? Joe Ferreira: That is correct. Rep. Raja Krishnamoorthi (D-IL): Mr. Ferreira, what you're spending on the Raiders, the Golden Knights, Napa Valley and Sonoma have one thing in common: they have nothing to do with recovering organs. 1:10:30 Dr. Seth Karp: In 2019, there were six heart transplants that were performed using donors after circulatory determination of death. And I don't want to get into the technical aspects of that. But in 2019, that number was six. In 2020, that number was 126. This is a new technology. This is a way that we can increase the number of heart transplants done in United States dramatically. And if we think that there were 500 patients in the United States waiting for a heart in 2020, 500 patients that either died or were delisted because they were too sick, and you think in one year, using a technology, we got another 100 transplants, if we could get another 500 transplants out of that technology, we could almost eliminate deaths on the on the heart transplant waiting list. That technology exists. It exists today. But we don't have a mechanism for getting it out to everybody that could use it and it's going to run itself through the system, it's going to take too much time. 1:24:05 Rep. Andrew Clyde (R-GA): You know, I'm a little disappointed that we're discussing race as a factor in organ transplant. We're all one race in my opinion; color makes no difference to me. We're the human race. And to me, the interjection of race into this discussion is very concerning. Discrimination based on race was outlawed almost 60 years ago through the Civil Rights Act of 1964. Now, I'm not a medical doctor, and I have very little knowledge of medicine. But last year, there was an article that came out in LifeSource and it says, "Does my race and ethnicity matter in organ donation?" And so my question here is for Dr. Karp. In your experience, would you agree that a donor's organs are more likely to be a clinical match for a recipient of the same ethnicity? Could you comment on that? Is that actually a factor, or not? I mean, we're all human beings, we all, you know, have similar bodies. Dr. Seth Karp: Yes. So there definitely are certain HLA types that are more common. That is race-based. So the answer to that question is yes. Rep. Andrew Clyde (R-GA): Okay. All right. And so if you have more of one particular race, more donations of one particular race, then naturally you would have more actual matches of that particular race. Is that correct? Dr. Seth Karp: That would tend to be the case. Rep. Andrew Clyde (R-GA): Okay. All right. All right. Okay, that's just a question that I wanted to clear up here. 1:34:20 Donna Cryer: We'd like to see investments in languages that are spoken by the community. Educational resources should be, as required by law, for those with limited English proficiency. They should be in the languages spoken by the community. They should be hiring diverse staff to have those most crucial conversations with families. The data shows, and certainly experience and common sense shows as well, that having people of color approaching families of color results in more donations. Executive Producer Recommended Sources Music by Editing Production Assistance
HOUR 1Sound of Freedom film skyrocketing in sales / (MB) https://www.morningbrew.com/daily/stories/2023/08/01/sound-of-freedom-the-anti-hollywood-box-office-hitTrump indicted a third time / (CNN) https://www.cnn.com/politics/live-news/indictment-jan-6-trump-08-02-23/index.html"A federal grand jury indicted former President Donald Trump on Tuesday for his alleged attempt to stay in power after losing the 2020 presidential election. Trump faces four felony charges, including conspiracy to defraud the United States. Scott MacFarlane reports from Capitol Hill." / (CBS News) https://www.cbsnews.com/video/breaking-down-unprecedented-third-indictment-for-trump/U.S. credit downgraded / (CNN) https://www.cnn.com/2023/08/01/business/fitch-downgrade-us-debt/index.html?utm_campaign=mb&utm_medium=newsletter&utm_source=morning_brewUber reports 2Q profit / (WSJ) https://www.wsj.com/articles/uber-q2-earnings-report-2023-453c335a?utm_campaign=mb&utm_medium=newsletter&utm_source=morning_brewFormer FBI agent (whistleblower re Jan 6th investigations) Steve Friend on defunding the FBI HOUR 2Ursula Sharp discusses her healthcare journey and the United Network for Organ Sharing [there are more than 106,000 people on the national transplant waiting list with 92,000 (87%) waiting for a kidney] / https://www.nkr.org/hpb754.Gov DeSantis interviewed by Brett Baier / (FOX News)https://grabien.com/getmedia.php?id=2025479&key=4b2acfdd8ea135dfa1cc9d6e5d887981&userid=18055"The numbers at a Midtown homeless camp next to Cuddy Park have slowly increased ever since the camp was abated in early June to make way for a three-day concert event." / (ANS) https://www.alaskasnewssource.com/2023/08/01/homeless-campers-return-midtown-site/"Jurors decided that a death sentence should be imposed on the gunman who killed 11 worshipers at a Pittsburgh synagogue in October 2018, in what is considered the deadliest antisemitic attack in American history." / (NYT) https://www.nytimes.com/live/2023/08/02/us/pittsburgh-synagogue-trial?Tom and Charles discuss the death penalty
The JHLT Digital Media Editors explore two manuscripts from the August issue of The Journal of Heart and Lung Transplantation—the first on immunosuppression in pediatric heart transplantation, and the second TA-NRP in DCD lung transplantation. Digital Media Editor Van-Khue Ton, MD, heart failure and transplant cardiologist at Massachusetts General Hospital, hosts this episode. First, hear from senior author Steven C. Greenway, MSc, MD, on his team's study “Single-drug immunosuppression is associated with noninferior medium-term survival in pediatric heart transplant recipients.” Dr. Greenway shares his journey from enzyme biochemistry in mollusks, snails, and frogs to pediatric cardiology, then outlines the results of the paper. The study queried the Pediatric Heart Transplant Society's registry to determine the efficacy and safety of monotherapy immunosuppression. The results showed better graft survival and less coronary allograft vasculopathy in the monotherapy group, even after adjusted for age at transplant, sex, neonatal transplant, infection, PTLD, and etiology of cardiomyopathy. Dr. Greenway and the digital media editors discuss the burning questions that obviously arise from the study's findings, the limitations of the paper, and what follow-up studies might start generating the answers that might eventually change clinical practice. Next, the editors welcome first author Jad Malas, MD, to discuss the paper “The impact of thoracoabdominal normothermic regional perfusion on early outcomes in donation after circulatory death lung transplantation.” This study utilized the United Network of Organ Sharing (UNOS) database to identify DCD donors whose heart was procured in order to evaluate lung utilization rates and early post-lung transplant outcomes. Lung utilization was similar between the groups—14.9% for the NRP group and 13.8% for direct procurement. Post-lung transplant rates of ECMO and mechanical ventilation at 72 hours were not statistically different, and 6-month survival was equivalent. Dr. Malas and the Digital Media Editors discuss the study's findings and implications, including exploring the background of NRP's relationship to lung allografts, differences in assessment or procurement techniques, and what might be needed to further evaluate this procurement technique for lung allografts. Follow along at www.jhltonline.org/current, or, if you're an ISHLT member, log in at ishlt.org/journal-of-heart-lung-transplantation. Don't already get the Journal and want to read along? Join the International Society of Heart and Lung Transplantation at www.ishlt.org for a free subscription, or subscribe today at www.jhltonline.org. This episode of JHLT: The Podcast, but not the studies within, is sponsored by Natera.
Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Alan Bonder, MD According to the United Network for Organ Sharing (UNOS), more than 95 percent of patients are alive and doing well after a liver transplant. So what else can we learn from UNOS? Join Dr. Peter Buch as he speaks with Dr. Alan Bonder, Assistant Professor of Medicine at Harvard Medical School.
Petersburg City Council has voted to issue $34 million dollars in bonds to pay for the expansion of the city's downtown courthouse; Each year since 2006, Virginia has waived sales tax for certain back-to-school-supplies during the first weekend in August; The Richmond-based United Network for Organ Sharing might not retain its monopoly on transplants after a vote last week by the U.S. Congress.
LaQuayia Goldring talked about her fight with pediatric cancer and the affect it had on her kidneys which put her on the organ donors list. She also joined Jennifer Erickson (from the Federation of American Scientists) in discussing the monopoly United Network for Organ Sharing has on donated organs, the issues the monopoly has caused (including the death of patients), and the efforts across the country to end it...
In February 2021, pandemic restrictions were just starting to ease in Hawaii, and Leila Mirhaydari was finally able to see her kidney doctor. Transplanted organs need diligent care, and Leila had been looking after her donated kidney all on her own for a year. So a lot was riding on that first batch of lab results. "Immediately, all my levels were just out of whack and I knew that I was in rejection," she says. "I've had to work through a lot of emotional pain, of feeling like I failed my donor. Like, why couldn't I hold on to this kidney?"On today's episode, editor Gabriel Spitzer walks us through Leila's journey — from spending her late 20s on dialysis, to being saved by a gift and ultimately, to the search for another donated kidney. Learn more about living donation from the United Network for Organ Sharing.
The first episode of the Coffee With Podcast features Matthew Hankes, Heart Transplant Recipient. Matt is a pretty normal guy who experienced an extraordinary thing. He spent an hour talking about finding out he had a heart condition known as ARVC—Arrhythmogenic Right Ventricular Cardiomyopathy—at age 15, the lead-up to the transplant, and what it looks like from the other side. Matt asked that if anything be taken away from this podcast, it is the need for more donors on the transplant list. Sign up, make sure you're on the transplant donor list, or learn more about what that entails at https://donatelife.net/. Other important links from the show: Matt Hankes fundraiser - https://donate.transplants.org/story/Matthankes (tax-deductible donations distributed directly for medical bills through the National Foundation for Transplants, Inc. The United Network for Organ Sharing - https://unos.org/ Find the Coffee With Podcast here - Search for other Roast! West Coast podcasts like Coffee Smarter and Coffee People on your favorite podcast platforms, or find all the links on www.roastwestcoast.com. Coffee People is presented by Roastar, the premier digital printing company focused on coffee packaging. Roastar can help your small coffee business tell a big story. Learn more at www.roastar.com and follow @roastar on Instagram. This show is supported by R!WC Industry Partners including: Roastar, San Franciscan Roaster Co., Ascend Roasters, Ignite Coffee Company, Steady State Roasting, Zumbar Coffee & Tea, Marea Coffee, Mostra Coffee, First Light Whiskey, Camp Coffee, Cape Horn Coffee, Crossings Coffee, and Hacea Coffee Source. --- Support this podcast: https://podcasters.spotify.com/pod/show/roastwestcoast/support
A group attempting to unravel what happened at the Enrichmond Foundation has obtained the nonprofits' financial records; Hemp retailers will have to take some intoxicating hemp products off their shelves under legislation passed by the General Assembly Wednesday; A class action lawsuit has been filed against the United Network for Organ Sharing; and other local news stories.
Last week, the government announced plans to completely overhaul the organ transplant system in America. This includes breaking up The United Network for Sharing Organs (UNOS)'s multi-decade monopoly.For those who need an organ transplant, the process is far from easy. On average, 17 people die each day awaiting transplants. More than 100,000 people are currently on the transplant waiting list according to the Health Resources and Services Administration. UNOS has been criticized for exacerbating the organ shortage. An investigation by the Senate Finance Committee released last year found that the organization lost, discarded, and failed to collect thousands of life-saving organs each year.We discuss the government's plan for overhaul and what it means for those whose lives are on the line.Want to support 1A? Give to your local public radio station and subscribe to this podcast. Have questions? Find us on Twitter @1A.
The Biden administration announced plans to overhaul the network that has run the nation's organ transplant system for nearly four decades. The United Network for Organ Sharing has faced criticism for inadequately managing the process. The proposal would open up bidding for other organizations to take over the network to shorten wait times. Amna Nawaz discussed the latest with Dr. Jayme Locke. PBS NewsHour is supported by - https://www.pbs.org/newshour/about/funders
On this episode of This Thing Called Life, host Andi Johnson winds down the series on ‘The Donation Process Through The Lens Of The OPO', exploring how things work and who is involved. If you missed the previous episode in the series, you can find them at lifepassiton.org or wherever you listen to your podcasts. Today, Andi talks with Maryanne Krumpleman, the finance manager. Tune in to hear how this piece of the puzzle comes together. Episode Highlights: Andi explains how Life Center works with so many different entities to facilitate organ donation. The United Network of Organ Sharing houses the waitlist of the more than 100,000 people waiting for an organ. Andi reminds the audience of the ‘book ends' to this process and that it is the people. The people who designate themselves to be donors or their families…it all begins with that yes and that is how everything unfolds. If you're thinking about a career change, as many look to do something with more meaning, organ donation is a wonderful career path; They give back every single day. Maryanne Krumpleman is the finance manager of Life Center. Prior to COVID in 2019, she made the decision to leave corporate America where she had spent most of her career. She says it was the best decision of her life to start working for Life Center in 2020. Five years ago, Maryanne's best friend's husband was in need of a kidney. It turns out his wife was a match to be a donor which is very unusual. They went through the transplant process in 2017 and are doing very well today. What does the finance department do at the Life Center? Maryanne explains that they are a nonprofit organization but structured similarly to a hospital. How do all of the employees get paid as well as health insurance, insurance on the building, all other vendors that are included? After a family gives the authorization, Life Center's finance department takes on the cost of donation. Andi asks Maryanne Krumpleman to explain the aspects of finance. There are many parts to the ‘checks and balances' of the finances for Life Center. Maryanne explains how many things must get approved by the board of directors and Executive Director as well as audits and aligning with all government regulations. What is a sack fee? Healthcare in general is expensive and Andi explains there is a cost to make everything operate efficiently and appropriately. Maryanne explains that there is a pay scale for different types of tissues. Andi asks Maryanne what the most challenging aspects of her job are. All of the managers have a great passion for the overall mission. Maryanne explains that in a corporate world, all the meetings were about how much money could be made, the bottom line, etc. She shares how it is truly a breath of fresh air at Life Center because the focus is not on money but on the mission of saving and enhancing the lives of people. What kinds of skills would you need to fill a similar role to Maryanne's? Maryanne talks about how they receive memorial contributions and how their responsibility is to use those funds to spread the word and utilize them well. Andi says the generosity of the community has been overwhelming to see over the years and the importance of educating the community in return. home at the end of the day.” -Maryanne “Today there are 104,869 men, women, and children who are in need of a lifesaving organ and also today 21 of those individuals will die because the organ they needed was not available,” says Andi. She explains how you can help. 3 Key Points: Maryanne's eyes were opened to how many people are on the list waiting for kidneys specifically when she was alongside her best friend and her husband going through the transplant process. There are many aspects of the finance department. Maryanne explains all aspects from weekly, biweekly, monthly, quarterly, etc. and how all the monitoring and auditing works as well as in accordance with the government. Life Center is passionately committed to the mission of saving and enhancing lives. It is challenging and very rewarding. The organization is set apart by how all of their functions work together for the overall goal and truly making a difference. Resources: https://aopo.org/ https://lifepassiton.org/ https://www.facebook.com/LifeCenterOH https://www.youtube.com/user/LifeCenterOH
On this episode of AvTalk, we walk through what we know (so far) about the FAA's NOTAM system outage. And Casey Humphries from the United Network for Organ Sharing and Chris Curran of New England Donor Services join us to explain how transplant organs get from donor to recipient and the critical role played by … The post AvTalk Episode 198: Organ Transplant Logistics appeared first on Flightradar24 Blog.
Welcome to the Instant Trivia podcast episode 638, where we ask the best trivia on the Internet. Round 1. Category: Literary Heroines 1: "Anne of Avonlea" is a 1909 sequel to this 1908 classic. "Anne of Green Gables". 2: Thorny problems beset this Bronte heroine when she's hired as a governess at Thornfield Hall. Jane Eyre. 3: Countess Olenska is the not-so-innocent heroine of this Edith Wharton novel. "The Age of Innocence". 4: Maggie, the daughter of a miller, falls for her cousin's fiance in this George Eliot novel. "The Mill on the Floss". 5: Temple Drake is a college student in this Southerner's controversial 1931 novel "Sanctuary". William Faulkner. Round 2. Category: Tv Uncles 1: On the series whose theme was the following, Paul Lynde popped in periodically as this uncle. Uncle Arthur. 2: Uncle Fester's TV "family". The Addams Family". 3: The 2 '60s TV series that featured the United Network command for Law and Enforcement. The Man and The Girl from U.N.C.L.E.. 4: Lucy Ewing had a fling with this ranchhand on "Dallas" before she found out he was her uncle. Ray Krebbs. 5: He played Danny Thomas' wacky Uncle Tonoose on "Make Room for Daddy". Hans Conried. Round 3. Category: Junk Food 1: The main ingredient of a "Coney Island". a hot dog. 2: Substance which makes up about 46% of Froot Loops and 3.5% of Cheerios. sugar. 3: Faced with a problem of 5 billion of these, China urges new uses for them- as food, for example. rats. 4: Jolt Cola in N.Y. uses real sugar and adds about twice as much of this substance as Coke or Pepsi. caffeine. 5: While a bar of Dove is made out of soap, a Dove Bar is made out of this. ice cream and chocolate. Welcome to the Instant Trivia podcast episode 638, where we ask the best trivia on the Internet. Round 1. Category: Prime Number, Please 1: Of V, X, L, D or C, the prime number. V (5). 2: In 1943 a young JFK was given command of the PT this. 109. 3: Like Rome, Edinburgh and Istanbul are known as cities of this many hills. 7. 4: Idiomatically, it precedes "skidoo". 23. 5: These are the 3 prime numbers in the 40s. 41, 43 and 47. Round 2. Category: Tv Westerns 1: He owned the Double R Bar Ranch. Roy Rogers. 2: The theme to "Have Gun, Will Travel" called this character "a knight without armor in a savage land". Paladin. 3: This TV western was set on the Barkley Ranch in the 1870s. The Big Valley. 4: In this series, Lucas McCain fought the desperadoes in North Fork with a modified .44 Winchester. The Rifleman. 5: This sidekick of the Cisco Kid was played by Leo Carrillo, who was in his 70s when he began the role. Pancho. Round 3. Category: Field Of "Dream"S 1: Someone considered very good-looking is said to be one of these "ships". Dreamboat. 2: Collective name for the 1992 U.S. men's Olympic basketball squad. "The Dream Team". 3: In 1983 Eurythmics hit No. 1 on the U.S. pop charts with this song. "Sweet Dreams". 4: This popular musical was supposedly based in part on the lives and careers of the Supremes. Dreamgirls. 5: Freud published this landmark study in 1899. The Interpretation Of Dreams. Round 4. Category: "Gold" 1: A miner, or a Broadway baby who marries for money. gold
106,000 Americans are waiting for an organ transplant, yet federal officials have raised serious questions about the national transplant system, known UNOS, the United Network for Organ Sharing. This hour, we learn about a confidential government report and Senate investigation, both finding serious weaknesses in the transplant system.Washington Post health and medicine reporter Lenny Bernstein, joins us and later, we hear from the Chief of Transplant Surgery at Hartford Hospital. But first, a Connecticut couple shares their experience waiting for a liver transplant. Kevin Prue is a Madison resident searching for a living donor. His wife Amy manages their Facebook page, Kevin's Journey to Liver Transplant, and is a volunteer with New England Donor Services. Guests: Lenny Bernstein: Health and Medicine Reporter, The Washington Post Dr. Glyn Morgan: Chief of Transplant Surgery, Hartford Hospital Amy and Kevin Prue: Residents of Madison, CT Catie Talarski contributed to this program which originally aired on August 18, 2022.Support the show: http://wnpr.org/donateSee omnystudio.com/listener for privacy information.
The U.S. organ donation system surpassed one million transplants as of September 9, 2022, according to the United Network for Organ Sharing. As we recognize this milestone, the Kidney Foundation of Western New York wanted to take this opportunity to share information on trends in kidney transplantation. For more information, visit unos.org or LivingItForward.org. #OrganDonation #Kidney #LivingDonation #Transplant
Dr. Jeffrey Olsen, Associate Professor of Radiation Oncology at the University of Colorado and section editor of our gastrointestinal section, co-leads a discussion along with our Editor-in-Chief Dr. Sue Yom, with Dr. Nima Nabavizadeh, Associate Professor of Radiation Medicine at the Oregon Health and Science University, the supervising author of "Low Utilization of External Beam Radiation Therapy for Patients With Unresectable Hepatocellular Carcinoma: An Analysis of the United Network for Organ Sharing Database" and Dr. Michael Buckstein, Associate Professor of Radiation Oncology at Mount Sinai Medical Center, also an editor at the Red Journal and the lead author of "Combination Transarterial Chemoembolization and Stereotactic Body Radiation Therapy for Unresectable Single Large Hepatocellular Carcinoma: Results From a Prospective Phase 2 Trial." We discuss indications for EBRT/SBRT for hepatocellular carcinoma in the contemporary context of collaborating and competing liver-directed therapies.
106,000 Americans are waiting for an organ transplant, yet federal officials have raised serious questions about the national transplant system, known UNOS, the United Network for Organ Sharing. This hour, we learn about a confidential government report and Senate investigation, both finding serious weaknesses in the transplant system. Washington Post health and medicine reporter Lenny Bernstein, joins us and later, we hear from the Chief of Transplant Surgery at Hartford Hospital. But first, a Connecticut couple shares their experience waiting for a liver transplant. Kevin Prue is a Madison resident searching for a living donor. His wife Amy manages their Facebook page, Kevin's Journey to Liver Transplant, and is a volunteer with New England Donor Services. Lenny Bernstein: Health and Medicine Reporter, The Washington Post Dr. Glyn Morgan: Chief of Transplant Surgery, Hartford Hospital Amy and Kevin Prue: Residents of Madison, CT Support the show: http://wnpr.org/donateSee omnystudio.com/listener for privacy information.
Dozens of people have died and hundreds have been sickened due to mistakes in the organ transplant system, according to a Senate investigation released this week. It came after a review by the U.S. Digital Service found the network that matches patients and organs is gravely outdated. That program has been run for more than three decades by one nonprofit: the United Network for Organ Sharing, or UNOS. Marketplace’s Meghan McCarty Carino speaks with Joseph Menn, who has been reporting on the problem for The Washington Post.
Dozens of people have died and hundreds have been sickened due to mistakes in the organ transplant system, according to a Senate investigation released this week. It came after a review by the U.S. Digital Service found the network that matches patients and organs is gravely outdated. That program has been run for more than three decades by one nonprofit: the United Network for Organ Sharing, or UNOS. Marketplace’s Meghan McCarty Carino speaks with Joseph Menn, who has been reporting on the problem for The Washington Post.
Shortly after millennials hit their teens and started getting jobs, their employment numbers plummeted fueling the myth of the lazy millennial. But now, after looking at the data, it seems like it might not be that they didn't want jobs, rather they were entering the workforce after two recessions and competing with laid-off, more experienced workers. Andrew Van Dam, Department of Data columnist at The Washington Post, joins us for what to know. Next, the nonprofit agency that operates the transplant system is called the United Network for Organ Sharing and according to a recent review, the technology used to match donated organs to patients is in need of a full overhaul. It has been plagued by aged out software, periodic system failures, and an over-reliance of manually inputting data. Lenny Bernstein, health and medicine reporter at The Washington Post, joins us for more. Finally, as the group of people who have not had Covid continues to shrink, many ideas begin to swirl about how they have avoided it for so long. For some it could be a healthy immune system, masking, or just luck, but could genetics also be at play? Katherine Wu, staff writer at The Atlantic, joins us for how scientists are looking into whether some are just naturally resistant to the virus.See omnystudio.com/listener for privacy information.
August is National Minority Donor Awareness Month. The goal of this annual observance is to increase organ donor registrations among communities of color, which make up nearly 60% of the more than 100,000 people on the national waitlist for life-saving organ transplant AND promote healthy living and disease prevention to decrease the need for transplantation. Our guest today is Leslie R. Jean-Mary, Multicultural Affairs Specialist at Gift of Life Donor Program. Gift of Life Donor Program is part of the nationwide organ and tissue sharing network run by the United Network for Organ Sharing (UNOS), an American non-profit organization serving as the nation's transplant system under contract with the federal government. Since 1974, Gift of Life has coordinated more than 55,000 life-saving organs for transplants, and more than 2 million tissue transplants have resulted from the generosity of donors and their families. Gift of Life Donor Program serves more than 11.3 million people across the eastern half of Pennsylvania, southern New Jersey and Delaware. For more information or to register, visit donors1.org. Host is Dr. Ngozi Onuoha, a medical doctor and founder of Health4Naija, for health awareness and education. About Health4Naija: This is a brand that provides health education, health awareness, as well as a broad array of topics including financial literacy, self-improvement, healthy aging, child and youth development topics, inspiration and knowledge on social media. To be a guest on Health4Naija podcast or YouTube, send a direct message through @Health4naija on Instagram. Dr. Ngozi Onuoha is passionate about health and well-being, and enjoys adding value to people by sharing her knowledge to better our understanding of health and how to better ourselves overall. To receive Health4Naija Newsletter, subscribe here. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/health4naija/support
From the invention of the dialysis machine to the first successful kidney transplant, science has come a long way in extending life for kidney patients. Is transplantation between humans and animals the next step? In this episode, you will hear from a doctor behind the first successful transplant of a human receiving a pig kidney and where the science can take us from here. We dedicate this episode to the Parson Family, who made the selfless decision to delay their grieving process and permit the doctors at the University of Alabama to maintain Jim Parsons' body functioning on a ventilator so this scientific and medical breakthrough could be possible. In this episode, you will hear from: Jayme Locke, MD, MPH Dr. Locke is an abdominal transplant surgeon at the University of Alabama at Birmingham who specializes in innovative strategies for the transplantation of incompatible organs, disparities in access to and outcomes after solid organ transplantation, and transplantation of HIV-infected end-stage patients. Her research interests include complex statistical analysis and modeling of transplant outcomes and behavioral research focused on health disparities. Dr. Locke is an Associate Editor for Transplantation and is a regular peer reviewer for several journals, including the American Journal of Transplantation and the Journal of the American Society of Nephrology to name a few. She is an invited member of the ASTS Providing Better Access to Organs Task Force and Diversity Affairs Committee, the AST Kidney-Pancreas Committee, The Transplantation Society Young Member Committee, and the United Network for Organ Sharing Pediatric Transplant Committee. Dr. Locke is the recipient of numerous honors and has most recently received the American Transplant Congress Young Investigator Award, the Birmingham Business Journal's Top 40 under 40 Award, and was named one of AL.com's 2015 Women Who Shape the State. Jessica Washington Jessica Washington is an NKF patient advocate who was diagnosed with stage 2 kidney disease in 2019 after being diagnosed with a rare autoimmune disease. She works in the software industry as a Data Analyst and also enjoys freelance writing, in particular sports writing, traveling, and spending time with friends and family. She has been extremely motivated to advocate for the National Kidney Foundation to help others fight for better understanding, awareness, support, early detection and anything else she can do to make it easier for so many out there dealing with this disease. More information: How Genetically Altered Pigs Could Help Kidney Transplantation Episode Transcript
Making organs more accessible and available to patients in need is critical to successful transplants. Casey Humphries, Logistical Products Service Line Leader for the United Network for Organ Sharing (UNOS), joins Field Notes to discuss how the non-profit network was able to help improve organ tracking, shipment, and transplantation through ground-breaking findings on cold ischemic time and UNOS-developed travel applications for organs through a grant from the Fresenius Medical Care Foundation.
G-I Michelle Gardner-Ince | MISSION: Increase Woman Veteran Businesses & Leaders in the Federal - Commercial Market | #VetBizLady Thought Leader | Strategist | Advisor | Speaker | Supplier Diversity | Award-winning P&L Leader https://www.linkedin.com/in/theg-ifactor Linell Burnes The Founder of dwellinthespirit.com. Trauma can create a divide causing us to forget the authentic self. Linell uses her spiritual gifts help clients remember who they really are. Sean 10KCards.com is The modern approach to business cards. Leave a lasting impression on your clients with the new way to present yourself by using your 10kCard. Toni Mo Nefertiti is a Music Artist, Licensed Cosmetologist & CEO of Toni'Mo Nefertiti, LLC & Mo'Styles by Toni Brands. MoStylesByToni.com Angeline Moore Your Laughter & Love Coach. Together We Activate, Align, and Amplify your SPARKLE. aplusliving.passion.io
In this episode, Angelica and Bey talk about artificial organs and 3D printing with Brian Shepard, the CEO of the United Network for Organ Sharing, and Director of Innovation at the Jefferson Health Design Lab, Dr. Robert Pugliese. Show Links https://unos.org (United Network for Organ Sharing (UNOS)) https://unos.org/about/leadership/brian-shepard/ (Brian Shepard) https://www.healthdesignlab.com (Jefferson Health Design Lab) https://www.linkedin.com/in/rspugliese/ (Robert Pugliese, Pharm.D.) https://beyond.fi.edu/podcasts/s-curious-episode-10-organ-donation-and-3d-printing-human-organs/ (View episode transcript)
11 de enero | San Juan, ArgentinaHola, maricoper. Argentina atraviesa una ola de calor en todo el país. En San Juan, mi provincia, el clima desértico siempre nos regala semanitas de 38 grados centígrados en enero, pero para esta semana el pronóstico es de hasta 43 grados de máxima. Quizás estas sean mis últimas palabras, así que las voy a hacer valer: Messi es el mejor, diga lo que diga Emilio.Bienvenido a La Wikly diaria, una columna de actualidad y dos titulares rápidos para pasar el resto del día bien informado. Si quieres comentar las noticias en nuestra comunidad privada de Discord, puedes entrar rellenando este formulario.Puedes compartir esta newsletter a amigos y familiares que *no* estén suscritos. No podrán escuchar el podcast, ¡pero sí leer la newsletter! Y así nos ayudas a que nos conozca más gente. Puedes hacerlo con este botón:Leer esta newsletter te llevará 5 minutos y 28 segundos.Tiene sentido que lo diga él. Bienvenido a La Wikly.
André A. S. Dick, MD, MPH, FACS Associate Professor of Surgery ASTS Transplant Fellowship Program Director | UWMC Surgical Director, Pediatric Kidney Transplant | SCH Interim Surgeon-in-Chief | SCH Division of Transplantation, Department of Surgery www.seattlechildrens.org Dr. André Dick is an Associate Professor of Surgery at the University of Washington Medical Center and Seattle Children's Hospital. He was born in Jamaica and attended medical school at the State University of New York School of Medicine at Buffalo. Dr. Dick fulfilled his residency at Pennsylvania State University Hershey Medical Center, and completed his fellowship in abdominal transplant surgery at the University of Washington Medical Center. In 2008 he joined both the University of Washington Department of Surgery and Seattle Children's Hospital as Assistant Professor of Surgery. Dr. Dick was promoted to Associate Professor of Surgery in July 2014. He was appointed Surgical Director, Pediatric Kidney Transplantation at Seattle Children's Hospital in July 2016 and currently serves as the Interim Surgeon-in-Chief. Dr. Dick has been board certified in General Surgery by the American Board of Surgery since 2006. In 2011, he earned his Masters Degree in Public Health (MPH) at the Harvard School of Public Health. He has served as the Region 6 Representative on the Pediatric Transplant Committee for the United Network for Organ Sharing UNOS/OPTN). Dr. Dick is also dedicated to the training and education of young surgeons. He is the Transplant Fellowship Program Director at University of Washington. Nationally, he is currently serving as Chair of the ASTS(American Society of Transplant Surgeons) Fellowship Training Committee and also serves on the Transplant Accreditation and Certification Council. Dr. Dick is also an active member of the IPTA (International Pediatric Transplant Association), where he currently serves as a councilor. Dr. Dick's clinical interests include liver, kidney and pancreas transplant and hepatobiliary surgery. His research is focused on obesity and its effects on transplant outcomes and on health care disparities in transplantation.
If a child, family member or friend was in an accident tomorrow or had an organ failure, there's a good chance United Network for Organ Sharing (UNOS) can help find a donor with the necessary attributes. Donated organs are managed nationally by UNOS. Their system for finding and tracking available donor organs and matching them […]
If a child, family member or friend was in an accident tomorrow or had an organ failure, there's a good chance United Network for Organ Sharing (UNOS) can help find a donor with the necessary attributes. Donated organs are managed nationally by UNOS. Their system for finding and tracking available donor organs and matching them […]
If a child, family member or friend was in an accident tomorrow or had an organ failure, there's a good chance United Network for Organ Sharing (UNOS) can help find a donor with the necessary attributes. Donated organs are managed nationally by UNOS. Their system for finding and tracking available donor organs and matching them […]
Susan Radosta; an Organ Transplant recipient that has been featured in the Williamsburg Nextdoor Magazine and Virginia Gazette. Susan shares some of her story and how there's a gigantic need for more folks willing to donate organs to help others. United Network for Organ Sharing (UNOS) is the mission-driven non-profit serving as the nation's transplant system under contract with the federal government. We lead the network of transplant hospitals, organ procurement organizations, and thousands of volunteers who are dedicated to honoring the gifts of life entrusted to us and to making lifesaving transplants possible for patients in need. Working together, we leverage data and advances in science and technology to continuously strengthen the system, increase the number of organs recovered and the number of transplants performed, and ensure patients across the nation have equitable access to transplant. For more information, visit: https://unos.org/ --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/tidewater-podcast/support
Today we will be talking live on ALLATRA TV UK:
The Center for Organ Recovery & Education announced Monday, May 10, that it recovered the liver from the oldest recorded organ donor in U.S. history, 95-year-old Cecil F. Lockhart of Welch, West Virginia, who died May 4. The record was confirmed by the United Network for Organ Sharing (UNOS), and the recipient of Lockhart's gift, a woman in her 60s, is doing well.
Marion L. Shuck - Vice President of Governmental and External Relations at Gift of Hope Organ & Tissue Donor Network, as well as serving as the President of, the Association for Multicultural Affairs in Transplantations. In both roles, Marion specializes in building key partnerships and strengthening existing relationships with communities, business leaders, legislators, hospitals, faith-based organizations, and industry partners. Her most important role is advocating for donor families and marginalized communities, while increasing opportunities for organ and tissue donation through education and outreach. Bobby Howard - After suffering severe kidney disease and receiving a kidney transplant, Mr. Howard has dedicated his life to helping others who face life-threatening health challenges. As Director of LifeLink of Georgia's Multicultural Donation Education Program he continues to lead collaborative efforts with local, national coalitions and community partners to spread the important message of organ donation. He serves on the boards of Donate Life America, NFLPA Former Player Board of Directors and Metro Atlanta Concerned Black Clergy. He is President of the Atlanta Chapter NFL Former Players Association and Chair of the National Multicultural Action Group. Bobby has faithfully served in the following capacities: President of the Association for Multicultural Affairs in Transplantation, President of the Georgia Transplant Foundation, a board member of the United Network of Organ Sharing and board member of the 100 Black Men of DeKalb County. Support the show: https://theanswersandiego.com/radioshow/8349 See omnystudio.com/listener for privacy information.
Director, IT Software Engineering at the United Network for Organ Sharing (UNOS), reports to the Chief Technology Officer and has 4 Software Engineering Managers reporting to her with an additional 60+-member team. She is responsible for directing the activities associated with programming and engineering all changes within the UNetSM platform, Salesforce platform, application architecture, and software quality assurance. Ms. Wilson has been with UNOS in IT for 5 and years. Prior to this, she spent 20 years working in IT at Capital One. She held leadership positions in Operations, Information Security, Business Continuity, End-User Services and Business Support Services. She received her bachelor's degree in Information Systems from Virginia Commonwealth University.
Dr. Hans Albin Gritsch is the Surgical Director for the Kidney Transplant Program at UCLA. He and a very talented group of physicians, nurses and staff were the ones who performed the kidney donation surgery and kidney transplant for my pal Jeffrey during The Great Kidney Give Away. If you are interested in learning more about kidney donation, please check out The National Kidney Registry ( https://www.kidneyregistry.org/?cookie=1 ) For even further information, look into the United Network for Organ Sharing, or UNOS ( https://unos.org/ )
Today's conversation is with Bobby Howard, Pres. of the NFL Former Players Assc. Atlanta Chapter & Dir. of Life Link of Ga. Multicultural Donation Education Program. We talked about his NFL career, having a kidney transplant, dispelling organ donation myths, and living his life purpose as a Dir. at Life Link. For more info on becoming a donor - https://www.lifelinkfoundation.org/contact/ More about Bobby Howard- After suffering severe kidney disease and receiving a kidney transplant, Mr. Howard has dedicated his life to helping others who face life-threatening health challenges. As Director of LifeLink of Georgia's Multicultural Donation Education Program he continues to lead collaborative efforts with local, national coalitions and community partners to spread the important message of organ donation. He serves on the boards of Donate Life America, NFLPA Former Player Board of Directors and Metro Atlanta Concerned Black Clergy. He is President of the Atlanta Chapter NFL Former Players Association and Chair of the National Multicultural Action Group. Bobby has faithfully served in the following capacities; President of the Association for Multicultural Affairs in Transplantation, President of the Georgia Transplant Foundation, a board member of the United Network of Organ Sharing and board member of the 100 Black Men of DeKalb County. --- Send in a voice message: https://anchor.fm/bggyst/message Support this podcast: https://anchor.fm/bggyst/support
Thomas Furfaro discovered a fondness for international opportunities after attending his first Model UN experience. An Argentine seeking to amplify the voices of youth on the frontlines of social change, Thomas expands his international presence through research, acting as a United Network of Young Peacebuilders (UNOY) representative, and hosting his own podcast, Youth on the Frontline (recorded in Spanish).
During this episode of This Thing Called Life Podcast, host Andi Johnson speaks with Barry Massa, the executive director of LifeCenter Organ Donor Network. They discuss what it’s like to recover organs and tissues during a pandemic. Episode Highlights: Barry Massa started at LifeCenter as their CFO and has been their executive director for twelve years.LifeCenter handles organ and tissue donation for the Cincinnati area.In 2019 they had a record year for organ and tissue donation due to community outreach and their relationship with local hospitals.The federal government created organ procurement organizations. Two different teams work with donor families. The team that is trying to save the donor's life and the donation team.All U.S. organ procurement organizations (OPOs) are non-profits.OPOs are heavily regulated. Medicare governs organ donation and the FDA oversees tissue donation. The United Network of Organ Sharing maintains the organ waitlist.Barry shares the biggest surprise he's experienced during his time at LifeCenter.There are currently 114,000 people on the waitlist.OPOs do not operate in the living donation space. Living donation impacts the waitlist in a positive way.Barry shares about a good friend of his that needed a heart and lung transplant long before he was involved in LifeCenter.Not all hospitals do transplants.Barry shares how the pandemic has affected donation.During the coronavirus, donation really went down. There was a 40% drop in donors while hospitals were shut down.There wasn't a game plan in place for a pandemic so they took it day by day.They had to add in testing for COVID-19 in donors. There were testing delays. There were a lot of donation opportunities that did not occur that would have occurred in the past.Barry describes how staff worked together during coronavirus.They had to approach families for organ donation over the phone or via Zoom.Communicating empathy for the family can be more difficult in a virtual environment.Barry explains how donation works.Every hospital in their area calls LifeCenter when the patient meets certain clinical triggers that could possibly result in organ donation.Through August 1st, donation is back to where it was last year.Those waiting for lungs are having a more difficult time during this pandemic.Barry thinks the list of people who need a lung will increase during this time.Kidneys are the most needed organ on the waiting list.Barry discusses the scarcity of PPE and how that has played a role.Collaboration between hospitals could have increased even more during this time.People feel comfortable fulfilling their roles while taking necessary precautions. The staff has a real passion for their mission.Barry tries to communicate with staff more regularly, at least on a weekly basis.The mental aspect of this pandemic is tough in so many ways.Barry would advise someone waiting for a transplant to stay as healthy as they can during this time.Today's honor moment is for all of the front line staff in all of the organ procurement organizations across the country that are working tirelessly to facilitate organ, eye, and tissue donation.Get to know Barry with his answers to fun personal questions at the end of the show.3 Key Points:Deceased organ donation is unique in that the patient has to have suffered a non-survivable brain injury, which is only about 1% of the deaths that occur. During the onset of COVID there was a 38% decrease in organ donation across the U.S.Consistent communication, being flexible and checking on staff has been key during this time of the pandemic.Resources Mentioned:LifeCenter (website) (Facebook) (Instagram) (YouTube) (Twitter)Andi Johnson (website) (LinkedIn) Barry Massa (website) (LinkedIn)
During this episode of This Thing Called Life Podcast, host Andi Johnson speaks with Barry Massa, the executive director of LifeCenter Organ Donor Network. They discuss what it’s like to recover organs and tissues during a pandemic. Episode Highlights: Barry Massa started at LifeCenter as their CFO and has been their executive director for twelve years.LifeCenter handles organ and tissue donation for the Cincinnati area.In 2019 they had a record year for organ and tissue donation due to community outreach and their relationship with local hospitals.The federal government created organ procurement organizations. Two different teams work with donor families. The team that is trying to save the donor's life and the donation team.All U.S. organ procurement organizations (OPOs) are non-profits.OPOs are heavily regulated. Medicare governs organ donation and the FDA oversees tissue donation. The United Network of Organ Sharing maintains the organ waitlist.Barry shares the biggest surprise he's experienced during his time at LifeCenter.There are currently 114,000 people on the waitlist.OPOs do not operate in the living donation space. Living donation impacts the waitlist in a positive way.Barry shares about a good friend of his that needed a heart and lung transplant long before he was involved in LifeCenter.Not all hospitals do transplants.Barry shares how the pandemic has affected donation.During the coronavirus, donation really went down. There was a 40% drop in donors while hospitals were shut down.There wasn't a game plan in place for a pandemic so they took it day by day.They had to add in testing for COVID-19 in donors. There were testing delays. There were a lot of donation opportunities that did not occur that would have occurred in the past.Barry describes how staff worked together during coronavirus.They had to approach families for organ donation over the phone or via Zoom.Communicating empathy for the family can be more difficult in a virtual environment.Barry explains how donation works.Every hospital in their area calls LifeCenter when the patient meets certain clinical triggers that could possibly result in organ donation.Through August 1st, donation is back to where it was last year.Those waiting for lungs are having a more difficult time during this pandemic.Barry thinks the list of people who need a lung will increase during this time.Kidneys are the most needed organ on the waiting list.Barry discusses the scarcity of PPE and how that has played a role.Collaboration between hospitals could have increased even more during this time.People feel comfortable fulfilling their roles while taking necessary precautions. The staff has a real passion for their mission.Barry tries to communicate with staff more regularly, at least on a weekly basis.The mental aspect of this pandemic is tough in so many ways.Barry would advise someone waiting for a transplant to stay as healthy as they can during this time.Today's honor moment is for all of the front line staff in all of the organ procurement organizations across the country that are working tirelessly to facilitate organ, eye, and tissue donation.Get to know Barry with his answers to fun personal questions at the end of the show.3 Key Points:Deceased organ donation is unique in that the patient has to have suffered a non-survivable brain injury, which is only about 1% of the deaths that occur. During the onset of COVID there was a 38% decrease in organ donation across the U.S.Consistent communication, being flexible and checking on staff has been key during this time of the pandemic.Resources Mentioned:LifeCenter (website) (Facebook) (Instagram) (YouTube) (Twitter)Andi Johnson (website) (LinkedIn) Barry Massa (website) (LinkedIn)
Andy and Dave start with COVID-related AI news, and efforts from the Roche Data Science Coalition for UNCOVER (the United Network for COVID-19 Data Exploration and Research), which includes a dataset of a curated collection of over 200 publicly available COVID-19 related datasets; efforts from Akai Kaeru are included. The Biomedical Engineering Society publishes an overview of emerging technologies to combat COVID-19. Zetane Systems uses machine learning to search the DrugVirus database and information from the National Center for Biotechnology to identify existing drugs that might be effective against COVID. And researchers at the Walter Reed Army Institute of Research are using machine learning to narrow down a space of 41 million compounds to identify candidates for further testing. And the IEEE hosted a conference on 9 July, “Does your COVID-19 tracing app follow you forever?” In non-COVID-related AI news, MIT takes offline the TinyImages dataset, due to its inclusion of derogatory terms and images. The second (actually first) wrongful arrest from facial recognition technology (again by the Detroit Police Department) comes to light. Appen Limited releases its annual “State of AI and ML” report, with a look at how businesses are (or aren’t) considering AI technologies. Anaconda releases its 2020 State of Data Science survey results. And the International Baccalaureate Educational Foundation turn to machine learning algorithms to predict student grades, due to COVID-related cancelations of actual testing, and much to the frustration of numerous students and parents. Research from the Vector Institute and the University of Toronto tackles analogy and the Raven Progressive Matrices with an ensemble of three neural networks for objects, attributes, and relationships. Researchers at the University of Sydney and the Imperial College London have established CompEngine, a collection of time-series data (over 24,000 initially) from a variety of fields, and have placed them into a common feature space; CompEngine then self-organizes the information based on empirical properties. Garfinkel, Shevtsov, and Guo make Modeling Life available for free. Meanwhile, Russell and Norvig release the not-so-free 4th Edition of AI: A Modern Approach. Lex Fridman interviews Norvig in a video podcast. And the Elias Henriksen creates the Computer Prophet, which generates metaphors from a database of collected sayings. Click here to visit our website and explore the links mentioned in the episode.
Dinah Bamulutira will be introducing the ministries of the United Network of Ministries International which she is an affiliate. United Network of Ministries International will be introduced as followed: (10:05 PM) Nigeria (10:10 PM) Tanzania (10:15 PM) Kenya (10:20 PM) Benin (10:25 PM) Pakistan (10:30 PM) Mozambique (10:35 PM) Burundi (10:40 PM) Ivory Coast (10:45 PM) India (10:50 PM) Namibia (10:55 PM) Congo (11:00 PM) Zimbabwe (11:05 PM) Uganda website www.unomi.us
We have our good friends from The Paranormal UNITED Network WORLDWIDE on talking about the meaning Of Paranormal unity, and a Paranormal Roundtable Discussion!
In this episode, Therese Markow and Dr. Gabriel Danovitch discuss the history of solid organ transplantation, how the organ donation list works, and the standards for donation, from both living and deceased donors. Kidneys are the most transplanted of solid organs. In some countries, poor people are exploited to sell a kidney which is then used in a transplant tourist. With the Declaration of Istanbul in 2008, stronger standards were put into place to protect both the recipient and the donor involved in a transplant. While this has helped reduce organ trafficking, certain countries are still exploiting underprivileged groups to sell their kidneys. Because genetic matching can be overcome by modern medicine, almost any healthy person can serve as a donor. Dr. Danovitch continually reinforces the importance organ donation as a society value, and a value completely separated from any financial incentives. Key Takeaways: You do not need to be related to the recipient to be an organ donor, which simplifies this aspect of transplantation. At the same time, the incidence of end-stage renal disease is increasing owing to the obesity and diabetes epidemic, and thus the need for donors also has increased. Willing organ donors have better mental and physical outcomes than individuals that sold an organ. "A donor needs to be healthy and motivated, and then we can find a way to make that transplant happen, whether they’re matched or not." — Dr. Gabriel Danovitch Connect with Dr. Gabriel Danovitch: David Geffen School of Medicine University of California at Los Angeles GDanovitch@mednet.ucla.edu United Network for Organ Sharing: UNOS.org Connect with Therese: Website: www.criticallyspeaking.net Twitter: @CritiSpeak Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.
More than 100,000 people in the United States currently are waiting for a lifesaving organ transplant, including 5,000 people on the transplant list for a heart and/or lungs, according to the United Network for Organ Sharing. Although some will die before they receive a transplant, surgeons and research teams are making great strides in expanding the pool of viable organs. Zachary N. Kon, MD, moderates a discussion with Ashish S. Shah, MD, Matthew G. Hartwig, MD, and Varun Puri, MD, MSCI, about new ways to assess organ quality, technologies to increase their viability, and ways to better match donors and recipients.
Episode #3 All About Organ Donation with LoTo! Hi guys!! Tune in to listen to my best friend, Lauren, and I as we chat all about organ donation, how to become an organ donor and a little bit about Grey's Anatomy! LOL Can't wait to hear what y'all think! It takes just a few minutes to sign up and become an organ, eye and tissue donor! Give the gift of life here! United Network of Organ Sharing https://unos.org/register-to-be-an-organ-donor/ Live in Arizona? Register to become an organ donor with Donate Life AZ! https://register.donatelifeaz.org/register/?lang=en Live in Oregon? Register here with Donate Life Northwest! https://www.donatelifenw.org/register-now Stalk us on Social here! @loto95 @alimcg_ @thealimcgpodcast @alislist --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
En el programa de hoy nos acompaña Alfredo Lucas, médico venezolano que se desempeña como Coordinador Médico de Donantes de Órganos y Melva Sánchez, Coordinadora de Comunicaciones de Life Alliance Organ Recovery Agency de la Universidad de Miami. Esta organización es una División del departamento de Cirugía Daughtry Family de la Facultad de Medicina Miller de la Universidad de Miami, una de las 58 agencias de recuperación de órganos designadas a nivel federal certificadas y reguladas por la United Network for Organ Sharing (UNOS). Life Alliance es una organización sin fines de lucro con el único rol de salvar vidas a través de la donación y el trasplante de órganos en los seis condados del sur de la Florida a los que sirven: Miami-Dade, Broward, Palm Beach, St. Lucie y el condado de Collier. En toda su área de servicio, atienden a una población de más de 6 millones de personas.Las vidas de casi 6,000 hispanos en los Estados Unidos se salvaron en el 2018 gracias a la donación y el trasplante de órganos. Muchos miles más restauraron su vista, salud y movilidad a través de trasplantes de córnea y tejidos. #VivaLaVidaEl programa VIVA LA VIDA está dirigido a empoderar y educar a los pacientes crónicos y sus cuidadores dirigido por las pacientes expertas Migdalia Denis y Maria Margarita Gamboa transmitido por la señal de PangeaFM.Instagram.com/vivalavida2mTwitter.com/vivalavida2m
On today’s episode of Mid-South View Point host Byron Tyler welcomes Mid-South Transplant Foundation GiveLife10 Campaign with Dr. Eugene Gibson of the Olivet Fellowship Baptist Church, Sabrina Smith a donor recipient, and Tammy Pate from Mid-South Transplant Foundation. African Americans are one of the smallest groups to register as organ donors, but, according to the United Network for Organ Sharing (UNOS), there are currently nearly 114,000 on the national waiting list. Additionally, there are more than 4,000 Mid-Southerners awaiting organ and tissue donation, and 2,000 of them are African Americans awaiting kidneys. Mid-South View Point radio show with host Byron Tyler airs Tuesday, Wednesday, and Thursday at 3:00 pm central time on the Bott Radio Network affiliate 640 AM, 93.7 FM, and 100.7 FM in Memphis, TN.
Nowadays, almost half of the world's population is under the age of 24. Yet policy-making and the field of peacebuilding is still dominated by older men in suits. Why is that and how can we change it? How can we break the status quo and create space for youth at the peace table? To find out we sat down with Gizem Kilinç, the leading coordinator of the United Network of Young Peacebuilders (UNOY). Music credit: 'Coffee Shopping' by Bruno Freitas, licensed under hooksounds.com.
Episode 16 of the Ground Shots Podcast. This episode is a conversation with Lindsey Leach, who lives in Richmond, Virginia. I recorded our conversation this past October, while I was doing a printmaking residency in Petersburg, Virginia at Cornmeal Press, the studios of Aimee Joyaux, our guest from Episode 14. When this interview was recorded, Lindsey was working as the Development Manger at ChildSavers, an organization dedicated to the mental wellbeing of children in the greater RVA area. In addition to talking about the work of the organization ChildSavers, we chat about: the importance of trauma informed council for children the history of the deliberate concentrating of poverty in black communities in Richmond, VA how a history of systematic racism is reflected in the present day reality of the city ways that schools are still segregated how trauma affects the body the link between trauma and systematic racism the need to remove the confederate statues on Monument Ave in Richmond, VA reevaluating southern identities that revolve around a selectively curated storytelling of the past the importance of representing and telling all stories of the past and present for a more accurate representation of the lived human experience in the RVA area having civil conversations with people who you don't agree with how Richmond is making changes to acknowledge the history of all people who lived and live in the city (links to some of these things are found below) ********************************* To go along with this episode, Lindsey, who is an avid reader, put together an epic book list that relates to the topics we touch on in this conversation, found on the Ground Shots Project Patreon membership page. ********************************* As of February of this year, Lindsey accepted a position at United Network for Organ Sharing (UNOS) as Senior Development Officer. Now she heads up fundraising for UNOS, the nonprofit that manages the nation's only organ transplant system. She continues to support ChildSavers and is involved in her community through board service for ReEstablish Richmond which is a local nonprofit that helps refugees establish roots, build community, and become self-sufficient. In addition to her nonprofit work, Lindsey is an artist. You can view her portfolio linked below and learn about her psychic landscapes depicting the inner world of emotions. The additional music for this episode is by Ted Packard. Ted is a nature connection educator, artist and musician who runs a Patreon for his creative projects which also expand beyond music, the link to his page can be found in the show notes below. ******************************* Lindsey's artist portfolio: https://everavidart.com/ ChildSavers: https://childsavers.org/ ReEstablish Richmond: https://www.reestablishrichmond.org/ Virginia Museum of History and Culture: https://www.virginiahistory.org/ The American Civil War Museum: https://acwm.org/ Black History Museum: http://www.blackhistorymuseum.org/ The Valentine: https://thevalentine.org/ The Virginia Museum of Fine Arts (VMFA) is putting on this upcoming show in Richmond called "Cosmologies from the Tree of Life: Art from the African American South." https://www.vmfa.museum/exhibitions/cosmologies/ An article about the Maggie walker statue Lindsey mentions: https://www.richmond.com/news/local/city-of-richmond/maggie-walker-statue-unveiled-saturday-in-richmond/article_042f028e-045c-5777-98bf-31cb8ac56e7b.html A website on the complex history of the 'monuments' on Monument Ave. : https://onmonumentave.com/ ******************************* Support the podcast on Patreon to contribute to our grassroots self-funding of this project. Our Instagram page @goldenberries Join the Ground Shots Podcast Facebook Group to discuss the episodes Subscribe to our newsletter for updates on the Ground Shots Project Theme music: 'Sweat and Splinters' by Mother Marrow Additional music: 'Philosophers of Yeardley Drive: Graduates of the Grapefruit' by Ted Packard Produced by: Opia Creative
Organ donation and transplantation has been a medical miracle in saving lives; however, the number of organs available are not nearly enough. According to the United Network for Organ Sharing (UNOS), 113,602 people need a lifesaving organ transplant. Donate Life America says another person is added to the waiting list every 10 minutes and sadly, 22 people die each day because the organ they need is not donated in time. Tagged to organ donation and transplantation is a host of bioethical issues that are constantly debated to include presumed consent and the sale of organs. Today, I want to look at a few of these issues. I am joined by medical ethicist, lawyer and the executive director of the Kid-U-Not Living Organ Donor Fund, Sigrid Fry-Revere JD, PhD.
Organ donation and transplantation has been a medical miracle in saving lives; however, the number of organs available are not nearly enough According to the United Network for Organ Sharing (UNOS), 113,602 people need a lifesaving organ transplant. Donate Life America says another person is added to the waiting list every 10 minutes and […] The post Organ donation: A look at some bioethical issues with Sigrid Fry-Revere, JD, PhD appeared first on Outbreak News Today.
One deceased organ donor can save up to 8 lives. Yet, on average, 20 people on the United Network for Organ Sharing waiting list die each day because so few organs are available. On this episode of Lifespan, we hear from Kelly Nottingham, who donated a kidney to her mother; David Burke, who received a liver from a deceased donor; and Cynthia Tindongan, who donated a kidney to a stranger.
Listeners this week we're back with Luis Miranda Luis s a peacebuilding professional specializing in capacity building, youth leadership development, and restorative justice processes with communities affected by armed conflicts and historical harms. Luis has facilitated dialogues and leadership development workshops for youth-oriented initiatives in North America, Europe, East Asia, and Latin America. He has also participated in the efforts of the United Network of Young Peacebuilders in 2014-2015 which lead to the Amman Declaration and the passing of the United Nations Security Council Resolution 2250 on Youth, Peace, and Security. As an activist under the #JusticiaYa movement in Guatemala, Luis organized waves of peaceful demonstrations nonviolent demonstrations which managed to oust the country’s presidency in 2015 and then led a series of workshops to shift the movement's advocacy efforts towards legislative reforms. Under the Office of the High Commissioner for Peace in Colombia, Luis conducted extensive field work with eight regions affected by the armed conflict in a project aimed at preparing civil society actors to participate in the implementation of the Colombian Peace Agreement. Along with UNDP Colombia, Luis organized a national summit for young people working for youth across Colombia, served as organizer for the national network, and conducted capacity building work. Over the last year, Luis has been involved with projects preparing members of religious groups for dialogues, including the Intereclesial Dialogues for Peace in Colombia (DiPaz) and the Madrasa Discourses project at University of Notre Dame. Currently, Luis is doing grassroots capacity building work with refugee and migrant families in Salt Lake City, Utah, where he is also a faith community organizer for the sanctuary movement, helping distressed migrants find refuge. Luis is a graduate from the London School of Economics and the Kroc Institute for International Peace Studies at the University of Notre Dame and a member of the Obama Foundation international network. Listeners, Luis and I have an amazing conversation and we cover his childhood in Guatemala, losing his dad and the tragic story of losing his sister. TRIGGER WARNING! Luis shares his experience growing up in Guatemala during the Civil War in the 90s and he describes the time he lost his sister due to the crime and violence the country was experiencing at the time. Please take it easy with this episode if you don't think you can handle painful memories. Luis also shares about his experience with DKMS, an international nonprofit organization dedicated to eradicating blood cancers and diversifying the bone marrow registry. Learn more about DKMS at dkms.org Find Luis on all things social: https://www.instagram.com/mirandla/ Find Cafe con Pam on all things social www.instagram.com/cafeconpampodcast/ www.facebook.com/cafeconpampodcast www.spreadideasmovepeople.com/podcast For the Small Biz Support Program head over to spreadideasmovepeople.com/sbsp STAY SHINING!
Nick, Tyler & Riley get down to business this week in figuring out what makes Master Chief such an amazing character & videogame persona. From Riley confusing conscience & consciousness to Tyler getting way too meta, join us as we wade into the Halo universe. Tags: Halo , Microsoft , Master Chief , Cortana , Osiris , Windows , military , videogame , xbox , red vs blue , covenant , super soldier , john , symbiote , unsc , spartans , network , brain , consciousness , soma , amputees , feet , philosophy , robots , hive mind , wade watts
I'm so excited to have my friend Liz Strom here today on the Pursue Your Spark Podcast. Liz is an author, life coach, a double organ transplant survivor, a speaker, a mom, a mentor, and she helps empower women to go from stuck and stressed, to free and able. That sounds right down my alley. Welcome to the show, Liz. I'm so pumped that you're here! Liz Strom: Thank you. Heike: Liz, can you tell us more about yourself. Liz Strom: Yes, that's what I do. I take people from stuck and stressed, to free and able. A lot of it has to do with envisioning, planning, organizing, and reorganizing life. There's a lot that's happened in my own life that I decided I need to help other people get there. Heike: You shared with me that you're the creator of EnVision and a forthcoming book called Led By The Unseen. How do they tie in with your company or your work at that point? Liz Strom: Led By The Unseen is a book that I'm currently writing. The various chapters in that book talk about different things in life that help lead you forward that you can't necessarily see, and it could be something motivational, something spiritual. People that move you forward maybe that you have never met. People that move you forward that come in passing, as well as friends, teachers, leaders, coaches, whatever it is that you have in your life. The different ways in which you receive guidance and motivation is explained throughout the book using my life. That's Led By The Unseen. EnVision is a program I use within my coaching, and Creative Calm Solutions, LLC is my company. The EnVision part of it is to put people "in" and "vision." In their vision, and it helps them to see what's possible in their life. We do a lot of visualization, and we take people to where they think their future should be, and we sit in the moment, and we talk about what it looks like, what it feels like, what it smells like, who they're with, all the different aspects. Then we decide, "Is it really what you wanted in life? Is this really what you're envisioning? Is this really what feels right to you?" If it's not, we tweak the vision a little bit, so it becomes more perfect if you will. There's no such thing as really perfect, but perfect for them at the moment. Then we work towards it. We create a plan so that they can have a feel better life along the way. Heike: Do you mostly work with women, men, or both? Liz Strom: I work with both, but most of my clients are women in their mid-30s and above, but I do have a lot of clients of all age ranges, from 17 to 82. A lot of people just feeling like they're feeling stuck and stressed, or they're not sure what their next steps are going to be. For example, my 17-year-olds don't know what they want to do in college, or what field of studies to pick up, and I'll help them with that, or sometimes they just want to travel, and they're trying to decide which path to take. All the way to my beautiful 82-year-old clients who are trying to figure out what their next steps in life are after they've been through an entire career. Maybe not a career, but staying home with their children and their grandchildren, and feeling like there's something else they should be doing in life, and so we create sessions around that, figure out their next steps and what makes them feel better, and what they should be doing. I also speak at corporate events, and I facilitate workshops for men and women within those companies to do some stress management work. Heike: What did you do before you became the creator of Creative Calm Solutions? Liz Strom: What didn't I do? I did a lot. I found myself in a lot of support roles. I was an executive assistant to different presidents of different companies, people who owned their businesses, which was fantastic for me because I got to learn the ropes kind of the hard way, figure out what works and what doesn't for them. I realized what I wanted to do, what I didn't want to do, watching their processes. I was also a senior sales manager for Hilton, so I was able to go and meet different people from all over the place. Getting to know people of all different backgrounds and upbringings opened up a lot of things in my mind, and I'm able to reconnect with those people now, which is exciting. A lot of it was being kind of the right hand to somebody else. Figuring out what I wanted to do with my own life, in that role. Heike: Which brings me to how we met because she was also the operations instigator of the DC Salsa Meetup. Many, many years back, when Liz, and Mario, and Kathy started the Salsa Meetup Group, I joined the group with such amazing, fun people, dancing salsa all over the DC Metro area. Are you still doing that? Liz Strom: I still am. I love it. I love to see people doing what moves them. You just see people smiling all over the place, learning something new, stepping out of their comfort zone, and there's such a mix of people on the dance floor. Besides the background work of accepting members, sending out messages, and coordinating events, which was fun, I got to be in the front hall, and anytime someone came in, I was the warm, happy face at the front of the door. I would connect other people, and a lot of time I just met some great people like you at these meetups, and I kept in touch. I wanted to tie everyone together; whether it was at my house, events, potlucks, dinners to now this, we're coming together in this capacity. It's so amazing. Heike: That is just so fantastic because I remember the days when I was still very active in salsa, which I've now moved into Argentine tango, but I'm still friends with the core group from maybe 10, 12 years ago. Then we meet again in renewed capacities of in business. Liz Strom: Yeah, absolutely. Heike: Now, during our time together, you met a man named Rolo. We all were super excited that you met somebody so special, so tell us about your lovely husband, and you've mentioned you have a daughter. Liz Strom: Yes, I do. My daughter is 17. She's an amazing, creative soul, and right now she's in high school, so it's nice and quiet in the house. I can have a nice office meeting with you today. My husband Rolo, his real name is Rolando. He is an amazing soul all on his own, and he's also into empowerment and motivation, and he supports me along my journey but has his own things going on, which I love. We both keep busy in positive ways, and when we join together, we kind of create this different force. He has a very different way of going on about life than I do, but it's kind of streamlined. He brings something else to the table that I'm not used to, and I love seeing, and he's just such an open, loving soul. The funny thing is, I met him through a friend from DC Salsa Meetup named Lisha, and she used to be one of the organizers also, so a happy face at the door. Heike: Great! Liz Strom: She moved to San Francisco for the next phase in her life. She made friends there, and I went out to surprise her one year for her birthday, and there Rolo was, just sitting there talking to me. We were friends before anything else began, and then it moved quickly after that. Heike: I remember when we first met him, everybody was, "What? How did she find this guy? They're perfect together." Liz Strom: Admittedly, I was resistant to dating for a long time, especially in the salsa scene, because I was an organizer, and I kind of didn't want to get tied up in dating somebody. Maybe it wouldn't work out, and I didn't want to be that one that they did not want to see at events or whatever it was. I held back for a long time with that dating part of my life, and then when I met him, it was just all walls down. There was nothing to be worried about. He just made me feel at ease immediately, and he said I did the same for him. It was a great pairing of two whole people coming together, creating something else. Heike: I think that came at the right time, because as I shared earlier, you're a double organ transplant survivor, and you're dealing with quite a few health challenges. Liz Strom: Right. Heike: Do you want to talk about that? Liz Strom: Yeah, absolutely. It's part of my journey, and part of why I became a life coach. I have struggled with health issues all my life. I had type two diabetes since I was a child, so most of my growing up contained a lot of restrictions. No eating this, no eating that. Having to take blood tests four times a day at certain times, and insulin injections at certain times. From having low blood sugar reactions to having high blood sugars. Not understanding why, and then eventually understanding why. I was a kid, so I would just eat whatever I wanted to. To have a lot of challenges later in life. Not so much that I was out of control, but because diabetes is a small blood vessel disease that damages things along the way after so many years of having it. When I met Rolando, he was saying he wanted to date. I was holding back in that aspect because I knew I was getting "sicker and sicker." He told me, "I'm with you because you're you, not because you're sick or you're healthy." I trusted him from that point on, and he was with me the day that I found out my kidney was dying. Heike: I remember that. Yeah. Liz Strom: Yeah. It was a tough time, but I had been through so much in life, and I knew I could get through that. I wasn't sure what it was going to look like, so I went through the process with Rolando. Thankfully I was put at the top of the list in my area for organ recipients, and I received a "brand new," kidney and pancreas almost five years ago. Here I am today. I have no diabetes, and I am alive. No dialysis, no problems with my kidneys right now. All my levels are wonderful and going through that process; I knew I had to do something bigger. I couldn't just get away with having these new organs, and not do something with my life. I always wanted to be the one that was known for helping others and developing plans, and my friends come to me for that. I thought, "I need to do this." I needed to train and get there to do what I needed to do, and that's what I'm doing now. I train under Tony Robbins, and Chloe Madanes, Mark and Magali Peysha, as well as Marie Forleo, Danielle LaPorte, so many other beautiful leaders, and they, have opened my eyes to what's possible in that aspect of coaching. Here I am. I began my own coaching business. I help people with their careers, relationships, stress management, feeling better with whatever's going on currently, if they have health conditions or limitations. That's where my health has taken me. Through all that I've been through, I'm trying to lead other people through it also. Heike: What is your most significant limitation at the moment physically? Liz Strom: Physically, I have very low blood pressure. I don't go dancing for that reason, or I dance to really slow songs that make my soul light up. In that capacity, I still have to move and stay healthy, mainly because I have this second chance with the new organs. I do things like 5Rhythms dancing, which helps connect you with your body to figure out what you're feeling, and releasing of emotions, and also taking on the better, bigger ones. I do chair yoga. I do floor yoga, all sorts of things. Sometimes I do regular yoga holding onto a chair, and doing the best that I can. Heike: I think that's so commendable, because you have such a challenge with all your organs and the dizziness, the sight, and all of this, that you are just not beaten down and give up. I am so crazy proud of you. Liz Strom: Thank you. Heike: My heart just sings when I see people who thrive despite all the crap they have to go through. Liz Strom: Yeah. We all go through things, and nobody I know has had an easy life. I thought, "Well, I know people who have gone through way worse." For example, I've had periods of anemia where I have to go to the hospital, and I have to sit in an infusion clinic and get some iron. Of course, I was complaining at 6:45 AM, going to the hospital, sitting there for 20 minutes to get infusions. When I got there, I'm sitting with children that have leukemia, other sorts of cancers, sitting there for their entire day, and smiling. I said to myself, "You better stop complaining. Do something. Make them feel better. They're going through way worse things than you are." There's always somebody going through something different, bigger, whatever it is. You have to make sure you make it through, and if you've made it through, do something more significant with your life, and that's what I decided to take on and do. Heike: Because you're also involved with some organizations that you support. Tell us more about it. Liz Strom: Absolutely. The United Network of Organ Sharing, the National Kidney Foundation, and the American Diabetes Association. I don't know where I'd be if they hadn't published all the information they had online and done all of these charity fundraisers to be able to fund research and events for people going through things as I do. I thought, "I need to give back to those organizations who can make a greater impact nationally, internationally." I decided that through my coaching and my workshops, I give a percentage back to these different organizations. Sometimes it's directly to a patient group. Sometimes it's giving of materials that I have or any kind of services I have to offer. A lot of the times it's the small bit of monetary give back that I can give. I support organizations across the board. Those are the three that I mainly associate with and try to give back for. This year, I'm doing something called The Goddess Workshop. We are funding clean water efforts. We would all not be here if we didn’t have clean water to drink, so this year we decided to start there. I wouldn't be able to, for sure, because with kidney disease, you need to continually drink water, stay hydrated, keep everything healthy. I went to the cellular level of it all and said, "Okay, what can I do on that aspect, to help other people and other children all around the world get cleaner water access?" This year's workshop is dedicated to that. Heike: I'll put the links in the notes for the listeners so they can contact you or find out more about the clean water movement. Liz Strom: Thank you. Heike: That's so amazing. Speaking of clean water, what do you eat, Liz? How do you nourish your body? How careful do you have to be? Liz Strom: The great thing about not having diabetes anymore is that I can eat whatever I want. That's including fruits, any time of the day that I want because as a child, you couldn't do that. Fruits have natural sugar that’s called fructose that raises blood sugar. I couldn't eat that. Now I can. Same thing with milk. If I wanted to put milk in my coffee, I can. Milk has lactose, a long-acting sugar. With kidney disease, for me personally, there are no restrictions. I'm a vegetarian, and the funny thing is, I eat lots and lots of vegetables, and I also eat seafood, milk, and cheese. When I first had surgery, the surgeons told me, "Okay, you have to watch potassium. Don't eat high potassium foods." Of course, that took away everything I was typically used to eating. Spinach, asparagus, tomatoes, all these things. But I'm able to now. Everything is evened out, so I eat whatever I want, but I'm mainly a vegetarian. I eat lots of fruits and vegetables throughout the day, as well as baked goods. I don't restrict myself because that would feel just like I did when I was a child, very restricted. Heike: Now, I have to say this, because I follow Liz also on Instagram, so you guys have to follow Liz on Instagram because you know then what she eats. She goes out and eats the most fabulous food, and you think, "Can she eat all this?" And I tell you, what we heard now is, yes you can. But I'm always amazed at your pictures. Liz Strom: Yeah. Absolutely. You have to infuse your life with things that feel good, experiences that make you feel open and amazing. Literally, I would go on Instagram and put "fun places to eat NYC" as a hashtag and find all the different pictures. I would find somewhere and say, "That's where I want to go." Screenshot it, create a date out of it, and seek it out. This past weekend, for example, I found this beautiful tiny shop in Chinatown called Sweet Moments NYC, and they have the coolest cream art on top of your coffee or tea. There are little happy faces on it. Who couldn't smile? I fill my life with that, and I also teach my clients to do the same thing. You have to make it happen. Plug it into your calendar. Create these sort of trips. You don't want to have regrets later, and this is the way to do it. Live passionately. Seek out these things. For me, it's traveling, finding these fun little foods on Instagram, or maybe it's a whole meal at these fabulous hotels that I stay in every once in a whole with my husband and daughter. They're also enjoying it, and they're going to live with no regrets or as few regrets as possible. This is the fun I have in life, and yes, no restrictions. I can't admit to eating the whole thing of pasta that you see; sometimes I portion it out. Heike: I just remember the little dumplings that you posted this weekend on Instagram. Guys, you have to see that. Oh my god. Makes you want to jump in and eat it. Liz Strom: Yes, we went to a dim sum place in New York, and we were so excited. When they brought out the egg custard tarts, they were these little piggies, and you just couldn't help but smile. Heike: That's so fun. That was my next question. What ignites your fire? What sparks your day? What recharges you? Liz Strom: Food is one of them. Travel is another. People, I love people. I'm an extrovert primarily, with a lot of introverted tendencies. I like to do a lot of introspection and things, but I love people. I love sunshine. I infuse this into my life on a daily basis. I can tell you the first thing I think about is the cup of coffee I'm going to make, because that lights me up, and having little things plugged in through my day. Having conversations with people like you that are amazing, that lights me up. I love YouTube, so I'll go on there and find different people who are inspiring, listen to their stories, and it lights me up to do something more. Water; can't live without water. Movement, music. I love dancing in my own way now, so I'll turn up the music and dance in between chores or cleaning. Heike: Oh, you should come to my house, dance a little bit around my house. Liz Strom: Well, I make my husband and my daughter dance with me too. I can't take all the credit for that, but I add it in. I just infuse it into my daily life. From the small things, from my coffee in the morning to great things, like going to conferences for people who move me, and taking that and using it with my clients, so many things in between. Heike: I know that we both share a love for traveling because I always check where Liz has been, and then I see the pictures she had, and how she got there. So you just recently went Milan correct? Liz Strom: Yes. Heike: I said, "Wow, you went to Milan, just out of the blue?" And she says, "This lights me up. This recharges me. Traveling, seeing new things, eating different foods." Along your travels, you have some gorgeous pictures of you. Liz Strom: Absolutely. We went to Milan, and this was on a whim. We found a great deal, so I just went with my BFF. We created some plans around it and other things we just did on a whim. People watching, different cafes. A lot of people think of Milan, Italy's experience to be buying expensive things. My Milan experience was, "Let's hire a photographer, take pictures of the big, beautiful Duomo in the background to remember the cathedral that we visited, and climb the steps all the way to the top." Heike: Wow. Liz Strom: Then we stood at the top, and looked over the entire city. We took a day trip to Switzerland, and we went up the Alps in a little red train, and just really enjoyed what we were doing. Heike: I love it. You just sparked me up. When I look at your Instagram and your Facebook, you always make me smile. You make me think with thoughtful posts, and spark my imagination. That's why I'm so happy that we are in touch, that we are friends, that I can get some of your energy and pass some of my energy on to you. It's so, so important to be around people like that because we hear a lot of negativity from people - how stressed they are, any of their problems. But to stay on top of that, and overcome this negativity, this stress, the unhappiness, is a hurdle for us too. We're not just always like, "Yoo-hoo." Happy people. We have our ups and downs. Heike: Tell us, what is your plan for the future? Where do you see yourself going with your company? Liz Strom: You have to start with the small tidbits if you will. Right now, I'm trying to finish everything I can with Tony Robbins and Chloe Madanes. I knew right after all of these training sessions ended with Tony Robbins I had to do something else to move me, so I'm going to do yoga challenges, and I'm going to go to more events, and things that move me. Next year, I already have three significant events that I want to attend and go to, so I decided to plug that into my calendar already. Tickets are not available, but I know what day those open, and I can plan that. Then in my business, through all the experiences that I've had under my belt, as well as what I'll learn going forward, I know I can make that explode. Right now, I know I'll be speaking to more companies, helping their employees to manage their stress. I can't tell them to reduce it, but I can help the management manage that to create more of a work-life balance. I know that I'll be traveling more doing that. There are many, many, many companies in the Washington, D.C. area, but I know that I have not to limit myself there, so I envision myself traveling more, doing these workshops, meeting new people. Also, volunteering my time, because I don't only want to give back being paid if you will. I also want to be there for people. For example, with those cancer patients in the infusion area, I want to be able to sit with them, play games, make them feel better, whatever they have the energy to do, and volunteer in that aspect, and just sit and be with friends and family. I have these bigger plans, and then I have these smaller plans that I've plugged into my calendar, so there's a lot there. Heike: Yeah. What would you say as a takeaway for our listeners, for all the active ladies who pursue their spark? Liz Strom: Live passionately. That is one thing that strikes me today. I think every day I feel a little bit of this, "you have to live passionately" part. It can feel a little cliché because people don't know what to do with this "live passionately" thing in their lives. They want to, but they don't know how to do it. Plug it in. Find things that move you. Find events that move you. Whatever it is, plug that in in your calendar, find out when tickets come out, go, and that will be the starting point in your journey. Along the way, you'll find things that light you up, and you'll meet people that move you, and you'll go on Instagram and find those little foods, and that's the way you live passionately. Plugging these things in that you want to do, with the people you want to do it with. Don't leave it to chance, because you'll say, "Yeah, I want to go to the Beyonce concert, and probably with my best friend. Back to work." And they don't plug it in, and it never happens. Heike: Very true. Liz Strom: Live passionately, plug it in, and along the way, all these beautiful things will just kind of erupt, and your heart will keep exploding in these amounts, and life will feel a lot better to you. Plug it in, live passionately. Heike: Now, how can people who want to live passionately reach you? Liz Strom: Absolutely. I'm all over social media. I love connecting with people, even online. My website is www.LizStrom.com. My Instagram and Facebook are both pages are @LizStromOfficial. If you don’t like talking over the phone you can email me, or we can do face-to-face, whatever you prefer, my email is Liz@Lizstrom.com. Heike: I’ll, of course, post them all in the show notes, so don’t rush to get your pen and paper! I am so excited we made this happen after all this time. It just popped into my head that I wanted to share you with my audience. Liz Strom: Thank you so much. I am so very grateful for you, for all you do in the world. For all that are listening and want to do something more with your life, plug it in, make it happen, and it will. Heike: I love that. Liz Strom: Thank you. Heike: Yes. Thanks, and I'll see everybody else on the next Pursue Your Spark, and thank you again. Find Liz on Instagram Liz Strom.com See you next time, Heike Join The Art Of Igniting Your Spark CLICK HERE To share your thoughts: - Leave a note in the comment section - Ask a question over at heikeyates.com To help out the show: - Leave an honest review on iTunes. Your ratings and review are so appreciated, and I read each one. - Subscribe to iTunes or get the mobile app to get the latest updates Not sure how to leave a review on iTunes?
Show Notes: Have you ever wondered about how “The List” works? We have referred to the waiting list in several episodes and asked Mike Pressendo, Director of Communications at United Network for Organ Sharing (UNOS), to explain how it all works. Mike also talks about an amazing new video UNOS created, How to Rock a Bucket List and Save a Life, and the real life stories it was based on. Next we welcome in studio guest, Ricky Fernandez, a transplant social worker with Tulane Medical Center. Hear about the myriad of services a transplant social worker provides to help patients, families and caregivers work through the transplant process. We honor one of the Heroes that inspired UNOS' Bucket List video, Kristina Chesterman, and answer a listener's question right here on episode 51 of The Gifted Life Podcast.
1. Blood must be real. There's no substitute. We need donors. 2. Organs go to the sickest--not the richest--patients. Air1's Tracey Lynn gets the facts from Chris Hrouda of the American Red Cross and Anne Paschke of the United Network for Organ Sharing (UNOS).
1. Blood must be real. There's no substitute. We need donors. 2. Organs go to the sickest--not the richest--patients. K-LOVE's Tracey Lynn gets the facts from Chris Hrouda of the American Red Cross and Anne Paschke of the United Network for Organ Sharing
1. Blood must be real. There's no substitute. We need donors. 2. Organs go to the sickest--not the richest--patients. K-LOVE's Tracey Lynn gets the facts from Chris Hrouda of the American Red Cross and Anne Paschke of the United Network for Organ Sharing
Dr. Waterman discusses the Explore Transplant nonprofit, the UNOS Kidney Transplant Learning Center, and her experiences at the White House Transplant Summit Project.
If you are waiting for a kidney transplant from a deceased donor, you probably already know that waiting times vary throughout the Country and over 100,000 people are waiting for a kidney transplant. The system used to determine who receives a deceased donor kidney is coordinated by the United Network for Organ Sharing (UNOS). At the end of 2014, the criteria used for kidney allocation is changing. Lori talks to Dr. Richard Formica, who chairs the OPTN/UNOS Kidney Transplantation Committee to help shed light on the new system, why it was changed and how it will impact people waiting.
Rebecca Cooney discusses organ donation and distribution in the US with David Mulligan, chair of the Liver and Transplant Committee for United Network for Organ Sharing.
There are many who need a kidney transplant, but there are simply not enough donors.A kidney transplant is needed when one (or both) of your kidneys is infected and needs to be replaced by a healthy kidney from another person. A kidney transplant can come from a living or deceased donor.According to the United Network for Organ Sharing, there are 100,602 patients who are currently waiting for a kidney transplant.Unfortunately, the supply does not meet the demand; there are simply not enough donors. The trouble is finding an eligible donnor -- someone either living or deceased who matches your blood type.How long do you typically have to wait for a kidney transplant?Many people have Type A blood, so there are more Type A donors than there are Type B or Type O. If you have Type A or Type AB, your wait time could be a three months to a year. Unfortunately, if you have a Type O blood, you can be waiting for three to seven years.Where you live and your age also plays a major role in who can donate and your waiting time. For example, if you're in your 20s or 30s, you want your new kidneys to last you at least another 30 to 40 years.Can a living donor decrease wait time?If someone in your family or circle of friends has the same blood type and a healthy kidney, they can reduce the wait time. Having a living donor also reduces your chances of needing dialysis.What else do you need to know about kidney transplants?Chief of kidney and pancreas transplantation at the University of Maryland School of Medicine, David Leeser, MD, shares what a kidney transplant is, who is capable of donating, the waiting time and what other factors contribute to getting a new kidney.
There are many who need a kidney transplant, but there are simply not enough donors.A kidney transplant is needed when one (or both) of your kidneys is infected and needs to be replaced by a healthy kidney from another person. A kidney transplant can come from a living or deceased donor.According to the United Network for Organ Sharing, there are 100,602 patients who are currently waiting for a kidney transplant.Unfortunately, the supply does not meet the demand; there are simply not enough donors. The trouble is finding an eligible donnor -- someone either living or deceased who matches your blood type.How long do you typically have to wait for a kidney transplant?Many people have Type A blood, so there are more Type A donors than there are Type B or Type O. If you have Type A or Type AB, your wait time could be a three months to a year. Unfortunately, if you have a Type O blood, you can be waiting for three to seven years.Where you live and your age also plays a major role in who can donate and your waiting time. For example, if you're in your 20s or 30s, you want your new kidneys to last you at least another 30 to 40 years.Can a living donor decrease wait time?If someone in your family or circle of friends has the same blood type and a healthy kidney, they can reduce the wait time. Having a living donor also reduces your chances of needing dialysis.What else do you need to know about kidney transplants?Chief of kidney and pancreas transplantation at the University of Maryland School of Medicine, David Leeser, MD, shares what a kidney transplant is, who is capable of donating, the waiting time and what other factors contribute to getting a new kidney.
Nonalcoholic steatohepatitis (NASH) is currently the third leading indication for liver transplantation (LT) in the U.S. and is predicted to become the leading indication for LT in the near future. The trends in NASH-related hepatocellular carcinoma (HCC) among LT recipients in the U.S. remain undefined. We performed a retrospective cohort study to evaluate trends in the etiology of HCC among adult LT recipients in the U.S. from 2002 to 2012, using national data from the United Network for Organ Sharing registry. From 2002-2012, there were 61,868 adults who underwent LT in the U.S., including 10,061 patients with HCC. The total number and proportion of HCC LT recipients demonstrated a significant increase following the implementation of the Model for Endstage Liver Disease (MELD) scoring system in 2002 (3.3%, n?=?143 in 2000 versus 12.2%, n?=?714 in 2005 versus 23.3%, n?=?1336 in 2012). The proportion of hepatitis C virus (HCV)-related HCC increased steadily from 2002 to 2012, and HCV remained the leading etiology of HCC throughout the MELD era (43.4% in 2002 versus 46.3% in 2007 versus 49.9% in 2012). NASH-related HCC also increased significantly, and NASH is the second leading etiology of HCC-related LT (8.3% in 2002 versus 10.3% in 2007 versus 13.5% in 2012). From 2002 to 2012, the number of patients undergoing LT for HCC secondary to NASH increased by nearly 4-fold, and the number of LT patients with HCC secondary to HCV increased by 2-fold. Conclusion: NASH is the second leading etiology of HCC leading to LT in the U.S. More important, NASH is currently the most rapidly growing indication for LT in patients with HCC in the U.S.
The In God We Trust Hate Group is looking forward to their Lord coming with vengeance to separate the wheat from the chaff, a reading from the eMate300 Book of Atheists United (as found in the United Network of Newton Archives), listener poll, more. Opens with DEVO - Wiggly World, closes with Black (for Scatman) by Wiggly Fred and the Cabbage-A-Go-Go.
© 2020-2025 Ivy Podcast Discovery LLC
