Support pours in for Camden County girl, 3, denied kidney transplant

January 18, 2012|By Tom Avril, Inquirer Staff Writer
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  • Amelia, 3, with parents Joe and Chrissy Rivera. The child needs a kidney transplant. They say a doctor at Children's Hospital of Philadelphia told them she's not a good candidate because she's "mentally retarded."
  • Amelia, 3, with parents Joe and Chrissy Rivera. The child needs a kidney transplant. They say a doctor at Children's Hospital of Philadelphia told them she's not a good candidate because she's "mentally retarded." (MICHAEL BRYANT / Staff Photographer )
  • Amelia Rivera, 3 , on mother Chrissy's lap, listens as her brother sings to her. Standing is her father, Joe. The girl has Wolf-Hirschhorn syndrome, characterized by developmental delays. (MICHAEL BRYANT / Staff Photographer )

The family of 3-year-old Amelia Rivera has known since her birth that the brown-eyed girl was headed for kidney trouble.

And sure enough in December, a Children's Hospital of Philadelphia physician said the girl would need a transplant within six months to a year, according to her mother, Chrissy Rivera.

For now, however, it won't be happening at Children's.

The girls' parents say they were told last week by a different physician at the hospital that she was not a good candidate for a transplant because she was "mentally retarded." Amelia, who goes by the nickname Mia, has Wolf-Hirschhorn syndrome - a rare genetic condition that results in substantial developmental delays and a shortened life expectancy.

Story continues below.

Hospital officials say they cannot comment on any individual cases but add that the institution "does not disqualify potential transplant candidates on the basis of intellectual abilities."

The case has drawn national attention, including at the website change.org, where a petition urging the hospital to perform the transplant had drawn more than 22,800 signatures by late Tuesday.

"It's been extraordinary," Chrissy Rivera said of the support.

Amelia is far from the first disabled person who has had difficulty getting an organ transplant. People with Down syndrome, for example, are often steered away from heart transplants, on the theory that they may have difficulty following the complex postsurgery drug regimen. Hospitals also commonly take into account other factors in deciding against a transplant, such as advanced age.

Yet denial of a transplant purely on the basis of a disability would violate the Americans With Disabilities Act, said Lara Schwartz, vice president of external affairs at the American Association of People With Disabilities.

"Such a case has never been challenged under the ADA, but I think it might make a very strong case," said Michele Goodwin, a University of Minnesota law and medicine professor who researches organ transplants.

Amelia's case began to attract attention after her mother wrote an emotional blog post on a site for families affected by Wolf-Hirschhorn syndrome, describing her meeting with a hospital physician and a social worker. Chrissy Rivera and her husband, Joe, of Stratford, Camden County, had gone to the hospital last week to ask how family members could get tested to see if any of them were suitable kidney donors.

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