MSCs help us Reject Rejection

mesenchymal_stem_cell 2The light of rejection-free, healthy kidney transplants has entered the tunnel, and should arrive at our end in just three to five years.

Last month a senior researcher from the Cell and Tissue Therapies WA at the Royal Perth Hospital (CTTWA) presented a paper to the Renal Society of Australia‘s annual conference that has profound implications for us BigDers.  It detailed their early clinical trial successes in using Mesenchymal Stem Cells (MSCs) to stop kidney transplant rejection and to repair acute kidney injury (among many other medical wonders). (more…)

Kidney transplants in China – the real story

Two days ago (7 Apr 2015), SBS Dateline broadcast Human Harvest: China’s Organ Trafficking.

Just 24 minutes long, it is a truly shocking story about the source of kidney and other organ transplants, with evidence from the doctors who performed some of the operations.  Organs, including corneas and kidneys brutally removed without anaesthetic from tortured political prisoners, who are then killed and disposed of.

Not just a few transplants either.  (more…)

Dialysis or Transplant: the Big Decision

When I first went on dialysis, in 1995, I was in shock.  Though I had been building up to it for at least five years, the reality of the needles, the machine and the time it took from my life was almost overwhelming.  It was for Julie too: suddenly our life together was short-changed.

Everyone in this emotional cauldron feels the same, and like everyone, we cast around looking for any way we could make it all go away.

The obvious candidate was a kidney transplant.  (more…)

Getting a kidney transplant from a loved one

I’ve had kidney problems since 1972, when I was 20.  Through some luck and good management (by Dr John Dawborn, my renal specialist), I hung on to my free and easy life style until June 1995, when I finally joined the BigD club.  Julie and I had been married for 21 years and we had three children.  Neither of us was happy about the BigD and me, and after much thought, Julie conceived a cunning plan to get me out: she would give me one of her kidneys if she was compatible. 

She was!  So began the long workup process: blood tests, counselling, psychological interviews, physicals, transplant workshops, the lot.  At this time, living donor transplants were rare (donor kidneys were mostly from cadavers), and we were the Austin Hospital’s first husband – wife transplant. 

Then, in November 95, after only six months on dialysis, we found ourselves in adjacent trolleys, being wheeled to theatre, first Julie, then an hour or so later, me.  We went in to the operation with high hopes and no thought of failure.  It was to be a real life fairy story, with me off dialysis after receiving a unique, life-changing gift from Julie.  It was an exciting time.

Apart from the family trauma (our children were then aged 15, 17 and 19 had the worry of both parents in hospital for serious operations), the operations went well.  Julie recovered quickly, as did I.  

However, within two days my body rejected the kidney.  In spite of massive doses of drugs (and the harsh side effects), the toxic kidney was removed after a very unpleasant roller coaster ride, three months later.  As part of the closure process, we asked to see it.  It arrived a few hours later in an otherwise empty Styrofoam six pack cooler.  It was small, black, sad and quite dead.  We said our goodbyes.  It was a difficult time for both of us.  

I went back on dialysis.  

But take heart, this is not typical.  Failure rates at that time were around five percent, are less now and continue to fall.  And I have since had a successful transplant. 

So, what are the lessons from my experience? 

Firstly, while no two people are alike, expect rejection.   Some of us reject right from the outset, others breeze through the first few weeks/months.  But either way, don’t think you are in the clear once you leave the hospital.  On average, heart transplant patients have 2.5 rejection episodes in the first year.  Kidney transplants are no different.  

Secondly, expect infection.  Your immune system will be heavily suppressed.  While you take as much care as possible, you should also expect some kind of infection during that early period, typically one that your body would normally brush off.  

Chances are you will experience both rejection and infection in the first year.  Their severity will vary depending on your personal make up and any random factor you care to mention.  But, if you are mentally prepared, and something happens, you are ready.  If nothing happens, well that’s one of life’s little bonuses. 

Thirdly, persevere.  There may be days when you wonder what the hell you have done.  You find you are in limbo for hours, sitting and waiting; sometimes in pain, sometime not.  I called these days donkey days, where you keep going, even when you are unsure why.  But take heart!  Things improve eventually, either with the kidney, or without it (but mostly with it).  

So, if you take home one thing from my experience, it’s this:  a kidney transplant is another form of treatment, effective, but with side effects; it is not a cure. 

If you can think of it like that, you are ready to start your transplant journey.

Next post: Dialysis and holiday travel