ORGAN DONOR WEEK AWARENESS - 27th March 3rd April
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Editorial... I In the Winter issue of SUPPORT, to improve COVID-19 vaccinations my editorial began with thanking priority for transplant and dialysis the Irish Kidney Association (IKA) patients. community for its support on the While it is a decision between death of my father. So, it seems patients and their healthcare surreal, to once again be thanking professionals on whether to the IKA community for its support on vaccinate, we wanted to ensure that the death of my mother who died in patients had the choice. We liaised January. I took time away from work, directly with healthcare professionals as we cared for her at home until she and joined with patient advocacy died. The Staff and Officers covered group IPPOSI and international for me and supported me, so that I colleagues. could be with her. This greatly eased Our Board sent a letter to the the burden of what was a very Minister for Health and key decision difficult time for me and my family. makers. We involved the media and Too often, families, including many facilitated people to share their in the IKA community, have stories which highlighted how our experienced grief, made worse by the community had been fact that they could not be with their disproportionately disadvantaged. loved ones who died alone in nursing We developed parliamentary homes. It shows how far, as a society, questions (PQs) for the Oireachtas. we have to go in valuing and We hosted an online forum for respecting people’s dignity and basic Branches to give feedback. When it human rights. looked as if change was not going to It is a great comfort to me, that I happen, we set up an easy-to-use work for an organisation which ‘gets online tool so that patients could it’ and understands how our loved email their local TDs. Using this tool ones must come first and that people over 9,000 emails were sent to public deserve to be treated with dignity. representatives, and, working I received so many lovely messages collectively, our concerns could no of kindness and support, and for that longer be ignored. I am most grateful. Priorities for the vaccination roll- My deepest condolences to so out were changed, renal patients and many of you, who have also all transplant recipients between the experienced the death of a loved one ages of 16 to 69 being moved up the in the last year and beyond. There priority list under the newly assigned have been too many untimely deaths. Group 4. Once this pandemic is over, we will In more good news, as we go to find some way to properly remember print, vaccinations for renal patients and pay our respects to all those who have commenced, albeit with a died and whose funerals we could temporary pause for AstraZeneca – Contents... not attend due to COVID-19. When I returned to work, my focus went straight back into trying FRONT COVER 2 EDITORIAL welcome news for many of our readers and their families who have been cocooning for over a year. You Mother and 4 COVID-19 VACCINATION BEGINS FOR KIDNEY daughter Claire PATIENTS IN GROUP 4 (right) and Sophie 8 ORGAN DONOR AWARENESS WEEK Cody, who 10 NATIONAL KIDNEY TRANSPLANT SERVICE underwent a living ANNUAL REPORT 2020 donor kidney 13 IKA AGM 2021 transplant last 13 COVID-19 HAEMODIALYSIS TRANSPORT November, at their 14 THANK YOU MUM! local Skerries beach 17 BRIDGING THE GAP ORGAN promoting Mother’s DONOR AWARENESS WEEK Day and organ 18 BELIEVE THAT A FURTHER SHORE 27th March 3rd April donor awareness. IS REACHABLE FROM HERE Photo: Conor McCabe 20 RAISING THE BAR 2 IKA S U P P O R T S P R I N G 2021
can find more details in the article on activities that are going on as page 4-7. you read inside about World This successful result was based on Kidney Day, plans for Organ the indisputable evidence we collated Donor Awareness Week (27th from Irish and international data which March – 3rd April), a patient‘s showed the increased risks for renal experience of home dialysis, an patients – dialysis and transplant. individual’s motivation to Compiling reliable verified data, undertake fundraisers for the which strengthened our case for IKA, patient reviews of the new reprioritisation, takes considerable Dialyze clothing range, and time and effort. Prioritising and branch notes There is also a communicating our key messages is a competition for gift vouchers for team effort, and securing media Before this summer, we are renal-friendly ready meals and an attention in a very busy world can be planning an online members’ session update on organ donation and challenging. This detailed and time to understand, what is most important transplant statistics. intensive work may not be very visible to you the members. Is it automatic I am very conscious that many of to you the members, whom we medical cards, easier access to and our members are not online and may represent, but it is essential to making more supports for home dialysis, ways not be receiving our emails or taking a successful case for better services for to expand our kidney transplant part in our online forums. With our community. treatments or upgrading of dialysis Government services increasingly It also really helped that so many of units? So, get your thinking caps on. moving online, and the restrictions of you supported the campaign. It augurs Our Board has also been working COVID-19, such people are at a huge well for the future, as we can build on really hard, ensuring our organisation disadvantage. So, we have partnered these strengths and campaign for is compliant with the Charities with Age Action Ireland to provide up better services and supports once we Governance Code and also taking part to six hours of free computer training, agree with you, the members, what in an independent review of the for people over 55 years. All you need are the most important priorities Board’s effectiveness. We are very is a smartphone. More details Page 31. for you. lucky to have so many committed and I could not finish without enthusiastic people who are prepared acknowledging, once again, our Accommodation Phone Number to give so much of their time and heartfelt gratitude and appreciation to energy to the IKA, setting down a road organ donors and donor families. As map to ensure we are ‘fit for purpose’, we approach Organ Donor Awareness is NOW the remain successful in the future and Week, their personal stories shared by way to make a that our members value our services. donor families and transplant booking in the Given the current pandemic recipients reflect all that is good about CLAYTON HOTEL conditions, it is difficult for many people. DUBLIN AIRPORT Branches to hold AGMs. The Board It has been my very real privilege to (which will be on the IKA account) has considered the position and read about their experiences and agreed AGMs may be deferred. So understand their incredible strength, through our there will be no election of Branch giving me and hopefully anybody who Managers officers or Board Directors this year. reads them inspiration and hope in a Patricia, The National AGM will take place on very challenging time. Frank or the 4th of September. CAROL MOORE Simon. You’ll see the wide range of CHIEF EXECUTIVE OFFICER 23 THANKS A MILLION 42 KIDNEY DISEASE – RUNNING IN THE FAMILY 24 VITAMIN D 45 HOME HAEMO – A PATIENT’S EXPERIENCE 27 TAXI TALES / HEAVEN SENT 46 FATHER HELPS SON RISE TO THE CHALLENGE 28 SOCIAL MEDIA & COMMUNICATION 47 21 DAY WALKING CHALLENGE 30 POSITIVE STEPS TO NAVIGATE YOUR 48 DIALIZE CLOTHING WELLBEING THROUGH COVID-19 50 CORK WOMAN OPENS UP ABOUT HER SECOND 31 OVER 55 AND FEELING LEFT OUT ONLINE? LIFE-SAVING KIDNEY TRANSPLANT 32 THE FORGOTTEN YOUTH 52 BOOK REVIEW 33 LAUREN’S PLEA 53 ‘ONCE MORE WITH FEELING’ 34 WATERFORD HEALING ARTS TRUST 54 AROUND THE BRANCHES 36 CORK SISTERS DOING IT FOR THEMSELVES 62 MEMBERSHIP FORM 38 MEALS4HEALTH 63 BRANCH SECRETARIES 40 ‘ALICE IN WONDERLAND’ 64 ORGAN DONOR AWARENESS WEEK POSTER IKA S U P P O R T S P R I N G 2021 3
C VID-19 VACCINATI TION COVID-19 begins for vaccine Lorem ipsum dolor sit am met, consectetur adipiscing elit. Duis eu sem pulvinar mau mper turpis, non uris. kidney patients We have been working hard on in GROUP 4 KIDNEY PATIENTS: PRIORITY FOR VACCINATION your behalf, to improve the Criteria Group 1 Group 3 Revised Revised Revised priority assigned to kidney Group 4 Group 5 Group 7 Very high risk High risk High risk patients for COVID-19 Over 65 years and resident in vaccination. Obviously, your longterm care decision to be vaccinated rests between you and your 70 years and older healthcare professionals. On dialysis and aged between This work includes liaising 1669 years directly with healthcare eGFR less than 15ml/min and professionals, international aged between 1669 years colleagues and politicians. We eGFR less than 30ml/min and aged between 6569 years set up an easy-to-use online tool eGFR less than 30ml/min and so that patients could email their aged between 1664 years local TDs. 9,142 emails have Have received transplant and been sent and we have now aged between 1669 years ceased using the platform. Listed for transplant and aged The prioritisation has been between 1669 years reviewed and the following Vaccinations have already started for next few weeks. For logistical reasons, in gives an overview of the revised people in group one and two (green some cases the location may not be your priorities for kidney patients. columns) with these groups attending hospital or clinic but may instead be in their GPs for vaccinations. another public place such as a hotel. STOP PRESS The very good news is that vaccinations are now being offered to people in the People do not need to do anything, the HSE or your healthcare team will contact As we go to print, the AstraZeneca vaccination programme has just revised Group 4 (brown column). you when it is your turn to be vaccinated. been temporarily paused. The HSE ask for your patience on this We are planning an online ARRANGEMENTS FOR REVISED as it will take a number of weeks to information event which will be GROUP 4 identify, contact and arrange vaccinations recorded and made available on If you are in this Group 4, vaccinations for people who meet the criteria to be in our website. So visit our website are being organised by your hospital or this revised Group 4. Overall, there are for up-to-date information. dialysis unit, who will be in touch over the 150,000 people in this Group 4. 4 IKA S U P P O R T S P R I N G 2021
The National Renal Office are If you have had an immediate recommending people take the allergic reaction to any other vaccine AstraZeneca vaccine. or injectable therapy, you should talk THE COVID-19 to your doctor before getting your VACCINATION IS FREE. SECOND DOSE OF VACCINATION COVID-19 vaccine. WHEN CONTACTED FOR YOUR You will be contacted for the VACCINATION APPOINTMENT, second vaccination, which will be due REVISED GROUPS 5 AND 7 YOU WILL NEVER BE ASKED (per the manufacturer’s instructions) Planning for these groups is under 12 weeks after the first dose is given. way with further details on whether FOR PERSONAL BANK OR The risk of being admitted to hospital GPs or hospitals will deliver the CREDIT CARD DETAILS. with severe COVID-19 is reduced by vaccinations to come shortly. 94%, 4 to 5 weeks after just one dose For those patients falling into the of the AstraZeneca vaccine. eGFR groups (explained below) it is important you and your healthcare DO NOT GET COVID-19 VACCINE professionals know your eGFR, as this IF YOU: will ensure you obtain the correct Different arrangements will apply • have had a severe allergic reaction priority. for different allocation groups and to any of the ingredients in the GPs are currently giving the these are being planned at the vaccine, including polyethylene vaccine to Group 1 and 2. Many GPs moment. glycol (found in the Pfizer/BioNTech have created a standby list in case and Moderna vaccines) or people do not turn up for their WHICH VACCINE? polysorbate 80 (found in the appointments. At this stage, the vaccine being AstraZeneca vaccine) – the If you can travel to your GP within given to Group 4 is AstraZeneca. The vaccinator will ask you about any 30 minutes, let your GP know this and National Immunisation Advisory allergies you may have ask to be placed on their cancellation Committee (NIAC) has advised any of or standby list. • have had a severe allergic reaction the approved vaccines are suitable for to a previous dose of the vaccine use for patients in this group and that WHAT IS eGFR? the priority was to offer an effective • currently have COVID-19 or eGFR - Estimated glomerular vaccine as quickly as possible. symptoms of COVID-19 – wait until filtration rate is the best test to NIAC had also advised that it was it has been 4 weeks since you first measure your level of kidney function preferable for kidney patients to get noticed symptoms, or you first and determine your stage of kidney the mRNA vaccine if was available tested positive disease. Your doctor can calculate it soon. The reason for this, was because • have symptoms of COVID-19 – self- from the results of your blood NIAC considered that there was a isolate (stay in your room) and creatinine test, your age, body size better chance of a stronger immune phone your GP to get tested and gender. response to the mRNA vaccine in • have a fever (temperature of 38°C The image below shows how eGFR kidney patients. or above) – wait until you feel is used to determine the stage of However, the HSE has looked into better. kidney disease. this and found that all the available continued next page... deliveries of mRNA vaccine for the next few weeks are committed to the mg/mmol mg/mmol mg/mmol group of people aged 70 years and older. It would take weeks before G1 Normal or high > there was mRNA vaccine available for 90 kidney patients and it is safer to go ahead as soon as possible with the G2 Mildly decreased 60 90 AstraZeneca vaccine. Vaccinations for GFR Stages kidney patients have now started. Mildly to Many of you will know that the first G3a moderately 45 research study of the AstraZeneca decreased 59 Moderately vaccine showed protection of about 60%, however, further studies G3b to severely 30 44 decreased showed higher protection (above 80% in the most recent study), and G4 Severely decreased 15 29 all of the vaccines, which require two doses 12 weeks apart, provided excellent protection against severe G5 Kidney failure
COVID-19 VACCINATIONS continued... So, if you are not in any priority FUTURE UPDATES group yet, this may change in the We are working closely with the 16 TO 17-YEAR-OLDS future. HSE to get answers to all your Planning is underway to see how The speed at which researchers and questions. To ensure we keep you the Pfizer vaccine will be administered healthcare professionals are working is updated, make sure you are on our to this group. This is the only vaccine inspiring. Expect further news and email list. currently licensed for this group. developments, with the situation constantly changing. UNDER 16-YEAR-OLDS International clinical trials are under MISLEADING INFORMATION way to see how safe and effective There is a significant amount of these vaccines are for children. vaccination misinformation circulating, so we urge you to only consult NOT IN ANY PRIORITY GROUP? reputable sources. For up-to-date information go to The NIAC has stated: “This You might find the following www.hse.ie/covid19vaccinematerials guidance will be subject to ongoing sources useful: review as more evidence becomes available, about COVID-19 vaccines, • National Renal Office (https://www.hse.ie/eng/about/who/cspd/ncps/renal/resources/) their safety, efficacy, effectiveness, impact on virus transmission and • HSE information on vaccination (https://www2.hse.ie/covid-19-vaccine/) population immunity, and as new • The European Society for organ transplantation – COVID 19 vaccines studies vaccines are authorised by the https://new.esot.org/the-covid-19-vaccine-studies/?fbclid=IwAR2qN0NYlJMmsil_ European Medicines Agency (EMA) gJXUiLKllVCJ3HkPlImNPyjQmno6ccPCIkbIFV8ByeA and become available in Ireland. Different weighting may need to be • Transplant Australia webinar on vaccination (2nd half more relevant) given to different values and priority of https://www.youtube.com/watch?v=gPjrHYTCi_Y ranking as more evidence emerges.” COMING OUT OF HIBERNATION After cocooning for over a year, there was almost a palpable sense of relief amongst the renal community when the COVID-19 vaccination rollout for many in Group 4 finally began in the second week in March. Members of this 'very high risk' renal community, from all over the country, proudly John Moran, Dublin Ned Crowe, Waterford with his wife, vaccination nurse Deirdre posted photos of themselves receiving their long-awaited first vaccine dose on social media and WhatsApp groups. The programme for the AstraZeneca vaccine came to a sudden temporary halt, as a precautionary measure, due to inconclusive concerns reported around potential side effects. Stephen Byrne, Kerry 6 IKA S U P P O R T S P R I N G 2021
COMING OUT OF HIBERNATION Phelim Pritchard, Cavan Emma O’Sullivan, Limerick Eoin Hurley, Waterford Betty Deering, Co. Offaly Harry Ward, Dublin Oisin O’Gorman, Waterford Denis Hyland, Cork William O'Sullivan, Kildare Raymo O’Brien, Galway IKA S U P P O R T S P R I N G 2021 7
Irish and Polish. We are embracing our Angeline Ball, heritage by including posters Actress and singer translated into Irish. The poster has and aunt of a also been produced in Polish to reach liver transplant recipient out to this large community. According to the last census in 2016 Poland is the largest non-Irish population in Ireland. All posters are available digitally and can be downloaded from the IKA’s www.ika.ie/donorweek2021 The words #Life is a Gift, Pass it On encapsulates the transient beauty of the ‘gift of life’ underpinned by the selfless generosity of human spirit. The importance of discussion with loved ones about organ donation and sharing your wishes is the cornerstone of campaign messages. This decision for families to donate a loved one’s organs is made easier when they know they are honouring their wishes i.e. their wish to ‘Pass it On’. Research The Irish Kidney Association (IKA) is pleased that the annual Organ Donor indicates families are more likely to Awareness Week will proceed and take place from 27th March until 3rd April 2021. donate when they know they are following the wishes of their loved A year ago, the 2020 campaign campaign, made us find other exciting was postponed and ultimately ways to run the campaign in a safe one. cancelled at short notice due way some of which are outlined here. Moving away this year from safety concerns when COVID-19 The focus of all the IKA’s organ featuring a photo of a celebrity reached our shores. This impacted on donor awareness campaigns lies in ambassador on the Awareness Week our ability to have a physical presence emphasising the importance of poster, this campaign poster carries the ‘on the ground’ to promote organ discussion around organ donation i.e. Life is a Gift, Pass it On theme and donor awareness and the annual have the conversation #have the chat. features photos of 32 grateful Awareness Week campaign. The This year’s campaign will be built transplants recipients (including heart, necessity to social distance also hugely around the theme #Life is a Gift Pass it lung, liver, kidney and pancreas). negatively impacted on our ability to On and Share your wishes. These These people are enjoying over 400 raise funds during what is normally our feature on campaign materials years of extra life thanks to the gift flagship fundraising week. It was not including campaign posters. The of organ donation from deceased safe for volunteer collectors, many in campaign full colour posters are donors. the high-risk category for COVID-19, available in three languages, English, Similar to the Awareness Week to have a physical presence on the streets and in shopping AN TSEACHTAIN FEASACHTA I TYDZIEŃ ŚWIADOMOŚCI centres in towns and villages LEITH DEONTÓIRÍ ORGÁN DAWCÓW NARZĄDÓW DÉ SATHAIRN 27 MÁRTA - DÉ SATHAIRN 3 AIBREÁN SOBOTA 27 MARCA – SOBOTA 3 KWIETNIA around the country. BRONNADH AN BHEATHA AR NA DAOINE SEO AR FAD WSZYSCY CI LUDZIE OTRZYMALI ‘DAR ŻYCIA’ As COVID-19 still prevails a THOMAS, LUNG, 2016 tara, liver, 2012 mick, heart, 2017 AINE MAE, KIDNEY/PANCREAS, 2017 paul, lung, 2013 keela, heart, 2009 ken, heart, 2016 anna, duán, 2017 tara, ae, 2012 mick, croí, 2017 AINE MAE, DUÁN/PAINCRÉAS, 2017 paul, scamhóg, 2013 keela, croí, 2009 ken, croí, 2016 anna, nerka, 2017 tara, wątroba, 2012 mick, serce, 2017 AINE MAE, NERKA/TRZUSTKA, 2017 paul, płuca, 2013 keela, serce, 2009 ken, serce, 2016 year later, and it looks like it will be around for some time, we VERA, LUNG, 1988/KIDNEY, 2009 JASON, KIDNEY, 2006 GINA, heart, 2015 MIKE, LIVER, 2007 SUSAN, KIDNEY, 2019 NARENDER, KIDNEY, 2018 CATHRIONA, KIDNEY, 1990 VERA, SCAMHÓG, 1988/DUÁN, 2009 JASON, DUÁN, 2006 GINA, croí, 2015 MIKE, AE, 2007 SUSAN, DUÁN, 2019 NARENDER, DUÁN, 2018 CATHRIONA, DUÁN, 1990 VERA, PŁUCA, 1988/NERKA, 2009 JASON, NERKA, 2006 GINA, serce, 2015 MIKE, WĄTROBA, 2007 SUSAN, NERKA, 2019 NARENDER, NERKA, 2018 CATHRIONA, NERKA, 1990 have decided to proceed with BRONNTANAS NA BEATHA #ŻYCIE JEST DAREM an Organ Donor Awareness lexi, liver/kidney, 2016 tony, liver, 1993 LEXI MURPHY, LIVER/KIDNEY, ? YEARS val kennedy, LUNG, 2016 MARY VERBRUGGAN, KIDNEY, 2017 eddie, kidney, 1983 bernadette, kidney, 1979 lexi, ae/duán, 2016 tony, ae, 1993 CUIR AR AGHAIDH É eddie, duán, 1983 bernadette, duán, 1979 lexi, wątroba/nerka, 2016 tony, wątroba, 1993 PRZEKAZ JE DALEJ LEXI MURPHY, WĄTROBA/NERKA, ? YEARS val kennedy, PŁUCA, 2016 MARY VERBRUGGAN, NERKA, 2017 eddie, nerka, 1983 bernadette, nerka, 1979 Week campaign this year but edel, liver, 2018 PAUL, KIDNEY, 2008 claire, KIDNEY, 2014 darragh, kidney, 2013 saoirse, liver, 2014 cliona, heart, 2014 paul, kidney, 2003 claire, DUÁN, 2014 PAUL, DUÁN, 2008 THOMAS, SCAMHÓG, 2016 darragh, duán, 2013 saoirse, ae, 2014 cliona, croí, 2014 paul, duán, 2003 claire, NERKA, 2014 PAUL, NERKA, 2008 THOMAS, PŁUCA, 2016 darragh, nerka, 2013 saoirse, wątroba, 2014 cliona, serce, 2014 paul, nerka, 2003 with most of our activities online. Being forced to move rachel, kidney, 1996 isabel, heart/lung, 2017 bernard ÓG, KIDNEY, 2016 AOIFE, LIVER, 2015 VAL, LUNG, 2016 PRANATHI, HEART, 2017 ANGELINE, KIDNEY, 1996 rachel, duán, 1996 isabel, croí/scamhóg, 2017 bernard ÓG, DUÁN, 2016 NÍOS MÓ NÁ 400+ BLIAIN BHREISE DEN BHEATHA A BHUÍOCHAS LE DEONÚ ORGÁN AOIFE, AE, 2015 VAL, SCAMHÓG, 2016 PRANATHI, CROÍ, 2017 ANGELINE, DUÁN, 1996 rachel, nerka, 1996 isabel, serce/płuca, 2017 PONAD 400+ LAT DODATKOWEGO ŻYCIA DZIĘKI ODDANIU NARZĄDÓW bernard ÓG, NERKA, 2016 AOIFE, WĄTROBA, 2015 VAL, PŁUCA, 2016 PRANATHI, SERCE, 2017 ANGELINE, NERKA, 1996 away from the traditional Roinn do chuid mianta Podziel się swoimi życzeniami methods we previously Suíomh: LE CÁRTAÍ DEONTÓRA ORGÁN A FHÁIL CUIR TÉACS SAOR IN AISCE LEIS AN Internetowej: W PRZYPADKU KART DAWCÓW NARZĄDÓW WYŚLIJ SMS O TREŚCI employed, for the annual Fón: UIMHIR CHLÁRAITHE CHARTHANACHTA:20011260 BHFOCAL DONOR GO 50050 Telefon: NR REJESTRACYJNY ORGANIZACJI CHARYTATYWNEJ: 20011260 DONOR POD NUMER 50050 8 IKA S U P P O R T S P R I N G 2021
Tomas Caffrey (21), a liver transplant recipient Kidney patient John Egan (30), a former Westmeath Senior footballer dated poster, a ORGAN DONORS which celebrates organ donation, employed: #LifeIsAGift, generic poster is also SAVE LIVES SHARE YOUR WISHES ALL OF THESE PEOPLE RECEIVED THE ‘GIFT OF LIFE’ symbolising the hope organ donors provide to patients in #DonorWeek21 and tagging the Irish Kidney Association (@IrishKidneyAs on available need and their families. By Twitter, @IrishKidneyA on Instagram & which can be THOMAS, LUNG, 2016 tara, liver, 2012 lighting up public sites in green mick, heart, 2017 AINE MAE, KIDNEY/PANCREAS, 2017 paul, lung, 2013 keela, heart, 2009 ken, heart, 2016 @IrishKidneyAssociation on Facebook). used all year VERA, LUNG, 1988/KIDNEY, 2009 JASON, KIDNEY, 2006 we are drawing attention to GINA, heart, 2015 MIKE, LIVER, 2007 SUSAN, KIDNEY, 2019 NARENDER, KIDNEY, 2018 CATHRIONA, KIDNEY, 1990 We also encourage our members round. This organ donation being an integral and the wider public to support the includes an lexi, liver/kidney, 2016 tony, liver, 1993 part of active citizenship and that MARIE, KIDNEY/PANCREAS, 2011 KEVIN, HEART, 2014 deirdre, Heart/Lung 1996, Kidney 2009/2017 eddie, kidney, 1983 bernadette, kidney, 1979 campaign by organising their own additional ten we should have the family socially distanced awareness activities transplant discussion about our organ and challenges. As well as generating edel, liver, 2018 PAUL, KIDNEY, 2008 claire, KIDNEY, 2014 darragh, kidney, 2013 saoirse, liver, 2014 cliona, heart, 2014 paul, kidney, 2003 recipients who, GARRETT, LUNG, 2013/2014 donor wishes. sandra, liver, 2003/2017 stephen, lung, 2013 noretta, kidney, 2018 sinead, liver, 2011 rose, kidney, 2000 elizabeth, liver, 2006 organ donor awareness, some of these between From dusk to dawn over 30 might incorporate a fundraising aspect them, are rachel, kidney, 1996 520+ YEARS OF EXTRA LIFE THANKS TO ORGAN DONATION locations isabel, heart/lung, 2017 will be lit up in green, bernard ÓG, KIDNEY, 2016 AOIFE, LIVER, 2015 VAL, LUNG, 2016 PRANATHI, HEART, 2017 ANGELINE, KIDNEY, 1996 where funds can be channelled enjoying more Website: Phone: undoubtedly prompting much www.ika.ie 0818-543639 FOR ORGAN DONOR CARDS FREE TEXT through online platforms such as DONOR 50050 than 520 years discussion around organ CHARITY REGISTRATION NO. 20011260 TO Facebook or GoFundMe or asking of extra life. donation. people to donate directly to the IKA The online national launch for We are encouraging lots of sharing through its website platform Organ Donor Awareness Week 2021 of messages in support of organ www.ika.ie/donorweek2021 on Tuesday 23rd March included video donation on social media and will be Some people commenced a 21 Day presentations by transplant recipients prompting some of these through Walking Challenge on World Kidney and a deceased donor family sharing videos. Day (11th March) which would their health stories. The videos were Well-known personalities and Irish conveniently conclude during Organ recorded at different locations around diaspora from around the world, Donor Awareness Week. The beauty of the country in advance and will be (including New Zealand, Malaysia, the challenge is that you can chose to rolled out on the IKA’s social media Australia, Canada, America, Europe commence it at any time but commit around the Week. and South Africa), who have been to doing it on 21 consecutive days. For the very first time, touched by organ donation, have While undertaking it we encourage demonstrating widescale solidarity in come behind the videos of passing on people to post photos of their progress support of organ donation, a large the organ donor card. online whilst giving a mention to number of County and City Councils The talented and widely acclaimed Organ Donor Awareness Week. More around the country have committed to actress and singer Angeline Ball is details on this Walking Challenge are lighting up public sites at night in the lending her support to this initiative as on page 47. colour green. Green is the it is a cause close to her heart. Her The IKA is grateful to the Irish internationally recognised colour niece Saoirse Perry underwent a liver Pharmacy Union for distributing our The Mansion House, Dublin transplant. Former awareness posters to 1,850 ambassadors for organ pharmacies around the country. The donor awareness, who poster will also be a background star feature on the videos on the RTÉ Faircity set for some of the promoting Life is a Gift, Pass scenes output during Awareness it On, include Vivienne Week. For three weeks’ leading up to Traynor, Mary Kennedy and and including Organ Donor Awareness Ray D’Arcy. Week Adshel poster sites, located in In social media posts 30 shopping centres around the promoting Organ Donor country, displayed the campaign Awareness Week the poster. A full list of sites is available on following hashtags were the IKA website. IKA S U P P O R T S P R I N G 2021 9
MAP OF HAEMODIALYSIS UNITS USED BY PATIENTS FROM THE REPUBLIC OF IRELAND AND DIALYSIS PATIENT NUMBERS AS OF 31/12/20 60 Derry 5 57 Newry 63 70 99 76 B Braun 97 67 Galway B Braun Portlaoise 22 Tipperary Fresenius North Kilkenny 132 61 B Braun 82 Fresenius Tipperary Wexford Limerick South 56 44 Fresenius 89 Northern 116 Cross 169 84 5 168 72 106 112 Sandyford Tallaght 102 10 IKA S U P P O R T S P R I N G 2021
CHRONIC DIALYSIS & TRANSPLANT PATIENTS - 31/12/20 Dialysis Facility HAEMO HOME DIALYSIS TOTAL DIALYSIS TRANSPLANT TOTAL ESKD ADULTS HD HHD PD PATIENTS AT CLINIC PATIENTS Beaumont 169 20 54 243 782 1025 Mater 84 9 93 135 228 Fresenius Northern Cross 89 89 89 Beacon Drogheda 99 99 99 Cavan 63 63 19 82 St. Vincent’s 72 6 78 170 248 Beacon Sandyford 112 112 112 Tallaght Hospital 106 4 57 167 339 506 Beacon Tallaght 102 102 102 Tullamore 97 97 65 162 B Braun Portlaoise 22 22 22 Cork 168 18 30 216 391 607 Waterford 116 2 33 151 186 337 Fresenius Kilkenny 61 61 61 B Braun Wexford 44 44 44 Tralee 56 56 56 Limerick 132 11 14 157 136 293 Fresenius Limerick 82 82 82 Galway 76 3 22 101 232 333 B Braun Galway 67 67 67 Castlebar 70 70 70 Letterkenny 60 60 77 137 Sligo 57 57 34 91 Northern Ireland 5 5 5 ADULT TOTALS 2009 58 225 2292 2566 4858 CHILDREN Temple St, Crumlin 5 13 18 55 73 OVERALL TOTALS 2014 58 238 2310 2621 4931 A s of December 31st, 2020 there The percentage of patients on home hospitals are working to were 4,931 people with End Stage therapies (peritoneal dialysis and home increase their capacity to offer Kidney Disease (ESKD) registered in haemodialysis) continues to remain these treatments. Ireland. With 53.2% of these living comparatively low with a total of only With one-third of centre- with a functioning kidney transplant, 6% of the ESKD population being treated based dialysis being delivered Ireland continues to be one of the few in this way. The COVID-19 pandemic has by commercial providers, the countries in Europe with over half of its seen an increased interest in home HSE has to be careful not to ESKD population being treated with a therapies from patients and it is lose sight of the need to have functioning transplant. encouraging to hear that some of the the capacity to offer home therapies. World Kidney Day IRISH DIALYSIS PATIENTS - 31/12/20 in March had the theme Patients % ‘Living Well with Kidney Centre Haemodialysis 2014 87.2 Disease’ and this includes patients having the choice of Home Haemodialysis 58 2.5 the optimal form of Peritoneal Dialysis 238 10.3 treatment. Total Dialysis Patients: 2310 100 2020 was a unique year for so many reasons. We saw the IRISH ESKD PATIENTS - 31/12/20 number of people living with a functioning transplanted Patients % PMP kidney actually drop. It may Transplanted 2621 53.2 527 have only been by 4 but when Centre Haemodialysis 2014 40.8 405 we are used to seeing increases in the range of +/- Peritoneal Dialysis 238 4.8 48 100, it is significant and a Home Haemodialysis 58 1.2 12 reminder that we need to re- Total ESKD Patients: 4931 100 992 double our efforts to promote PMP = Per Million of Population Population 4,977,400 continued next page © IKA S U P P O R T S P R I N G 2021 11
continued... organ donation amongst the looking at the bigger Over half of all patients, haemodialysis is absorbed public whilst also advocating picture. There needs to be 53.15% (2,621) are mainly by the contracted for increased resources to an understanding of the transplanted. I cannot satellite units which more support greater rates of reasons behind the emphasise enough how than doubled in patients transplantation. disproportionate growth in few countries there are and, over the years, went The number of patients people with ESKD to with this high level of from 5 to 9 new centres with ESKD continues its understand how to transplant versus dialysis across the country. Home inexorable climb as we address it. patients. It is the pride of haemodialysis has hovered reached 4,931. We are now Only 296 (12.81%) our renal services and around 50 patients in looking at an incidence of patients are on ‘home making the transplant recent years and peritoneal recorded ESKD of 1-in-1000 therapies’ across the figure even better is a goal around 200 or so. of our national population country. I expect that more everyone aspires to. The overall growth of or 0.1%. That may seem people will consider the The one-year changes patients from 3,699 to insignificant in the larger options of peritoneal and show 60 extra 4,931 (33%) in the ten- scheme of things but it home haemodialysis in the haemodialysis patients and years was expected and means ‘everything’ for those future, if they are deemed 97 more transplant there is no reason to affected by ESKD. It is suitable, however the patients at clinic. The ten- believe that the level of noteworthy that the cost of reality is that not year comparisons which annual growth of 3.3% treatment is everyone is. highlight the growth in will not continue. disproportionate to the number of patients when ONE-YEAR COMPARISONS looking at the overall health TREATMENT 2020 2019 % CHANGE PATIENTS budget. Previous CENTRE HAEMODIALYSIS 2014 1933 +4.2% +81 governments have realised PERITONEAL DIALYSIS 238 211 +12.8% +27 that treatment with a HOME HAEMODIALYSIS 58 52 +11.5% +6 transplanted kidney is significantly more cost- TRANSPLANT 2621 2625 -0.15% -4 effective than treatment by ESKD TOTAL 4931 4821 +2.3% +110 dialysis. Investment in transplantation makes good 10-YEAR COMPARISON RENAL ADULT PATIENTS BY TREATMENT TYPE sense as it is the gold medal 2020 2010 CHANGE IN NO. CHANGE IN % standard of treatment for HSE Hospital Renal Unit 1205 1069 +136 +12.7 those suitable for transplant HSE Hospital Satellite Unit 126 144 -18 -12.5 AND it is more cost efficient Commercial Satellite Unit 678 332 +346 +104.2 too. Northern Ireland 5 9 -4 -44.4 Reflecting on the past Home Haemodialysis 58 11 +47 +427.3 decade we have seen Peritoneal Dialysis 238 206 +32 +15.5 significant growth in the All Dialysis 2310 1793 +517 +28.8 provision of dialysis by the Transplant (Adult) 2621 1906 +715 +37.5 commercial providers with TOTAL ESKD PATIENTS 4931 3699 +1232 +33.3 an increase of 104%. The dialysis population has gone Population in Ireland 4,977,400 4,470,000 +507,400 +11.4% up by 29% whilst the transplant population has gone up by 37%. NO. OF PATIENTS ON DIALYSIS DECEMBER 2011-2020 The real stand out 2400 observation from the last ten 2310 2300 years is that whilst the population of our country 2200 No. of Patients increased by 11.4%, the 2196 2124 number of people with 2100 ESKD increased by 33%. 2015 2075 2074 This can be partly attributed 2000 to improving rates of diagnosis but at the same 1900 time, it is a worrying trend. 1828 1831 1894 The health service needs to 1800 take this growth into 1795 account when developing 1700 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 renal services nationally and 12 IKA S U P P O R T S P R I N G 2021
Given the current pandemic conditions, it is difficult for many Branches to hold AGMs. The Board has considered the position and outline the following arrangements: 1. Branches will defer their AGM until 2022. 2. There will be no election of Officers of branches or Board Directors. 3. Branches may replace Officers of branches and Directors who wish to stand down. 4. The existing Board and National Officers will remain in place for a further year. 5. This year’s National AGM will take place on Saturday, September 4th, 2021. FURTHER DETAILS WILL BE SENT IN DUE COURSE COVID19 HAEMODIALYSIS TRANSPORT The Irish Kidney Association is pleased to confirm the 30c per kilometre, for self-management of your own transport from your home to your dialysis centre and return, is now available from the HSE. F or the duration of this COVID-19 outbreak, attend their regular haemodialysis sessions only patients who access their own transport and opt to through their normal channels. self-drive or engage a family member, friend or Taxi providers under HSE tender who are providing carer to bring them to their haemodialysis session, are this service have confirmed that they are open for reminded that they are eligible to claim a stipend from business as usual and have no issue with continuing to the HSE. They can claim 30c per kilometre travelling provide this service. directly to and from the Haemodialysis Parent Renal Unit or HSE Contracted Haemodialysis Unit that is Eligible journeys: Reimbursement will be made for closest to their place of residence. Each unit has all patient journeys directly to and from regular procedures for reimbursement. haemodialysis sessions. On average this will be Eligible patients will receive a refund for the 6 journeys per week, based on patients attending reasonable costs of taking their own transport to for 3 times per week dialysis. IKA S U P P O R T S P R I N G 2021 13
THANK YOU By GWEN O’DONOGHUE W Mother’s Day this year was extra special for a Dublin woman who donated a kidney to her hen Sophie Cody kissed ailing teen daughter just three months before. goodbye to her mother Just three months after their living donor kidney transplant, mother Claire Cody and her Claire, as the teen was kidney recipient daughter Sophie (14) stepped out on their local strand in Skerries for a admitted to Temple Street photo opportunity, organised by the Irish Kidney Association (IKA), to celebrate Mother’s Children’s Hospital on Wednesday Day. The pair celebrated this special day by beginning a 21-Day Walking Challenge, in November 25th, 2020, they both support of the IKA and organ donation, which they finished at the end of Organ Donor hoped that the next time they would Awareness Week (27th March – 3rd April). www.ika.ie/donorweek2021 see each other, Sophie would be successfully transplanted with her Sophie with her mum’s donor kidney! It would be 17 dad Damian days before mother and daughter would see each other again on December 12th and two more days before Sophie could return home. On Monday morning, November 30th, 2020, Claire from Skerries, Dublin was wheeled down to the operating theatre in Beaumont Hospital, for the removal of one of her healthy kidneys by transplant surgeon Dilly Little. The retrieved kidney was then fast-tracked across the city to Temple Street Hospital, where surgeon Gordon Smith and his team were waiting to perform the transplant operation on Sophie. Sophie’s transplant ended 22 months of upheaval which began in February 2019, when she was suddenly catapulted into kidney failure and hospital dialysis treatment at Temple Street Hospital. Her mother Claire described, “it has been an emotional journey for all our 14 IKA S U P P O R T S P R I N G 2021
family since Sophie’s shock diagnosis two years ago. Our world was turned upside down and it took an emotional toll on Sophie as she was coming into her teenage years. Then COVID-19 came along and that compounded our anxiety levels. Sophie went to skin and bone and she was very pale but since her transplant she is putting on weight again and she looks really healthy now, with colour back in her cheeks and she has a positive outlook.” In the days that followed post- transplant, as visitors were restricted in both Beaumont and Temple Street Hospitals due to COVID-19, the mother and daughter remained in two different hospitals, eagerly waiting to be reunited with one another. Claire explained, “it felt very surreal when I woke up from my operation. All I wanted was to see that Sophie was ok and to hug her but we had to settle for ‘Facetime’. It was an emotional reunion for both of us when I finally got to visit her in Temple Claire left hospital five days after Street on the same day I was donating her kidney. It was another discharged from Beaumont, five days 12 days before Sophie returned home, after my surgery and seventeen days was reunited with her family and they after I last saw her, as she was could enjoy Christmas Day together, admitted to Temple Street a few days which was in stark contrast to prior to her operation. December 25th, 2019 when Sophie “It is wonderful to For almost three weeks, Sophie was was very unwell. have Sophie’s health confined to her hospital room. Relieved that the transplant was a Obviously, there was very valid safety success, Claire explained, “It is restored and she reasons for this measure but for our wonderful to have Sophie’s health 14-year-old, with all her renewed restored and she can now enjoy a new can now enjoy a energy from the successful transplant, lease of life. I was aware that she she felt isolated and was going could be waiting on the transplant list new lease of life. ‘doolally’ as she longed for the day for a long time. I didn’t want to see she could finally go home.” her struggle any longer, so I made the I was aware that It was a particularly difficult time decision to put myself forward as a she could be waiting for Damian Cody also, not to be able living donor. I was confident that I was to visit his wife and with limited visits physically fit enough to undergo the on the transplant allowed by Temple Street Hospital to operation. I am healthy and go to the see Sophie, both of them having gym regularly and play tennis also. list for a long time. undergone major surgery. “I was delighted when we finally Damien left his wife at the doors of got the results of tests that confirmed I didn’t want to see Beaumont Hospital the day before her I was a suitable match. But COVID-19 operation and didn’t get to see her temporarily halted the living donor her struggle any again until 6 days later. He also was screening process which was to begin longer, so I made separated from his youngest daughter in March, so we had to wait a few Amy (11). months before the programme the decision to put Amy left the family home two restarted.” weeks before the transplant “Sophie’s kidney failure came about myself forward as a operations to allow her other family very suddenly in February 2019 when members to cocoon safely. She stayed she became almost fatally ill, as her living donor.” with her nanny, Claire’s mother Eileen, blood pressure sky-rocketed. Up until so that Amy could continue to attend then, it had not been known that her national school and ensure the safety kidneys hadn’t really developed since of her family from COVID-19.The birth, and it is thought that this may physically disconnected family of four have been because she was born nine kept in touch through phone calls and weeks premature. video. continued next page... IKA S U P P O R T S P R I N G 2021 15
THANK YOU MUM! contd... Sophie with her younger sister Amy and their dog Freddy. “Sophie was put on haemodialysis of vaccines currently lists her among treatment almost immediately. She the very last in line, in 15th place, to was just entering her teenage years receive a vaccine. Part of this is and her life was suddenly turned because the vaccine has not been upside down. It was difficult for her tested on young teenagers. and on the rest of her family too as “We are so grateful to the medical, we felt helpless. We learned to nursing staff and transplant teams at manage our lives around her illness both Temple Street and Beaumont and and her regular hospital visits for our transplant surgeons Gordon dialysis treatment, which were Smyth and Dilly Little and, to the staff sometimes as much as five days a in Michael’s C Ward in Temple Street week, for 4 hours at a time. who cared for Sophie when she was “It was tough on her as her diet receiving dialysis. and fluid intake were considerably “A big ‘thank you’ to John our taxi restricted and the normal happy life driver, who ferried Sophie to and from she had been enjoying was altered the hospital, and also to Paddy Cox of dramatically. She still attended her Dialyze Clothing, who sent Sophie a school in Skerries Community College big hamper just before she went to and was also schooled in Temple hospital for her transplant. Street on her dialysis days. “I’d also like to thank our extended donation as you never know if, Sophie said, “I am so grateful to family for their loving care throughout someday, a member of your family will have received the gift of a kidney from and to our friends and neighbours find themselves in the same situation my mother and I feel so much better who sent us messages of support. that we suddenly did! now. I can’t wait for the restrictions “Our thanks also to Sophie’s “We are delighted to support the and lockdown to be over so that we teachers and the principal at Skerries IKA. It’s really important that Sophie can celebrate properly with our friends Community School for supporting her. learns to empower herself to look and family. For Mother’s Day, we will We also would like to acknowledge after her kidney health and get the pamper mam, we will make the most how supportive the staff at Brady’s best out of her life as a kidney of being together and my dad will pharmacy in Skerries have been for transplant patient. Now that her diet cook for us.” Sophie’s medication needs. and fluid intake is no longer restricted, Claire remarked, “We have both “I was lucky to be a suitable donor she is embracing a healthy diet and recovered well since our operations to Sophie but there are many other taking her life-long anti-rejection and are grateful that Sophie is back to children and adults who don’t have drugs. She is participating in her Zoom good health. However, the challenge the opportunity for a living donor, and classes with Skerries Community now is to keep her safe as she will be they remain on transplant waiting College as she prepares for her Junior taking immune suppressants for the lists. Two years ago, we had no idea Cert, keeping up a social life with her rest of her life. that Sophie would experience organ pals online and we both take regular “Sophie is in the extremely high-risk failure and that’s why I would exercise together walking our pet dog category for COVID-19, as the rollout encourage people to consider organ Freddie.” 16 IKA S U P P O R T S P R I N G 2021
By AOIFE SMITH END STAGE KIDNEY DISEASE and MENTAL HEALTH BRIDGING THE GAP R ecently I was contacted by Clodagh Cogley by Clodagh, as part of a research PhD Clodagh Cogley of St. Vincent’s in University College Dublin and would Hospital to ask if I was encourage you, if you meet the criteria interested in supporting below, to get in contact with Clodagh. research for patients with end stage Clodagh would like to hear the kidney disease and mental health perspectives of individuals with mental difficulties. Naturally, I said ‘yes’, and health difficulties, their family felt encouraged for our patients that members, and healthcare providers. this research is being done. Previous research suggests that individuals with WHAT DOES THE STUDY INVOLVE? mental health difficulties often find it A one-hour long conversation with more difficult to access quality Clodagh, the lead researcher, via healthcare. zoom. In this conversation you will This study will help to understand discuss the factors that impact access the factors impacting the quality of life to quality kidney care for individuals and mental health of kidney patients published several book chapters and with mental health difficulties. in Ireland, including measures such as peer-reviewed journal articles, and pain, fatigue, social support, and the played a key role in shaping the 2017- DO YOU MEET THE FOLLOWING CRITERIA? effect of kidney disease on individuals’ 2027 National Cancer Strategy, 1. Do you have kidney disease and daily lives. This research will also help ensuring that the psychological needs have you received a diagnosis of a to determine the link between mental of cancer patients are explicitly mental health difficulty in the past? health difficulties and how often addressed in the strategy. OR individuals follow healthcare providers’ There have been several research 2. Do you have a close family member treatment recommendations projects done in this area but very few with kidney disease and a mental (treatment adherence). here in Ireland. I felt it was really health difficulty? Clodagh has put a patient expert important to give our renal patients an OR panel in place to guide her research opportunity to be involved in this 3. Are you a healthcare professional or and will work alongside Dr John research and space for their voices to allied healthcare professional with Holian, Consultant Nephrologist at St. be heard. This research will gather experience working with kidney Vincent’s Hospital, and his renal team, information on what helps and hinders disease patients? to engage with patients. The research access to kidney care for individuals, so If you meet any of the above criteria will be supervised by Prof Paul improvements in future care and and would be interested in hearing D’Alton, Consultant Psychologist at St supports can be made. more about the research, please Vincent’s Hospital, who has completed The Irish Kidney Association fully contact Clodagh at several funded research projects, supports this research project being led clodagh.cogley@ucd.ie IKA S U P P O R T S P R I N G 2021 17
“Believe that a further shore is reachable from here.” SEAMUS HEANEY W ith less energy and In my work I often use a very prolonged states of straightforward well-known stress, differences may psychology technique to help look for have started to surface a resolution, ‘The Perspective in our beliefs and ideas about COVID- Triangle Strategy’. 19 and adherence to imposed The Perspective Triangle Strategy By AOIFE SMITH government guidelines. This can easily uses the concept of a triangle to become a source of conflict within separate the different points of view This time last year I wrote an article family, or with friends and colleagues. within a conflict. Each point of the about understanding loss and grief. I Like any conflict, it can cause a great triangle is a step that represents a never mentioned ‘COVID-19’. I wrote deal of pain and add to an already perspective because within any very stressful situation. conversation between people there the article from a chronic illness It is helpful to find ways to manage are at least three perspectives. perspective without any true our emotions and use a collaborative 1st Perspective – Self: This is appreciation or comprehension of the approach to look for a middle ground. what is going on from your own year that was about to unfold in front It is important when we are trying to perspective. It is what you are seeing, of us. We now approach the marking of resolve conflict that we pay attention hearing, feeling, and thinking during to how we communicate both an interaction with another person. It a full year of official lockdowns and we verbally, (what we say) and non- is the conversation from which we enter a phase of ‘Living with COVID- verbally, (through our body language, usually operate, as it is our own 19’ plans, variants, vaccines and safe our facial expressions, our eye default world view, made up of our reopenings. We continue to dig deep contact, and our posture). experiences, values, beliefs and ideas. into our emotional resilience and It is also important to pay attention 2nd Perspective – Other: This is to how we listen, asking questions for the point of view of the other person. manage our anxieties. But how do we more information, clarifying what we It is what they are seeing, hearing, manage the new wave of conflicts that think and checking that we feeling, and thinking during a COVID-19 has brought when quite understand what the other person is conversation with you. From this frankly our tanks are on empty? feeling. position we try to understand the 18 IKA S U P P O R T S P R I N G 2021
Aoife can be contacted at Donor House on 0818-543639 or 01-6205306 or by email: aoife@ika.ie world from their point of view. their shoes and reflecting on why you that sense of security. We may not be 3rd Perspective – Observer: This is think they are feeling upset. This step able to avoid it, but we can arm the point of view of an impartial requires you to suspend your own ourselves with skills that help us find observer. What I mean by that is of perspective and widen your resolutions and restore peace. someone who has nothing invested in understanding with empathy for what Awareness breeds change and change the outcome but who is interested in that other person may be feeling. breeds action. That action begins with both parties and how they interact. Step 3: Imagine you are an observer you, from within you. From this perspective they can see with of the conflict and ask yourself what Thank you to all who called or clarity what is going on between you see in your own behaviour and emailed the counselling services people. The pattern of conversation is perspective. And what are the provided here at the IKA. Please obvious to them because they are differences you notice, in your opinion, continue to email me with topics that outside of the problem. by considering the other person’s might benefit you to read about. Your These perspectives can be very perspective and by being the observer? comments to me will be completely different, and it can be difficult to Using these three different steps confidential, no names will be used, separate or untangle these at the best allows you to get to the necessary and no reference will be made to any of times, never mind when living with emotional detachment and provides person or any specific email. If there is a chronic illness and being stuck in the valuable insights that can help you find a common theme in the requests, I will middle of a pandemic. This strategy a resolution to your conflict. base the next article around that topic. asks us to break the conflict down into In times like these, with so many I look forward to hearing from you! steps: environmental stressors on top of Step 1: Consider your own everyday struggles, conflict may be I received a great response to the perspective and reflect on why you are something we may not be able to Christmas Giveaway of the book feeling upset about the situation. avoid or control when it arises. ‘How to be Our Best Self Essentially this asks you to become Peace within our family, friends and in Times of Crisis’. self-aware and honest with yourself colleagues provides a sense of Congratulations to all of you about how you are really feeling. reassurance and well-being with those who got in touch and received a Step 2: Consider the perspective of we hold dear. copy of the book. the other person, putting yourself in When conflict arises it threatens IKA S U P P O R T S P R I N G 2021 19
Galway woman Raymond O’Brien, Denise Waldron RAISING THE BAR for organ donation and funds for IKA By GWEN O’DONOGHUE T uesday August 22nd, 2017 was nearby in Salthill, said that “giving a A Galway barrister raised the day that changed everything kidney to my brother Raymond, for living kidney donor recipient changed all of our lives for the better.” the bar for organ donation Raymond O’Brien, a Raymo had just turned twenty when she gave a kidney to carpenter/joiner who lives near the when he became a type 1 diabetic her younger brother, in Salthill prom with his wife Ethna and which resulted in having lots of eye their three children, Isabel (10) and laser treatment, two eye operations August 2017, when he twins Harry and Amy (8). It was the and other diabetic related needed a kidney donor. day Raymo received a donor kidney complications. from his sister Denise Waldron. It In 2002 he was diagnosed with While they were both brought to an end his declining kidney kidney disease. Within fifteen years of undergoing their living function which was diagnosed fifteen treatment he reached end stage donor kidney transplant at years previously. kidney failure and was just about to Denise, a barrister who also lives commence dialysis when Denise came Beaumont Hospital, their to the rescue and gave him one of her brother, Mr David O’Brien, healthy kidneys. a Consultant Neurosurgeon, Denise, who recently became a grandmother to baby Ayra, said, “I felt was operating in the privileged to be able to help my adjoining theatre. younger brother Raymo as he was struggling with his health while trying to raise three young children with Ethna. My two daughters, Hilary and Laura, are grown-up and I discussed the donation with them and got their seal of approval. “An amusing and unexpected outcome of the transplant operations was that at the time I was going through the menopause and some of my menopausal hormones remained on the donating kidney which had a strange effect on Raymo! For a few weeks after the operation he was getting hot flushes and kicking off the blankets as he was overheating at night. Ethna and I found this hilarious. Denise with grandson Ayra. We joked that he is now more in 20 IKA S U P P O R T S P R I N G 2021
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