RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 3.8.2007
S.N
Name of the Hospital
Name of the Patient
Name of the Donor
Result
Remarks
1
Coimbatore Kidney Center Coimbatore
Mr.Sivan
Mrs.Malar @ Valarmathi
Not Approved
Donor does not know the P.O.
Complications
2
Kovai Medical Center
Coimbatore
Mr.Shahulo Hameed
Mr.Biju George
Approved
----------------
3
Kovai Medical Center
Coimbatore
Mr.P.R.Preman
Mrs.Shaji
Approved
----------------
4
Kovai Medical Center
Coimbatore
Mr.Dhananjayan
Mrs.U.K.Usha
Not Approved
Complications have not been explained to the donor
5
Govt.Stanley Hospital
Chennai
Mr.Pandian
Mrs.Shanmugavadivu
Approved
----------------
6
K.G.Hospital
Coimbatore
Mr.Durga Charan Das
Mrs.Anima Sinha
Approved
Subject to the receipt of consent letter from donor’s daughter
7
Chennai Kaliappa Hospital,Chennai
Miss.Varsha Beghel
Mr.Priyatosh Thakur
Approved
----------------
8
Chennai Kaliappa Hospital,Chennai
Mr.Shyamal Kanti Das
Mr.Sandip Paul
Approved
----------------
9
Chennai Kaliappa Hospital,Chennai
Mrs.Pramila Brahma
Mr.Kamendra Basumatary
Approved
----------------
Chairman
Authorisation Committee
Chennai
To:
Chennai Kaliappa Hospital
52,Second Main Road,
Raja Annamalai Puram
Chennai 600 028
Kovai Medical Center And Hospital
Post Box.No.3209
Avanashi Road
Coimbatore 641 014
K.G.Hospital
No.5,Govt.Arts College Road
Coimbatore – 641 018
Coimbatore Kidney Center
738-B Puliakulam Centre
Coimbatore-641 045
Dr.Vijayakumar
Professor and Head
Department of Nephrology
Government Stanley Hospital
Chennai
Through The Dean
Government Stanley Hospital
Chennai
RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 27.7.2007
Friday, July 27, 2007
RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 27.7.2007
| S.N | Name of the Hospital | Name of the Patient | Name of the Donor | Result | Remarks |
| 1 | | Mr.Vasavalingam | Mrs.N.Parvathy | Not Approved | Highly Contradictory Statements .Need not be reconsidered with the same donor |
| 2 | Madras Institute of Nephrology, | Mr.Manoj Kumar | Mr.D.Govindan | Approved | ------------ |
| 3 | Madras Institute of Nephrology, | Mrs.Saradha | Mr.M.V.Venkatasamy | Not Approved | Post Operative complications not known |
| 4 | Madras Institute of Nephrology, | Mr.Shyam Shankar | Mr.K.V.Baskar | Approved | ------------ |
| 5 | | Misss.Fathima Misra | Mr.Abdul Kareem | Approved | ------------ |
| 6 | | Mr.M.K.Dubey | Mr.Balakishan Mehra | Approved | ------------ |
| 7 | | Mr.Bhola Prasad | Mr.S.Shruti Saha | Absent | ------------- |
| 8 | | Mr.Harmohan Bharali | Mr.Mintu Sarkar | Approved | ------------ |
| 9 | | Mrs.Sudha Jain | Mr.Sanjay Jain | Approved | ------------ |
Chairman
Authorisation Committee
Chennai
To:
52,Second Main Road,
Raja Annamalai Puram
Chennai 600 028
Bharathi Raja Hospital & Research Centre Pvt. Ltd.,
11,
Chennai 600 17
Madras Institute of Nephrology
NSK Salai
Chennai-26
Sundarapuram
| Post Box.No.3209 |
RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 20.7.2007
Friday, July 20, 2007
RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 20.7.2007
| S.N | Name of the Hospital | Name of the Patient | Name of the Donor | Result | Remarks |
| 1 | | Mr.R.Nagaraj | Mrs.Suseela Nagaraj | Approved | --------------- |
| 2 | | Miss.Fathima Misra | Mr.Abdul Kareem | Not Approved | The required documents as per rules are not available |
| 3 | | Mr.M.K.Dubey | Mr.Balakishan Mehra | Not Approved | The required documents as per rules are not available |
| 4 | K.G.Hospital | Mr.Manaskumar Banerjee | Mr.Dilipkumar Bhattacharjee | Approved | --------------- |
| 5 | | Mrs.Sudha Jain | Mr.Sanjay Jain | Not Approved | The Original Certificate for proof of relationship between donor and his relative from competent authority is not available |
| 6 | | Mrs.Pramila Brahma | Mr.Kamendra Basumatary | Not approved | The donor’s spouse death certificate is not available in English translated by the appropriate person. |
Chairman
Authorisation Committee
Chennai
To:
K.G.Hospital
No.5,
Bharathi Raja Hospital & Research Centre Pvt. Ltd.,
11,
Chennai 600 17
52,Second Main Road,
Raja Annamalai Puram
Chennai 600 028
Dean,
Chennai
RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 13.7.2007
Friday, July 13, 2007
RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 13.7.2007
| S.N | Name of the Hospital | Name of the Patient | Name of the Donor | Result | Remarks |
| 1 | K.J.Hospital Chennai | Mr.Pradeep Doss | Mrs.Aleyammal | Absent | ------------------ |
| 2 | | Mr.Sanjay Agarwal | Mr.Durgesh Malviya | Approved | --------------- |
| 3 | | Mr.Jumto Riba | Mr.Babulal Karmakar | Approved | --------------- |
| 4 | K.G.Hospital | Mr.Manaskumar Banerjee | Mr.Dilipkumar Bhattacharjee | Absent | ------------------ |
| 5 | | Mr.Pradeepkumar Srivastava | Mr.Ravikumar | Approved | --------------- |
| 6 | | Mr.Dip Saikia | Mr.Jay Prakash Sarma | Approved | --------------- |
| 7 | | Mrs.Pramila Brahma | Mr.Kamendra Basumatary | Not Approved | The donors spouse death certificate is not available in English. The consequences of organ donation is not well understood by the donor. HLA typing results are not matched . |
| 8 | | Mr.Harmohan Bharali | Mr.Mintu Sarkar | Absent | ------------------ |
| 9 | | Ms.Shikha Akter | Mr.Nurul Alam | Approved | --------------- |
| 10 | | Mr.Lalarenjam Moren Singh | Ms.Keisam Nandrarawz Devi | Not Approved | Donor’s parents death certificates is not available. The Donor is unmarried. The nature and consequences of organ donation is not well understood by the donor. |
| 11 | Chennai | Mrs.A.Bharathi | Mrs.S.Rani | Approved | --------------- |
| 12 | | Mr.A.Shiva Prasad | Mrs.Jayamma | Approved | --------------- |
| 13 | | Mr.Kanniappan | Mr.Thangaraju | Approved | --------------- |
| 14 | Chennai | Mr.G.Dasarathan | Mrs.Kuppammal | Approved | --------------- |
Chairman
Authorization Committee
To:
Post Box.No.3209
Sundarapuram
K.G.Hospital
No.5,
Bharathi Raja Hospital & Research Centre Pvt. Ltd.,
11,
Chennai 600 17
52,Second Main Road,
Raja Annamalai Puram
Chennai 600 028
K.J.Hospital
Chennai 60 084
21,
Chennai.6
Kidney Transplant RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 6.7.2007
Saturday, July 7, 2007
RESULT OF THE AUTHORISATION COMMITTEE MEETING HELD ON 6.7.2007
Under Certificate of Postings
K.Dis No.49153/ MEII/2/2007 Office of the Chairman Authorisation Committee and Directorate of Medical Education Kilpauk,Chennai .600 010
Dated: 6.7.2007
Sub: Human Organ Transplantation Act 1994 – Authorisation Committee Meeting for Renal Transplantation held on 6.7.2007– Decision of the Authorisation Committee for Renal Transplantation - Regarding
----------
The decision of the Authorisation Committee during the Meeting with recipients, donors, and the dependents of the donors along with the supportive documents forwarded by the recognized hospitals for renal transplantation held on 6.7.07 is described in the enclosed report of the Committee and an extract of the report as it relates to the hospital concerned is mentioned below:
The Heads of Institutions are requested to send a report giving details such as date of surgery of each approved case, name and designation of the surgeon who performed renal transplantation and the present condition of patient and donor , one week after the date of surgery.
The Heads of Institutions are also requested to undertake periodical review of the recipients and donor and present the donor before the Authorisation Committee every three months for examinations by the Authorisation Committee as per the instructions of the Government .
The authenticity of the approval of the cases by the Authorisation Committee may be verified with the WEB SITE :www.tnhealth.org to avoid any foul play by the anti social elements.
| S.N | Name of the Hospital | Name of the Patient | Name of the Donor | Reconsidera-tion | Result | Remarks |
| 1 | Sri Abirami Hospital , Coimbatore | Mrs.Uma Sharma | Mr.Anwar Adil Khan | ---------- | Approved | ---------- |
| 2 | Apollo Hospital Chennai | Mr.G.Dasarathan | Mrs.Kuppammal | ---------- | Not Approved | 1.The Donor’s social status destitute (fztuhš ifél¥g£lt®) is not proved by certificate from the competent authority . 2.The Donor’s living daughter (Next Kin) is not produced for interview. 3.The donor is not aware of the consequences of organ donation. |
| 3 | Kovai Medical Center Coimbatore | Mrs.Jothimani | Mrs.Uma | -------------- | Approved | ---------- |
| 4 | Coimbatore Kidney Center, Coimbatore | Mrs.Sujithra | Mrs.R.Jamuna | -------------- | Approved | ---------- |
| 5 | Christian Medical College,Vellore | Ms.Shikha Akter | Mr.Nurul Alam | -------------- | Absent | -------------- |
| 6 | Christian Medical College,Vellore | Mr.Lalarenjam Moren Singh | Ms.Keisam Nandrarawz Devi | -------------- | Absent | -------------- |
TO:
Sri Abirami Hospital
33 Madukkarai Road
Sundarapuram
Coimbatore 641 024.
Coimbatore Kidney Center
738-B Puliakulam Centre
Coimbatore-641 045
Apollo Hospital
21,Greams Lane ,Off Greams Road
Chennai.6
Kovai Medical Center And Hospital
Post Box.No.3209
Avanashi Road
Coimbatore 641 014
To:
Christian Medical College
IDA Scudder Road
Vellore 632 004
Cadaveric transplant programme
Saturday, June 30, 2007
For a cadaveric transplant programme
http://www.hinduonnet.com/fline/fl1425/14250700.htm
ONE of the objectives of the Transplantation of Human Organs Act, 1994 was to clear the decks legally for the development of a cadaver-based organ transplantation programme. Towards this end, the Act recognised and defined, for the first time in India, the concept of "brain-stem death".
Since the Act came into force, however, only about 110 kidney transplants from cadavers have been performed in the country, according to Dr. J.V. Thachil, Chief Urologist at the Apollo Hospitals, Chennai, and Dr. J. Amalorpavanathan, Transplant Coordinator at the Government General Hospital, Chennai. Tamil Nadu is the clear leader in the field, with three leading medical institutions in the State accounting for 79 of these. Apollo Hospitals, Chennai, has done 53 cadaveric renal transplants; the Sri Ramachandra Medical College and Research Institute, Chennai, 14; and the Christian Medical College and Hospital, Vellore, 12. In addition, the Government General Hospital, Chennai, has done 8 cadaveric kidney transplants, and K.G. Hospital, Coimbatore, 2.
Leading nephrologists and urologists argue that the continuing commerce in kidneys acts as a disincentive to investments in cadaver-based programmes by capable medical institutions. There are, however, a few hospitals and organisations that are working with the objective of putting in place an effective cadaveric transplant programme and changing social attitudes towards organ donation.
Apollo Hospitals, Chennai, is way ahead of the rest. It performed the country's first renal transplant from a brain-dead person in October 1995. Since then the hospital has performed 52 more, making its programme the best cadaveric transplant programme in the country.
One lesson to be learnt from the Apollo experience is that a cadaveric transplant programme cannot take off unless the paid-donor programme is stopped and independent investments are made in setting up the infrastructure for a cadaveric programme. "What a hospital needs for a cadaveric transplant is a 24-hour laboratory that can do cross-matching as soon as we harvest a kidney from a cadaver," notes Dr. Thachil. "It must have a physical plan and an infrastructure for transplants; not just doctors, but theatres and nurses in a constant state of preparedness. We have done up to five transplants in a day."
A kidney can be harvested from brain-dead accident victims and also from victims of brain haemorrhage and cardiac arrest. Apollo has up to 35 persons on a waiting list for cadaver-based kidney transplants. Many of these patients, who are on dialysis, return to their cities and workplaces, and come when the hospital finds a kidney to match their specific needs. Apollo has given six kidneys that it harvested from brain-dead persons to other hospitals for transplantation as it could not find a match for persons on its waiting list.
On November 21, Dr. Thachil performed a renal transplant surgery on a 75-year-old patient from South Africa. Two kidneys harvested from a cadaver were transplanted into the recipient using what is called a "piggy-back technique". The patient had been on the waiting list for almost four months. Dr. Thachil says: "This man could easily have bought a kidney, but he chose to wait."
Once a brain-dead person's relatives have agreed to his or her organs being harvested, the transplant team has to move fast as delays affect the success rate; the best results are obtained when the kidney is harvested while the heart is still beating. The hospital bears the expenses of keeping the person on a life-support system; the organ retrieval costs are passed on to the recipient.
Asking for permission to harvest a brain-dead person's organs requires sensitivity to the family's grief. Dr. Thachil says that in 90 per cent of such cases, the relatives have given permission. "We brief the family fully and we tell them that the organ can be taken without any physical disfigurement of the body. Whenever I give a lecture, I tell people: when you die let you soul go to heaven, but leave your organs behind."
A donor card programme, under which a person may give consent for doctors to harvest his or her organs in the event of death, is at work in its initial stages in Chennai, Bangalore and some other cities. Such programmes are popular in other countries. Moreover, in several countries, the Law of Assumed Consent prevails: the state assumes that it has an accident victim's consent to harvest his or her organs in the event of death, unless he or she has left a statement expressly forbidding this (see interview with Dr. Christiaan Barnard, Frontline, November 14).
Dr. Thachil, however, believes that such a law may "backfire" in India. "In India you cannot overlook the family's wishes after a death has occurred. Apollo's experience has shown that you can have a cadaveric programme and can convince persons on a case-by-case basis."
AN organisation whose objective is to change social attitudes to organ donation is the Chennai-based Multiple Organ Harvesting Aid Network (MOHAN). MOHAN was launched in January 1997 by Dr. Sunil Shroff, a transplant surgeon who heads the Department of Urology and Renal Transplantation at the Sri Ramachandra Medical College and Research Institute, Chennai. It has begun a donor card scheme to raise awareness about the need to donate 'solid' organs (kidney, heart, liver, lungs and pancreas). A person who enrols in the scheme signs a card and thus consents to his organs being harvested after his death. MOHAN has distributed 17,000 donor cards so far.
The SRMC&RI has performed 57 kidney transplants (including 14 cadaveric kidney transplants) since 1995. A team of doctors from the Department of Urology and Renal Transplantation at SRMC&RI conducted a sample survey in Chennai to test social attitudes towards organ donation. The sample was stratified to capture different socio-economic classes and religious groups in Chennai's population. Individual questionnaires were given to 8,000 persons, of whom 5,008 responded. Their responses indicated that awareness about organ transplants was high; more than half the people who responded expressed "some degree of familiarity" with the concept of brain-death. More than 70 per cent were willing to carry a donor card. The most significant finding was that the proportion of people who were willing to donate their eyes was substantially higher than the proportion of people who were willing to donate solid organs after death.
The survey's results point to the significant success of the campaign for eye donations. Such a campaign could serve as an example for a similar effort to raise awareness about the need for donating other organs.
NO cadaveric renal transplant has yet been performed in Karnataka. However, the Foundation for Organ Retrieval and Transplant Education, a non-profit trust founded in September 1996, is helping put in place a programme under which people can signify their willingness to allow doctors to harvest their kidneys, liver, pancreas, heart, heart valves and eyes after their death. The programme was begun by Dr. Philip G. Thomas, a transplant surgeon at St. John's Hospital, Bangalore, and his wife Rebecca Thomas, a trained transplant coordinator who worked at the Centre for Organ Recovery and Education (CORE), Pittsburgh.
FORTE works with the 10 Bangalore hospitals that are authorised by the Karnataka Government to perform cadaveric transplants, and coordinates the donation and transplantation of organs. It has distributed 1,000 donor cards and received consent from 200 persons for the harvest of their organs after death. Nine patients with End-Stage Renal Disease and one heart patient are currently registered with FORTE seeking organ donors.
http://www.hinduonnet.com/fline/fl1425/14250700.htm
ONE of the objectives of the Transplantation of Human Organs Act, 1994 was to clear the decks legally for the development of a cadaver-based organ transplantation programme. Towards this end, the Act recognised and defined, for the first time in India, the concept of "brain-stem death".
Since the Act came into force, however, only about 110 kidney transplants from cadavers have been performed in the country, according to Dr. J.V. Thachil, Chief Urologist at the Apollo Hospitals, Chennai, and Dr. J. Amalorpavanathan, Transplant Coordinator at the Government General Hospital, Chennai. Tamil Nadu is the clear leader in the field, with three leading medical institutions in the State accounting for 79 of these. Apollo Hospitals, Chennai, has done 53 cadaveric renal transplants; the Sri Ramachandra Medical College and Research Institute, Chennai, 14; and the Christian Medical College and Hospital, Vellore, 12. In addition, the Government General Hospital, Chennai, has done 8 cadaveric kidney transplants, and K.G. Hospital, Coimbatore, 2.
Leading nephrologists and urologists argue that the continuing commerce in kidneys acts as a disincentive to investments in cadaver-based programmes by capable medical institutions. There are, however, a few hospitals and organisations that are working with the objective of putting in place an effective cadaveric transplant programme and changing social attitudes towards organ donation.
Apollo Hospitals, Chennai, is way ahead of the rest. It performed the country's first renal transplant from a brain-dead person in October 1995. Since then the hospital has performed 52 more, making its programme the best cadaveric transplant programme in the country.
One lesson to be learnt from the Apollo experience is that a cadaveric transplant programme cannot take off unless the paid-donor programme is stopped and independent investments are made in setting up the infrastructure for a cadaveric programme. "What a hospital needs for a cadaveric transplant is a 24-hour laboratory that can do cross-matching as soon as we harvest a kidney from a cadaver," notes Dr. Thachil. "It must have a physical plan and an infrastructure for transplants; not just doctors, but theatres and nurses in a constant state of preparedness. We have done up to five transplants in a day."
A kidney can be harvested from brain-dead accident victims and also from victims of brain haemorrhage and cardiac arrest. Apollo has up to 35 persons on a waiting list for cadaver-based kidney transplants. Many of these patients, who are on dialysis, return to their cities and workplaces, and come when the hospital finds a kidney to match their specific needs. Apollo has given six kidneys that it harvested from brain-dead persons to other hospitals for transplantation as it could not find a match for persons on its waiting list.
On November 21, Dr. Thachil performed a renal transplant surgery on a 75-year-old patient from South Africa. Two kidneys harvested from a cadaver were transplanted into the recipient using what is called a "piggy-back technique". The patient had been on the waiting list for almost four months. Dr. Thachil says: "This man could easily have bought a kidney, but he chose to wait."
Once a brain-dead person's relatives have agreed to his or her organs being harvested, the transplant team has to move fast as delays affect the success rate; the best results are obtained when the kidney is harvested while the heart is still beating. The hospital bears the expenses of keeping the person on a life-support system; the organ retrieval costs are passed on to the recipient.
Asking for permission to harvest a brain-dead person's organs requires sensitivity to the family's grief. Dr. Thachil says that in 90 per cent of such cases, the relatives have given permission. "We brief the family fully and we tell them that the organ can be taken without any physical disfigurement of the body. Whenever I give a lecture, I tell people: when you die let you soul go to heaven, but leave your organs behind."
A donor card programme, under which a person may give consent for doctors to harvest his or her organs in the event of death, is at work in its initial stages in Chennai, Bangalore and some other cities. Such programmes are popular in other countries. Moreover, in several countries, the Law of Assumed Consent prevails: the state assumes that it has an accident victim's consent to harvest his or her organs in the event of death, unless he or she has left a statement expressly forbidding this (see interview with Dr. Christiaan Barnard, Frontline, November 14).
Dr. Thachil, however, believes that such a law may "backfire" in India. "In India you cannot overlook the family's wishes after a death has occurred. Apollo's experience has shown that you can have a cadaveric programme and can convince persons on a case-by-case basis."
AN organisation whose objective is to change social attitudes to organ donation is the Chennai-based Multiple Organ Harvesting Aid Network (MOHAN). MOHAN was launched in January 1997 by Dr. Sunil Shroff, a transplant surgeon who heads the Department of Urology and Renal Transplantation at the Sri Ramachandra Medical College and Research Institute, Chennai. It has begun a donor card scheme to raise awareness about the need to donate 'solid' organs (kidney, heart, liver, lungs and pancreas). A person who enrols in the scheme signs a card and thus consents to his organs being harvested after his death. MOHAN has distributed 17,000 donor cards so far.
The SRMC&RI has performed 57 kidney transplants (including 14 cadaveric kidney transplants) since 1995. A team of doctors from the Department of Urology and Renal Transplantation at SRMC&RI conducted a sample survey in Chennai to test social attitudes towards organ donation. The sample was stratified to capture different socio-economic classes and religious groups in Chennai's population. Individual questionnaires were given to 8,000 persons, of whom 5,008 responded. Their responses indicated that awareness about organ transplants was high; more than half the people who responded expressed "some degree of familiarity" with the concept of brain-death. More than 70 per cent were willing to carry a donor card. The most significant finding was that the proportion of people who were willing to donate their eyes was substantially higher than the proportion of people who were willing to donate solid organs after death.
The survey's results point to the significant success of the campaign for eye donations. Such a campaign could serve as an example for a similar effort to raise awareness about the need for donating other organs.
NO cadaveric renal transplant has yet been performed in Karnataka. However, the Foundation for Organ Retrieval and Transplant Education, a non-profit trust founded in September 1996, is helping put in place a programme under which people can signify their willingness to allow doctors to harvest their kidneys, liver, pancreas, heart, heart valves and eyes after their death. The programme was begun by Dr. Philip G. Thomas, a transplant surgeon at St. John's Hospital, Bangalore, and his wife Rebecca Thomas, a trained transplant coordinator who worked at the Centre for Organ Recovery and Education (CORE), Pittsburgh.
FORTE works with the 10 Bangalore hospitals that are authorised by the Karnataka Government to perform cadaveric transplants, and coordinates the donation and transplantation of organs. It has distributed 1,000 donor cards and received consent from 200 persons for the harvest of their organs after death. Nine patients with End-Stage Renal Disease and one heart patient are currently registered with FORTE seeking organ donors.
Subscribe to:
Posts (Atom)
