The Human Thrift Store: An Introduction Into Organ Procurement and Donation

By John Talbot, WFU JD/MA in Bioethics Candidate ’21

History

The first successful organ transplant occurred in 1954, when one twenty-three-year-old male donated his kidney to his identical twin brother.[1]  Since this first successful transplant, advances in science have allowed more widespread access to transplants, a greater variety of organs capable of transplantation,  and better longevity and transport of the organs.[2]  Following the exponential growth in organ transplant capabilities since the 1950s, there was a clear need for a national regulatory structure to govern the procurement and distribution of all donated organs.  In an attempt to address this issue, transplant professionals created the Southeast Organ Procurement Foundation in 1968, which subsequently developed into a fairly crude computer-based network in 1977 for sharing matching information.[3]  Understanding the need for a more uniform matching system that could be used across the nation, Congress passed the National Organ Transplant Act in 1984.[4]  This Act created the Organ Procurement and Transplantation Network (OPTN) which was required to be operated by a non-profit under a federal contract.[5] The United Network for Organ Sharing (UNOS) was initially offered the contract in 1986, and continues to administer the OPTN to this day.[6]

Continue reading “The Human Thrift Store: An Introduction Into Organ Procurement and Donation”

Cybersecurity Concerns Impacting Telemedicine During The COVID-19 Pandemic

By Nnaemeka Obiagwu, 2021 J.D. Candidate

With the advent of the coronavirus pandemic in the United States, telemedicine has been brought to the limelight because it provides an opportunity for patients to have access to quality care remotely, particularly patients that need to be quarantined as a result of the outbreak. Given that data breaches are a critical issue for the health care industry and with telemedicine being offered online, it is understandable why patients are uncomfortable with sharing personal information with their providers. Last year, the healthcare sector saw a whopping 41.4 million patient records breached fueled by a 49 percent increase in hacking, and in the first half of 2020, 41 healthcare providers reported falling victim to ransomware.

Continue reading “Cybersecurity Concerns Impacting Telemedicine During The COVID-19 Pandemic”

The Disproportionate Impact of the COVID-19 Pandemic on Black Americans

By Madison Woschkolup

The impact of the COVID-19 pandemic on the United States is immense, but this impact has been disproportionately felt by Black communities. In thirty-three states and the District of Columbia, Black people comprise a higher proportion of COVID-19 cases relative to the percentage of the state’s population they make up. In addition to experiencing an increased risk of contracting the virus, Black Americans are also experiencing the highest actual COVID-19 mortality rates nationwide, more than double the mortality rate of their white counterparts. As of August, 1 in 1,125 Black Americans has died from COVID-19, or 88.4 deaths per 100,000. For perspective, the mortality rate for white Americans was 40.4 deaths per 100,000. The pandemic has exposed, and exacerbated long-standing inequalities present in the United States.

Continue reading “The Disproportionate Impact of the COVID-19 Pandemic on Black Americans”

The Evergreen Forests of Insulin Patents

By: Connor Christensen

The prices of insulin have risen to unconscionable levels in just a little over two decades. What used to be a relatively minor expense for Americans with diabetes  has, for some, become an insurmountable obstacle to living a normal life, or, in some cases living at all. The purpose of this brief commentary is to address just one of the many issues attributed to the stark increase in insulin prices: patent evergreening.

People with Type I and Type II diabetes constantly depend on insulin injections to supplement their insufficient natural production of the blood-sugar regulating hormone in their pancreas.[1]  Without this hormone, a diabetic person’s life expectancy is short and riddled with many serious health complications.[2]  For many decades insulin was readily accessible and affordable for those who needed it.  Recently, however, things have changed.

Continue reading “The Evergreen Forests of Insulin Patents”

Sequence

Sequence

By

John Allen Riggins*

*The playwright has included a series of Director’s Notes throughout that are designed to aid the directors’ and actors’ insight into the science and symbolism of Sequence.

SCENE 1

THREE COUPLES, ALL OF SIMILAR AGE, ARE DOWNSTAGE LEFT, CENTER, AND RIGHT IN COMPLETE DARKNESS. A SPOTLIGHT FADES IN AND ILLUMINATES THE COUPLE STAGE LEFT. BOTH ARE LYING ON THE GROUND, AND SHE HAS HER HEAD ON HIS CHEST WHILE HOLDING AN ULTRASOUND.

THATCHER:

(RUBBING WIFE’S STOMACH) Poor thing, he got your forehead.

ADELAIDE:

And your grainy eyes! He’ll pull them off well enough though. Imagine what they’ll see, Thatch.

THE SPOTLIGHT DISAPPEARS FROM THEM AND RISES ON THE COUPLE DOWNSTAGE CENTER. THEY ARE SEATED IN CHAIRS ACROSS FROM A DOCTOR WHO HAS A PICTURE OF EDWARDS SYNDROME. THE HUSBAND HAS HIS ARM AROUND HIS WIFE AND BOTH ARE CRYING.

Continue reading “Sequence”

What Do You See?

What Do You See?

By: Emily Burke, JD ’18, Wake Forest University

The cold surface pricked my fingers as I stretched my palms flat against the motorized table beneath me. The coolness sent a chill up my spine, stretching up from the very tips of my toes. It was when the chill spread a dull numbness in my ears that I realized how naked, how vulnerable, and how exposed I was.

I was wearing a hospital gown, laying inside a tunnel beneath a thin, white bedsheet. Away from his gaze. And yet, just as I felt the narrow x-ray beams dance across the sheet, I felt his eyes on me. As the beams skipped across my skin, my heart began to race. I closed my eyes. My brow furrowed as my fingertips pushed    into the table. I was trying to escape the whiteness, the brightness of the tunnel. Just as I lifted my fingers, the blood rushed and pulsed its way back into my fingertips. I swallowed and realized my jaw was clenched. I knew I couldn’t move my hands, or any part of my body, for that matter. I desperately wanted to massage my jaw, my furrowed brow, my pulsing fingers. Instead, all I could do was lay there. Silently.

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What Blinds One Might Blind Another

By: Mary Kate Gladstone, JD Candidate at Wake Forest University School of Law

The Researcher

I still remember the very first day I walked through the doors here.  It was much like the first time you do anything, really. There were nerves and excitement and the ever-sobering realization that I would never be able to do that very thing for the very first time ever again. The research center was situated on the outskirts of the city, lifted up on a small hill where it bounced the early morning sunbeams off of its metallic surface and into the eyes of passersby like myself. The first day I drove up to the center, I had to throw my hand up to my eyes to protect from the building’s blinding reflection. Continue reading “What Blinds One Might Blind Another”

Treating Gun Violence as a Public Health Problem: Exploring Intersecting Root Causes

By: Professor Christine Coughlin, Wake Forest University School of Law

Photo by Fabrice Florin

Run, hide in the closet.”  Little eyes fill with tears and arms stretch out. The teacher gives the children tootsie roll candies and whispers for them to be quiet.  A fifth-grade boy starts to pray.  The children all hold hands as the teacher hugs them.  They huddle in the closet in the music room and wait. . .  

That day, these children were all safe, thanks to the brave teachers and administrators who quickly instituted a lock down, the resilient children who stayed calm, and the fast-acting police force.  For this, I will always be grateful, as this was the scene described to me by daughter, now fourteen, about events that happened to her when she was ten.

I write, in part, because it helps me make sense of a world where alternative facts have become our reality.  However, there are no alternative facts for the events that took place this week in Parkland, Florida:  an 18-year-old with an assault rifle and 17 innocent lives lost.

Continue reading “Treating Gun Violence as a Public Health Problem: Exploring Intersecting Root Causes”

Let’s Honor the Mothers of Modern Gynecology

By: Katie Baiocchi, JD Candidate at Wake Forest University School of Law

Image from Pearson Museum, Southern Illinois University School of Medicine

In August, my Facebook News Feed was flooded with images of the violence and hate that descended upon Charlottesville, Virginia, motivated directly by controversy surrounding the protest and subsequent removal of Confederate monuments across the South. However, during this tumultuous time, one particular post[1] caught my attention because the monument being protested was not one erected to honor Confederate soldiers, but rather to honor the “Father of Modern Gynecology.” Furthermore, the statue being protested was not located in the South like the others, but rather Central Park, in the heart of New York City. The statue at issue celebrates a man who mutilated the bodies of black women without their consent, rather than memorializing and honoring the brave young women who suffered at his hands. I was deeply moved by the image before me and immediately disgusted by the fact that I had lived in ignorance so long about the horrors performed at the hands of Dr. James Marion Sims. Continue reading “Let’s Honor the Mothers of Modern Gynecology”