Raising kids, crops
and a little Cain
deep in the heart
of the Texas Subtropics

Help for my Brother

When I was 9, my family lived in the little town of Salem, Indiana. I have a younger sister and four younger brothers, and one of them, Jeff, was an escape artist. Beginning when he could toddle fairly well, at age 2 or 3, he would constantly try to hike his leg over a little section of fence that separated the back yard from the front, and the street.

Usually he would catch a pant leg in the wire, and he’d be busted. But every once in a while he’d make a clean escape. Once he turned up at a gas station a block away. Once at a house farther than that, where he grabbed a dog by the tongue and got bit. Probably it made Mom crazy.

I figured he was bored with the back yard and was scouting for adventure. He was always first over the wall.

The day before yesterday, I found out Jeff is going to die unless he’s able to get a liver transplant. His liver has stopped functioning, the culmination of almost criminal medical negligence suffered upon him more than 3 years ago.

Jeff likes the outdoors. For more than 20 years, he worked as a linesman and a telephone installation and repair guy for a big phone company in Ohio. They tried to promote him a few times over the years, but always to a desk job, and he wouldn’t come inside. Consequently, he spent a lot of his time lugging ladders over his shoulders.

He developed rotator cuff problems, and his doctor recommended shoulder surgery. He had to be given blood during the procedure. The blood the hospital gave him was contaminated with Hepatitis. Jeff developed several physical problems. My view as an angry brother living far away is that his doctors put little effort into finding out what was wrong. Finally, after weeks, one of the doctors he’s seen diagnosed it as Hepatitis C.

By this time – three years ago – it’d caused serious liver damage. He was told there was a treatment available, but that his liver wasn’t strong enough to handle it yet. They told him his liver wasn’t damaged sufficiently to warrant a transplant.

He became increasingly disabled, and a few months ago he was hospitalized because he couldn’t control the swelling in his ankles. His doctor fiddled with some medication and after a few days he was released. Then he switched doctors. A blood test was recommended. The prognosis is that his liver has stopped functioning.

Before he can get on a list, he says, the new doctor has to certify that he isn’t drinking alcohol. Jeff enjoyed a few beers now and then, but hasn’t had a drop for three years, once he found out he had liver damage.

Now he’s in the hospital again, trying to control the swelling in his ankles again. And waiting to be “certified” so that he can wait and see whether a liver will be made available before he dies.

Jeff and the rest of my family don’t know I’m writing this. I’ve been told there’s nothing I can do. But I’m trying to keep my anger at bay – anger at the hospital that poisoned him and the uncaring insurance payment gobblers masquerading as doctors who couldn’t even be bothered to order blood tests to find out what was wrong with him until their negligence had made swiss cheese out of his liver.

I’m trying to keep my anger at bay by writing about what’s happened, and to ask for help on his behalf. Jeff, I hope you won’t mind buddy. What can it hurt at this point, huh?



Jeff has led a simple life since his early stint as escape artist. He worked for the same company for probably 25 years. He married a great wife and has been raising three young kids. And he likes to spend his spare time growing fruit and vegetables. Like me, he got the farmer gene.

He’s a good guy, salt-of-the-Earth.

And he’s going to die unless someone donates a liver and unless some doctor with the power of God declares that Jeff is more deserving of a new liver than the other 17,700 people in the United States waiting for one.

I don’t trust the medical bureaucracy; look what they’ve done to my brother. But what can I do? Not much, but a little: I’m going to find out how to become an organ donor. I had my driver’s license so dedicated many years ago, but when I moved to a different state, I didn’t keep up the designation.

When I find out how it’s done, I’ll post the procedure here.

Even if it doesn’t help Jeff, I want to encourage anyone reading to please consider designating yourself an organ donor. In death, we can extend and improve the lives of many people.

I’ve read the statistics, and my legitimate fear is that Jeff won’t last until he gets to the head of a transplant line he hasn’t been allowed to enter yet.

If you’re an organ donor, I’m soon going to ask you to designate your liver to Jeffrey Allen Dunn. That’s what I’m going to do, as soon as I find out how.

If you’re reading this, take a minute to cut and paste the text and send it to everyone you know. Maybe it’ll reach someone who can help. Tell ‘em it came from here, bobdunn.com You can contact me at bob-at-bobdunn-dot-com.

In the coming days I’ll tell you more about Jeff. You’d like him; he’s a good guy. What else can I do? I can’t just do nothing. So I’m asking for help for my brother.

→ B.Dunn, Apr 19, 2005, 10 24 am


1.Hey Bob sorry to about hear the ordeal that your brother has been through. As an RN I can speak first hand about the mess that our nation's healthcare system is in. HMOs have stripped us of any freedom we ever had in determining the course of our own healthcare. I've been in HMO hell for the past 5 months just trying to get the surgery I need for my shoulder injury. I hope I can clarify something here. Just because your brother will be put on the liver transplant list with 17,000 others ahead of him doesn’t mean that 17,000 people will receive a liver before he does. I know of people put on transplant list that have received their needed organ in a matter of weeks. It does sometimes take much longer. What is needed is a viable donor with the same blood type and several other matching factors that will make a good match for your brother. Siblings are the best bet here usually but you only have one liver and you can’t share. I'm a donor always have been but I couldn't designate that my liver go to your brother. It's unlikely that I would be a good match. What’s more I would need to be in a braindead condition but my heart still beating. I'm going to get morbid here so everyone bear with me. The best donors are head injury patients. People that have suffered massive injuries such as gunshot wounds in the head, auto accidents with internal cerebral swelling, bleeding in the brain,and such. These people are essientially dead but their heart and other functions can continue for sometime allowing transplant teams time to “harvest” the organs. The organs must be supplied with oxygen via the blood stream until removed from the body by the team. It takes a lot to get everything right, a matching donor in a braindead state that is able to perfuse their organs, a matching recipient that has a good chance of receiving the needed organ with out his body rejecting it, and the most difficult part… a family willing to donate the organs of their loved one. Yes, even if you have on your driver's license that you are an organ donor a distraught family member can keep them from taking your organs. Your next of kin has the say as to if your organs go up for transplant not you! So I urge everyone to make it clear to their family what their wishes are before that time comes. There are some tissues that can be harvested after a body dies but organs need a beating heart and viable bloodpressure to keep them going. Most of all don’t give up hope. The best thing is to get him on that transplant list, miracles do happen. I work with a nurse that is alive because a little girl's family donated her organs. My coworker got a new kidney and pancreas and is doing well.
Doug Bradley    Apr 19, 10:44 pm    #

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2.Thanks, Doug, for the good information. It’s much appreciated!
Bob    Apr 20, 01:23 pm    #

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3.I am praying for your brother every day! My daddy died last Christmas eve, but because of a donor (heart valve) we got to enjoy him for about six weeks longer than we would have, otherwise. The whole family celebrated his birthday together, which aptly fell on Thanksgiving.
(I’m praying for you, too. I know how it feels.)
— Jazz Paz    Jun 16, 11:20 am    #

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