The situation, I would say, is that when the family consents to donation, the donation and the transplant system will make every effort to utilize every organ that can possibly be used. There are many situations in which the organ in question may be damaged, either by disease in the recipient ahead of time or by events that happened around the time of death, and it's not felt to be suitable, so not every organ can be recovered from every donor, but we do certainly make an effort. If there's an organ that can't be placed, for example, because the HLA is not a match in the province of Alberta, we would then try to match that into British Columbia or any other province across the country. We do certainly make efforts, and if we can't place it in Canada we will in fact contact the U.S. to see if it can be placed there. We make every effort to minimize the loss.
By far a bigger problem is the up front.... In fact, there are too many cases in which the potential donor is not recognized, or if they are recognized, that fact is not brought forward to the organ procurement organization for a discussion with the family. I think that's the stage at which we lose many more opportunities for transplantation.