I was determined to live — and live normally

By Zubeida Mustafa

Dr Rukhsana Parveen is a Senior House Officer in the Nawabshah Civil Hospital. Her job in the 73- bed medical ward is considerably demanding entailing as it does six hours of morning duty every day and four emergency duties a week — twice in the afternoon and twice at night.

For 27-year-old Rukhsana, her work as a physician is most satisfying. She speaks enthusiastically about her profession, narrating animatedly her experiences with her patients. She is proud of her achievements: in the last few weeks she has cured six patients suffering, from the deadly disease Hepatitis-B. Continue reading “I was determined to live — and live normally”

Helpful donors come to the rescue

By Zubeida Mustafa

When ‘ the first kidney transplant operation was performed at the Civil Hospital, Karachi, on November 20, 1985, few expected it to be more than a rare surgical feat accomplished once in a blue moon. After all, the obstacles to be surmounted were several, the most significant being financial constraints. Could a hospital in the public sector with a limited budget, sustain a programme which cost Rs 140,000 to provide postoperative care and drugs to one patient for one year?

40-10-03-1989-AThere were other limiting factors as well. Even though the availability of surgical skill could be taken for granted, without an infrastructure of specialised nursing, extensive dialysis services and laboratory facilities, kidney transplant surgery could not be made routine. At that time arrangements did not even exist in the country for tissue matching, the first prerequisite for a transplant operation, and blood samples had to be sent abroad for this purpose.

Then there was the question of social acceptance of an idea that was quite radical for a society where life and death have a religious sanctity about them and are not. to be tampered with. Would donors be readily available and how would the people react to the concept of cadaveric donation, which has to be the ultimate endeavour of a transplant programme. Continue reading “Helpful donors come to the rescue”