Joseph is my childhood friend we hailed
from a lovely town called Kohler
goldfields kg of in Karnataka we speak
all languages there bit of smattering of
Malayalam as well we were a we still are
a group of fun-loving very friendly
diehard friends yet highly competitive
we were most of us got placed into
engineering law and medical fields in
1993 in the final year of his
engineering Joseph was suddenly
diagnosed with chronic kidney failure a
condition which both the kidneys are
failing
and both the kidney is a really bad word
to say am i wrong word to say when
kidney failure happens is always both
the kidneys so Joseph was hooked onto
dialysis and since the last 24 years
Joseph has learned to live with Dallas’s
a procedure where he has to down undergo
dialysis for hours each time three to
four times a week
so Joseph lives every day his today
knowing that he has to come back to
hospital for dialysis tomorrow a
wonderful sportsman footballer musician
guitarist artist painter and truly human
being it dreams suddenly found that all
his dreams came crashing to the ground
over the last 24 years he has to him
been doing the best that he can with a
smile he can barely walk because of the
longevity of his dialysis his bones are
fragile a glass
he has knees have arthritis and he can
walk with difficulty though he does keep
up with us even danced a jig at the
recent frenzied reunion he has arthritis
of the small joints of his fingers he
can barely hold a pen or even button his
shirt yet the master painter was able to
sketch this of me and my son
that’s his victory that is confluence
that is stepping over all the obstacles
in life to still be yourself and be
happy with all these things yet Joseph
is lucky he is still alive because most
people on Dallas’s do not even survive
not on half not in a quarter of that
long because most people who start
dialysis in our country or anywhere in
the world do well but the survivals
aren’t very good chronic kidney disease
or hippier is debilitating progressive
and irreversible damage of both the
kidneys so as the kidneys keep getting
damaged from 100% wrong they keep coming
down they keep working less than 90
percent less than I mean more than 90
percent is damaged less than 10 percent
is working the toxins have built up too
much the excess fluids are built up too
much and they have to be started on
dialysis dialysis keeps them alive
because not Dial izing they die very
quickly within us two days to a few
weeks so thomas’s keeps them alive but
only just
because Dallas’s has its own problems
diazien first of all four times for us
each time three to four times a week
kills them away from everything they
cannot find a job
they cannot attend college many of them
can do not get murdered and then yet
they have debilitating chronic medical
conditions so
a 35 year old young person on dialysis
has the chance of dying the thousand
times more than someone of his own same
age who is healthy he has the chance of
dying as that of an 80 year old person
and that’s what dialysis does it gives
him a life but it is life saving but not
life giving because by three to four
years of dollars as if 100 people start
dialysis today 50% are dead and by
around five to six years of dialysis
less than ten or fifty twenty percent
are living and in our country where a
lot of corners are cut people compromise
on too many things who dies only twice a
week
those are also not great at all so what
is the answer for these people how did
they get away from their diseases how
they get better it is organ
transplantation it’s just not about the
kidneys or liver fails or heart fail the
lungs fail the kidneys fail a new organ
Putin gives them a fresh new lease of
life they do extremely well they are off
all the machines they can live love long
learn play get married and young girls
can have even delivered healthy babies
after kidney transplantation or several
other transplantations so that’s what
transplant does it gives a wonderful new
lease of life then why don’t we go
around transplanting everybody why
should you even put them on dialysis
because of it the burden transplant can
do something it can make people even do
this it can make them play football
Evon class niche 2,000 Eurocup he played
football for this country a Croatian
scored three goals in the whole
tournament no a transplanted patient
playing on the highest levels of
football in the world that is great and
a face you all know very well he had a
liver transplant and one year later was
proudly holding the first iPad to the
whole world announcing it so with
transplants you achieve so many things
it’s not about achieving it’s about
surviving to 100 people start Dallas and
have a transplant today by the end of
say six to ten years more than eighty or
ninety are alive so these people need
transplants so how do we go about
transplanting first let us estimate the
burden in our country in India we have
at least a hundred thousand people on
dialysis at the moment we the
nephrologist we know how much of kidney
failure is prevalent in the population
so for a 1.3 billion population that we
have we would have expected at least one
to two million people on dialysis yet
there are only a hundred thousand people
who are on dialysis why because they
might have gone to there a friendly
quack in the neighborhood for treatment
they may have gone to spiritual healing
by the local higher religious centers
and type amulets around their hands to
ward off all evil or they just don’t
have the finances or the logistics to
come to hospitals from remote village or
from the slums or they just misguided
and so most of them don’t even reach
hospitals to start dialysis they die so
even if 100,000 people start on dialysis
you would estimate that we would need at
least 50 to 70 thousand transplants
barring the very sick people who can’t
get a transplant everyone else would be
transplanted to around 50 70 thousand
transplants in the country and we hardly
do five thousand kidney transplants in
our country and this is no great
anywhere else either even in the mecca
of health care the united states they
need 120 thousand transplants per year
and they hardly do twenty to thirty
thousand transplants why is this yka
unspent everybody there are the first
way of getting an organ if someone’s
organ fails is their loved ones they
family stepped forward to donate its
living donation in living donation it’s
fantastic the matching is good
everything is good and you can do it
easily but the problem is that living
donors are limited now the life is
limited they may be diabetic they may
have other medical conditions they may
be just too old to be donating or the
domestic problems the in-laws don’t
accept they thought of donating to the
brother so there are kind of problems so
we nephrologist have been pushing the
boundary
excepting slightly elder donors slightly
fragile donors even doing opposite or
ABO incompatible kidney transplants
giving an a donor to a B kidney and so
on and trying to jump in spite of that
we’ve been doing 5,000 transplants so if
it’s not living what can we do it’s time
for the debt to stand up and be counted
this is donor transplants or cadaver
transplants that is when someone dies of
an accident has a brain stem injury or a
brainstem death that’s the time for
these people to be donating I mean
they’re not the ones who are donating
not because they they’re legally dead
the family the Khitan can come forward
and agree or consent to donate their
organs so the usual scenarios this a
young man on a bike has a crash and then
he has a brain stem failure he’s brought
to hospital the coordinators and myself
we all sit with them the whole night and
then console them saying that look his
brain dead he’s not going to live his
heart was going to stop in the next 24
hours
can you do the miracle be the miracle
the gift of life and then when they
consent the organs are harvested and
they are given and that is the most
beautiful thing for the because giving
the gift the gift of life when we die
our souls go to heaven or organs don’t
our souls go to heaven or someplace nice
I’m sure I mean mine would go to Goyle
is given a choice but my organs won’t be
going to heaven they will be deleted and
put again they will be either cremated
and buried according to the religion
name so this is the time to stand up and
make the choice to say yes I do I want
to donate I do want to donate life is
such a beautiful thing because it can be
shared even after death and it can be
shared between many people after after
dying and
be a hero after death is far more easier
one light before going out can light up
eight to ten more lives and then be gone
we all know that we go to die someday so
this is the time to make a choice and
knowing that we’re gonna die someday
that we immortal is the time when gives
us the power to choose far ahead in
advance yes I who donate matters to
someone like that little girl that you
just saw who’s waiting just for an organ
to live a normal life and the crunch of
all this thing is knowing that we’re
gonna die is fine donating organs is
perfectly fine one donor life to eight
to ten patients or recipients with all
the organs being distributed so look at
what a hero somebody can be but the
problem is this when I die my organs can
be donated it’s downright easy I’m dead
anyway
but the problem is the relatives the
beloved ones in that grief-stricken
moment through teary eyes those emotion
relatives may not be amenable to
donating their keeper kins organs even
though he has a registered or wanted to
donate in his life and the hidden can
have the power to refuse or to say yes
so we spent hours together sitting with
these relatives and trying to explain to
them look be the miracle the gift of
life that relate you could be one of us
here and losing a beloved one it’s not
easy it’s a very emotional time as a
grief-stricken moment but yet through
those tearful eyes that’s the time to
stand up to look up and say yes I do
and believe me many people said yes I do
on a particular fateful day on the
wedding days and they live to regret it
but here when you say yes do that’ll be
the happiest moment either for you or
you as a relative donating your loved
ones organs so that you can help save
eight to ten more lives what are you
going to do with the organs anyway
you’re not going to take them to heaven
you know – you want to be cleared past
the first security gate you cannot take
a
they’re pods you can’t take your organs
to heaven st. Peter’s going to stop you
right in the first security gate better
donate them because when you meet your
maker finally when you go up there you
can stand proudly before him and say yes
I did
from a lovely town called Kohler
goldfields kg of in Karnataka we speak
all languages there bit of smattering of
Malayalam as well we were a we still are
a group of fun-loving very friendly
diehard friends yet highly competitive
we were most of us got placed into
engineering law and medical fields in
1993 in the final year of his
engineering Joseph was suddenly
diagnosed with chronic kidney failure a
condition which both the kidneys are
failing
and both the kidney is a really bad word
to say am i wrong word to say when
kidney failure happens is always both
the kidneys so Joseph was hooked onto
dialysis and since the last 24 years
Joseph has learned to live with Dallas’s
a procedure where he has to down undergo
dialysis for hours each time three to
four times a week
so Joseph lives every day his today
knowing that he has to come back to
hospital for dialysis tomorrow a
wonderful sportsman footballer musician
guitarist artist painter and truly human
being it dreams suddenly found that all
his dreams came crashing to the ground
over the last 24 years he has to him
been doing the best that he can with a
smile he can barely walk because of the
longevity of his dialysis his bones are
fragile a glass
he has knees have arthritis and he can
walk with difficulty though he does keep
up with us even danced a jig at the
recent frenzied reunion he has arthritis
of the small joints of his fingers he
can barely hold a pen or even button his
shirt yet the master painter was able to
sketch this of me and my son
that’s his victory that is confluence
that is stepping over all the obstacles
in life to still be yourself and be
happy with all these things yet Joseph
is lucky he is still alive because most
people on Dallas’s do not even survive
not on half not in a quarter of that
long because most people who start
dialysis in our country or anywhere in
the world do well but the survivals
aren’t very good chronic kidney disease
or hippier is debilitating progressive
and irreversible damage of both the
kidneys so as the kidneys keep getting
damaged from 100% wrong they keep coming
down they keep working less than 90
percent less than I mean more than 90
percent is damaged less than 10 percent
is working the toxins have built up too
much the excess fluids are built up too
much and they have to be started on
dialysis dialysis keeps them alive
because not Dial izing they die very
quickly within us two days to a few
weeks so thomas’s keeps them alive but
only just
because Dallas’s has its own problems
diazien first of all four times for us
each time three to four times a week
kills them away from everything they
cannot find a job
they cannot attend college many of them
can do not get murdered and then yet
they have debilitating chronic medical
conditions so
a 35 year old young person on dialysis
has the chance of dying the thousand
times more than someone of his own same
age who is healthy he has the chance of
dying as that of an 80 year old person
and that’s what dialysis does it gives
him a life but it is life saving but not
life giving because by three to four
years of dollars as if 100 people start
dialysis today 50% are dead and by
around five to six years of dialysis
less than ten or fifty twenty percent
are living and in our country where a
lot of corners are cut people compromise
on too many things who dies only twice a
week
those are also not great at all so what
is the answer for these people how did
they get away from their diseases how
they get better it is organ
transplantation it’s just not about the
kidneys or liver fails or heart fail the
lungs fail the kidneys fail a new organ
Putin gives them a fresh new lease of
life they do extremely well they are off
all the machines they can live love long
learn play get married and young girls
can have even delivered healthy babies
after kidney transplantation or several
other transplantations so that’s what
transplant does it gives a wonderful new
lease of life then why don’t we go
around transplanting everybody why
should you even put them on dialysis
because of it the burden transplant can
do something it can make people even do
this it can make them play football
Evon class niche 2,000 Eurocup he played
football for this country a Croatian
scored three goals in the whole
tournament no a transplanted patient
playing on the highest levels of
football in the world that is great and
a face you all know very well he had a
liver transplant and one year later was
proudly holding the first iPad to the
whole world announcing it so with
transplants you achieve so many things
it’s not about achieving it’s about
surviving to 100 people start Dallas and
have a transplant today by the end of
say six to ten years more than eighty or
ninety are alive so these people need
transplants so how do we go about
transplanting first let us estimate the
burden in our country in India we have
at least a hundred thousand people on
dialysis at the moment we the
nephrologist we know how much of kidney
failure is prevalent in the population
so for a 1.3 billion population that we
have we would have expected at least one
to two million people on dialysis yet
there are only a hundred thousand people
who are on dialysis why because they
might have gone to there a friendly
quack in the neighborhood for treatment
they may have gone to spiritual healing
by the local higher religious centers
and type amulets around their hands to
ward off all evil or they just don’t
have the finances or the logistics to
come to hospitals from remote village or
from the slums or they just misguided
and so most of them don’t even reach
hospitals to start dialysis they die so
even if 100,000 people start on dialysis
you would estimate that we would need at
least 50 to 70 thousand transplants
barring the very sick people who can’t
get a transplant everyone else would be
transplanted to around 50 70 thousand
transplants in the country and we hardly
do five thousand kidney transplants in
our country and this is no great
anywhere else either even in the mecca
of health care the united states they
need 120 thousand transplants per year
and they hardly do twenty to thirty
thousand transplants why is this yka
unspent everybody there are the first
way of getting an organ if someone’s
organ fails is their loved ones they
family stepped forward to donate its
living donation in living donation it’s
fantastic the matching is good
everything is good and you can do it
easily but the problem is that living
donors are limited now the life is
limited they may be diabetic they may
have other medical conditions they may
be just too old to be donating or the
domestic problems the in-laws don’t
accept they thought of donating to the
brother so there are kind of problems so
we nephrologist have been pushing the
boundary
excepting slightly elder donors slightly
fragile donors even doing opposite or
ABO incompatible kidney transplants
giving an a donor to a B kidney and so
on and trying to jump in spite of that
we’ve been doing 5,000 transplants so if
it’s not living what can we do it’s time
for the debt to stand up and be counted
this is donor transplants or cadaver
transplants that is when someone dies of
an accident has a brain stem injury or a
brainstem death that’s the time for
these people to be donating I mean
they’re not the ones who are donating
not because they they’re legally dead
the family the Khitan can come forward
and agree or consent to donate their
organs so the usual scenarios this a
young man on a bike has a crash and then
he has a brain stem failure he’s brought
to hospital the coordinators and myself
we all sit with them the whole night and
then console them saying that look his
brain dead he’s not going to live his
heart was going to stop in the next 24
hours
can you do the miracle be the miracle
the gift of life and then when they
consent the organs are harvested and
they are given and that is the most
beautiful thing for the because giving
the gift the gift of life when we die
our souls go to heaven or organs don’t
our souls go to heaven or someplace nice
I’m sure I mean mine would go to Goyle
is given a choice but my organs won’t be
going to heaven they will be deleted and
put again they will be either cremated
and buried according to the religion
name so this is the time to stand up and
make the choice to say yes I do I want
to donate I do want to donate life is
such a beautiful thing because it can be
shared even after death and it can be
shared between many people after after
dying and
be a hero after death is far more easier
one light before going out can light up
eight to ten more lives and then be gone
we all know that we go to die someday so
this is the time to make a choice and
knowing that we’re gonna die someday
that we immortal is the time when gives
us the power to choose far ahead in
advance yes I who donate matters to
someone like that little girl that you
just saw who’s waiting just for an organ
to live a normal life and the crunch of
all this thing is knowing that we’re
gonna die is fine donating organs is
perfectly fine one donor life to eight
to ten patients or recipients with all
the organs being distributed so look at
what a hero somebody can be but the
problem is this when I die my organs can
be donated it’s downright easy I’m dead
anyway
but the problem is the relatives the
beloved ones in that grief-stricken
moment through teary eyes those emotion
relatives may not be amenable to
donating their keeper kins organs even
though he has a registered or wanted to
donate in his life and the hidden can
have the power to refuse or to say yes
so we spent hours together sitting with
these relatives and trying to explain to
them look be the miracle the gift of
life that relate you could be one of us
here and losing a beloved one it’s not
easy it’s a very emotional time as a
grief-stricken moment but yet through
those tearful eyes that’s the time to
stand up to look up and say yes I do
and believe me many people said yes I do
on a particular fateful day on the
wedding days and they live to regret it
but here when you say yes do that’ll be
the happiest moment either for you or
you as a relative donating your loved
ones organs so that you can help save
eight to ten more lives what are you
going to do with the organs anyway
you’re not going to take them to heaven
you know – you want to be cleared past
the first security gate you cannot take
a
they’re pods you can’t take your organs
to heaven st. Peter’s going to stop you
right in the first security gate better
donate them because when you meet your
maker finally when you go up there you
can stand proudly before him and say yes
I did
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