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Woman's 3-year wait for donor organ exposes complexity of US transplant system
The case underscores how rare-organ transplants face strict matching rules, logistics and insurance hurdles, even as the patient waited nearly 3 years.
Following a May 2022 car crash that destroyed her small intestine, Phoenix resident Katherine Screws waited three years before receiving a transplant in June 2025 at MedStar Georgetown University Hospital.
Intestine transplants remain rare, with only 88 performed in the U.S. last year compared with more than 27,000 kidney transplants, as Organ Procurement Organizations coordinate recovery for about 100,000 waiting patients.
Dr. Cal Matsumoto at MedStar Georgetown said matching requires significant coordination, including surgeons negotiating how to divide critical blood vessels, and that outcomes depend on finding "the right donor at the right time."
After Lisa Stocks of California's OneLegacy showed Screws how to "double list" at a second hospital, Screws urged patients to ask, "What is the thing that's holding this up?" for clarity on their status.
The government is overhauling the transplant system with a grading system threatening to close some of the nation's 55 OPOs, while about 1 in 5 donated organs go unused due to matching constraints.