Extraordinary Conversations

Extraordinary Conversations
Podcast Description
Hi, I’m Dr. Toby Campbell—a palliative care physician and communication researcher at the University of Wisconsin-Madison. For the past twenty years, I’ve studied how doctors and patients navigate tough conversations, especially when facing life-changing decisions. But nothing could have prepared me for one of the most unique and profound discussions in medicine: the request for organ donation.
What makes this conversation so extraordinary? It’s the only time in healthcare where the decision doesn’t directly help the patient but instead gives someone else a second chance at life. These difficult conversations sparked my interest in learning about the nuances of organ donation and the lived experiences of everyone touched by this process. How, where, and when do these discussions happen? How do healthcare professionals prepare for such a massive task, and what language do they use?
How do families respond to such requests and make an extremely difficult decision on behalf of their loved ones? Is organ procurement just like any surgery? What do recipients think about organ donors? How do recipients find living donors? And what struggles do they endure before and after receiving an organ?
To explore these questions, I’ve sat down with donor families, transplant surgeons, medical doctors, organ recipients, recovery specialists, and many others who’ve been touched by this journey. Their stories are powerful, surprising, and profoundly moving.
I hope you’ll join me as we uncover the heart, the science, and the humanity behind organ donation.
Podcast Insights
Content Themes
Explores a variety of content themes centered around organ donation including the complexities of making donation requests, family dynamics in the face of loss, and the experiences of organ recipients. Episode examples include insights from donor families and the role of donation request specialists, delving into how healthcare professionals approach these sensitive conversations.

Hi, I’m Dr. Toby Campbell—a palliative care physician and communication researcher at the University of Wisconsin-Madison. For the past twenty years, I’ve studied how doctors and patients navigate tough conversations, especially when facing life-changing decisions. But nothing could have prepared me for one of the most unique and profound discussions in medicine: the request for organ donation.
What makes this conversation so extraordinary? It’s the only time in healthcare where the decision doesn’t directly help the patient but instead gives someone else a second chance at life. These difficult conversations sparked my interest in learning about the nuances of organ donation and the lived experiences of everyone touched by this process. How, where, and when do these discussions happen? How do healthcare professionals prepare for such a massive task, and what language do they use?
How do families respond to such requests and make an extremely difficult decision on behalf of their loved ones? Is organ procurement just like any surgery? What do recipients think about organ donors? How do recipients find living donors? And what struggles do they endure before and after receiving an organ?
To explore these questions, I’ve sat down with donor families, transplant surgeons, medical doctors, organ recipients, recovery specialists, and many others who’ve been touched by this journey. Their stories are powerful, surprising, and profoundly moving.
I hope you’ll join me as we uncover the heart, the science, and the humanity behind organ donation.

Featured in this episode: Dr. Jenny Phillip, David Grant, Kaylee Davis, Ashley Wendt, Carissa, Heather Modell, Katie Heuer, Lynn Berg
Episode summary:
This powerful episode takes a deep dive into the unseen, emotionally charged world of organ transplant recovery where urgency and reverence collide. Host Toby shadows a surgical team on a 2 AM mission to Marshfield to retrieve organs from a donor, revealing the complex logistics, split-second decisions, and profound humanity behind the process.
Every step of organ recovery is a race against time. The recovery team shares gripping stories about the weight of meeting grieving families, the heart-stopping moment when an organ’s viability hangs in the balance, and the sacred ritual of the “moment of silence” where donors are honored not as medical cases but as people whose legacies will save lives.
Surgeons and coordinators open up about the emotional toll of working in the organ recovery field. They share how they compartmentalize grief to do their jobs, only to break down later when a donor’s story hits too close to home. They grapple with ethical dilemmas, like declining an organ that could fail in a recipient, and the bittersweet reality that their work thrives on tragedy. Yet, amid the exhaustion, they find purpose: the indescribable rush of seeing an organ “wake up” in its new body.
The episode closes with a devastatingly beautiful letter from a mother whose 14-year-old son died by suicide, read aloud in the OR, a reminder that every donor was someone’s else world. This episode is a lasting tribute to the invisible heroes who turn loss into second chances.
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