Seattle Children's Transplant Team

A successful transplant is a team effort. At Seattle Children's Hospital, the same team of dedicated specialists will work with you to care for your child throughout the transplant process.

We do everything we can to give our patients a chance at healthy, active lives.

Seattle Children's has some of the best and brightest transplant specialists in the nation, and our surgeons employ the latest surgical techniques. Research is a critical part of the care we provide.

One of our top research priorities - unlocking the human immune system - will mean much higher rates of survival and better quality of life for all children receiving transplants.

Our Transplant Center has taken major strides to attract top transplant specialists and add innovative programs. Our staff of nationally known doctors and transplant specialists includes:

Patrick Healey, MD, division chief, Transplantation

Healey, PatrickDr. Patrick Healey joined Children's in 1995. After earning his medical degree at the Boston University School of Medicine, Dr. Healey completed his residency at Hartford Hospital in Hartford, Connecticut, serving as the chief surgical resident during his final year.

He was a research fellow at Children's Hospital of Pittsburgh and a transplant fellow in the Division of Transplant Surgery at the University of Washington. He moved to Children's for a fellowship in pediatric surgery before assuming his current role.

Dr. Healey's areas of interest include pediatric transplantation, liver and kidney transplantation, congenital anomalies and pediatric tumors.

More about Dr. Healey

Michael McMullan, MD, surgical director, Cardiac Transplant

Michael McMullanDr. Michael McMullan is an attending pediatric cardiothoracic surgeon at Seattle Children's Hospital and an associate professor of surgery at the University of Washington School of Medicine. He is also director of Mechanical Cardiac Support and ECLS Services.

He received his MD from the University of Texas Southwestern Medical School and completed residencies and fellowships at the Texas Heart Institute; the University of Washington School of Medicine; the University of California, San Francisco; and the Royal Children's Hospital in Melbourne, Australia.

More about Dr. McMullan

Jorge Reyes, MD, director, Transplant Services

Reyes, JorgePioneering transplant surgeon Dr. Jorge Reyes joined Seattle Children's and the University of Washington School of Medicine in July 2004.

In addition to leading the Division of Transplantation at the University of Washington School of Medicine, Dr. Reyes is chief of pediatric transplantation and director of clinical services at Seattle Children's.

Dr. Reyes attended medical school in Brazil and trained at Harvard, New York Medical College and the University of Pittsburgh, where he worked with transplant pioneer Dr. Thomas Starzl.

He established a world-class pediatric intestine and liver transplant program at Pittsburgh Children's Hospital. In Seattle, Dr. Reyes is helping to lead the expansion of Children's transplant program, including the development of the intestine transplant program and live-donor liver transplantation.

His research focuses on reducing transplant patients' dependence on anti-rejection drugs. His practice includes pediatric and adult transplant surgery (all abdominal organs) as well as complex hepatobiliary (liver), pancreatic and intestinal surgery.

More about Dr. Reyes

Jodi Smith, MD, MPH, medical director, Kidney Transplant

Jodi Smith 100x128Dr. Jodi Smith earned her medical degree and completed her pediatric residency at McGill University in Montreal, Canada.

She came to Seattle, where she completed her pediatric nephrology fellowship and earned an MPH in epidemiology from the University of Washington.

After completing her fellowship, she joined the faculty as a clinician scientist with a focus on transplant medicine.

Currently, she serves as an acting assistant professor of pediatrics in the Division of Nephrology and the primary nephrologist.

She has just been awarded a five-year mentored scientist award by the NIH to study the role of sub-clinical viral infections in the development of kidney transplant dysfunction in pediatric recipients.

The importance of her research is highlighted by the fact that she was also selected as a National Kidney Foundation Young Investigator and an American Society of Transplantation Junior Faculty grant recipient to support these studies.

More about Dr. Smith

Andre A.S. Dick, MD, MPH, surgical director, Kidney Transplant

Andre Dick 100x128Dr. Andre Dick joined Seattle Children's medical staff in 2009 after completing a transplant surgery fellowship in the Division of Transplant Surgery at the University of Washington.

Dr. Dick earned his medical degree from the State University of New York at Buffalo and completed his residency in general surgery at the Pennsylvania State College of Medicine's M.S. Hershey Medical Center in Hershey, Pennsylvania. Before moving to Seattle, he also completed a two-year research fellowship in the Division of Pediatric Surgery at Penn State Hershey Children's Hospital.

Dr. Dick is board certified in general surgery and is qualified to perform transplantations of the liver, kidney and pancreas. His research interests include outcomes in pediatric and adult transplantation.

More about Dr. Dick

Yuk Law, MD, medical director, Cardiac Transplant and Heart Failure

Law, Yuk MingDr. Yuk Law's interest is cardiomyopathy, advanced heart failure in congenital heart disease and transplantation. He attained additional research and immunology training as a recipient of the Pediatric Scientist Development Program award at the Howard Hughes Medical Institute, Yale University, before his clinical training in cardiology at The Hospital for Sick Children. Before coming to Seattle, he was a heart failure and transplant specialist at Children's Hospital of Pittsburgh and Oregon Health and Science University. He is a contributing author on pediatric heart failure to the field's most authoritative text, Congestive Heart Failure, as well as numerous other scientific articles. His comprehensive and multidisciplinary background allows him to provide seamless care to complex pediatric cardiac patients.

He joined Seattle Children's transplant team in 2006.

More about Dr. Law

Simon Horslen, MB ChB, medical director, Intestine Transplant and Solid Organ Transplantation

Horslen, SimonDr. Simon Horslen joined our medical staff in January 2005. A pediatric hepatologist in the Division of Gastroenterology, Dr. Horslen is helping to lead the expansion of Children's transplant program.

He is also a professor of pediatrics within the Division of Gastroenterology at the University of Washington.

Dr. Horslen joins us from the University of Nebraska Medical Center in Omaha, where he was the medical director of the pediatric transplant program. British-born, he earned his medical degree from the University of Bristol, England, in 1984.

He is a founding Fellow of the Royal College of Pediatric and Child Health, and a member of the Royal College of Physicians. Dr. Horslen is accredited in both general pediatrics and pediatric gastroenterology.

More about Dr. Horslen

Jonathan Chen, MD, chief, Pediatric Cardiovascular Surgery; co-director, Heart Center

Jonathan ChenDr. Jonathan Chen comes to Seattle Children's from New York-Presbyterian Hospital, where he served most recently as the chief of pediatric cardiac surgery and director of pediatric cardiovascular services at the Weill Cornell campus and surgical director of pediatric heart transplantation at the Columbia campus. He was the David Wallace-Starr Foundation Professor of cardiothoracic surgery and pediatrics at Cornell University and one of the first in the country to earn the American Board of Thoracic Surgery's new certification in congenital heart surgery in 2003. Since 2002, Dr. Chen has performed more than 148 heart transplants.

Dr. Chen's research interests lie in developing ventricular assist devices for infants and children suffering from heart failure. He has led several research trials with the goal of improving the systems that act as a bridge to transplant, including a National Institutes of Health grant evaluating long-term mechanical ventricular assistance.

More about Dr. Chen

Karen Murray, MD, division chief, Pediatric Gastroenterology and Hepatology

Murray, KarenDr. Karen Murray received her medical degree at Johns Hopkins School of Medicine in Baltimore, and completed her residency in pediatrics here at Children's, followed by a year as chief pediatric resident.

She completed a clinical and research fellowship in pediatric gastroenterology and nutrition at Boston Children's Hospital and Massachusetts General Hospital, Harvard Medical School.

Her clinical focus is in pediatric hepatology, and she is heavily involved with NIH-supported research in pediatric liver disease.

More about Dr. Murray

Robert Sawin, MD, surgeon-in-chief

Sawin, RobertRobert S. Sawin, MD, is surgeon-in-chief at Seattle Children's and vice-chairman of the Department of Surgery in the University of Washington School of Medicine.

He has been at Children's since 1987, when he arrived from Boston to begin his fellowship in pediatric surgery. He had completed his residency at Harvard's Brigham and Women's Hospital.

After he completed his fellowship here in 1989, Dr. David Tapper asked him to stay on the faculty to help establish the liver transplant program and the extra-corporeal membrane oxygenation (ECMO) program. In 1990, he performed the first pediatric liver transplant in the Northwest with Dr. Jim Perkins. He also performed the first ECMO cannulation.

In addition to a clinical interest in pediatric liver and tumor surgery, Dr. Sawin developed a research interest in the biology of pediatric tumors. He became an active member of the national oncology cooperative, the Children's Cancer Group, and has published many articles focused on cancer surgery, including the treatment of neuroblastoma, sarcomas and Wilms' tumor.

He has held leadership positions at Children's since 1995 when he became Chief of General and Thoracic Surgery. He was named Children's second surgeon-in-chief in December 2002, succeeding his mentor, Dr. Tapper.

Dr. Sawin has been active in many regional, national, and international surgical societies, and has served as Secretary of the Pacific Association of Pediatric Surgeons, as well as Secretary Treasurer of the North Pacific Surgical Association.

More about Dr. Sawin

John H.T. Waldhausen, MD, division chief, General Surgery

Waldhausen, JohnDr. John Waldhausen attended medical school at Pennsylvania State University. His post-doctoral training was completed at the University of Virginia Health Science Center in Charlottesville.

Following a pediatric surgery fellowship at Seattle Children's, Dr. Waldhausen joined the faculty of Children's and the University of Washington School of Medicine in 1992.

Dr. Waldhausen is a member of many professional organizations, such as the American Pediatric Surgical Association, Washington State Medical Association, American Academy of Pediatrics, American College of Surgeons, International Pediatric Endosurgery Group, Society of University Surgeons and the Pacific Coast Surgical Association.

Dr. Waldhausen's primary research is in clinical outcomes. He is responsible for running the pediatric surgery fellowship training program and two medical student clerkships within the department.

He is also responsible for overseeing general surgery education at Children's.

Dr. Waldhausen's clinical activities cover the broad range of pediatric surgery with a focus on minimally invasive surgery, congenital surgical problems and pediatric cancer surgery.

More about Dr. Waldhausen

Ruth McDonald, MD

McDonald, RuthDr. Ruth McDonald earned her medical degree at the University of Minnesota, where she earned the university's Top Medical Graduate Award, before moving to Seattle for a residency at Seattle Children's.

After serving as Seattle Children's assistant chief resident during her final year, Dr. McDonald became a fellow in the Division of Pediatric Nephrology at the University of Washington School of Medicine.

She joined the faculty with a focus on transplant medicine. Currently, she serves as associate professor of pediatrics in the Division of Nephrology and pediatrician-in-chief.

Her professional interests include pediatric nephrology and solid organ transplant. She serves as a principal investigator in many multicenter research studies on pediatric renal transplant.

More about Dr. McDonald

Evelyn Hsu, MD, medical director, Liver Transplant Program; director, Hepatology Fellowship Program

Evelyn Hsu 100x128Dr. Evelyn Hsu joined Children's in August 2011. She received her medical degree from the University of Wisconsin School of Medicine and Public Health. She completed her residency in pediatrics at the University of Washington and fellowships in pediatric gastroenterology and pediatric advanced/transplant hepatology at Children's Hospital of Philadelphia.

Her clinical interests include pediatric liver and small-intestine transplant, childhood cholestasis, autoimmune liver disease, viral hepatitis, long-term outcomes for pediatric liver transplant recipients and childhood cholestatic liver disease.

More about Dr. Hsu

Transplant ARNPs

More About Your Team

Our goal is to care for the whole child and the whole family. During your child's treatment at Seattle Children's Hospital, you may meet and work with:

  • Anesthesiologists treat and reduce pain. Seattle Children's anesthesiologists will provide safe, family-friendly care before, during and after surgery. As part of your child's transplant team, our expert pediatric anesthesiologists, nurse anesthetists and nurse practitioners will:

    • Discuss the surgery center routine and recovery
    • Give you information about how children fall asleep under anesthesia
    • Oversee your child's anesthesia and post-surgery pain care

    Learn more about our Anesthesiology and Pain Medicine programs.

  • Cardiologists treat heart diseases. As members of your child's transplant team, these doctors will:

    • Help decide if your child needs a heart transplant
    • Provide care after surgery

  • Seattle Children's on-call and hospital chaplains provide spiritual and emotional support. They serve many faiths and traditions. As members of your child's transplant team, our chaplains can offer your family comfort during the transplant process. They welcome calls day or night from patients and families. They can help you with:

    • Difficulty coping
    • Feelings of fear, guilt, vulnerability, discouragement, sadness or loneliness
    • Major decisions
    • Meaning or purpose in life
    • Spirituality as a source of strength and meaning for you and your child
    • Spiritual questions

  • Child life specialists work with individual patients and families to help them reduce anxiety and adjust to the hospital experience. Through the use of age-appropriate activities, they help children and families understand illnesses and medical procedures and develop positive coping skills.

  • As members of your child's transplant team, our licensed dietitians will:

    • Help manage your child's nutrition before and after transplantation
    • Develop a special diet for your child's medical concerns
    • Track weight gain or loss

  • Gastroenterologists treat diseases of the stomach, intestines and associated organs, including the liver. Hepatologists treat diseases of the liver. As members of your child's transplant team, these doctors will:

    • Help decide if your child needs a liver transplant
    • Manage your child's treatment
    • Help care for your child during and after surgery
    • Help identify and manage transplant rejection
    • Prescribe and manage your child's drugs

  • Nephrologists treat kidney diseases. As members of your child's transplant team, these doctors will:

    • Help decide if your child needs a kidney transplant
    • Manage your child's treatment
    • Help care for your child during and after surgery
    • Help identify and manage transplant rejection
    • Prescribe and manage your child's drugs

  • A fellow is a doctor who has finished medical school and a residency and is training to be a specialist. Our nephrology fellows are learning to treat kidney diseases. They will care for your child on day or night shifts during the hospital stay. As part of your child's transplant team, these doctors will:

    • Assist the team in your child's general care
    • Monitor your child's condition every day during the hospital stay

  • Our nurses are a vital resource for families. They are here to answer your questions and advise you and your child. Our pediatric nursing staff collaborates with transplant doctors to care for your child at Seattle Children's.

  • A fellow is a doctor who has completed medical school and a residency and is training to be a specialist. Our pediatric surgery fellows are learning about pediatric surgery. They will care for your child on day and night shifts during the hospital stay. As part of your child's transplant team, these doctors will:

    • Assist the surgeons during your child's transplantation
    • Monitor your child's condition every day during the hospital stay

  • As members of your child's transplant team, our pharmacists will:

    • Educate you about your child's medicines
    • Help your child learn to take medicines correctly
    • Explain side effects your child may experience
    • Monitor your child's drug therapy while in the hospital

  • Children's physical therapists will help your child stay as active as possible during her the hospital stay. Without physical activity, muscles may become very weak, so our physical therapists work to help your child maintain muscle strength. Their goal is for your child to be strong enough to do normal activities by the time their hospital stay is over.

  • In addition to referring their patients for transplant evaluation, primary care doctors continue to manage the overall health care of a transplant patient. Your primary care doctor's knowledge of and history with your child makes this doctor an important part of the transplant team. During the recovery period and beyond, the primary care doctor will:

    • Watch for certain transplant-related complications
    • Perform preventive care and routine care of illnesses
    • Manage other long-term conditions

  • Our hospital educators are Washington state-certified teachers and available at no cost to patient or family. They work closely with medical teams. They examine the impact of illness or injury on a patient's ability to do different types of school activities and assignments. They provide the following services:

    • Individualized tutorial support
    • Academic assessments
    • Reviews of a patient's educational records and performance in the school setting
    • Recommendations on how the school can best meet your child's specific educational needs

  • Our social workers are trained to assist your child and family through the transplant process. As a member of the transplant team, your child's social worker will:

    • Help you and your child make emotional adjustments during the transplant process
    • Guide you to resources in and around Seattle Children's that will help you plan your hospital stay
    • Help you and your child plan time away from work, school and home
    • Explore and facilitate access to resources in your community

  • Our transplant nurse coordinators are registered nurses who have special training in the care of transplant patients. They will guide you and your child through the transplant process. The coordinator will:

    • Answer your questions
    • Assist with Transplant Clinic visits
    • Help you and your child understand your child's medications
    • Monitor lab values and medication changes

  • Transplant nurse practitioners coordinate care and communication throughout the transplant process, and keep communication open between all team members. They are the first point of contact for patients, families, referring physicians and team physicians. The nurse practitioners provide continuity between your child's inpatient and outpatient care. This includes:

    • Educating families and staff about the transplant process
    • Ordering diagnostic tests and managing medications during your child's stay in the hospital
    • Keeping your child, family and referring physicians informed about transplant progress
    • Monitoring your child's health daily during the hospital stay

  • Our transplant specialists help families through the pre-transplant evaluation and financial aspects of a transplant. Our staff will:

    • Schedule all pre-transplant evaluation visits
    • Assist in obtaining insurance pre-authorization for transplant surgery
    • Find out what your insurance will and will not cover
    • Help with scheduling and referrals

  • Your child's transplant surgeon will perform the transplant operation. As a member of the transplant team, the transplant surgeon will:

    • Help decide if your child needs a transplant
    • Identify potential surgical problems before surgery
    • Help manage your child's recovery and wound care immediately after surgery

  • Urologists manage health care problems of the urogenital system. As part of your child's transplant team, the urologists participate in the transplant evaluation and may be involved in the transplant surgery. They focus on helping your child regain normal urinary functions.