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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.
Almost 89% of prisoners with an alcohol problem got no help while behind bars last year, according to figures obtained by The Herald. Despite alcohol being an aggravating factor in more than half of all homicides and much of the violent and anti-social crime which blights Scotland, a tiny proportion of inmates get specialist help….
The Salvation Army’s Clitheroe Center is gearing up to accept alcoholics involuntarily committed to a new detoxification program, becoming the only rehabilitation facility currently in town that will hold patients for a month or more to force them to sober up. The scheduled opening this month comes on the heels of a spate of homeless….
I have found really interesting article in Journal of Contemporary Ethnography from 1991. The author, J. David Brown, is Assistant professor of sociology at Northern Illinois University who had struggled for 13 years with substance abuse problems, then he went to rehab and after then, he started to be a counselor himself. He uses the….
A new campaign by Mayor Bertrand Delanoe tries to persuade young Parisians to shun the fashion for drinking themselves to oblivion at weekends. France used to look down on the British habit of getting smashed and staggering in a stupor through the streets but now it is happening here. For the past couple of years,….
Binge drinking more than triples a man’s risk of dying from a stroke. Researchers studied 6,291 Korean people aged 55 years or older to examine the association between binge drinking and risks of mortality due to all causes of death with a focus on cerebrovascular disease. It was noted that 59 percent of adults reported….