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Six Months Old, Eight New Organs

AEton writes "According to the BBC, Dr. Andreas Tzakis has just successfully replaced six-month-old Alessia Di Matteo's liver, stomach, pancreas, small and large intestine, spleen, left kidney, and right kidney in a record-setting operation. The child is so far doing fine with a one-year-old baby's organs. Tzakis is no stranger to multiple-organ transplants; in 1997 he set the previous record of seven organs by replacing seven of a two-and-a-half-year-old's organs. It must be a little odd to know that a growing plurality of your tissue used to be someone else's."

8 of 319 comments (clear)

  1. Hmm, this is a tough one by mu-sly · · Score: 4, Insightful

    I know this will sound harsh, but if your child is born with so many problems that they would die without eight organ replacements, one has to wonder what their long-term chances of survival realistically are.

    I know we can work wonders with organ transplants these days, but how much is too much? What are this child's chances of having a reasonable quality of life after being born with so many potentially fatal problems?

    It's sad to see your loved ones die, but I can't help wondering if the parents did the right thing under these circumstances.

    No doubt my feelings on this would be much stronger if it was my own child in question, but it would seem we as a species very often let our emotions get in the way of rational thought, and I'm just not sure these parents made the right decision for their child.

    This is most definitely a difficult issue - I could well be wrong, but I'm throwing my initial thoughts into the pot to see what others think.

    1. Re:Hmm, this is a tough one by pholower · · Score: 4, Insightful

      I can understand the thought you are having. I am having a similar one right now. But we as humans can not simply look at the world and "cut our losses" Sure, she may have it rough, if she lives past a year old.

      But this is a person, a child, and you should let your emotions get in the way. Saving her life was not vain. But it does two things. And it does these two things well.

      1) It gives this girl a second chance at life. There is a posibility that she will be fine, and live a normal life.
      2) It gives surgeons, and scientist a base on which to look from. We can see how far we can go in order to become more acurate in treating this types of conditions. If we didn't who knows where we would be today. I mean hell, open heart surgery 50 years ago was considered barbaric, now it is an everyday procedure, and usually quite succesful.

      --
      -- johntracy.com, because everybody else is wrong.
    2. Re:Hmm, this is a tough one by DavittJPotter · · Score: 4, Insightful

      I agree with you about if it's the "right" thing to do. Now, if this baby grows up, gets married, and reproduces, it's passing on the same flawed genetic material that it inherited n years ago.

      I fear that because we can fix things, we're weakening our species as a whole. Survival of the fittest means that the weak die so they can't reproduce.

      These new miracle cures, drugs for fixing all the ills of the body, etc. are wonderful money makers and boons to the afflicted, but nobody seems to be thinking long term on this issue.

      All the parents will scream "but what if it was *your* baby?!?" That's exactly why I don't have children. I know my genetic code has some flaws in it. I will do what I can to make it through this life, and then die. The 'weird' and otherwise imperfect DNA will die with me instead of being perpetuated.

      --
      "If there's hope, it lies in the proles..."
    3. Re:Hmm, this is a tough one by mu-sly · · Score: 4, Insightful

      No. It isn't. If we as a society can not protect and do what is right for the weakest amongst us, then are we truely a civilized society?

      It's all very well to come out with quotes like that, but the fact is that if this child had been born in a less affluent part of the world, she would have died, no question about it.

      Worldwide we should be doing a lot more to help people less fortunate than ourselves. The money spent on saving the life of one baby who may just die in a few years anyway could have been used to help a much greater number of people.

      I'm not saying that the two are mutually exclusive (they aren't) but eight other babies could have been saved with the same number of organs, or with the same amount of money a starving village could have been fed for a month.

      Is it fair that if you're born with a whole load of problems but your parents have the money, we can fix you up, whereas if you're born with nothing wrong with you but your parents can't even afford to feed you, you should die?

      We should protect and do what is right for the weakest among us, but defying the laws of evolution is pretty far outside of that.

    4. Re:Hmm, this is a tough one by yet+another+coward · · Score: 4, Insightful

      I know one thing that does not happen to Darwin's theory. It does not get learned very well.

      There is no all powerful nature to reverse. There is just what happens. Through evolution, some individuals have more offspring; others fewer. Some species grow; others diminish or disappear. Consequently, the characteristics of populations change through time.

      Evolution is not a moral law; it is a fact of life. Best and worst are defined by what actually happens, not by ideas of diversity or quality. Fit is defined by living long and reproducing fruitfully. If intelligence allows someone to accomplish those two tasks, then fitness depends on intelligence. If people survive and reproduce without much regard to how intelligent they are, it does not matter. If less intelligent people have more offspring, which is a completely reasonble proposition based on empirical data instead of egocentrism, then intelligence is not a positive survival trait.

      I have neglected social impacts of traits when I strictly should not have. Traits that do not allow someone to live long or reproduce themselves might somehow allow others around them to do so. If their genes get passed along through parallel lineages, those genes might be beneficial for survival.

  2. I feel I will be flamed as a heartless bastard.... by Y-Crate · · Score: 4, Insightful

    however as much as I wish to see this girl survive and live a healthy, happy life you have to wonder if those organs might have been better used saving multiple children with one major organ failing instead of someone who seems to have a body that seems to be almost completely non-functional. Think about what this girl's long term prospects are - considering her body's frail state. Hardly anything inside of her works. Will she live a year and die, taking the truckload of transplanted organs with her, while others with one or two problematic organs and much better chances to survive long-term post-transplant are forced to wait and quite possibly die?

  3. Re:Mutli Organ stuff by Doctor+Beavis · · Score: 4, Insightful

    You raise some good points. However, the same arguments could have been made years ago about any transplants, or severe burn victims, or any of a number of problems that were once considered incurable or prohibitively expensive and time-consuming to treat. It is primarily through such pioneering work that that advances can be made routine, safe, and affordable.

  4. Value of human life? by Zathras26 · · Score: 4, Insightful

    I'm seeing some people here saying that this baby should have merely been allowed to die, and the parents encouraged to just "have another one". Obviously I can't say for sure, but I'd hazard a guess that most of these people aren't parents. If they were, they'd realize that most parents become deeply emotionally attached to their children very quickly, usually at an early stage in pregnancy, in fact, so it's not as though a six-month-old girl can simply be scrapped and replaced as though she were a defective car.

    Here's a more pertinent point: once you start saying that some people are too "physically defective" to live, where would you draw the line? I, for example, am among the most physically health people around -- my mother always said I was "disgustingly healthy". Even so, had I lived in Nazi Germany, I would have been exterminated due to my "physical imperfections" (and no, I'm not Jewish).

    Then, on a more personal level, there's my wonderful girlfriend, who's beautiful, incredibly intelligent (IQ in the mid 170s), who graduated from Berkeley with honors, and who spends her time rescuing homeless cats and advocating for social services for autistics (not to mention the ways she's brought joy into my life, in more ways than I can count). She was also born with severe birth defects that required eight or nine major operations over a number of years at a total cost of several million dollars. Was it worth it? I don't even have to wonder about that.

    The simple fact of the matter is, you can't tell which human lives are going to be valuable and which ones aren't when the baby is so young. As to the argument of "quantity" -- that you could have saved more babies with those eight organs -- well, let's use your own calculus. Why is it so important to save the maximum number of lives possible, especially considering, as you point out, that making babies isn't exactly a huge challenge? It's not as though human beings are in short supply these days -- far from it. And it's also not as though most people even want babies, considering (for example) that one-third of all pregnancies in the United States end in abortion.

    I realize this post is a bit meandering, but you'll have to excuse my lack of coherence. There are people responding to this article who are essentially saying that my girlfriend (a slashdotter whom I love with all my heart and plan to marry someday) should be dead because she's "too defective" and repairing those defects wasn't worth the cost or effort. It's hard to write clearly when your emotional response to such comments is interfering so much.