Let us assume that there is only one patient. For example, assume that you are that one patient. One morning you wake up to an ordinary working day. You feel ill at the office and are taken to a hospital. Dizziness, nausea, puking. You have lost consciousness. They have brought you to the ER. Examinations and tests. The doctor explains your situation. In short, he says your kidneys have failed. You need to receive hemodialysis treatment immediately. Otherwise you might lose your life. When listening to the doctor, you feel like he is telling you about the health concern of someone else. You don’t want to believe. You say, “there must be a mistake, please run the tests again.”. They do not argue with you and repeat the tests. The result is the same. They tell you that they need to insert a catheter into your neck at the size of a small pipe. That catheter is required for dialysis treatment. Into your neck? A catheter? You remember the days you tried hard to avoid getting injections. Now they tell you that they will insert a huge catheter into your neck. Still under the shock of the news, you suddenly become the hero of an adventure, which you wouldn’t believe in your wildest dreams. You ask the doctor if there was any other way to treat this disease. The doctor says, “Why, yes of course, you could get a kidney transplant”. So, how can I get a kidney transplant? Sir, naturally we need a kidney to be transplanted to you. We can perform a transplant using a kidney from a cadaveric donor, but it might take a long time due to low number of cadaveric donations. Actually, you might never get one. Is there an alternative? Yes, of course there is. Transplantation using a
kidney given by a live donor, a relative. How do you mean? I haven’t yet been convinced on my illness, how am I supposed to ask for a kidney from a relative? Who can I ask for a kidney anyway? How could someone ask for something like this?
Is there a kidney out there?
Is there anybody out there?”
The ER was crowded a minute ago, now I am bizarrely surrounded by solitude. Silence has prevailed since I was told about kidney transplantation from a live donor.
I guess I better have that catheter inserted now. They told me that I could die if I do not get dialysis treatment immediately. Then I shall apply for the kidney waiting list. Let’s wait and see what the fortune brings, maybe I get a kidney someday, who knows. How am I supposed to do my job at work? Would they fire me because I need to take dialysis treatment 3 days a week? How can I handle all these?
“There are tens of thousands of people living this scenario in our country. Those who are lucky enough get kidneys from live donors, when their relatives step in, and get back to their normal lives quickly. But the majority first start to wait with hope in all this uncertainty and then give up!
If we were unable to relieve you of the coldness of numbers, then perhaps we ought to change the scenario. God forbid, assume that your son or daughter gets sick all of a sudden. And he/she is diagnosed with kidney failure. The result of the tests and examinations made in the ER indicate that a kidney transplant is the best solution. You, as the parents, ask how to proceed with a kidney transplant and naturally volunteer to be live donors. The doctors support your request and run some tests. They first check the mother. The blood group doesn’t match. Then they check the father and happily see that the blood group matches. But the tests reveal a heart condition in the father. Unfortunately, he doesn’t qualify as a donor either. So, what now? Shall we ask the aunt or the uncle? The grandmother suffers diabetes, the grandfather has passed away long ago. Who shall we ask, who can give a kidney to our child. You then ask the doctor about cadaveric donors. Can we get a kidney for our child from a cadaveric donor? Yes, theoretically you can. However, the rate of cadaveric donors is very low in our country, so it is impossible to say when your child can actually get a kidney from a cadaveric donor. We need to wait patiently. So, will my child receive dialysis treatment now? How is she supposed to go to school? She is a very successful student. Now she will fall behind in the class…