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Living Donation Forum / Re: COVID-19
« Last post by Clark on March 01, 2021, 12:24:39 PM »
As I'm an active Blood Services volunteer for the ARC, I, too, have been fortunate enough to get the Pfizer vaccine. No side effects other than being slightly sore at the injection site for either the first or the second. Full potency reportedly at fourteen days, tomorrow. I anticipate slightly increased activity out in the world, but still double masked, at a distance, washing hands, and avoiding crowds, especially indoors. Best wishes all!
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I thought this part was interesting:

Ongoing barriers to living‐donor transplantation include center concerns for donor and recipient safety, fewer donor inquiries, staff limitations, and government restrictions. With more than 42,000,000 people worldwide who have recovered from COVID‐19 to date, concern about limited data regarding the safety of organ donation from donors with previous infection may also be a contributing factor to reducing the donor pool. Recent American Society of Transplantation guidance note that “given the renal dysfunction associated with SARS‐CoV‐2 infection and unclear long‐term implications thereof, additional evaluation may be required when considering kidney transplantation from living donors with previous COVID‐19”.
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https://onlinelibrary.wiley.com/doi/full/10.1111/tri.13840?campaign=wolacceptedarticle

The impact of COVID‐19 on kidney transplantation and the kidney transplant recipient – One year into the pandemic
Pascale Khairallah, et al.
First published: 05 February 2021https://doi.org/10.1111/tri.13840

Summary

The COVID‐19 pandemic has significantly changed the landscape of kidney transplantation in the United States and worldwide. In addition to adversely impacting allograft and patient survival in postkidney transplant recipients, the current pandemic has affected all aspects of transplant care, including transplant referrals and listing, organ donation rates, organ procurement and shipping, and waitlist mortality. Critical decisions were made during this period by transplant centers and individual transplant physicians taking into consideration patient safety and resource utilization. As countries have begun administering the COVID vaccines, new and important considerations pertinent to our transplant population have arisen. This comprehensive review focuses on the impact of COVID‐19 on kidney transplantation rates, mortality, policy decisions, and the clinical management of transplanted patients infected with COVID‐19.



4
Living Donation in the News / COVID‐19 infection in former living kidney donors
« Last post by Clark on February 27, 2021, 04:22:03 PM »
https://onlinelibrary.wiley.com/doi/full/10.1111/ctr.14230?campaign=wolearlyview

COVID‐19 infection in former living kidney donors
Mona D. Doshi, et al.
First published: 22 January 2021https://doi.org/10.1111/ctr.14230

Abstract
The COVID‐19 pandemic brought living donor kidney transplant programs across the United States to a near halt in March 2020. As programs have begun to reopen, potential donor candidates often inquire about their risk of a COVID‐19 infection and its potential impact on kidney function after donation. To address their concerns, we surveyed 1740 former live kidney donors at four transplant centers located in New York and Michigan. Of these, 839 (48.2%) donors responded, their mean age was 46 ± 12.5 years, 543 (65%) were females, and 611 (73%) were white. Ninety‐two donors (11%) had symptoms suggestive of a COVID‐19 infection with fever (48%) and fatigue (43%) being the most common. Among those with symptoms, 42 donors underwent testing and 16 tested positive. Testing was more common among donors with private insurance, and a positive test result was more common among young black donors. Only one donor surveyed required hospitalization and none required dialysis. Fourteen donors have recovered completely and two partially. Our survey highlights that a COVID‐19 infection in former donors results in a mild disease with good recovery. These data will be useful for transplant programs to counsel living donors who are considering kidney donation during this pandemic.

5
Living Donation Forum / Re: COVID-19
« Last post by PastorJeff on February 08, 2021, 08:13:06 AM »
Thanks to our local hospital where I am a volunteer chaplain, I got vaccinated with the Pfizer vaccine.  Just had my second shot and the side-effects have been minimal.  Haven't grown any extra appendages.  My nephrologist thought it would be a good idea since he considers me at higher risk at CKD3.  I'm looking forward to getting back to visiting patients when they permit.
6
Living Donation Forum / Hot Flashes After Kidney Donation
« Last post by mrscb1 on January 28, 2021, 11:54:20 AM »

Hi, I am a 47 y.o. woman, I donated my right kidney 10 weeks ago. I never had a hot flash prior to surgery and the night after surgery I started to experience hot flashes. I knew this most likely was due to anesthesia and would need to allow time to leave by body. However, I am now 10 weeks post op and still experiencing more hot flashes day/night time. The hot flashes are causing me to have insomnia.

My surgeon stated, a nephrectomy would not cause an onset of menopause. My FSH levels showed I was in post menopausal stage. However, I have my hormone levels checked annually, and I wasn't in menopausal range prior. Moreover,I am interested if anyone else has ever experienced this outcome post nephrectomy. Thank you!

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Living Donation Forum / Re: COVID-19
« Last post by Michael on January 27, 2021, 09:07:18 AM »
High rates of long-term renal recovery in survivors of COVID-19-associated acute kidney injury requiring kidney replacement therapy

"These findings indicate that kidney recovery is common in COVID-19 survivors even after long periods of KRT [kidney replacement therapy aka dialysis] requirement during AKI [acute kidney injury]. This information may be of value for patients with COVID-19 and their clinicians when it comes to deciding about the initiation or continuation of KRT."

https://www.kidney-international.org/article/S0085-2538(21)00069-7/fulltext
8
Living Donation Forum / Re: Mourning the Loss of Your Kidney Recipient
« Last post by PastorJeff on January 26, 2021, 07:24:34 AM »
Please let us know how your son is doing. 
9
Living Donation Forum / Re: Liver donation AB blood
« Last post by Michael on January 25, 2021, 12:36:00 PM »
Only about 4% of the U.S. population has AB blood type, and there aren't other blood types that are compatible, so that explains why you're having difficulty finding a match.

Are you signed up to be a blood donor and marrow donor? Your blood type is still an issue with these forms of donation in terms of matching, but at least you can expand the possibilities for donating to someone in need. They are also forms of donation with significantly lower levels of complication compared to liver donation.
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Living Donation Forum / Re: Liver donation AB blood
« Last post by Fr Pat on January 23, 2021, 03:23:55 AM »
You might want to also post this at the FaceBook pages of "Living Donors on Line" and "Living Donors Support Group" as more donors check in there now rather than here.
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