Friday, December 25, 2009

Renal transplant (Q)

Mr Lee is a 40-yr-old pt who has ESRD secondary to DM on regular HD 3 x /week for 2 yrs. He is a lawyer in a big law firm. However, since he is commenced on haemodialysis (HD), he has difficulty arranging his time for the HD and his work. He is in the transplant list since 1 yr ago. However, he red the news that the waiting list for a cadaveric kidney transplant is probably about 10 yrs in Malaysia.

He is keen for live renal transplant. However, he is the only son and his parents are both more than 60 yrs old with DM and IHD and was told not suitable as donor.

His wife, Madam Lee, is a healthy 32-yr-old teacher who wish to donate her kidney to her husband. She also wonders whether her husband would benefit from kidney transplant at China.

She comes to see you for advice.

Your task is to explain the pros and cons of non-related live renal transplant and manage her concerns.


HOW WOULD APPROACH YOU THIS?

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