Delayed Euthanasia

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Delayed Euthanasia
Delayed Euthanasia

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Delayed euthanasia

The publication "Takie Dela" told about the state of affairs in Russia with the treatment of renal failure in young children. The article explains why babies cannot live long on dialysis and need a donor kidney transplant, and also tells about how parents of sick children "break through" to the capital's transplant specialists.

"Delayed euthanasia"
"Delayed euthanasia"

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The publication "Takie Dela" told about the state of affairs in Russia with the treatment of renal failure in young children. The article explains why babies cannot live long on dialysis and need a donor kidney transplant, and also tells about how parents of sick children "break through" to the capital's transplant specialists.

According to the head of the organ transplant program at the Russian Scientific Center for Surgery, Professor Mikhail Kaabak, about 75 children are born in Russia every year who need kidney transplantation in the first years of life due to congenital diseases or malformations, but no more than ten of them receive such assistance. In his opinion, there are two main reasons for this. First, transplants for young children are carried out only in Moscow. And secondly, economic incentives work against children. The fact is that it is beneficial for hospitals to dialyze a child - the tariffs of the compulsory medical insurance system not only fully cover the costs of this type of care, but also leave some profit. And it is completely unprofitable to send them for transplantation.

The program for the development of children's dialysis centers in Russia was a major breakthrough, but in the end, instead of supporting sick children while awaiting kidney transplantation, it turned into an alternative - a disastrous one for babies. Today, pediatric dialysis is available in about 100 clinics throughout Russia, but none of them perform transplants. "This technological gap is leading to children being dialyzed to death," Kaabak says. - They live on dialysis for two to three years and die, making room for the next. And this cycle repeats itself over and over again."

Of course, no one directly admits this. And the arguments against referral to transplantation and for continuing dialysis can be very different. For example, low weight. There were cases when doctors simply deceived parents, explaining that it was impossible to find a donor kidney for their small child. In fact, this problem simply does not exist: a child of any age can have a kidney transplant from an adult.

It turns out that children are not transplanted for reasons that cannot be called medical. If 100 babies in different regions of the country are on dialysis, are disabled and are not sent for transplantation, moreover, parents are not even told about such a possibility, then this is not simple illiteracy, the deputy head said. Department of Kidney Transplantation of the Russian Scientific Center of Surgery for Pediatrics Nadezhda Babenko.

In her opinion, if the child was transferred to dialysis and did not immediately begin to prepare for transplantation, this is nothing more than delayed euthanasia. Its price is from 200 to 500 thousand rubles a month, which are received by dialysis centers for each child. Children cannot develop normally on dialysis, they become deeply disabled. And even if they do end up undergoing a transplant, the potentially high chances of survival are reduced. “Unfortunately, Moscow transplant doctors have to bury babies who arrive too late,” says the doctor. "These deaths can be prevented, thank God, we do not live in Sparta and consider ourselves a part of the civilized world."

According to the chief transplantologist of the Ministry of Health of the Russian Federation, director of the N.N. Academician V.I. Shumakov”by Academician Sergei Gauthier, it is difficult to say exactly how many children need kidney transplantation in Russia today, because not all of them get dialysis. But the point is not even how many of them there may be theoretically, but how the transplant center learns about the presence of such a child, that is, in communication with the pediatric nephrologists observing him. “We periodically encounter a situation when a child is not sent for transplantation, because, they say, they do not know where,” Gauthier notes. - Indeed, not all centers that transplant a kidney can work with children - this requires specific conditions and specialists. But the ability to direct the child to where he will receive adequate assistance,there is always ".

Original publication in Takie Delo:

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