Это видео недоступно.
Сожалеем об этом.
Debate: Liver Transplant for Alcoholic Liver Disease: Keep the 6-Month Rule?
HTML-код
- Опубликовано: 13 авг 2024
- (Visit: www.uctv.tv/) Pros - Monika Sarkar, MD, MAS, Assistant Professor of Medicine Division of Gastroenterology, UCSF. Cons - Andrew Posselt, MD, PhD, Associate Professor of Surgery Division of Transplantation, UCSF. Recorded on 11/06/2015. Series: "UCSF Transplant Update" [2/2016] [Health and Medicine] [Professional Medical Education] [Show ID: 30511]
i haven't even started the vid yet but may i ask if no transplant for alcoholics then i guess no transplants for people that e.g. have a bad diet, right?
if a cardiologist tells the patient 'you need a heart transplant' then i suppose he should add: 'but you will have to stop smoking and lose 50lbs and change your poor diet before we list you', right?
Clearly, Dr. Posselt won the debate. He poked sufficient holes in Dr. Sarkar's data and reasoning. Post-debate at 40:47 she is essentially backtracking when saying "there is no single rule....but generally....slippery slope...etc" Then there's her theatrical laughter at 43:44 when he tries to explain "punishment" (a perfectly well-defined word) over her noise. Because you did something wrong, you will be denied something you need- but lest anybody feel bad about themselves, it's not a "punishment"!
Alcohol Use Disorder is a mostly genetic disease. It is not a choice. Anyone who states that it is, is either not a physician, or graduated at the bottom of the class at the University of Jamaica. People who are addicted to alcohol cannot get better if they are dead. And we have no business judging people because of any mental illness. For those interested, liver transplants work equally well in people who drink (even to excess) and people who don't - post transplant. So that just cannot be a part of your argument. Let's face it, if you want to deny organs to people with mental illnesses, you are simply being a douchebag. www.ncbi.nlm.nih.gov/pmc/articles/PMC4394109/
@@Smorss2011 If alcohol is not a choice. Then, that statement is admitted that alcoholics will not care for the liver the way a cancer patient would. Is it fair to take livers away from people who would take care of the liver and give it to Mr Best who will destroy it in 3 years?
@@laraantipova389 And how do you know that an alcoholic pre-transplant wouldn’t change their life around and treat the new organ with the upmost respect because they did get a second chance? Seems extremely judgmental.
@@honeybadger0781 Judgement is needed in life. For my job I have to get fingerprinted and sign a document saying that I have never been investigated to child sexual abuse. But wait how do you know that people who’ve abused in the past will now? Don’t you believe that people can change? Well, maybe, but I’m not trusting their word. Judgmental? Yes. A good idea? Also yes.
Would you let a serial killer watch your kids? No. Well, then I guess we all know why, you’re judgmental.
Do alcoholics continue to drink after surgery? Honestly, the numbers aren’t great. Within 3 years 30% start drinking again from the reports I’ve seen. So if we use our G-d-given brain at this point we can judge that alcoholics are not the best stewards of livers.
@@honeybadger0781 Moreover saying that someone is judgmental is a judgement in itself. Just something to think about.
*I don't want my liver to go to an alcoholic who drank knowing the risks. Sorry, I rather would see it go to a person who is ill without causing it to themselves. I'm a donor, but I WILL opt out if they start to transplant to former alcoholics in my country.*
*OK. Googled and they do transplants on alcoholics. I just opted out as a donor via internet.*
I understand totally. As someone who abused alcohol to the point that I needed at liver transplant I can say that I've been sober for 29 months. I became a recovery facilitator and a donate life ambassador. I do my best to pay it forward.
I am an alcoholic and I have been sober myself for 24 years, had Hepatitis C and have cirrhosis and liver cancer. I feel I have been sober long enough to deserve a liver and enjoy life with my children and grandchildren. Addiction is hard to understand and the main reason that Alcoholics Anonymous works is because every member is an alcoholic and understands that it is an addiction and not a moral failing or a weakness of will.
Not trying to sound harsh, but because you don't understand addiction and do not want to donate would be akin to me saying I would not give food to an anorexic or bulimic because they're just going to throw it back up.
But they should let family’ members donate partial livers and they don’t allow that either . It’s a stupid rule.
@@NickanM I held that view until someone argued for the same right regarding not wanting to donate to a homosexual, or a person of African descent (I'm not a big fan of the "slippery slope" argument, but this time it applies)... With alcoholism considered a disease, what other diseases would you not want your old liver exposed to? AIDS, maybe? Again, I understand the underlying principle, but this may be one of those "baby with the bath water" problems. For now, the solution resides in our hearts: we give in kindness and generosity a gift, and like all precious gifts we want it to be cherished; but that is not up to the giver... it is up to the recipient. Trust in God that your gift will not be squandered - He has a way of turning their bad towards our good 😉
Nobody WANTS to be an alcoholic. It is discriminatory to select transplant recipients by the ‘type’ of illness they have as opposed to the severity of their health condition.
Stop drinking bud. That organ should go to someone else.