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A Doctor’s perspective of Hope and Saving Life | Dr. Kamal Kiran | TEDxVazhuthacaud


Joseph is my childhood friend we hailed

Joseph is my childhood friend we hailed from a lovely town called Kohler

from a lovely town called Kohler

from a lovely town called Kohler goldfields kg of in Karnataka we speak

goldfields kg of in Karnataka we speak

goldfields kg of in Karnataka we speak all languages there bit of smattering of

all languages there bit of smattering of

all languages there bit of smattering of Malayalam as well we were a we still are

Malayalam as well we were a we still are

Malayalam as well we were a we still are a group of fun-loving very friendly

a group of fun-loving very friendly

a group of fun-loving very friendly diehard friends yet highly competitive

diehard friends yet highly competitive

diehard friends yet highly competitive we were most of us got placed into

we were most of us got placed into

we were most of us got placed into engineering law and medical fields in

engineering law and medical fields in

engineering law and medical fields in 1993 in the final year of his

1993 in the final year of his

1993 in the final year of his engineering Joseph was suddenly

engineering Joseph was suddenly

engineering Joseph was suddenly diagnosed with chronic kidney failure a

diagnosed with chronic kidney failure a

diagnosed with chronic kidney failure a condition which both the kidneys are

condition which both the kidneys are

condition which both the kidneys are failing

failing

failing and both the kidney is a really bad word

and both the kidney is a really bad word

and both the kidney is a really bad word to say am i wrong word to say when

to say am i wrong word to say when

to say am i wrong word to say when kidney failure happens is always both

kidney failure happens is always both

kidney failure happens is always both the kidneys so Joseph was hooked onto

the kidneys so Joseph was hooked onto

the kidneys so Joseph was hooked onto dialysis and since the last 24 years

dialysis and since the last 24 years

dialysis and since the last 24 years Joseph has learned to live with Dallas’s

Joseph has learned to live with Dallas’s

Joseph has learned to live with Dallas’s a procedure where he has to down undergo

a procedure where he has to down undergo

a procedure where he has to down undergo dialysis for hours each time three to

dialysis for hours each time three to

dialysis for hours each time three to four times a week

four times a week

four times a week so Joseph lives every day his today

so Joseph lives every day his today

so Joseph lives every day his today knowing that he has to come back to

knowing that he has to come back to

knowing that he has to come back to hospital for dialysis tomorrow a

hospital for dialysis tomorrow a

hospital for dialysis tomorrow a wonderful sportsman footballer musician

wonderful sportsman footballer musician

wonderful sportsman footballer musician guitarist artist painter and truly human

guitarist artist painter and truly human

guitarist artist painter and truly human being it dreams suddenly found that all

being it dreams suddenly found that all

being it dreams suddenly found that all his dreams came crashing to the ground

his dreams came crashing to the ground

his dreams came crashing to the ground over the last 24 years he has to him

over the last 24 years he has to him

over the last 24 years he has to him been doing the best that he can with a

been doing the best that he can with a

been doing the best that he can with a smile he can barely walk because of the

smile he can barely walk because of the

smile he can barely walk because of the longevity of his dialysis his bones are

longevity of his dialysis his bones are

longevity of his dialysis his bones are fragile a glass

fragile a glass

fragile a glass he has knees have arthritis and he can

he has knees have arthritis and he can

he has knees have arthritis and he can walk with difficulty though he does keep

walk with difficulty though he does keep

walk with difficulty though he does keep up with us even danced a jig at the

up with us even danced a jig at the

up with us even danced a jig at the recent frenzied reunion he has arthritis

recent frenzied reunion he has arthritis

recent frenzied reunion he has arthritis of the small joints of his fingers he

of the small joints of his fingers he

of the small joints of his fingers he can barely hold a pen or even button his

can barely hold a pen or even button his

can barely hold a pen or even button his shirt yet the master painter was able to

shirt yet the master painter was able to

shirt yet the master painter was able to sketch this of me and my son

sketch this of me and my son

sketch this of me and my son that’s his victory that is confluence

that’s his victory that is confluence

that’s his victory that is confluence that is stepping over all the obstacles

that is stepping over all the obstacles

that is stepping over all the obstacles in life to still be yourself and be

in life to still be yourself and be

in life to still be yourself and be happy with all these things yet Joseph

happy with all these things yet Joseph

happy with all these things yet Joseph is lucky he is still alive because most

is lucky he is still alive because most

is lucky he is still alive because most people on Dallas’s do not even survive

people on Dallas’s do not even survive

people on Dallas’s do not even survive not on half not in a quarter of that

not on half not in a quarter of that

not on half not in a quarter of that long because most people who start

long because most people who start

long because most people who start dialysis in our country or anywhere in

dialysis in our country or anywhere in

dialysis in our country or anywhere in the world do well but the survivals

the world do well but the survivals

the world do well but the survivals aren’t very good chronic kidney disease

aren’t very good chronic kidney disease

aren’t very good chronic kidney disease or hippier is debilitating progressive

or hippier is debilitating progressive

or hippier is debilitating progressive and irreversible damage of both the

and irreversible damage of both the

and irreversible damage of both the kidneys so as the kidneys keep getting

kidneys so as the kidneys keep getting

kidneys so as the kidneys keep getting damaged from 100% wrong they keep coming

damaged from 100% wrong they keep coming

damaged from 100% wrong they keep coming down they keep working less than 90

down they keep working less than 90

down they keep working less than 90 percent less than I mean more than 90

percent less than I mean more than 90

percent less than I mean more than 90 percent is damaged less than 10 percent

percent is damaged less than 10 percent

percent is damaged less than 10 percent is working the toxins have built up too

is working the toxins have built up too

is working the toxins have built up too much the excess fluids are built up too

much the excess fluids are built up too

much the excess fluids are built up too much and they have to be started on

much and they have to be started on

much and they have to be started on dialysis dialysis keeps them alive

dialysis dialysis keeps them alive

dialysis dialysis keeps them alive because not Dial izing they die very

because not Dial izing they die very

because not Dial izing they die very quickly within us two days to a few

quickly within us two days to a few

quickly within us two days to a few weeks so thomas’s keeps them alive but

weeks so thomas’s keeps them alive but

weeks so thomas’s keeps them alive but only just

only just

only just because Dallas’s has its own problems

because Dallas’s has its own problems

because Dallas’s has its own problems diazien first of all four times for us

diazien first of all four times for us

diazien first of all four times for us each time three to four times a week

each time three to four times a week

each time three to four times a week kills them away from everything they

kills them away from everything they

kills them away from everything they cannot find a job

cannot find a job

cannot find a job they cannot attend college many of them

they cannot attend college many of them

they cannot attend college many of them can do not get murdered and then yet

can do not get murdered and then yet

can do not get murdered and then yet they have debilitating chronic medical

they have debilitating chronic medical

they have debilitating chronic medical conditions so

conditions so

conditions so a 35 year old young person on dialysis

a 35 year old young person on dialysis

a 35 year old young person on dialysis has the chance of dying the thousand

has the chance of dying the thousand

has the chance of dying the thousand times more than someone of his own same

times more than someone of his own same

times more than someone of his own same age who is healthy he has the chance of

age who is healthy he has the chance of

age who is healthy he has the chance of dying as that of an 80 year old person

dying as that of an 80 year old person

dying as that of an 80 year old person and that’s what dialysis does it gives

and that’s what dialysis does it gives

and that’s what dialysis does it gives him a life but it is life saving but not

him a life but it is life saving but not

him a life but it is life saving but not life giving because by three to four

life giving because by three to four

life giving because by three to four years of dollars as if 100 people start

years of dollars as if 100 people start

years of dollars as if 100 people start dialysis today 50% are dead and by

dialysis today 50% are dead and by

dialysis today 50% are dead and by around five to six years of dialysis

around five to six years of dialysis

around five to six years of dialysis less than ten or fifty twenty percent

less than ten or fifty twenty percent

less than ten or fifty twenty percent are living and in our country where a

are living and in our country where a

are living and in our country where a lot of corners are cut people compromise

lot of corners are cut people compromise

lot of corners are cut people compromise on too many things who dies only twice a

on too many things who dies only twice a

on too many things who dies only twice a week

week

week those are also not great at all so what

those are also not great at all so what

those are also not great at all so what is the answer for these people how did

is the answer for these people how did

is the answer for these people how did they get away from their diseases how

they get away from their diseases how

they get away from their diseases how they get better it is organ

they get better it is organ

they get better it is organ transplantation it’s just not about the

transplantation it’s just not about the

transplantation it’s just not about the kidneys or liver fails or heart fail the

kidneys or liver fails or heart fail the

kidneys or liver fails or heart fail the lungs fail the kidneys fail a new organ

lungs fail the kidneys fail a new organ

lungs fail the kidneys fail a new organ Putin gives them a fresh new lease of

Putin gives them a fresh new lease of

Putin gives them a fresh new lease of life they do extremely well they are off

life they do extremely well they are off

life they do extremely well they are off all the machines they can live love long

all the machines they can live love long

all the machines they can live love long learn play get married and young girls

learn play get married and young girls

learn play get married and young girls can have even delivered healthy babies

can have even delivered healthy babies

can have even delivered healthy babies after kidney transplantation or several

after kidney transplantation or several

after kidney transplantation or several other transplantations so that’s what

other transplantations so that’s what

other transplantations so that’s what transplant does it gives a wonderful new

transplant does it gives a wonderful new

transplant does it gives a wonderful new lease of life then why don’t we go

lease of life then why don’t we go

lease of life then why don’t we go around transplanting everybody why

around transplanting everybody why

around transplanting everybody why should you even put them on dialysis

should you even put them on dialysis

should you even put them on dialysis because of it the burden transplant can

because of it the burden transplant can

because of it the burden transplant can do something it can make people even do

do something it can make people even do

do something it can make people even do this it can make them play football

this it can make them play football

this it can make them play football Evon class niche 2,000 Eurocup he played

Evon class niche 2,000 Eurocup he played

Evon class niche 2,000 Eurocup he played football for this country a Croatian

football for this country a Croatian

football for this country a Croatian scored three goals in the whole

scored three goals in the whole

scored three goals in the whole tournament no a transplanted patient

tournament no a transplanted patient

tournament no a transplanted patient playing on the highest levels of

playing on the highest levels of

playing on the highest levels of football in the world that is great and

football in the world that is great and

football in the world that is great and a face you all know very well he had a

a face you all know very well he had a

a face you all know very well he had a liver transplant and one year later was

liver transplant and one year later was

liver transplant and one year later was proudly holding the first iPad to the

proudly holding the first iPad to the

proudly holding the first iPad to the whole world announcing it so with

whole world announcing it so with

whole world announcing it so with transplants you achieve so many things

transplants you achieve so many things

transplants you achieve so many things it’s not about achieving it’s about

it’s not about achieving it’s about

it’s not about achieving it’s about surviving to 100 people start Dallas and

surviving to 100 people start Dallas and

surviving to 100 people start Dallas and have a transplant today by the end of

have a transplant today by the end of

have a transplant today by the end of say six to ten years more than eighty or

say six to ten years more than eighty or

say six to ten years more than eighty or ninety are alive so these people need

ninety are alive so these people need

ninety are alive so these people need transplants so how do we go about

transplants so how do we go about

transplants so how do we go about transplanting first let us estimate the

transplanting first let us estimate the

transplanting first let us estimate the burden in our country in India we have

burden in our country in India we have

burden in our country in India we have at least a hundred thousand people on

at least a hundred thousand people on

at least a hundred thousand people on dialysis at the moment we the

dialysis at the moment we the

dialysis at the moment we the nephrologist we know how much of kidney

nephrologist we know how much of kidney

nephrologist we know how much of kidney failure is prevalent in the population

failure is prevalent in the population

failure is prevalent in the population so for a 1.3 billion population that we

so for a 1.3 billion population that we

so for a 1.3 billion population that we have we would have expected at least one

have we would have expected at least one

have we would have expected at least one to two million people on dialysis yet

to two million people on dialysis yet

to two million people on dialysis yet there are only a hundred thousand people

there are only a hundred thousand people

there are only a hundred thousand people who are on dialysis why because they

who are on dialysis why because they

who are on dialysis why because they might have gone to there a friendly

might have gone to there a friendly

might have gone to there a friendly quack in the neighborhood for treatment

quack in the neighborhood for treatment

quack in the neighborhood for treatment they may have gone to spiritual healing

they may have gone to spiritual healing

they may have gone to spiritual healing by the local higher religious centers

by the local higher religious centers

by the local higher religious centers and type amulets around their hands to

and type amulets around their hands to

and type amulets around their hands to ward off all evil or they just don’t

ward off all evil or they just don’t

ward off all evil or they just don’t have the finances or the logistics to

have the finances or the logistics to

have the finances or the logistics to come to hospitals from remote village or

come to hospitals from remote village or

come to hospitals from remote village or from the slums or they just misguided

from the slums or they just misguided

from the slums or they just misguided and so most of them don’t even reach

and so most of them don’t even reach

and so most of them don’t even reach hospitals to start dialysis they die so

hospitals to start dialysis they die so

hospitals to start dialysis they die so even if 100,000 people start on dialysis

even if 100,000 people start on dialysis

even if 100,000 people start on dialysis you would estimate that we would need at

you would estimate that we would need at

you would estimate that we would need at least 50 to 70 thousand transplants

least 50 to 70 thousand transplants

least 50 to 70 thousand transplants barring the very sick people who can’t

barring the very sick people who can’t

barring the very sick people who can’t get a transplant everyone else would be

get a transplant everyone else would be

get a transplant everyone else would be transplanted to around 50 70 thousand

transplanted to around 50 70 thousand

transplanted to around 50 70 thousand transplants in the country and we hardly

transplants in the country and we hardly

transplants in the country and we hardly do five thousand kidney transplants in

do five thousand kidney transplants in

do five thousand kidney transplants in our country and this is no great

our country and this is no great

our country and this is no great anywhere else either even in the mecca

anywhere else either even in the mecca

anywhere else either even in the mecca of health care the united states they

of health care the united states they

of health care the united states they need 120 thousand transplants per year

need 120 thousand transplants per year

need 120 thousand transplants per year and they hardly do twenty to thirty

and they hardly do twenty to thirty

and they hardly do twenty to thirty thousand transplants why is this yka

thousand transplants why is this yka

thousand transplants why is this yka unspent everybody there are the first

unspent everybody there are the first

unspent everybody there are the first way of getting an organ if someone’s

way of getting an organ if someone’s

way of getting an organ if someone’s organ fails is their loved ones they

organ fails is their loved ones they

organ fails is their loved ones they family stepped forward to donate its

family stepped forward to donate its

family stepped forward to donate its living donation in living donation it’s

living donation in living donation it’s

living donation in living donation it’s fantastic the matching is good

fantastic the matching is good

fantastic the matching is good everything is good and you can do it

everything is good and you can do it

everything is good and you can do it easily but the problem is that living

easily but the problem is that living

easily but the problem is that living donors are limited now the life is

donors are limited now the life is

donors are limited now the life is limited they may be diabetic they may

limited they may be diabetic they may

limited they may be diabetic they may have other medical conditions they may

have other medical conditions they may

have other medical conditions they may be just too old to be donating or the

be just too old to be donating or the

be just too old to be donating or the domestic problems the in-laws don’t

domestic problems the in-laws don’t

domestic problems the in-laws don’t accept they thought of donating to the

accept they thought of donating to the

accept they thought of donating to the brother so there are kind of problems so

brother so there are kind of problems so

brother so there are kind of problems so we nephrologist have been pushing the

we nephrologist have been pushing the

we nephrologist have been pushing the boundary

boundary

boundary excepting slightly elder donors slightly

excepting slightly elder donors slightly

excepting slightly elder donors slightly fragile donors even doing opposite or

fragile donors even doing opposite or

fragile donors even doing opposite or ABO incompatible kidney transplants

ABO incompatible kidney transplants

ABO incompatible kidney transplants giving an a donor to a B kidney and so

giving an a donor to a B kidney and so

giving an a donor to a B kidney and so on and trying to jump in spite of that

on and trying to jump in spite of that

on and trying to jump in spite of that we’ve been doing 5,000 transplants so if

we’ve been doing 5,000 transplants so if

we’ve been doing 5,000 transplants so if it’s not living what can we do it’s time

it’s not living what can we do it’s time

it’s not living what can we do it’s time for the debt to stand up and be counted

for the debt to stand up and be counted

for the debt to stand up and be counted this is donor transplants or cadaver

this is donor transplants or cadaver

this is donor transplants or cadaver transplants that is when someone dies of

transplants that is when someone dies of

transplants that is when someone dies of an accident has a brain stem injury or a

an accident has a brain stem injury or a

an accident has a brain stem injury or a brainstem death that’s the time for

brainstem death that’s the time for

brainstem death that’s the time for these people to be donating I mean

these people to be donating I mean

these people to be donating I mean they’re not the ones who are donating

they’re not the ones who are donating

they’re not the ones who are donating not because they they’re legally dead

not because they they’re legally dead

not because they they’re legally dead the family the Khitan can come forward

the family the Khitan can come forward

the family the Khitan can come forward and agree or consent to donate their

and agree or consent to donate their

and agree or consent to donate their organs so the usual scenarios this a

organs so the usual scenarios this a

organs so the usual scenarios this a young man on a bike has a crash and then

young man on a bike has a crash and then

young man on a bike has a crash and then he has a brain stem failure he’s brought

he has a brain stem failure he’s brought

he has a brain stem failure he’s brought to hospital the coordinators and myself

to hospital the coordinators and myself

to hospital the coordinators and myself we all sit with them the whole night and

we all sit with them the whole night and

we all sit with them the whole night and then console them saying that look his

then console them saying that look his

then console them saying that look his brain dead he’s not going to live his

brain dead he’s not going to live his

brain dead he’s not going to live his heart was going to stop in the next 24

heart was going to stop in the next 24

heart was going to stop in the next 24 hours

hours

hours can you do the miracle be the miracle

can you do the miracle be the miracle

can you do the miracle be the miracle the gift of life and then when they

the gift of life and then when they

the gift of life and then when they consent the organs are harvested and

consent the organs are harvested and

consent the organs are harvested and they are given and that is the most

they are given and that is the most

they are given and that is the most beautiful thing for the because giving

beautiful thing for the because giving

beautiful thing for the because giving the gift the gift of life when we die

the gift the gift of life when we die

the gift the gift of life when we die our souls go to heaven or organs don’t

our souls go to heaven or organs don’t

our souls go to heaven or organs don’t our souls go to heaven or someplace nice

our souls go to heaven or someplace nice

our souls go to heaven or someplace nice I’m sure I mean mine would go to Goyle

I’m sure I mean mine would go to Goyle

I’m sure I mean mine would go to Goyle is given a choice but my organs won’t be

is given a choice but my organs won’t be

is given a choice but my organs won’t be going to heaven they will be deleted and

going to heaven they will be deleted and

going to heaven they will be deleted and put again they will be either cremated

put again they will be either cremated

put again they will be either cremated and buried according to the religion

and buried according to the religion

and buried according to the religion name so this is the time to stand up and

name so this is the time to stand up and

name so this is the time to stand up and make the choice to say yes I do I want

make the choice to say yes I do I want

make the choice to say yes I do I want to donate I do want to donate life is

to donate I do want to donate life is

to donate I do want to donate life is such a beautiful thing because it can be

such a beautiful thing because it can be

such a beautiful thing because it can be shared even after death and it can be

shared even after death and it can be

shared even after death and it can be shared between many people after after

shared between many people after after

shared between many people after after dying and

be a hero after death is far more easier

be a hero after death is far more easier one light before going out can light up

one light before going out can light up

one light before going out can light up eight to ten more lives and then be gone

eight to ten more lives and then be gone

eight to ten more lives and then be gone we all know that we go to die someday so

we all know that we go to die someday so

we all know that we go to die someday so this is the time to make a choice and

this is the time to make a choice and

this is the time to make a choice and knowing that we’re gonna die someday

knowing that we’re gonna die someday

knowing that we’re gonna die someday that we immortal is the time when gives

that we immortal is the time when gives

that we immortal is the time when gives us the power to choose far ahead in

us the power to choose far ahead in

us the power to choose far ahead in advance yes I who donate matters to

advance yes I who donate matters to

advance yes I who donate matters to someone like that little girl that you

someone like that little girl that you

someone like that little girl that you just saw who’s waiting just for an organ

just saw who’s waiting just for an organ

just saw who’s waiting just for an organ to live a normal life and the crunch of

to live a normal life and the crunch of

to live a normal life and the crunch of all this thing is knowing that we’re

all this thing is knowing that we’re

all this thing is knowing that we’re gonna die is fine donating organs is

gonna die is fine donating organs is

gonna die is fine donating organs is perfectly fine one donor life to eight

perfectly fine one donor life to eight

perfectly fine one donor life to eight to ten patients or recipients with all

to ten patients or recipients with all

to ten patients or recipients with all the organs being distributed so look at

the organs being distributed so look at

the organs being distributed so look at what a hero somebody can be but the

what a hero somebody can be but the

what a hero somebody can be but the problem is this when I die my organs can

problem is this when I die my organs can

problem is this when I die my organs can be donated it’s downright easy I’m dead

be donated it’s downright easy I’m dead

be donated it’s downright easy I’m dead anyway

anyway

anyway but the problem is the relatives the

but the problem is the relatives the

but the problem is the relatives the beloved ones in that grief-stricken

beloved ones in that grief-stricken

beloved ones in that grief-stricken moment through teary eyes those emotion

moment through teary eyes those emotion

moment through teary eyes those emotion relatives may not be amenable to

relatives may not be amenable to

relatives may not be amenable to donating their keeper kins organs even

donating their keeper kins organs even

donating their keeper kins organs even though he has a registered or wanted to

though he has a registered or wanted to

though he has a registered or wanted to donate in his life and the hidden can

donate in his life and the hidden can

donate in his life and the hidden can have the power to refuse or to say yes

have the power to refuse or to say yes

have the power to refuse or to say yes so we spent hours together sitting with

so we spent hours together sitting with

so we spent hours together sitting with these relatives and trying to explain to

these relatives and trying to explain to

these relatives and trying to explain to them look be the miracle the gift of

them look be the miracle the gift of

them look be the miracle the gift of life that relate you could be one of us

life that relate you could be one of us

life that relate you could be one of us here and losing a beloved one it’s not

here and losing a beloved one it’s not

here and losing a beloved one it’s not easy it’s a very emotional time as a

easy it’s a very emotional time as a

easy it’s a very emotional time as a grief-stricken moment but yet through

grief-stricken moment but yet through

grief-stricken moment but yet through those tearful eyes that’s the time to

those tearful eyes that’s the time to

those tearful eyes that’s the time to stand up to look up and say yes I do

stand up to look up and say yes I do

stand up to look up and say yes I do and believe me many people said yes I do

and believe me many people said yes I do

and believe me many people said yes I do on a particular fateful day on the

on a particular fateful day on the

on a particular fateful day on the wedding days and they live to regret it

wedding days and they live to regret it

wedding days and they live to regret it but here when you say yes do that’ll be

but here when you say yes do that’ll be

but here when you say yes do that’ll be the happiest moment either for you or

the happiest moment either for you or

the happiest moment either for you or you as a relative donating your loved

you as a relative donating your loved

you as a relative donating your loved ones organs so that you can help save

ones organs so that you can help save

ones organs so that you can help save eight to ten more lives what are you

eight to ten more lives what are you

eight to ten more lives what are you going to do with the organs anyway

going to do with the organs anyway

going to do with the organs anyway you’re not going to take them to heaven

you’re not going to take them to heaven

you’re not going to take them to heaven you know – you want to be cleared past

you know – you want to be cleared past

you know – you want to be cleared past the first security gate you cannot take

the first security gate you cannot take

the first security gate you cannot take a

a

a they’re pods you can’t take your organs

they’re pods you can’t take your organs

they’re pods you can’t take your organs to heaven st. Peter’s going to stop you

to heaven st. Peter’s going to stop you

to heaven st. Peter’s going to stop you right in the first security gate better

right in the first security gate better

right in the first security gate better donate them because when you meet your

donate them because when you meet your

donate them because when you meet your maker finally when you go up there you

maker finally when you go up there you

maker finally when you go up there you can stand proudly before him and say yes

can stand proudly before him and say yes

can stand proudly before him and say yes I did

”

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