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Wednesday, August 27, 2008


Hello Leslie,

I just read the DRAM article “Relapse After an Organ Transplant” and had to share an incident from about ten years ago: I was trout fishing in the back country in Northeast Iowa (yes, Iowa has back country and trout streams!) when I blew a tire on a gravel road next to a farm field. While I got to work changing the tire, a farmer pulled up in his combine, got off the equipment with a cooler and asked if I needed help. I declined the help, but he stayed to chat and pulled a beer out of his cooler. He asked if I cared for a beer also and I declined. He shared that he was just out of Mayo after a liver transplant and said it was “sooo good to be able to drink again!” He chugged the beer and then opened a second beer. I asked if he wasn’t worried about ruining this liver also, and he responded that since the last liver lasted 45 years, he expected this liver to last another 45 years! I remember wondering if the medical staff Mayo had educated him about the danger of drinking again, particularly so soon after the transplant. Probably he had been using selective listening.

I always enjoy reading the BASIS articles and often forward them on to our gambling and substance abuse treatment contractors.

Best wishes,

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