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Donating the gift of life after death

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SCMP Reporter

Speeding, a young motorcyclist crashes into a lorry on Nathan Road and is rushed to Queen Elizabeth Hospital with massive head injuries.

His anxious family rushes to his bedside to be told there is no hope. His lungs can be filled with air from a ventilator, and his heart can be kept beating, but he will never wake up. The motorcyclist is brain-dead.

His devastated mother sobs uncontrollably. The doctors quietly phone Wu Sin-fong.

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Her job is to walk into situations like this and ask the distraught family to donate the dying patient's organs for transplant.

'I try to have an understanding of their background, how the accident happened and what its impact is on the family so I know how to support them before I ask for a donation,' Ms Wu said. 'Then I try to shield my emotions.

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'I have to say to myself, 'you are doing a very important job which has to be done efficiently, keep your emotions away'.' Ms Wu is one of four Hospital Authority transplant co-ordinators, a team formed in 1988 and expanded from two in 1994. Her colleagues are based at the Prince of Wales, Queen Mary and Princess Margaret hospitals. She has done the job for the past five years.

'Younger people have a better acceptance of organ donation, but Chinese have a culture of respecting the old,' Ms Wu said. 'Younger members of the family, even if they support donation, don't want to challenge the power of their elders, especially in that situation when they could increase their grief by not obeying what they say.' Last year the co-ordinators met 138 families of dead or dying patients. In 54 cases the relatives said no, and 26 patients were eventually judged unsuitable donors, according to Ms Wu. But 71 families agreed to organ donation.

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