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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Originally posted by RN2BLPN4NOW

I am new here so please don't flame me. I have enjoyed reading everyone's opinions. I am also in transition from LPN to RN student. I think it is questionable as to what happened at Duke Hospital. But, in my first nursing class in the RN program they discuss in the section of communication with clients of personal prejudices and preformed opinions and to not let them get involved when dealing with the patient. One example is being an RN in an ER. Your patient is a gang member who just killed a 5 year old boy. He himself sustained a gun shot wound. As wrong as he was we should not be executioners. I would hope he would receive treatment in your ER.

We do have rights to our opinions, as long as it does not interfere with our duties as being nurses. That is my opinion.:rolleyes:

Well said, RN2B! That's what I was taught, too.

Originally posted by RN2BLPN4NOW

I am new here so please don't flame me. I have enjoyed reading everyone's opinions. I am also in transition from LPN to RN student. I think it is questionable as to what happened at Duke Hospital. But, in my first nursing class in the RN program they discuss in the section of communication with clients of personal prejudices and preformed opinions and to not let them get involved when dealing with the patient. One example is being an RN in an ER. Your patient is a gang member who just killed a 5 year old boy. He himself sustained a gun shot wound. As wrong as he was we should not be executioners. I would hope he would receive treatment in your ER.

We do have rights to our opinions, as long as it does not interfere with our duties as being nurses. That is my opinion.:rolleyes:

Believe me, I have taken care of plenty of bad people in the ER that I couldn't stand because of what they did or the way they acted or the way they treated me. It never once affected the way I took care of them. I will always give my patients my best no matter what they did or said or how they act but I still have the right as a person to express how I really feel about them. I am only human.

Originally posted by Susy K

I would have no problem with any patient reading what we write here. I am a nurse and that is my JOB - not a way of life. I have opinions and emotions and reactions just like anyone else. Being a nurse does not obsolve me of those very human traits.

ditto for me Susy!

i just hope the hospitals can find out who made an error on not appropriately matching the organs to the patient. that is a horrible mistake.... hope i won't be needing surgery. i certainly won't be going to duke and have my family would be checking labs to make sure they got the right blood type... bless jessica and her family.

Sorry Asiancutie but Duke is probably the SAFEST place to have your surgery now--they will be checking and double checking things up the yingyang!!!

Specializes in NICU, PICU, PCVICU and peds oncology.

I'd like to weigh in with some information that may not be well-known. Canada and the United States have an organ sharing agreement in place and have had for about 15 years. When a donor is identified and all local possible matches have been ruled out, the search for suitable recipients widens and sometimes results in the most suitable recipient being on the other side of the 49th Parallel. Cross-border organ donations are not common but do happen with enough regularity that there are concerns about fees charged by the facility of origin. Currently, when an organ crosses the border, the receiving facility pays $25,000 (about $40,000 CDN) for costs relating to supporting the donor and the retrieval process. Due to the larger population and differences in firearms and drunk-driving legislation and other cultural differences, slightly more organs come north than go south. As things stand now, interprovincial transfers of organs do not carry any fees, a situation currently being debated and possibly subject to change, the rationale for this being that the costs are constant, and the facility of origin should not be on the hook for them. With provincial health care budgets being what they are, any shifting of costs on to someone else is to be applauded.

One thing that really bothered me (aside from the obvious) about the media accounts of what was happening in Durham was the continual reference to "life support" being the cause of Jesica's ultimate demise. It gives the public the erroneous impression that the usual life support (ventilators, drugs, blood products, etc) are more dangerous than the alternative, when what they were referring to was ECLS... ECMO... whatever we want to call it, which of course is a horse of a different colour. The risks associated with ECMO as bridge-to-transplant are well-known. The PICU where I work lost a youngster over the holidays to ECMO-related bridge-to-transplant complications. I'm left wondering why no one has attempted to correct this misinformation.

As an aside, I am the parent of a transplant recipient who is now 14 years out and in good health. He has life-long handicaps resulting from medical misadventure following his transplant, for which I would cheerfully throttle the responsible party if I could get my hands around his neck. The other night I Googled his name and discovered that he has devoted much of his career to learning as much as he can about the underlying causes of what happened to my son and making sure it doesn't happen to anybody else. So maybe I'll just keep my hands in my pockets...:saint:

If any of the team of nurses caring for this girl are reading this, my thoughts are with you , God Bless

I, like so many others have wondered how she got her transplant so fast. I work on a floor with a lot of transplant patients and I have seen how long it takes to get them. Some don't even get them in time. Also the fact that she is illegal bothers me when so many U.S. citizens have been waiting for transplants much longer. There are a lot of CF patients on my floor who are in much need of lungs.

Tiffany

There is a movement now in my states legislature to do away with presenting immigration papers for non-citizens to get their drivers license. This would allow the illegal alien to be even more invisible.

Originally posted by MoJoeRN,C

There is a movement now in my states legislature to do away with presenting immigration papers for non-citizens to get their drivers license. This would allow the illegal alien to be even more invisible.

Probably better than the 16 year olds driving around town. Even more invisible?? I don't even know what that comment means. "Now driving in a town near you...The Invisible Illegal Alien"...ummm, WTF?

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