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Liver Transplant Surgery - Unknotting the Indian Way of Deciding Who Gets a Liver And Who Doesn’t

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Liver Transplant Surgery- three words that can wreak havoc on any life at any moment. Medical emergencies tend to be that way, you know. They just show up. You go to a hospital, hire doctors, pay up and keep doing that, but not always do these methods work.


A transplant is tricky. Everything with the recipient’s body has to be perfect. You need a donor. Everything with the liver transplant donor & surgery has to be up to the mark. The hospital and the doctors have to be precise. There is just no space for screwing up. But this is all a matter of discussion when you know that you or your loved one is getting a new liver. When don't you? Well, that is called being in the waiting period and that is where a lot of screw-ups happen.
You see, a liver is not a kidney. You won’t survive if this one organ is royally wasted. This is just another way of saying that either the medicines will keep you up and running a bit longer, or they won’t. Either way, sooner or later, you will need another liver. And there is no thirty-minute delivery service for this.
Now, there are several factors that are eligible to be considered, in the eyes of humanity, when there is, say, one available liver and many in dire need.
But the eyes of humanity is not the judge of the situation. Indian Government is. And it has come up with the ‘sickest first’ way of doing things. Every patient is given a ‘Priority Score’. As the term suggests, a priority score is a number that determines the sickest patient among all. The winner takes the liver.
Let’s Talk about the Priority Score
Since February 2002, MELD or Model for End-Stage Liver Disease has been the judgment parameter to pick one out of all those waiting to get a liver transplant. This is a numerical value that goes from 6 to 40. 6 means less ill. 40 means gravely, deeply sick. So, say a patient has a MELD score of 40, he will clearly be the first choice for a liver transport. Another with a 6 MELD, not so much.
And How Is This MELD Defined
I have three words for you- Bilirubin, creatinine, INR.
Three simple blood tests, involving figures on these three lab values is what determines the condition of a patient and thus, his/her position in the liver receiving list. Bilirubin test tells the doctors how effectively a liver secretes bile. Creatinine is all about how functional a kidney is. INR explains the liver’s ability to generate blood clotting factors.
Everybody Stands a Chance
Of course, just being in the top five is not enough. There is the matter of organ matching, liver transplant success rate, transplantation cost. Then, there are the post-approval matters of how long does a liver transplant surgery take or how the patient’s immune system reacts to the new organ.
The point- everybody has a chance. Every patient has a shot. So as long as one is hopeful, the silver lining will be visible.

Primary Keyword: Liver transplant surgery
LSI Keywords: liver transplant donor surgery, liver transplant success rate, transplantation cost, how long does a liver transplant surgery take

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  1. Caelyn December 22, 2016 02:26 pm

    That's the thniking of a creative mind

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