WEBQUEST
ORGAN TRANSPLANTS:

WHAT ARE THE OPTIONS?


Ms. Williams

John F. Kennedy High School, Bronx New York



INTRODUCTION:

 

People in need of an organ transplant will face many problems.  They will need to 1) somehow obtain a new organ, 2) have it surgically implanted and 3) hope that it will work in their body.  Organ availability, preventing transplant rejection, and surgical expertise are all required.

 

You are a student writing an article for the school paper.  Some of the immigrants at your school report that their parents sold their kidneys in order to come to New York.  You decide to investigate the problem of black market organ "donation."  If you succeed in tracking the organ sellers, you may have a chance at your dream job, a foreign correspondent for the New York Times.

 

TASK:

You will create a ten-slide PowerPoint presentation or a detailed web page on the problem of black marketeering in human organs and how American public policy impacts on the trade.

 

PROCESS:

 

I.      Research the websites provided below (in Resources/Research) to gather information about what it would be like to need an organ transplant.  The websites will also give information on American public policy regarding organ transplantation.

 

II.    Perform the Task by responding to the following:

 

A.     Pick an organ.  Describe its anatomical features and functions.  Then consider that your organ was diseased and that you needed a new one. Consider how you will obtain a new organ, how it will be paid for and the likeliness of successful transplantation. Describe the quality of life you will have without the transplant. Investigate how you might put yourself on a donor list or put out a contract for a black market 'part' in Asia. Imagine what it would be like to wait for your organ. Find a surgeon in your area capable of performing the operation. Study the mechanisms of immune system rejection. Investigate Chinese organ cloning techniques. Is it possible to have a clone of your organ made today? How might it be done and what would it cost? Good luck in becoming whole again.

 

Summarize your initial findings on the following worksheets:

                Worksheet 1 (Defining the Problem)

        Worksheet 2 (Gathering Evidence)

                Worksheet 3 (Determining the Causes)

 

B.     Devise a suitable public policy for increasing the availability of organs in the United States.  In this part, include a response to the following question: How have restrictions on stem cell research stymied the availability of clonal organs for transplant patients?

 

        Summarize your initial findings on the following worksheets:

       

                Worksheet 4 (Evaluate a Policy)

                Worksheet 5 (Develop Solutions)

 

RESOURCES/RESEARCH:

 

I.      To obtain a new organ: Your first hope may be that someone unrelated to you dies in an accident and leaves you their organs.  (Anatomical gifts must be legally designated).  Read how an anatomical gift is made:  http://www.mobar.org/pamphlet/anatom.htm.  You might ask a family member to perhaps donate a kidney or part of their liver.  There is a black market for organs. These organs were stolen from the dead; or perhaps some poor soul will sell you a kidney for the right price.  Read about the black market in anatomical organs:

http://www.aic.gov.au/publications/tandi/tandi30.html
http://www.american.edu/TED/prisonorgans.htm
http://www.findarticles.com/cf_dls/m0GER/2000_Summer/63500744/p1/article.jhtml
http://reason.com/rb/rb121703.shtml

II.    Have the organ surgically implanted:  Which organs are commonly used in organ transplants?  Research the success rates of organ transplantation.  What is the cost of organ replacement surgery? How long does the surgical training take? How many transplant doctors are available? 
http://www.asts.org/fellowship2.cfm
http://www.classkids.org/library/classqa/txsurgeon.htm

III.  Hope that the organ works in your body: Be aware that the immune system identifies self from non-self, causing many transplants to be rejected. (There are immunosuppresive drugs which may help suppress this reaction). Research how these drugs work and their success rates. http://health.yahoo.com/health/encyclopedia/000815/0.html
http://www.bbc.co.uk/health/immune/transplant.shtml
In the future you may contract to have a clone of your organ grown for you. The cloned organ will not be rejected from your body.
http://www.wired.com/wired/archive/11.01/cloning.html
http://fpeng.peopledaily.com.cn/200003/03/eng20000303T102.html
http://www.religioustolerance.org/clo_ther.htm

IV.   Public Policy Issues:

A.     There is a desperate shortage of donor organs. Should we change our policy and automatically harvest usable organs from people in the US when they die?

B.     Should the black market sale of human organs be banned, or should it be encouraged? What are the social implications for each?

 

C.     Is the cost of transplant surgery "worth it"? Could the expense of saving one life be better utilized?  Examine issues of hospital insurance payments for transplantation surgery.

D.     The US currently bans stem cell research, making it unlikely that a new tissue specific organ can be grown for you in this country.  China is making great progress in this area. Read how they are making a new industry by cloning organs.

EVALUATION:

 

Grading:

D- read the webquest and take no other action

C - click on the links in the webquest and read more about the topics.

B - perform the task,

A - perform the task and also read a novel or watch a movie which has organ transplantation as the theme. (for example; read Robin Cook's COMA). Comment on the relevance of the movie or novel to your WebQuest.

 

Standards:

 

The present Web Quest focuses on the following Science Performance Standards:

 

S5 Scientific Thinking

 

S5d: Proposes, recognizes, analyzes, considers, and critiques alternative explanations; and distinguishes between fact and opinion.

 

 

S5e: Identifies problems; proposes and implements solutions; and evaluates the accuracy, design, and outcomes of investigations.

 

 

S6 Scientific Tools and Technologies

 

S6d: Acquires information from multiple sources.

 

S7: Scientific Communication

 

S7a: Represents data and results in multiple ways.

 

 

S7b: Argues from evidence.

 

 

This web quest also focuses on the following English Language Arts Performance Standards:

 

E1c: Read and comprehend informational materials.

 

E2a:  Produce a report of information.

 

E3c:  Prepare and deliver an individual presentation.

 

E4b:  Analyze and subsequently revise work to improve its clarity and effectiveness.

 

 

CONCLUSION:

 

        Your investigation into organ transplantation has taken you from a sick individual to one whose health has been restored.  In the process, you've learned about American health policies and may have traveled to foreign countries in order to obtain organs.  You may battle with some ethical and economic issues and ultimately come to the conclusion that your life was worth saving, whatever the cost.