Waiting lists for transplants
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From: "Paul Bartram" p.bartram AT OR NEAR on 21 May 2008 01:27 "Commander Hughes" <noneofyourfuckingbusiness(a)all.com> wrote > It's interesting to note that I had to go through several doctors to see > about me because when my kidney's failed I would say they were more than > terrified of the prospect of having to operate on me, thinking that maybe > it > wouldn't last very long - they were right with the first op - not so with > the second one and I hope to prove them wrong for many years to come. From what I've heard from nursing staff, surgeons are nervous about cutting on anyone with 'complicating conditions' not only because they don't like the dramas they might encounter, but because it might lead to legal consequences. Before even the most minor procedure these days (like the parathyroidectomy I had a while back) the actual surgeon will call you in for a consultation at which he will outline every possible complication that could happen, barring an earthquake collapsing the ceiling on you! They need to do this for insurance purposes (you sign a waiver or forget about the operation) but of course it scares the tripe out of the patient. Certainly with organ transplants they have to look very carefully at the overall fitness of the recipient. Dialysis patients suffer from calcification of arteries, making attachment more like PVC plumbing joints than surgery. Many ESRF patients have diabetes, which also has ramifications for the surgeon. However, a lady on our ward has just gone back on the transplant list, and she has epilepsy. This surprised me, because just imagine having your patient go into spasm while you are in up to your elbows... Paul
From: Chuk Goodin on 21 May 2008 14:19 On Wed, 21 May 2008 15:27:46 +1000, "Paul Bartram" <p.bartram AT OR NEAR mysoul.com.au> wrote: > However, a lady on our ward has just gone back on the >transplant list, and she has epilepsy. This surprised me, because just >imagine having your patient go into spasm while you are in up to your >elbows... I'm pretty sure that the anesthetics used would prevent you from moving even from a seizure. Certainly it could complicate other treatments, though. -- chuk
From: Commander Hughes on 22 May 2008 22:11 "Paul Bartram" <p.bartram AT OR NEAR mysoul.com.au> wrote in message news:4833b2d7$0$33304$c30e37c6(a)pit-reader.telstra.net... > > "Commander Hughes" <noneofyourfuckingbusiness(a)all.com> wrote > > > It's interesting to note that I had to go through several doctors to see > > about me because when my kidney's failed I would say they were more than > > terrified of the prospect of having to operate on me, thinking that maybe > > it > > wouldn't last very long - they were right with the first op - not so with > > the second one and I hope to prove them wrong for many years to come. > > From what I've heard from nursing staff, surgeons are nervous about cutting > on anyone with 'complicating conditions' not only because they don't like > the dramas they might encounter, but because it might lead to legal > consequences. Before even the most minor procedure these days (like the > parathyroidectomy I had a while back) the actual surgeon will call you in > for a consultation at which he will outline every possible complication that > could happen, barring an earthquake collapsing the ceiling on you! They need > to do this for insurance purposes (you sign a waiver or forget about the > operation) but of course it scares the tripe out of the patient. > > Certainly with organ transplants they have to look very carefully at the > overall fitness of the recipient. Dialysis patients suffer from > calcification of arteries, making attachment more like PVC plumbing joints > than surgery. Many ESRF patients have diabetes, which also has ramifications > for the surgeon. However, a lady on our ward has just gone back on the > transplant list, and she has epilepsy. This surprised me, because just > imagine having your patient go into spasm while you are in up to your > elbows... > > Paul I sense a slight bit of ignorance towards certain disabilities in your post Paul, no offense, but I do especially see it with the last statement you just made. Quite offensive actually. However, back to the points made, I was certainly scared to death of any waiver they handed me to look at while I was younger - I couldn't sign it obviously but just the thought made you that little bit nervous going into the operating theatre! James aka Commander Hughes > >
From: "Paul Bartram" p.bartram AT OR NEAR on 23 May 2008 01:59 > "Chuk Goodin" <cgoodin(a)sfu.ca> wrote >> "Paul Bartram" <p.bartram AT OR NEAR mysoul.com.au> wrote: >> However, a lady on our ward has just gone back on the >>transplant list, and she has epilepsy. This surprised me, because just >>imagine having your patient go into spasm while you are in up to your >>elbows... > I'm pretty sure that the anaesthetics used would prevent you from moving > even from a seizure. Certainly it could complicate other treatments, > though. I found a few references via Google of patients going into seizure during procedures, but these were mainly where levels of anaesthesia were altered during the work for technical reasons. In deep sleep, seizure *is* probably unlikely. As far as dialysis is concerned, this particular lady had a grand mal just as the nurse was removing the cannulas after treatment. An exiting time was had by all on that occasion - it was frightening just to watch from across the ward. Nurses simply aren't paid enough for what they do! Paul
From: "Paul Bartram" p.bartram AT OR NEAR on 23 May 2008 02:23
"Commander Hughes" wrote > I sense a slight bit of ignorance towards certain disabilities in your > post > Paul, no offense, but I do especially see it with the last statement you > just made. Quite offensive actually. See my previous post, composed off line before I read yours. Yes, ignorance no doubt, but I'm always willing to learn, and I think this group is a good starting place as fellow sufferers get together round the virtual campfire and talk. In this particular case, the lady I'm referring to was herself surprised that they were considering her for the transplant list, assuming that she would never be eligible. Maybe 5 or 10 years ago she wouldn't have been, but technology moves on, and things can be done now that couldn't be risked then. Certainly diabetes (which she also suffers from) is no longer a definite barrier to transplant. > However, back to the points made, I > was certainly scared to death of any waiver they handed me to look at > while > I was younger - I couldn't sign it obviously but just the thought made you > that little bit nervous going into the operating theatre! In our public system, if you don't sign the waiver, they don't operate - end of... Paul |