"
" IN
" IN A
" IN A WORLD FIRST, A WOMAN WITH COMES THE FIRST LIVING HIV-
POSITIVE DONOR TO PROVIDE
KIDNEY FOR TRANSLATE.
GROUNDBREAKING SURGERY DONE
EARLIER THIS WEEK AT JOHNS
HOPKINS GIVES HOPE TO PEOPLE
WITH THE VIRUS.
HERE IN SAN ANTONIO, THE
METHODIST SPECIALTY AND
TRANSPLANT HOSPITAL HAS THE
LARGEST.
LARGEST.
LARGEST. EXCHANGE PROGRAMS IN THE
COUNTRY.
COUNTRY.
COUNTRY. JOINING US THIS MORNING IS THE
MEDICAL DIRECTOR OF THE KIDNEY
AND PANCREAS TRANSPLANT
PROGRAM.
PROGRAM.
PROGRAM. THANK YOU FOR JOINING US THIS
MORNING.
MORNING.
MORNING. >> THANK YOU FOR HAVING US
HERE.
HERE.
HERE. TO
HERE. TO THE DOOR MORE SURGERIES LIKE
THIS.
THIS.
THIS. CAN
THIS. CAN YOU SHARE HOW THE PROGRAM
AT METHODIST WORKS?
>> TRY AND METHODIST YOU
PROVIDE AS MANY PEOPLE WITH THE
DISEASE TO GET A KIDNEY
TRANSPLANT. BECAUSE OF THE
DISEASE, THE DONORS OFFERED A
VERY LOW NOT INCREASING OVER
TIME SEE DIFFERENT WAYS OF
ALLOWING LIVING DONOR
CANDIDATES, I MERRILY FAMILY
MEMBERS AND FRIENDS TO PROVIDE
KIDNEY TO THEIR LOVED ONES AND
THIS IS ONE OF THE REASONS WHY
WE CREATED THE DONOR EXCHANGE
THE HEADSTONE IS HACKABLE THIS
WAY WE CAN PROVIDE FOR FOLKS
WITH TRANSPLANT.
WITH TRANSPLANT. THE PROGRAM CONTRIBUTE ABOUT
30% OF KIDNEY TRANSPLANTS.
THIS IS STILL A DROPLET IN THE
SEA OF NEED.
IN TEXAS WE HAVE ABOUT 55,000
PEOPLE ON DIALYSIS TEXAS THERE
ARE SOME WITH 500 TO 600 FIVE
TRANSLATE EVENT 5% OF THE NEEDS.
THE STEPS TO INCREASE THE DONOR
POOL IS VERY VALUABLE.
>> CAN YOU SHARE HOW SOFT TEXAS
IS UNIQUE WHEN IT COMES TO THE
LARGE HISPANIC POPULATION AND
THE NEED FOR KIDNEY
TRANSPLANTS?
TRANSPLANTS? >> UNFORTUNATELY IN TEXAS WE
HAVE THE WORST STATISTIC IN THE
COUNTRY AS FAR AS NEW ON SET IN
STAGE RENAL DISEASE.
THIS IS MOSTLY RELATED TO
ETHNIC MAKEUP WITH A LOT OF
HISPANICS WHO CARRIED THE
BURDEN OF DIABETES AS THE
GENETIC PREDISPOSITION IN PART.
>> WITH THIS RECENT SURGERY
THAT HAPPENED IN ATLANTA, WHY
HAVEN'T WE BEEN ABLE TO THIS
EARLIER WHEN IT COMES TO LIVING
DONORS WHO ARE HIV-POSITIVE TO
DO THESE TYPES OF TRANSPLANTS?
>> OF COURSE BECAUSE LIVING
ORGAN DONATION IS THE PRINCIPLE
OF OUR EXISTENCE AT THE
METHODIST SPECIALTY AND
TRANSPLANT, WE ARE ALWAYS
LOOKING FOR WAYS TO IMPROVE THE
ACCESS TO CARE FOR PATIENTS,
ESPECIALLY THOSE WHO HAVE
LIVING DONORS.
LIVING DONORS. NO HIV IN ITSELF IS ACTUALLY
ASSOCIATED WITH INCREASED RISK
OF KIDNEY DISEASE FOR SEVERAL
REASONS.
REASONS.
REASONS. ONE OF THEM IS THAT THE VIRUS
CAN CALL KIDNEY DISEASE ITSELF
PLUS THE MEDICATION WILL ARE
NOT HIT YOU DENY HIGHER
INCIDENCE OF KIDNEY DISEASE IN
HIV PATIENTS.
HIV PATIENTS. DONOR SAFETY IS OUR PRIMARY
CONCERN AND OF COURSE IF YOU
HAVE SOMEBODY WHO IS AT A
HIGHER RISK OF DEVELOPING
KIDNEY DISEASE YOU WOULD PAUSE
BEFORE MOVING THE KIDNEY FROM
SUCH A PERSON.
>> I THE RISKS STILL HIGH
CONSIDERING MEDICATION HAS
GOTTEN BETTER WHEN IT COMES TO
HIV?
HIV?
HIV? >>
HIV? >> MEDICATIONS HAVE
SIGNIFICANTLY IMPROVED THE
INFECTION RISK AND DYING FROM
INFECTION FOR HIV PATIENTS BUT
STILL THE INCIDENT OF ACUTE
KIDNEY DAMAGE IS AN UP AND
DIALYSIS ARE STILL RELATIVELY
HIGH.
HIGH.
HIGH. YOU
HIGH. YOU HAVE TO BE CAREFUL IN
SELECTING THE APPROPRIATE
PATIENTS BECAUSE THE BEACH I
DON'T UNDER CONTROL MAY NOT BE
AS OF AN ORGAN.
>> FOR ANYONE WHO IS INTERESTED
IN BECOMING A DONOR, HOW DOES
THE PROGRAM WORK AND WHAT CAN
THEY DO?
THEY DO?
THEY DO? >> AT THIS TIME OUR POLICY IS
NOT TO ACCEPT PEOPLE WITH HIV
POSITIVITY.
POSITIVITY. OF COURSE WE HAVE ADJUSTED OUR
POLICIES MANY TIMES OVER THE
LAST FEW YEARS AND WE WILL LOOK
INTO THIS.
INTO THIS.