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Easier transplant rules for alcoholics
Alcoholics who do not show they can stay sober outside hospital are expected to be offered liver transplants for the first time next month.
A group of experts in liver disease will propose the change despite a shortage of organs. Under current guidelines, candidates for new livers have to show they can abstain from drink, usually for six months, before doctors approve a transplant.
The proposed lifting of the ban follows the death in July of Gary Reinbach, 22, from Dagenham, east London. He had severe alcohol-induced liver disease. Reinbach’s doctors believed only a transplant could save him but he was too ill to leave hospital and prove he could stay sober.
A panel of doctors working for the liver advisory group has been swayed by a trial in Lille, northern France, involving 18 alcoholics with liver disease who had not been well enough to show they could remain sober before their transplants.
Fifteen were still alive six months later compared with 44% of patients who had not received a new organ. The patients who received the transplants did not start drinking again.
Next month the liver advisory group will be asked to approve a similar trial in Britain. Dr Alexander Gimson, chairman of the group, is in favour of the change but said that it would be opposed by other patients waiting for a liver transplant.
There are 268 patients waiting for a liver; 91 died on the waiting list last year.
Until 2002, Kumar Dhakal, 51, of Surkhet was a respected journalist, a teacher and a responsible family man. In the five years that followed, that image was shattered as Dhakal made a descent into the abyss of alcohol abuse. He lost his job and was incapable of shouldering family responsibilities. “In those dark years, there….
There are new and innovative methods to better understand the risk factors for and improve earlier detection of pancreatic cancer. Specifically, researchers can demonstrate that the development of, new biomarkers, novel treatment targets, innovative approaches to screening and surveillance and improved understanding of risk factors can lead to diagnosis of pancreatic cancer at earlier more….
The chapel at Immanuel Presbyterian Church was filled to capacity last Saturday afternoon, with mourners moving up to the balcony. Much to the surprise of his family, hundreds — from infants to senior citizens — came to honor John Robert McGraham, a homeless man who was brutally murdered on Oct. 9. McGraham, 55, was doused….
It is no wonder that America has the highest rate of prescription drug abuse in the world. We have drugs for everything that ails us and drugs to counter the unwanted effects of those drugs. The most widely abused pharmaceutical drugs are opiates and opiate derivatives for pain, CNS stimulants for ADD, ADHD, and narcolepsy,….
Underage drinking is a serious problem — and getting worse When police are called to a party or other event where minors are in possession of or have consumed alcoholic beverages, enforcement action is sometimes met with scorn or ridicule – not by the underage drinkers, but by a small minority of parents or guardians…..
