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Among families of organ donors, much grief and little regret
By Yuval Azoulay
Tags: Israel, Haredi, organ donor

She keeps in close touch with the departments specializing in internal organs, and the emergency care unit at Rambam Medical Center in Haifa. Her phone sometimes rings during family celebrations and in the middle of the night.

When that happens, she leaves her home in Tivon and makes her way to the hospital, well versed in the task at hand: to ask the families who have just received the news of a loved one's death to donate the organs for transplant.

For about a decade Esti Katz, 60, has served as the coordinator of the National Center for Transplants at Rambam.
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During the difficult moments she holds the hand of the bereaved mother whose son was killed in an accident, sheds tears with her, takes a deep breath and raises the loaded issue: Will she agree to have her son's organs used for transplant?

This discussion is always held behind closed doors, with as many family members and close friends as possible.

There is no table between them, they all sit in a circle, with Esti among them. Too much furniture will only make it harder to hold the hand of a son mourning the passing of his mother. "You need a great deal of patience, tolerance and being attentive," she says.

Meetings of this sort can last half an hour or seven hours: "They ask me a lot of questions and I am always honest with them."

She is often asked what she would do in their place. Then Esti pulls out her National Center for Transplants card.

"They ask me many times about the implications of donating organs on the resurrection of the dead. I answer that if our God is so great and can give life, then the first who will receive it will be those who saved the lives of others."

Like the other transplant donation coordinators, Esti is a nurse by training, having served as an emergency room nurse at Rambam, among other stints. She says that in recent years the public has become more aware of the importance of transplant donors.

"If several years ago I went to visit a bereaved family, they would be shocked by the timing of my visit, but now families understand more and are less surprised by my request," she says.

A memorial to loved ones

"Beyond saving lives by donating organs, the people see the contribution as a memorial. It is a powerful and important factor for bereaved families. There are family members who agreed to donate organs of their loved ones who tell me that this way they allow a part of their beloved to continue living instead of being destroyed in the ground."

A day after the family agrees to contribute organs, Esti says their most urgent question is whether everything of use was taken.

"It is very important for them for us to take as much as possible. If we could not take an organ for one or another reason, they are disappointed. In all the cases I dealt with in the past 10 years, no family expressed regret after they agreed to contribute organs."

But she also mentions the other extreme of the spectrum.

The family of a man who died consulted their rabbi in the U.S. on whether they should contribute his organs. The rabbi permitted the donation as long as the person receiving the organs was a Jew.

"That same moment we stopped the process. There are no conditions to the contribution of organs because it becomes a downward spiral," she says.

"I now hope that with the help of the new legislation that will make it possible to declare clinical death as death, the issue of organ donations will broaden."
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