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Heart Transplant Timeline

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by

Katrina Kelly

on 20 December 2013

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Transcript of Heart Transplant Timeline

1980
1995
1965
Heart Transplant Timeline
1967
First Heart Transplant
53 year-old Lewis Washkansky recieves the first successful heart transplant. The heart comes from a 25 year-old woman named Denise Darvall, who was killed in a car accident. The surgery was done by Christiaan Barnard at Groote Shuur Hospital in Cape Town, South Africa.
1968
First organ procurement organization (OPO) established; based in Boston.
1968
UK Transplants
The first heart and liver transplants are carried out in the United Kingdom.

UK Transplant Program
A program for heart heart transplants begins in the United Kingdom.
1981
First Successful Heart-Lung Transplant
Norman Shumway and Bruce Reitz complete the first successful transplant surgery involving both a heart and a lung on Mary Gohlke at Stanford University Medical Center.
1982
First Long-Term Artificial Heart Implanted
1984
Baby Fae Recieves a Baboon Heart
A Jarvik-7 artificial heart is implanted into patient Barney Clark by William DeVries. Clark survived for 112 days.
A baby girl known only as Baby Fae recieved the heart of a seven-month-old baboon. The transplant was done by the surgeons at Loma Linda University Medical Center in California. She lived for 20 days before dying of kidney failure. She had not rejected the heart.
1989
The Human Organ Transplants Act Passed
This act makes any commercial dealings in human organs for transplant illegal and a criminal offense.
1990
The number of heart transplants begin to level off. This is not due to failure, but due to a shortage of hearts.
1993
Shumway retires, having carried out more than 800 successful heart transplants.
2013
1968
2007
More than 75, 000 heart transplants performed worldwide
http://organdonor.gov/about/transplantationprocess.html

http://www.history.com/this-day-in-history/first-human-heart-transplant

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC325641/

http://www.noahsheart.org/heartinfo/cost/

http://www.theneworleansconference.com/confnola09/images/stories/2013/Bansal%202013.pdf

http://www.wellcomecollection.org/whats-on/events/in-or-out/transplant-timeline.aspx


Transplant Process
1. Get a Referral: You must get evaluated by your physician in order to be considered for a transplant
2. Gather Information/Select Transplant Program: You will need to do research in order to decide which program to use. Some things to take into consideration are insurance compatibility, financial arrangements, suuport group availability, and location.
3. Schedule an Evaluation: You will need to get evaluated by your chosen hospital to find out if you are a good candidate for transplant.
4. Get Listed: If you are approved for transplant, you will be contacted in writing telling you the exact date and time you were added to the OPTN national list. Once on the list, you could recieve a heart in a week, or have to wait many years. For the heart, the average waiting time is 113 days.

Cost
Transplantation includes costs before, during, and after the actual surgery. Costs include:
laboratory tests
organ procurement
transplant surgeons and other operating room personnel
in-hospital stays
transportation to and from the transplant hospital for surgery and checkups
rehabilitation (including physical and occupational therapy
medications (immunosuppressive or anti-rejection drugs)

Estimated cost of a heart transplant in 2011:
30 days pre-transplant: $47,200
Procurement: $80,400
Hospital transplant admission: $634,300
Physician during transplant: $67,700
180 days post-transplant admission: $137,800
Medication: $30,300
Total cost: $997,700
Culture and Ethics
There are not very many problems with race, religion, culture, gender, or age when transplanting a heart because the heart is not an organ that outwardly shows those things, like skin would show race.

However, there are some religions and cultures that are against organ transplants for a variety of reasons. The person may believe that their physical being isn't as important as their spiritual self, and refuse medical treatment. Another instance is the belief that the soul or essence of the deceased person of whom the organ previously belonged to lives on in the new person.
References
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