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FamilyPhysician
FamilyPhysician, MD, MBA
Category: General
Satisfied Customers: 12575
Experience:  Primary care physician for transplant patients
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My daughters friend age 19yrs has been asked to be a live adult

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My daughters friend age 19yrs has been asked to be a live adult doner for a liver transplant for her Uncle in his thirties. This is a healthy young active girl with her whole life ahead of her She lives with a grandma (it is the grandmas son so apparently she is all for it) I feel this young person is vulnerable and has no mature advocate for her and although now an adult and can make her own decisions....I undertand 60% of the liver is given to the recipient any risk however small to this girl is wrong, and selfish on the part of the recipient. Some may disagree with me i know. if one was facing death or liver failure one may seek desparate measures such as this. I have read very few liver transplants from live doners are done in the UK and the future outcome and complications beside the obvious haemmorhage infection death are unknown. What are your thoughts on this? thankyou

Submitted: 1 year ago.
Category: Organ Transplantation
Expert:  FamilyPhysician replied 1 year ago.
Thank you for your question:

There are some risk from donating a portion of your liver, however this procedure is generally not as dangerous as many might imagine.

I would suggest (and most living donor transplant programs require), an evaluation by a psychologist or counselor to discuss her feelings about this, any pressure she may feel from family and any guilt she may feel about any thoughts or decision to NOT donate the liver. Particularly in young people, it is important to have some a bit "removed" from the decision speak with the prospective donor to screen for any suggestion that this is a decision based on guilt or external pressure.
FamilyPhysician, MD, MBA
Satisfied Customers: 12575
Experience: Primary care physician for transplant patients
FamilyPhysician and other Organ Transplantation Specialists are ready to help you
Customer: replied 1 year ago.

Thankyou for that, As I am only the mother of her friend there isnt very much I can do except listen to my daughter who is obviously upset and worried about her friend. I do feel that it is wrong for a young person to be put in this situation and just because these operations can be done it does not mean that it is the right thing to do. I know that each case is probably assessed individually...i cant help but feel that we have gone too far to preserve a life at any cost. Accepting an organ from a dead doner is one thing...

Expert:  FamilyPhysician replied 1 year ago.
Here are a few articles that look at the safety
http://www.ncbi.nlm.nih.gov/pubmed/16498709

http://www.ncbi.nlm.nih.gov/pubmed/17275494

http://www.ectrx.org/forms/ectrxcontentshow.php?year=2011&volume=9&issue=1&supplement=0&makale_no=0&spage_number=56&content_type=FULL%20TEXT

http://www.ncbi.nlm.nih.gov/pubmed/22410008

http://www.ncbi.nlm.nih.gov/pubmed/22172809

I do believe that your daughter could/should suggest that her friend discuss this proposed donation with a psychologist or counselor who is NOT involved in the particular patient's case.

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