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12, 2002 | Having someone to share how it feels to be a heart
transplant recipient is a tremendous help to Debbie Reeves of
Vilonia.
Diagnosed with heart failure
for unknown reasons at the University of Arkansas for Medical
Sciences (UAMS) in October 2001, Reeves was bewildered.
"I never smoked or drank
alcohol. I took care of myself and thought I was healthy until
the shortness of breath, aches and fatigue set in. I was told
that my heart was almost as large as a basketball. It was a
shock to realize that I would need a donor heart to live.
After being placed on the waiting list for a donor heart, I
was desperate for information," she said.
Ms. Reeves attended a meeting
Dec. 7 of heart transplant recipients, family members, and
friends Dec. 7 at the University of Arkansas for Medical
Sciences (UAMS). The gathering was the monthly meeting of the
Organ Recipients Association.
"That's why support groups
… are so important. I love it when I come to meetings and
see people who had transplants nine or 10 years ago -- their
success gives me hope." Ms. Reeves' heart transplant took
place at UAMS April 5th. While waiting for a donor heart, Ms.
Reeves met heart transplant recipient Kevin Holsapple of
Bismarck, Ark., who gave her even more hope by telling her of
his transplant experience and recovery efforts and advising
her to stay strong. Mr. Holsapple's transplant took place at
UAMS, October 4th, 2000.
At the Dec. 7 gathering,
cardiologist Jacob Joseph, M.D., and cardiothoracic surgeon
Tamim Antakli, M.D., of the UAMS College of Medicine briefed
patients and guests on the latest medical advances involving
heart transplant surgery and post-operative care. (Read
more about organ transplants at UAMS.)
"We at UAMS have a great
commitment to fight end-stage heart disease, and this forum
gives an opportunity … to spread the message about the
enormous impact of organ transplantation in the lives of
Arkansans, and do all we can to improve organ donation,"
Dr. Joseph said.
"Our medical experts can
tell you everything about the procedures involved in organ
transplants, but only someone who has experienced a transplant
can tell you how it feels," UAMS Cardiothoracic Clinical
Coordinator Ginny Hullihan, R.N, CCRN, told the patients.
Dr. Antakli encouraged the
transplant recipients to keep help others.
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"Heart transplantation, like
all matters of the heart, depends as much on healing of the
heart as it does on scientific advancements. Transplant
recipients and their loved ones are in great need for support,
understanding and new information. This support group has done
a great job over the years in that direction," he said.
The Organ Recipients
Association is open to all transplant patients, their families
and patients waiting for donor organs. (For information about
the support group call Little Rock Chapter President, Ken
Gilbert at 501-945-2485.
According to the United Network
for Organ Sharing, becoming an organ donor is an easy,
two-step process: "Share Your Life. Share Your
Decision." Making the decision to be an organ donor is
the first step. However, sharing your decision with family
members is just as important. By informing them now, you will
prevent any confusion or uncertainty about the matter at the
time of your death. If you wish, you may also fill out an
organ donor card to place in your wallet; to obtain the card,
call 1-800-355-SHARE.
For more information about
becoming an organ donor, contact the Arkansas Regional Organ
and Tissue Recovery Agency (ARORA) at 501-907-9150.
Organ
Transplants at UAMS
UAMS performs three types of
organ transplants - heart, kidney and kidney/pancreas.
Heart Transplants: UAMS
is one of only three health care facilities in Arkansas that
perform heart transplants. Since its first heart transplant in
1992, UAMS has performed 40 of these operations. UAMS does an
average of six to seven heart transplants each year.
The heart is a strong, muscular organ that pumps blood
throughout the body. When the organ is unable to pump enough
blood to meet the body's demands, heart failure develops. The
primary conditions that cause heart failure are coronary
artery disease, uncontrolled high blood pressure and valvular
heart disease. In some cases, there is no known cause for
heart failure.
As a progressive disorder, heart failure can become such a
critical situation for some patients that heart
transplantation is the only treatment that will save them.
Unfortunately, the shortage of heart donors often means that
some people die while waiting to receive a heart. Currently,
25 patients are waiting for heart transplants at one of the
three facilities in Arkansas.
According to UAMS cardiologist Jacob Joseph, M.D.,
"Seeing a patient with severe heart failure who has to
wait for a life-saving heart transplantation makes me think of
survivors from the 70th floor of the World Trade Center on
9/11. As they were making their way down the stairs, they must
have had tremendous expectation of a new lease on life if they
could just reach the bottom floor. Similarly, patients waiting
for transplantation have thoughts about life with the renewed
vigor of a new heart. At the same time, though, these feelings
of hope are mixed with the agonizing fear that they may not
make it to the bottom of the stairs, that they may not get a
heart in time."
In addition to Dr. Joseph, the Heart Transplant Program at
UAMS consists of cardiothoracic surgeon Gareth Tobler, M.D.,
who serves as the program's surgical director; cardiologist
Eugene Smith, M.D., who is the program's medical director;
cardiothoracic surgeons Tamim Antakli, M.D., and Aytekin
Ozdemir, M.D.; cardiac surgery transplant coordinator Ginny
Hullihan, R.N., CCRN; cardiology transplant coordinator Carol
Davison, R.N., B.S.N.; and Ann Butts, administrator for the
program.
Kidney and Kidney/Pancreas Transplants: UAMS is the
only health care facility in Arkansas that performs kidney and
kidney/pancreas transplants. Since its first kidney transplant
in 1964, UAMS has performed more than 1,110 of these
operations. The first kidney/pancreas transplant at UAMS was
in 1990; since then, the hospital has performed 84 of these
surgeries. On the average, UAMS does 50 to 60 kidney and
kidney/pancreas transplants annually. There are 160 to 170
patients currently waiting for kidney and kidney/pancreas
transplants at UAMS.
The primary function of the kidneys is the removal of waste
from the body through the production of urine. The kidneys
also help regulate blood pressure, blood volume and the
chemical composition of the blood. Certain medical conditions
- including diabetes, high blood pressure, lupus and
polycystic kidney disease - can lead to chronic kidney
failure. For many chronic kidney failure patients,
transplantation is the only treatment.
The pancreas produces two vital substances: insulin, which
regulates the use of blood sugar throughout the body, and
enzymes that are used for digestion. Causes of pancreas
failure include diabetes, pancreatic cancer and bile duct
cancer. Many people who develop pancreas failure also suffer
from kidney failure; therefore, transplantation of both organs
at the same time is common.
Kidney and kidney/pancreas transplants at UAMS are performed
by transplant surgeon Gary Barone, M.D. Transplant
coordinators are Sue Weeks, R.N., CNN, CCTC; Linda Smith,
R.N.; and Anne Rigg, R.N.
Links on This Page
Treatment Program: http://www.uams.edu/today/060701/heart.htm
New Therapy: http://www.uams.edu/today/121800/heart.htm
© 2002 University of Arkansas for Medical Sciences (UAMS). A
single copy of these materials may be reprinted for
noncommercial personal use only. "UAMS," "UAMS
Online," "UAMS Today," "UAMS Update,"
"uams.edu," and "Here’s to Your Health"
are marks of UAMS.
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