I used to work in organ transplants, and like literally everything related to organ transplants in film or tv is entirely wrong. Every medical drama, even the ones that pride themselves on realism, always try to make transplants and donation more dramatic, which is absurd when you consider how dramatic the reality actually is.
Oooh. I love medical dramas, I seem to love to ruin them for myself by finding out what’s real and what’s not. That said I desperately want to know the details behind a real organ transplant, now that you’ve mentioned it in that way. Are you able to elaborate?
Sure, I can share non-confidential stuff of course.
Like one thing tv and movies always get wrong is how much information is shared about who gets what. Donor families wait years to send or receive anonymous communications through the org, because both parties need to approve even the anonymous letters. If both sides are interested after a few more years, they might be able to eventually meet. I don’t remember the recommended waiting periods off the top of my head, but it was exceptionally rare for donor families to ever meet a recipient.
Another thing everyone gets wrong is who is in charge of care and when. You’d never have the same doctor treating the patient, declaring them brain dead, and then recovering and transplanting the organs. I understand tv shows can’t have hundreds of actors, but any hospital will have a team of dedicated transplant surgeons, and there will be dozens of transplant hospitals involved in the organ allocation. Having one small group of people involved in both the care and the transplant is like having the farmer who grows corn also be the grocer who sells it, the chef who cooks it, and the busser who takes away your dishes. Those people barely communicate if they even know each other at all. They certainly aren’t getting involved in each of the others’ jobs.
Unfortunately that one spills into the real world. People will say “don’t put Organ Donor on your license, or they won’t try to save you.” If you just think about that for even a moment, you realize how absurd it is.
There’s plenty more, but those are the ones that tend to pop up every time.
From the emergency medicine perspective on that last bit…we don’t care if you have a DNR somewhere on file. If you show up in cardiac arrest and someone isn’t shoving an official POLST into our hands, we’re running the code. We’d rather someone try (and fail) to sue for malpractice for saving them than accidentally let someone die that didn’t want to.
I used to work in organ transplants, and like literally everything related to organ transplants in film or tv is entirely wrong. Every medical drama, even the ones that pride themselves on realism, always try to make transplants and donation more dramatic, which is absurd when you consider how dramatic the reality actually is.
Oooh. I love medical dramas, I seem to love to ruin them for myself by finding out what’s real and what’s not. That said I desperately want to know the details behind a real organ transplant, now that you’ve mentioned it in that way. Are you able to elaborate?
Sure, I can share non-confidential stuff of course.
Like one thing tv and movies always get wrong is how much information is shared about who gets what. Donor families wait years to send or receive anonymous communications through the org, because both parties need to approve even the anonymous letters. If both sides are interested after a few more years, they might be able to eventually meet. I don’t remember the recommended waiting periods off the top of my head, but it was exceptionally rare for donor families to ever meet a recipient.
Another thing everyone gets wrong is who is in charge of care and when. You’d never have the same doctor treating the patient, declaring them brain dead, and then recovering and transplanting the organs. I understand tv shows can’t have hundreds of actors, but any hospital will have a team of dedicated transplant surgeons, and there will be dozens of transplant hospitals involved in the organ allocation. Having one small group of people involved in both the care and the transplant is like having the farmer who grows corn also be the grocer who sells it, the chef who cooks it, and the busser who takes away your dishes. Those people barely communicate if they even know each other at all. They certainly aren’t getting involved in each of the others’ jobs.
Unfortunately that one spills into the real world. People will say “don’t put Organ Donor on your license, or they won’t try to save you.” If you just think about that for even a moment, you realize how absurd it is.
There’s plenty more, but those are the ones that tend to pop up every time.
From the emergency medicine perspective on that last bit…we don’t care if you have a DNR somewhere on file. If you show up in cardiac arrest and someone isn’t shoving an official POLST into our hands, we’re running the code. We’d rather someone try (and fail) to sue for malpractice for saving them than accidentally let someone die that didn’t want to.