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#1 |
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Thank you Spirit Dancer for posting this thread. I went to work this morning.
![]() ![]() Finally our hospital has something to be excited about besides donating blood. Once again, what a wonderful Idea Spirit Dancer, now if I can get the other 39 associates to swab away! |
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Blaze Thank you and your co workers, such a wonderful gift you all are giving. Wishing now there were more drives for Bone Marrow and Stem Cell what a great idea you had. ![]()
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#3 |
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On the contrary my dear. It was your posting that got me thinking that it would be a wonderful drive to do. We all give blood. It was now time to get my hospital co-workers to step it up and give more. So. It is you, that should get the applause and thanks!
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I had plannd to do this a couple of years after a news article published about a local guy needing a bone marrow transplant. However, during my procrastination, the young man died. I will never know if I could have been a match. Still wears on me. I didn't know there was a registry. Thanks for bringing this to my awareness. And stem cell donation!?
How does that work with live donors? Did I miss that?
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Sander Florman1 and Charles M. Miller2 1Tulane University School of Medicine, Tulane University Hospital and Clinic, New Orleans, LA, and 2The Cleveland Clinic Foundation, Cleveland, OH Received January 10, 2005; accepted February 2, 2006. With ever-increasing demand for liver replacement, supply of organs is the limiting factor and a significant number of patients die while waiting. Live donor liver transplantation has emerged as an important option for many patients, particularly small pediatric patients and those adults that are disadvantaged by the current deceased donor allocation system. Ideally there would be no need to subject perfectly healthy people in the prime of their lives to a potentially life-threatening operation to procure transplantable organs. Donor safety is imperative and cannot be compromised regardless of the implication for the intended recipient. The evolution of split liver transplantation is the basis upon which live donor transplantation has become possible. The live donor procedures are considerably more complex than whole organ decreased donor transplantation and there are unique considerations involved in the assessment of any specific recipient and donor. Donor selection and evaluation have become highly specialized. The critical issue of size matching is determined by both the actual size of the donor graft and the recipient as well as the degree of recipient portal hypertension. The outcomes after live donor liver transplantation have been at least comparable to those of deceased donor transplantation. Nevertheless, all efforts should be made to improve deceased donor donation so as to minimize the need for live donors. Transplant physicians, particularly surgeons, must take responsibility for regulating and overseeing these procedures. Liver Transpl 12:499-510, 2006. © 2006 AASLD.
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The demand for liver transplantation has continued to
increase in the last three decades and has far outpaced the supply of organs from deceased donors. In the U.S. alone, more than 90,000 people are on transplant waiting lists, whereas the number of deceased liver donors in recent years has remained stable at approximately 6,000.1 More than 18,000 patients are waiting for livers. Allocation of these precious, life-saving organs is currently dictated by patients’ scores on the Model for End-stage Liver Disease, a disease-severity index based solely on bilirubin, creatinine, and international normalized ratio. The Model for End-stage Liver Disease (or, in children, the Pediatric End-stage Liver Disease model) allows prioritization of the sickest patients.2,3 Still, death on the waiting list in 2004 was greater than 10%.1 Faced with these statistics, physicians caring for these patients have endeavored to perform transplants with partial liver grafts from healthy, volunteer live donors. An estimated 7,000 living donor liver transplants have been performed worldwide.
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ADVANTAGES OF LIVE DONORS
Organs from living donors offer many potential advantages over organs from brain-dead donors. The most important advantages of live donation are that it optimizes the timing of transplantation and frees patients from the waiting list. These factors have become especially helpful for patients who are disadvantaged by the cadaver organ allocation scheme, including patients with tumors, cholestatic diseases, or blood type O, as well as those who are retransplantation candidates. Preservation time is minimal in live donor transplants, so there is significantly less ischemic damage to the liver. Live donors are by definition healthy, and therefore the quality of the donated liver is much better. Brain death results in many adverse pathophysiologic effects that damage the liver. Perhaps most importantly, live donor transplantation increases the global pool of transplantable organs, allowing more people to benefit from this potentially life-saving therapy. DISADVANTAGES OF LIVE DONORS There are, however, a number of disadvantages to live donor transplantation which must be considered carefully. The donor, a perfectly healthy volunteer, faces unequivocal risks of morbidity and even mortality which put the procedure at odds with the very basic tenets of medicine and the oath that all physicians pledge to keep: Primum non nocere – First, cause no harm. The risk of death for donors of a left lateral segment or a left lobe is estimated to be approximately 0.1%, whereas the risk for donors of a right lobe is estimated to be approximately 0.4 to 0.5%.25
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So 'live stem cell donor' is liver transplant? My sister has just been diagnosed with 'C'. She has started chemo therapy with a research drug (weekly injections and daily pill). If after six months the treatment looks as if it is working she will continue, otherwise, next year there is a new drug regiment being introduced, She will start on that one. If that doesn't show results in 6 months, then she will need the transplant. I was thinking I needed to wait to check for match on the liver. So I will go ahead and test for her match. Can one person do more that a one time 'live liver donation' after regrowing the liver?
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The live donor part was for a partial liver transplant. Stem Cells are harvested the same way as a blood donation unless it is a bone marrow donation then it is a surgical procedure. I'm not sure if it would be wise to donate a partial liver more than once, I'll look into it, makes an interesting question. Will add your sister to the candle list if it is okay with you.
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