The Life-Saver Inside

The gift of his life, Peter Fritsch is wearing the right. Approximately at the level of the eleventh and the twelfth rib and the kidney of his wife’s works – the 150 grams allow him a new life. The old dignity of the 64-Year-old prefer to quickly forget. In 1996, he received the diagnosis of leukemia. A bone marrow transplant saved him, but the many drugs damaged his kidneys.

2018 Peter Fritsch had to undergo dialysis. Three Times a week he drove out of the small Gleißenberg in the upper Palatinate all the way to Straubing. One hour ride, a half-hour preparation, 4 hours and 10 minutes blood wash, a half-hour follow-up, one hour return journey. And all of this three Times a week. “It was no life,” says Peter Fritsch. His wife, Marianne, with litt. “He each Time came home totally exhausted and needed the next day to rest.”

Patients have to wait approximately seven to eight years for a donor organ

No, the Fritsch’s have not presented their retirement. The three children were grown and out of the house. Now you travel wanted to enjoy the time together. Now Peter Fritsch was tied up every two to three days at the dialysis. This kept him alive, but the gift of time to his opponent: If he hung for hours on the machine, it seemed to melt away between your fingers. And if he thought the kidney to the waiting time for a donor, it extended endlessly in front of him.

Marianne and Peter Fritsch in June 2018 prior to Transplantation

On the waiting list for a kidney donation of around 8000 people from Germany – about 1400 kidney of the deceased are annually transplanted. “Patients wait on average about seven to eight years on a post mortales Organ,” says Paolo Fornara, Director of the University clinic and polyclinic for urology in Halle (Saale) and the kidney transplant center in the state of Saxony-Anhalt. “People often die despite dialysis within a few years,” said Fornara. “And we know that the more time passes, the worse the result is.”

Women still take the caring Part

It looked so bad for Peter Fritsch and good. Because in his life there were two women who wanted to give him a kidney. His wife and his 26-year-old daughter. “The kidney of my daughter I could not accept,” says Peter Fritsch. “Yes, she has her whole life ahead of him.” Also, Marianne Fritsch would not have allowed it. For them, it was clear that you, the donor.

With this decision, the 67-Year-old is not alone. In Germany, more than 600 people annually donate a kidney, approximately two-thirds are women. Why do you agree with the decision, apparently, easier than men? “There is in our society is an imperative for the donation,” says the psychologist Merve Winter of the Psychological University Berlin. “From this moral invitation women tend to appeal to than men.” The sun in the gender role, that women, even today, as wives and mothers, often the supply, take care of the Part.

Sabine Wohlke by the Institute for ethics and history of medicine at the University of Göttingen medical center observed the greater duty of care in women: “Well the, if not the husband, but the child is ill. Then the mother, who donates, it is also the most”, explains the medical ethics, the research on the topic, and with many donor pairs has spoken. “Men too often, to have it as a relief is felt that your wife has decided in advance of the period given for the donation.”

The sick women to reject an Organ more often

And, although men in sample surveys, the organ donation is fundamentally positive, is reported by Merve Winter. “Sometimes, a greater Anxiety in men is simply not available.” The exception is Iran: There is clearly more men to donate, with nearly 80 percent of a kidney. “This is mainly due to the government introduced the organ trade,” says Winter. In Iran-unlike in Germany – the donor and the recipient are neither related to his need to have a close relationship. The state pays to everyone who is donating a kidney to a compensation that is approximately equivalent to one year’s income. In addition, the donor will also receive a gift from the receiver. “Men speak much more than women, on bonus systems,” says Winter.

Diseased women reject, in turn, more likely to make a donation of your Partner – out of concern for your relationship. Therefore, one should be a flat rate of judgments on the willingness to donate of men careful, says Wohlke: “Some women accept their lives on dialysis and waiting for a post mortales Organ.”

Also, Uwe Heemann, Director of the Department of Nephrology, Klinikum rechts der Isar of the Munich technical University, has another explanation for the significantly higher proportion of donors: “kidney diseases are men more aggressive than women. Therefore, more men than women on dialysis are subject to.”

Dialysis Peter Fritsch should not stay long, if it went to Marianne Fritsch. In contrast to her husband, she did not have a hard time with the decision, to him one of her kidneys to give. He, however, wanted to know exactly what risks you would have to face his wife.

“People with only one kidney are more prone to cardiovascular diseases and high blood pressure,” explains Heemann. In addition, the need to adjust after the procedure, pain. Heemann explains to each patient on the chronic fatigue syndrome (Fatigue syndrome) – though he considers the risk as negligible. (Read here about side-effects estimated from a kidney living donation.)

Uwe Heemann is not discussing but only the medical risks – he makes a picture of the entire situation in life. He has doubts about the decision, he is trying to stretch the investigation over a longer period of time. “When patients arrive fresh to the dialysis, arises with relatives is often a heavy emotional pressure”, so Heemann. “You want to help, and sometimes a panic.”

“You are not able to donate as middle pair good today”

Even if a Pair occurs in agreement – as Marianne and Peter Fritsch, it is tested prior to transplant in the truest sense on the heart and kidneys. Before the end of a so-called independent living donation, and the Commission shall take a decision for or against a donation, creates a psychological evaluation.

Psychologist Merve Winter, leads to such opinions. “The decision is a combination of coercion and voluntariness is always,” she says. “On the one hand, relatives want to help, and are glad to be able to do that. On the other hand, you can not donate as the near pair today, also good.” The live kidney donation is considered as a treatment method of choice, which emphasizes harmlessness of the donation will constantly. How do you say no? As a consequence, a pressure that many donors themselves are not even aware of emerging. “I already had donor pairs in which the recipient and donor were completely at odds,” says Winter. “The potential donor has not dared simply to tell the recipient that he does not want to donate.” Such dramatic cases are the exception rather.

Medical white lies are allowed

In order to protect the donor against involuntary decisions, Doctors have the opportunity to provide you with an “Alibi”. “We do not give medical reasons why a donation is out of the question”, says Uwe Heemann from the Klinikum rechts der Isar. Sabine Wohlke want even more protection for the donor and the recipient. “In my conversations, it became clear that couples are able to foresee the consequences of their decision before the transplant difficult,” she says. “Many of the recipients, it was then difficult, with the gratitude that dominated the relationship. Others felt towards the Partner guilty.”

Couples prepare recommends the medical ethics in close cooperation with family therapists, and also after the Operation. Also, the introduction of a living donor registry would be useful, the only collects the medical data of the donor and the recipient, but also the psychological.

Marianne and Peter Fritsch were lucky. You have survived the transplant unscathed, both physically and as a Couple. “We are more likely to become even more closely”, they say. In the autumn they fly to their favorite island of Gran Canaria. A few months ago was not thinking about it. Peter Fritsch can’t believe it sometimes. “I am to my wife, so grateful,” he says. “And I would have done it at any time, even for you.”