 ಎಲ್ಟಿಲೂಟ್ಽದ ಇಲಿಲ್ದಲ್ರೇ ಆಲ್ರುದ ಕಾರೂಯ ಕೀ ಕಾಸ್ಸುತ್ಯಂದ ಸತ್ರನೆ ಸಾಗಾರೋ ಸಾಗಾರಾಂದ ಚ್ಸ್ಸ್ಸ್ಸ್ಸದಲ್ಸದ ಕಾವಾರು ಮಾರ್ಟಿಲೆ ಕಾಜಿಲ್ರಿಂದಲ್ಗೈಸ ಪಸಿಲ್ರು ಕೀಸ್ there is a unique form of diabetes called type 1 diabetes which usually affects younger children and unfortunately it causes all the ravages of diabetes very early in life in fact they just been you know her dad died very young age because of type 1 diabetes and her condition was so severe that her kidney was damaged at the age of 14 and she was on dialysis for the same the first question she asked me was when can she go back to school after she get this transplantation done she is a brilliant kid and she couldn't go to the school because of the dialysis and overall her health the only hope for her was to have a kidney transplant but it doesn't solve all the problems because her original disease which was due to type 1 is not cured that's the reason we as a team including both our surgeons, urologists and our pancreas surgeons Dr. Ravichandran Gautam we had a discussion with the family we had told them that best way to cure the disease that is type 1 diabetes is pancreas since she was already on dialysis she also needs a kidney transplant she luckily got an organ from a donor, young donor with a good pancreas and it took about 6 to 8 hours to do this transplantation so kidney pancreas transplantation can be technically very challenging especially in small children because the space in the abdomen is limited and we have to implant 2 new organs inside and that's what makes it technically complicated so we were able to achieve this by a team effort wherein the gastroenterology and liver transplant team did the pancreas transplantation whereas the renal transplantation team took care of the kidney aspect of the transplantation so the way it works is the pancreas is transplanted first because that is technically more demanding and once that is in place and the pancreas starts functioning then we do the kidney transplantation and she recovered very well and she was extubated next day and she was conscious oriented and it's a miracle that the next day itself the sugar levels were normal additionally I would definitely want to speak about Tejasvani's mom who is an extremely dedicated person being a single mom she went through the entire process probably with a smile and I would say all the success would probably be ascribed to her and I would like to say that I would like to thank my daughter and I would like to thank my mother for her courage and I would also like to thank the doctors who have supported me they have supported my family as well there are a lot of people who have more than one organ failure there are a lot of people who also develop kidney and liver failure and me and Manipal also have the expertise to do a dual organ transplantation like a kidney and liver and we have had success stories there too I am Dr. Vishwanath Dr. Ravi Chandar Sudarshan Balad, Ravi sir he has supported me he has given me tanks he has saved my life and saved my life I would like to say this I would like to help my mother, my family I would like to help my doctors I would like to give the main exam and I would like to give confidence and I would like to thank Manipal Hospital