Tuesday, August 31, 2010

Is one kidney enough for me?

Well, Iam doing Transplant Nephrology right now. So I though I will chip in with this topic ....that many patients ask about. These are some of the facts that we know about donating a kidney......
Usually donors have be healthy..and ideally free of chronic problems especially Diabetes, cancer, strong family history of renal disease ending on dialysis, and without anatomical abnormalities like Polycystic kidneys.
So we are dealing with a group of healthy people. Consequences of donating may be divided into two...for the ease of explaining..

1. Issues with surgery - The surgery for removing is mostly done laparoscopically these days.(usually left kidney is removed due to ease of removal ). On a recent study in JAMA ,the mortality in the first 90 days is around 3/10,000 patients. Mostly due to bleeding, thromboembolic disease etc. After 1 year the mortality equals the mortality with a comparable healthy cohort.

2. Issues with loss of kidney mass -  Since 50% of the nephron mass is lost, its expected that their left over kidney swells up a little to compensate, and creatinine can theoretically double. But usually creatinine goes back to normal or settles within 40% above baseline. The other theoretical risks that need to be watched for over the next 2 years are 1.Hypertension ( not significantly high than in normal population)
                                       2. Protenuria (significance is not really known)
 As I mentioned above, the mortality is the same for these people as for someone who has 2 kidneys.

One advantage of donating a kidney is...if in case the donor ends on Dialysis either due to trauma, cancer or CKD), then they will be considered as high priority, and will get transplanted (if they dont have a living donor) within 6 months.

So..go ahead ..encourage patients to donate...if they can...!!!!


  1. You really make it appear so easy along with your
    presentation but I find this matter to be
    actually something that I feel I'd never understand. It kind of feels too complicated and very large for me. I am looking forward for your next publish, I will attempt to get the grasp of it!

    my page: no teletrack payday loans
    My web page :: no credit check payday loans

  2. Me and ozzy fucked more difficult, trying to show to my god!
    FUCK YES!' ahead of cumming inside my warm pussy. were still fucking

    Also visit my webpage: hcg injections
    Also see my site - hcg injections

  3. Howdy just wanted to give you a quick heads
    up and let you know a few of the images aren't loading properly. I'm not
    sure why but I think its a linking issue. I've tried it in two different web browsers and both show the same outcome.

    My blog post: NFL Jerseys Cheap

  4. Just want to say your article is as surprising.
    The clearness in your publish is just spectacular and i could assume you are knowledgeable in this
    subject. Fine along with your permission allow me to grab
    your RSS feed to stay up to date with coming near near post.

    Thank you 1,000,000 and please continue the gratifying work.

    Look at my page wsmisports.com

  5. you're in reality a excellent webmaster. The website loading pace is incredible. It kind of feels that you are doing any unique trick. Furthermore, The contents are masterpiece. you've done
    a wonderful process in this subject!

    My webpage Cheap Louis Vuitton Bags

  6. Appreciating the time and energy you put into your website and detailed
    information you offer. It's great to come across a blog every once in a while that isn't the same outdated
    rehashed material. Wonderful read! I've bookmarked your site and I'm including
    your RSS feeds to my Google account.

    my site ... http://www.drolet.ca/masters/michaelkorsoutlet.html

  7. These are really enormous ideas in about blogging.
    You have touched some good points here. Any way keep up wrinting.

    Here is my blog; nfl jerseys cheap

  8. You made some good points there. I looked on the net
    for more information about the issue and found most people will go along with
    your views on this website.

    Also visit my web page Abercrombie & Fitch

  9. Hi! I could have sworn I've been to your blog before but after going through many of the articles I realized it's new to me.

    Anyways, I'm definitely happy I stumbled upon it and I'll be bookmarking it and checking back regularly!

    Look at my web blog; Converse Pas Cher

  10. Hey! I know this is sort of off-topic however I
    had to ask. Does building a well-established website such as yours require a lot
    of work? I am completely new to blogging however I do write in my
    diary everyday. I'd like to start a blog so I will be able to share my own experience and views online. Please let me know if you have any recommendations or tips for brand new aspiring bloggers. Appreciate it!

    my web-site ... Get the Facts

  11. Having read this I believed it was really informative.
    I appreciate you finding the time and energy to put this article together.

    I once again find myself personally spending way too much time both reading
    and posting comments. But so what, it was still worthwhile!

    Look into my web-site; Sac Louis Vuitton Pas Cher

  12. I don't even know how I finished up right here, however I thought this post used to be great. I do not recognise who you're
    however definitely you're going to a famous blogger in case you aren't already.

    Feel free to surf to my web site ... Air Jordan Pas Cher

  13. What's Going down i am new to this, I stumbled upon this I have discovered It positively helpful and it has helped me out loads. I'm hoping
    to give a contribution & help other customers like its aided me.

    Good job.

    Here is my web-site: Abercrombie Paris

  14. Hello there! I know this is somewhat off topic but I was wondering if you
    knew where I could find a captcha plugin for my comment form?
    I'm using the same blog platform as yours and I'm having difficulty finding
    one? Thanks a lot!

    Here is my page ... Authentic Evgeni Malkin Jersey

  15. Whats up are using Wordpress for your site platform?
    I'm new to the blog world but I'm trying to get started and create
    my own. Do you require any html coding expertise to make your own blog?
    Any help would be really appreciated!

    Here is my page; Louis Vuitton Bags

  16. Write more, thats all I have to say. Literally, it
    seems as though you relied on the video to make your point.
    You obviously know what youre talking about, why throw away your intelligence on just posting videos to your
    site when you could be giving us something enlightening
    to read?

    Feel free to visit my web blog: Air Max Pas Cher

  17. whoah this weblog is excellent i like studying your posts.

    Stay up the good work! You know, lots of individuals are looking round for this information, you can aid them greatly.

    Feel free to visit my site :: Sac Guess Pas Cher

  18. With havin so much content do you ever run into any problems of plagorism or
    copyright infringement? My blog has a lot of completely unique
    content I've either written myself or outsourced but it looks like a lot of it is popping it up all over the web without my permission. Do you know any techniques to help protect against content from being ripped off? I'd genuinely appreciate

    Also visit my webpage - Abercrombie and Fitch

  19. Hello There. I found your blog the usage of msn. This is a really well written article.
    I will make sure to bookmark it and come back to learn extra of
    your useful information. Thank you for the post.
    I will certainly return.

    Review my web site ... Louis Vuitton Purses

  20. Simply desire to say your article is as surprising. The clearness in your
    post is simply spectacular and i could assume you're an expert on this subject. Fine with your permission let me to grab your feed to keep up to date with forthcoming post. Thanks a million and please carry on the rewarding work.

    My web site :: click for source

  21. Hola! I've been reading your website for a while now and finally got the courage to go ahead and give you a shout out from Dallas Texas! Just wanted to mention keep up the great work!

    my web blog Chaussures De Football

  22. I really like what you guys are up too. This sort of clever
    work and reporting! Keep up the superb works guys I've included you guys to my personal blogroll.

    my homepage Full Article

  23. Whats up very cool blog!! Man .. Excellent .
    . Wonderful .. I will bookmark your site and take the feeds also?
    I'm satisfied to search out a lot of useful information right here within the post, we want work out extra strategies in this regard, thank you for sharing. . . . . .

    Visit my blog ... Louis Vuitton Handbags

  24. What's Happening i'm new to this, I stumbled upon this I have discovered It absolutely
    helpful and it has helped me out loads. I am hoping to
    give a contribution & assist different customers like its aided me.
    Great job.

    Feel free to surf to my web page :: Louis Vuitton Bags

  25. I like what you guys are usually up too. This type of clever work and exposure!
    Keep up the awesome works guys I've added you guys to my blogroll.

    Also visit my website ... cheap nfl Jerseys

  26. of course like your web site however you have to take a look at the spelling on quite a few of your
    posts. Many of them are rife with spelling problems
    and I to find it very bothersome to tell the reality then again I'll surely come back again.

    Here is my weblog :: homepage

  27. Hi there, yes this paragraph is in fact good and I have learned lot of things from
    it concerning blogging. thanks.

    Feel free to surf to my web page: visit this link

  28. There is certainly a great deal to know about this topic.
    I really like all the points you have made.

    My weblog ... Michael Kors Outlet

  29. I am genuinely grateful to the holder of this
    web site who has shared this enormous paragraph at here.

    My website; Sac Guess [www.beyonddelay.com]

  30. I always used to study paragraph in news papers but
    now as I am a user of web therefore from now I am using net for articles or
    reviews, thanks to web.

    Feel free to visit my page Sac A Main Louis Vuitton

  31. Quality articles or reviews is the key to be a focus for the people to visit the site,
    that's what this website is providing.

    Also visit my web page - Nike Free

  32. At this moment I am going to do my breakfast, afterward
    having my breakfast coming yet again to read more news.

    Feel free to surf to my blog post; Soldes Air Jordan

  33. I have to thank you for the efforts you have put in penning this site.

    I'm hoping to check out the same high-grade blog posts from you later on as well. In truth, your creative writing abilities has inspired me to get my own, personal blog now ;)

    Take a look at my web-site - Air Jordan

  34. At this moment I am ready to do my breakfast, afterward having my
    breakfast coming yet again to read further news.

    My blog post :: Air Max

  35. I don't create many comments, however I browsed a few responses here "Is one kidney enough for me?". I do have some questions for you if it's okay.
    Could it be just me or does it seem like a few of these comments look like they are left by brain dead visitors?

    :-P And, if you are posting at additional sites, I'd like to keep up with everything new you have to post. Would you list of the complete urls of your social networking pages like your twitter feed, Facebook page or linkedin profile?

    my page: Sac Louis Vuitton

  36. Fantastic blog you have here but I was wondering if you knew of any message boards
    that cover the same topics discussed here? I'd really love to be a part of community where I can get advice from other knowledgeable individuals that share the same interest. If you have any recommendations, please let me know. Appreciate it!

    Also visit my homepage; Cheap Air Max

  37. Definitely consider that that you stated. Your favourite justification appeared to be on the internet
    the easiest factor to take into accout of.

    I say to you, I certainly get irked even as folks consider issues that they just do not
    recognise about. You managed to hit the nail upon the
    highest and also outlined out the whole thing without having side-effects ,
    people could take a signal. Will likely be again to
    get more. Thank you

    Look into my blog post :: Air Max

  38. Why visitors still make use of to read news papers when in this technological globe the whole thing is accessible on web?

    Feel free to visit my web page Chaussures Foot

  39. This is very fascinating, You're an excessively professional blogger. I've joined your
    feed and sit up for looking for extra of your magnificent post.

    Additionally, I've shared your site in my social networks

    Look into my blog; Get the Facts

  40. Thank you, I've recently been searching for information approximately this topic for a long time and yours is the best I have discovered till now. However, what concerning the bottom line? Are you certain in regards to the source?