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Author Topic: COVID-19  (Read 524 times)

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Offline Fr Pat

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COVID-19
« on: April 22, 2020, 07:15:57 AM »
Some may be interested to know that the National Kidney Foundation website has a section about COVID-19 virus as to how it relates to kidney patients, transplant recipients, and living donation. www.kidney.org/coronavirus

Offline Michael

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Re: COVID-19
« Reply #1 on: April 22, 2020, 08:27:27 AM »
Fr. Pat,
This is a great resource. Thanks for sharing.
Michael
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Offline Clark

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Re: COVID-19
« Reply #2 on: April 29, 2020, 08:39:20 AM »
As kidney failure and dialysis have been noted in critical care for Covid-19 since the earliest reports in Wuhan, I find the NKF report not just disingenuous but blatantly false.
Unrelated directed kidney donor in 2003, 500+ time blood & platelet donor and counting!
Rep to the OPTN/UNOS Boards of Directors & Executive, Kidney Transplantation, & Ad Hoc Public Solicitation of Organ Donors Committees 2005-2011

Offline Michael

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Re: COVID-19
« Reply #3 on: April 29, 2020, 10:07:53 AM »
John, which part do you find objectionable? Have you notified NKF?
Michael
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Offline sherri

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Re: COVID-19
« Reply #4 on: April 29, 2020, 10:40:12 AM »
I did not find much useful information on the website for donors. it was mostly for recipients. the speaker in this short video basically said "we don't know". If you have normal kidney function then your risk is similar to others that did not donate "
but there is not data". if you developed hypertension or diabetes after donation you are at higher risk but "not so much because of the donation as much as it is the diseases". ?? As kidney donors we have a higher risk of developing hypertension so logically:

increased risk of hypertension if you donate a kidney
hypertension increased risk of COVID
therefore hypertension which may be associated with  kidney donation puts you at greater risk from COVID

Now there are those who will say, we don't know if you would have developed hypertension regardless of the kidney donation. Especially for related donors who are donating to a first degree relative with hypertension, familial hypertension is/was a risk for all of us just because we share similar genetic make up. So in the end, the "why" doesn't really matter.

Sherri
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Offline Clark

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Re: COVID-19
« Reply #5 on: May 01, 2020, 10:10:21 AM »
We have half the nephron mass we did. Our function may be unimpaired, but the hazard is of both direct viral attack of our remaining kidney, no spare, or blood clot induced damage. A physician friend analogizes blood clots like being shot at by bullets. They can strike anywhere, and where they strike is badly damaged. Again, we have no spare. Our odds of getting infected are the same as anyone’s. Our risk of serious complications, explicitly due to our lack of a second kidney, is elevated compared to someone just like us who still has two. The NKF should acknowledge this, as we each had to when we signed our consent.

https://www.nytimes.com/2020/05/01/health/coronavirus-dialysis-death.html
Unrelated directed kidney donor in 2003, 500+ time blood & platelet donor and counting!
Rep to the OPTN/UNOS Boards of Directors & Executive, Kidney Transplantation, & Ad Hoc Public Solicitation of Organ Donors Committees 2005-2011

Offline Michael

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Re: COVID-19
« Reply #6 on: May 06, 2020, 12:42:58 PM »
Discussion with Dr. Alan Klinger about Covid and kidneys, PBS News Hour (April 20, 2020): https://www.pbs.org/newshour/show/why-doctors-are-worried-about-severe-kidney-damage-in-some-covid-19-patients
Michael
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Offline Michael

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Re: COVID-19
« Reply #7 on: May 14, 2020, 08:23:36 AM »
Study shows about a third of Covid-19 patients had kidney failure. Percent jumps to 90% for those requiring a ventilator.

From the article: “It’s not specific to COVID-19. It’s more related to how sick you are,” he [Dr. Kenar Jhaveri] said. Nevertheless, knowing the proportion of patients at risk for this condition could help hospitals as they plan equipment and staffing needed for future coronavirus surges, he said.

https://www.reuters.com/article/us-health-coronavirus-kidney/kidney-injury-seen-in-more-than-a-third-of-hospitalized-covid-19-patients-us-study-idUSKBN22Q0U7
Michael
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Offline PastorJeff

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Re: COVID-19
« Reply #8 on: May 20, 2020, 07:19:08 AM »
I understand the urgency if a donation is directed to a loved one.  In this current situation I would think seriously about being a non-directed donor which is what I am.  For me personally, I always understood it would be a sacrifice of some sort.  You don't take an organ out of your body with no ramifications.  Still I'm  not sitting here fearful that the virus is going to sneak up and get me.  I do take reasonable precautions given my age and condition. But I figure when the Lord wants me, he'll know where to find me.   :)

Offline Michael

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Re: COVID-19
« Reply #9 on: May 22, 2020, 01:58:36 PM »
This is not specific to living donors, but I found this blog post by Erin Bromage to be a science-based, understandable description of the risks of infection and how to manage them: https://www.erinbromage.com/post/the-risks-know-them-avoid-them

FYI.
Michael
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