Saturday, January 26, 2013

Illegal organ harvest from mishap victims..

Doctors illegally taking organs of mishap victims? - Hindustan Times
Apropos this article that appeared in a prominent national daily, I can only react with disdain. While I am not privy to details of the cases in question and cannot vouch for the moral standards of all my colleagues, I find the charges made or suspicions raised very very unlikely to be tenable not because doctors are above such behaviour but because it is scientifically unlikely. The medical profession hasn't done itself any favours by participating in illicit organ rackets in the past.
The only whole organ that can be taken out of a live person safely is a kidney. Since all these cases are medicolegal cases every tissue taken out has to be subjected to pathological analysis. Moreover the surgeon will need to have a genuine reason to open the victims abdomen ie bleeding or contamination.....in both these cases the organ even if removed is unlikely to be good for transplant. If the victim dies, the missing organs will be apparent at the mandatory post-mortem in these cases.
If the accident victim is brain dead, removal of organs with family consent is legal under the law, so the issue is different.
If the victim dies or is found dead on arrival organ harvest is again legal however these organs are not of good quality and no hospital in India at the moment uses these organs except cornea, bone and skin.
I think such articles create a paranoia and only discredit the organ donation system which is woefully inadequate in this country. Either these articles should be backed by conclusive evidence or they end up doing a great disservice to hundreds of thousands of patients who need life-saving organ transplants.

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