WEBVTT - Kidney Donation: You Could Be A Saint! 0:00:01.440 --> 0:00:04.240 Welcome to Stuff you should know, a production of I 0:00:04.360 --> 0:00:13.640 Heart Radio. Hey, welcome to the podcast. I'm Josh Clark. 0:00:13.800 --> 0:00:18.119 There's Charles w to Kidney Bryant, and there's Jerry over there, 0:00:18.760 --> 0:00:25.560 and this is stuff you should know. The kid kidney 0:00:25.960 --> 0:00:30.440 donation addition. Yeah, we did one on Oregon donation, right, Yeah, 0:00:30.440 --> 0:00:33.800 and we did one on kidney stones and put them together. 0:00:34.200 --> 0:00:36.440 You get this episode. That's right, And this is from 0:00:37.040 --> 0:00:40.479 Dave Bruce or pal and uh this good? Should we 0:00:40.479 --> 0:00:45.280 should we? This good? It's that kind of day, how 0:00:45.320 --> 0:00:49.200 it's going. Yeah, we're we're in person again, by the way. Yeah, 0:00:49.240 --> 0:00:51.040 we should just tell everyone that I'm making a fool 0:00:51.040 --> 0:00:52.600 of myself right in front of you for a change. 0:00:52.720 --> 0:00:56.240 It's nice to see in person. Um. And I should 0:00:56.240 --> 0:00:59.000 also point out them that this is a double Dave 0:00:59.200 --> 0:01:04.479 Day because he did the last one too. Inflation right, 0:01:04.680 --> 0:01:07.640 interest rates? Yeah, I forgot what we talked about. I've 0:01:07.640 --> 0:01:10.160 already forgotten all of it. So Dave did some digging 0:01:10.200 --> 0:01:12.839 for us UM and came up with some pretty surprising 0:01:12.959 --> 0:01:16.399 stats that I certainly had no idea about. With kidney 0:01:16.560 --> 0:01:24.080 disease in particular, but something like, of all American adults 0:01:24.600 --> 0:01:28.480 have some form of chronic kidney disease. Thirty seven million 0:01:28.560 --> 0:01:32.160 people right now, thirty seven million and ninety thousand Americans 0:01:32.160 --> 0:01:36.600 are on the list waiting for a kidney transplant. And 0:01:36.720 --> 0:01:40.640 each year, this is very sad, about five thousand Americans 0:01:40.680 --> 0:01:44.680 die while waiting and another three thousand more become too 0:01:44.680 --> 0:01:48.040 sick to get that transplant. So basically, eight thousand ish 0:01:48.120 --> 0:01:51.480 people are either dying or on their way to dying 0:01:51.520 --> 0:01:53.800 because they don't have a kidney that they can get right. 0:01:53.880 --> 0:01:57.120 And then with you know, thirty seven million adults, just 0:01:57.160 --> 0:02:00.560 the adults alone with some form of chronic kid of diseases, 0:02:00.600 --> 0:02:04.040 their disease progresses, uh, they end up on the list, 0:02:04.960 --> 0:02:08.400 the transplant list. So um, what we'll talk about in 0:02:08.400 --> 0:02:11.080 this second. What's what's really interesting about kidneys, and in 0:02:11.080 --> 0:02:14.639 particular kidney donations is it's one of a very select 0:02:14.720 --> 0:02:19.800 few organs that you could donate while you're alive and 0:02:19.840 --> 0:02:24.400 then whistle off back to your normal life. Down one kidney. Yeah, 0:02:24.440 --> 0:02:28.320 you can't donate your heart to somebody. It's very sweet gesture, 0:02:28.560 --> 0:02:32.840 but you've got two kidneys, you only need one. I 0:02:32.880 --> 0:02:36.800 think the number the percentages if you donate a kidney 0:02:36.880 --> 0:02:40.120 which is interesting because the one kidney you have must 0:02:40.240 --> 0:02:45.080 ramp up production because your kidney function only goes down 0:02:45.560 --> 0:02:50.720 what was it fifteen or something like that, Yeah, something nothing, maybe, Yeah, 0:02:50.760 --> 0:02:54.600 it's not right, and that's definitely doable. Like you can 0:02:54.639 --> 0:03:00.960 go through life with one kidney performing of your previous function. 0:03:01.080 --> 0:03:04.000 That's right, that's not bad. And we should probably just 0:03:04.080 --> 0:03:05.960 kind of point out some of the amazing things the 0:03:06.040 --> 0:03:09.239 kidneys do. There are these two fist size organs or 0:03:09.360 --> 0:03:12.799 one um depending on whether you've donated or not. That's right, 0:03:15.080 --> 0:03:18.360 back to the show. Just just under your rib cage, 0:03:18.520 --> 0:03:21.320 on either side of your spine. So have your loved 0:03:21.360 --> 0:03:24.160 one make a fist with each and come up behind you, 0:03:24.520 --> 0:03:28.280 put their fist under your rib cage gently. Yeah, just 0:03:28.400 --> 0:03:31.560 on either side of your spine, and there's your kidneys, 0:03:31.639 --> 0:03:34.440 right uh. And kidneys do a lot of things. The 0:03:34.520 --> 0:03:37.600 main you know, like sort of the money job that 0:03:37.640 --> 0:03:40.400 the kidneys do is they act as the filter system 0:03:40.440 --> 0:03:43.760 for your for your blood. And that's the big thing. 0:03:43.840 --> 0:03:48.160 They filter about two arts fluids every day. And that's 0:03:48.200 --> 0:03:51.280 not just blood, that's blood and waste fluid. That's so much. 0:03:51.600 --> 0:03:55.680 That's a lot a lot. Kidneys are always working. And 0:03:55.760 --> 0:03:59.400 within the kidneys there are about one to one and 0:03:59.440 --> 0:04:02.880 a half a mill allion tiny little filters inside the 0:04:02.920 --> 0:04:07.360 kidney called nephrons. If you just think Nora ephron or 0:04:07.440 --> 0:04:11.000 nefert d or nefert d uh, And those nephrons are 0:04:11.040 --> 0:04:14.520 what's doing the actual filtering. They're just tiny little filters. Uh. 0:04:14.520 --> 0:04:16.160 They also what else they do? They also release a 0:04:16.200 --> 0:04:21.600 hormone called uh erythra poton e p O. It regulates 0:04:21.640 --> 0:04:25.279 production of red blood cells and bone marrow. Very big deal. Yeah. Um. 0:04:25.400 --> 0:04:29.800 They also convert vitamin D from a non usable form 0:04:29.920 --> 0:04:32.800 from like the sun, into a usable form, which is 0:04:32.839 --> 0:04:36.280 pretty important because vitamin D helps you retain and absorbed 0:04:36.279 --> 0:04:41.400 calcium and phosphorus for building bones, reduces inflammation, possibly combats 0:04:41.440 --> 0:04:44.520 tumor growth. Um. And all this is coming from your 0:04:44.600 --> 0:04:47.200 kidneys doing its thing. And then one other thing we 0:04:47.320 --> 0:04:49.120 kind of skipped over a little bit, I think is 0:04:49.160 --> 0:04:52.599 worth pointing. Out of those two hundred quarts of fluid 0:04:52.640 --> 0:04:56.080 every day, two courts of it, I think you said, 0:04:56.640 --> 0:04:59.760 is waste. You pee it out, It gets converted into 0:04:59.800 --> 0:05:01.320 your and sent to the bladder and you pee it 0:05:01.360 --> 0:05:06.680 out and finally chuck. Finally, the eight eight ounce classes 0:05:06.880 --> 0:05:10.359 of water a day makes sense. It's not arbitrary anymore. 0:05:10.839 --> 0:05:15.280 You never realized that, No, I never understood. I thought 0:05:15.320 --> 0:05:18.640 it was actually made up an arbitrary number. That sixty 0:05:18.640 --> 0:05:21.520 four ounces because that's how much you pee out on 0:05:21.560 --> 0:05:24.360 a normal day, because that's how much your kidneys filter out. 0:05:24.400 --> 0:05:27.480 Is waste, so you gotta replenish it. Yeah, this is 0:05:27.520 --> 0:05:34.520 funny that. Well, I'm this day's old when I finally realized, Uh, 0:05:34.520 --> 0:05:38.239 what else? They also release a hormone called rennan regulate 0:05:38.320 --> 0:05:41.200 your blood pressure, and we'll see blood pressure and kidneys 0:05:41.200 --> 0:05:43.760 have a lot to do with one another. Yep. And 0:05:43.800 --> 0:05:46.920 what else anything? You know what? I bet you there's 0:05:46.920 --> 0:05:48.400 other things that kidney does it. It It just didn't like 0:05:48.440 --> 0:05:53.159 to take credit for her. So. Um. One of the 0:05:53.240 --> 0:05:56.040 problems with your kidneys is that they can break down. 0:05:56.080 --> 0:05:59.160 They're susceptible to all sorts of other stuff going on 0:05:59.200 --> 0:06:01.920 in your body. Um. And one of the big things 0:06:01.960 --> 0:06:03.920 that put stress on your kidneys, well, two of the 0:06:03.960 --> 0:06:06.320 big things that put stress on your kidneys is such 0:06:06.520 --> 0:06:13.920 chuck colon. You've got blood pressure, high blood pressure, which 0:06:14.120 --> 0:06:16.840 exerts pressure on the walls of your blood vessels. Which 0:06:16.839 --> 0:06:20.880 in turn exerts pressure on your kidneys, damaging their function. 0:06:21.160 --> 0:06:25.279 And the big one, the big daddy of what causes 0:06:25.360 --> 0:06:29.320 kidney chronic kidney disease is diabetes. That's right, that's the 0:06:29.400 --> 0:06:33.160 number one. High blood pressure is number two. And uh, 0:06:33.200 --> 0:06:35.760 you know, basically high blood sugar is going to damage 0:06:35.760 --> 0:06:37.560 the blood vessels in the kidney. It's gonna kill those 0:06:37.600 --> 0:06:40.240 nephrons that we were talking about. Those are the filters 0:06:40.279 --> 0:06:44.560 that actually do the filtering. And chronic c DK chronic 0:06:44.640 --> 0:06:49.840 kidney sorry c KD, chronic kidney disease. Uh. They call 0:06:49.880 --> 0:06:55.520 it the silent disease because you can be in you 0:06:55.520 --> 0:06:58.880 can be through the first few stages of chronic kidney 0:06:58.880 --> 0:07:01.960 disease and not feel any symptoms at all and not 0:07:02.040 --> 0:07:04.760 know what's going on. So it's very dangerous. There are 0:07:04.760 --> 0:07:08.840 five total, and stages one through four your kidneys are 0:07:08.880 --> 0:07:12.120 still doing their thing, they're struggling. But stage five is 0:07:12.160 --> 0:07:15.880 when you're in in stage renal disease or renal failure, 0:07:16.000 --> 0:07:20.480 and that's when you your kidneys maybe aren't working at 0:07:20.480 --> 0:07:23.360 all and you're going to dialysis every day and you 0:07:23.400 --> 0:07:25.960 need a new kidney. Yes, um, And we'll talk a 0:07:25.960 --> 0:07:29.000 little more about dialysis. But yes, once you hit stage five, 0:07:29.080 --> 0:07:32.840 you're like, you, your kidneys just aren't doing the work anymore. 0:07:33.360 --> 0:07:36.720 And you know it's not like they're just stop functioning 0:07:36.800 --> 0:07:40.680 little by little, they're unable to filter out waste. So 0:07:40.960 --> 0:07:43.200 the waste starts to accumulate and build up and you 0:07:43.280 --> 0:07:48.400 have all sorts of terrible symptoms like nausea, UM, fatigue, vomiting. 0:07:48.720 --> 0:07:50.720 You feel poisoned, is what I've heard. Yeah, I think 0:07:50.760 --> 0:07:53.480 that's basically what's going on. And your body is being 0:07:53.520 --> 0:07:56.040 poisoned because it's no longer able to filter it out. 0:07:56.880 --> 0:07:59.440 So UM. There's a lot of racial disparities too as 0:07:59.480 --> 0:08:02.360 far as kid new diseases go, and apparently it tracks 0:08:02.480 --> 0:08:08.560 very closely to UM uh diabetes. UM. Apparently, if you're 0:08:08.600 --> 0:08:11.920 a Black American, you are four times more likely to 0:08:11.960 --> 0:08:16.160 have kidney failure UM than a white American, Hispanic Americans 0:08:16.200 --> 0:08:19.600 one point three times, in Native Americans one point two times, 0:08:19.640 --> 0:08:23.119 and again like that's those same rates are pretty close 0:08:23.160 --> 0:08:27.160 to the disparity in diabetes. But also it has to 0:08:27.240 --> 0:08:30.520 do with things like access to healthcare, access to certain 0:08:30.600 --> 0:08:33.320 kinds of food that may not lead to diabetes or 0:08:33.360 --> 0:08:35.880 will lead to diabetes. Um, there's a lot of stuff 0:08:35.960 --> 0:08:38.559 kind of caught up into it that. Um, it's not 0:08:38.760 --> 0:08:43.000 entirely straightforward that everybody has an equal opportunity to develop 0:08:43.240 --> 0:08:46.520 kidney disease. Yeah, it's just I mean, it's really sad 0:08:46.559 --> 0:08:49.760 that it it. You know, it seems like everything comes 0:08:49.760 --> 0:08:53.160 down to money and access to money. And if you 0:08:53.440 --> 0:08:57.400 live in the United States and you are somewhere on 0:08:57.440 --> 0:09:00.800 the poverty spectrum, then you're more likely to not have healthcare, 0:09:00.880 --> 0:09:04.400 not go to the doctor, eat worse food, get diabetes, 0:09:04.920 --> 0:09:07.760 have kidneys fail. It's all sort of in lockstep with 0:09:07.800 --> 0:09:09.920 one another. And then it gets even more insidious than 0:09:10.000 --> 0:09:12.640 that because once you get the stage five you might 0:09:12.679 --> 0:09:16.559 not have reliable transportation to go to dialysis, and dialysis 0:09:16.640 --> 0:09:19.160 is extremely time consuming. It is, so it's going to 0:09:19.240 --> 0:09:21.520 be hard for you to keep doing a job. Yeah, 0:09:21.640 --> 0:09:25.360 my neighbor before they moved and sadly he passed away, 0:09:25.360 --> 0:09:29.120 Miss Jesse and Mr Otis he had his Uh, he 0:09:29.160 --> 0:09:31.600 had the ambulance come or you know, it looks like 0:09:31.640 --> 0:09:34.120 an ambulance, but it's not an emergency one. It's just 0:09:34.160 --> 0:09:36.880 the transpo. They picked him up every day, took him 0:09:36.920 --> 0:09:40.640 to dialysis. Brought him home and this was for the 0:09:40.720 --> 0:09:42.400 last couple of years of his life, you know, going 0:09:42.400 --> 0:09:44.880 every single day, and it's good. Dude. I wish I 0:09:44.880 --> 0:09:46.800 would have gotten to him a little bit better before 0:09:46.800 --> 0:09:51.480 he passed. But um so dialysis is short for hemo dialysis, 0:09:52.280 --> 0:09:56.680 and it is literally just a machine that does the 0:09:56.720 --> 0:09:59.760 filtering that your kidneys do. So you sit there for 0:10:00.080 --> 0:10:03.920 or what is it like four hours, usually about three 0:10:03.920 --> 0:10:06.480 times a week. Yeah, three times a week, four hour sessions, 0:10:07.200 --> 0:10:11.760 and they just clean your blood in full with each session. Yeah, 0:10:11.840 --> 0:10:14.520 there's like a little membrane that um doesn't let the 0:10:14.600 --> 0:10:17.520 important stuff like red blood cells get through, but it 0:10:17.559 --> 0:10:19.920 does let those waste products get through and they just 0:10:19.960 --> 0:10:22.679 get slashed out, whereas the blood that doesn't go through 0:10:22.720 --> 0:10:25.760 the membrane gets put back into your body. Yeah, and 0:10:25.800 --> 0:10:29.320 you're on dalysis for life until unless you can get 0:10:29.360 --> 0:10:31.400 a new kidney, and then even if you do get 0:10:31.400 --> 0:10:33.160 a new kidney, you might be on dalysis for a 0:10:33.200 --> 0:10:35.440 little while, as we'll see. Yeah, So, Chuck, I feel 0:10:35.440 --> 0:10:36.920 like this is a good time to take a break. 0:10:37.120 --> 0:10:39.559 Just off the top of my head, let's do it, Okay, 0:10:39.600 --> 0:10:41.679 So we're gonna take a break and we'll be right 0:10:41.720 --> 0:11:11.440 back everybody. Okay. So it's not fun to have kidney failure, 0:11:11.840 --> 0:11:15.760 especially stage five kidney failure, because you're going to dialysis 0:11:15.800 --> 0:11:19.440 a lot um and there's a lot of terrible symptoms 0:11:19.480 --> 0:11:23.840 involved in it. Um. If you are at that point, 0:11:24.280 --> 0:11:27.880 you're going to be put on UM an organ donation list. 0:11:28.160 --> 0:11:32.560 You're going to become a m a recipient or potential 0:11:32.600 --> 0:11:37.079 recipient of a donated kidney. That's right, and that means 0:11:37.120 --> 0:11:42.080 you have signed up with UH, the Organ Procurement and 0:11:42.160 --> 0:11:46.120 Transplantation Network, which is managed by a nonprofit called the 0:11:46.200 --> 0:11:48.959 United Network for organ sharing a lot worse places. You 0:11:48.960 --> 0:11:52.840 can donate your money too, by the way, and it's UH. 0:11:52.920 --> 0:11:55.360 You know, Day points out astutely that it's not like 0:11:56.120 --> 0:11:58.840 a waiting list, as in, you know, there's ninety thousand 0:11:58.840 --> 0:12:01.600 people or more away eating for a kidney. So if 0:12:01.640 --> 0:12:03.560 you sign up for one, then you have eighty nine 0:12:04.880 --> 0:12:07.679 people in front of you, and it just very slowly, 0:12:07.800 --> 0:12:11.080 you know, that time ticks away. It's a network, it is, 0:12:11.559 --> 0:12:14.640 it's a pool of candidates. And because you have to 0:12:14.640 --> 0:12:18.320 get matched with a kidney, and there are all these criteria, 0:12:18.600 --> 0:12:21.200 one of which is blood type UM don't have to 0:12:21.280 --> 0:12:23.320 have necessarily exact blood type. I think if you have 0:12:23.400 --> 0:12:26.400 like A, you can get a b uh So, there's 0:12:26.400 --> 0:12:29.160 a little bit across over there and oh is universal right? 0:12:29.360 --> 0:12:32.760 How is it? Oh negative? We did a thing on 0:12:32.760 --> 0:12:34.360 blood it was. It was a good one. We did 0:12:34.360 --> 0:12:36.600 a live one, that's right. Remember my father in law 0:12:36.679 --> 0:12:38.480 spoke up when I did a blood test. He said, 0:12:38.559 --> 0:12:41.520 Josh is pregnant. That's right. He got more last than 0:12:41.600 --> 0:12:43.920 all of mine combined that night. I remember that that 0:12:44.000 --> 0:12:46.360 was a very like one of the only funny audience 0:12:46.440 --> 0:12:48.800 jokes that we've ever had. It really was was yelled out, 0:12:48.840 --> 0:12:53.640 it's high quality. Heckline. That was like, that's for the 0:12:53.679 --> 0:12:58.360 Atlanta Science vessel Um. Where was that? That just totally 0:12:58.360 --> 0:13:00.080 through me that I'm trying to picture your break it 0:13:00.160 --> 0:13:04.320 now we'll get a load of me, buddy. Uh So, Yeah, 0:13:04.320 --> 0:13:07.400 blood type is one the size of the organ. It's 0:13:07.400 --> 0:13:08.920 got to be a good fit. So like a little 0:13:09.000 --> 0:13:11.400 kid can't get a big adult kidney. You wouldn't think 0:13:11.400 --> 0:13:13.000 about that, but it is true. And I mean it's 0:13:13.040 --> 0:13:15.520 not just true with kidneys, with any oregan like I 0:13:15.559 --> 0:13:17.880 saw it, put like a basketball players a long mon't 0:13:17.920 --> 0:13:20.960 fit in a child. Right, It's like sure, yeah, those 0:13:20.960 --> 0:13:24.360 are wise words. Good point. Uh. And then geography is 0:13:24.440 --> 0:13:28.440 one because as you'll see, if you get a kidney 0:13:28.520 --> 0:13:31.560 donated from someone that you don't know, it's not like 0:13:31.559 --> 0:13:33.760 a family member, then that kidney is going to be 0:13:33.840 --> 0:13:37.160 on ice basically for a little while. That's gonna be 0:13:37.200 --> 0:13:39.719 transported maybe or maybe you're transported, but there's gonna be 0:13:39.720 --> 0:13:42.400 a little bit of time. Uh. They don't just like 0:13:42.600 --> 0:13:44.000 you know, put you on the table like in the 0:13:44.000 --> 0:13:45.839 movies that put you on the table next to your brother, 0:13:46.600 --> 0:13:48.680 and they would just like slide one kidney right in, 0:13:48.920 --> 0:13:53.880 you know, just across the room to the other. Right. So, 0:13:55.280 --> 0:13:58.440 uh so geography is a consideration. So within this network, 0:13:59.240 --> 0:14:01.240 you know, there's a big garrhythm that's going to match 0:14:01.640 --> 0:14:03.800 blood types and all these things. And like, hey, you 0:14:03.840 --> 0:14:08.080 live in Birmingham. We got a kidney in Tuscaloosa, So 0:14:08.160 --> 0:14:10.800 you guys are pretty good match. Yeah. And so with 0:14:10.920 --> 0:14:16.000 each new organ that comes up for UM donation, uh, 0:14:16.200 --> 0:14:20.360 you get a new a new score calculated by the computer. 0:14:20.520 --> 0:14:22.360 Like it's not like you get your score as signed. 0:14:22.560 --> 0:14:26.400 It's all contextual based on your relation to that organ. 0:14:26.480 --> 0:14:29.960 That's that's being considered, that's being donated. Yeah, and also 0:14:30.000 --> 0:14:32.680 we should point out that it's also based on your need, 0:14:33.520 --> 0:14:35.960 like if you're you know, how urgent it is in 0:14:36.280 --> 0:14:38.680 a lot of cases. Yeah, it's also based though on 0:14:38.680 --> 0:14:40.880 on some other stuff too, which is, you know, kind 0:14:40.880 --> 0:14:45.280 of calculating. But it makes sense. Um, your age, the 0:14:45.360 --> 0:14:48.040 younger you are, the higher your score, which makes it 0:14:48.120 --> 0:14:50.640 likelier for you to get that um, the likelihood that 0:14:50.720 --> 0:14:55.000 you will survive the procedure, the likelihood that you will 0:14:55.280 --> 0:14:58.920 um reject the organ or not. Sensitization, I think is 0:14:58.960 --> 0:15:01.520 what they call it. There's a bunch of different factors. 0:15:01.880 --> 0:15:07.360 And this is fairly recent, this pool um um method. Uh, 0:15:07.400 --> 0:15:10.520 and I it's kind of revolutionized things and apparently made 0:15:10.520 --> 0:15:13.760 it a lot better a lot um it's from what 0:15:13.800 --> 0:15:17.760 I understand, it's a lot more sensible and fair. Yeah, 0:15:17.760 --> 0:15:20.360 and it also makes sense, like once you see the numbers, 0:15:20.400 --> 0:15:24.680 like every kidney is super important, and so they want 0:15:24.680 --> 0:15:26.480 to give them to people where you have the best 0:15:26.600 --> 0:15:29.000 chance for that kidney to work over you know, for 0:15:29.160 --> 0:15:32.640 ten to fifteen twenty years. Yeah. I can't waste no 0:15:32.720 --> 0:15:36.320 kidney left behind. No, Oh man, can you imagine if 0:15:36.360 --> 0:15:39.200 they were just like, oh, we left it on the plane, 0:15:39.360 --> 0:15:42.880 just forget about it. You're like, I just donated that 0:15:43.040 --> 0:15:47.880 kidney for nothing, Right, it's in the trash. Now there's 0:15:47.920 --> 0:15:50.440 a story out there, and I kind of want to 0:15:50.480 --> 0:15:53.160 hear it. See. I pictured more like Cheech and Chong. 0:15:53.200 --> 0:15:55.560 We're piloting the plane and they're like, what's in the 0:15:55.560 --> 0:15:58.560 cooler man? And all of a sudden it's a movie 0:15:58.560 --> 0:16:02.440 they're looking for like some some ah good marijuana. That 0:16:02.520 --> 0:16:05.680 reminds me of Snoop Dogg as the pilot. Sole Plaine. 0:16:05.800 --> 0:16:08.040 I never saw that was like, you know, it wasn't 0:16:08.080 --> 0:16:11.440 at all at all. Yeah. It looked like a sort 0:16:11.480 --> 0:16:16.040 of homage to the sort of bad seventies comedies. You know. 0:16:16.600 --> 0:16:19.200 It was where there was no It was like, hey, 0:16:19.280 --> 0:16:22.320 here's an idea. Let's get a bunch of like funny 0:16:22.400 --> 0:16:26.680 people and get them really high or drunk, and there's 0:16:26.680 --> 0:16:32.120 your movie. That that was exactly what is an airport? Right? 0:16:32.400 --> 0:16:34.960 That's the that's the twist, all right, I'm not going 0:16:35.000 --> 0:16:37.840 to see it twist. Yeah, no, there's no reason to. 0:16:38.320 --> 0:16:42.840 I demand that you not see it. Actually, how are 0:16:42.840 --> 0:16:44.720 you gonna sign up to be an organ donor? What 0:16:44.760 --> 0:16:47.160 are the couple of good ways you can do that. Well. 0:16:47.280 --> 0:16:49.920 One way is whenever you go get your license renewed 0:16:49.920 --> 0:16:52.280 at the old d m V in the United States, 0:16:53.480 --> 0:16:57.720 uh or the d m V in France. Um, they're 0:16:57.720 --> 0:16:59.560 gonna ask you if you want to be an organ 0:16:59.640 --> 0:17:02.600 donor and and you can say yes, and they will 0:17:02.600 --> 0:17:05.480 put it on your license, yes organ donor. So that 0:17:05.560 --> 0:17:09.840 if you you know, by the farm out and about, 0:17:09.960 --> 0:17:12.640 and you've got your driver's license on you, the doctors 0:17:12.680 --> 0:17:14.400 and the people at the hospital are going to look 0:17:14.440 --> 0:17:16.440 at your I D. And if they see yes, they're 0:17:16.480 --> 0:17:18.880 going to go to your family and say, your your 0:17:19.080 --> 0:17:22.879 loved one here, um who's now regretfully deceased, said that 0:17:22.920 --> 0:17:25.200 they want to donate their organs or will you sign 0:17:25.240 --> 0:17:27.240 off on this? It seems to have been their wishes. 0:17:27.560 --> 0:17:30.320 And you can still say no if you're a family member, 0:17:30.359 --> 0:17:34.280 but um, probably you're going to say yes, especially if 0:17:34.440 --> 0:17:38.639 you're deceased loved one said Hey, I marked yes my 0:17:39.320 --> 0:17:41.600 that I want to donate organs on my driver's license. 0:17:41.760 --> 0:17:44.760 If I die, make sure my organs get donated. They're 0:17:44.800 --> 0:17:46.880 probably gonna go along with it. Yeah, I think it's 0:17:46.920 --> 0:17:50.240 kind of funny that I wonder what percentage of people 0:17:50.280 --> 0:17:52.120 that sign up at the d m V for organ 0:17:52.240 --> 0:17:55.720 donation and the kid needs that actually go to other 0:17:55.760 --> 0:17:59.000 people and organs that successfully save lives. How many of 0:17:59.000 --> 0:18:05.840 those start with the two words why not? Yet you're 0:18:05.840 --> 0:18:08.280 at the d m V, you're bored out of your mind, 0:18:08.480 --> 0:18:10.360 you've been there for far too long, and they ask 0:18:10.440 --> 0:18:12.680 you this question, you go, yes, why not? Yeah, that 0:18:12.840 --> 0:18:15.199 is the most interesting question you've been asked in that 0:18:15.240 --> 0:18:18.439 whole experience, Like, maybe the biggest question you can answer 0:18:18.480 --> 0:18:20.840 in your life is whether or not you will donate 0:18:20.880 --> 0:18:23.720 your kidneys and your organs to save a human life. 0:18:23.920 --> 0:18:27.119 And people probably just go, yeah, why not. So if 0:18:27.160 --> 0:18:29.240 you've been to the d m V and you said no, 0:18:29.640 --> 0:18:33.600 and you okay, But if you said no you wanted 0:18:33.640 --> 0:18:37.920 to your you can still go in register right, Yeah, 0:18:37.960 --> 0:18:41.520 You've got to register me m E dot org and 0:18:41.560 --> 0:18:46.320 you can register there. Uh, and here's the deal in one, 0:18:46.440 --> 0:18:49.680 here's some more stats for you. There were forty thousand 0:18:50.240 --> 0:18:54.639 total organ transplants. I think most of those are I 0:18:54.640 --> 0:18:58.720 think was it like or kidney transplants? Far and away 0:18:58.720 --> 0:19:03.399 the most are kidney transplants, and only six hundred of 0:19:03.400 --> 0:19:07.840 those forty five. Uh, came from living donors, which was 0:19:08.440 --> 0:19:11.040 I have a relative or I'm just a benevolent human 0:19:11.600 --> 0:19:15.360 who wants to give a kidney to anonymously to somebody. 0:19:14.640 --> 0:19:18.200 I mean, yeah, talk about st hood. Uh So two 0:19:18.280 --> 0:19:21.960 thirds of all kidney transplants are from deceased donors. So, 0:19:22.880 --> 0:19:25.240 like you said, it's a lot of times it's accidents, 0:19:25.280 --> 0:19:28.560 car and motorcycle accidents where there's like traumatic head injury, 0:19:29.320 --> 0:19:31.200 uh in the but the organs are still in pretty 0:19:31.200 --> 0:19:35.480 good shape. You're young, you're in good shape, and so um, 0:19:35.520 --> 0:19:37.720 you know, you may be brain dead, and they can 0:19:38.119 --> 0:19:40.520 the word harvests always sounds so cruel, but they can, 0:19:40.800 --> 0:19:44.560 they can harvest borrow your organs. No, it's hardly, it's 0:19:44.560 --> 0:19:48.879 definitely harvest. Remember in our our book of that chapter 0:19:48.960 --> 0:19:52.000 in Jack Kevorkian he had that that idea in the 0:19:52.280 --> 0:19:55.040 I think sixties or seventies where he was like, well, 0:19:55.119 --> 0:19:57.640 we're going to execute people, let's just execute them through 0:19:57.840 --> 0:20:01.200 organ harvesting. You know, we' started to perform surgery on 0:20:01.280 --> 0:20:03.640 him and we harvest their organs and then once we're done, 0:20:03.680 --> 0:20:07.640 they're just they're dead, right, Yeah, then we're joining their 0:20:07.680 --> 0:20:10.040 organs and everybody's like, it's a really great idea, but 0:20:10.200 --> 0:20:12.679 you're creepy, dude, and I think you're the last person 0:20:12.760 --> 0:20:16.160 who should be espousing this kind of stuff. Well, maybe 0:20:16.200 --> 0:20:21.640 he shouldn't have expressed this idea while imitating Verner Hertzog, right, 0:20:22.640 --> 0:20:25.439 and where are your pants? That's right? Uh? So that 0:20:25.480 --> 0:20:28.439 means at the end of the day, one human body 0:20:29.480 --> 0:20:33.439 can save uh up to Nold does a pretty good 0:20:33.520 --> 0:20:36.520 Verna herd so he's yeah, but the best ever is 0:20:36.520 --> 0:20:40.480 Paula Tompkins his Verner fantast Just look it up on 0:20:40.520 --> 0:20:45.000 the internet. It's great, one single human body an organ 0:20:45.080 --> 0:20:47.959 donor can save up to eight lives. Uh. And that 0:20:48.040 --> 0:20:50.359 is just with the organs. And then you've got tissue donation. 0:20:50.480 --> 0:20:54.200 You've got eyes that can bring sight to someone. We 0:20:54.200 --> 0:20:58.280 should totally do one on Ie the transplants. Yeah, might 0:20:58.440 --> 0:21:02.480 also show you the killer of the person whose eyes 0:21:02.520 --> 0:21:06.560 you got, in which case you're morally responsible for chasing 0:21:06.600 --> 0:21:09.320 that killer down and turning them into bringing the justice 0:21:09.400 --> 0:21:13.159 or exacting revenge. If it's a really good movie, a 0:21:13.200 --> 0:21:16.520 bridget Fon type movie, was that then the actual plot 0:21:16.560 --> 0:21:18.960 of one? Or was it was that just a typical 0:21:19.000 --> 0:21:21.000 movie plot? I don't remember who was in it though, 0:21:21.240 --> 0:21:25.720 Jennifer eight, I don't know. No No, Jennifer eight was a 0:21:25.760 --> 0:21:30.199 blind woman, a sightless woman who was going to be 0:21:30.240 --> 0:21:34.359 the eighth victim of a serial color who's targeting blind women. 0:21:35.080 --> 0:21:38.840 And I could spoil it for everybody. I'm not going to. 0:21:38.920 --> 0:21:41.199 It's actually we're seeing it's a good Nighties movie with 0:21:41.280 --> 0:21:46.160 Andy Garcia and yeah, I don't remember what was it. Yeah, 0:21:46.200 --> 0:21:48.200 it's good, good movie. I think it's out there still, 0:21:48.400 --> 0:21:52.240 or I'm thinking of the movie, uh where the guy 0:21:52.400 --> 0:21:56.159 got the hand transplant and the hand was from a 0:21:56.200 --> 0:21:59.239 serial killer and so he got a bad hand that 0:21:59.280 --> 0:22:03.399 wanted to do bad things. Jeff Fahey, I think the 0:22:03.480 --> 0:22:07.639 lawnmower man. But Jeff Ahey was the lawnmower man. Okay, 0:22:07.680 --> 0:22:10.560 I never saw that one. I mean it might have 0:22:10.560 --> 0:22:13.440 been called something as basically like bad Hand. Was it 0:22:13.480 --> 0:22:18.040 called idle Hands? No, that was different, and that was 0:22:18.080 --> 0:22:20.320 not good. I'll look it up, and well, well how 0:22:20.359 --> 0:22:23.000 about this, so folks stick around for the stormail. We'll 0:22:23.000 --> 0:22:25.320 look it up. In the interim, we'll announce it at 0:22:25.320 --> 0:22:27.880 the beginning of Finally, year fourteen, we've got a new 0:22:27.920 --> 0:22:30.239 hook for the show. Or maybe I can just make 0:22:30.320 --> 0:22:34.479 up an email that fake Jeff Ahey sent in. Remember me, 0:22:34.720 --> 0:22:41.399 we need to fake Jeff Ahey sound effect like side effect? Uh? Alright, 0:22:41.440 --> 0:22:44.280 So living donation is something we should talk about. This is, 0:22:44.320 --> 0:22:47.160 like you said at the beginning, one of the only 0:22:47.359 --> 0:22:50.280 organs you can donate, I mean, is it the only one? No, 0:22:50.800 --> 0:22:54.359 you can also donate his portion of your uterus and 0:22:54.440 --> 0:22:58.000 a portion of your liver, okay portions, yes, But other 0:22:58.040 --> 0:23:02.320 than that, that's it. Right. So I got a little 0:23:02.320 --> 0:23:06.520 bit of history here. Um, if you're talking kidney transplants, 0:23:07.080 --> 0:23:09.160 you gotta go back to nineteen o two was when 0:23:09.200 --> 0:23:14.600 they did a dog kidney transplant in Austria. The dog 0:23:14.760 --> 0:23:17.680 did not make it, of course, but the it did 0:23:17.680 --> 0:23:20.360 produce urine for a couple of days. The kidney man 0:23:20.560 --> 0:23:23.080 not bad, I know. And that really just kind of 0:23:23.119 --> 0:23:26.040