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dgh64
March 29th, 2011, 10:01 PM
I was just wondering if there was anyone here who knows about kidney transplants, because I was under the impression they are generally done from the back, not the front like they did in this episode.

My only source of information on this is an episode of The Simpsions (reliable source, yeah right) in which Homer donated a kidney to his father, and at the end he had a kidney-shaped scar on his back.

Anyway, does anyone know for real? Because I do know that kidneys are much closer to the back than the front.

Lahela
March 29th, 2011, 10:34 PM
I did a quick google search and it seems that they writers got it right. The transplanted kidney goes in the abdomen, and the donor's kidney can be removed from the front. I'm guessing they did it that way for convenience, so Greer could lie on his back and interact with the other characters, but it is medically do-able.

dgh64
March 29th, 2011, 10:49 PM
Ah, okay. I had a transparent model of a man with removable organs when I was a kid, and I remember the kidneys sitting right up against his back. Just seems a little strange that they'd decide to go through Greer's front, having to go past all the intestines and whatever to get to the kidney, but if that's a possibility in real life then I'm okay with it.

escyos
March 30th, 2011, 12:51 AM
Actually they perform kidney transplants through the ear.......i don't know I'm not a doctor yet....and even then I wont be a medical doctor, I'll be an archaeological doctor.

Lahela
March 30th, 2011, 02:39 AM
I actually read about one case where they removed the donor kidney through... *ahem*... an orifice that only women have. Made me squirm. :S

Hitokage
March 30th, 2011, 03:54 AM
It is not problem to do it from front...I am not doctor but mum is a nurse
BTW I was surprised how it looks...It seemed really real

Amann
March 30th, 2011, 06:23 AM
I am not a doctor, but I play one on TV. THE Doctor :P

Hyndara71
March 30th, 2011, 07:10 AM
One of my brothers had kidney-cancer years ago. The doctors had to remove one kidney complete, the other one they had ... rescued, but only one half of it. Maybe a regional question but they went through the sides of his chest.

Uhm, that's not only a critic about SGU, I see and hear that from many shows and movies. But do you know how small the chance is to find someone compatible with you? My parents had six children and no one of us can donor his or her kidney to my brother. The only person was our mother, and she was sick herself and couldn't help.

carmencatalina
March 30th, 2011, 07:20 AM
I'm not a medical doctor, but I'm a geneticist - I can say that T.J. discussion of donor matching (the need for a good match at 6 HLA loci for a donation) was accurate. The bit about using the donor's stem cells to sort of prime the recipient's immune system using Ancient methods, that was science fiction (although it is something that is being researched and worked on, so only science fiction by a bit!).

She said that Greer and the other guy were matches for Volker at 4 HLA loci, which isn't too surprising. In the real world, that wouldn't be a close enough match for a transplant, but I suppose using the Ancient stem-cell method, it can be in our science fiction world.

So I would give them a A+ for the genetics they discussed. (Which is surprising - this stuff is usually terrible on science fiction show.)

Can't comment on the surgical procedures!

Da Vikster the Ori
March 30th, 2011, 08:04 AM
I'm a first year medical student (at Oxford, same as Dr Rush ;D ) and my dad is a surgeon and SG fan, and my sister is also a medical student 2 years ahead of me, so I'm fairly safe in saying it is very rare to take it from the front like they did there, because it is in the back, the closest you'd get is a subcostal incision [ie in your side below your ribs] to remove the kidney. You would implant the donor kidney into the iliac fossa though, so that part was relatively accurate. Ish. Chimerism does actually also occur when you have a marrow transplant, and people who have undergone marrow transplants e.g. due to leukemia do exhibit chimerism, but the stem cell bit is science fiction, but like mentioned earlier, not as fiction-ey as people [including my medical tutor] are looking into this kind of thing, and it shows some potential.

I usually do the silent-stalky thing on gateworld, but I thought this time I'd make a contribution for a change :D

The worst part is, I was watching stargate to avoid revising for my medical exams when I get back [it's my vacation right now] and stargate came to taunt me with this >.>

carmencatalina
March 30th, 2011, 10:01 AM
I usually do the silent-stalky thing on gateworld, but I thought this time I'd make a contribution for a change :D


Thanks for chiming in!
(Good luck with your exams!)

P-90_177
March 30th, 2011, 10:32 AM
I am not a doctor, but I play one on TV. THE Doctor :P

Oh you mean the annoying EMH from Voyager. Nice to meet you. :P


Actually they perform kidney transplants through the ear.......i don't know I'm not a doctor yet....and even then I wont be a medical doctor, I'll be an archaeological doctor.

Still one up on the majority of people here. :P

Ben 'Teal'c would WIN!!' Noble
March 30th, 2011, 12:02 PM
Did they actually say Rush went to Oxford?

Da Vikster the Ori, are you from Leeds originally?

Egle01
March 30th, 2011, 12:35 PM
Did they actually say Rush went to Oxford?He said so himself in "Air" pt 3.

garhkal
March 30th, 2011, 05:43 PM
So I would give them a A+ for the genetics they discussed. (Which is surprising - this stuff is usually terrible on science fiction show.)

Can't comment on the surgical procedures!

That is one of the things i have always loved about Stargate... Their scifi tech discussions do seem more 'grounded'..

PantheraLeo
March 31st, 2011, 12:50 AM
yeah, the science in Stargate has always been more grounded compared with other sci-fi series..

Da Vikster the Ori
March 31st, 2011, 03:08 AM
Did they actually say Rush went to Oxford?

Da Vikster the Ori, are you from Leeds originally?

I am from Leeds originally :) (well, Dewsbury, but it's near enough); Tis my base of operations when not at Oxford...

Turns out you are too :O

Ben 'Teal'c would WIN!!' Noble
March 31st, 2011, 10:45 AM
He said so himself in "Air" pt 3.

Must have missed that.


I am from Leeds originally :) (well, Dewsbury, but it's near enough); Tis my base of operations when not at Oxford...

Turns out you are too :O

Yeah that I am mush :D

garhkal
March 31st, 2011, 03:34 PM
I am from Leeds originally

Ohh.. A Fellow Brit. Bury St Edmunds meself..

Captain Lazlo
March 31st, 2011, 04:19 PM
A midline abdominal incision can be used to do a kidney transplant. In adults the transplanted kidney is placed in the iliac fossa through an oblique lower abdominal incision.

Buck32
April 1st, 2011, 01:40 AM
Well i'm a nurse who has worked in theatre and i think that whole kidney transplant story was ridiculous, even a medic like TJ supposedly is wouldn't be able to harvest and transplant a kidney with only scientists with limited medical knowledge as assistants, hell most fully qualified Doctors probably couldn't do it!!! You have to be a surgical specialist to even attempt it. It isn't as simple as the show portrayed and i would be surprised that a lone medic could accomplish it without dire consequences.

if they were trying for realism they really missed it there!!!

Da Vikster the Ori
April 1st, 2011, 06:04 AM
Well i'm a nurse who has worked in theatre and i think that whole kidney transplant story was ridiculous, even a medic like TJ supposedly is wouldn't be able to harvest and transplant a kidney with only scientists with limited medical knowledge as assistants, hell most fully qualified Doctors probably couldn't do it!!! You have to be a surgical specialist to even attempt it. It isn't as simple as the show portrayed and i would be surprised that a lone medic could accomplish it without dire consequences.

if they were trying for realism they really missed it there!!!

I second this comment as well. You need years of specialist training, not even a standard doctor would be confident in doing something like this. TJ has no chance, although I'm guessing they subvert that problem with the whole amanda perry hologram thing...

Captain Lazlo
April 1st, 2011, 06:08 AM
Emergencies require heroic effort. I'd give it a go, any volunteers??

Ben 'Teal'c would WIN!!' Noble
April 1st, 2011, 09:19 AM
Me now where's my scalpel and who's first :p.

wingsabre
April 2nd, 2011, 09:13 AM
You can't remove a kidney from the back because the ribs are in the way. You usually approach it from the sides because the kidneys are in the retroperitoneal space. If you look at photos of prisoners from other countries, you'll often see a diagonal scar on their sides.

As for placing the new kidney, it's usually in the abdomen, because of ease of access. I believe it's attached to an illiac artery and vein, or one of the branches from it.

Python
April 2nd, 2011, 10:37 AM
Transplants usually require regular medication for years afterward to keep the recipient's body from rejecting the donor's organ. This medication basically amounts to an attack on the immune system, since the immune system is what rejects the organ. It's complicated as hell and I found it less believable that TJ did it as a field medic than a computer downloading someone's consciousness.

I'm not a doctor, but, man, TJ's no surgeon. There must have been some other big Ancient-y stuff at work aside from Perry's presence.

I still liked this episode, though.

themeatcleaver
April 2nd, 2011, 11:05 AM
Transplants usually require regular medication for years afterward to keep the recipient's body from rejecting the donor's organ. This medication basically amounts to an attack on the immune system, since the immune system is what rejects the organ. It's complicated as hell and I found it less believable that TJ did it as a field medic than a computer downloading someone's consciousness.

I'm not a doctor, but, man, TJ's no surgeon. There must have been some other big Ancient-y stuff at work aside from Perry's presence.

I still liked this episode, though.

Perhaps Oma is keeping an eye on us :)

knowles2
April 4th, 2011, 12:39 PM
Perhaps Oma is keeping an eye on us :)

Nah she to busy having her cat fight with Adrea.

garhkal
April 4th, 2011, 04:13 PM
That was Morgan Le Fay.. Oma is battling Anubis.

knowles2
April 5th, 2011, 05:42 AM
That was Morgan Le Fay.. Oma is battling Anubis.

Same difference they both got there claws out and having a punch up with a fellow ascended being.

garhkal
April 5th, 2011, 02:05 PM
Rodger..

stargirl99
February 22nd, 2015, 08:30 AM
Well i'm a nurse who has worked in theatre and i think that whole kidney transplant story was ridiculous, even a medic like TJ supposedly is wouldn't be able to harvest and transplant a kidney with only scientists with limited medical knowledge as assistants, hell most fully qualified Doctors probably couldn't do it!!! You have to be a surgical specialist to even attempt it. It isn't as simple as the show portrayed and i would be surprised that a lone medic could accomplish it without dire consequences.

if they were trying for realism they really missed it there!!!

I totally agree with this. TJ was a MEDIC. not a doctor, not a surgeon, never mind a specialized renal transplant surgeon.

My other issue with this episode is simply this. Volker would not have died that day, so why didn't they simply wait a day and get REAL surgeons to do the surgery.

They would have fixed the Gin/Amanda problem and then could have used the stones to get real surgeons on board the ship.

I love SGU but this storyline felt very false. People don't die from renal failure on the SAME day they faint from symptoms and medics can't do transplants, even with medical databases in-front of them.