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Old 03-12-2018, 07:27 PM
rockchalk1 rockchalk1 is offline
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Originally Posted by Tufahije View Post
Besides some good posts, there is a lot of misinformation in this thread. I have gone through the process, had the tests, signed the forms to not accept an extended criteria kidney [High KDPI in new terminology].

Point one: average life span of a transplanted kidney varies. A Hep C donor would be deceased and as a result, the average is just 8 - 12 years of function. 20 years is extremely long even for a very healthy organ. One thing to consider is this inmate’s age as kidneys with a higher KDPI go to older patients and those with lower KPDI go to younger patients. As a result, this kidney is expected to have a shorter lifespan in general.

Point two: The research shows that Hep C has been cured in patients involved in studies who received such kidneys. The patient is put on a routine of anti-viral medications right away. In some, the drugs are started before the surgery takes place. It was recently in the news that 10 patients at John Hopkins University received such transplants and each were cured of any Hep C infection. As a result of this study, the team deemed Hep C kidneys „ safe “ for transplantation.

A further study was conducted at University of Pennsylvania and achieved the same results. Each patient contracted Hep C but a 3 month course of a specific medication cured the virus.

There are a lot of peer reviewed articles from medical journals that discuss this issue and they are easily accessible online.

Currently, I am on a similar protocol from viruses from my donor [not Hep C] but the difference is that these cannot be cured but managed. It is not the end of the world and I feel healthy.

Hep C kidneys, as part of extended criteria, would not be offered to all but as I said older patients who are healthy for transplant but can expect a shorter life for the kidney in general.

The issue in a prison setting would NOT be the kidney with Hep C but rather the aftercare and the cost. We have noted on this board time and time again the dire state of prison health care. For cost, there have been quotes that 3 months of the specific anti - viral to rid Hep C costs ~ 90 - 100.000 $ USD. This is a cost on top of the anti - rejection drugs required for life. Secondly, the inmate patient would require extensive monitoring and lab testing to ensure not only that his numbers are good, the kidney works, the medication levels are in target but that the Hep C medication is doing its job as well. I question how this would be done promptly and on schedule in such a setting.

Anyone with viral concerns must be followed by infectious diseases specialists who focus on solid organ transplantation. These are experts up to date with the latest research and medication regimes that work. They would review the file of the patient and deem the risks adequate or not and they seem to agree that this virus and transplant is o.k. Conversely, will an inmate be followed as closely as needed in the first year as required by these specialists? I doubt it.

Another point is that the other anti - rejection drugs lower your white cell count and subsequently make you more susceptible to infection. Infection leads to rejection if not treated quickly. Rejection can be handled now in most cases but again, question the quality of prison health care.

Due to my youth, I did not have to consider the extended criteria concerns but based on scientific evidence, and I am taking strong anti - vitals currently, I would feel safe with a Hep C organ. If I was older, on dialysis for a long time and this was my option, o.k. The larger concern is the lack of adequate after care to ensure that the inmate patient receives the proper drugs, monitoring and follow up care. It is at this point things could go terribly wrong.

Regular person? Worth a shot. Inmate? Would not do it.
I am glad you posted this. My mother is a kidney transplant recipient as is my Uncle (on my father's side and his has been I'm sure 20 years at least or close to it). I recently saw a story about the successes of transplants even with patients who had other illnesses like Hep C, or other diseases. So, your explanation is fantastic. Too many people get sicker and die on dialysis and have no hope. Unfortunately however, even with a transplant the after-care is tremendous. My brother was the donor for my mother 6 years ago. The recovery period itself, was much harder on my brother than my mother and the hospital did a poor job in preparing and educating my brother on this fact. It's a shame because this took place at one of the best hospitals in the country. Regardless, the after-care for my mother is non-ending. The medicines, and monitoring, and diet is tiring. Unfortunately, she doesn't take as good of job caring for it as we would like, (ie watching her weight, and eating healthy), but she is at least good about making sure she doesn't eat undercooked food, etc. because all of those could cause a lot of problems with the kidney. Anyone going through a transplant has to really be educated on the pros/cons and be prepared to take the entire thing seriously.
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