NZ GENERAL 4 RE KIDNEY DONORS NEED TRANPLANTS MORE
From: Brian Sandle (bsandle@no-spam)
Subject: Re: kidney donors need tranplants more
Date: 24 Jun 2003 08:42:53 GMT


Larry Krzewinski <Feerless_Freep@no-spam> wrote:
> On Mon, 23 Jun 2003 22:43:04 -0400, "Pierre L" <pierrot51@no-spam>
> wrote:
> I was very uncomfortable when 5 people volunteered to give me a > kidney. I have nothing against any others accepting a kidney if that > is what they want to do or have done but that wasn't the route for me > to take with my life.

Thanks.

When we go for our driver's licence we have to say whether we wish to be a donor if we get brain dead, I presume it is.

It is so easy to be selfish, isn't it, worrying that if you don't mind being a donor that you might be considered brain dead a bit earlier than if you do mind.

I wonder if they could put the brain dead corpse on the kidney machine for a while just in case they may come back, or in case a coma does mean something to the evolution of any soul or whatever.

Can you tell me the advice you get to care for kidneys?

Many years ago I bought C Leslie Thomson's pamphlet, `Be Kind to Your Kidneys' (1961). (Kensington Clinic). Thomson said not to drink too much.
Recently one of the Christchurch daily newspapers carried an article by a kidney doctor expressing concern at the amount of water being drunk by sportspeople. He gave quite a small quantity as the best.

Thomson said the urine is not a good guide to kidney health. Clean urine may mean the kidney is not doing its work. But I am not sure if the creatine ? &c tests were available then.


From: kerryd@no-spam (Kerry)
Subject: Re: kidney donors need tranplants more
Date: Tue, 24 Jun 2003 10:55:14 GMT

On Tue, 24 Jun 2003 02:21:18 -0700, REP <rep@no-spam> wrote:

>About living donors developing kidney disease/ESRD themselves:
>
>I wonder if the rate of ESRD was higher in those who had a given a >kidney to a close relative, and if those donors had the same gene >expression that led to the kidney disease in the recipient, and the >massive insult of surgical removal of one kidney somehow made the >'kidney disease trait' more assertive. I am, of course, guessing and >there could be several reasons why this line of thought is horseshit, >but it does seem to me as though a genetic predisposition to kidney >disease may be reason behind what is now called idiopathic diseases. >This is based on nothing more than the observation of a kidney disease >(FSGS) in my family and a feeling that 'idiopathic' doesn't cut it.
>

FSGS is more likely to run in families. Butthesortof damage caused by say chronic infection is less likely to.
Some anatomical abnormalities that lead tochronic infection can alsorun in families, but many kidney diseases are idiopathic. Many also have familial components.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Four be the things I am wiser to know: Idleness, sorrow, a friend, and a foe. Four be the things I'd been better without: Love, curiousity, freckles, and doubt. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~


From: Brian Sandle (bsandle@no-spam)
Subject: Re: kidney donors need tranplants more
Date: 24 Jun 2003 20:31:36 GMT

Pierre L <pierrot51@no-spam> wrote:

> <cath@no-spam> wrote in message > news:poqgfvklbstiq2khp2itpn82mftksag3rt@no-spam >> My oh works for the County's rual transport division here in South >> Texas as a driver. The majority of his work involves picking up >> people from their homes and taking them to dialysis. IIRC the >> majority are Hispanic.

Really.

The darker skin skin makes it harder to absorb vitamin D from sunlight, and vitamin D3 seems to be protective in some measure against insulin resistance and diabetes.

Dark skin partly evolved, I understand, to protect the body's folic acid from light. But Hispanics tend to have lower folic acid levels. I do not know if that is dietary.

There could be some other mechanism being adapted to. In the start of brainstorming: light converts vitamin B12 to its active form. If for some genetic reason folic acid is lower then redcued activity of vitamin B12 may spare folic acid. Note you should not supplement one without checking the other.

>>
>> There are days when the local dialysis centre is so overloaded they >> are forced to take patients to other centres in other towns.
>>
>> It is sad whenever he tells me Mr or Mrs X died but it's a hard cold >> fact that most people will die due to the lack of kidneys available >> for transplant.

One thinks of animal kidneys but then there is the risk of say pig viruses jumping to humans and being passed on and wiping us out on a large scale.

see <http://www.i-sis.org.uk> I think.

How are artificial kidneys progressing? Something which could be changed like a colostomy bag?

>>
>> Fact is also, there have been recent warnings that the number of >> Hispanics who will develop diabetes will increase dramatically.
>> Most will die whilst still awaiting a transplant.
>>
>>
>> Cath >>

> It's not like getting a transplant is a cure. It's a treatment, but it > doesn't last forever, and it brings its own set of complications. Some > people do well on dialysis, some don't. Similarly, some do well with a > transplant, some don't. If a person is going to die on dialysis, the > complications that cause it aren't likely to make a transplant that much > better. It's not the dialysis that kills you, it's either deliberate > non-compliance, ignorance or more often, cardiovascular problems. These > problems aren't likely to ensure a successful, long term treatment with a > kidney transplant either, since adherence to prescriptions, follow-up, diet > (less critical, but still important), etc. is still necessary.

> It always makes me a little upset to hear about the latest celebrity (or > anybody else who can attract media attention) who has kidney failure and > must get a transplant like right now. The media always makes it sound like > it's a matter of life and death. This is rarely the case, as most of us > know.

Yes, our celebrity said to the nation that if he got one he would probably go out and play rugby, even though the transplant is usually in a susceptible place to injury. What a challenge to his young fans.

The rally driver learns to try to prevent accidents from skids, but the real accident is already occuring before the skid starts: the judgement of how to approach the difficult area was faulty.

What knowledge do we have for everybody? What drives what of that knowledge is distributed? There is such a lot of profit in selling water. Doesn't sell for about the same as petrol? And it's cost is next to nothing, except for packaging and transport.

C Leslie Thomson speaks strongly against distilled water if your diet is not supplying minerals sufficiently.