作者：李堃
编辑：百里奚 责任编辑：胡丽莉 翻译：Tomorrow
我是一个八零后北京土著，自认挺实在，也算是个聪明人儿吧，没啥坏心眼，但是也不会相信什么诈骗电话或是传销这些老掉牙的套路。这些年总听各种自媒体或是身边朋友传说缅北“噶（ga二声）腰子“的事儿，说的真真儿的，这不还拍了一部电影叫什么《孤注一掷》，好几个朋友去看了，都说挺写实的，我就一直觉着不对，憋心里一直没敢放出来，今天跟大家聊聊。
首先我的观点是肯定不信“噶腰子“这回事的。”噶腰子“学名应该叫器官移植手术，我稍微问了问AI，这手术最开始要做各种医学检测，包括并不限于血型匹配、人类白细胞抗原匹配、交叉配型试验、病毒与传染病筛查、健康评估，这还仅仅是供体的，也就是提供“腰子”的那位。然后才能在大批的受体患者中找到跟这个腰子匹配的人，这接受腰子的也不是谁都行，各种实验一个都不能少，特别是跟这个供体的匹配实验，您总不能随便绑一个人就噶，零件儿总得合适才能安得上，金主爸爸才能给钱吧？然后是各种手术准备，术后管理，总之一大堆事儿。科学的来讲：移植器官是一个高度复杂跨学科（免疫学、外科学、麻醉学、药理学）的过程，还要结合大量的人类隐私信息（比如医疗记录），且必须在大型三甲医院或大型移植中心实施。连AI都知道网上传说的：绑票儿直接噶腰子，根本不可能实现。
不信归不信，咱也是有社会责任感的人，2013年我老爸病危，北京各大医院都治不了，其它零件都好好的，就是脑子里边的病没得治，全家一合计，觉得应该为社会做点贡献——捐器官吧。我们把这个想法跟医院一说，主任挺感动，但最后说：不行。为啥？因为没有这个流程。2013年，中国还没有建立全国器官移植库，我当年也是看电视新闻里面一帮医生给某个名人的尸体三鞠躬，然后就捐了，以为真的就是这样。结果其实不行，最后还是都烧了。2015年，在凤凰卫视许戈辉的访谈节目中，她采访了前中国卫生部副部长的黄洁夫，才说出一部分真相：从1972年第一例移植开始，到2015年1月1日，中国都没有建立公民捐献体系。所以，器官是怎么来的一直是不能说的秘密。近十年以来，大家对这方面的消息接触的多了，信息来源多了，身边等器官的亲朋多了，就发现这里边猫腻还真不少。黄洁夫说的死刑犯器官是一种来源，其它的呢，我没有深入调查，大家可以自己找找可靠的信息来源，而且，他还说，自2015年1月1日起，就不能用死刑犯器官了。听了这话我反而害怕了，那么多患者需求，都怎么解决的？我家里亲戚还每周两次透析，续着命等肾源呢。据医院里的“号贩子”说，可以帮联系肾源，不知道哪来的，配上型才知道价。
我们这边还在着急家人的病，北京又有大活动了——大阅兵，所有我们住长安街附近的都得服从组织安排，不让动煤气，不让出门，完事儿了等通知才能恢复。该说不说，阅兵还真挺壮观的，那飞机坦克导弹，一排一排的从家门口过，但是老点的北京人都明白，1989年那会儿，也是这样过坦克的，啥人命不人命的，他们有枪，你小老百姓就别想翻天。其实我们哪有那个胆子？只求得了病有个地方能治，要换肾排几年能安排上就知足了。我们也看新闻啊，中国、俄罗斯、朝鲜三个头头脑脑走一起，那个亲密啊，说的话都放出来了，现在科技真发达，说能活150岁呢，我心里就琢磨啊，他们说的不停的移植新器官，是哪来的呢？总不能像咱们一样，排队等好几年吧？要是有合适的，配型满足了，但是人家还没死呢，那怎么办？普通人的腰子是否合适，他们怎么知道的呢？别说器官了，我同学前几天要输血，还得发朋友圈求助大家去帮忙献血呢。我这只是合理推测，不敢瞎说。我觉着他们应该不会像我们这么难吧？要是供一个每天吃喝玩乐的活到150岁，应该比我们小老百姓用的血和器官多得多吧？有时候真羡慕他们啊，不用活得这么累，但是转念一想，谁家亲人乐意把血和器官给他们？谁不想有个健康长寿的身体呢？这北京城，比起早些年是干净漂亮了不少，过去那些疯子傻子满街拣破烂的都消失了，虽然以前挺嫌弃他们的，又脏又臭，但是现在再仔细寻思寻思，他们都去哪了呢……
From the “Ga Yaozi” of northern Myanmar to a lifespan of 150 years
Author: Li Kun
Editor: Baili Xi Managing Editor: Hu Lili Translation: tomorrow
Abstract: Based on personal experience, the author questions the rumor of “kidney donation”, describing the high complexity of organ transplantation and the discreditability of illegal acquisition; recalling the fact that he wanted to donate organs in 2013 but had no channels, he reveals the long-term opacity of China’s organ sources and worries that the powerful have ample resources while ordinary people have a long wait.
I’m a Beijing native born in the 1980s. I consider myself a pretty down-to-earth person, and I’m pretty smart. I don’t have any bad intentions, but I also don’t fall for scam calls or pyramid schemes. For years, I’ve heard stories from various social media outlets and friends about the “ga kidneys” (ga pronounced secondly) in northern Myanmar. They’re so real, there’s even a movie about them called “All or Nothing.” Several friends have seen it and praised its realistic portrayal. I’ve always had a feeling something was amiss, but I’ve been holding it in my gut and haven’t dared to share it. Today, I want to share it with you all.
First of all, I definitely don’t believe in the so-called “kidney snatching”. The scientific term for it should be organ transplantation. I asked the AI a little bit, and it turns out that before the surgery, various medical tests must be conducted on the donor, including but not limited to blood type matching, human leukocyte antigen matching, cross-matching tests, virus and infectious disease screening, and health assessment. This is just for the donor, the person providing the “kidney”. Then, among a large number of recipient patients, the one who matches this kidney must be found. The recipient is not just anyone; all kinds of tests are indispensable, especially the matching tests with the donor. You can’t just randomly kidnap someone and take out their kidney. The parts must fit to be installed, and the rich dad will only pay if it’s done properly. Then there are all kinds of surgical preparations and postoperative management. In short, there are a lot of things to do. Scientifically speaking: organ transplantation is a highly complex interdisciplinary process (involving immunology, surgery, anesthesiology, and pharmacology), and it must be carried out in large tertiary hospitals or large transplant centers. Even the AI knows that the online rumors of kidnapping someone and directly taking out their kidney are simply impossible to achieve.
Whether you believe it or not, we are people with a sense of social responsibility. In 2013, my father was critically ill and no hospital in Beijing could treat him. All his organs were fine except for the disease in his brain, which was incurable. After discussing it as a family, we thought we should do something for society – donate his organs. We told the hospital about our idea, and the director was quite touched but ultimately said no. Why? Because there was no such procedure. In 2013, China had not yet established a national organ transplant database. I had seen on TV news that a group of doctors bowed three times to a celebrity’s body before donating the organs, and I thought that was how it was done. But it turned out that wasn’t the case, and in the end, everything was cremated. In 2015, in an interview on Phoenix TV with Xu Gehui, Huang Jiefu, the former vice minister of health of China, revealed part of the truth: from the first transplant in 1972 to January 1, 2015, China had not established a citizen donation system. So, how the organs were obtained was a secret that couldn’t be told. In the past decade, people have come into contact with more information on this issue, have more sources of information, and have more relatives and friends waiting for organs. As a result, they have discovered that there are indeed many tricks involved. The organs from death row inmates that Huang Jiefu mentioned is one source. I haven’t investigated the others in depth. You can find reliable information sources yourself. Moreover, he also said that as of January 1, 2015, organs from death row inmates could no longer be used. Hearing this, I became even more worried. How were the needs of so many patients met? My relatives still have to undergo dialysis twice a week, waiting for a kidney source to stay alive. According to the “ticket scalpers” in the hospital, they can help contact kidney sources, but the price is only known after a match is made.
We are still worried about our family member’s illness here. Now there’s a big event in Beijing – the grand military parade. So all of us living near Chang’an Street have to follow the organization’s arrangement. We can’t use gas or go out. We have to wait for the notice to resume normal life. To be honest, the parade was really spectacular. The planes, tanks and missiles passed by our doorstep in rows. But the older Beijingers all know that back in 1989, it was the same. They had tanks passing by, and it didn’t matter if people died or not. They had guns, and we common folk couldn’t do anything about it. We don’t have that kind of courage. We just hope that when we get sick, there’s a place to treat us. If we can get a kidney transplant after a few years of waiting, we’ll be satisfied. We also watch the news. China, Russia and North Korea’s leaders are walking together, so close. Their words are even broadcasted. Nowadays, technology is so advanced that they say people can live to 150. I can’t help but wonder, where do they get all these new organs for transplantation? They can’t be like us, waiting in line for years, right? What if the organ is a match but the donor is still alive? How do they know if a common person’s kidney is suitable? Don’t even mention organs. My friend needed a blood transfusion a few days ago and had to ask for help on WeChat Moments to get people to donate blood. This is just my reasonable speculation. I dare not say anything more. I think they shouldn’t have it as hard as us, right? If they want to live to 150 and enjoy themselves every day, they should need much more blood and organs than us common folk, right? Sometimes I really envy them. They don’t have to live such a hard life. But then I think about it, who would be willing to give their blood and organs to them? Who doesn’t want a healthy and long life? This Beijing city is much cleaner and prettier than before. Those crazy and foolish people who used to pick up trash on the streets have disappeared. Although we used to look down on them for being dirty and smelly, now when I think about it carefully, where did they go?
