FUBAR Healthcare Colorado

2,824 Views | 28 Replies | Last: 3 yr ago by littledude
Kyle Field Shade Chaser
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AG
This is not America and this is not healthcare I know. This is straight up FUBAR politics infiltrating every aspect of our life and nation.

https://www.foxnews.com/us/colorado-health-system-denies-kidney-transplant-unvaccinated
Duncan Idaho
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This is such a non issue.

I suggest you look into what it takes to be accepted as an organ recipient. It is a long list of qualifications and requirements that include dietary, medical, and lifestyle requirements. And these aren't guidelines but absolute requirements. Miss anyone and they drop you from the list.

Those requirements include a whole slate of vaccinations.

You also have to take immunosuppressant drugs for the rest of your life to make sure you don't reject the organ. You know what else immunosuppressant drugs do? They make you a high risk for death from covid.

You can disagree with the current protocols for deciding who gets donor organs and who doesn't but this is 100% inline with the current ethical guideline and medical requirements.

03_Aggie
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How does any of that translate to requiring the donor be vaccinated also?

And, unless you doubt their story, why were they initially told in August that vaccination status wasn't an issue but now it is?
WES2006AG
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AG
As a recipient of an organ transplant, specifically a kidney, I am all for this requirement. There has always been a long list of requirements to get an organ transplant. Part of these requirements are to get a feel for whether you will be compliant once you get that organ. The last thing they want to do is give somebody an organ they won't take care of. Not to mention this is not the only vaccine required, there is a long list of required vaccines before a transplant.

I had months of appointments and meetings with different medical personnel before they decided to go ahead with my transplant and I had my own donor.

At the end of the day if you are unwilling to get a vaccine before you are going to become immunosuppressed then you are not a good candidate and dialysis is probably in your future.

ETA: Duncan did a great job of explaining why OP is outraged for no reason.
Nasreddin
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03_Aggie said:

How does any of that translate to requiring the donor be vaccinated also?

And, unless you doubt their story, why were they initially told in August that vaccination status wasn't an issue but now it is?


Ouch. Doubt a response to that.
The Covidian is a strange sort: he both relies on “science” and ignores it. Perhaps because it’s not “science” at all, but rather just the TV.
ramblin_ag02
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AG
Quote:

"For transplant patients who contract COVID-19, the mortality rate ranges from about 20% to more than 30%. This shows the extreme risk that COVID-19 poses to transplant recipients after their surgeries," the health system told CBS4. The health system also noted that patients have been required to receive other vaccines, such as for hepatitis B, to help ensure a transplant won't be rejected.
That quote was from your own link. Giving an unvaccinated dialysis patient a transplant raises their risk of dying from COVID from around 2% to over 20%. Of course vaccination is a requirement
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
oragator
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The donor can transmit the virus to the new host and infect them.
And they probably updated the requirements when the vaccine got approved and they could do it legally.
03_Aggie
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oragator said:

The donor can transmit the virus to the new host and infect them.
And they probably updated the requirements when the vaccine got approved and they could do it legally.


Let's just go ahead and eliminate the first portion. There ain't a hospital out there that isn't going to require a negative test prior to surgery. Pretty sure some are moving back to that regardless as to vaccination status.
Nasreddin
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Oh yeah? So vaxxed can pass through air/contact but apparently not through organ donation.

You learn new stuff everyday
The Covidian is a strange sort: he both relies on “science” and ignores it. Perhaps because it’s not “science” at all, but rather just the TV.
oragator
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Tests dont catch the virus for several days post infection in many cases.
03_Aggie
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oragator said:

Tests dont catch the virus for several days post infection in many cases.


And the vaccine doesn't guarantee you won't catch or have the virus, so I guess we're back to square one with main reliance on the test.

As I said, at least one major hospital that I'm aware of recently moved to testing requirements regardless as to vaccination status. I suspect there's a reason for that now that was less of an issue as little at three months ago when only unvaccinated patient required a negative test prior.
oragator
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Not sure where anyone said that.
It's a risk layer, nothing more. Similar to a dozen other ones you have to agree to and pass before an organ donation.
I have no idea why this is even controversial honestly. The majority of people who go on the transplant list never get one, so they are incredibly precious when they come available, you are going to give the organ to those with the best chance for a good long term outcome, and not being vaccinated greatly increases risk of a bad one. Having the vaccine lowers it. It's not more complicated than that.
oragator
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Of course it doesn't eliminate risk by being vaccinated, but it substantially lowers it both in risk of infection and in the infection outcome. With limited kidneys and other organs available and the majority of people never coming off the list, you are going to give it to those with the best shot at a long term positive outcome. It's no different than what they do today across a variety of risk factors. And getting the vaccine is a voluntary decision, it's isn't even something outside of the patient's control like some other factors are.
Nasreddin
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I imagine it was posted due to the orgasmic responses we see in the media (and this board) when the Control Group is refused medical care. People are a bit on edge.
The Covidian is a strange sort: he both relies on “science” and ignores it. Perhaps because it’s not “science” at all, but rather just the TV.
03_Aggie
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oragator said:

Of course it doesn't eliminate risk by being vaccinated, but it substantially lowers it both in risk of infection and in the infection outcome. With limited kidneys and other organs available and the majority of people never coming off the list, you are going to give it to those with the best shot at a long term positive outcome. It's no different than what they do today across a variety of risk factors. And getting the vaccine is a voluntary decision, it's isn't even something outside of the patient's control like some other factors are.



This is a direct donation scenario. Not someone on the transplant list waiting for an anonymous donor. Either this kidney goes to the chosen recipient or it goes to no one. There is no next in line in this scenario.
Duncan Idaho
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They hold the direct donors to the same standards to prevent (or at least limit) the literal buying and selling of poor people's organs.
oragator
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Fair enough, but it doesn't change the gist of the argument. Both lives are at risk in the process, you have to meet certain criteria to do it because of that. And not that it's top
of the argument. But there are also limited hospital resources, limited hospital space as well so they are impacted by a wasted procedure, as are those in the insurance pool. It's not more complicated than that.
But not going to belabor it, as again this isn't different from a dozen other requirements that have always been in place. There's a reason the medical community isn't pushing back nationally, and it isn't because they aren't all flaming liberals. It makes medical and ethical sense. If you were to tell a doctor you wanted a new liver but refused to stop drinking you would get the same rejection. If you refused to take the medicines for rejection after the surgery on religious grounds it's the same answer etc. this is just one more risk layer that happens to now be politicized.
03_Aggie
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I'm beginning to think the majority haven't even read the article but are just speaking in generalities.

If their story is truthful they have a legitimate gripe. I suspect everyone on this thread would be pissed if they were working through the requirements of a procedure and then, as the date approached, they randomly told you you now needed something that they previously told you was not required. Especially when you specifically asked about it so you'd know.

Also there is still no valid reason to extend it to the donor. Unless the hospital is only accepting vaccinated patients then the risk of catching Covid while generally being in the hospital is much greater than the chance your donor has Covid and generated a false negative PCR test prior to the procedure.

littledude
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AG
donors might be expected to be vaccinated because the donors are held to pretty stringent health criteria to allow them to be donors in the first place. Any bad health outcome in a donor will be devastating to the transplant program. Also, the ethics of living donation are really tricky and the program is going to be extremely risk averse as far as the donor is concerned. If you accept that the vast majority of people in medicine think the vaccines are beneficial I think it's understandable that they would want donors and recipients to be vaccinated to mitigate any of that risk.

And to your point about the requirements changing, I'm sure I would be disappointed but I would understand. Policies and recommendations change as we accumulate more knowledge and experience. It may be inconvenient or bad luck but it's not the end of world by any means.
Windy City Ag
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AG
Here is a local article that goes into it in a bit more depth.

https://www.9news.com/article/news/health/ucheath-organ-transplant-covid-vaccine-requirement/73-665fcb5c-e25a-410a-bec0-281418d6b205

They interview both the donor and the woman on the waiting list. They are both rejecting the vaccine because of the stem cells used in development.

Quote:

The patient, Leilani Lutali, told 9NEWS she originally found out about the hospital's policy after her donor, Jaimee Fougner, was asked about her vaccination status during some testing required prior to the procedure.

"She said, 'Oh, by the way, have you been vaccinated for COVID-19?' I explained to her that no I hadn't, and because of my religious beliefs I couldn't be vaccinated for it," Fougner said. "And she said 'well, unfortunately, then that means your journey ends here.'"

Both Lutali and her donor Fougner said their religious beliefs are keeping them from the vaccine because vaccine manufacturers used the fetal stem cell line in development.

Fougner, who is a medical assistant and was a medic in the United States Air Force, said she is not anti-vax.
"I get my flu shot every year," she said. "I've been vaccinated with all my childhood vaccines. In the military, you get a few extras for wherever you travel to. So we are not anti-vax. But for me religiously this vaccine, I cannot take."

Fougner said after doing further research, she has realized most modern medical products use the same stem cell line, and she has stopped using them. She said she believes God forgives "sins of ignorance."


And from what the article states and others have made clear, there is no uniform checklist that qualifies you for a transplant.

Quote:

HealthOne, which operates a transplant center at Presbyterian/St. Luke's Hospital, said it handles transplants on a case-by-case basis. Physicians make the final decisions on the safest course of action for patients, according to a statement from HealthOne.

Duncan Idaho
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Well I can guarantee her that at least one of the other drugs that she will take as a result of this transplant would have used fetal cells in development or testing. So I guess the only fair thing to do is honor her religious exemption and not perform the surgery.
El Chupacabra
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Perfect example of their body, their choice. But we all know that only applies to certain people and procedures, so good luck! We'd rather see you die from kidney failure than give you a chance!
CondensedFogAggie
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El Chupacabra said:

Perfect example of their body, their choice. But we all know that only applies to certain people and procedures, so good luck! We'd rather see you die from kidney failure than give you a chance!

Yep, just like ongoing alcoholics are considered unsuitable for liver transplants.

No sense in wasting a perfectly fine and rare kidney on someone who has a lifestyle that has a much much higher chance of wasting it anyway.
El Chupacabra
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CondensedFoggyAggie said:

El Chupacabra said:

Perfect example of their body, their choice. But we all know that only applies to certain people and procedures, so good luck! We'd rather see you die from kidney failure than give you a chance!

Yep, just like ongoing alcoholics are considered unsuitable for liver transplants.

No sense in wasting a perfectly fine and rare kidney on someone who has a lifestyle that has a much much higher chance of wasting it anyway.
It's not like the kidney is going to the next VAXXXED recipient on the list. Jaimee Fougner was going to give it to Lelani Lutali, not offer it up on the open market to the next person on the list.


"I said I'll sign a medical waiver. I have to sign a waiver anyway for the transplant itself, releasing them from anything that could possibly go wrong," said Lutali. "It's surgery, it's invasive. I sign a waiver for my life. I'm not sure why I can't sign a waiver for the COVID shot."


"Here I am, willing to be a direct donor to her. It does not affect any other patient on the transplant list," said Fougner. "How can I sit here and allow them to murder my friend when I've got a perfectly good kidney and can save her life?"
GeographyAg
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AG
Duncan Idaho said:

Well I can guarantee her that at least one of the other drugs that she will take as a result of this transplant would have used fetal cells in development or testing. So I guess the only fair thing to do is honor her religious exemption and not perform the surgery.
I can pretty much guarantee that she's taken something sometime (or even often) that has used fetal cells in development or testing. The list is extensive. (Including the favorite treatment option for anti-vax covid sufferers see #15 under the prescription list)


Common over the counter medicines tested on HEK-293 cells or derivative cell lines.
1. Tylenol / Acetaminophen
2. Advil / Motrin / Ibuprofen
3. Aspirin / Acetylsalicylic Acid (ASA)
4. Aleve / Naproxen
5. Pseudoephedrine / Sudafed / / SudoGest, Suphedrine
6. Diphenhydramine / Benadryl
7. Loratadine / Claritin
8. Dextromethorphan / Delsym / Robafen Cough / Robitussin
9. Guaifenesin / Mucinex
10. Tums / Calcium Carbonate
11. Maalox / Aluminum Hydroxide and Magnesium Hydroxide
12. Docusate / Colace / Ex-Lax Stool Softener
13. Senna Glycoside / Sennoside / Senna / Ex-Lax / Senokot
14. Pepto-Bismol / Bismuth Subsalicylate
15. Phenylephrine / Preparation H / Vazculep / Suphedrine PE
16. Mepyramine / Pyrilamine
17. Lidocaine / Lidoderm / Recticare

Common prescription drugs tested on HEK-293 cells or derivative cell lines.
1. Levothyroxine / Synthroid / Tirosint / Levoxyl
2. Atorvastatin / Lipitor
3. Amlodipine / Norvasc
4. Metoprolol / Toprol XL / Lopressor
5. Omeprazole / Prilosec OTC / Zegerid OTC / OmePPi
6. Losartan / Cozaar
7. Albuterol / Salbutamol / ProAir / Ventolin
8. Sacubitril / Valsartan / Entresto
9. Tenapanor / Ibsrela
10. Enbrel / Etanercept
11. Azithromycin / Zithromax
12. Hydroxychloroquine / Plaquenil
13. Remdesivir / Veklury
14. Dapagliflozin / Farxiga / Ipragliflozin / Suglat / Enavogliflozin / Jardiance 3/8
15. Ivermectin / Stromectol
16. Canagliflozin / Invokana / Sulisent / Prominad
17. Metformin / Gluco****e / Riomet / Glumetza
18. Cerivastatin / Baycol / Lipobay / Fluvastatin / Lescol / Pitavastatin / Livalo / Pravastatin / Pravachol / Rosuvastatin / Crestor
19. Simvastatin / FloLipid / Zocor
20. Oxbryta / Voxelotor
21. Lisinopril / Qbrelis / Zestril / Prinivil
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CondensedFogAggie
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El Chupacabra said:

CondensedFoggyAggie said:

El Chupacabra said:

Perfect example of their body, their choice. But we all know that only applies to certain people and procedures, so good luck! We'd rather see you die from kidney failure than give you a chance!

Yep, just like ongoing alcoholics are considered unsuitable for liver transplants.

No sense in wasting a perfectly fine and rare kidney on someone who has a lifestyle that has a much much higher chance of wasting it anyway.
It's not like the kidney is going to the next VAXXXED recipient on the list. Jaimee Fougner was going to give it to Lelani Lutali, not offer it up on the open market to the next person on the list.


"I said I'll sign a medical waiver. I have to sign a waiver anyway for the transplant itself, releasing them from anything that could possibly go wrong," said Lutali. "It's surgery, it's invasive. I sign a waiver for my life. I'm not sure why I can't sign a waiver for the COVID shot."


"Here I am, willing to be a direct donor to her. It does not affect any other patient on the transplant list," said Fougner. "How can I sit here and allow them to murder my friend when I've got a perfectly good kidney and can save her life?"


OK, in this case I stand corrected. If a doner is willing to give their organ to someone full well knowing their lifestyle may not be the best, should still be done.
Duncan Idaho
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So you support human organ trafficking.

Because that is why they stick to these established protocols and selection criteria.

If a donor could just sign away liability for anything that happened to them as a result of an ill-advised organ donation literal meat markets for human organs would be established in the US like they are in China and possibly other Asian countries

This isnt hyperbole.
https://www.bbc.com/news/av/world-asia-pacific-13647438

tmaggie50
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AG
oragator said:

Of course it doesn't eliminate risk by being vaccinated, but it substantially lowers it both in risk of infection and in the infection outcome. With limited kidneys and other organs available and the majority of people never coming off the list, you are going to give it to those with the best shot at a long term positive outcome. It's no different than what they do today across a variety of risk factors. And getting the vaccine is a voluntary decision, it's isn't even something outside of the patient's control like some other factors are.



It most certainly does not "significantly lower the risk of infection"
littledude
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AG
This points out the mistake in their thinking. If having a nephrectomy makes her higher risk of having a bad outcome from covid, and it conceivably could, and the transplant program didn't do everything to mitigate that risk, the program could get skewered. Right or wrong, and no matter how you or I feel about it, this isn't a cut and dry situation and living donor transplant programs are by nature very conservative

A bad donor outcome can shut down the program, at least temporarily. If that happens, what happens to everyone else that can't get a transplant now? Donors and recipients who put themselves at risk absolutely affect others ability to get a transplant.
littledude
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AG
Fwiw, I'm pro vaccine for most adults and generally against covid vaccine mandates. I think most children probably don't need to be vaccinated nor do people who had a previous covid infection. Rules already exist about who can give and receive an organ so I don't understand why one more is so egregious. It seems like some people are so anti-vax that they can't acknowledge even reasonable situations that it would be indicated.
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