{"id":435872,"date":"2020-05-20T17:44:13","date_gmt":"2020-05-20T21:44:13","guid":{"rendered":"http:\/\/www.rochester.edu\/newscenter\/?p=435872"},"modified":"2020-06-02T12:56:59","modified_gmt":"2020-06-02T16:56:59","slug":"organ-transplant-programs-continue-despite-pandemic","status":"publish","type":"post","link":"https:\/\/www.rochester.edu\/newscenter\/organ-transplant-programs-continue-despite-pandemic\/","title":{"rendered":"Organ transplant programs continue despite pandemic"},"content":{"rendered":"<p><!-- Begin copy for copy and paste.--><\/p>\n<div style=\"width: 75%; font-size: 150%; font-face: arial; font-weight: bold; line-height: 125%; margin-bottom: 0.5em;\">What thoughts cross the mind of a patient awaiting a heart transplant during a pandemic? \u201cLet\u2019s go for it.\u201d<\/div>\n<p><!-- stop copying. --><\/p>\n<p>Frank Rosinski waited nine months for the phone call that came at 7 p.m. on April 27 from the <a href=\"https:\/\/www.rochester.edu\">University of Rochester<\/a>\u2019s <a href=\"https:\/\/www.urmc.rochester.edu\/strong-memorial.aspx\">Strong Memorial Hospital<\/a>.<\/p>\n<p>Ninety minutes later, the Greece resident arrived at the hospital, and the following day received the heart transplant that has given him a new lease on life.<\/p>\n<figure id=\"attachment_436082\" aria-describedby=\"caption-attachment-436082\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2020\/05\/2020_rosinsk_6040.jpg\" alt=\"\" width=\"300\" height=\"450\" class=\"size-full wp-image-436082\" \/><figcaption id=\"caption-attachment-436082\" class=\"wp-caption-text\">Greece resident Frank Rosinski received a heart transplant this spring, giving him what he calls a   new lease on life. (University of Rochester photo)<\/figcaption><\/figure>\n<p>Rosinski, 69, says he had no trepidations about entering the hospital in the midst of the COVID-19 pandemic.<\/p>\n<p>\u201cThis was my first and perhaps only opportunity,\u201d he says. \u201cI had been waiting a long time for this.\u201d His only thought: \u201cLet\u2019s go for it.\u201d<\/p>\n<p>The retired Canandaigua City School District administrator spoke this week from home, where he\u2019s recovering well and looking forward to resuming the outdoor activities he had to forgo the last two years.<\/p>\n<h2>A milestone amid a pandemic<\/h2>\n<p>Though most elective surgeries were suspended at Strong Memorial Hospital nine weeks ago because of the pandemic, surgeons there have performed a number of organ transplant procedures\u201417 liver, 8 kidney, and 3 heart\u2014during that time. The numbers included a milestone 1,800th liver transplant since the hospital began doing the procedure in 1992. <\/p>\n<p>\u201cPatients who are on waiting lists for organ donations don\u2019t have the luxury of time,\u201d says <a href=\"https:\/\/www.urmc.rochester.edu\/people\/30068971-sunil-m-prasad\">Sunil Prasad<\/a>, chief of cardiac surgery at Strong. \u201cThey have only a certain amount of time before their organs fail to the point of no return.\u201d <\/p>\n<p>The social distancing that has succeeded in slowing the spread of the disease\u2014and helped prevent Strong from being overwhelmed with COVID-19 patients\u2014has further increased the time before the disease will run its course, says Prasad, the Dr. Jude S. Sauer Family Distinguished Professorship in Cardiac Surgery. That success has reinforced the need to continue transplants for the sickest patients <\/p>\n<div class=\"embed-container\"><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/j797BP6yGI4\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/div>\n<p><a href=\"https:\/\/www.urmc.rochester.edu\/people\/30279971-roberto-hernandez-alejandro\">Roberto Hernandez-Alejandro<\/a>, chief of solid organ transplant surgery at Strong, says the hospital has taken a \u201ccautious\u201d approach in prioritizing which patients should receive transplants. Initially, for example, the hospital put a hold on all liver and kidney transplants involving living donors until it became clear Strong could manage COVID-19 patients and still have sufficient COVID-free areas to ensure the safety of both organ donors and recipients.<\/p>\n<p>Last week, the hospital performed its first live-donor kidney transplant in nine weeks, with a second on Tuesday, and expects to resume live-donor liver transplants in June, Hernandez says. The hospital is now in the process of resuming other elective surgeries as well.<\/p>\n<p>Numerous precautions are being taken to ensure safety for all patients, Hernandez says.<\/p>\n<ul>\n<li>Every employee of Strong Memorial Hospital and the Medical Center is screened daily for COVID symptoms before arriving for work. <\/li>\n<li>Wearing of masks and social distancing are strictly enforced. <\/li>\n<li>All patients must first test negative for COVID-19 before going to the operating room.<\/li>\n<\/ul>\n<p>\u201cPersonally, I feel more comfortable and safe being in the hospital, than being out shopping or trying to buy coffee in a shop,\u201d Hernandez-Alejandro says. <\/p>\n<p>Prasad concurs. \u201cThe hospital is probably the safest place to be in the COVID era because everybody is screened,\u201d he says.<\/p>\n<p>Though family members are still restricted from visiting at the hospital, Hernandez-Alejandro says, \u201cwe\u2019ve been working very hard with patients and family members, providing (online) video chats and constantly communicating with family members.\u201d<\/p>\n<h2>Rely on experts, not self-diagnosis<\/h2>\n<p>Rosinski remembers all too clearly when his battle began: February 13, 2018. \u201cI was not feeling well, whatsoever,\u201d he says.<\/p>\n<p>\u201cI was having a hard time walking. Stubborn as I am, I drove myself and my wife to (Unity) hospital, got out of the car, and had a hard time walking the 20 feet into the emergency room.\u201d<\/p>\n<p>During the next eight hours, he \u201ccoded\u201d three times, and by 5 p.m. was at Strong, where a device was implanted to stabilize his heart.  Strong is a leader in heart failure and the use of the high-tech pumps, known as left ventricular assist devices. <\/p>\n<p>During his 39-day hospitalization, Rosinksi\u2019s heart stopped three more times and recovery was slow.<\/p>\n<p>\u201cI had to relearn how to read, write, talk, and walk,\u201d Rosinski says. \u201cI felt like a total invalid. But with the good care that Strong provided me, and with all the rehab, I was able to walk out of the hospital.\u201d<\/p>\n<p>And now, with his new heart, he\u2019s concentrating on getting through the first critical six months with flying colors, by adhering to a medication regimen\u2014five times daily\u2014making sure he follows a healthy diet, and getting plenty of exercise.<\/p>\n<p>Prasad shares the concern of surgeons nationwide that many people are dying of heart attacks and strokes at home rather than risk coming to a hospital, out of fear of contracting COVID-19. \u201cWhat we\u2019ve found in Monroe County is that the mortality at home from those causes has gone up. So. it\u2019s very important in the COVID period that patients who are sick still seek help,\u201d he says.<\/p>\n<p>Rosinski agrees. \u201cPeople should at least call their primary care physicians and find out what\u2019s going on, so they\u2019re not trying to make their own diagnosis,\u201d he says. \u201cWe may think we know a lot from the internet and reading medical journals, but we don\u2019t know everything. Let\u2019s rely on the experts we can count on to resolve issues as quickly as possible.<br \/>\n&nbsp;<br \/>\n<!-- begin copying for copy and paste--><\/p>\n<h3><strong>Read more<\/strong><\/h3>\n<div class=\"large-up-3\">\n<div class=\"column\" style=\"padding-left: 0px;\"><a href=\"https:\/\/www.rochester.edu\/newscenter\/remdesivir-promising-rochester-clinical-trial-429922\/\"><img decoding=\"async\" style=\"margin-bottom: 10px;\" src=\"https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2020\/04\/fea-remdesivir-falsey.jpg\" alt=\"vials of remdesivir\"><strong>Remdesivir results \u2018promising\u2019 in Medical Center clinical trial<\/strong><\/a><br \/>\n<span style=\"font-size: .9em;\">A Medical Center team is leading an NIH-sponsored clinical trial of a potential antiviral treatment of COVID-19.<\/span><\/div>\n<div class=\"column\" style=\"padding-left: 0px;\"><a href=\"https:\/\/www.rochester.edu\/newscenter\/covid-19-rna-coronavirus-research-428952\/\"><img decoding=\"async\" style=\"margin-bottom: 10px;\" src=\"https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2020\/04\/fea-rna-research-coronavirus.jpg\" alt=\"rna-encapsulated virus infects cell\"><strong>COVID-19: What\u2019s RNA research got to do with it?<\/strong><\/a><br \/>\n<span style=\"font-size: .9em;\">Rochester research on RNA provides an important foundation for understanding coronavirus.<\/span><\/div>\n<div class=\"column\" style=\"padding-left: 0px;\"><a href=\"https:\/\/www.rochester.edu\/newscenter\/rochester-researchers-pursue-quick-ways-to-detect-covid-19-and-better-understand-it-426112\/\"><img decoding=\"async\" style=\"margin-bottom: 10px;\" src=\"https:\/\/www.rochester.edu\/newscenter\/wp-content\/uploads\/2020\/04\/fea_coronavirus_research_sensor.jpg\" alt=\"ultrathin silicon membranes\"><strong>Rochester researchers pursue quick ways to detect COVID-19<\/strong><\/a><br \/>\n<span style=\"font-size: .9em;\">Rochester faculty are turning previous research avenues to quickly detect novel coronavirus and speed treatment. <\/span><\/div>\n<\/div>\n<p>&nbsp;<br \/>\n<!-- stop copying. --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Strong Memorial Hospital reaches a milestone as organ transplant surgeries continue to take place during the COVID-19 pandemic.<\/p>\n","protected":false},"author":286,"featured_media":436072,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[116,1],"tags":[],"class_list":["post-435872","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sci-tech","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Organ transplant programs continue despite pandemic<\/title>\n<meta name=\"description\" content=\"The University of Rochester&#039;s 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