At the Hospital
How can I prepare for my transplant?
While you are waiting for your
organ transplant, you will be provided with a pager or
cell phone so the transplant center can contact you at any time to tell you an
organ is available. Always keep your pager with you. You may also wish to give
the transplant center several numbers where you can be reached and the name and
number of a few people who will always know how to reach you.
Arrange for someone to go with you to the transplant center when
you have the organ transplant. This person can support you, listen to your
doctor, and can help you remember important instructions from your doctor. This
person can also report any change in behaviors or symptoms that you may have
either before or shortly after the transplant. It is helpful to have someone
who can be there to check in on you during your stay in the hospital and during
your recovery at home.
Have your suitcase packed with the things you need to take with
you to the transplant center. Your support person should also have a bag packed
and ready to go at a moment's notice. You never know when you will receive the
call that your organ is available.
What will happen at the hospital?
If you are called to the hospital or transplant center because a
donor organ has been found, you will immediately be prepared for surgery while
final tests are done to make sure the donor organ is a good match. If it is,
you will have transplant surgery right away. If the organ is not a good match,
the organ will be given to a person who is a better match, and you will be
released to go home and continue to wait for your new organ.
If your current health condition requires that you be
hospitalized while you wait for a donor organ, you will receive supportive and
lifesaving care (such as blood pressure support for
heart failure) until you are matched with a donor
organ. During that time, you may be given high doses of a
corticosteroid medication, usually methylprednisolone,
to prepare you for the surgery and prevent rejection. High doses of
corticosteroids may cause side effects such as
high blood pressure,
high cholesterol, weight gain, sleep problems, and
anxiety. Corticosteroids can also cause more severe
side effects such as extreme agitation, paranoia, and
psychosis (trouble telling the difference between what
is real and what is not real)—some people may feel "out of it" or have
hallucinations while taking high doses of steroids.
But these side effects are temporary and will go away after you stop taking the
corticosteroid medication.
How long will I be hospitalized after the transplant?
Your recovery time after an organ transplant depends on how
healthy you are prior to surgery, which organ was transplanted, and whether
your body accepts the donated organ. A longer hospital stay may be needed for a
heart or lung transplant than for a kidney transplant. Some people are out of
the hospital within a few days after their transplant, while others may need to
stay for a few weeks.