Hi David and everyone,

Thank you for giving us such a great opportunity to communicate with Dr KMI. I learned a lot of things from him and from everyone's questions and comments. That was more than enough. See you next week.

•  tsuneko
• 2011年7月 1日 20:45

Hi David,

Thank you for giving us a chance to learn more about organ donation. Coincidentally I read an article about organ transplantation in today's newspaper(Asahi Shinbun). Thanks to Dr KMI's explanations, it was much easier to understand the content of the article and I felt close to it.

By the way, you did ironing for two hours!? That must have been quite a chore even though it was not so hot today compared with yesterday.
I'm afraid I'm accustomed to the temperature around 30℃.

Have a lovely weekend,everyone!

Anne

•  Anne
• 2011年7月 1日 21:15

Hi David,

Thanks again. It’s a good opportunity to learn about organ donation.
Spent two hours for ironing? Poor you! I don’t like ironing in summer. (I guess nobody likes it.) Hope you can take some rest this weekend;)

Hi everyone,

I’ve got a bad headache since last night, so I took some painkillers but the pain hasn’t disappeared. I am going out on Sunday, so I hope it will be gone by then.

Have a great weekend,
amo

•  amo
• 2011年7月 2日 00:21

Hi David,

Thank you so much for giving us a chance to talk to a senior surgeon and to think about important matter: organ donation.
You don't need to say sorry about that you can't give us feedback. You are swamped with a million of things. I totally understand that.

Hello Dr. KMI,

Thank you again for joining us and spending your time for us. Thanks to your explanations, I learned some knowledge and procedure of organ donation.
BTW, your English is so excellent! So I also learned some English expressions and words from your comments.

Hi Animal Farm,

Thank you for taught us the rule of organ donation of US. That's what I wanted to know. So basically US take "opt-in" system.
Glad to hear that you had a great time at Rocky Mountain! I didn't know much about the mountain so I googled it. I saw some pictures of it. It's spectacular!

Hi amo,

Hope your pain will disappear soon.

Have a lovely weekend, everyone!

Fumie

•  Fumie
• 2011年7月 2日 06:08

Hi David and everyone

This is my comment for the first time in two weeks.
I have a lot of things to do recently ,so I’m afraid that I may not be able to make comments every week.

However, I read main parts in blogs every week.

As for organ donation, I know little about it.
Thanks to Dr KMI and David, I got a chance to consider about that.
I appreciate Dr KMI and David giving me a bit difficult topic.

I don’t know if I can make comments in this blog next week, but I try to read your entry in blogs.

Have a good weekend.
See you.

Cocon

•  Cocon
• 2011年7月 2日 11:38

Dear Dr. KMI,

Thank you so much for sharing your time, knowledge, help, concise explanations, and consideration.

As you mentioned, organ donation is a very noble act, but the rate of people who carry a donor card is only 1.6% and is very low, in spite of the rate of people who are in favor of donation was 42%.
I hope the number of people who choose to become organ donors in Japan will increase soon.

I really appreciate you not only save many lives, but also many smiles. Thanks a million.
Please take care and have a wonderful weekend!

Hi David,

Please don't be sorry.
I guess you have been busy as a bee!
I appreciate your feedback always.

Hi Tsuneko,

Thanks for your message!
As I mentioned, so far insurance cards and driver's licenses are optional about organ donations in Japan.
I think most people don't realize insurance cards have the option for organ donation, so it doesn't mean they are careless.
You know, I dropped eggs in front of the supermarket where I had just bought them today!
I was careless (涙).

Hi Fumie,

Anytime!
Thanks for Googling about the Rockey mountains!
Actually, when I got to 14,110 feet (4,300 meters) in altitude, I felt dizzy and I had tunnel vision!
(視界が狭くなるを英語で,"トンネルビジョン"知らなかったっす)
The mountains are extremely huge!
Cars seemed like ants.....そして私はただの小さなカタマリ...

Hi everyone,
I was curious, if a person has two organ donor cards with opposite desires, then what happens?
The law was clear, but it seems it still takes time to help people if the family still is involved in the decision.

http://www.fujifilm-kenpo.or.jp/shiori/shikumi/hokensho.html

http://www.jotnw.or.jp/

Anyway, I think the things that are happening in this world are relevant to our lives, so it was a great opportunity to talk with you! Thanks!

Oops, it's time to hit the hay! ...around 1am. Good night!

Animal Farm

•  Animal Farm
• 2011年7月 2日 14:07

Hi Animal Farm and everyone,

Thank you for letting us know the links. Here are two parts I especially got interested in.

> 臓器を提供する場合、臓器提供適応基準では、おおよそ心臓50歳以下、肺70歳以下、腎臓70歳以下、膵臓60歳以下、小腸60歳以下が望ましいとされています。

The other day, my friends and I talked about organ donations, and then we were wondering whether or not our organs can be used. Answering Anne's question on the age limitation, Dr KMI mentioned that 60 is a rough guideline, although there may be a difference between someone's biological age and their chronological age. That's why the above detailed information is helpful to know each organ's limitation roughly.

> 脳死後と心臓が停止した死後の臓器提供の違いを教えてください。

心臓が停止した死後の腎臓提供は昭和54年から行われてきました。

脳死後での心臓・肺・肝臓・腎臓・膵臓・小腸・眼球の提供は平成9年10月16日に「臓器移植法」が施行されて可能となりました。

脳死とは、全脳の機能が停止して、元には戻らない状態をいいます。

脳死になると、人工呼吸器をつけていても、数日後には心臓が停止します。（心停止までに、長期間を要する例も報告されています。）

脳死からの臓器摘出は、人工呼吸器によってまだ心臓が動いている状態のとき病室でご家族にお別れしていただき、手術室へ運ばれ、摘出が行われます。

心停止後の摘出は、心臓が止まって、病室でお医者さんから「ご臨終です」と告げられてから手術室へ移しての摘出となります。

しかし、腎臓・膵臓の移植の場合、心臓が止まって時間が経過すると各臓器への血流が途絶え、急速に機能が衰えて、移植しても臓器が機能しない場合があります。せっかくご提供いただく腎臓等の機能を確保するため、心停止する前から準備（カテーテル挿入とヘパリン注入）をする必要があります。

どちらの場合も医師から「脳死である可能性が強く、回復の見込みはない」と説明があった時点で、主治医にカードを持っていることを伝えるか、提供の意思があることを伝えて、主治医からネットワークに連絡してもらってください。

Knowing this actual process was important for me to consider whether I should become a donor and which no. I should choose. Thank you.

•  tsuneko
• 2011年7月 3日 18:36

Hi everyone,

How was your weekend? Hope you had a good one.
I mentioned that I went to see a musical the other day. All I want to do was to see my favourite singer, and of course he was great. Today, my sister and I went to his salon concert at a restaurant in Aoyama. We had lunch and after that we listened to his songs. It was fabulous. We were able to see him very close. I had a great time:)

Hi Fumie,

Thanks for your warm words.

Good night and sweet dreams,
amo

•  amo
• 2011年7月 4日 00:52

Hi Animal Farm, tsuneko and everyone,

>Animal Farm, thanks for letting us know the website about organ transplantation.
By the way, you seem to be having a fabulous time in Rocky mountain! I'm happy for you.
>tsuneko, thanks for telling us more detailed information about organ transplantation.
Actually, I had a party with my classmates from the community college, and there were doctors among them. I talked about it with one of them.

Hi amo,
You went to the musical and then to the saloon concert again!? Lucky you:)

David,looking forward to your new entry:)

See you soon,

Anne

•  Anne
• 2011年7月 4日 05:45

Hi Animal Farm,

Oh, you climbed up Rocky Mountain. 4,300 meters in altitude! No wonder you felt dizzy and had tunnel vision. How long did it take to climb the mountain?
Did you climb all the way from the bottom of the mountain?

Hi amo,
I'm glad to hear that you had a lovely time at the concert.

Fumie

•  Fumie
• 2011年7月 4日 05:47

What a fun pattern! It’s great to hear from you and see what you’ve sent up to. All of the projects look great! You make it so simple to this. Thanks

•  abercrombie and fitch
• 2011年11月16日 12:28