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(Mirror.co.uk)   Man has four kidneys, three pancreases, huge medical bills and a partridge in a pear tree   (mirror.co.uk) divider line 72
    More: Strange, pancreas, organ transplants  
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6769 clicks; posted to Main » on 22 Mar 2013 at 6:59 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-03-22 07:01:30 PM
Organ donor?
 
2013-03-22 07:02:24 PM
"Pancreases" is a funny word.
 
2013-03-22 07:03:26 PM
his kidneys failed and he's that young? probably doesn't take care of himself, lets his sugars run high all the time, and doesn't mind his diet. What a waste of organs.
 
2013-03-22 07:04:11 PM
Big deal I have all of those things in my basement right now.
 
2013-03-22 07:06:22 PM
www.cardinalfang.net
 
2013-03-22 07:07:04 PM
Never even heard of pancreas transplants, but surgeons generally leave the host kidneys in during kidney transplants. The donated kidneys generally sit lower in the pelvis.
 
2013-03-22 07:07:31 PM
But only one ball. The size of a grapefruit.
 
2013-03-22 07:09:04 PM
It's lucky his nose is ok, given his surgeon's methodology.
 
2013-03-22 07:13:08 PM
He could make his own haggis.
 
2013-03-22 07:16:08 PM
Silly question but where do you get all the extra plumbing and ductwork to keep everything hooked up?
 
2013-03-22 07:16:57 PM

ruinevil: Never even heard of pancreas transplants, but surgeons generally leave the host kidneys in during kidney transplants. The donated kidneys generally sit lower in the pelvis.


There are pancreas-kidney transplants. Which is extremely hard to get on the list for, because you have to drop a certain amount of weight before you're considered healthy enough for the procedure. Because of renal failure, this generally isn't possible due to water retention and dialysis. My mother was a juvenile diabetic (she was 21 but it's still within the age range), and took good care of herself and checked her sugar often. However, she was retaining water and was constantly sick. Her diabetes doctor told her it was her thyroid and kept increasing her thyroid medication and didn't consider she was going into renal failure.

Well, she did, and she was put on the kidney list, with the future prospect of being added to the pancreas list as well. Since a new pancreas and kidney could solve her diabetes problems. She wasn't able to drop to the weight limit for the pancreas, but did get a kidney.

/CSS
 
2013-03-22 07:18:17 PM
I know a couple of times they have done this with hearts. And the old heart actually healed enough to support the person on it's own.
 
2013-03-22 07:19:05 PM
trekcore.com
 
2013-03-22 07:20:11 PM

cchris_39: Silly question but where do you get all the extra plumbing and ductwork to keep everything hooked up?


Duh.

static.traderscity.com
 
2013-03-22 07:20:12 PM
Three pancreases? Ferris Bueller would like to have a word with him.
 
2013-03-22 07:20:40 PM

IbiEvacua: his kidneys failed and he's that young? probably doesn't take care of himself, lets his sugars run high all the time, and doesn't mind his diet. What a waste of organs.


FTFA: "Carl needed a new pancreas as it did not produce enough insulin."

Type I diabetes may be very difficult to control,, many are prone to hypo- as well as hyperglycemia ("brittle" diabetics).

I have plenty of patients with four kidneys. Often they had some congenital or pediatric disease (diabetes type I, polycystic kidney disease) and got a good number of years out of the first transplant but the kidney failed for whatever reason -- rejection, hypertension, perhaps complications from a bad infection. Voila, kidney #4.

The three pancreases is a bit odd. Kidney-pancreas transplants are not quite as commonplace as kidney, but certainly not rare -- the target population are type I diabetics. I've never seen someone with a second pancreas transplant.

At my institution in the States, they do >100 kidney transplants a year. They are basically routine. Also, kidney transplants are cost-effective, i.e. the cost per year is less than being on hemodialysis, even taking into account up-front costs, complications, etc. They might be more stringent in the UK, and probably screened him for compliance.

He probably takes care of himself okay and was unlucky, but I am suprised at some of the moderately-compliant losers they transplant here. Interestingly, many still do quite well.
 
2013-03-22 07:21:52 PM
So we're down to the brain and specific sexual organs not being able to be transplanted.

Brave new world, people.
 
2013-03-22 07:24:13 PM
Ibuprofen is a known "kidney killer". A kidney specialist I know, says it's responsible for most of his business.
 
2013-03-22 07:26:13 PM

cchris_39: Silly question but where do you get all the extra plumbing and ductwork to keep everything hooked up?


Pancreas gets hooked up in two ways:
- directly attached to a section of small intestine
- attached to the urinary bladder (you can actually monitor function by checking pancreatic enzymes in the urine!) This is old-school.

There are standard ways of hooking up the arteries/veins.

Kidney has usually one artery, one vein, and the ureter which carries urine to the bladder (but many anatomical variants). You keep all of these from the donor kidney. Hook up artery to iliac artery, renal vein to iliac vein. Ureter to bladder.
 
2013-03-22 07:26:32 PM

Summoner101: So we're down to the brain and specific sexual organs not being able to be transplanted.

Brave new world, people.


Brains are theoretically able to be transplanted, medically speaking. However, due to the severing of the brain stem to the spinal cord, the patient would be permanently crippled and in a state similar to Christopher Reeve. No doctor would be willing to do that. However, unscrupulous scientists have tested it on monkeys with success -- but again, the quadropeligic thing applies.
 
2013-03-22 07:27:34 PM

Perducci: Big deal I have all of those things in my basement right now.


^ win.
 
2013-03-22 07:28:35 PM
I have an extra ureter, FWIW.
 
2013-03-22 07:28:36 PM

cchris_39: Silly question but where do you get all the extra plumbing and ductwork to keep everything hooked up?


Home Depot?

Oh, wait.

Hospital Depot?
 
2013-03-22 07:29:48 PM

Weatherkiss: Summoner101: So we're down to the brain and specific sexual organs not being able to be transplanted.

Brave new world, people.

Brains are theoretically able to be transplanted, medically speaking. However, due to the severing of the brain stem to the spinal cord, the patient would be permanently crippled and in a state similar to Christopher Reeve. No doctor would be willing to do that. However, unscrupulous scientists have tested it on monkeys with success -- but again, the quadropeligic thing applies.


Hmm.  If you transplanted the whole CNS, would that have better outcomes?

/best avoiding the potential  ED-209
 
2013-03-22 07:31:26 PM

Summoner101: Weatherkiss: Summoner101: So we're down to the brain and specific sexual organs not being able to be transplanted.

Brave new world, people.

Brains are theoretically able to be transplanted, medically speaking. However, due to the severing of the brain stem to the spinal cord, the patient would be permanently crippled and in a state similar to Christopher Reeve. No doctor would be willing to do that. However, unscrupulous scientists have tested it on monkeys with success -- but again, the quadropeligic thing applies.

Hmm.  If you transplanted the whole CNS, would that have better outcomes?

/best avoiding the potential  ED-209


Outside medical science, so I'll say... maybe?
 
2013-03-22 07:33:38 PM

Mad Scientist: [www.cardinalfang.net image 360x254]


Came in for Art Frampton.

Leaving Satisfied.
 
2013-03-22 07:34:01 PM
And proudly serves the Emperor as one of His space marines.
 
2013-03-22 07:34:50 PM

Pick: Ibuprofen is a known "kidney killer". A kidney specialist I know, says it's responsible for most of his business.


I think you have to take a ton of it for a long time for it to damage the kidney, though.
 
2013-03-22 07:35:04 PM

lake_huron: cchris_39: Silly question but where do you get all the extra plumbing and ductwork to keep everything hooked up?

Pancreas gets hooked up in two ways:
- directly attached to a section of small intestine
- attached to the urinary bladder (you can actually monitor function by checking pancreatic enzymes in the urine!) This is old-school.

There are standard ways of hooking up the arteries/veins.

Kidney has usually one artery, one vein, and the ureter which carries urine to the bladder (but many anatomical variants). You keep all of these from the donor kidney. Hook up artery to iliac artery, renal vein to iliac vein. Ureter to bladder.


This needs to exist in Haynes/Chilton manual style, i.e. starting with "Disconnect negative battery cable" and finishing with "Installation is the reverse of removal."
 
2013-03-22 07:35:12 PM
Brain transplants are somewhat feasible. Just look at Rick Santorum.
 
2013-03-22 07:39:09 PM

Pointy Tail of Satan: Brain transplants are somewhat feasible. Just look at Rick Santorum.


But don't judge the whole concept based on that one failure.
 
2013-03-22 07:45:52 PM

Professor Science: This needs to exist in Haynes/Chilton manual style, i.e. starting with "Disconnect negative battery cable" and finishing with "Installation is the reverse of removal."



Got this on my shelf.  Sample instruction:

Step 25. Portal vein anastomosis.  Before completing the anastomosis, transiently open the portal vein clamp to flush out any thrombus. Then tie the suture with an "air-knot," or growth factor, coirresponding to approximately one-third the diameter of the portal vein to avoid purse-stringing of the anastomosis (Fig. 8-24)

ecx.images-amazon.com
 
2013-03-22 07:59:07 PM
Dib: (weakly) Your stupid plan won't work, Zim. (inhales and moos) You'll never pull this off. (exhales and moos again)

Zim: (mouth full of organs) You shpeak craziness, Earth boy! More organsh meansh more human. It will work...

A nurse walks up to Zim and Dib. She takes the thermometer out of Zim's mouth and shoos the pigeon off his head.

Nurse: (looks at the thermometer) There! Why, you're one of the healthiest little children I've ever seen! (puts her hands on her knees) And such plentiful organs! (Zim smiles triumphantly, swings his legs, and looks at Dib)

Invader Zim, "Dark Harvest"
 
2013-03-22 08:02:09 PM

machoprogrammer: Pick: Ibuprofen is a known "kidney killer". A kidney specialist I know, says it's responsible for most of his business.

I think you have to take a ton of it for a long time for it to damage the kidney, though.


Oh no you don't!  Just take 800 mg 4x a day "til the pain is gone".  That did it for me.  Never taken an ibuprofin before in my life.  Took 2 weeks for it to mess me up for life. Now that my kidneys are fried, will never take another one. Stupid lazy doctor who prescribed that to me.....
 
2013-03-22 08:18:16 PM

brantgoose: Invader Zim, "Dark Harvest"


Goddamnit that show rocked.
 
2013-03-22 08:20:57 PM
I guess she's hot.

If you like 12 year old boys.
 
2013-03-22 08:22:47 PM

cochlear: machoprogrammer: Pick: Ibuprofen is a known "kidney killer". A kidney specialist I know, says it's responsible for most of his business.

I think you have to take a ton of it for a long time for it to damage the kidney, though.

Oh no you don't!  Just take 800 mg 4x a day "til the pain is gone".  That did it for me.  Never taken an ibuprofin before in my life.  Took 2 weeks for it to mess me up for life. Now that my kidneys are fried, will never take another one. Stupid lazy doctor who prescribed that to me.....


You sound like a veteran
 
2013-03-22 08:23:24 PM

cochlear: machoprogrammer: Pick: Ibuprofen is a known "kidney killer". A kidney specialist I know, says it's responsible for most of his business.

I think you have to take a ton of it for a long time for it to damage the kidney, though.

Oh no you don't!  Just take 800 mg 4x a day "til the pain is gone".  That did it for me.  Never taken an ibuprofin before in my life.  Took 2 weeks for it to mess me up for life. Now that my kidneys are fried, will never take another one. Stupid lazy doctor who prescribed that to me.....


I take (1) 200 mg Motrin (Ibuprofin) every morning around 3 AM, just to make my 5 AM runs less achy, so not really necessary. You would drop that routine?
 
2013-03-22 08:33:31 PM
Zeb Hesselgresser:
I take (1) 200 mg Motrin (Ibuprofin) every morning around 3 AM, just to make my 5 AM runs less achy, so not really necessary. You would drop that routine?

Yeah, stop NOW!!  As I type this I am doing one of my 6 times a week dialysis treatments. I'm here thanks to a daily regiment of Aleve to ease the aches and pains of training in Muay Thai and ju-jitsu 20 years ago. Been on home dialysis now for 5 years.
 
2013-03-22 08:37:23 PM

felixthecat: Zeb Hesselgresser:
I take (1) 200 mg Motrin (Ibuprofin) every morning around 3 AM, just to make my 5 AM runs less achy, so not really necessary. You would drop that routine?

Yeah, stop NOW!!  As I type this I am doing one of my 6 times a week dialysis treatments. I'm here thanks to a daily regiment of Aleve to ease the aches and pains of training in Muay Thai and ju-jitsu 20 years ago. Been on home dialysis now for 5 years.


if that is the result of 200mg daily, your kidneys were shiat to begin with
 
2013-03-22 08:37:43 PM
You are quite literally better off drinking the pain away as a long term solution.
 
2013-03-22 08:39:40 PM
Long-term administration of NSAIDs has resulted in renal papillary necrosis and other renal injury. Renal toxicity has also been seen in patients in whom renal prostaglandins have a compensatory role in the maintenance of renal perfusion. In these patients, administration of a NSAID may cause a dose-dependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which may precipitate overt renal decompensation. Patients at greatest risk of this reaction are those with impaired renal function, heart failure, liver dysfunction, those taking diuretics and ACE inhibitors, and the elderly. Discontinuation of NSAID therapy is usually followed by recovery to the pretreatment state.
 
2013-03-22 09:08:34 PM
24.media.tumblr.com
 
2013-03-22 09:10:14 PM
Lisa: Dr. Hibbert, I thought you located another kidney for Grampa.

Dr. Hibbert: Larry Hagman took it! He's got five of them now. And three hearts. We didn't want to give them to him, but he overpowered us.
 
2013-03-22 09:14:22 PM

Treygreen13: "Pancreases" is a funny word.


I think the correct word is "pancreaii". (I could be wrong.)
 
2013-03-22 09:17:36 PM
Lets make some jokes about a klepto mortician or serial killer.
 
2013-03-22 09:24:28 PM

cochlear: machoprogrammer: Pick: Ibuprofen is a known "kidney killer". A kidney specialist I know, says it's responsible for most of his business.

I think you have to take a ton of it for a long time for it to damage the kidney, though.

Oh no you don't!  Just take 800 mg 4x a day "til the pain is gone".  That did it for me.  Never taken an ibuprofin before in my life.  Took 2 weeks for it to mess me up for life. Now that my kidneys are fried, will never take another one. Stupid lazy doctor who prescribed that to me.....


I took a shiatload of ibuprofen after the kiddo was born---some serious back pain, but I couldn't take anything else because I was breastfeeding---until blood showed up in my stool.  I promptly stopped after that.

Since it's impossible to get narcotics for legitimate pain, and ibuprofen and acetaminophen can be dangerous in large doses, what are people supposed to do for pain?
 
2013-03-22 09:27:48 PM

Yogimus: You are quite literally better off drinking the pain away as a long term solution.


Yeah but that leads to where i currently sit: Waiting for a new liver due to cirrhosis
 
2013-03-22 09:36:06 PM

Treygreen13: "Pancreases" is a funny word.


I like mine with syrup.
 
2013-03-22 09:38:15 PM

FizixJunkee: Since it's impossible to get narcotics for legitimate pain, and ibuprofen and acetaminophen can be dangerous in large doses, what are people supposed to do for pain?


This statement is false (not calling YOU a liar, don't take this as a personal attack) and you need to get a better doctor.  Long term chronic pain can be treated very well so long as you are willing to accept the risk of dependency.
 
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