Referring Physicians - Pancreas Transplantation

Referrals 
Endocrinologists generally refer patients to our office, although referrals can also be made through other sources or by the patients themselves. The person making the referral can contact our office by calling 717-531-6092 or 1-800-525-5395. At that time some background information will be obtained and an appointment will be scheduled in which the patient will meet with the transplant team.

Prior to Appointment Date
The patient’s insurance is verified by our financial counselor, a transplant social worker reviews any current info we have received on a patient to complete their psychosocial evaluation and the pre-transplant coordinator reviews the medical history.

Appointment date
The recipient, along with family members and potential donors, if any, will attend an hour and one half educational seminar with a pre-transplant coordinator. Next, the recipient will meet with a transplant surgeon, a pre-transplant coordinator and a social worker. Laboratory blood studies are obtained at this time. Lastly, our financial counselor interviews the recipient and donor. This process usually begins at 8am and is typically done by lunchtime.

Pre-Transplant Team Meeting
Every week the pre-transplant team meets to discuss the potential candidates we have seen in clinic for the past week. The team consists of a transplant surgeon, the pre-transplant coordinators, social workers and the financial counselor. At this time we discuss any social or insurance issues, and contraindications, if any, to transplantation. Also the team decides what tests are to be completed in order to be on the transplant list. The physician then sends a letter of candidacy to the patient, their nephrologist and dialysis unit. If a patient is not on dialysis yet, a letter will be forwarded to their primary care physician.

Work up of the recipient
All testing should be scheduled through the nephrologist, primary care physician or dialysis unit. If a patient specifically requests to have his/her work up done at Penn State Milton S. Hershey Medical Center, our office will schedule the needed tests. The testing process should take no longer than 4 – 6 weeks.

Work up of the Donor
After a donor is seen in our clinic and is found to be blood type compatible along with a negative crossmatch, they will be sent a list of tests to be completed for kidney donation.

Cadaveric Listing of Recipient
When all tests are completed, the transplant physician will review the results. If no further testing is indicated, the recipient can be listed for transplantation.

Scheduling of Pancreas Transplant
When the test for recipient and donor are complete, the transplant physician will review the results and the surgery date may be scheduled.