This is my last chance. How can we solve this problem do we need new laws or artificial organs the only alternative. Florence gomez is young and might look healthy but she faces big physical challenges a genetic disorder means that her kidneys barely function the 23 year old is only able to work part time. Then dont feel anguished saying im a lot more restricted when it comes to certain things. And i have to learn not to allow myself to be defined by this thing on this is after the thing i have to just carry on as most of us light up my. Dialysis is her only chance of survival at the moment she has to go to hospital in the swiss canton of 3 times a week each dialysis session lasts at least 4 hours. Her mother and her brother are unable to donate one of their kidneys to her because they have the same genetic disorder our kidneys filter toxins and waste out of the body and maintain our fluid balance florence gomezs body is unable to perform these functions. During dialysis a machine cleans her blood and removes excess fluid florence doesnt want to be filmed during the treatment. Is scary more talk commit suicide talk on and off i go on monday wednesday and friday afternoon then theres a long gap over the weekend off and jaring this period i have to really watch what i eat and drink so how to parry it from sunday evening to monday is always terrible is have done it i have the most fluid in my body at this point that it. Is the most toxins in my body thats a disease that. Florences life is full of restrictions especially when it comes to what she eats and drinks. Shes only allowed to consume at most a leader of water each day and her diet has to be low in salt potassium and phosphorus myself either one as a them because if i eat too much of those things the my heart starts to race and my muscles cramp parkin its very unpleasant i get arrhythmia that can get very dangerous and it can also even develop into a heart attack if its not treated in time by 30. Florence gomez has been on a waiting list for a donor organ for 3 years now since then she hasnt been able to travel if an organ becomes available she has to be ready to go to the hospital almost immediately staff have to be able to contact her 24 sevenths she dreams of one day leading a normal life this rest anything nice smooth i dont want to have to wait for another 3 is that right i have already waited 3 years. This is the result so many things i want to do and ive put all of them on hold. Id like to travel the world to many other things. Id like things to start moving forward with mark shields for that. In switzerland germany and austria there are some 15000 people waiting for a donor organ just like florence and in spain and italy the waiting lists are shorter these countries have an opt out system anyone who doesnt register their opposition is a potential donor and there are other factors that can affect the number of organs available in different nations you know far more people die in traffic accidents in countries where seatbelts are not mandatory and where cars on top of the same standards thats one reason when of course another significant factor is the high or even very High Standard of Preventative Health care in germany france and switzerland where Blood Pressure is monitored and regulates with fewer people die of complications such as a brain hemorrhage as a result and fewer people are therefore eligible to become organ donors quote if its here something that is in fact positive has a negative impact on the number of organs available for transplant like germany switzerland compares unfavorably with other European Countries in this respect. Because the stuff of we are concerned about the shortage of organs in. The plane countries like switzerland which also had very few donors 56 and 7 years ago quickly ask themselves whether there is any point of putting themselves on the waiting list here. In switzerland we have a lot of 2nd generation immigrants whose parents come from italy portugal or spain who wonder whether they might not be better off in those countries as the donor numbers are 3 or 4 times higher than the deficits of the donor system and thats no doubt true of germany to pick leading people to look for solutions elsewhere within europe for that also beyond its borders open office ones who. Many people turn to organ trafficking israel is one country where this used to flourish for decades the country had the worlds lowest numbers of organ donors many see Organ Donation as incompatible with judaism according to the Old Testament bodies have to be buried promptly and should not be desecrated many Orthodox Jews believe in the physical resurrection of the dead and therefore i think it is essential that the body should remain intact as a result each year there were a 1000 more potential recipients than actual donors. Moti was critically ill only medication was keeping him alive he ended up in hospital for 18 months because of a virus his hearts performance was reduced to only 10 percent of what it should be his condition was deteriorating day by day to be in the 1st place and the waiting list but. Every time i dont have a dog because if you do 1st at the most with cant give me that its my blood is all. People with blood group oh can only receive a heart from someone with the same blood group the. Moti has now been married 44 years and has grown children back then it was a race against time he knew that he would die without a transplant and he wanted to be around to see his grandchildren grow up but he also realized that finding a suitable donor in israel would be difficult then by chance he met someone in the hospital who had just had a heart transplant and had bought the organ abroad. Take it from were not. Met with come from china i see a man in the us big that it tell me that now i come from china and make it in this china in china is china that said siri i have more office one full of china now one from colombia more places because this is big money back then israelis were among the worlds leading transplant tourists my a brokers you could arrange operations in many parts of the world particularly in china Eastern Europe and south america. Who was 55. 00 at the time opted for china a broker in tel aviv organized the all inclusive deal for him 4150000 us dollars he bought himself a donor heart and surgery and his Health Insurer was even willing to reimburse the costs this is. A broken the this mans not speak with me speak with the insurers and give all the documents they give him all the documents and they take them i need they deliver are going to zap me those big that oh goodness i had the. Whole. You have people in china one from here or one from china and then. This will take the money from here and then me yeah send me to china with a doctor. For it would fly would allow a doctor to oxygen a big balloon and thats all. Of them junk up levy is the director of the heart transplantation unit of Sheba Medical Center in tel aviv and a leading cardiac surgeon when he heard about his patient motifs plans he questioned the service being provided in china and he came to me one day and told me that hes care jeweled to undergo heart was but theyve been in china and he designated the specific date of the transplant 2 weeks ahead of time and i looked at him and i told him what he did you listen to yourself how can a surgeon how can anybody promise you a heart transplant 2 weeks ahead of time you know that somebody has to die on that very day in order for you to go to god and he told me im not asking question and thats what my insurance told the company told me and thats what im going to do. But in the absence of alternatives and with time running out moti brushed aside any moral scruples and flew to shanghai with his family there he was admitted into a renowned teaching hospital. And i go into hospital after 12 days come the professor professor jan. And c. M. Did me a little bit probably because your blood these oh and its a difficult problem with find the man of the day all ok and then we will have time and after. 3 days come another time good professor and tell me maybe tomorrow 2 oclock. And the. Nurse in. My for they and. My family by by and there. Are heart on demand thats possible in china motor received a donor organ with blood group oh he was told it had come from a 23 year old man of roughly the same height and build who had been killed in a road traffic accident. In china 4000. 00 transplants are carried out each year more than in any other country. Western transplant specialists regularly get invited to china to watch demonstrations of chinese expertise france imma a heart surgeon at the time got a surprising offer. Of anything in response to my interest they said i could watch a heart transplant in the morning all the afternoon and this troubled me because of course an Organ Donation is a very seldom event and we can never plan heart transplants and so that was the 1st thing that really took me aback and i asked myself how can a planet like that and how can that be possible that you got. The fact is the only way that a heart transplant can be scheduled is when the death of the donor can also be prearranged since 984984. 00 they cheneys have developed a Huge Industry of Organ Donation based on organs from executed prisoners over the years it came out that not only formally executed music business where the source of organs in china but mainly prisoners of conscience among the following one petitioners among the wars among the tibetans among the new christians who were designated by the communist party as enemies of the party and they were concentrated in concentration camps that certainly the term concentration camps and the way they were have been executed by killing them and sending their organs to transplant tours not only from israel israel was only a small part from all over the world starting from the United States and many European Countries in eastern asia 1010 of thousands of patients come each year until today and get their organs in china. Escaped prisoners and even doctors have made such allegations beijing denies the practice into this it Means Nothing and this is not my problem i pay money and i want to leave this is my last chance but in the earth interest in being that thing. Moti didnt ask any questions about where his heart had really come from nor did the doctors in shanghai who performed the surgery those kinds of questions are frowned upon in china or going to or ism is a big moneymaker theres absolutely no ethical way to justify the killing of one human being in order to save the life of another human being i mean the fact that you your life is in danger and you need a heart that doesnt give any allowance to us physician to go and kill somebody else for the this is because of the one of the missions of the medical community in the world in order to stop that because this is a crime against humanity which by. The a couple of the has fought to change israeli law to stop the organ to or ism and forced Organ HarvestingHealth Insurance companies no longer reimburse the costs for transplants performed abroad new legislation gives people who register as organ donors preferential treatment if they subsequently needed donor organ this is led to a 20 percent jump in Organ Donations. And one of the clauses of the organ flows from floor is a unique clause again theres no such president in the world giving priority in all than a location to any candidate of Organ Transplantation who has been registered as an organ donor at least 3 years before he became a candidate. Moti is happy to be healthy again and back at work at his store in the tennis club hes grateful to the chinese for saving his life even if they sacrificed another persons life to make it happen. Its mostly poor people from emerging countries who sell their non find organs to people from affluent countries the World Health Organization estimates that 10000 illegal transplants are performed annually generating more than 1000000000 euros often at the donors expense. Minister investigates because i know of an example from pakistan people who want to donate their kidney in return for payment have to stay in a hospital room until the recipient finally arrives. On the donors have to pay for their board and lodging themselves but just imagine and when the transplant is actually performed and they have had their kidney removed they only receive a very small sum for the organs and then these costs the sub tractate from that these people are then sent home without any kind of medical care and of course these living donors are at risk of getting an infection or developing complications that are so severe that these patients die because. 70000 people in europe are waiting for a donor kidney every day 12 of them die iran is the only country in the world where the organ trade is legal could we ever imagine that in europe economists retrenched briar believes it could help curb organ trafficking and tourism down young man because there are a shortage of kidneys and there are not enough organs donated after death i could imagine Health InsuranceCompanies Buying kidneys in land but domestically and not abroad to a lot of the victims we shouldnt exploited people from developing countries. That payment could be offered to residents prepared to voluntarily donate a kidney. To lassen. A kidney transplant costs 18000 euros while 10 years of dialysis costs 400000 euro. Of course you also have to count the costs of the transplant yet even if you generously factor in aftercare at 12000 euros a year that still leaves a saving of 200000 euros for the Health Insurers if the donor got half of that it would be a win win situation for 31. 00. Would the introduction of an opt out system increase the number of organs donated if everyone were considered a potential donor unless they made a statement to the contrary. Experts say this would only help in part frequently smaller hospitals are not equipped to perform transplants or even identify potential donors and then there is the question of the potential costs for that so its all for a long time it was the case that if a hospital wasnt a transponder and just happened to have a patient who had been declared brain dead that it would actually make a loss removing a donor organ the form that the situation has been improved in germany with the reform and the transplantation law but nevertheless the efforts involved in removing a donor organ to disturb the hospitals daily routine that im calling all stood. The demand for donor organs continues to outstrip the supply even despite changes in the law german scientists are among those looking for alternatives to conventional Organ Donation. Could pigs be the solution to the shortfall in human donor organs. The university of munich is breeding animals that might be used as potential donors in the future. Try and its Interest Rates are relatively similar to humans anatomically and physiologically and you can read papers efficiently the gestation period of us hours just 3 months 3 weeks and 3 days thats 114. 00 days in total and the young animals are ready to breed at 6 months before they have a lot of piglets between 8 and sometimes 14th and so you could actually produce a sufficient number of pixels to act as organ donors for humans have. Crossed species transplantation is called xenotransplantation if pictish human transplants were to work then they could provide an almost Endless Supply of organs but there are still many hurdles to overcome. Side on from since the beginning of the 2000 so we have been able to genetically modify pigs in a very targeted manner which we can and inactivates certain problematic big genes in feed all modify them to include human genes tools and thereby reduce all completely overcome the risk of rejection. Shiny based grow very quickly they weigh around a kilo at birth and can reach a weight of almost 100 kilos within 6 months he will come on board and their inner organs obviously grow at the same pace. For the preclinical experiments involving transplants from takes to baboons in particular that means that the organs quickly become too big in addition to the other genetic modifications needed for the zennor transplantation we have knocked out of pig gene responsible for growth regulation these pigs only reach half the body weight of normal day oaks and their organs are correspondingly small and. Although pigs are relatively similar to humans genetically only the organs of genetically modified pigs would be suitable for animal to human transplants then blood from mention if the blood of humans or primates were to flow through the blood vessels of pigs then rejection processes take place this problem can be overcome with genetic modification there are also problems with coagulation that after a few weeks small blood clots were observed in the comparison of the smaller blood vessels that coursed organ failure and facade called so regenerated pigs that express human anticoagulants in their blood vessels were the root. And when we use those kinds of pigs there is no class. Even if its a book you know. In december 28th scene the munich heart surgeon bono high shot transplanted a pigs heart into a bamboo it survived for 6 months scientists around the world held the development as a trailblazing success and yet it will take at least another 5 to 10 years before a human might get a pigs heart but is it ethically acceptable to breed animals in order to harvest their organs. If this is animal experiments are needed in general most you have to be able to ethically justify whether the expected benefit for people given their improved quality of life justifies the pain or suffering or hurt of the animals that our animals dont have any kind of pain suffering or had the genetic modifications dont influence the animals at all to help if we were able to save a life by transplanting a pig organ and then it would be ethically justified if you get a threat its. The booze. Drugs. Really like. The mouse could help revolutionize transplant procedures. The reader will be here the buyer can make or not toss that we can make or pet theres nontransparent biological tissue is transparent that our last 2 years laser scanning mark ross corpse. And look to the intact organs because theyre like a glass