[Music]
usually when we think about a heart
surgeon we think about a doctor who does
bypass surgeries or valve replacement
surgeries of course that is the main
work which we do but our team of doctors
are actively involved with thoracic
organ transplantation as well like the
heart or the lungs now so you all know
the kidneys and the liver can be given
by human beings when they are alive
because they are paired organs you can
give a little bit of those organs while
you are living but if you want to donate
your heart or your lungs you need to be
a person who is dead
a person who is brain-dead and brain
that means a person’s brain is
irreversibly damaged will never come
come back again to work but their heart
other organs are all functioning
normally and those are people who get
involved with road traffic accidents you
would be probably reading in the
newspapers every day that the young
people are involved with two wheelers
and other type of tragic accidents
because a son or a daughter or a young
father or a young husband they are at
the prime of their life very actively
involved with various challenging
activities in their life which may lead
to accidents and they end up in having
early loss of life the family in spite
of their great loss are willing to
donate their organs generally we can
have heart or lungs so that is the way
their heart and lung transplant get
materialized I would like to tell the
story of a young guy called Greece who
was 36 years when he came to see me
about five years ago he was walking in
an IT firm in Bangalore and he was
diagnosed to have end-stage heart
failure
we call it dilated cardiomyopathy DCM
you know the heart is an elastic organ
it is a muscular organ it stretches when
the blood gets filled inside and when it
recoils the blood is ejected from the
heart to the rest of the body when an
elastic is losing its elasticity it
becomes long it loses its recoil power
when the heart muscle loses its
elasticity it becomes huge it dilates
it’s always big and filled with the
blood but it cannot recoil to pump the
blood to the rest of the body and that
condition is called dilated
cardiomyopathy and this gentleman was
suffering from dilated cardiomyopathy
leading to an end-stage heart failure
and he was advised to undergo heart
transplantation he came and sat beside
me and I looked at him and he knew
everything about his disease he knew
about his condition and he knew that he
needed a heart transplantation I did not
have to explain much to him because he
was well aware of what he has come for
we have we enlisted him for the heart
transplantation and about a week later a
young fellow 24 years of age a male
nurse who got involved with the raw
traffic accident gave her heart to
British and he had a successful heart
transplantation done about four and half
years ago
besides the heart disease Ganesha had
another major illness which was involve
his joints called ankylosing spondylitis
so six months after the heart
transplantation he underwent a hip
replacement surgery as well
we were already happy that he was doing
well three months after the hip
replacement surgery he came to see me in
my clinic with very high fever obviously
you know when the patient accept an
organ from outside you need to take
certain medications called
immunosuppressants to prevent the heart
on the organ being rejected by the body
this medicine reduces your body
resistance and such patients are prone
for infection we found that one of the
major valves in his heart the
transplanted heart was infected
not only it was infected but it was
utterly damaged the valve was leaking
very badly and his heart was not doing
well we knew that the situation was very
bad we explained to Greece that he is
having a problem with his valve and he
probably would need either a valve
replacement or a heart rate
transplantation godis went through all
the literature and he was being treated
in the hospital all this while with
antibiotics and I think he was expecting
the worst and so were we
on the 26th day of antibiotic treatment
out of 42 days he had a cardiac arrest
in our intensive care unit
fortunately we doctors were all day we
jumped on him we started doing massage
the cardiopulmonary resuscitation for a
long time about 20 minutes 25 minutes
passed by and we knew that this guy is
not going to make it because his heart
is top which is not his own heart is
somebody else’s heart but we continued
because Greece was so close to us he was
one of the dearest patients for us
because he had that trust in us
he was always believing and he was
always confronted about what treatment
he was going through and that really
made us to go forward and then the 40
minutes we could get his heart back we
were why with him successfully and he
was continued to be treated on
ventilator two days later we
discontinued him or the ventilator and
he was sitting up as a normal individual
but with a very bad heart and a leaking
valve which was not sorted out yet I
went beside him and told police we have
a problem which you already know that
you would need either a valve surgery or
a heart transplantation again when I
said it to him I knew that it was next
to impossible because I have never done
one I won three heart transplantation in
my life and I have never seen anybody
doing it either
and all the more it’s more important
that we are unable to get a heart in the
nick of time it’s not like you can wait
for weeks or
weeks to wait for Donna to come here we
are dealing with the person who is going
to lose his heart in the next few hours
or days but I had to tell him but Vidya
was very confident and he said doctor if
you are going to do another surgery on
me let it be a second heart rather than
the valve replacement which was the
right choice
I left the intensive care unit went to
my walk and by around 5:00 p.m. on the
same day grete had another cardiac
arrest the same way what has happened to
him earlier this time I knew that we
lost the chance having a second cardiac
arrest when I transplanted heart coming
back again is next to impossible but
nevertheless our doctors tried again and
again CPR massaged him continued for
20-25 minutes
I left the ICU to my own small room
knowing that we are not going to make it
and I wanted to tell the family that we
have lost this guy and after a few
minutes I put my hand on my head and I
was thinking I was thinking in case if
we come out of this guard across what
will I do that is my second thought when
I peeped through my central monitor I
saw his heart coming back again very
miraculously about 3540 minutes later I
saw the heart beating again I saw the
blood pressure coming back and slowly
coming up and up and stabilizing itself
I was so happy that British could be
revived again after about 45 minutes of
CPR second time in three days time I was
wondering what I will be doing when I
heard a knock on my door and I looked
and I saw my favorite and I said is dr.
Jacob coming and telling me dr. Joe’s
there is a donor in a hospital nearby
few miles away from our Hospital same
group as Greece same body weight as
Greece it will be matching two days
later when Greece was sitting on the bed
having his conflicts early in the
morning I was wondering how we could do
this great mission we were always
motivated by the trust of the patient he
was very confident he always used to
look at me and said doctor you could do
it and rather than the
after giving conference to the patients
this gentleman kept on giving me and my
team conference which made us to
perceiver and perceiver and perceiver
and he is at the moment is the only
gentleman in the whole of our country
living with a third heart beating on him
for the last three years another story
of a young man it’s not a story it’s a
real thing about a young lady called
Shruthi she was 19 years when she came
to see me the story of her heart was
gone she had an angioplasty done on the
16th in when she was 16 years of age and
at the age of 21 she developed the same
disease called dilated cardiomyopathy
the muscles have lost its elasticity and
she was during the last few days of her
life she couldn’t breathe well she had
swollen legs
she had fluid in the lungs and her heart
was barely beating we could see that
this young lady need a heart soon rather
than otherwise she would lose her life
that’s the time when we caught a call
from the organ sharing organization of
the state of Kerala that there is an 18
year old boy in the nearby hospital who
is brain dead after an accident and the
mother is willing to give the heart of
her son we as a team go to the donor
hospital and harvest the heart
transported across the recipient
hospital which is our own and do the
transplant the mission has to be
accomplished in 4 hours time the moment
the heart is taken from the donor part
packed travel transported either by air
ambulance or by Road police escorted to
be brought to the hospital of the
recipient operation the entire operation
has to finish the whole operation has to
finish within 4 hours of time because
heart does not stay long if you take it
out from the beating body so we went to
the hospital and generally the donor
hospital doctors like ourselves and our
team does not want to interact with the
family members of the donor but this
time the transplant coordinator of the
donor Hospital told me
dr. Jose the mother of this boy whose
heart we have come to harvest wants to
talk to you I told him if possible
please avoid I can go and meet her at a
later date because I know it’s going to
be an emotional situation they will be
stretched and trusted with all this loss
of life so if we go and get involved
with the emotional upset naturally we
will lose our our emotional balance as
well as we may lose precious time the
coordinator told me the story of this
young boy when he was 2 years of age he
lost his father and that time his mother
was only 22 years of age the father
before he died of a cancer few days
before call his wife and told my love
this is only treasure we have our son
after my death take care of him
educate him and make him an engineer and
with that death wish the father died and
the mother at the age of 22 without
getting married again just lived for her
only son the only bit which her husband
left behind for her to take care of she
fed him he broom him she educated him
and the wish of the father was to make
him an engineer and so at the end her
son got an admission for engineering in
the neighboring state so as usual he
went there the day or the few days
before the last semester the son came
back to get blessings from his mother
and he got a promise from her mother
that she will buy him a desired gift if
he comes out in flying colors in the
last semester so when he came back with
good merit and he sat beside her his
mother
and asked that you know you have
promised me that you’re going to give me
a gift son whatever I have is for you I
leave for you so everything is for you
but what he wanted was a bike a two
wheeler as strong one day young guys
move around fast the mother couldn’t say
no though she was not very
happy six months later when her son was
going to go to join the postgraduate
course in the neighboring state the day
before he went with his friends for at
last bidding farewell ceremony enroute
he met with an accident and he banged
his head against a tree and was taken
unconscious to the neighboring hospital
from where he was brought to a hospital
for super specialty care and he was
declared brain-dead and this is the boy
whose heart his mother is going to give
you so you may please go and talk to her
few words because she insists that she
wanted to see dr. Jose before the heart
is being harvested I couldn’t say no I
went I went to their room slowly I saw
the mother sitting there weeping she was
bending down face was brought tears
coming down her eyes I went and sat
beside her without knowing what to tell
her
she looked at me and we had a pose I
went and held her arm did not know what
to tell she asked me doctor you have
come to take the heart of my son haven’t
you I pause for a moment I held her arm
tight I didn’t know what to say but I
said mum we haven’t come to take the
heart of your son we have come to give a
second life to your son your son’s heart
will beat in somebody else and we’ll
keep him alive as long as heart keeps
beating the tears started rolling down
again I kept her silently on on the
bench and I went and did the heart
harvesting and the heart is still
beating and beating for the last four
and a half years in a young girl called
sudhi dear friends what we call this
selfless act of dedication and donation
we call it altruism you would be knowing
what the word means altruism we are all
people good people we are all people who
wants to do selfless dedication and
devotion and giving to the society but
in the bottom of your sadness at this
lowest
morale loss and physical and material
loss if you want to give what we have
left behind to somebody else for its
benefit that activity is called altruism
this is a mother who lost her husband
when she was 22 and grew up her son at
from the age of two years brought him up
made an engineer as her husband wished
and it was graduation and at the end of
the day she lost her everything what she
has done for lived for and the depth of
her loss she has taken the heart away
from her son and gave it to somebody
else believe that is a great act of
altruism selfless dedication and
goodness to the society being offered
look at our society nowadays we fight on
religion we fight on money we fight for
possessions and nations and politics and
everything but we know the organs have
no color organs have no religion organs
have no rice or any divisions or
disparity it suits everybody so that is
a message which the organ donation
brings to the society it is not only the
giving life to another individual but
also the great sacrifice which we do to
the rest of the society so whenever I
talk about organ donation I talk about
this selfless act of altruism which
should be the model living for a
day-to-day living of our individual when
we look at their coming decades
I think the organ donation should be
promoted because we know that the person
who is lost is lost nobody is going to
take their organs to heaven it has to
give life to numerous thousands of
people who otherwise would die the organ
donation should prevail for the decades
to come so that nobody should die of
organ failure and also it gives a great
message of altruism to the society thank
you very much
you
usually when we think about a heart
surgeon we think about a doctor who does
bypass surgeries or valve replacement
surgeries of course that is the main
work which we do but our team of doctors
are actively involved with thoracic
organ transplantation as well like the
heart or the lungs now so you all know
the kidneys and the liver can be given
by human beings when they are alive
because they are paired organs you can
give a little bit of those organs while
you are living but if you want to donate
your heart or your lungs you need to be
a person who is dead
a person who is brain-dead and brain
that means a person’s brain is
irreversibly damaged will never come
come back again to work but their heart
other organs are all functioning
normally and those are people who get
involved with road traffic accidents you
would be probably reading in the
newspapers every day that the young
people are involved with two wheelers
and other type of tragic accidents
because a son or a daughter or a young
father or a young husband they are at
the prime of their life very actively
involved with various challenging
activities in their life which may lead
to accidents and they end up in having
early loss of life the family in spite
of their great loss are willing to
donate their organs generally we can
have heart or lungs so that is the way
their heart and lung transplant get
materialized I would like to tell the
story of a young guy called Greece who
was 36 years when he came to see me
about five years ago he was walking in
an IT firm in Bangalore and he was
diagnosed to have end-stage heart
failure
we call it dilated cardiomyopathy DCM
you know the heart is an elastic organ
it is a muscular organ it stretches when
the blood gets filled inside and when it
recoils the blood is ejected from the
heart to the rest of the body when an
elastic is losing its elasticity it
becomes long it loses its recoil power
when the heart muscle loses its
elasticity it becomes huge it dilates
it’s always big and filled with the
blood but it cannot recoil to pump the
blood to the rest of the body and that
condition is called dilated
cardiomyopathy and this gentleman was
suffering from dilated cardiomyopathy
leading to an end-stage heart failure
and he was advised to undergo heart
transplantation he came and sat beside
me and I looked at him and he knew
everything about his disease he knew
about his condition and he knew that he
needed a heart transplantation I did not
have to explain much to him because he
was well aware of what he has come for
we have we enlisted him for the heart
transplantation and about a week later a
young fellow 24 years of age a male
nurse who got involved with the raw
traffic accident gave her heart to
British and he had a successful heart
transplantation done about four and half
years ago
besides the heart disease Ganesha had
another major illness which was involve
his joints called ankylosing spondylitis
so six months after the heart
transplantation he underwent a hip
replacement surgery as well
we were already happy that he was doing
well three months after the hip
replacement surgery he came to see me in
my clinic with very high fever obviously
you know when the patient accept an
organ from outside you need to take
certain medications called
immunosuppressants to prevent the heart
on the organ being rejected by the body
this medicine reduces your body
resistance and such patients are prone
for infection we found that one of the
major valves in his heart the
transplanted heart was infected
not only it was infected but it was
utterly damaged the valve was leaking
very badly and his heart was not doing
well we knew that the situation was very
bad we explained to Greece that he is
having a problem with his valve and he
probably would need either a valve
replacement or a heart rate
transplantation godis went through all
the literature and he was being treated
in the hospital all this while with
antibiotics and I think he was expecting
the worst and so were we
on the 26th day of antibiotic treatment
out of 42 days he had a cardiac arrest
in our intensive care unit
fortunately we doctors were all day we
jumped on him we started doing massage
the cardiopulmonary resuscitation for a
long time about 20 minutes 25 minutes
passed by and we knew that this guy is
not going to make it because his heart
is top which is not his own heart is
somebody else’s heart but we continued
because Greece was so close to us he was
one of the dearest patients for us
because he had that trust in us
he was always believing and he was
always confronted about what treatment
he was going through and that really
made us to go forward and then the 40
minutes we could get his heart back we
were why with him successfully and he
was continued to be treated on
ventilator two days later we
discontinued him or the ventilator and
he was sitting up as a normal individual
but with a very bad heart and a leaking
valve which was not sorted out yet I
went beside him and told police we have
a problem which you already know that
you would need either a valve surgery or
a heart transplantation again when I
said it to him I knew that it was next
to impossible because I have never done
one I won three heart transplantation in
my life and I have never seen anybody
doing it either
and all the more it’s more important
that we are unable to get a heart in the
nick of time it’s not like you can wait
for weeks or
weeks to wait for Donna to come here we
are dealing with the person who is going
to lose his heart in the next few hours
or days but I had to tell him but Vidya
was very confident and he said doctor if
you are going to do another surgery on
me let it be a second heart rather than
the valve replacement which was the
right choice
I left the intensive care unit went to
my walk and by around 5:00 p.m. on the
same day grete had another cardiac
arrest the same way what has happened to
him earlier this time I knew that we
lost the chance having a second cardiac
arrest when I transplanted heart coming
back again is next to impossible but
nevertheless our doctors tried again and
again CPR massaged him continued for
20-25 minutes
I left the ICU to my own small room
knowing that we are not going to make it
and I wanted to tell the family that we
have lost this guy and after a few
minutes I put my hand on my head and I
was thinking I was thinking in case if
we come out of this guard across what
will I do that is my second thought when
I peeped through my central monitor I
saw his heart coming back again very
miraculously about 3540 minutes later I
saw the heart beating again I saw the
blood pressure coming back and slowly
coming up and up and stabilizing itself
I was so happy that British could be
revived again after about 45 minutes of
CPR second time in three days time I was
wondering what I will be doing when I
heard a knock on my door and I looked
and I saw my favorite and I said is dr.
Jacob coming and telling me dr. Joe’s
there is a donor in a hospital nearby
few miles away from our Hospital same
group as Greece same body weight as
Greece it will be matching two days
later when Greece was sitting on the bed
having his conflicts early in the
morning I was wondering how we could do
this great mission we were always
motivated by the trust of the patient he
was very confident he always used to
look at me and said doctor you could do
it and rather than the
after giving conference to the patients
this gentleman kept on giving me and my
team conference which made us to
perceiver and perceiver and perceiver
and he is at the moment is the only
gentleman in the whole of our country
living with a third heart beating on him
for the last three years another story
of a young man it’s not a story it’s a
real thing about a young lady called
Shruthi she was 19 years when she came
to see me the story of her heart was
gone she had an angioplasty done on the
16th in when she was 16 years of age and
at the age of 21 she developed the same
disease called dilated cardiomyopathy
the muscles have lost its elasticity and
she was during the last few days of her
life she couldn’t breathe well she had
swollen legs
she had fluid in the lungs and her heart
was barely beating we could see that
this young lady need a heart soon rather
than otherwise she would lose her life
that’s the time when we caught a call
from the organ sharing organization of
the state of Kerala that there is an 18
year old boy in the nearby hospital who
is brain dead after an accident and the
mother is willing to give the heart of
her son we as a team go to the donor
hospital and harvest the heart
transported across the recipient
hospital which is our own and do the
transplant the mission has to be
accomplished in 4 hours time the moment
the heart is taken from the donor part
packed travel transported either by air
ambulance or by Road police escorted to
be brought to the hospital of the
recipient operation the entire operation
has to finish the whole operation has to
finish within 4 hours of time because
heart does not stay long if you take it
out from the beating body so we went to
the hospital and generally the donor
hospital doctors like ourselves and our
team does not want to interact with the
family members of the donor but this
time the transplant coordinator of the
donor Hospital told me
dr. Jose the mother of this boy whose
heart we have come to harvest wants to
talk to you I told him if possible
please avoid I can go and meet her at a
later date because I know it’s going to
be an emotional situation they will be
stretched and trusted with all this loss
of life so if we go and get involved
with the emotional upset naturally we
will lose our our emotional balance as
well as we may lose precious time the
coordinator told me the story of this
young boy when he was 2 years of age he
lost his father and that time his mother
was only 22 years of age the father
before he died of a cancer few days
before call his wife and told my love
this is only treasure we have our son
after my death take care of him
educate him and make him an engineer and
with that death wish the father died and
the mother at the age of 22 without
getting married again just lived for her
only son the only bit which her husband
left behind for her to take care of she
fed him he broom him she educated him
and the wish of the father was to make
him an engineer and so at the end her
son got an admission for engineering in
the neighboring state so as usual he
went there the day or the few days
before the last semester the son came
back to get blessings from his mother
and he got a promise from her mother
that she will buy him a desired gift if
he comes out in flying colors in the
last semester so when he came back with
good merit and he sat beside her his
mother
and asked that you know you have
promised me that you’re going to give me
a gift son whatever I have is for you I
leave for you so everything is for you
but what he wanted was a bike a two
wheeler as strong one day young guys
move around fast the mother couldn’t say
no though she was not very
happy six months later when her son was
going to go to join the postgraduate
course in the neighboring state the day
before he went with his friends for at
last bidding farewell ceremony enroute
he met with an accident and he banged
his head against a tree and was taken
unconscious to the neighboring hospital
from where he was brought to a hospital
for super specialty care and he was
declared brain-dead and this is the boy
whose heart his mother is going to give
you so you may please go and talk to her
few words because she insists that she
wanted to see dr. Jose before the heart
is being harvested I couldn’t say no I
went I went to their room slowly I saw
the mother sitting there weeping she was
bending down face was brought tears
coming down her eyes I went and sat
beside her without knowing what to tell
her
she looked at me and we had a pose I
went and held her arm did not know what
to tell she asked me doctor you have
come to take the heart of my son haven’t
you I pause for a moment I held her arm
tight I didn’t know what to say but I
said mum we haven’t come to take the
heart of your son we have come to give a
second life to your son your son’s heart
will beat in somebody else and we’ll
keep him alive as long as heart keeps
beating the tears started rolling down
again I kept her silently on on the
bench and I went and did the heart
harvesting and the heart is still
beating and beating for the last four
and a half years in a young girl called
sudhi dear friends what we call this
selfless act of dedication and donation
we call it altruism you would be knowing
what the word means altruism we are all
people good people we are all people who
wants to do selfless dedication and
devotion and giving to the society but
in the bottom of your sadness at this
lowest
morale loss and physical and material
loss if you want to give what we have
left behind to somebody else for its
benefit that activity is called altruism
this is a mother who lost her husband
when she was 22 and grew up her son at
from the age of two years brought him up
made an engineer as her husband wished
and it was graduation and at the end of
the day she lost her everything what she
has done for lived for and the depth of
her loss she has taken the heart away
from her son and gave it to somebody
else believe that is a great act of
altruism selfless dedication and
goodness to the society being offered
look at our society nowadays we fight on
religion we fight on money we fight for
possessions and nations and politics and
everything but we know the organs have
no color organs have no religion organs
have no rice or any divisions or
disparity it suits everybody so that is
a message which the organ donation
brings to the society it is not only the
giving life to another individual but
also the great sacrifice which we do to
the rest of the society so whenever I
talk about organ donation I talk about
this selfless act of altruism which
should be the model living for a
day-to-day living of our individual when
we look at their coming decades
I think the organ donation should be
promoted because we know that the person
who is lost is lost nobody is going to
take their organs to heaven it has to
give life to numerous thousands of
people who otherwise would die the organ
donation should prevail for the decades
to come so that nobody should die of
organ failure and also it gives a great
message of altruism to the society thank
you very much
you
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