Consult Service
Ethical dilemmas occur in all shapes and sizes.

  • Transplantation for those who are uninsured or underinsured;

  • Assessment of patients expressing ambivalence about pursuing transplant;

  • Assessment of patients with adherence issues;

  • Ethics assessments of complex living donor candidates (e.g., young age, unemployed, conflict of interest, impaired decisional capacity, legal or immigration issues, ambivalence, questionable motivation, serial donors);

  • Ethics assessments of candidates with mental health issues;

  • Re-transplantation cases;

  • Policy matters such as organ tourism, solicitation of living donors, prisoners & parolees, age limits (donors and recipients), donation incentives;

  • Assessment of patients considering permanent or bridge use of ventricular assist devices;

  • Assessment of hand, face, utuerus transplant candidates & VCA living donor candidates

Ethics consultation is an activity during which an ethical problem or dilemma is analyzed for the root cause and ethically appropriate solutions. Additionally, solutions which are inappropriate are also identified and ruled out so as to avoid additional harm. Ethics consultation can be reactive (when a problem or dilemma currently exists) or proactive (as prevention).

Prof Bramstedt is one of the world's few formally trained transplant ethicists. She received her Bachelors and Masters degrees from Loma Linda University (USA) and her PhD from Monash University Faculty of Medicine (Melbourne, Australia). Additionally, she spent over two years at UCLA as an Ethics Fellow. Formerly on staff at the Cleveland Clinic, she also served 6 years as Chair of the Ethics Committee for NATCO, The Organization for Transplant Professionals. She has authored 100+ peer-reviewed journal articles and performed as an expert witness for medico-legal cases.

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