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GROUP #8 (CASES ON ORGAN DONATION)
Copyright 2011 by Professor Omar Hasan Kasule Sr
Case #31: A leading politician with end-stage kidney failure presents at the transplant clinic with a distant cousin who is an impoverished farmer from the countryside. He says that the relative has agreed to be a live donor for him. The cousin states that he will donate the kidney but on further questioning he does not seem to know what a kidney is and where it is found in the body. The transplant team seemed reluctant to go ahead with the procedure. The politician gets angry and gets them reprimanded by the Minister of Health. They resign en masse and sue the politician and the Ministry of Health for unjustified interference in their work.
Case #32: A doctor in end-stage renal failure brings over 50 relatives for blood group testing and tissue matching for kidney for live kidney donation. Only one relative was a suitable donor on the basis of tissue and blood group matching but he refused to be a donor unless a new house was built for him and he was given a big amount of money. One other relative was not a tissue match but matched for blood group and was willing to donate the kidney for free.
Case #33: A patient of terminal renal disease received a cadaveric transplant and recovered well. Two years after the operation he received a note from a stranger demanding payment of a large sum of money. The stranger claimed to be the son of the kidney donor who had died during surgery for intestinal obstruction. The stranger claimed that a source within the hospital had informed him that the deceased’s kidney has been removed without the knowledge and permission of the family.
Case #34: A father of a child with end-stage renal disease got tired of taking her for dialysis every week. He had failed to find a live or a cadaveric donor for her in his country. He considered traveling to a nearby country where kidneys could be bought but he was not sure. He also considered marrying a young wife (his first wife had died) and hopefully produces a child who could be a donor.