Book Club
Discussion Guide for:
1) Have you
ever been the recipient of an unexpected gift? Were you able to accept that
gift with grace? Did you pay it forward? Think about a time when you’ve done
something nice for someone for no other reason than it felt like the right thing
to do. How did it make you feel?
2) Have you ever reflected on your
own life and felt a desire to make more of a difference? If so, what did you
do? Did your efforts involve another human being, or a different sort of
contribution? People often ask Ellie why she would give an organ to someone she
didn’t know. What is your understanding of why she donated? Were you able to
accept her motivation as truly altruistic?
3) Ellie is
reimbursed for her medical and travel expenses but not for her lost wages. Do
you think more donors would sign up if they were paid a stipend for their “pain
and suffering?” What are the ethical
implications of paying donors for organs? What other incentives might drive
people to donate?
4) Lucy refused Ellie’s offer to
donate a kidney. Were you surprised by this?
Lucy’s choice brings up the issue of quality of life. If you were given
the choice between near-daily medical treatments that kept you alive but in
pain and uncomfortable, would you choose the treatment or would you prefer to
just let nature take its course?
5) Ellie was raised in a strict, conservative
evangelical home but refers to herself as “devoutly agnostic.” How much do you
think Ellie’s upbringing influenced her altruism? Do you know anyone similar to
Ellie? Do you think kindness and compassion are genetic traits or an attitude
that is nurtured by family and community? Have you ever known anyone who seemed
particularly sympathetic and kind? What effect did these qualities have on your
life?
6) Kathy and
Ellie end up becoming dear friends while waiting unsuccessfully for a paired
match. How did you feel when Ellie decided to move forward with her donation in
hopes of having surgery while she was young enough to recover more easily?
7) The author shared her first kiss
story and crossing over the crumbling road
of her childhood. Do you remember that
moment for you? Was it a positive experience? What would you tell your younger
self today if you could speak to them?
8) Before you read Lost in Transplantation were you aware
of the tragic lack of organs for desperate patients? Do you know anyone who
needs or has received an organ transplant? How would you feel if a friend,
coworker, or family member asked you to be tested as a possible donor?
9) Ellie
shares a lot of personal anecdotes about her childhood and adult life. Was
there a favorite story or quote that stayed with you? Which one(s) and why did
you relate to it?
10) Ellie was labeled the "free spirit" in her family? How would your family role be characterized?
10) Ellie was labeled the "free spirit" in her family? How would your family role be characterized?
11) Ellie’s recipient turns out to
be on the opposite end of her political and philosophical belief spectrum. She
came to understand that this was a huge lesson in acceptance and giving with a
warm hand. How do you think you would have responded to the outcome? How did
you feel when you read about Mike? Were you happy for him?
12) As a
single mother, Ellie is very close to her son. The only time she doubts her
decision is after talking with Jacob on the phone right before surgery. How
does their relationship compare to yours and your parents (or children)?
13) Is there
anything you will view differently in your life after reading this book?
Anything you will do differently?
14) The
author’s next book is a coming-of-age novel. Will you seek out more works by
this author? Why or why not?
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