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posted by n1 on Tuesday June 13 2017, @04:31AM   Printer-friendly
from the steak-and-kidney-pie dept.

Use of diabetic donor kidneys has been a necessary response to the donor organ shortage. Recipients of diabetic donor kidneys have higher mortality risk compared with recipients of nondiabetic donor kidneys.

[...] Diabetic donor kidneys appear associated with higher mortality risk compared with nondiabetic donor kidneys, but offer greater survival benefit compared with remaining on the waitlist for many candidates. Patients with high risk of mortality on the waitlist at centers with long wait times appear to benefit most from transplantation with diabetic donor kidneys.

[...] In a 2001 OPTN registry study, Ojo et al. demonstrated that transplantation with a marginal donor kidney increased patients’ life expectancy by up to 10 years compared with patients who remained on the waitlist

Is there anyone that you would be willing to donate a kidney for?

Is there anyone who would do the same for you?

http://cjasn.asnjournals.org/content/12/6/974
http://www.lkdn.org/paired_kidney_exchange.html
http://www.nytimes.com/2012/02/19/health/lives-forever-linked-through-kidney-transplant-chain-124.html


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  • (Score: 3, Insightful) by MichaelDavidCrawford on Tuesday June 13 2017, @04:59AM (4 children)

    by MichaelDavidCrawford (2339) <mdcrawford@gmail.com> on Tuesday June 13 2017, @04:59AM (#524792) Homepage Journal

    I know a little girl who has a kidney transplant. Her name is Ailes Brolly. "Ailes" is French for "Wings" as in Angel Wings. She was not expected to live longer than a month. She'd be about nine by now.

    Her mother and father are both carriers of Recessive Polycystic Kidney Disease. Neither of them knew that until the eighth month of her mother's pregnancy. Her tummy was hard - it should be bouncy like a water balloon. Most of the amniotic fluid is the fetus' own urine, so they knew right away that her kidneys had failed.

    She faced the terrible choice to have an eighth month abortion, or giving birth to a dead baby. Fortunately she went into labor a month early. At the time the closest maternity ward was at Lucille Packard Children's Hospital at Stanford, next to the Stanford medical center.

    Both her kidneys were surgically removed when she was less than a week old.

    For reasons I am unaware of, they don't transplant kidneys from child donors. Ailes had to wait until she was three years old and physically large enough to accept an adult kidney. She was on the waiting list for six months when a kidney became available, but the chemical markers were all wrong - that is, she was expected to reject it. However when her blood was mixed with the donor's blood, it didn't clot so they tried the transplant anyway.

    That she was still alive to receive it is a testament to the devotion and great brilliance of her mother, a molecular biologist.

    While this was all going on, California passed a law to permit the donation of one of the kidneys of a living person. A while back the new york times reported about sixty people getting kidneys due to such a law.

    Washington State also permits it, so I checked into it. After watching Ailes and her mother struggling so hard for so long convinced me to give a kidney to some stranger.

    But by the time I looked into it, I was over fifty years old. In Washington at least, the donor must be under fifty. They didn't say why but I expect old kidneys are more prone to disease.

    Don't tell her mother but I'm getting ready to send her a $100 Starbucks card. She really likes Starbucks; there is one close to her home.

    Her mother is as poor as a churchmouse but has the good fortune to have a wealthy sister who was happy to have them both move in.

    If you're under fifty, please do find out if live donation is legal in your jurisdiction.

    You can also donate one lobe of your liver. That's all one really needs; what's left of your liver after removing one lobe can handle the extra work.

    Apple CEO Tim Cook had himself tested, and found that his liver was a match for Steve Jobs. Tim offered to donate a lobe to Steve, but he turned the offer down. I don't know why.

    At the very least, donate your blood or your plasma.

    --
    Yes I Have No Bananas. [gofundme.com]
    • (Score: 1) by justinb_76 on Tuesday June 13 2017, @01:03PM (1 child)

      by justinb_76 (4362) on Tuesday June 13 2017, @01:03PM (#524888)

      Please contact me with contact info for this girl, I'd like to toss a few shekels her way - I looked her up and found this but it's closed for donations: https://www.youcaring.com/medical-fundraiser/assistance-for-ailes/125640 [youcaring.com]

      Oh, and as far as Steve Jobs the story I heard is that he refused the transplant because he thought his super vegan powers would pull him through or something like that. crazy people do crazy things, news at 11...

    • (Score: 0) by Anonymous Coward on Tuesday June 13 2017, @01:20PM

      by Anonymous Coward on Tuesday June 13 2017, @01:20PM (#524893)

      You can also donate one lobe of your liver. That's all one really needs; what's left of your liver after removing one lobe can handle the extra work.

      Liver regrows. But it's not risk-free. You can die donating half your liver.

      https://en.wikipedia.org/wiki/Liver_regeneration [wikipedia.org]

    • (Score: 0) by Anonymous Coward on Tuesday June 13 2017, @01:23PM

      by Anonymous Coward on Tuesday June 13 2017, @01:23PM (#524894)

      Sorry can't donate. I'm gay so that means I must have AIDS even if all the labs come back negative.

      (And if the patient later develops AIDS, which HIV-negative person do you think they're going to throw in the slammer?)

  • (Score: -1, Offtopic) by Anonymous Coward on Tuesday June 13 2017, @05:20AM

    by Anonymous Coward on Tuesday June 13 2017, @05:20AM (#524795)

    The bad news is a shortage of organ donors because in this social climate of extreme conformity, reckless people got laid off for being non-team-players and now they're unemployed and can't afford motorcycles. But the good news is unemployed former tech workers who trained their H1B replacements will starve to death and then we can harvest their organs. The trouble is the dispossessed are just not dying fast enough to keep up with demand. Ha! Not keeping their skills up is their thing, though, isn't it. Fucking loser white men why won't they just die.

  • (Score: 0) by Anonymous Coward on Tuesday June 13 2017, @05:56AM (1 child)

    by Anonymous Coward on Tuesday June 13 2017, @05:56AM (#524804)

    I'll sell you my diabetic kidney for 7 grand.

    • (Score: 0) by Anonymous Coward on Tuesday June 13 2017, @06:54AM

      by Anonymous Coward on Tuesday June 13 2017, @06:54AM (#524817)

      I'll do it for 6500 and I only got half the diabetes that other guy got...

  • (Score: 3, Funny) by J_Darnley on Tuesday June 13 2017, @10:44AM (1 child)

    by J_Darnley (5679) on Tuesday June 13 2017, @10:44AM (#524847)

    No. But pay me one million dollars today and you can have my dead body in a week.

    • (Score: 0) by Anonymous Coward on Sunday June 18 2017, @03:24PM

      by Anonymous Coward on Sunday June 18 2017, @03:24PM (#527486)
      Wasn't that a movie or book? :)
  • (Score: 2) by looorg on Tuesday June 13 2017, @10:54AM (6 children)

    by looorg (578) on Tuesday June 13 2017, @10:54AM (#524851)

    So a defective kidney is still better then no kidney. Still it is kinda weird that there is such a shortage of organs. Perhaps organ-donation should be opt-out instead of opt-in. Unless stated that you need all organs to meet [deity] they will be harvested before the final BBQ. That might be a life saver.

    • (Score: 2) by tibman on Tuesday June 13 2017, @01:48PM (2 children)

      by tibman (134) on Tuesday June 13 2017, @01:48PM (#524907)

      Or let people sell their organs instead of donate?

      --
      SN won't survive on lurkers alone. Write comments.
      • (Score: 2) by Lagg on Tuesday June 13 2017, @02:20PM

        by Lagg (105) on Tuesday June 13 2017, @02:20PM (#524923) Homepage Journal

        Probably not advisable as long as there are people in poverty and desperation. A 4 figure lump sum would be many people's first choice.

        --
        http://lagg.me [lagg.me] 🗿
      • (Score: 2) by Azuma Hazuki on Tuesday June 13 2017, @04:05PM

        by Azuma Hazuki (5086) on Tuesday June 13 2017, @04:05PM (#524974) Journal

        This is a textbook example, for all I know *literally* textbook, of "perverse incentive." Do you want the world to look like Larry Niven's acid dreams?

        --
        I am "that girl" your mother warned you about...
    • (Score: 4, Insightful) by deimtee on Tuesday June 13 2017, @02:19PM (1 child)

      by deimtee (3272) on Tuesday June 13 2017, @02:19PM (#524922) Journal

      While that (opt-out) should be done, it's a short term and inadequate solution. We need way more funding for in-vitro directed growth of new organs from stem cells.
      Preferably the patients own stem cells, with the genetic faults corrected if that was the cause of failure.

      --
      No problem is insoluble, but at Ksp = 2.943×10−25 Mercury Sulphide comes close.
      • (Score: 0) by Anonymous Coward on Tuesday June 13 2017, @03:20PM

        by Anonymous Coward on Tuesday June 13 2017, @03:20PM (#524951)

        inadequate solution

        It would be part of the solution and it would have an immediate practical effect.

        In vitro growth of new organs would be great, but it is not a realistic solution at the moment.

    • (Score: 0) by Anonymous Coward on Wednesday June 14 2017, @05:42AM

      by Anonymous Coward on Wednesday June 14 2017, @05:42AM (#525286)

      This indeed would solve the problem of not having enough organs. It would also end the illegal trade in "harvested" organs.

      But it will never happen because jebus.

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