100 Questions & Answers About Liver, Heart, and Kidney Transplantation: A Lahey Clinic Guide

100 Questions & Answers About Liver, Heart, and Kidney Transplantation: A Lahey Clinic Guide

Description

Whether you or a relative are undergoing an organ transplant or considering or planning the surgery, this book offers help. 100 Questions & Answers About Liver, Heart, and Kidney Transplantation: A Lahey Clinic Guide gives authoritative, practical answers to your questions about organ transplants. This comprehensive guide provides sources of support from both the doctor s and patient s viewpoints. An invaluable resource for anyone coping with the physical and emotional turmoil of an organ transplant!

Table of contents

Title......Page 2
Copyright......Page 3
Contents......Page 6
Introduction......Page 12
Section One: Renal Transplantation......Page 14
Part One: The Basics......Page 16
2. Can you tell me what CKD means?......Page 17
3. What causes chronic kidney disease?......Page 18
4. My nephrologist (kidney specialist) sent me a letter that my serum creatinine is 3.0 mg/dL and I have stage 3 CKD. What does this mean?......Page 19
6. How long can I live on dialysis?......Page 21
7. What happens if I decide against renal replacement therapy?......Page 22
Part Two: Before Transplantation......Page 24
9. Are there any contraindications to kidney transplantation?......Page 25
10. What is involved in an evaluation for kidney transplantation?......Page 26
11. What can I do to expedite my evaluation and move forward with my transplant?......Page 29
Part Three: Organ Allocation......Page 30
12. I heard there is a waiting list for kidney transplants. How do I get my name on the list?......Page 31
13. How are a deceased donor and recipient matched?......Page 32
14. How long will I need to wait for a transplant?......Page 33
15. I have been unable to find a kidney donor. My nephrologist wants me to start dialysis, but I dont want to. Why cant I just put my name on the list and wait for a transplant to become available?......Page 35
Part Four: Living Donor Kidney Transplantation......Page 36
16. I would rather have a transplant than go on dialysis. Is that possible? My brother has offered to be my donor. How do we get started?......Page 37
17. I heard some people talking at dialysis about doing a swap. Can you explain that to me?......Page 38
19. Are there any other options for incompatible donors and recipients?......Page 39
20. What makes a good donor? What if my living donor doesnt have health insurance?......Page 40
21. My sister and I are being transplanted in 2 weeks. Our transplant nurse coordinator called today to arrange for our final crossmatch next week. Why do we have to repeat the crossmatch? We did it 3 months ago.......Page 41
Part Five: Surgery......Page 42
22. How long will the kidney transplant surgery take? How long will I be in the hospital after my kidney transplant?......Page 43
23. Where do they put my new kidney? Do they remove my old kidneys when I get my transplant?......Page 44
24. How do they hook up my new kidney?......Page 45
Part Six: After Transplantation......Page 46
25. My wife is coming home from the hospital tomorrow. She received a living donor kidney transplant from our daughter 5 days ago. She had a terrible time with dialysis, so we want this kidney to last. What can we do to ensure that the kidney will function for years to come?......Page 47
27. How long will my kidney last?......Page 48
28. What is the biggest challenge for the future of kidney transplantation?......Page 49
Part Seven: Complications......Page 52
30. What else would make the serum creatinine rise abnormally?......Page 53
Section Two: Liver Transplantation......Page 56
Part One: The Basics......Page 58
32. What is cirrhosis?......Page 59
34. What is portal hypertension?......Page 62
35. What is variceal bleeding?......Page 64
36. What is ascites, and why does it occur?......Page 65
37. Why do some people become confused or sleepy when they have cirrhosis?......Page 66
38. I have cirrhosis. At what point do I need to consider a liver transplant?......Page 67
Part Two: Before Transplantation......Page 72
39. Who is a candidate for liver transplantation?......Page 73
40. What questions should I ask my transplant team to make sure I have chosen the best one for me?......Page 74
41. What is a cadaver liver?......Page 75
42. I am the provider in my family and dont usually ask for help. Do I need anyone to help me get through this process?......Page 77
43. What about patients with liver cancer?......Page 78
44. Who pays for the transplant?......Page 80
45. What is a liver transplant evaluation?......Page 83
Part Three: Organ Allocation......Page 86
46. What is the MELD score and how does it work?......Page 87
47. Where will my liver come from?......Page 93
48. Can my new liver give me any illnesses? Is it tested for HIV before I get it?......Page 94
49. Can I be evaluated and listed at more than one program? Do I have to move there?......Page 95
Part Four: Live Donor Liver Transplantation......Page 98
50. What is a live donor liver transplant?......Page 99
51. Who can be a live liver donor? What are the risks?......Page 100
52. Are the results as good if I have a living donor compared with a cadaver donor?......Page 104
Part Five: Preparing for Transplantation......Page 106
53. How do I need to prepare for transplantation?......Page 107
54. Ive heard that Tylenol is dangerous for the liver. Is this true, and are there any medications I need to avoid?......Page 111
Part Six: Surgery......Page 114
55. How long will my liver transplant operation take?......Page 115
Part Seven: After Transplantation......Page 124
56. What happens after I am discharged from the hospital?......Page 125
58. How long will my liver last after transplantation?......Page 129
59. Can I meet the family of my liver donor?......Page 133
Part Eight: Complications......Page 136
60. Can my original disease recur in the new liver?......Page 137
61. What is acute rejection of the liver?......Page 141
Section Three: Heart Transplantation......Page 144
Part One: The Basics......Page 146
62. What is heart failure?......Page 147
63. What is a cardiomyopathy?......Page 149
64. What are the causes of heart failure?......Page 150
66. How is heart failure treated?......Page 153
67. What is an implanted cardioverter defibrillator (ICD)?......Page 155
68. What is a biventricular pacemaker (bi-V pacemaker)?......Page 158
69. What is a ventricular assist device (VAD)? When should patients with heart failure be considered for a VAD?......Page 159
70. Can a patient with a VAD ever go home? What are the complications associated with use of a VAD?......Page 161
Part Two: Before Transplantation......Page 164
71. Who is a good candidate for heart transplantation? Is there an age limit?......Page 165
72. What are the indications for a heart transplant? Why do I need a heart transplant?......Page 166
73. What tests will I need to have before I am considered for heart transplantation?......Page 167
74. What is a heart catheterization?......Page 172
75. What is pulmonary hypertension? What is a vasoactive drug study?......Page 174
76. What is a cardiopulmonary metabolic stress test?......Page 176
77. I also have kidney problems. Can more than one organ be transplanted at the same time?......Page 177
Part Three: Organ Allocation......Page 180
78. How are heart transplant organs allocated?......Page 181
79. Where does a donor heart come from?......Page 183
81. How does the heart transplant waiting list work? How is it prioritized? Can I be on heart transplant waiting lists in more than one region?......Page 184
Part Four: Preparing for Transplantation......Page 188
82. Are there special diets for patients who have congestive heart failure?......Page 189
83. Am I allowed to exercise before my heart transplantation?......Page 190
84. After I am on the heart transplant waiting list, how long will I have to wait to receive a new heart? Will I have to wait in the hospital?......Page 191
Part Five: Surgery......Page 194
85. How long will the heart transplantation surgery take? How long will I need to be in the hospital after my heart transplant?......Page 195
86. What complications can happen after my heart transplant?......Page 196
Part Six: After Transplantation......Page 198
87. Will I be able to return to work after my heart transplantation?......Page 199
88. What is an endomyocardial biopsy? How often will I need one?......Page 200
89. How long do patients live after a heart transplant?......Page 201
Part Seven: Complications......Page 204
90. What is transplant rejection? How is it detected? How is it treated?......Page 205
91. Can my new transplanted heart develop blockages? What is cardiac allograph vasculopathy?......Page 206
Section Four: Medications......Page 208
93. What are the immunosuppressive drugs?......Page 210
94. Will I ever come off my immunosuppressive drugs?......Page 217
95. I thought Id be able to stop many of the medications I took before the transplant. Why am I still taking so many medications?......Page 218
Section Five: Complications of Transplantation......Page 230
97. What is chronic rejection?......Page 232
98. Do I have to worry about long-term effects of immunosuppression?......Page 233
99. Ive heard that I might develop kidney problems after liver or heart transplantation. How can that happen?......Page 235
100. Where can I learn more about organ transplantation?......Page 236
Glossary......Page 238
Index......Page 244

Details

  • Author: Hannah Gilligan, David M. Venesy, Fredric D. Gordon
  • Edition: 1
  • Publication Date: 2010
  • Publisher: Jones & Bartlett Publishers
  • ISBN-10: 0763786098
  • ISBN-13: 9780763786090
  • Pages: 252
  • Format: pdf
  • Size: 1.4M
Download Now