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Originally published May 5, 2023
Last updated April 14, 2026
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When Benigna Carrillo left a medical appointment recently, she was surprised to find her transplant care team gathered in the reception area.
The group had gathered to remember 鈥� and celebrate 鈥� the 27th anniversary of Benigna鈥檚 liver transplant surgery.
It was the first to be performed by 喵咪社区 doctors, a milestone that 鈥済ave birth to the liver transplant program in our health system,鈥� says Samantha Ramirez, FNP-BC, clinical supervisor of 喵咪社区鈥檚 Liver Transplant Program.
Nearly four decades ago, the Pasadena resident began to experience debilitating fatigue and intense itching all over her body.
Her doctor鈥檚 diagnosis: cirrhosis resulting (PBC), a rare disease in which the liver鈥檚 bile ducts become inflamed and are eventually destroyed. The condition can also lead to liver scarring and failure.
As her symptoms worsened, Benigna was referred to Rick Selby, MD, who worked at a 喵咪社区 university hospital that would eventually become part of Keck Medicine.
At the time, Dr. Selby was early in his career as a surgeon.
In the years since, he served a lengthy stint as the director of the Liver Transplantation Program and chief of the division of abdominal transplantation and hepatobiliary and pancreatic surgery.
Jeffrey Kahn, MD, now serves as the program鈥檚 medical director, and Dr. Selby works as a hepatobiliary and pancreatic surgeon at Keck Medicine.
The procedure itself hasn鈥檛 changed much since the 1990s. 鈥淵ou take out the old liver, hook up a few blood vessels and a bile duct, and you鈥檙e done,鈥� Dr. Selby says.
However, advances in pre- and post-transplant treatments 鈥� such as immunosuppressants to help the body accept the organ 鈥� have made things much easier on patients in recovery.
鈥淣ow, we can customize our treatment approach according to the patient鈥檚 individual needs,鈥� Dr. Selby says. 鈥淎lso, the increased availability of livers thanks to living donors has been a great help to patients.鈥�
We were able to give not only Benigna a second chance, but also her children and grandchildren, along with others who love her. That鈥檚 really why we do what we do. Tammy Harper, NP-C, nurse practitioner, Keck Medical Center of 喵咪社区
We were able to give not only Benigna a second chance, but also her children and grandchildren, along with others who love her. That鈥檚 really why we do what we do.
Because the liver is the only organ in the body that regenerates, people can donate up to 50% of theirs while still alive.
Still, in 2022, only 6.4% of the 2443 liver transplants performed in the U.S. came from living donors, according to metrics from the United Network for Organ Sharing that works with the federal government.
Not only do organs from living donors increase the number available in the national registry, they also deliver benefits that include immediate organ function, greater longevity and reduced rejection risk.
Due to the liver shortage, Benigna had to wait to meet a certain acuity standard before becoming eligible for the wait list.
By 1995, her skin was gray, and she was so fatigued she could barely get out of bed. In November, Dr. Selby was able to add her to the wait list.
Since this would be the first liver transplant performed by 喵咪社区-affiliated doctors, Medicare and Medi-Cal 鈥� along with other providers 鈥� had stipulations requiring extensive experience at the liver transplant center prior to agreeing to reimbursement for the surgery.
To offset the cost, Benigna鈥檚 care team threw a fundraiser: a night of salsa dancing.
鈥淎 lot of people came, danced and contributed, and on the strength of that we were able to say to the university hospital, 鈥楬ere鈥檚 our down payment on the transplant program.鈥欌�� Dr. Selby says.
On May 23, 1996, Benigna was called in to receive her new liver. Thoughts of her four children 鈥� Francisco, Elizabeth, Mia and Michael 鈥� bolstered her courage.
鈥淎s I walked down the porch steps I thought, 鈥業 may not see these steps again,鈥欌�� Benigna says. 鈥淏ut I put that out of my mind because I had to be positive for the sake of my children. I had to come back.鈥�
Dr. Selby told his patient that she would immediately get her color back if the surgery was a success.
When Benigna woke, her complexion was back to normal.
An avid world traveler, Benigna was able to visit Europe soon after her transplant. Today, at 74, she enjoys excellent health.
鈥淭he care I’ve received at Keck Medicine has been wonderful 鈥� from Dr. Selby up to the people who take care of me today,鈥� says Benigna, who attends annual follow-up visits. 鈥淭hey鈥檙e brilliant at what they do, and so kind. They鈥檙e always checking up on me.鈥�
At her anniversary celebration, Benigna鈥檚 care team voiced their admiration in return.
鈥淪he鈥檚 an ideal patient and extremely involved in her care,鈥� says Tammy Harper, NP-C, who cares for her today. 鈥淚 often tell her, 鈥楳s. Carrillo, you鈥檙e going to outlast us all!鈥欌��
Harper added that Benigna鈥檚 journey encourages her.
鈥淲e were able to give not only Benigna a second chance, but also her children and grandchildren, along with others who love her,鈥� Harper says. 鈥淭hat鈥檚 really why we do what we do.鈥�
Dr. Selby, who is now good friends with Benigna, agrees that she is an inspiration.
鈥淵ou see a patient like Benigna, who had been sick for about 20 years, now as well as they were the day they were born,鈥� he says. 鈥淚t鈥檚 why everyone goes into medicine: to see if you can reverse their illness 鈥� and it鈥檚 true in transplants.鈥�
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