Interview with Mrs Mayekiso

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來自 University of Cape Town 的課程

Organ Donation: From Death to Life

93 個評分

University of Cape Town

Organ Donation: From Death to Life

93 個評分

Considering someone for organ and tissue donation at the end of life is complicated. The boundary between life and death is more complex than ever before and it falls to medical professionals to help clarify a situation at an often confusing and emotionally stressful time. In this course you will learn about the science behind death determination and when it is possible for deceased organ donation take place. The lectures will cover medical standards at the end of life - from brain death testing, to requesting informed consent from a grieving family. By improving knowledge of good ethical practices, cultural and religious considerations and the logistics of the organ donation process this course will empower the interactions and discussions of medical professionals and the general public at an often confusing time. This course will help you to ensure that the option of organ donation is compassionately explored in all appropriate situations at the end of life in the best way possible. Watch the course trailer here https://www.youtube.com/watch?v=Ak-kVtmZGRs The course is certified for continuing professional development (CPD) points in South Africa. Send your completion certificate to organdonation@uct.ac.za together with your HPCSA number for 25 general and 5 ethics points. For another interesting course on organ donation and transplantation, see Clinical Kidney, Pancreas and Islet Transplantation from Leiden University https://www.coursera.org/learn/clinical-kidney-transplantation

從本節課中

The Organ Donation Process

Who can donate? What can be donated? In this week you will learn that the number of potential organ donors is far larger than you ever thought. In the first lesson we look at the organ donation process in detail. We cover the assessment of a donor in terms of infection and malignancy risk and how individual organs are assessed for potential transplant. We look at the monitoring and interventions required to achieve various physiological goals in the organ donor. Managing a potential donor well and dealing with the complications associated with brain death is essential to maximizing the number of organs that are transplantable. It is not markedly different from any critically ill patient with multi-organ failure. We then look at the organ recovery process and how the organs are preserved and transported to the various recipients. In the second lesson the waiting list and allocation practices are discussed in detail so that you can see how donated organs are allocated fairly and how the benefit is maximized. We end the week with an overview of what each recipient operation entails and show you four interviews - all recipients of an organ transplant - given a new lease on life because of one brain dead donor and a family who consented to organ donation in a time of great personal tragedy.

The Recipient Operations10:13

Interview with Recipients0:54

Interview with Namhlatobi Gansanhla4:25

Interview with Mrs Mayekiso5:39

Interview with Selengan Samuel Khalani6:45

Interview with Clive Marais8:09

與講師見面

David Thomson
Dr
Critical Care Specialist and Transplant Surgeon

[MUSIC]

I am Mrs. Mayekiso.

And 51 year woman, married woman.

I'm from town, Eastern Cape.

>> How long have you had kidney failure?

>> I've had it for five years.

>> Five years, what happens when you're on hemodialysis?

>> When I was hemodialysis, there we are dialyzed

by machine, sucking blood to and from.

>> Okay, how often do you have to do that?

>> I have to take three days a week.

>> For how many hours?

>> For four hours.

>> Four hours, okay.

And what did you do before you got sick?

>> At 2008, I was a domestic worker.

>> Do you feel strong enough that you could go back to work now?

>> Yes.

>> [LAUGH] >> I feel strong enough,

I think I could find work.

I can.

>> Cool, what time was it and where were you when you got the phone call?

>> It was about 7 o'clock on Saturday morning.

Then I was going to a funeral outside our location,

then I received this call saying I must quickly go back to the hospital.

The hospital needs me, I am needed at Cape Town for a transplant.

>> How did you feel?

>> I was so shocked.

So that the driver and the car that was driving.

Just look me, look with me back and he was sad thinking that

maybe l received maybe somebody in charge of my family or

my child is sick, whatever, maybe something bad happened to me.

The way I was so shocked but after that, I smile and

say, please, stop the car when you can stop,

I'm go back home because I have to go to Cape Town now for transplant.

But this man doesn't know nothing about transplant but

I just explained because I was very happy.

>> Have you ever been in a plane before?

>> No.

>> First flight.

>> My first plane trip.

I just sleep in the plane,

now just look how this is going to move in the sky.

But I see nothing.

I see all the skies, all the guys.

Someone's reading books.

Someone's sleeping.

But I didn't do that.

It was my first time.

I want to see every inches that is happening.

>> What time did you go in for your operation?

>> It was I think 8 minutes to 12.

>> At midnight?

>> At midnight.

>> Okay.

Real cool.

And then what does it feel like waking up afterwards?

>> Waking up, I was very happy, but at that first,

it was painful so l can feel there's something that happened but

l tell myself that is going to pass as long as l resolve something.

This kidney that I was always looking for.

>> What are your plans for the future?

>> Wow, my plans, I've got a great plans, l don't know where to start.

[LAUGH] >> [LAUGH]

>> [INAUDIBLE] yeah, I'm so excited.

>> What do you think about the family that donated the organs to you?

>> That family.

What can I say?

I'm so thankful to that family.

I'm so thankful, the thing that they do it to me, even my child,

even my family, no one in my family didn't wish to do that, because they were scared.

But that family, I don't know that family, they don't know me,

but they give me one of their family part.

[INAUDIBLE] keep them.

Those who are left, and praise them.

>> Cool, about how much people know about transplants, and

what you think should happen?

>> At that time, I didn't answer them.

I didn't have ways to explain what is transplant.

I just tell them, once I was sick, so I'm going to get a new kidney,

because I know they don't know about transplant.

What is transplant.

>> How do you think we can get better,

to get more people to say yes to organ donation?

>> Or to organ donation, I think it can be

with those who do have donate.

I think we can be given chances to go where there is a people

maybe at the clinic, so talk about transplant.

Talk about donors, and talk about even our illness before so

that some of the people they know, you were sick in front of them.

So now they see your life changes and tell them this part,

this organ, I didn't get in my family so is wise to somebody,

go to the clinic and check for everything.

Maybe heart disease, high blood pressure, if she, is he's all right and if he can or

she, she can sign something to help another people.

There's nothing wrong.

[MUSIC]

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