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A Flag Raising Reminds Us to Give the Gift of Life - WSGW

A Flag Raising Reminds Us to Give the Gift of Life
WSGW
Because of a degenerative kidney disease I was diagnosed with when I was 13, my renal cells grew increasingly damaged, until I was admitted to the hospital July 4, 2001, with End Stage Renal Disease, or ESRD. More simply put, kidney failure. I was on ...

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Comfort Needs N26.9m for Urgent Dialysis, Transplant - Daily Times Nigeria
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  • refused treatment in the United Kingdom

A former lecturer in the Department of English in Redeemer’s University where she was also the Head of Department (HOD) of the Theatre and Film Studies Department is in critical condition as you read this.

Worried by her deteriorating health condition, her siblings in the UK had invited her for a family vacation in the UK in the hope that spending time with family and friends abroad would help to refresh her.

But Awoyemi had collapsed on arrival in the UK, and her shocked relations made her undergo medical investigation.

On Friday the 13th of March 2015 at the London Royal Hospital, doctors told that her she had very high creatinine in her system and that ‘her kidneys have all gone.’

They recommended intervention of immediate dialysis as their findings revealed that Awoyemi has less than two (2) weeks to live if not on immediate dialysis. Furthermore, to live a normal life, she would need a kidney transplant.

She was immediately advised by the nephrologist to travel back to Nigeria to begin renal treatment and dialysis. Her inability to accommodate this devastating news caused her to almost go into depression but she rather sought solace in her Creator.

 

Refused treatment in the UK

Awoyemi went through difficult times as she was refused medical treatment in the United Kingdom because, unlike the rest of her siblings, she was not a registered British Citizen and so not entitled to the NHS care which she could use to start treatment.

In the midst of the preparation for her emergency travel back to Nigeria for treatment, she had two (2) life threatening experiences as she was almost lost to the cold hands of death.

Thank God  a little cousin who was just five years old noticed her aunty was taking too long in the toilet than usual and then went to check on her; all she could hear faintly was, “call your dad, call your dad.”

By the time her brother got to her, she had collapsed, found in a pool of her own blood and was unconscious in the bathroom. She was saved Thanks be to God she was revived by medics on duty at Queens Hospital, Romford, Essex, that night.

During these emergency crises, it was discovered that she had a hemoglobin level of 3.5% as they battled to save her life. Even the medical team where amazed at how she was able to survive with that level of blood.

They confirmed that if she had boarded a flight, she wouldn’t have made it to Nigeria alive as she was scheduled to the following day.

Now her siblings and the medical team were at cross-roads; she was certified unfit to travel and yet she needed treated in the UK, but wouldn’t be treated because Nigeria and the United Kingdom has no bi-lateral relationship.

In the course to save her life for the trip back to Nigeria, a considerate doctor had to delay her trip to go against administrative rules and put his profession on line to reduce her creatinine level that was 1338 to be fit to travel.

With God on her side, she made it back to Nigeria and was immediately admitted to a Specialist Hospital (Molly Specialist Hospital) in Ibadan before she was transferred to the University College Hospital (UCH) Ibadan.

Needs 81,000 Pounds to live

The Royal Free London had estimated Awoyemi’s dialysis in a month to be £6,500 at £500 per session of three (3) times in a week plus routine test. She would be on a bill of £6,500 every month till she gets a transplant. The transplant package at Royal Free London is £68,000 which we cannot afford. Friends and well-wishers advised reaching out to hospitals in India that can perform the kidney transplant at a lower cost.

So far, the Federal University of Technology Akure (FUTA) Community, her old students and her few remaining friends have been wonderful. But we need more help from the public and every well-meaning Nigerian to help save the life of Dr. Comfort Taye Arayela (Nee Awoyemi).

She has been on dialysis which does not come cheap and we are running out of funds. She needs an urgent kidney transplant within two weeks because dialysis is just a temporary means of survival and that is why the family is turning to the Nigerian public, institutions/corporate organisations, NGOs and individuals for financial help.

 

Dr. Comfort Taye Arayela, a single mother, is a trained linguist, an actress, a director and a senior lecturer who has lectured in some few Nigerian universities and colleges of education including the Federal University of Technology (FUTA), Akure and Redeemer’s University (RUN) in Nigeria. Her profession has brought her to teach many actors and actresses among whom are some Nollywood and Christian Drama Ministers. She has also crossed path with many theatre and film professors and lecturers as colleagues.

She is jnot a lazy person, neither is her family, but “we have sold all that we can call our own to save her life,” the family said.

“We are therefore appealing to the general public and anybody who has been part of her life directly (student, classmate, mentee, Sunday school pupil, drama/theatre crew, colleague, friend, family, etc.) or indirectly presently or in the past, to come to my aid.”

Please save her by donating through gofundme with this link http://www.gofundme.com/kidneyforcomfort or through her account:

Account Name: Comfort Taye Awoyemi, Bank: Access Bank, Account Number: 0031551081, Sort Code: 044150149

Account Name: Comfort Taye Arayela, Bank: First Bank, Account Number: 2027494488, Sort Code: 011151003.

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Warfarin Linked to Greater Renal Function Decline - Renal and Urology News
June 11, 2015 Warfarin Linked to Greater Renal Function Decline - Renal and Urology News
Greater decline in glomerular filtration rate for warfarin versus dabigatran etexilate among atrial fibrillation patients.

(HealthDay News) -- For patients with atrial fibrillation, decline in renal function is significantly greater with warfarin versus dabigatran etexilate (DE), according to a study published in the Journal of the American College of Cardiology.

Michael Böhm, M.D., from the Universitätsklinikum des Saarlandes in Homburg, Germany, and colleagues examined changes in glomerular filtration rate (GFR) during long-term treatment with warfarin or DE in 18,113 patients enrolled in the Randomized Evaluation of Long Term Anticoagulation Therapy trial. Participants were randomized to DE (110 mg or 150 mg twice daily) or warfarin and followed for up to 30 months.

The researchers observed a decrease in GFR in all treatment groups. The mean decline in GFR was significantly greater with warfarin (?3.68 ml/min) versus DE 110 mg (?2.57 ml/min; P = 0.0009versus warfarin) or DE 150 mg (?2.46 ml/min; P = 0.0002 versus warfarin), after an average of 30 months. In the observation period >18 months, the likelihood of a decrease in GFR >25% was lower with DE 110 mg (hazard ratio, 0.81; P = 0.017) or DE 150 mg (hazard ratio, 0.79; P = 0.0056) versus warfarin. The decline in GFR was more pronounced with previous warfarin use and presence of diabetes.

"Patients with atrial fibrillation receiving oral anticoagulation exhibited a decline in renal function that was greater in those taking warfarin versus DE, and it was amplified by diabetes and previous vitamin K antagonist use," the authors write.

Several authors disclosed financial ties to the pharmaceutical industry.

Sources

  1. Böhm, M, et al. J Am Coll Cardiol. 2015;65(23):2481-2493; doi:10.1016/j.jacc.2015.03.577.
  2. Richard W. Asinger, MD; Gautam R. Shroff, MBBS. J Am Coll Cardiol. 2015;65(23):2494-2495; doi:10.1016/j.jacc.2015.04.043.

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Should Kt/V be retired as a marker of dialysis adequacy? - NephrologyNews.com

A new review published online ahead of print in Kidney International concludes that Kt/Vurea is "too simple a concept for the complexities of uremia and of today’s dialysis."

Raymond Vanholder, MD et al, from the Department of Internal Medicine at the Ghent University Hospital in Ghent, Belgium, explain that the concept of using Kt/V to measure dialysis adequacy was developed in the 1980s "when dialysis was almost uniformly short and was applied thrice weekly with small pore cellulosic dialyzers." Since then dialysis has evolved to involve different methods, including include longer sessions, home dialysis, more frequent sessions, and large pore high-flux hemodialysis.

"Although still a useful baseline marker, Kt/Vurea no longer properly covers up for most of these modifications so that urea kinetics are hardly if at all representative for those of other solutes with a deleterious effect on morbidity and mortality of uremic patients. This is corroborated in several clinical studies showing a dissociation between removal of urea and that of other uremic toxins," the authors wrote in the abstract.

Read the full review (subscription required to read beyond the abstract).


Related:

Taken to the woodshed...again

Much of the history of dialysis care, and transplant, can be traced to American roots, but despite our achievements, there are few countries today that would emulate our approach to renal replacement therapy.  More

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US News World Report again ranks Boston Children's Hospital number 1 ... - NephrologyNews.com

U.S. News & World Report has ranked Boston Children's Hospital number one among pediatric hospitals for nephrology.  The magazine ranked the top pediatric hospitals for nephrology for 2015–2016 using data on survival following kidney transplant, biopsy complications and overall infection prevention.

"There is nothing more overwhelming for parents than finding care for a child with a rare or life-threatening condition," said Avery Comarow, U.S. News health rankings editor. "We hope the Best Children's Hospitals provides a good starting point for research and helps make a family's search for the best care for their child a little easier."
The rankings were based on clinical survey data from 184 pediatric centers and reputational survey information from pediatric specialists and subspecialists. RTI International, a North Carolina-based research and consulting firm, directed the surveys with the help of 115 medical directors, pediatric specialists and other experts, and analyzed the results.


Read also:

Vitamin D might help preserve kidney function in children with CKD


The Best Children's Hospitals methodology factors in clinical outcomes, efficiency and coordination of the process of care delivery, compliance with "best practices" and steps to control infection and care-related resources such as adequate nursing staff and availability of programs tailored to particular illnesses and conditions.
Boston Children's Hospital also ranked number one in last year's ranking, and Cincinnati Children's Hospital Medical Center was also ranked number two in both lists.

The top five hospitals for 2015–2016 include:

•    Boston Children's Hospital
•    Cincinnati Children's Hospital Medical Center
•    Seattle Children's Hospital
•    Texas Children's Hospital
•    Children's Mercy Hospitals and Clinics (Kansas City, Mo.)

The top five hospitals ranked last year include:

•    Boston Children's Hospital
•    Cincinnati Children's Hospital Medical Center
•    Children's Hospital of Philadelphia (now number 6)
•    Texas Children's Hospital
•    Seattle Children's Hospital
Find the entire ranking at U.S. News and World Report.
 

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