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- ETHICS, Page 56COVER STORIESWith a Piece of Her Liver, a Mother Saves Her Child from a Slow Death
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- Alyssa Smith of Schertz, Texas, is a radiant and mischievous
- three-year-old who smears her mommy's makeup and cheerfully
- taunts her older brother Ricky. Her parents, Teresa and John
- Smith, made medical history to give her the liveliness she
- enjoys.
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- Alyssa was born with biliary atresia, a condition that
- leads to liver failure. When a national waiting list produced
- no suitable donors, doctors asked if one of her parents would
- become America's first living liver donor. A healthy person can
- lose up to 75% of a liver and survive: within weeks the organ
- will fully regenerate. Both were willing; Teresa's liver proved
- more compatible. In a 14-hour procedure in November 1989,
- surgeons at the University of Chicago Medical Center removed the
- left lobe of Teresa's liver, trimmed it down, then transplanted
- it into Alyssa. During the next two weeks, Alyssa required three
- more operations to stanch bleeding.
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- Today Teresa teaches fourth-graders and counsels
- prospective donors. She urges them to explore a host of
- considerations, from the health risks to the donor to the
- possible financial burden on the family. (The Smiths' bill,
- covered by health insurance, totaled about $150,000.) "Some
- families may not be able to do it," Teresa warns.
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