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Chapter Six

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At the transplant centre a specialist team of doctors and nurses was now assembling as two operating theatres were being prepared, one to remove the donor heart and the other to implant it into the recipient. It was unusual for the donor and recipient to live so close – just twenty miles apart. The transplant programme stretched nationwide and organs often had to be transported miles and at great speed when a donor was matched with a recipient at the other end of the country, although neither the donor’s next of kin nor the recipient of the heart would be aware of this. Their details were confidential and would be kept secret unless they both wanted to know who the other person was. Sometimes the recipient wanted to thank the donor’s next of kin, and if they agreed they were sensitively put in contact with each other, but this was unusual, and often resulted in a heart-warming story in the press or on the news.

It wasn’t just the heart that was being removed. The donor’s family had given consent for all of his body to be used, so as well as his heart going to Jacob, the kidneys, liver, lungs, pancreas, intestine, corneas, skin, nerves, veins, tendons and even the bones from his legs were going to benefit others.

When Jacob arrived at the transplant centre with his parents they were shown to a single room where nurses weighed and measured him, checked his temperature and blood pressure before listening to his chest to make sure he was well enough to undergo surgery. He confirmed he hadn’t had anything to eat that morning; they then took a blood sample and gave him a pot for a urine sample. The anaesthetist arrived, explained what he would be doing and asked him if he’d ever had a bad reaction to an anaesthetic before. He hadn’t – the only surgery he’d had in the past was a tonsillectomy at the age of six. The two surgeons leading the team arrived shortly after and the atmosphere in the room became electric – joyous, with a sense of occasion. They went over the procedure again with Jacob and his parents and reassured them that all would be well. It was a good tissue match, they said, and they would gown up now and see him later. Before prepping began, Jacob’s parents had to say goodbye. ‘We’ll be here when you wake,’ his father told him.

‘And I’ll phone Eloise,’ his mother said, knowing that it could be a few days before he was out of intensive care and could receive visitors.

One of the nurses gently showed them out, reminding them that Jacob was in very good hands – the best. She suggested they went into the city and had some lunch to pass the time as it would be at least four hours before there was any news. She would call as soon as Jacob was out of theatre. They thanked her, but before they left they made a detour to the hospital’s little chapel, where they asked the dear Lord to watch over Jacob and the donor family who had given so generously and were now grieving over their loss.

The Darkness Within: A heart-pounding thriller that will leave you reeling

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