Sukinder Mangat has been waiting 11 years for a kidney transplant while enduring dialysis three times a week as part of a routine that leaves him exhausted, worried and unable to work.
B次元官网网址淚 have not gone on holidays in the last 11, 12 years,B次元官网网址� Mangat said before a four-hour appointment at a Richmond, B.C., community dialysis unit where his blood will pass through a machine to be cleaned of waste products and excess fluid because his kidneys canB次元官网网址檛 do that job.
B次元官网网址淏asically, I just come home, have dinner and just go to bed,B次元官网网址� the 59-year-old said.
Mangat is on a wait list for a second kidney transplant after his first donated kidney failed because of a viral infection.
But getting a compatible kidney could be a challenge because patients awaiting a second transplant are considered B次元官网网址渉ighly sensitized,B次元官网网址� meaning their immune system, primed with a high level of antibodies after the first transplant, could more easily reject a new kidney.
However, thereB次元官网网址檚 a bigger problem for everyone waiting for a kidney in British Columbia, where only four surgeons do all the transplants at two Vancouver hospitals. Kidneys that canB次元官网网址檛 be used are getting shipped to other provinces.
BC Transplant, the provincial agency responsible for organ transplants, said 56 kidneys were sent elsewhere last year.
B次元官网网址淭o honour the wishes of our deceased donors and their families, every effort is made to ensure suitable organs are successfully transplanted,B次元官网网址� it said in an emailed response.
By comparison, the Ontario Ministry of Health, which has seven transplant sites, said 10 kidneys from that province were shipped to other provinces last year. Ontario has 25 kidney transplant surgeons, the Ontario Medical Association said of the province with triple the population of B.C.
Dr. David Harriman, a kidney transplant surgeon at Vancouver General Hospital, said between eight and 10 surgeons are needed in B.C. so residents waiting for a kidney can benefit from the organs that were donated in the province.
B次元官网网址淲e have fewer surgeons doing the volume of work weB次元官网网址檙e doing than other jurisdictions,B次元官网网址� said Harriman, adding that kidney donations have risen while the number of transplant surgeons has not changed in B.C.
B次元官网网址淚tB次元官网网址檚 not a sustainable situation here,B次元官网网址� he said.
The B.C. Health Ministry said the province had six kidney transplant surgeons in 2018.
BC Transplant, a program under the Provincial Health Services Authority, did not respond to questions about efforts to recruit more surgeons.
However, Harriman said the doctors have been working with health authorities and government representatives to try and attract the specialists.
B次元官网网址淎nybody coming into our landscape and situation is immediately going to be thrown to the wolves, so to speak,B次元官网网址� he said of the long hours. B次元官网网址淲eB次元官网网址檝e already lost two potential hires to other jobs that were looked at more favourably than the work we have here in Vancouver.B次元官网网址�
Doctors of BC, the provinceB次元官网网址檚 medical association, echoed HarrimanB次元官网网址檚 concerns. It said each of the four B.C. surgeons does more transplants and works on call more often than their colleagues elsewhere in Canada.
In 2020, for example, each B.C. surgeon transplanted 70 kidneys and was on call every other day, the association said.
By comparison, surgeons in Calgary transplanted 27 kidneys each and were on call every third day and surgeons at Toronto General Hospital transplanted 37 kidneys each but were on call every eight days, it added.
B次元官网网址淎s it stands, the four remaining surgeons have had to take on increased workloads. They are understandably overworked, frustrated, and tired,B次元官网网址� Doctors of BC said in an emailed response.
Data from the Canadian Institute for Health Information (CIHI) show 288 kidney transplants were done in B.C. last year, a rate of nearly 55 per million people. ThatB次元官网网址檚 compared to 730 transplants in Ontario, or 49 organs per million people.
Data from CIHI also show 37 transplants were done in Saskatchewan last year, at a rate of 31.4 per million people. However, that province has three transplant surgeons, the Saskatchewan Health Authority said.
Dr. John Gill, a nephrologist at Vancouver General, said 10 kidneys were not recovered last year from olderdonors because there were not enough surgeons to transplant them, but the organs could not be shipped to other provinces because they were more fragile and would not travel well.
B次元官网网址淭hose opportunities for transplants just didnB次元官网网址檛 happen,B次元官网网址� Gill said.
B.C. also could not recently accept two kidneys for B次元官网网址渉ighly sensitizedB次元官网网址� patients, such as Mangat, from a national program run by the Canadian Blood Services, he said.
B次元官网网址淭his is probably their only shot at a transplant because theyB次元官网网址檙e very, very hard to match. We couldnB次元官网网址檛 accept those kidneys because we had no one to implant them,B次元官网网址� Gill said.
B次元官网网址淭hatB次元官网网址檚 the human toll of whatB次元官网网址檚 transpired because of this surgical crisis.B次元官网网址�
Gill said patients who are waiting for a kidney stay on dialysis instead of getting a life-saving transplant that would improve their quality of life and allow them to work. Those of child-bearing age could also have childrenafter a transplant.
B次元官网网址淲hat we should all be concerned about from a societal perspective is that each transplant, compared to treatment with dialysis, results in health-care savings of over $500,000 (over a decade).B次元官网网址�
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