Emotionally Related Organ Donation
A 45 year old medically well marine sergeant, the life-long friend of a 48 year old attorney who has a 42 year old wife on maintenance hemodialysis due to hypertensive kidney disease, offers his kidney for transplantation. The potential donor declines payment — in any form — stating that giving his “spare kidney” will make him feel fulfilled. Tissue typing and pre-transplant screening indicate that donor and recipient share two antigens and have no circulating factors which might injure the transplanted kidney. On the day of transplant surgery, the anesthesiologist refuses to participate on the grounds that what is proposed is a possibly lethal assault on an otherwise healthy human being.
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