1 00:00:01,440 --> 00:00:04,240 Speaker 1: Welcome to Stuff you should know, a production of I 2 00:00:04,360 --> 00:00:13,640 Speaker 1: Heart Radio. Hey, welcome to the podcast. I'm Josh Clark. 3 00:00:13,800 --> 00:00:18,119 Speaker 1: There's Charles w to Kidney Bryant, and there's Jerry over there, 4 00:00:18,760 --> 00:00:25,560 Speaker 1: and this is stuff you should know. The kid kidney 5 00:00:25,960 --> 00:00:30,440 Speaker 1: donation addition. Yeah, we did one on Oregon donation, right, Yeah, 6 00:00:30,440 --> 00:00:33,800 Speaker 1: and we did one on kidney stones and put them together. 7 00:00:34,200 --> 00:00:36,440 Speaker 1: You get this episode. That's right, And this is from 8 00:00:37,040 --> 00:00:40,479 Speaker 1: Dave Bruce or pal and uh this good? Should we 9 00:00:40,479 --> 00:00:45,280 Speaker 1: should we? This good? It's that kind of day, how 10 00:00:45,320 --> 00:00:49,200 Speaker 1: it's going. Yeah, we're we're in person again, by the way. Yeah, 11 00:00:49,240 --> 00:00:51,040 Speaker 1: we should just tell everyone that I'm making a fool 12 00:00:51,040 --> 00:00:52,600 Speaker 1: of myself right in front of you for a change. 13 00:00:52,720 --> 00:00:56,240 Speaker 1: It's nice to see in person. Um. And I should 14 00:00:56,240 --> 00:00:59,000 Speaker 1: also point out them that this is a double Dave 15 00:00:59,200 --> 00:01:04,479 Speaker 1: Day because he did the last one too. Inflation right, 16 00:01:04,680 --> 00:01:07,640 Speaker 1: interest rates? Yeah, I forgot what we talked about. I've 17 00:01:07,640 --> 00:01:10,160 Speaker 1: already forgotten all of it. So Dave did some digging 18 00:01:10,200 --> 00:01:12,839 Speaker 1: for us UM and came up with some pretty surprising 19 00:01:12,959 --> 00:01:16,399 Speaker 1: stats that I certainly had no idea about. With kidney 20 00:01:16,560 --> 00:01:24,080 Speaker 1: disease in particular, but something like, of all American adults 21 00:01:24,600 --> 00:01:28,480 Speaker 1: have some form of chronic kidney disease. Thirty seven million 22 00:01:28,560 --> 00:01:32,160 Speaker 1: people right now, thirty seven million and ninety thousand Americans 23 00:01:32,160 --> 00:01:36,600 Speaker 1: are on the list waiting for a kidney transplant. And 24 00:01:36,720 --> 00:01:40,640 Speaker 1: each year, this is very sad, about five thousand Americans 25 00:01:40,680 --> 00:01:44,680 Speaker 1: die while waiting and another three thousand more become too 26 00:01:44,680 --> 00:01:48,040 Speaker 1: sick to get that transplant. So basically, eight thousand ish 27 00:01:48,120 --> 00:01:51,480 Speaker 1: people are either dying or on their way to dying 28 00:01:51,520 --> 00:01:53,800 Speaker 1: because they don't have a kidney that they can get right. 29 00:01:53,880 --> 00:01:57,120 Speaker 1: And then with you know, thirty seven million adults, just 30 00:01:57,160 --> 00:02:00,560 Speaker 1: the adults alone with some form of chronic kid of diseases, 31 00:02:00,600 --> 00:02:04,040 Speaker 1: their disease progresses, uh, they end up on the list, 32 00:02:04,960 --> 00:02:08,400 Speaker 1: the transplant list. So um, what we'll talk about in 33 00:02:08,400 --> 00:02:11,080 Speaker 1: this second. What's what's really interesting about kidneys, and in 34 00:02:11,080 --> 00:02:14,639 Speaker 1: particular kidney donations is it's one of a very select 35 00:02:14,720 --> 00:02:19,800 Speaker 1: few organs that you could donate while you're alive and 36 00:02:19,840 --> 00:02:24,400 Speaker 1: then whistle off back to your normal life. Down one kidney. Yeah, 37 00:02:24,440 --> 00:02:28,320 Speaker 1: you can't donate your heart to somebody. It's very sweet gesture, 38 00:02:28,560 --> 00:02:32,840 Speaker 1: but you've got two kidneys, you only need one. I 39 00:02:32,880 --> 00:02:36,800 Speaker 1: think the number the percentages if you donate a kidney 40 00:02:36,880 --> 00:02:40,120 Speaker 1: which is interesting because the one kidney you have must 41 00:02:40,240 --> 00:02:45,080 Speaker 1: ramp up production because your kidney function only goes down 42 00:02:45,560 --> 00:02:50,720 Speaker 1: what was it fifteen or something like that, Yeah, something nothing, maybe, Yeah, 43 00:02:50,760 --> 00:02:54,600 Speaker 1: it's not right, and that's definitely doable. Like you can 44 00:02:54,639 --> 00:03:00,960 Speaker 1: go through life with one kidney performing of your previous function. 45 00:03:01,080 --> 00:03:04,000 Speaker 1: That's right, that's not bad. And we should probably just 46 00:03:04,080 --> 00:03:05,960 Speaker 1: kind of point out some of the amazing things the 47 00:03:06,040 --> 00:03:09,239 Speaker 1: kidneys do. There are these two fist size organs or 48 00:03:09,360 --> 00:03:12,799 Speaker 1: one um depending on whether you've donated or not. That's right, 49 00:03:15,080 --> 00:03:18,360 Speaker 1: back to the show. Just just under your rib cage, 50 00:03:18,520 --> 00:03:21,320 Speaker 1: on either side of your spine. So have your loved 51 00:03:21,360 --> 00:03:24,160 Speaker 1: one make a fist with each and come up behind you, 52 00:03:24,520 --> 00:03:28,280 Speaker 1: put their fist under your rib cage gently. Yeah, just 53 00:03:28,400 --> 00:03:31,560 Speaker 1: on either side of your spine, and there's your kidneys, 54 00:03:31,639 --> 00:03:34,440 Speaker 1: right uh. And kidneys do a lot of things. The 55 00:03:34,520 --> 00:03:37,600 Speaker 1: main you know, like sort of the money job that 56 00:03:37,640 --> 00:03:40,400 Speaker 1: the kidneys do is they act as the filter system 57 00:03:40,440 --> 00:03:43,760 Speaker 1: for your for your blood. And that's the big thing. 58 00:03:43,840 --> 00:03:48,160 Speaker 1: They filter about two arts fluids every day. And that's 59 00:03:48,200 --> 00:03:51,280 Speaker 1: not just blood, that's blood and waste fluid. That's so much. 60 00:03:51,600 --> 00:03:55,680 Speaker 1: That's a lot a lot. Kidneys are always working. And 61 00:03:55,760 --> 00:03:59,400 Speaker 1: within the kidneys there are about one to one and 62 00:03:59,440 --> 00:04:02,880 Speaker 1: a half a mill allion tiny little filters inside the 63 00:04:02,920 --> 00:04:07,360 Speaker 1: kidney called nephrons. If you just think Nora ephron or 64 00:04:07,440 --> 00:04:11,000 Speaker 1: nefert d or nefert d uh, And those nephrons are 65 00:04:11,040 --> 00:04:14,520 Speaker 1: what's doing the actual filtering. They're just tiny little filters. Uh. 66 00:04:14,520 --> 00:04:16,160 Speaker 1: They also what else they do? They also release a 67 00:04:16,200 --> 00:04:21,600 Speaker 1: hormone called uh erythra poton e p O. It regulates 68 00:04:21,640 --> 00:04:25,279 Speaker 1: production of red blood cells and bone marrow. Very big deal. Yeah. Um. 69 00:04:25,400 --> 00:04:29,800 Speaker 1: They also convert vitamin D from a non usable form 70 00:04:29,920 --> 00:04:32,800 Speaker 1: from like the sun, into a usable form, which is 71 00:04:32,839 --> 00:04:36,280 Speaker 1: pretty important because vitamin D helps you retain and absorbed 72 00:04:36,279 --> 00:04:41,400 Speaker 1: calcium and phosphorus for building bones, reduces inflammation, possibly combats 73 00:04:41,440 --> 00:04:44,520 Speaker 1: tumor growth. Um. And all this is coming from your 74 00:04:44,600 --> 00:04:47,200 Speaker 1: kidneys doing its thing. And then one other thing we 75 00:04:47,320 --> 00:04:49,120 Speaker 1: kind of skipped over a little bit, I think is 76 00:04:49,160 --> 00:04:52,599 Speaker 1: worth pointing. Out of those two hundred quarts of fluid 77 00:04:52,640 --> 00:04:56,080 Speaker 1: every day, two courts of it, I think you said, 78 00:04:56,640 --> 00:04:59,760 Speaker 1: is waste. You pee it out, It gets converted into 79 00:04:59,800 --> 00:05:01,320 Speaker 1: your and sent to the bladder and you pee it 80 00:05:01,360 --> 00:05:06,680 Speaker 1: out and finally chuck. Finally, the eight eight ounce classes 81 00:05:06,880 --> 00:05:10,359 Speaker 1: of water a day makes sense. It's not arbitrary anymore. 82 00:05:10,839 --> 00:05:15,280 Speaker 1: You never realized that, No, I never understood. I thought 83 00:05:15,320 --> 00:05:18,640 Speaker 1: it was actually made up an arbitrary number. That sixty 84 00:05:18,640 --> 00:05:21,520 Speaker 1: four ounces because that's how much you pee out on 85 00:05:21,560 --> 00:05:24,360 Speaker 1: a normal day, because that's how much your kidneys filter out. 86 00:05:24,400 --> 00:05:27,480 Speaker 1: Is waste, so you gotta replenish it. Yeah, this is 87 00:05:27,520 --> 00:05:34,520 Speaker 1: funny that. Well, I'm this day's old when I finally realized, Uh, 88 00:05:34,520 --> 00:05:38,239 Speaker 1: what else? They also release a hormone called rennan regulate 89 00:05:38,320 --> 00:05:41,200 Speaker 1: your blood pressure, and we'll see blood pressure and kidneys 90 00:05:41,200 --> 00:05:43,760 Speaker 1: have a lot to do with one another. Yep. And 91 00:05:43,800 --> 00:05:46,920 Speaker 1: what else anything? You know what? I bet you there's 92 00:05:46,920 --> 00:05:48,400 Speaker 1: other things that kidney does it. It It just didn't like 93 00:05:48,440 --> 00:05:53,159 Speaker 1: to take credit for her. So. Um. One of the 94 00:05:53,240 --> 00:05:56,040 Speaker 1: problems with your kidneys is that they can break down. 95 00:05:56,080 --> 00:05:59,160 Speaker 1: They're susceptible to all sorts of other stuff going on 96 00:05:59,200 --> 00:06:01,920 Speaker 1: in your body. Um. And one of the big things 97 00:06:01,960 --> 00:06:03,920 Speaker 1: that put stress on your kidneys, well, two of the 98 00:06:03,960 --> 00:06:06,320 Speaker 1: big things that put stress on your kidneys is such 99 00:06:06,520 --> 00:06:13,920 Speaker 1: chuck colon. You've got blood pressure, high blood pressure, which 100 00:06:14,120 --> 00:06:16,840 Speaker 1: exerts pressure on the walls of your blood vessels. Which 101 00:06:16,839 --> 00:06:20,880 Speaker 1: in turn exerts pressure on your kidneys, damaging their function. 102 00:06:21,160 --> 00:06:25,279 Speaker 1: And the big one, the big daddy of what causes 103 00:06:25,360 --> 00:06:29,320 Speaker 1: kidney chronic kidney disease is diabetes. That's right, that's the 104 00:06:29,400 --> 00:06:33,160 Speaker 1: number one. High blood pressure is number two. And uh, 105 00:06:33,200 --> 00:06:35,760 Speaker 1: you know, basically high blood sugar is going to damage 106 00:06:35,760 --> 00:06:37,560 Speaker 1: the blood vessels in the kidney. It's gonna kill those 107 00:06:37,600 --> 00:06:40,240 Speaker 1: nephrons that we were talking about. Those are the filters 108 00:06:40,279 --> 00:06:44,560 Speaker 1: that actually do the filtering. And chronic c DK chronic 109 00:06:44,640 --> 00:06:49,840 Speaker 1: kidney sorry c KD, chronic kidney disease. Uh. They call 110 00:06:49,880 --> 00:06:55,520 Speaker 1: it the silent disease because you can be in you 111 00:06:55,520 --> 00:06:58,880 Speaker 1: can be through the first few stages of chronic kidney 112 00:06:58,880 --> 00:07:01,960 Speaker 1: disease and not feel any symptoms at all and not 113 00:07:02,040 --> 00:07:04,760 Speaker 1: know what's going on. So it's very dangerous. There are 114 00:07:04,760 --> 00:07:08,840 Speaker 1: five total, and stages one through four your kidneys are 115 00:07:08,880 --> 00:07:12,120 Speaker 1: still doing their thing, they're struggling. But stage five is 116 00:07:12,160 --> 00:07:15,880 Speaker 1: when you're in in stage renal disease or renal failure, 117 00:07:16,000 --> 00:07:20,480 Speaker 1: and that's when you your kidneys maybe aren't working at 118 00:07:20,480 --> 00:07:23,360 Speaker 1: all and you're going to dialysis every day and you 119 00:07:23,400 --> 00:07:25,960 Speaker 1: need a new kidney. Yes, um, And we'll talk a 120 00:07:25,960 --> 00:07:29,000 Speaker 1: little more about dialysis. But yes, once you hit stage five, 121 00:07:29,080 --> 00:07:32,840 Speaker 1: you're like, you, your kidneys just aren't doing the work anymore. 122 00:07:33,360 --> 00:07:36,720 Speaker 1: And you know it's not like they're just stop functioning 123 00:07:36,800 --> 00:07:40,680 Speaker 1: little by little, they're unable to filter out waste. So 124 00:07:40,960 --> 00:07:43,200 Speaker 1: the waste starts to accumulate and build up and you 125 00:07:43,280 --> 00:07:48,400 Speaker 1: have all sorts of terrible symptoms like nausea, UM, fatigue, vomiting. 126 00:07:48,720 --> 00:07:50,720 Speaker 1: You feel poisoned, is what I've heard. Yeah, I think 127 00:07:50,760 --> 00:07:53,480 Speaker 1: that's basically what's going on. And your body is being 128 00:07:53,520 --> 00:07:56,040 Speaker 1: poisoned because it's no longer able to filter it out. 129 00:07:56,880 --> 00:07:59,440 Speaker 1: So UM. There's a lot of racial disparities too as 130 00:07:59,480 --> 00:08:02,360 Speaker 1: far as kid new diseases go, and apparently it tracks 131 00:08:02,480 --> 00:08:08,560 Speaker 1: very closely to UM uh diabetes. UM. Apparently, if you're 132 00:08:08,600 --> 00:08:11,920 Speaker 1: a Black American, you are four times more likely to 133 00:08:11,960 --> 00:08:16,160 Speaker 1: have kidney failure UM than a white American, Hispanic Americans 134 00:08:16,200 --> 00:08:19,600 Speaker 1: one point three times, in Native Americans one point two times, 135 00:08:19,640 --> 00:08:23,119 Speaker 1: and again like that's those same rates are pretty close 136 00:08:23,160 --> 00:08:27,160 Speaker 1: to the disparity in diabetes. But also it has to 137 00:08:27,240 --> 00:08:30,520 Speaker 1: do with things like access to healthcare, access to certain 138 00:08:30,600 --> 00:08:33,320 Speaker 1: kinds of food that may not lead to diabetes or 139 00:08:33,360 --> 00:08:35,880 Speaker 1: will lead to diabetes. Um, there's a lot of stuff 140 00:08:35,960 --> 00:08:38,559 Speaker 1: kind of caught up into it that. Um, it's not 141 00:08:38,760 --> 00:08:43,000 Speaker 1: entirely straightforward that everybody has an equal opportunity to develop 142 00:08:43,240 --> 00:08:46,520 Speaker 1: kidney disease. Yeah, it's just I mean, it's really sad 143 00:08:46,559 --> 00:08:49,760 Speaker 1: that it it. You know, it seems like everything comes 144 00:08:49,760 --> 00:08:53,160 Speaker 1: down to money and access to money. And if you 145 00:08:53,440 --> 00:08:57,400 Speaker 1: live in the United States and you are somewhere on 146 00:08:57,440 --> 00:09:00,800 Speaker 1: the poverty spectrum, then you're more likely to not have healthcare, 147 00:09:00,880 --> 00:09:04,400 Speaker 1: not go to the doctor, eat worse food, get diabetes, 148 00:09:04,920 --> 00:09:07,760 Speaker 1: have kidneys fail. It's all sort of in lockstep with 149 00:09:07,800 --> 00:09:09,920 Speaker 1: one another. And then it gets even more insidious than 150 00:09:10,000 --> 00:09:12,640 Speaker 1: that because once you get the stage five you might 151 00:09:12,679 --> 00:09:16,559 Speaker 1: not have reliable transportation to go to dialysis, and dialysis 152 00:09:16,640 --> 00:09:19,160 Speaker 1: is extremely time consuming. It is, so it's going to 153 00:09:19,240 --> 00:09:21,520 Speaker 1: be hard for you to keep doing a job. Yeah, 154 00:09:21,640 --> 00:09:25,360 Speaker 1: my neighbor before they moved and sadly he passed away, 155 00:09:25,360 --> 00:09:29,120 Speaker 1: Miss Jesse and Mr Otis he had his Uh, he 156 00:09:29,160 --> 00:09:31,600 Speaker 1: had the ambulance come or you know, it looks like 157 00:09:31,640 --> 00:09:34,120 Speaker 1: an ambulance, but it's not an emergency one. It's just 158 00:09:34,160 --> 00:09:36,880 Speaker 1: the transpo. They picked him up every day, took him 159 00:09:36,920 --> 00:09:40,640 Speaker 1: to dialysis. Brought him home and this was for the 160 00:09:40,720 --> 00:09:42,400 Speaker 1: last couple of years of his life, you know, going 161 00:09:42,400 --> 00:09:44,880 Speaker 1: every single day, and it's good. Dude. I wish I 162 00:09:44,880 --> 00:09:46,800 Speaker 1: would have gotten to him a little bit better before 163 00:09:46,800 --> 00:09:51,480 Speaker 1: he passed. But um so dialysis is short for hemo dialysis, 164 00:09:52,280 --> 00:09:56,680 Speaker 1: and it is literally just a machine that does the 165 00:09:56,720 --> 00:09:59,760 Speaker 1: filtering that your kidneys do. So you sit there for 166 00:10:00,080 --> 00:10:03,920 Speaker 1: or what is it like four hours, usually about three 167 00:10:03,920 --> 00:10:06,480 Speaker 1: times a week. Yeah, three times a week, four hour sessions, 168 00:10:07,200 --> 00:10:11,760 Speaker 1: and they just clean your blood in full with each session. Yeah, 169 00:10:11,840 --> 00:10:14,520 Speaker 1: there's like a little membrane that um doesn't let the 170 00:10:14,600 --> 00:10:17,520 Speaker 1: important stuff like red blood cells get through, but it 171 00:10:17,559 --> 00:10:19,920 Speaker 1: does let those waste products get through and they just 172 00:10:19,960 --> 00:10:22,679 Speaker 1: get slashed out, whereas the blood that doesn't go through 173 00:10:22,720 --> 00:10:25,760 Speaker 1: the membrane gets put back into your body. Yeah, and 174 00:10:25,800 --> 00:10:29,320 Speaker 1: you're on dalysis for life until unless you can get 175 00:10:29,360 --> 00:10:31,400 Speaker 1: a new kidney, and then even if you do get 176 00:10:31,400 --> 00:10:33,160 Speaker 1: a new kidney, you might be on dalysis for a 177 00:10:33,200 --> 00:10:35,440 Speaker 1: little while, as we'll see. Yeah, So, Chuck, I feel 178 00:10:35,440 --> 00:10:36,920 Speaker 1: like this is a good time to take a break. 179 00:10:37,120 --> 00:10:39,559 Speaker 1: Just off the top of my head, let's do it, Okay, 180 00:10:39,600 --> 00:10:41,679 Speaker 1: So we're gonna take a break and we'll be right 181 00:10:41,720 --> 00:11:11,440 Speaker 1: back everybody. Okay. So it's not fun to have kidney failure, 182 00:11:11,840 --> 00:11:15,760 Speaker 1: especially stage five kidney failure, because you're going to dialysis 183 00:11:15,800 --> 00:11:19,440 Speaker 1: a lot um and there's a lot of terrible symptoms 184 00:11:19,480 --> 00:11:23,840 Speaker 1: involved in it. Um. If you are at that point, 185 00:11:24,280 --> 00:11:27,880 Speaker 1: you're going to be put on UM an organ donation list. 186 00:11:28,160 --> 00:11:32,560 Speaker 1: You're going to become a m a recipient or potential 187 00:11:32,600 --> 00:11:37,079 Speaker 1: recipient of a donated kidney. That's right, and that means 188 00:11:37,120 --> 00:11:42,080 Speaker 1: you have signed up with UH, the Organ Procurement and 189 00:11:42,160 --> 00:11:46,120 Speaker 1: Transplantation Network, which is managed by a nonprofit called the 190 00:11:46,200 --> 00:11:48,959 Speaker 1: United Network for organ sharing a lot worse places. You 191 00:11:48,960 --> 00:11:52,840 Speaker 1: can donate your money too, by the way, and it's UH. 192 00:11:52,920 --> 00:11:55,360 Speaker 1: You know, Day points out astutely that it's not like 193 00:11:56,120 --> 00:11:58,840 Speaker 1: a waiting list, as in, you know, there's ninety thousand 194 00:11:58,840 --> 00:12:01,600 Speaker 1: people or more away eating for a kidney. So if 195 00:12:01,640 --> 00:12:03,560 Speaker 1: you sign up for one, then you have eighty nine 196 00:12:04,880 --> 00:12:07,679 Speaker 1: people in front of you, and it just very slowly, 197 00:12:07,800 --> 00:12:11,080 Speaker 1: you know, that time ticks away. It's a network, it is, 198 00:12:11,559 --> 00:12:14,640 Speaker 1: it's a pool of candidates. And because you have to 199 00:12:14,640 --> 00:12:18,320 Speaker 1: get matched with a kidney, and there are all these criteria, 200 00:12:18,600 --> 00:12:21,200 Speaker 1: one of which is blood type UM don't have to 201 00:12:21,280 --> 00:12:23,320 Speaker 1: have necessarily exact blood type. I think if you have 202 00:12:23,400 --> 00:12:26,400 Speaker 1: like A, you can get a b uh So, there's 203 00:12:26,400 --> 00:12:29,160 Speaker 1: a little bit across over there and oh is universal right? 204 00:12:29,360 --> 00:12:32,760 Speaker 1: How is it? Oh negative? We did a thing on 205 00:12:32,760 --> 00:12:34,360 Speaker 1: blood it was. It was a good one. We did 206 00:12:34,360 --> 00:12:36,600 Speaker 1: a live one, that's right. Remember my father in law 207 00:12:36,679 --> 00:12:38,480 Speaker 1: spoke up when I did a blood test. He said, 208 00:12:38,559 --> 00:12:41,520 Speaker 1: Josh is pregnant. That's right. He got more last than 209 00:12:41,600 --> 00:12:43,920 Speaker 1: all of mine combined that night. I remember that that 210 00:12:44,000 --> 00:12:46,360 Speaker 1: was a very like one of the only funny audience 211 00:12:46,440 --> 00:12:48,800 Speaker 1: jokes that we've ever had. It really was was yelled out, 212 00:12:48,840 --> 00:12:53,640 Speaker 1: it's high quality. Heckline. That was like, that's for the 213 00:12:53,679 --> 00:12:58,360 Speaker 1: Atlanta Science vessel Um. Where was that? That just totally 214 00:12:58,360 --> 00:13:00,080 Speaker 1: through me that I'm trying to picture your break it 215 00:13:00,160 --> 00:13:04,320 Speaker 1: now we'll get a load of me, buddy. Uh So, Yeah, 216 00:13:04,320 --> 00:13:07,400 Speaker 1: blood type is one the size of the organ. It's 217 00:13:07,400 --> 00:13:08,920 Speaker 1: got to be a good fit. So like a little 218 00:13:09,000 --> 00:13:11,400 Speaker 1: kid can't get a big adult kidney. You wouldn't think 219 00:13:11,400 --> 00:13:13,000 Speaker 1: about that, but it is true. And I mean it's 220 00:13:13,040 --> 00:13:15,520 Speaker 1: not just true with kidneys, with any oregan like I 221 00:13:15,559 --> 00:13:17,880 Speaker 1: saw it, put like a basketball players a long mon't 222 00:13:17,920 --> 00:13:20,960 Speaker 1: fit in a child. Right, It's like sure, yeah, those 223 00:13:20,960 --> 00:13:24,360 Speaker 1: are wise words. Good point. Uh. And then geography is 224 00:13:24,440 --> 00:13:28,440 Speaker 1: one because as you'll see, if you get a kidney 225 00:13:28,520 --> 00:13:31,560 Speaker 1: donated from someone that you don't know, it's not like 226 00:13:31,559 --> 00:13:33,760 Speaker 1: a family member, then that kidney is going to be 227 00:13:33,840 --> 00:13:37,160 Speaker 1: on ice basically for a little while. That's gonna be 228 00:13:37,200 --> 00:13:39,719 Speaker 1: transported maybe or maybe you're transported, but there's gonna be 229 00:13:39,720 --> 00:13:42,400 Speaker 1: a little bit of time. Uh. They don't just like 230 00:13:42,600 --> 00:13:44,000 Speaker 1: you know, put you on the table like in the 231 00:13:44,000 --> 00:13:45,839 Speaker 1: movies that put you on the table next to your brother, 232 00:13:46,600 --> 00:13:48,680 Speaker 1: and they would just like slide one kidney right in, 233 00:13:48,920 --> 00:13:53,880 Speaker 1: you know, just across the room to the other. Right. So, 234 00:13:55,280 --> 00:13:58,440 Speaker 1: uh so geography is a consideration. So within this network, 235 00:13:59,240 --> 00:14:01,240 Speaker 1: you know, there's a big garrhythm that's going to match 236 00:14:01,640 --> 00:14:03,800 Speaker 1: blood types and all these things. And like, hey, you 237 00:14:03,840 --> 00:14:08,080 Speaker 1: live in Birmingham. We got a kidney in Tuscaloosa, So 238 00:14:08,160 --> 00:14:10,800 Speaker 1: you guys are pretty good match. Yeah. And so with 239 00:14:10,920 --> 00:14:16,000 Speaker 1: each new organ that comes up for UM donation, uh, 240 00:14:16,200 --> 00:14:20,360 Speaker 1: you get a new a new score calculated by the computer. 241 00:14:20,520 --> 00:14:22,360 Speaker 1: Like it's not like you get your score as signed. 242 00:14:22,560 --> 00:14:26,400 Speaker 1: It's all contextual based on your relation to that organ. 243 00:14:26,480 --> 00:14:29,960 Speaker 1: That's that's being considered, that's being donated. Yeah, and also 244 00:14:30,000 --> 00:14:32,680 Speaker 1: we should point out that it's also based on your need, 245 00:14:33,520 --> 00:14:35,960 Speaker 1: like if you're you know, how urgent it is in 246 00:14:36,280 --> 00:14:38,680 Speaker 1: a lot of cases. Yeah, it's also based though on 247 00:14:38,680 --> 00:14:40,880 Speaker 1: on some other stuff too, which is, you know, kind 248 00:14:40,880 --> 00:14:45,280 Speaker 1: of calculating. But it makes sense. Um, your age, the 249 00:14:45,360 --> 00:14:48,040 Speaker 1: younger you are, the higher your score, which makes it 250 00:14:48,120 --> 00:14:50,640 Speaker 1: likelier for you to get that um, the likelihood that 251 00:14:50,720 --> 00:14:55,000 Speaker 1: you will survive the procedure, the likelihood that you will 252 00:14:55,280 --> 00:14:58,920 Speaker 1: um reject the organ or not. Sensitization, I think is 253 00:14:58,960 --> 00:15:01,520 Speaker 1: what they call it. There's a bunch of different factors. 254 00:15:01,880 --> 00:15:07,360 Speaker 1: And this is fairly recent, this pool um um method. Uh, 255 00:15:07,400 --> 00:15:10,520 Speaker 1: and I it's kind of revolutionized things and apparently made 256 00:15:10,520 --> 00:15:13,760 Speaker 1: it a lot better a lot um it's from what 257 00:15:13,800 --> 00:15:17,760 Speaker 1: I understand, it's a lot more sensible and fair. Yeah, 258 00:15:17,760 --> 00:15:20,360 Speaker 1: and it also makes sense, like once you see the numbers, 259 00:15:20,400 --> 00:15:24,680 Speaker 1: like every kidney is super important, and so they want 260 00:15:24,680 --> 00:15:26,480 Speaker 1: to give them to people where you have the best 261 00:15:26,600 --> 00:15:29,000 Speaker 1: chance for that kidney to work over you know, for 262 00:15:29,160 --> 00:15:32,640 Speaker 1: ten to fifteen twenty years. Yeah. I can't waste no 263 00:15:32,720 --> 00:15:36,320 Speaker 1: kidney left behind. No, Oh man, can you imagine if 264 00:15:36,360 --> 00:15:39,200 Speaker 1: they were just like, oh, we left it on the plane, 265 00:15:39,360 --> 00:15:42,880 Speaker 1: just forget about it. You're like, I just donated that 266 00:15:43,040 --> 00:15:47,880 Speaker 1: kidney for nothing, Right, it's in the trash. Now there's 267 00:15:47,920 --> 00:15:50,440 Speaker 1: a story out there, and I kind of want to 268 00:15:50,480 --> 00:15:53,160 Speaker 1: hear it. See. I pictured more like Cheech and Chong. 269 00:15:53,200 --> 00:15:55,560 Speaker 1: We're piloting the plane and they're like, what's in the 270 00:15:55,560 --> 00:15:58,560 Speaker 1: cooler man? And all of a sudden it's a movie 271 00:15:58,560 --> 00:16:02,440 Speaker 1: they're looking for like some some ah good marijuana. That 272 00:16:02,520 --> 00:16:05,680 Speaker 1: reminds me of Snoop Dogg as the pilot. Sole Plaine. 273 00:16:05,800 --> 00:16:08,040 Speaker 1: I never saw that was like, you know, it wasn't 274 00:16:08,080 --> 00:16:11,440 Speaker 1: at all at all. Yeah. It looked like a sort 275 00:16:11,480 --> 00:16:16,040 Speaker 1: of homage to the sort of bad seventies comedies. You know. 276 00:16:16,600 --> 00:16:19,200 Speaker 1: It was where there was no It was like, hey, 277 00:16:19,280 --> 00:16:22,320 Speaker 1: here's an idea. Let's get a bunch of like funny 278 00:16:22,400 --> 00:16:26,680 Speaker 1: people and get them really high or drunk, and there's 279 00:16:26,680 --> 00:16:32,120 Speaker 1: your movie. That that was exactly what is an airport? Right? 280 00:16:32,400 --> 00:16:34,960 Speaker 1: That's the that's the twist, all right, I'm not going 281 00:16:35,000 --> 00:16:37,840 Speaker 1: to see it twist. Yeah, no, there's no reason to. 282 00:16:38,320 --> 00:16:42,840 Speaker 1: I demand that you not see it. Actually, how are 283 00:16:42,840 --> 00:16:44,720 Speaker 1: you gonna sign up to be an organ donor? What 284 00:16:44,760 --> 00:16:47,160 Speaker 1: are the couple of good ways you can do that. Well. 285 00:16:47,280 --> 00:16:49,920 Speaker 1: One way is whenever you go get your license renewed 286 00:16:49,920 --> 00:16:52,280 Speaker 1: at the old d m V in the United States, 287 00:16:53,480 --> 00:16:57,720 Speaker 1: uh or the d m V in France. Um, they're 288 00:16:57,720 --> 00:16:59,560 Speaker 1: gonna ask you if you want to be an organ 289 00:16:59,640 --> 00:17:02,600 Speaker 1: donor and and you can say yes, and they will 290 00:17:02,600 --> 00:17:05,480 Speaker 1: put it on your license, yes organ donor. So that 291 00:17:05,560 --> 00:17:09,840 Speaker 1: if you you know, by the farm out and about, 292 00:17:09,960 --> 00:17:12,640 Speaker 1: and you've got your driver's license on you, the doctors 293 00:17:12,680 --> 00:17:14,400 Speaker 1: and the people at the hospital are going to look 294 00:17:14,440 --> 00:17:16,440 Speaker 1: at your I D. And if they see yes, they're 295 00:17:16,480 --> 00:17:18,880 Speaker 1: going to go to your family and say, your your 296 00:17:19,080 --> 00:17:22,879 Speaker 1: loved one here, um who's now regretfully deceased, said that 297 00:17:22,920 --> 00:17:25,200 Speaker 1: they want to donate their organs or will you sign 298 00:17:25,240 --> 00:17:27,240 Speaker 1: off on this? It seems to have been their wishes. 299 00:17:27,560 --> 00:17:30,320 Speaker 1: And you can still say no if you're a family member, 300 00:17:30,359 --> 00:17:34,280 Speaker 1: but um, probably you're going to say yes, especially if 301 00:17:34,440 --> 00:17:38,639 Speaker 1: you're deceased loved one said Hey, I marked yes my 302 00:17:39,320 --> 00:17:41,600 Speaker 1: that I want to donate organs on my driver's license. 303 00:17:41,760 --> 00:17:44,760 Speaker 1: If I die, make sure my organs get donated. They're 304 00:17:44,800 --> 00:17:46,880 Speaker 1: probably gonna go along with it. Yeah, I think it's 305 00:17:46,920 --> 00:17:50,240 Speaker 1: kind of funny that I wonder what percentage of people 306 00:17:50,280 --> 00:17:52,120 Speaker 1: that sign up at the d m V for organ 307 00:17:52,240 --> 00:17:55,720 Speaker 1: donation and the kid needs that actually go to other 308 00:17:55,760 --> 00:17:59,000 Speaker 1: people and organs that successfully save lives. How many of 309 00:17:59,000 --> 00:18:05,840 Speaker 1: those start with the two words why not? Yet you're 310 00:18:05,840 --> 00:18:08,280 Speaker 1: at the d m V, you're bored out of your mind, 311 00:18:08,480 --> 00:18:10,360 Speaker 1: you've been there for far too long, and they ask 312 00:18:10,440 --> 00:18:12,680 Speaker 1: you this question, you go, yes, why not? Yeah, that 313 00:18:12,840 --> 00:18:15,199 Speaker 1: is the most interesting question you've been asked in that 314 00:18:15,240 --> 00:18:18,439 Speaker 1: whole experience, Like, maybe the biggest question you can answer 315 00:18:18,480 --> 00:18:20,840 Speaker 1: in your life is whether or not you will donate 316 00:18:20,880 --> 00:18:23,720 Speaker 1: your kidneys and your organs to save a human life. 317 00:18:23,920 --> 00:18:27,119 Speaker 1: And people probably just go, yeah, why not. So if 318 00:18:27,160 --> 00:18:29,240 Speaker 1: you've been to the d m V and you said no, 319 00:18:29,640 --> 00:18:33,600 Speaker 1: and you okay, But if you said no you wanted 320 00:18:33,640 --> 00:18:37,920 Speaker 1: to your you can still go in register right, Yeah, 321 00:18:37,960 --> 00:18:41,520 Speaker 1: You've got to register me m E dot org and 322 00:18:41,560 --> 00:18:46,320 Speaker 1: you can register there. Uh, and here's the deal in one, 323 00:18:46,440 --> 00:18:49,680 Speaker 1: here's some more stats for you. There were forty thousand 324 00:18:50,240 --> 00:18:54,639 Speaker 1: total organ transplants. I think most of those are I 325 00:18:54,640 --> 00:18:58,720 Speaker 1: think was it like or kidney transplants? Far and away 326 00:18:58,720 --> 00:19:03,399 Speaker 1: the most are kidney transplants, and only six hundred of 327 00:19:03,400 --> 00:19:07,840 Speaker 1: those forty five. Uh, came from living donors, which was 328 00:19:08,440 --> 00:19:11,040 Speaker 1: I have a relative or I'm just a benevolent human 329 00:19:11,600 --> 00:19:15,360 Speaker 1: who wants to give a kidney to anonymously to somebody. 330 00:19:14,640 --> 00:19:18,200 Speaker 1: I mean, yeah, talk about st hood. Uh So two 331 00:19:18,280 --> 00:19:21,960 Speaker 1: thirds of all kidney transplants are from deceased donors. So, 332 00:19:22,880 --> 00:19:25,240 Speaker 1: like you said, it's a lot of times it's accidents, 333 00:19:25,280 --> 00:19:28,560 Speaker 1: car and motorcycle accidents where there's like traumatic head injury, 334 00:19:29,320 --> 00:19:31,200 Speaker 1: uh in the but the organs are still in pretty 335 00:19:31,200 --> 00:19:35,480 Speaker 1: good shape. You're young, you're in good shape, and so um, 336 00:19:35,520 --> 00:19:37,720 Speaker 1: you know, you may be brain dead, and they can 337 00:19:38,119 --> 00:19:40,520 Speaker 1: the word harvests always sounds so cruel, but they can, 338 00:19:40,800 --> 00:19:44,560 Speaker 1: they can harvest borrow your organs. No, it's hardly, it's 339 00:19:44,560 --> 00:19:48,879 Speaker 1: definitely harvest. Remember in our our book of that chapter 340 00:19:48,960 --> 00:19:52,000 Speaker 1: in Jack Kevorkian he had that that idea in the 341 00:19:52,280 --> 00:19:55,040 Speaker 1: I think sixties or seventies where he was like, well, 342 00:19:55,119 --> 00:19:57,640 Speaker 1: we're going to execute people, let's just execute them through 343 00:19:57,840 --> 00:20:01,200 Speaker 1: organ harvesting. You know, we' started to perform surgery on 344 00:20:01,280 --> 00:20:03,640 Speaker 1: him and we harvest their organs and then once we're done, 345 00:20:03,680 --> 00:20:07,640 Speaker 1: they're just they're dead, right, Yeah, then we're joining their 346 00:20:07,680 --> 00:20:10,040 Speaker 1: organs and everybody's like, it's a really great idea, but 347 00:20:10,200 --> 00:20:12,679 Speaker 1: you're creepy, dude, and I think you're the last person 348 00:20:12,760 --> 00:20:16,160 Speaker 1: who should be espousing this kind of stuff. Well, maybe 349 00:20:16,200 --> 00:20:21,640 Speaker 1: he shouldn't have expressed this idea while imitating Verner Hertzog, right, 350 00:20:22,640 --> 00:20:25,439 Speaker 1: and where are your pants? That's right? Uh? So that 351 00:20:25,480 --> 00:20:28,439 Speaker 1: means at the end of the day, one human body 352 00:20:29,480 --> 00:20:33,439 Speaker 1: can save uh up to Nold does a pretty good 353 00:20:33,520 --> 00:20:36,520 Speaker 1: Verna herd so he's yeah, but the best ever is 354 00:20:36,520 --> 00:20:40,480 Speaker 1: Paula Tompkins his Verner fantast Just look it up on 355 00:20:40,520 --> 00:20:45,000 Speaker 1: the internet. It's great, one single human body an organ 356 00:20:45,080 --> 00:20:47,959 Speaker 1: donor can save up to eight lives. Uh. And that 357 00:20:48,040 --> 00:20:50,359 Speaker 1: is just with the organs. And then you've got tissue donation. 358 00:20:50,480 --> 00:20:54,200 Speaker 1: You've got eyes that can bring sight to someone. We 359 00:20:54,200 --> 00:20:58,280 Speaker 1: should totally do one on Ie the transplants. Yeah, might 360 00:20:58,440 --> 00:21:02,480 Speaker 1: also show you the killer of the person whose eyes 361 00:21:02,520 --> 00:21:06,560 Speaker 1: you got, in which case you're morally responsible for chasing 362 00:21:06,600 --> 00:21:09,320 Speaker 1: that killer down and turning them into bringing the justice 363 00:21:09,400 --> 00:21:13,159 Speaker 1: or exacting revenge. If it's a really good movie, a 364 00:21:13,200 --> 00:21:16,520 Speaker 1: bridget Fon type movie, was that then the actual plot 365 00:21:16,560 --> 00:21:18,960 Speaker 1: of one? Or was it was that just a typical 366 00:21:19,000 --> 00:21:21,000 Speaker 1: movie plot? I don't remember who was in it though, 367 00:21:21,240 --> 00:21:25,720 Speaker 1: Jennifer eight, I don't know. No No, Jennifer eight was a 368 00:21:25,760 --> 00:21:30,199 Speaker 1: blind woman, a sightless woman who was going to be 369 00:21:30,240 --> 00:21:34,359 Speaker 1: the eighth victim of a serial color who's targeting blind women. 370 00:21:35,080 --> 00:21:38,840 Speaker 1: And I could spoil it for everybody. I'm not going to. 371 00:21:38,920 --> 00:21:41,199 Speaker 1: It's actually we're seeing it's a good Nighties movie with 372 00:21:41,280 --> 00:21:46,160 Speaker 1: Andy Garcia and yeah, I don't remember what was it. Yeah, 373 00:21:46,200 --> 00:21:48,200 Speaker 1: it's good, good movie. I think it's out there still, 374 00:21:48,400 --> 00:21:52,240 Speaker 1: or I'm thinking of the movie, uh where the guy 375 00:21:52,400 --> 00:21:56,159 Speaker 1: got the hand transplant and the hand was from a 376 00:21:56,200 --> 00:21:59,239 Speaker 1: serial killer and so he got a bad hand that 377 00:21:59,280 --> 00:22:03,399 Speaker 1: wanted to do bad things. Jeff Fahey, I think the 378 00:22:03,480 --> 00:22:07,639 Speaker 1: lawnmower man. But Jeff Ahey was the lawnmower man. Okay, 379 00:22:07,680 --> 00:22:10,560 Speaker 1: I never saw that one. I mean it might have 380 00:22:10,560 --> 00:22:13,440 Speaker 1: been called something as basically like bad Hand. Was it 381 00:22:13,480 --> 00:22:18,040 Speaker 1: called idle Hands? No, that was different, and that was 382 00:22:18,080 --> 00:22:20,320 Speaker 1: not good. I'll look it up, and well, well how 383 00:22:20,359 --> 00:22:23,000 Speaker 1: about this, so folks stick around for the stormail. We'll 384 00:22:23,000 --> 00:22:25,320 Speaker 1: look it up. In the interim, we'll announce it at 385 00:22:25,320 --> 00:22:27,880 Speaker 1: the beginning of Finally, year fourteen, we've got a new 386 00:22:27,920 --> 00:22:30,239 Speaker 1: hook for the show. Or maybe I can just make 387 00:22:30,320 --> 00:22:34,479 Speaker 1: up an email that fake Jeff Ahey sent in. Remember me, 388 00:22:34,720 --> 00:22:41,399 Speaker 1: we need to fake Jeff Ahey sound effect like side effect? Uh? Alright, 389 00:22:41,440 --> 00:22:44,280 Speaker 1: So living donation is something we should talk about. This is, 390 00:22:44,320 --> 00:22:47,160 Speaker 1: like you said at the beginning, one of the only 391 00:22:47,359 --> 00:22:50,280 Speaker 1: organs you can donate, I mean, is it the only one? No, 392 00:22:50,800 --> 00:22:54,359 Speaker 1: you can also donate his portion of your uterus and 393 00:22:54,440 --> 00:22:58,000 Speaker 1: a portion of your liver, okay portions, yes, But other 394 00:22:58,040 --> 00:23:02,320 Speaker 1: than that, that's it. Right. So I got a little 395 00:23:02,320 --> 00:23:06,520 Speaker 1: bit of history here. Um, if you're talking kidney transplants, 396 00:23:07,080 --> 00:23:09,160 Speaker 1: you gotta go back to nineteen o two was when 397 00:23:09,200 --> 00:23:14,600 Speaker 1: they did a dog kidney transplant in Austria. The dog 398 00:23:14,760 --> 00:23:17,680 Speaker 1: did not make it, of course, but the it did 399 00:23:17,680 --> 00:23:20,360 Speaker 1: produce urine for a couple of days. The kidney man 400 00:23:20,560 --> 00:23:23,080 Speaker 1: not bad, I know. And that really just kind of 401 00:23:23,119 --> 00:23:26,040 Speaker 1: takes you back to some nineteen o two really unseatily 402 00:23:26,240 --> 00:23:31,640 Speaker 1: black and white view of like some terrible experiment. Yeah, um, 403 00:23:31,720 --> 00:23:34,400 Speaker 1: let me see. In nineteen o nine, apparently there were 404 00:23:34,480 --> 00:23:40,560 Speaker 1: efforts to transplant kidneys from humans dead humans to monkeys 405 00:23:41,200 --> 00:23:46,080 Speaker 1: as you do. Thirty nine, the first deceased human donor 406 00:23:46,720 --> 00:23:49,480 Speaker 1: I think was performed in Russia. But the organ it 407 00:23:49,480 --> 00:23:51,399 Speaker 1: didn't take. Organ never worked, but they tried it. In 408 00:23:51,440 --> 00:23:54,960 Speaker 1: thirty nine, they tried their best. From human to human. Uh. 409 00:23:54,960 --> 00:23:59,160 Speaker 1: Fifty three, you finally had your first successful temporary human 410 00:23:59,240 --> 00:24:02,959 Speaker 1: kidney trans in Paris. It was twins, right, Uh sixteen, 411 00:24:03,040 --> 00:24:06,879 Speaker 1: your boy received one from his mother as a living donor. 412 00:24:06,960 --> 00:24:09,800 Speaker 1: And then fifty four I think was the twins. It 413 00:24:09,880 --> 00:24:13,840 Speaker 1: was the first long term successful kidney transplant by Joseph Murray. 414 00:24:13,880 --> 00:24:17,760 Speaker 1: He won a Nobel Prize for that, sure. And then 415 00:24:17,800 --> 00:24:22,080 Speaker 1: sixty two is the first non related no genetics involved whatsoever. 416 00:24:22,280 --> 00:24:25,640 Speaker 1: So it's only been since the nineteen fifties nineteen sixties 417 00:24:25,640 --> 00:24:29,280 Speaker 1: that we've been able to successfully transplant kidneys. But once 418 00:24:29,280 --> 00:24:32,320 Speaker 1: we got it, we got it pretty good. Yeah, we 419 00:24:32,560 --> 00:24:34,439 Speaker 1: have it down path. Let's do this a lot, guys. 420 00:24:34,480 --> 00:24:37,520 Speaker 1: This is fun. So um. If you are a living 421 00:24:37,560 --> 00:24:39,719 Speaker 1: donor and you do donate your kidney, I think it 422 00:24:39,760 --> 00:24:44,359 Speaker 1: makes out about a quarter of kidney donations today, right, Yeah, 423 00:24:44,680 --> 00:24:48,120 Speaker 1: is a living donor somebody saying, take my kidney, put 424 00:24:48,160 --> 00:24:51,920 Speaker 1: it in somebody else. More often than not, it's put 425 00:24:51,960 --> 00:24:55,920 Speaker 1: it in my brother, put it in my spouse. Three 426 00:24:56,000 --> 00:25:00,560 Speaker 1: quarters of the time it's you're related. Um, but there's 427 00:25:00,600 --> 00:25:06,960 Speaker 1: that still means that of all kidney donations, So that means, however, 428 00:25:07,320 --> 00:25:13,560 Speaker 1: many thousand kidney donations are are donated by people who 429 00:25:13,720 --> 00:25:15,520 Speaker 1: are just saying like, here, take my kidney and give 430 00:25:15,520 --> 00:25:19,240 Speaker 1: it to whoever needs it. That's right. And sometimes that 431 00:25:19,320 --> 00:25:23,400 Speaker 1: it's anonymously. Sometimes it's a friend, sometimes it's a spouse. 432 00:25:24,000 --> 00:25:26,960 Speaker 1: Sometimes you hear about someone in your community. But yeah, 433 00:25:27,000 --> 00:25:30,359 Speaker 1: sometimes it's you don't even know anybody, and you're just like, 434 00:25:30,400 --> 00:25:33,000 Speaker 1: you know what, I'm gonna save a life. Yeah, I'm 435 00:25:33,000 --> 00:25:35,600 Speaker 1: at the d m V right, I don't want to 436 00:25:35,600 --> 00:25:37,760 Speaker 1: save a life. Yeah, I'm gonna do it. So if 437 00:25:37,800 --> 00:25:41,560 Speaker 1: you do do that, you're a living donor UM. And 438 00:25:42,320 --> 00:25:46,280 Speaker 1: there's a lot of advantages to a living donation compared 439 00:25:46,320 --> 00:25:50,840 Speaker 1: to a dead deceased donation donation. You know, an organ 440 00:25:50,960 --> 00:25:54,639 Speaker 1: taken from somebody who's died, right, UM. So if you 441 00:25:54,720 --> 00:26:00,520 Speaker 1: donate your kidney, UM, there's like the chances of the 442 00:26:00,640 --> 00:26:05,520 Speaker 1: kidney being rejected are lower compared to a deceased donor UM. 443 00:26:05,640 --> 00:26:10,240 Speaker 1: The the kidney will probably start functioning independently, like on 444 00:26:10,280 --> 00:26:14,680 Speaker 1: its own UM much more quickly than a deceased donor 445 00:26:14,760 --> 00:26:17,400 Speaker 1: one because the deceased donor one is going to be 446 00:26:17,600 --> 00:26:21,680 Speaker 1: um basically put on ice for a little while while 447 00:26:21,720 --> 00:26:27,520 Speaker 1: it's transported kept you know kind of you know, yes, exactly. Um. 448 00:26:27,640 --> 00:26:31,560 Speaker 1: There's also, um, a difference in the amount of time 449 00:26:31,560 --> 00:26:34,879 Speaker 1: that the average kidney lasts between a deceased donor and 450 00:26:34,920 --> 00:26:37,560 Speaker 1: a living donor. Right. Yeah, Well you tend to live 451 00:26:37,600 --> 00:26:40,520 Speaker 1: longer and your kidney last between fifteen and twenty years 452 00:26:40,520 --> 00:26:43,640 Speaker 1: on average from a living donor. Uh, It's only about 453 00:26:43,640 --> 00:26:47,320 Speaker 1: a decade from a deceased owner. And you also have 454 00:26:47,400 --> 00:26:52,320 Speaker 1: a better chance if you are genetically related of avoiding rejection. 455 00:26:53,920 --> 00:26:58,280 Speaker 1: So living genetically related living donor is like the crime 456 00:26:58,359 --> 00:27:02,040 Speaker 1: dela crime of getting a kidney, right exactly. Um. There's 457 00:27:02,119 --> 00:27:06,359 Speaker 1: also more convenient to um if you are a living donor. 458 00:27:06,440 --> 00:27:10,080 Speaker 1: You can say, let's do this like a week from Tuesday. 459 00:27:10,480 --> 00:27:13,280 Speaker 1: That works best for me, not this guy just died. 460 00:27:13,320 --> 00:27:14,879 Speaker 1: We need to we need to get this into a 461 00:27:14,960 --> 00:27:18,160 Speaker 1: recipient like as soon as possible. Um it, let's find 462 00:27:18,240 --> 00:27:21,240 Speaker 1: somebody kind of thing, you know what I mean? Um, 463 00:27:21,240 --> 00:27:25,760 Speaker 1: So that that's that's another big advantage too. So I 464 00:27:25,800 --> 00:27:29,920 Speaker 1: think we've established here living kidney donations are the way 465 00:27:29,960 --> 00:27:32,680 Speaker 1: to go if you can do it from a relatively 466 00:27:32,960 --> 00:27:35,960 Speaker 1: So let's take a break, because, um, there's actually ways 467 00:27:36,000 --> 00:27:40,680 Speaker 1: to maximize how kidneys get donated, chuck, and we're gonna 468 00:27:40,720 --> 00:28:07,080 Speaker 1: tell everybody about it after this. Let's do it alright. 469 00:28:07,160 --> 00:28:11,040 Speaker 1: So on the kidney exchange, it's pretty cool how they've 470 00:28:11,119 --> 00:28:14,439 Speaker 1: worked this out over the years. Uh. There's something called 471 00:28:14,840 --> 00:28:18,680 Speaker 1: paired exchanges, and it goes a little something like this. 472 00:28:19,840 --> 00:28:24,040 Speaker 1: You want to donate a kidney to your relative, to 473 00:28:24,119 --> 00:28:27,320 Speaker 1: your to your niece, but you don't have the right 474 00:28:27,320 --> 00:28:30,199 Speaker 1: blood type. You can get paired up with someone who 475 00:28:30,280 --> 00:28:32,640 Speaker 1: does have the right blood type who needs your kidney. 476 00:28:33,080 --> 00:28:35,840 Speaker 1: They'll be like, wait a minute, my niece needs a kidney. 477 00:28:36,040 --> 00:28:39,520 Speaker 1: You've got her blood type and I've got your nieces 478 00:28:39,560 --> 00:28:42,560 Speaker 1: blood type. So let's just get together and make this 479 00:28:42,600 --> 00:28:48,160 Speaker 1: all work out criss cross paired exchange. But then that 480 00:28:48,280 --> 00:28:52,520 Speaker 1: is multiplied exponentially by the donor chain, right, yes, So 481 00:28:52,960 --> 00:28:57,160 Speaker 1: like if if you have a good computer handy to 482 00:28:57,320 --> 00:29:00,600 Speaker 1: run an algorithm for you, because apparently it's very difficult 483 00:29:00,640 --> 00:29:03,760 Speaker 1: to do, Um, you can take a bunch of these 484 00:29:03,800 --> 00:29:07,120 Speaker 1: mismatched pairs rather than four people, you can take I 485 00:29:07,160 --> 00:29:12,280 Speaker 1: think up to seventy people, and one good Samaritan donor 486 00:29:12,480 --> 00:29:14,800 Speaker 1: who says, take my kidney, I don't care who gets 487 00:29:14,840 --> 00:29:19,400 Speaker 1: it can set off a chain of paired matching that 488 00:29:19,480 --> 00:29:25,680 Speaker 1: can satisfy up to seventy seventy recipients through the through 489 00:29:25,720 --> 00:29:29,719 Speaker 1: a combination of one person donating it without any you know, 490 00:29:29,920 --> 00:29:32,240 Speaker 1: just saying take my kidney, put in somebody, and then 491 00:29:32,480 --> 00:29:37,040 Speaker 1: a bunch of paired, paired matches all all like seventy people. 492 00:29:37,880 --> 00:29:42,640 Speaker 1: So it makes it really difficult to say, like, I 493 00:29:42,680 --> 00:29:45,400 Speaker 1: don't really want to donate my kidney, when not only 494 00:29:45,440 --> 00:29:47,480 Speaker 1: are you saving one person's life, you're setting off a 495 00:29:47,520 --> 00:29:52,560 Speaker 1: chain reaction that allows for seventy different people to get 496 00:29:52,640 --> 00:29:57,040 Speaker 1: their kidney because you donated yours without without directing it 497 00:29:57,080 --> 00:30:00,160 Speaker 1: towards anybody in particular. And if that's not the first 498 00:30:00,200 --> 00:30:01,920 Speaker 1: thing you say on every first date you go to 499 00:30:02,400 --> 00:30:04,360 Speaker 1: for the rest of your life, right, then you're doing 500 00:30:04,360 --> 00:30:07,280 Speaker 1: it wrong. We should mention that the there was a 501 00:30:07,320 --> 00:30:11,080 Speaker 1: Nobel Prize winning economist named Alvin Roth who who came 502 00:30:11,120 --> 00:30:14,160 Speaker 1: up with his donor chain idea. And I don't think 503 00:30:14,160 --> 00:30:17,040 Speaker 1: we said you, um, you have to be eighteen to 504 00:30:17,080 --> 00:30:19,640 Speaker 1: donate a kidney you have to be in good health 505 00:30:20,160 --> 00:30:23,720 Speaker 1: and you have like rock and kidneys basically, and also 506 00:30:23,760 --> 00:30:27,320 Speaker 1: in good health otherwise, Yeah, like a sixteen year old 507 00:30:27,360 --> 00:30:30,920 Speaker 1: can't donate a kid That's the other reason why a 508 00:30:30,960 --> 00:30:34,120 Speaker 1: living donor is advantageous because of that luxury of time, 509 00:30:34,160 --> 00:30:36,520 Speaker 1: because you can run a battery of tests. Yes, you 510 00:30:36,560 --> 00:30:38,480 Speaker 1: have time to run tons of tests to make sure 511 00:30:38,680 --> 00:30:41,280 Speaker 1: they're a perfect match for this other person. That's right. 512 00:30:41,640 --> 00:30:43,880 Speaker 1: So when you do say okay, I'm gonna do it. 513 00:30:44,000 --> 00:30:47,440 Speaker 1: And by the way, uh Dave said from researching this, 514 00:30:47,560 --> 00:30:49,600 Speaker 1: he was inspired to do it. I think he may 515 00:30:49,640 --> 00:30:51,760 Speaker 1: have put himself on a list or was going to 516 00:30:53,000 --> 00:30:55,440 Speaker 1: although it may have worn off by now, who knows, 517 00:30:55,680 --> 00:30:58,920 Speaker 1: we'll have to ask him. But if you do this, um, 518 00:30:59,120 --> 00:31:02,800 Speaker 1: you are going to undergo surgery. Um. It's just as 519 00:31:02,840 --> 00:31:05,040 Speaker 1: simple as that. And it's a serious surgery, like they're 520 00:31:05,040 --> 00:31:08,000 Speaker 1: removing your kidney. Like I said, we've got it down 521 00:31:08,080 --> 00:31:10,920 Speaker 1: pat since we've been doing it since the fifties or sixties, 522 00:31:11,080 --> 00:31:14,360 Speaker 1: and now they can usually do it laparoscopically. How does 523 00:31:14,360 --> 00:31:18,360 Speaker 1: that work? I think they just squeeze it real tightened. 524 00:31:18,400 --> 00:31:22,800 Speaker 1: It's really long, pencil like really, Now, how do they 525 00:31:22,800 --> 00:31:24,960 Speaker 1: get the kidney out. I don't know. I have no idea. 526 00:31:25,040 --> 00:31:26,520 Speaker 1: That's the one thing that Flum makes me and I 527 00:31:26,560 --> 00:31:30,680 Speaker 1: almost like Google to see if I could find, you know, 528 00:31:30,760 --> 00:31:35,480 Speaker 1: a surgery. I could watch laparoscopic kidney removal, because laparoscopic 529 00:31:35,600 --> 00:31:39,200 Speaker 1: means it's like a very small incision using very very 530 00:31:39,240 --> 00:31:43,440 Speaker 1: thin like cameras and very thin tools. But then how 531 00:31:43,480 --> 00:31:45,360 Speaker 1: do you get the kidney out if it's fist size? 532 00:31:45,400 --> 00:31:47,120 Speaker 1: I don't know. I mean this is larger than a 533 00:31:47,200 --> 00:31:52,960 Speaker 1: laparoscopic you know in decision, Yeah, this is a window 534 00:31:53,000 --> 00:31:56,640 Speaker 1: maker right here? Uh and here to me is the 535 00:31:56,680 --> 00:32:01,040 Speaker 1: fact of the show. I never knew this. They don't 536 00:32:01,080 --> 00:32:04,360 Speaker 1: take out your bad kidney. Did not know that. They 537 00:32:04,400 --> 00:32:08,680 Speaker 1: just leave it in there. I guess they did the 538 00:32:08,720 --> 00:32:11,680 Speaker 1: research and found out that they didn't need to and 539 00:32:11,680 --> 00:32:14,360 Speaker 1: that doesn't do any harm and maybe me more dangerous 540 00:32:14,400 --> 00:32:16,000 Speaker 1: to take it out, you can see that than to 541 00:32:16,080 --> 00:32:18,400 Speaker 1: leave it in. But you end up if you have 542 00:32:18,440 --> 00:32:22,720 Speaker 1: a kidney with three kidneys. Yeah, so I don't I mean, 543 00:32:22,840 --> 00:32:26,120 Speaker 1: surely they detach those kidneys, yeah, because you got to 544 00:32:26,160 --> 00:32:28,800 Speaker 1: attach the other right, Yeah, I guess so, so that's 545 00:32:28,800 --> 00:32:31,280 Speaker 1: what they do. The surgery is to they take it out. 546 00:32:31,280 --> 00:32:33,680 Speaker 1: Of you. And at that point you're like, okay, I'm done. 547 00:32:33,680 --> 00:32:35,920 Speaker 1: It's all recovery for me. But they have to put 548 00:32:35,960 --> 00:32:37,840 Speaker 1: it in the other person. And like you said, they 549 00:32:37,920 --> 00:32:40,640 Speaker 1: leave the other kidneys. They attached the one to the 550 00:32:40,640 --> 00:32:43,240 Speaker 1: blood vessels so that it's you know, getting the blood 551 00:32:43,280 --> 00:32:46,080 Speaker 1: supply to filter, and then also they attach it to 552 00:32:46,120 --> 00:32:50,760 Speaker 1: your reader, um, so that it can transport waste to 553 00:32:50,840 --> 00:32:56,200 Speaker 1: your bladder. And I supposedly it's actually a pretty effective 554 00:32:56,240 --> 00:33:02,520 Speaker 1: surgery and with minimal um uh negative outcomes. Yeah. Recovery 555 00:33:02,560 --> 00:33:04,920 Speaker 1: time for the donors, a couple of days in the hospital, 556 00:33:05,760 --> 00:33:08,720 Speaker 1: one to two weeks at home, six to eight weeks total, 557 00:33:08,840 --> 00:33:11,080 Speaker 1: and then you've got to come in at six, twelve 558 00:33:11,080 --> 00:33:16,240 Speaker 1: and twenty four months for checkups. Um. Like uh, we said, 559 00:33:16,280 --> 00:33:19,160 Speaker 1: you lose twenty five to thirty five of your kidney function, 560 00:33:19,280 --> 00:33:22,240 Speaker 1: but that's not fifties, so your one kidney must like 561 00:33:22,400 --> 00:33:26,080 Speaker 1: ramp it up. Um. And then you said, pretty good 562 00:33:26,080 --> 00:33:29,120 Speaker 1: outcomes there. I think this is between two thousand and 563 00:33:29,160 --> 00:33:32,760 Speaker 1: six and two thousand eight of the seventeen thousand. Oh, 564 00:33:32,760 --> 00:33:35,200 Speaker 1: there's your number right there. If the numbers hold, that 565 00:33:35,240 --> 00:33:41,040 Speaker 1: would be seventeen thousand over three years, So about five, 566 00:33:40,800 --> 00:33:43,520 Speaker 1: five thousand and change year at least back then unless 567 00:33:43,520 --> 00:33:49,200 Speaker 1: there's been a rush. Um. Only twelve donor deaths out 568 00:33:49,200 --> 00:33:52,240 Speaker 1: of the seventeen thousand, four hundred and two, and only 569 00:33:52,280 --> 00:33:57,320 Speaker 1: one of those was from the surgery from like hemorrhaging, hemorrhaging, hemorrhagering. 570 00:33:59,040 --> 00:34:07,680 Speaker 1: It's close him, hemoraging, hemorrhaging. God, that sounds weird. Hemorrhaging, hemorrhaging. Yeah, okay, 571 00:34:07,920 --> 00:34:12,719 Speaker 1: it was purposely weird during surgery. Yeah, bleeding too much 572 00:34:12,800 --> 00:34:15,440 Speaker 1: and don't forget to complete the sentence. That was very 573 00:34:15,480 --> 00:34:20,120 Speaker 1: porky pick of me. So um, yeah, that's a pretty 574 00:34:20,120 --> 00:34:25,319 Speaker 1: good trek record. Twelve deaths out of four hundred and 575 00:34:25,320 --> 00:34:29,919 Speaker 1: two transplants. Um. They also studied people for long term 576 00:34:29,920 --> 00:34:33,520 Speaker 1: effects and found that somebody who had donated kidney had 577 00:34:33,560 --> 00:34:38,920 Speaker 1: about the same um chance of suffering and stage renal 578 00:34:38,920 --> 00:34:42,680 Speaker 1: failure as the general population, so it didn't increase their 579 00:34:42,760 --> 00:34:46,520 Speaker 1: chances one bit. And I was like, okay, alright, Internet, 580 00:34:46,600 --> 00:34:49,080 Speaker 1: let me go a few more pages deep, like where's 581 00:34:49,320 --> 00:34:53,160 Speaker 1: where's the where's the real talk about the long term 582 00:34:53,200 --> 00:34:57,319 Speaker 1: consequences of donating a kidney? And from what I can see, 583 00:34:57,400 --> 00:35:02,120 Speaker 1: study after study is shows like there's really not any 584 00:35:02,280 --> 00:35:06,880 Speaker 1: long term effects. Um that after about six or eight 585 00:35:06,920 --> 00:35:09,040 Speaker 1: weeks of recovery, you can go back to a normal life. 586 00:35:09,560 --> 00:35:12,480 Speaker 1: During that time, you're gonna feel very fatigued. Your function 587 00:35:12,560 --> 00:35:15,120 Speaker 1: is going to be decreased. But if you say I'm 588 00:35:15,160 --> 00:35:18,080 Speaker 1: donating my kidney, I'm just gonna take two months off 589 00:35:18,160 --> 00:35:22,960 Speaker 1: basically um of life, you know, like stressful life. Um, 590 00:35:23,080 --> 00:35:25,880 Speaker 1: that's really not too bad considering that you basically go 591 00:35:25,960 --> 00:35:29,200 Speaker 1: back to normal life after two months and your kidney, 592 00:35:29,600 --> 00:35:32,960 Speaker 1: the one kidney you have, is still doing of the 593 00:35:33,040 --> 00:35:35,320 Speaker 1: original function. Yeah, like if you work from home, you 594 00:35:35,360 --> 00:35:39,960 Speaker 1: have no excuse exactly. Uh, Dave did put in here, 595 00:35:39,960 --> 00:35:41,759 Speaker 1: And I looked into this a little more that a 596 00:35:41,840 --> 00:35:45,440 Speaker 1: drawback might be, Um, it might affect your life insurance 597 00:35:45,520 --> 00:35:48,440 Speaker 1: or disqualify you or increase your rates. So I poked 598 00:35:48,440 --> 00:35:51,640 Speaker 1: around that because that sounded like a horrible thing. Uh, 599 00:35:51,680 --> 00:35:54,960 Speaker 1: And it wouldn't have surprised me. But it looks like 600 00:35:55,040 --> 00:35:57,239 Speaker 1: there are a lot of protections in place from the 601 00:35:57,280 --> 00:36:01,719 Speaker 1: Affordable Care Act for stuff like this. Thankfully, And if 602 00:36:01,760 --> 00:36:05,480 Speaker 1: you have never had insurance, you have your kidney removed 603 00:36:05,520 --> 00:36:07,760 Speaker 1: and you go to get life insurance for the first time, 604 00:36:08,600 --> 00:36:10,920 Speaker 1: then you may not be able to get it as easily. 605 00:36:11,360 --> 00:36:14,280 Speaker 1: But you know, you're not booted from your life insurance 606 00:36:14,320 --> 00:36:17,839 Speaker 1: policy because you donated a kidney, or your rates aren't 607 00:36:17,840 --> 00:36:21,359 Speaker 1: gonna skyrocket because you donated a kidney. It's against the law. 608 00:36:21,880 --> 00:36:26,120 Speaker 1: It should be. Yeah, So, um, there's a risk of rejection, 609 00:36:26,200 --> 00:36:28,000 Speaker 1: Like that's something you have to go into it knowing, 610 00:36:28,080 --> 00:36:30,399 Speaker 1: like you might donate your kidney and it just might 611 00:36:30,440 --> 00:36:33,920 Speaker 1: not work, probably just by all the tests, despite all 612 00:36:33,960 --> 00:36:37,640 Speaker 1: of the um the care given into matching you and 613 00:36:37,680 --> 00:36:41,759 Speaker 1: your kidney with a recipient, it still might get rejected. 614 00:36:41,800 --> 00:36:45,280 Speaker 1: But they have developed um a lot of different drugs 615 00:36:45,880 --> 00:36:49,440 Speaker 1: to cut down on the chance of rejection. Right. Yeah, 616 00:36:49,480 --> 00:36:53,319 Speaker 1: they're called anti rejection drugs or immunosuppressants, And there are 617 00:36:53,320 --> 00:36:57,440 Speaker 1: a couple kinds. There's one that they that are super 618 00:36:57,440 --> 00:36:59,040 Speaker 1: powerful that they give you at the time of the 619 00:36:59,080 --> 00:37:03,879 Speaker 1: transplant called induction agents, and then you've got maintenance agents. Uh. 620 00:37:03,920 --> 00:37:07,120 Speaker 1: And there were basically four different kinds of maintenance agents. 621 00:37:07,280 --> 00:37:09,640 Speaker 1: And the way this one website I saw put it, 622 00:37:09,640 --> 00:37:12,560 Speaker 1: I think it was a kidney dot org or whatever 623 00:37:14,080 --> 00:37:17,759 Speaker 1: uh was that they said, look at it, it's like 624 00:37:17,800 --> 00:37:21,640 Speaker 1: a mortgage, your down payment is the induction agent like 625 00:37:21,680 --> 00:37:23,560 Speaker 1: the heavy duty drugs they give you when they do 626 00:37:23,640 --> 00:37:26,200 Speaker 1: the transplant, and the maintenance agents are like your monthly payment, 627 00:37:26,640 --> 00:37:28,760 Speaker 1: and the bigger the down payment, the lower the monthly 628 00:37:28,800 --> 00:37:32,120 Speaker 1: So if you if the induction agents are really really 629 00:37:32,120 --> 00:37:34,359 Speaker 1: work well, then you're not going to be on as 630 00:37:34,400 --> 00:37:38,439 Speaker 1: many long term medications for maintenance. And I didn't really 631 00:37:38,440 --> 00:37:42,480 Speaker 1: recognize any of the drugs except for pregnisone, the steroid. Yeah, 632 00:37:42,640 --> 00:37:45,080 Speaker 1: I didn't either. I saw the most common combination of 633 00:37:45,160 --> 00:37:50,239 Speaker 1: drugs is three things, one called tachra limits which is 634 00:37:50,280 --> 00:37:59,200 Speaker 1: a calcine calcinevrin inhibitor, one called mico finilate mo fatil 635 00:38:00,280 --> 00:38:03,200 Speaker 1: which is an anti proliferate, and then pregn his own. 636 00:38:04,160 --> 00:38:08,360 Speaker 1: And I saw that you're generally on these for life, 637 00:38:08,400 --> 00:38:11,840 Speaker 1: but they can, you know, scale down. I don't know 638 00:38:11,880 --> 00:38:16,200 Speaker 1: if you're ever off of them completely. But um, yeah, 639 00:38:16,320 --> 00:38:20,720 Speaker 1: I think of kidney recipients experienced some sort of rejection, 640 00:38:20,800 --> 00:38:23,480 Speaker 1: so those But it doesn't necessarily it doesn't mean that 641 00:38:23,560 --> 00:38:26,440 Speaker 1: like that's it didn't work. I don't think the square 642 00:38:26,440 --> 00:38:28,759 Speaker 1: one necessarily. Yeah. I think like in a lot of 643 00:38:28,760 --> 00:38:30,640 Speaker 1: those cases, you can keep that kidney if the drugs 644 00:38:30,640 --> 00:38:35,839 Speaker 1: are working. So um the the entire thing, this entire thing. 645 00:38:35,960 --> 00:38:39,200 Speaker 1: But whether it's a dead donor, a deceased donor, sorry, 646 00:38:39,280 --> 00:38:41,560 Speaker 1: keep calling it dead donor, I know it's not quite right, 647 00:38:41,960 --> 00:38:46,160 Speaker 1: even though it's accurate, um or living donors of kidneys. 648 00:38:46,200 --> 00:38:50,880 Speaker 1: All of this is based on altruism. The entire organ 649 00:38:50,920 --> 00:38:55,400 Speaker 1: procurement organ donation system everywhere in the world save for 650 00:38:55,520 --> 00:39:00,400 Speaker 1: one country, is based on the kindness of of in 651 00:39:00,440 --> 00:39:04,960 Speaker 1: generosity of donors who do it for no money whatsoever, 652 00:39:05,080 --> 00:39:07,600 Speaker 1: just out of the goodness of their hearty. And that's 653 00:39:07,680 --> 00:39:10,399 Speaker 1: the way that a lot of people think it should be. 654 00:39:10,760 --> 00:39:14,479 Speaker 1: That's the way that it's um. It's enshrined in law, 655 00:39:14,520 --> 00:39:16,400 Speaker 1: that that's the way that it has to be. In 656 00:39:16,440 --> 00:39:21,000 Speaker 1: the United States, there's an UH law called the National 657 00:39:21,120 --> 00:39:25,160 Speaker 1: Organ Transplant Act of nine four UM that says you 658 00:39:25,280 --> 00:39:31,279 Speaker 1: cannot gain financially um or I can't remember exactly how 659 00:39:31,280 --> 00:39:33,440 Speaker 1: they put it, but you can't make any kind of 660 00:39:33,480 --> 00:39:38,799 Speaker 1: like gain from from donating your organ. And I was like, well, 661 00:39:38,880 --> 00:39:41,399 Speaker 1: where did that law come from? What prompted that? Well, 662 00:39:41,440 --> 00:39:44,080 Speaker 1: probably the black market for organs. H It turned out 663 00:39:44,160 --> 00:39:46,560 Speaker 1: there was there was a guy. So that was the 664 00:39:46,640 --> 00:39:51,200 Speaker 1: Act N two there was a doctor in Virginia named H. 665 00:39:51,239 --> 00:39:54,360 Speaker 1: Barry Jacobs who announced that he was setting up a 666 00:39:54,480 --> 00:39:58,360 Speaker 1: market for organs. He was going to create a brokerage 667 00:39:58,400 --> 00:40:02,000 Speaker 1: for organs. There's no federal law. Again, that's exactly right, 668 00:40:02,120 --> 00:40:04,160 Speaker 1: and so they went and made a federal law against 669 00:40:04,160 --> 00:40:08,800 Speaker 1: it because they're like, that is objectively unethical and immoral, 670 00:40:09,360 --> 00:40:13,000 Speaker 1: and that's kind of the basis for organ donation in 671 00:40:13,000 --> 00:40:15,880 Speaker 1: this country, and again every country in the world except 672 00:40:15,920 --> 00:40:21,000 Speaker 1: for Iran, that it's unethical to make money selling organs 673 00:40:21,400 --> 00:40:23,399 Speaker 1: or to pay someone for the organs, because they're worried 674 00:40:23,400 --> 00:40:26,080 Speaker 1: that it sets off a whole cascade of problems. Yeah, 675 00:40:26,120 --> 00:40:27,880 Speaker 1: I think they try and make it cost neutral for 676 00:40:27,920 --> 00:40:31,560 Speaker 1: the donor, which means your expenses are covered, like you're 677 00:40:31,560 --> 00:40:33,880 Speaker 1: not gonna be paying like the recipient's insurance is going 678 00:40:33,920 --> 00:40:36,719 Speaker 1: to be paying for all the operations and surgeries and 679 00:40:36,760 --> 00:40:40,440 Speaker 1: all that stuff. And then there are uh, you know, 680 00:40:40,800 --> 00:40:45,279 Speaker 1: private nonprofits that can also help cover like travel and 681 00:40:45,880 --> 00:40:48,360 Speaker 1: if you're a low income donor, help pay for stuff 682 00:40:48,400 --> 00:40:50,920 Speaker 1: like that, but you're still not getting like paid to 683 00:40:50,960 --> 00:40:55,840 Speaker 1: do it. And the idea there is ethically is that um, 684 00:40:55,880 --> 00:41:00,839 Speaker 1: you know, the dystopian science fiction plot, which is there's 685 00:41:00,880 --> 00:41:04,440 Speaker 1: a class of wealthy people who harvest the poor on 686 00:41:04,680 --> 00:41:07,520 Speaker 1: organ farms. And you know, it's like something out of 687 00:41:07,520 --> 00:41:09,560 Speaker 1: a movie, but it's also something that could very well 688 00:41:09,600 --> 00:41:12,080 Speaker 1: happen if you let that kind of thing, you know, 689 00:41:12,120 --> 00:41:15,800 Speaker 1: take place, uh, you know, black market human trafficking again 690 00:41:15,840 --> 00:41:19,920 Speaker 1: like you mentioned. And then another one I didn't think of, 691 00:41:20,040 --> 00:41:24,759 Speaker 1: is that, um the motivation for someone doing it if 692 00:41:24,800 --> 00:41:27,240 Speaker 1: you're getting paid like you may not, you may fudge 693 00:41:27,280 --> 00:41:30,960 Speaker 1: a little bit on your questionnaires, like fake something to 694 00:41:31,520 --> 00:41:33,880 Speaker 1: make money to get an organ taken out of your body. 695 00:41:34,000 --> 00:41:37,759 Speaker 1: It's almost like they've identified it as such a valuable 696 00:41:37,880 --> 00:41:42,440 Speaker 1: thing that you can't you can't assign any kind of 697 00:41:42,440 --> 00:41:45,160 Speaker 1: monetary value to it. You you can't allow that to 698 00:41:45,239 --> 00:41:48,000 Speaker 1: happen or else nothing but bad things are going to happen. 699 00:41:48,360 --> 00:41:51,640 Speaker 1: And there's actually polls that support this, although some people 700 00:41:51,680 --> 00:41:55,719 Speaker 1: say that's stupid, we should we No matter how how 701 00:41:55,760 --> 00:42:00,960 Speaker 1: many um generous people are donating organs, the demand is 702 00:42:01,000 --> 00:42:03,080 Speaker 1: still not there. I mean, you said it yourself. Like 703 00:42:03,160 --> 00:42:06,799 Speaker 1: five thousand people die on organ transplant waiting lists every 704 00:42:06,880 --> 00:42:09,000 Speaker 1: year in the United States alone. That's just in the 705 00:42:09,120 --> 00:42:12,840 Speaker 1: U S alone. People die all over the world on 706 00:42:13,040 --> 00:42:16,800 Speaker 1: organ transplant lists every year, and so people say that's stupid. 707 00:42:16,840 --> 00:42:21,920 Speaker 1: If people are willing to sell like their kidney in particular, UM, 708 00:42:22,280 --> 00:42:25,080 Speaker 1: let them do it. It's a free world, it's a 709 00:42:25,120 --> 00:42:29,719 Speaker 1: free country at least. So what's the problem. Yeah, I mean, 710 00:42:30,200 --> 00:42:32,839 Speaker 1: I think the idea. I'm not libbying for this, but 711 00:42:32,920 --> 00:42:37,160 Speaker 1: they have floated things like a like a fifty dollar 712 00:42:37,200 --> 00:42:40,920 Speaker 1: tax rebate that you can absorb over like a decade, 713 00:42:41,719 --> 00:42:44,719 Speaker 1: or wipe out your student loans or something like that, 714 00:42:45,239 --> 00:42:47,919 Speaker 1: Like they're not literally just cutting you a check. Things 715 00:42:47,920 --> 00:42:52,240 Speaker 1: like that are interesting because, um, donating a kidney saves 716 00:42:52,280 --> 00:42:55,840 Speaker 1: taxpayers close to a hundred and fifty thousand dollars in 717 00:42:55,960 --> 00:42:59,719 Speaker 1: medical costs paid out by Medicare for dialysis and things 718 00:42:59,760 --> 00:43:03,000 Speaker 1: like at and there was another analysis that found that 719 00:43:03,040 --> 00:43:06,920 Speaker 1: paying donors forty dollars for kidney would result in a 720 00:43:06,960 --> 00:43:10,160 Speaker 1: net gain of forty six billion dollars in lowered medical 721 00:43:10,239 --> 00:43:15,000 Speaker 1: costs and better health overall health and outcomes. So like, 722 00:43:15,680 --> 00:43:19,040 Speaker 1: something like that is interesting, not just like harvesting organs 723 00:43:19,080 --> 00:43:22,160 Speaker 1: for cash, but if people want to take a big 724 00:43:22,200 --> 00:43:25,279 Speaker 1: fat tax rebate over a decade, it leads to less 725 00:43:25,320 --> 00:43:30,680 Speaker 1: taxpayer payouts for Medicaid and UH or for Medicare better 726 00:43:30,680 --> 00:43:33,000 Speaker 1: health outcomes. I don't know some we're thinking about. Yeah, 727 00:43:33,400 --> 00:43:36,200 Speaker 1: and other people would say this, that's already going on. 728 00:43:36,320 --> 00:43:39,640 Speaker 1: There's a very healthy black market for organs all around 729 00:43:39,680 --> 00:43:43,400 Speaker 1: the world. I saw an estimate on some human trafficking 730 00:43:43,440 --> 00:43:47,719 Speaker 1: website that was something like ten thousand kidneys a year 731 00:43:48,320 --> 00:43:52,799 Speaker 1: are procured and transplanted on the black market. But then, Chuck, 732 00:43:52,880 --> 00:43:56,320 Speaker 1: ultimately you have there is one country, Iran it allows 733 00:43:56,400 --> 00:44:00,920 Speaker 1: payment for organs. Its something like and then also like, 734 00:44:01,000 --> 00:44:04,919 Speaker 1: you're right, it's a pretty in substantial amount if you're 735 00:44:05,000 --> 00:44:07,640 Speaker 1: selling a kidney compared to say, like the forty five 736 00:44:07,719 --> 00:44:10,680 Speaker 1: grand the US is considering, or I shouldn't say the 737 00:44:10,760 --> 00:44:14,000 Speaker 1: US is considering people Americans have come up within a study, 738 00:44:14,560 --> 00:44:18,200 Speaker 1: but um, the there is the one stat that stood 739 00:44:18,200 --> 00:44:21,279 Speaker 1: out to me that I think kind of suggests, you know, 740 00:44:21,360 --> 00:44:26,640 Speaker 1: not applying money to organ procareman, is that of a 741 00:44:27,239 --> 00:44:31,040 Speaker 1: two thousand one study of three hundred Iranian paid organ 742 00:44:31,080 --> 00:44:34,319 Speaker 1: donors said that if they could go back, they would 743 00:44:34,360 --> 00:44:37,800 Speaker 1: not have sold their kidney. There you have it. Pretty 744 00:44:37,880 --> 00:44:44,160 Speaker 1: much anything else about kidney transplants and donations and all that. Well, again, 745 00:44:44,200 --> 00:44:47,400 Speaker 1: if you want to uh donate your organs uh and 746 00:44:47,520 --> 00:44:49,399 Speaker 1: you aren't going to the d m V anytime soon. 747 00:44:49,440 --> 00:44:52,680 Speaker 1: Go to register me dot org. Uh. And since I 748 00:44:52,719 --> 00:44:56,080 Speaker 1: said register me dot org, it's time for a listener mail. 749 00:44:59,280 --> 00:45:04,080 Speaker 1: I'm gonna call this dB Cooper follow up. Oh wow, no, 750 00:45:04,440 --> 00:45:09,200 Speaker 1: pretty interesting And this is from Holly. Hey, guys, Holly 751 00:45:09,280 --> 00:45:11,680 Speaker 1: from Texas here. I've been listening about six months and 752 00:45:11,719 --> 00:45:15,120 Speaker 1: I'm obsessed. Turned to the Facebook groups to suggest some 753 00:45:15,920 --> 00:45:19,000 Speaker 1: fan favorite episodes, and dB Cooper the live episode was 754 00:45:19,040 --> 00:45:21,359 Speaker 1: mentioned a lot, and it reminded me of a story 755 00:45:21,400 --> 00:45:23,960 Speaker 1: you might enjoy several years ago, as it a small 756 00:45:24,000 --> 00:45:26,800 Speaker 1: family gathering at my grandparents and we were sitting around 757 00:45:26,840 --> 00:45:30,520 Speaker 1: chatting about different topics of memories, and my grandma casually says, Oh, 758 00:45:30,600 --> 00:45:32,560 Speaker 1: that's just like the time when the FBI tapped our 759 00:45:32,600 --> 00:45:37,600 Speaker 1: phones because they thought Grandpa was TP Cooper WHOA. I 760 00:45:37,680 --> 00:45:39,920 Speaker 1: of course did a dramatic double take, slam both of 761 00:45:39,960 --> 00:45:43,160 Speaker 1: my hands on the table and exclaimed what I mean. 762 00:45:43,200 --> 00:45:44,840 Speaker 1: I was floored. At the time, I was in l 763 00:45:44,920 --> 00:45:47,080 Speaker 1: a thirties and never heard this story in my whole life. 764 00:45:47,719 --> 00:45:50,040 Speaker 1: That's the thing with grandparents, You hear this stuff like 765 00:45:50,560 --> 00:45:53,400 Speaker 1: how did I not know that I know? Um, I 766 00:45:53,480 --> 00:45:55,920 Speaker 1: of course had to dramatically turn to my grandpa with 767 00:45:56,000 --> 00:45:59,400 Speaker 1: narrowed eyes and say, who are you. My grandma was 768 00:45:59,480 --> 00:46:01,759 Speaker 1: very nonchal line about the whole thing, and I was like, wait, wait, wait, 769 00:46:01,800 --> 00:46:04,600 Speaker 1: explain please. She didn't have much more info, but I 770 00:46:04,600 --> 00:46:08,359 Speaker 1: guess my grandpa was cleared obviously. Uh. And it's still 771 00:46:08,360 --> 00:46:11,719 Speaker 1: a mystery why they suspected my grandpa, mainly considering the 772 00:46:11,760 --> 00:46:13,520 Speaker 1: fact that they lived in New Mexico at the time. 773 00:46:13,920 --> 00:46:17,919 Speaker 1: We sadly lost my grandma in July, but I'm happy 774 00:46:17,920 --> 00:46:20,480 Speaker 1: to report that my grandpa is still doing well. Even 775 00:46:20,520 --> 00:46:24,280 Speaker 1: though I could never picture my cowboy boot levin heavily 776 00:46:24,320 --> 00:46:28,680 Speaker 1: starched wrangler gene wearing Grandpa and a skinny tie from J. C. Penny, 777 00:46:28,719 --> 00:46:33,040 Speaker 1: although he does enjoy his daily bourbon. And that's a clue. 778 00:46:33,280 --> 00:46:35,919 Speaker 1: Maybe that was it. So that's from Holly, And that's 779 00:46:35,920 --> 00:46:39,800 Speaker 1: a great email. Holly as one of the all time greats. Holly. 780 00:46:39,960 --> 00:46:42,440 Speaker 1: I love that she's like. Also, my grandpa pays for 781 00:46:42,480 --> 00:46:44,640 Speaker 1: everything from a bag of money that he keeps the 782 00:46:44,719 --> 00:46:49,919 Speaker 1: ship out back. Yeah, we always got unmarked dollar bills 783 00:46:49,960 --> 00:46:53,640 Speaker 1: for birthdays. If you want to be like Holly, and 784 00:46:53,719 --> 00:46:56,600 Speaker 1: tell us one of the great family stories that you 785 00:46:57,160 --> 00:47:00,919 Speaker 1: heard from your grandparents about. We want to hear those two. 786 00:47:01,280 --> 00:47:04,239 Speaker 1: You can send them to us at stuff Podcasts at 787 00:47:04,239 --> 00:47:09,520 Speaker 1: i heart radio dot com. Stuff you Should Know is 788 00:47:09,520 --> 00:47:12,400 Speaker 1: a production of I heart Radio. For more podcasts my 789 00:47:12,440 --> 00:47:15,719 Speaker 1: heart Radio, visit the i heart Radio app, Apple Podcasts, 790 00:47:15,840 --> 00:47:20,560 Speaker 1: or wherever you listen to your favorite shows. H