I am a cardiac surgeon, part of my job is to harvest hearts from living organ donors. AMA
i tried to do an AMA today but some people including mods were upset because i gave it a small twist and turned it into a short of guess who i am contest. i would like to give people a chance to ask direct questions now.
well, hope this goes better... AMA
EDIT: going to take a little break now, its 4 AM here but i will answer all your questions in like 4 hours. thanks for now, i just love this, be back soon, feel free to ask anything
EDIT 3: couldnt sleep so am back.
EDIT 4: wao frontpage!! by the way sorry for the grammar errors, english its not my first language. hope my answers are good enough to understand :/
EDIT 5: common question: there are no published reports of recovery of nuerologic function after the diagnosis of brain death using the criteria reviewed in the 1995 American academy of neurology practice parameter.
EDIT 6: i will spend today answering the remaining question that i haven't answered yet. P.S: i didnt mean to refer to the donors with "it" to objectify them, it just got lost in translation and i ve been corrected. another thing, i haven't heard about doctors making less of an effort to heal donors before, guess is an american thing or just an urban legend, don't see how a doctor could do that to a patient and the diagnostic criteria is really hard to meet with absolutly no false positive reported in the litarature yet. Give me some time and i will answer your questions, if i dont answer to you directly is because it was asked before you came in and i recomend you read all the comments, thanks for all the support and nice questions, this has been a great oportunity to talk to patients and nice people, thanks.
EDIT 6: am kind of surprised that some people are judging my surgical skills based on my command of the english language, you are going like"ok, he just told how to perform a repair of a transposition of the great vessels in 2 min, but am calling bullshit because he spelled putrid wrong, come on guys! Am also on an iphone...
EDIT 7: a lot of comments about zolpidem's new found ability to improve patients with brain injuries, i doubt this would work in organ donors that are brain dead, if you dont get blood to your brain you couldn't get a drug to your brain either. its intresting but there still evidence to be obtained and it needs to be peer-rewieved before we find out if it really works. also now days everybody is a especialist and decissions are made by a multidiciplinary team, the surgeon can't know everything and make every decission, thats what the rest of the team are for, and i am sure that when and if zolpidem's ability is well stablished the neurophysiologist in my team would be aware of it as i am aware of new surgical techniques they don't know about yet.
EDIT 8: hey everybody...nods are actually knots
EDIT 9: no longer relevant things
EDIT 10: thanks for being here, hope i could make some people aware that donors are needed, become a donor if you wish something good to come from something bad, try to make a difference in someone elses life. You have a big problem in USA and most countries in E.U were people don't want to become donors and patients have to be implanted with machines for long periods of time and poor quality of life and high risk of complications. This two AMAs have been an intent to bring closer to the people this problem and the people involved in it and humanize the surgeons and other personal involved, know that we feel about you but are glad an happy that together we can help many people out there that really need help. Thanks for asking questions and good bye.
EDIT 11: for last i want to adress the title of the AMA since i have gotten well deserved comments claiming that the title is missleading since braindead patients are considered dead in medical terms even if their organs keep working with life support and drugs. First i apologize if this confussed you or made you feel bad in anyway. but thinking about it i think someone would allways have a problem with this AMA no matter what its name was. WHY? you ask, lets see, if a called it "i collect or harvest or procure organs from dead donors" (that would be the pragmatic medical definition), when people found out they were brain dead, some people would eventually comment they still have some life in them, no matter what the correct definition of brain death is, and they wouldn't be completly wrong. if it was called "i harvest hearts from brain dead patients" it would have been probably be the more suitable name, but similar debates would have happen. i picked the title that i taught best described what i wanted to get across the room and that is that this patients hearts are beating and they still have vital signs, and their organs are working in their majority. I also wanted to get across that this is the only case in witch you can legally do something to a patient that would directly end all vital signs and advancing or precipitating the patients death, i just don't take them off life support and wait for the inevitable to happen on its own, we in an active manner stop this people's hearts and end the activity of all remaining organs and make the patients unable to live even on lifesupport like they did before. maybe i could have chosen a more suitable title? probably yes, but what i could'nt have done was picking a title that wouldn't cause commotion or controversy. i suggest if you are intrested you read the whole AMA because all remaing questions are answerd and clarified inside. you can keep posting questions if you are not satisfied, i will continue to answer them as long as reddit allows me to keep posting here. thanks and bye