UNOS Region 5 Collaborative Greg Quinn Care Dx
UNOS Region 5 Collaborative Greg Quinn - Care. Dx August 21, 2019 1 Maxine Moir Kidney Transplant Recipient
Madelyn the Miracle The Transplant Journey
Madelyn was born with a “A Hole in Her Heart” Madelyn was born with a Ventricular Septal Defect (VSD), a medium-sized murmur “A Hole in her Heart” Some of the side effects were: - Failure to thrive - Lack of energy - Inadequate eating - Very rapid breathing
On the outside Madelyn was a very happy baby
Madelyn’s Three Open Heart Surgeries November 23, 2013 December 3, 2013 Closed the “Hole” Developed Heart Block Pacemaker implanted April 23, 2013 Left Ventricle Failed Bi-Ventricular Pacemaker
Heart Transplant The doctors told us that her heart had worsened and there was nothing else they could do to fix her heart Heart Transplant Waiting List November 23 rd, 2014
The CALL March 4, 2015 - 10: 30 pm We received THE CALL from LCPH they had the perfect match for Madelyn! They took her into surgery at 2: 30 am on March 5 th, 2015
Madelyn’s Transplant March 5, 2015 • The Transplant Surgery lasted 10 hours • The new heart was a perfect match
Our New Girl • Madelyn recovered very quickly • We went home 16 days after her surgery • She was a completely different little girl • Perfusion • Big Appetite • Increased Energy • Bigger and Better Smiles
Life After Transplant
Our Normal Biopsy Schedule • Year 1 = 8 Bx • Year 2 = 4 Bx • Years 3 -5 = 2 Bx/Yr • Quarterly Center visits – ECCO’s, EKG’s, Blood Draws • • • 12 medications/day, precisely timed Frequently sick – suppressed Immune System Significant increased risk of Cancers, Diabetes etc Kidney Transplant probable Average heart will last 15 years “One Day at a Time”
Transplant Games 2018 12
Better Matching + Better Surveillance = Better Outcomes 13
Comprehensive Rejection Surveillance Gene Expression Profiling (GEP) Donor-derived Cell-free DNA (dd-cf. DNA) Immune Activity Graft Injury P-R-00005 Rev 2 Effective 07. 2018 14
Announcing… i. Box Donor-derived Cell-free DNA (dd-cf. DNA) Gene Expression Profiling (GEP) Machine learning transplant data analytics Graft Injury Immune Activity Graft Prognosis 15
Madelyn’s Heart. Care Results 17
18 Thank You
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