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UNOS REGION 10 CLINICAL EDUCATIONAL FORUM
APRIL
6th and 7th, 2006
DAY
I - Thursday- April 6 , l0:00 am - 5:00 pm
9.00- 10.00 Arrival / Registration /Continental Breakfast
10:00
- 10:05 Opening Remarks/ Day / Overview - Beth Christoff, BSN Cleveland Clinic, Program
Coordinator
Liver Transplantation
10:05
- l0:15 "Welcome" - Toni Morton, MBA, MT (ASCP)
LifeBanc, Community
Education Coordinator
10:15
- 10:30 LIVE LIVING DONOR KIDNEY TRANSPLANT
Meet donor
and recipient / Case presentation
Audrey Caplin, RN,
Cleveland Clinic, LDKT Coordinator
10:30
- 11.30 LIVE LDKT from the Operating Room
Donor
Kidney Comes Out / Txp to Recipient
David Goldfarb,
M.D. and Jihad Kaouk, M.D.
Cleveland
Clinic, Renal Transplantation
1
1:30 - 12:30 BOX LUNCH / BREAK
12:30-
1:00 "Legal Ethical Issues in Direct Donation"
William
Lawrence Esq., UNOS Director of Patient Affairs
l:00
- 1:45 HIV -Study for Liver and Kidney (Multi-center IRB Study)
John
Fung, M.D., Ph.D * Cleveland Clinic Chairman, Departrnent of General Surgery and Director, Transplant Center
1:45
- 2:30 LIVE LDKT - go back to Operating Room - Implant
2:30
- 2:45 BREAK / SNACK
2:45
-3:30 "Predicting Outcomes in Kidney Transplantation"
Joshua
Augustine, M.D., Asst. Professor CWRU
Department
of Medicine/Division of Nephrology at UHHS
3:30 -
4:15 The Impact of Obesity on Chronic Renal Disease -Transplant Eligibility and Transplant Outcomes
Christopher Boshkos,
M.D., FACP, Transplant Nephrologist
Summa
Health System, Akron City Hospital
4:15 -
4:45 "Advanced Practice Nursing" - Jeff Arnovitz, MSN, CNP, CCTC Cleveland Clinic, Renal Transplantation
4:45
- 5:00 "Advance Practice Coordinators: They love me, they love me not" Mike G. Phillips,
BHS., PA-C
-Life Connection of Ohio, Pres and CEO
5:00 -
5:05 Closing Remarks Day I / Evaluations - Art Thomson
Cleveland
Clinic, Transplant Center Administrator
5:30
- 7:00 RECEPTION - Cocktails & hordoeuvers
DAY
2 - Fridav. April 7 f8:00 am - 2:30 nm)
7:00
- 8:00 Continental Breakfast
8:00
- 8:05 Opening Remarks/ Day 2 Overview - Cheryl Smith
Cleveland
Clinic, Donor Awareness Coordinator
8:05
- 8:15 Welcome - "Don't Count Time- Make Time Count"
- 11.30 UNOS IT - Donor Net 2007 and Electronic Organ Offers Update
11:30
- 12:00 HRSA GRANT "Utilizing the Structure and Resources of a Multihospital Health
System
to Increase Organ Donation"
Cheryl Smith, Cleveland Clinic Donor Awareness Coordinator
12.00- 1:30 SIT DOWN LLINCH with Txp Recipient or Donor at each table
1:30-
2:40 BEST PDSA Normal-Char" stvle=" text-decoration: underline from REGION l0 (10 minutes each)
I:30 "Donor
Management Huddles"
Debra A.
Cooper, MT (ASCP), MBA Quality Systems, LifeBanc
1:40
"Cardiology Consultation: A Team Player"
Ellen H. Blair, RN, BSN,
CPTC
Procurement Transplant
Coordinator, Life Connection of Ohio
1:50
"Peer Physician Education for Donation Best Practice"
Richard
Pietroski, MS, CPTC
Associate Executive
Director, Gift of Life Michigan
2:00 UHHS
- TBA
2:10
LifeCenter Organ Donor Network - TBA
2:20
Lifeline of Ohio - TBA
2:20 -2.30
Closing Remarks Day 2/ Evaluations - Art Thomson
Cleveland
Clinic, Transplant CENTER Administrator
ON
BEHALF OF UNOS AND THE CLEVELAND CLINIC TRANSPLANT CENTER & THANK YOU TO EVERYONE WHO PARTICIPATED, ATTENDED, AND SPONSORED THIS EVENT MAKING IT A SUCCESS!
This is the original unos agenda for the day of our son's kidney transplant. Does this sound like an operation or an all day party?
Box lunches and snack breaks. Meanwhile the surgeons are stalling in the operating room, making their mistakes and waiting for the kidney organizations to come back so they can go over everything they just did. Maanwhile, the patients lie cut open waiting for the next step in a life saving operation. And the surgeons narrate the entire time so they are not paying attention at all. And here's a novel idea-could we possibly "educate" the spectators when the surgery was over? Then to literally add insult to injury, let's have some cocktails when we are done putting in the dead kidney and call it a success. After all, we can always hide it, after all this is tv and we can edit it. Well, it isn't hidden.
This transplant was not treated as a serious operation. It was a circus side show. All of the medical procedures needed to remove the kidney safely and to transplant it were done negligently, incorrectly and in a big hurry to get the show on the road. Slow precise care is needed for this operation, and it was completely lacking on the part of these two doctors and their assistants.
In the first clip, Goldfarb and Kaouk introduced themselves and Joe and Chris. Kaouk removes the kidney with his hand instead of with a silk bag and is not paying any attention when his assistants are continuing the operation on Chris. Goldfarb then makes a joke about the kidney being a girl. Kaouk is seen with Chris's blood on the arms of his scrubs from ripping the kidney out by hand to show off for the crowd, and telling how quickly a donor recovers with low risk of infection. Chris would later have a staph infection and be ripped up inside from the rough fabric of his scrubs and the way the kidney was removed.
In the second and third part, the kidney is constantly bleeding when it is inside of Joe; the assistant doctor is half asleep and not paying any attention or giving any assistance. The biopsy was not taken of Chris's kidney which is against the law and dangerous to Joe because it needs to be checked for disease before transplanting it, but Goldfarb is not concerned "since this is television", and it can be edited out of the movie.
Toward the end, Goldfarb is getting more and more in a hurry to get out of there and is putting in too big of a suture connecting the kidney to the bladder. And since the kidney at that point had no chance of living anyway with everything they did to it, they just wanted to put it in and get the hell out of there. If these are the type of doctors you want to operate on you or the institution you would go to that would cover something like this up, then God be with you.
The interviews in the last video were done a week prior to the surgery. We were warned beforehand not to say anything bad about the clinic in these interviews or the surgery would not happen. So although we had previous problems with the clinic, we all remained silent for the sake of Chris and Joe. These interviews were done for publicity for the clinic. It was disgusting the way they used the picture of my father before he died with my sisters and I. They said the clinic would help us with genetic research to find out why we have kidney disease in our family, but they never did. We never heard another word about it.
They exploited our anguish over our son and our family history for publicity for their hospital. Then they ripped out my sister's kidney, put it in my son dead, then took it back out and threw it in the trash. A God given organ that Chris offered to our son out of the goodness of her heart. Then they covered it up and, closed ranks and threw them to the side to DIE.
Cosgrove is always available for interviews when it furthers his own cause for money and publicity. Otherwise, he is not avaliable for comment when it comes to the hell that goes on in his hospital. He has stated in an interview that his doctors are reviewed every year for performance. This must be his idea of good proformance for doctors, because they are both still there. Obviously the Board of Govenors and Trustees don not care what goes on there either. The board of govenors is made up of Cleveland Clinic doctors, so you see how effective they are in solving hospital problems.
How many lives is Cosgrove, their ceo willing to sacrifice for his name and his picture on a plaque in the hallway? Because in the end that's all it comes down to!