The evaluation process is designed to gauge, among other things, whether a patient is up to the rigors of post-transplant recovery.
When Beth Lehman, 49, of Sandy Springs, Ga., was 47, her doctors told her she would die if she didn’t have a liver transplant. At the time, she was drinking two to three bottles of wine a day.
“This aspect of transplant isn’t regulated. There are really no established best practices,” said Lisa McElroy, an endowed assistant professor in surgery at Duke University School of Medicine who has started “If you have more resources, you can probably take more risks,” said Robert S. Brown, professor of medicine and chief of the Division of Gastroenterology and Hepatology at Weill Cornell Medicine. “If a center is able to invest in more post-transplant addiction treatment or willing to invest, they can probably take more risk than a center that doesn’t or where the patients come from so far away that they can’t access those resources.
“I was really lucky, my parents were teachers so could take time off to care for me, and I didn’t get my transplant until they were at the age they were able to retire,” she wrote in an email. “I don’t know what happens to people who don’t have someone.”
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