Category Archives: Organ Trade and Donation

Organ transplantation has come to stay -Dr Adib Rizvi

By Zubeida Mustafa

68-04-08-1992a
Dr Adib Rizvi

In the early 1970s a magistrate from the interior of Sindh died of kidney failure in Civil Hospital, Karachi. This should normally not have merited a mention, especially twenty years later. Nearly 10,000 people in Pakistan come down with kidney failure every year.

But Mr Shaikh’s death, that was the magistrate’s name, proved to be an event of far-reaching consequences. In those days there were no facilities in Karachi for dialysis (let alone transplantation) — the only process by which the life of a patient of end-stage renal failure can be sustained. Mr Shaikh was sent to London where he was dialysed for a few weeks until his budget was exhausted. He was sent home with the false assurance that he was cured. He returned to Pakistan very pleased with himself looking forward to a new life. He brought as a token of his gratitude a small gift of handkerchiefs for the urologist who had attended to him in Karachi. Continue reading Organ transplantation has come to stay -Dr Adib Rizvi

Transplantation of kidney: Indian professor’s views

By Our Special Correspondent

KARACHI, March 23: While condemning the unethical practices associated with kidney transplantation from unrelated living donors. Prof Kirpal Singh Chugh made a fervent appeal to the medical profession to spread the message to the public for the need for cadaveric transplantation of organs.

Dr.chughHe was speaking on the “Ethics of Transplantation” at a symposium organised at a local hotel on Friday. Dr Chugh, who is the Professor of Nephrology at the Postgraduate Institute of Medical Education and Research, Chandigarh, India, was in Karachi to attend the Dow Medical College Annual Symposium on March 20-22. Continue reading Transplantation of kidney: Indian professor’s views

I was determined to live — and live normally

By Zubeida Mustafa

Dr Rukhsana Parveen is a Senior House Officer in the Nawabshah Civil Hospital. Her job in the 73- bed medical ward is considerably demanding entailing as it does six hours of morning duty every day and four emergency duties a week — twice in the afternoon and twice at night.

For 27-year-old Rukhsana, her work as a physician is most satisfying. She speaks enthusiastically about her profession, narrating animatedly her experiences with her patients. She is proud of her achievements: in the last few weeks she has cured six patients suffering, from the deadly disease Hepatitis-B. Continue reading I was determined to live — and live normally

Helpful donors come to the rescue

By Zubeida Mustafa

When ‘ the first kidney transplant operation was performed at the Civil Hospital, Karachi, on November 20, 1985, few expected it to be more than a rare surgical feat accomplished once in a blue moon. After all, the obstacles to be surmounted were several, the most significant being financial constraints. Could a hospital in the public sector with a limited budget, sustain a programme which cost Rs 140,000 to provide postoperative care and drugs to one patient for one year?

40-10-03-1989-AThere were other limiting factors as well. Even though the availability of surgical skill could be taken for granted, without an infrastructure of specialised nursing, extensive dialysis services and laboratory facilities, kidney transplant surgery could not be made routine. At that time arrangements did not even exist in the country for tissue matching, the first prerequisite for a transplant operation, and blood samples had to be sent abroad for this purpose.

Then there was the question of social acceptance of an idea that was quite radical for a society where life and death have a religious sanctity about them and are not. to be tampered with. Would donors be readily available and how would the people react to the concept of cadaveric donation, which has to be the ultimate endeavour of a transplant programme. Continue reading Helpful donors come to the rescue