17 y/o girl who received wrong organs gets a second chance

Nurses General Nursing

Published

DURHAM, N.C. (Feb. 20) - Doctors located an organ donor early Thursday for a 17-year-old girl clinging to life after she received a heart and lungs that didn't match her blood type, a spokeswoman said.

Jesica Santillan was to undergo organ transplant surgery Thursday morning at Duke University Hospital.

The procedure has a 50-50 success rate, said Renee McCormick, a spokeswoman for a charity that is helping pay the girl's medical bills.

McCormick called the new organs an ''incredibly good match.''

''We are elated,'' she told CNN. ''The family is overjoyed.''

The organ was found at 1 a.m. Thursday.

McCormick said she didn't know who donated the organs, but they were donated directly to Jesica, who mistakenly received organs incompatible with her type O-positive blood during a transplant Feb. 7 at Duke University Hospital.

Her condition steadily deteriorated after the botched operation, and she suffered a heart attack Feb. 10 and a seizure on Sunday. A machine has kept her heart and lungs going. A scan Wednesday found no signs of brain damage, McCormick said.

Jesica's body was rejecting the new organs because of the different blood types. Antibodies in her blood attacked the organs as foreign objects.

The lead surgeon said Wednesday he believed appropriate checks were made before the organs were offered to the girl.

''I am heartbroken about what happened to Jesica. My focus has been on providing her with the heart and lungs she needs so she could lead a normal life,'' Dr. James Jaggers said in a statement.

Jaggers said he told the girl's parents immediately after the operation that an error had occurred, but the statement didn't indicate when he realized it happened.

The organs were flown from Boston to Durham and included paperwork correctly listing the donor's type-A blood, said Sean Fitzpatrick of the New England Organ Bank of Newton, Mass., which sent the first set of heart and lungs.

Two Duke surgeons who had patients with type-A positive blood declined the organs but a third doctor requested them for Jesica, according to Carolina Donor Services, an organ procurement organization. The organization did not identify the doctor.

Duke hospital officials had no comment Wednesday on why doctors sought the type-A organs for Jesica.

Jesica, who is from a small town near Guadalajara, Mexico, needed the transplant because a heart deformity kept her lungs from getting oxygen into her blood. Doctors said she would have died within six months without a transplant.

AP-NY-02-20-03 0754EST

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Specializes in med-surg, step-down, ICU/CCU, ED.

THANK YOU Happywendee and Emily_Mom! I agree 100%

How did this thread turn into an illegal immigrant bash-fest anyway?

Alem

I'm not sure, but thanks for the support on this one.

I knew there was a foundation for her, but I was unsure as to the details so that's why I didn't post anything.

Wendy is right. Why take them with you?

Specializes in Med/Surg, Geriatrics.

Thank you Deb for clearing that up. To repeat: the operation was funded through donations, not tax dollars. It was already stated that the family was not eligible for assistance because of their immigrant status. Also, Sen. Jesse Helms, who is not known for his tolerance and compassion, was instrumental in making sure that they could stay in this country. A child's life was at stake, her immigrant status is irrevelant because I'm here to tell you that if I was in the same situation as Jesica's mother, I would have done the same thing. And finally, hospitals are limited to performing only 5% of their operations on non-Americans anyway.

This thread was nauseating me until the last few posts.

Nurses need to educate themselves about transplant for the benefit of their patients because the ignorance abounds here!

I work in a cardiothoracic ICU that performs transplants, one of three hospitals that do in my area. I have seen heart and lung or just heart or just lung transplant patients as sick as Yesica but never due to a botched surgery. Never, ever is a transplant a waste of an organ. And never ever is someone placed in a favorable spot on a list based on who they are.

Also, Yesica IS NOT AN ILLEGAL ALIEN. She and her family have resident alien status in the US. They are here with permission, specifically for this surgery.

Yesica's family right now, I'm sure, is more than likely deciding not whether to continue support, but when to withdraw. I've been there with families, how sad.

I think ignorance breeds fear and those who don't like talking with families about organ donation may be afraid to because you don't know enough about it or the networks that require you to alert them of a death:

http://www.unos.org/policiesandbylaws/policies.asp?whatWeDo=true

UNOS is one network in my area. Learn about it, you or someone you love may need a lung, heart, liver, kidney, pancreas, stomach, small bowel, skin, cornea, dura, fascia, cartilage, tendon, saphenous or other vein, heart valve, bone marrow, rib, femur, tibia, fibula, or ilium some day. You never know.

Originally posted by Susy K

Hey Sally! You want universal healthcare? How about we stop paying for illegal's health care?! Arrghhh!

What can I say Susy? I think you said enough.

Originally posted by hapeewendy

just want to remind ppl that america, and canada and all of the other wonderful nations of the world , were built, and became what they are ,because of the hard work of a lot of immigrants...

First she is an alien not an immigrant. Immigrants obey the law coming here. I have no problem with them getting or giving organs.

She also is NOT a minor in many states. So yes she did/does have the right to choose to come here or not.

The system is screwed up and everyone "caring" about an unlawful sweet little girl not getting the right organs and then getting worst is sad and wrong for the system. She should have been sent back to Mexico when they found out she was an alien!

Because apparently this post needs repeating:

Originally posted by Sally_ICURN

Also, Yesica IS NOT AN ILLEGAL ALIEN. She and her family have resident alien status in the US. They are here with permission, specifically for this surgery.

Originally posted by RN2B4SUR

The system is screwed up and everyone "caring" about an unlawful sweet little girl not getting the right organs and then getting worst is sad and wrong for the system. She should have been sent back to Mexico when they found out she was an alien!

This quoted post is sickening.

Jesica received her transplant through UNOS. Do you think UNOS broke their own policy?

http://www.unos.org/PoliciesandBylaws/policies/pdfs/policy_18.pdf

http://www.4jhc.org/jesicastory.html

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

So she is here legally, and the funds were paid for by a charity fund set up for her.

Now two Americans didn't get organs. The question is, should persons come from other countries, legally and with funds, get organ donations from our health care system? Other people come to the country, (say from rich Arab nations for example) for care. Should the same call for organ donations.

Should foreigners (sp?) be allowed to move up the list on organ donations because they have the money?

I don't know, just wondering.

I have to clarify something. I have read that Jesica's family orginally came to the US 3 years ago by paying a smuggler to et them in. Only read it somewhere, I can't back it up. But, after being in the country, went through the proper channels to make their problem known and now hold non-resident alien status--again can't find the article.

And I really don't think that UNOS is going to budge on their own policy and bylaws.

Originally posted by 3rdShiftGuy

Should foreigners (sp?) be allowed to move up the list on organ donations because they have the money?

The only way they move up on the list is how they are categorized based on the imminent need or lack there of, not because they have money. Or did you bring in the money part because they were able to afford to get here?

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

Wendy, you're too sweet for words and have such gorgeous rose colored glasses.

Some of us live in hot spots where immigation/illegal aliens etc. is a bigger issue than where you are. So perhaps thats why there is a bit of anger and frustration that you see.

Its more of frustration as to when do we say enough is enough. When do we close our doors and take care of those who are here. Or do we just remain charitable.

My hospital has picked up the bill for many an illegal. We had a patient who was paralyzed and stayed with us over a year, because he was illegal, had no health care, no where to go. My hospital continues to pay his bill in a nursing home because it's cheaper than keeping him inpatient. Obviously, we aren't so unchartiable a society we would turn our backs on illegals in need. But to get an organ transplant is quite another issue.

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