Thank you very informative
One question
I got a little confused about the independent assessor..is any potential donner need to go through this assessment or only the ones that the trasplant team feels worth futher assessment.? And if so how do we pick up those donors is theres a spacific criteria for there referral ??
Manal Malik
2 years ago
Thanks for tactful lecture
Akram Abdullah
2 years ago
Excellent presentation & informative.
Thanks.
Mohamed Ghanem
2 years ago
Many thank prof
AMAL Anan
2 years ago
Thanks for great lecture
Asmaa Khudhur
2 years ago
Thank you
Ghalia sawaf
2 years ago
Thank you for your comprehensive lecture professor. It summarizes in details each step of donor evaluation
Dalia Ali
2 years ago
Informative lecture
Hoon Loi Chong
2 years ago
Thanks for thee great lectures.
Tahani Ashmaig
2 years ago
Very informative lectures . THANKS
Naglaa Abdalla
2 years ago
Informative and to the point…thank you
Shereen Yousef
2 years ago
Thank you sir really informative lecture
manal jamid
2 years ago
interesting and very informative
Mahmoud Hamada
2 years ago
To the point and very informative lectures. Thanks a lot.
Nandita Sugumar
2 years ago
Thank you
MICHAEL Farag
2 years ago
really those lectures will help me to improve my performance in my work regarding preparing the patient and donor for transplantation
Amna Khalifa
2 years ago
thanks prof great talk
Mahmoud Wadi
2 years ago
i would to ask one question
what the mean graveles or tiny stone and how do you treat them ?
In many donor found graveles or tiny stones acorrding (the diagnostic radiology report)
Mahmoud Wadi
2 years ago
Thank you alot for this nice lecture
i would ask one question
We have a 18 years old male donor with left side flank pain with hematuria.
No history of chronic medical illness and family history was irrelevent .
All investigatin ,U/S,cystoscope and CT scan was normal.
Can be accepted for donation?
thank
Mahmoud Wadi
2 years ago
THANKS YOU VERY MUCH FOR THE NICE LECTURE
Mahmoud Wadi
2 years ago
Thanks you very much for this informative lecture
Mu'taz Saleh
2 years ago
thank you for this nice and informative 2 lectures
Mahmud Islam
2 years ago
Thank you for this comprehensive living donation evaluation lecture series.
Hinda Hassan
2 years ago
Thank you for the nice lecture
Abhijit Patil
2 years ago
Great informative talk.
I have some queries:
Is there role of Hb1ac in donor with diabetes selection?
What if the donor has stone with abnormal metabolic evaluation, can he be accepted?
What is the definition of small stone size in donor ? what is the the cut-off size for the stone
We have a 47 years old male donor with 20 mm lower pole calculus on left side with no hydronephrosis, can he be accepted after stone clearance. his blood metabolic evaluation is normal with serum creatinine of 1.26mg.dl.
Mohammed Sobair
2 years ago
Thanks prof .Roberto for informative lecture. psychological assessment is very
important in our area to excludes. Psychological Pressures or financial gain.
Giulio Podda
2 years ago
Very good lecture. The sound was low
Tahani Ashmaig
2 years ago
Thanks for this informative and nice lectures
Hamdy Hegazy
2 years ago
Much appreciated
very elegant presentation
Ahmed Omran
2 years ago
Nice and clear both presentations…thanks
Osama Hendam
2 years ago
Great talk,thanks alot
Huda Al-Taee
2 years ago
Nice lectures, thank you so much
Esraa Mohammed
2 years ago
Nice lectures, Thank you
Khalida Bulhan
2 years ago
Im thinking about my African patients who tend to be on the heavier side than my non-African patients. Particularly the women, tend to be pear-shaped as compared to having truncal obesity. We have always considered Waist to height ratio or even waist circumference to be a better marker of cardiovascular risk as compared to BMI. Many of our donors have a BMI between 25 – 30. we probably would take donors without any other risk factors with a BMI up to 33. I wonder what others encounter in their non-caucasian practices?
Huda Saadeddin
2 years ago
Thank you prof
Amna Khalifa
2 years ago
Great. Lecture but the sound is very low
MICHAEL Farag
2 years ago
really, the lectures are very important and they helped me a lot to organize much important information in the assessment of the donor.
Ibrahim Omar
2 years ago
thank you for your nice lecture
Alaa eddin salamah
2 years ago
Thank you very much for this informative lecture.
It put things together!
Maksuda Begum
2 years ago
Thank you Sir
Yes I really enjoyed and get to know a lot of new information from your lecture.
Mugahid Elamin
2 years ago
Thank you
Mohamed Saad
2 years ago
Great, elegant and comprehensive lecture,
Mahmoud Rabie
2 years ago
It is a great comprehensive lecture, Thanks Prof.
Manal Malik
2 years ago
Thank you professes for this informative lecture ,really it will change some of my practise in donor evaluation
Khalida Bulhan
2 years ago
Thank you Professor for this Lecture. Indeed the information given has already influenced me to change my workup process somewhat.
My question would be as to the significance of testing for donor lipid profile? Would it change our assessment in terms of acceptance or rejection of this donor?
Thank you, Khadija, for your question. Yes, lipid profile is important as we aim to reduce the cardiovascular risk associated with donation, Do not forget, there in small but significant increased risk of cardiovascular mortality in kidney donor compared to non-donors
I recently tweeted regarding an identical twin pair. The potential recipient ended up in AKI after an alcoholic binge resulted in severe acute pancreatitis. Incidentally discovered to have hyperlipidemia with would have contributed to the pancreatitis. Recovery course complicated by a pseudocyst in the pancreas and gangrene that subsequently became infected. We hoped for renal recovery but despite a completely normal urine output and has never had hyperkalemia or hyperphosphatemia with a normal diet, he remains acidotic and elevated creatinine and urea.
His twin brother came over from the USA in the hopes of donating a kidney. Also found to be dyslipidemic to >200mg/dl and EF of 45% despite being able to do 10Km runs thrice a week. We have sent him for genetic studies regarding his cardiac function.
Their older brother also has a borderline EF of 50%.
What would you think about taking one of them as a potential kidney donor?
Muntasir Mohammed
2 years ago
Thanks for the nice, comprehensive lecture.
I will raise a concern with living donation we face some times.
when very young donor, 18 to 25 years presents as potential donor to a recipient usually one of the parents in his late 60th to 80th. Is it fair to accept him with the known long term risk of ESRD and cardiovascular disease?.
Our approach is to tell them about the risk for the donor being very young and it is better if there is an older donor or if the chance of deceased donor will not take long time. If no alternative and he accepted the risk and otherwise he has no other issues to increase his post donation risk like overweight/mild obesity, strong family history of DM then we accept him after discussion in MDT.
Thank you, Montasir. I agree with you, and we do the same thing for such young donors donating to their elderly parents. We excessively counsel them, and all will agree to proceed. Nothing is valuable in our life like mom and dad. in the UK, THE CADAVERIC PROGRAMME is an alternative. This gives us a bit of freedom if the young potential donor is borderline.
Doaa Elwasly
2 years ago
Thank you for this lecture it was to the point
Huda Al-Taee
2 years ago
Thank you, prof. for the very informative lecture
Abdul Rahim Khan
2 years ago
Excellent talk. Just wanted to know if there is any standard Algorithm for donor assessment?/
than kfor such a nice presentation.
Thank you very informative
One question
I got a little confused about the independent assessor..is any potential donner need to go through this assessment or only the ones that the trasplant team feels worth futher assessment.? And if so how do we pick up those donors is theres a spacific criteria for there referral ??
Thanks for tactful lecture
Excellent presentation & informative.
Thanks.
Many thank prof
Thanks for great lecture
Thank you
Thank you for your comprehensive lecture professor. It summarizes in details each step of donor evaluation
Informative lecture
Thanks for thee great lectures.
Very informative lectures . THANKS
Informative and to the point…thank you
Thank you sir really informative lecture
interesting and very informative
To the point and very informative lectures. Thanks a lot.
Thank you
really those lectures will help me to improve my performance in my work regarding preparing the patient and donor for transplantation
thanks prof great talk
i would to ask one question
what the mean graveles or tiny stone and how do you treat them ?
In many donor found graveles or tiny stones acorrding (the diagnostic radiology report)
Thank you alot for this nice lecture
i would ask one question
We have a 18 years old male donor with left side flank pain with hematuria.
No history of chronic medical illness and family history was irrelevent .
All investigatin ,U/S,cystoscope and CT scan was normal.
Can be accepted for donation?
thank
THANKS YOU VERY MUCH FOR THE NICE LECTURE
Thanks you very much for this informative lecture
thank you for this nice and informative 2 lectures
Thank you for this comprehensive living donation evaluation lecture series.
Thank you for the nice lecture
Great informative talk.
I have some queries:
Thanks prof .Roberto for informative lecture. psychological assessment is very
important in our area to excludes. Psychological Pressures or financial gain.
Very good lecture. The sound was low
Thanks for this informative and nice lectures
Much appreciated
very elegant presentation
Nice and clear both presentations…thanks
Great talk,thanks alot
Nice lectures, thank you so much
Nice lectures, Thank you
Im thinking about my African patients who tend to be on the heavier side than my non-African patients. Particularly the women, tend to be pear-shaped as compared to having truncal obesity. We have always considered Waist to height ratio or even waist circumference to be a better marker of cardiovascular risk as compared to BMI. Many of our donors have a BMI between 25 – 30. we probably would take donors without any other risk factors with a BMI up to 33. I wonder what others encounter in their non-caucasian practices?
Thank you prof
Great. Lecture but the sound is very low
really, the lectures are very important and they helped me a lot to organize much important information in the assessment of the donor.
thank you for your nice lecture
Thank you very much for this informative lecture.
It put things together!
Thank you Sir
Yes I really enjoyed and get to know a lot of new information from your lecture.
Thank you
Great, elegant and comprehensive lecture,
It is a great comprehensive lecture, Thanks Prof.
Thank you professes for this informative lecture ,really it will change some of my practise in donor evaluation
Thank you Professor for this Lecture. Indeed the information given has already influenced me to change my workup process somewhat.
My question would be as to the significance of testing for donor lipid profile? Would it change our assessment in terms of acceptance or rejection of this donor?
Thank you, Khadija, for your question. Yes, lipid profile is important as we aim to reduce the cardiovascular risk associated with donation, Do not forget, there in small but significant increased risk of cardiovascular mortality in kidney donor compared to non-donors
I recently tweeted regarding an identical twin pair. The potential recipient ended up in AKI after an alcoholic binge resulted in severe acute pancreatitis. Incidentally discovered to have hyperlipidemia with would have contributed to the pancreatitis. Recovery course complicated by a pseudocyst in the pancreas and gangrene that subsequently became infected. We hoped for renal recovery but despite a completely normal urine output and has never had hyperkalemia or hyperphosphatemia with a normal diet, he remains acidotic and elevated creatinine and urea.
His twin brother came over from the USA in the hopes of donating a kidney. Also found to be dyslipidemic to >200mg/dl and EF of 45% despite being able to do 10Km runs thrice a week. We have sent him for genetic studies regarding his cardiac function.
Their older brother also has a borderline EF of 50%.
What would you think about taking one of them as a potential kidney donor?
Thanks for the nice, comprehensive lecture.
I will raise a concern with living donation we face some times.
when very young donor, 18 to 25 years presents as potential donor to a recipient usually one of the parents in his late 60th to 80th. Is it fair to accept him with the known long term risk of ESRD and cardiovascular disease?.
Our approach is to tell them about the risk for the donor being very young and it is better if there is an older donor or if the chance of deceased donor will not take long time. If no alternative and he accepted the risk and otherwise he has no other issues to increase his post donation risk like overweight/mild obesity, strong family history of DM then we accept him after discussion in MDT.
Thank you, Montasir. I agree with you, and we do the same thing for such young donors donating to their elderly parents. We excessively counsel them, and all will agree to proceed. Nothing is valuable in our life like mom and dad. in the UK, THE CADAVERIC PROGRAMME is an alternative. This gives us a bit of freedom if the young potential donor is borderline.
Thank you for this lecture it was to the point
Thank you, prof. for the very informative lecture
Excellent talk. Just wanted to know if there is any standard Algorithm for donor assessment?/
It is simple:
Bood groping
Tissue typing
Crossmatch
BP and urine protein
General examination
CT angiogram and EDTA eGFR.
Any abnormalities detected warrant further investigations.