 Yeah, Fever FM, thank you so very much for watching us, for listening to us. This is a very special segment that we have with us 22 years of experience in the medical profession. He is none other than Dr. Ajay Esshetty. He is lead consultant, urologist with Manipal hospitals, Yashwanpur and Hebaal. Thank you for taking the time for being here, for taking us through and giving us so many insights about not just laparoscopic surgery, but also giving us all this information about kidney stones, about urological cancers, prostate disorders and so many pointers and tips on how we can take care of ourselves because I do feel that information is lacking in today's world. At the same time, Dr. we are dealing with a problem of information overload. I'm sure you get a lot of patience and even I'm guilty of this of looking up symptoms on Google and coming to you with it and almost everything leads to cancer, but how do you deal with this doctor? As a physician and a surgeon, I have made peace with the fact that I cannot stop a patient from looking up his symptoms or even researching about an illness that his near or dear have. And obviously, like you said, all of it leads down, boils down to oh, I've got cancer and stuff like that. But this is inevitable. In today's world, people will Google their symptoms. So what I tend to do in my practice is whenever the question is relevant, I try to talk to them and I tell them that look, there's so much information out there. At your level, sometimes it becomes very difficult to differentiate fact from fiction. So yes, I'm not going to stop you from Googling and if you have any doubts that are relevant, I'd be happy to answer them. But oftentimes the doubts are so eccentric and nowhere close to reality that you have to tell them to stop it. Well, that's why I'm so very happy that you're here in person and we have a whole set of questions and today we are going to be discussing about renal transplantation or kidney transplantation. Let's start with when does one need a kidney transplantation? Kidney transplantation is necessary when your physician has told you that you have what is called end-stage renal disease. Again, for the guys who Google it, it's called ESRD. What that basically means is that the kidneys have lost more than 90% of their filtration ability and that results in accumulation of all the toxic wastes and chemicals within the body. So if you have reached a stage of ESRD, the only way to survive is to go through a procedure called hemodialysis, which is a machine filtering your blood, or to go for a kidney transplant and get a new kidney that'll do that filtration job for you. Right, what are the benefits of a kidney transplantation doctor? Does that mean no dialysis? Yes, so the benefits are you're dialysis free. If the kidney transplant goes well, you're dialysis free, you can live a normal life like any other person. Now dialysis will only do to the best of its ability about 40 to 50% of the filtration job that the kidney can do. And it comes at a cost. It comes at a financial cost, a physical cost because there are a lot of complications that can set in and even emotionally. One patient on a dialysis is an entire family suffering. So when you get a kidney transplant, you're not just treating the individual, you're taking care of the entire family. Lovely, and is it a complicated surgery per se? Well, yes, I would say it is a technically challenging surgery because when you take a kidney out from one individual, you have to take it out, taking extreme care that you do not damage anything. And to take that kidney out and to re-implant it into the recipient requires a lot of skill. That being said, we've been doing kidney transplant surgeries for many years now and we have mastered the craft and most of our kidney transplant outcomes, patients are dialysis-free for a long, long time. That's great to know that we are in safe hands and at the same time, Doctor, I believe there are different types of kidney transplantations. What are they? There are two main types of kidney transplant. One is called a living donor transplant and the other is a deceased donor transplant. Now, if you have somebody in our country only related transplants are legal, so if you have somebody within the family who's willing to donate and that would mean your mother, father, your sibling, your children, or your wife who's not necessarily related, but she is married to you, she can donate legally, then that transplant would be called the living donor transplant. But in our country where certain times donors are either not qualified because of medical conditions or are just not willing to donate, then the patient with kidney failure has to depend on a deceased donor, which would mean somebody who, when he's about to die, his family is willing to donate those organs, then these patients have to depend on the deceased donor for the organs. Since we are on the subject of organ donation, Doctor, what would you like to say? What's the ground reality out there and what should we be striving for as a society? We're talking about lax. There are lax of patients still waiting for an organ to start living normally. The waiting lists are in lax. So I urge each and every member here to register themselves as an organ donor. One can donate the kidneys, it's not just the kidneys, the liver, the pancreas, heart and lung, and of course the cornea, which is the eyes. These are our organs that can benefit another person and like I said, it's not just another person, it's the entire family. So I request each and every one out there who hears this to register themselves as an organ donor today, because there is a big need for organs. Well, there's no better gift than a gift of life. So it's a matter of basics of us signing up to be an organ donor. Dr. Ajaya Shetty, thank you so very much for spending time with us and throwing light on all these issues. Of course, you can say hi to Dr. at Manipal hospitals, Yashwantpur and Hebal. Dr. has been around for over 22 years in the field of medical science and it's a pleasure. Thank you for coming in and giving us all these insights and explaining all of this in such a easy conversational manner. And by doing this, a lot of information that one needs to know about, we spoke about kidney stones, we spoke about prostate disorders, urological cancers, robotic surgery as well. Sometimes until and of course, somebody in the family is affected, you don't really pay attention to all the conversations that are happening around you. As one is listening to this and watching this on social media, a lot of people may resonate with the information and you taking time out and being here means a whole lot. This was supposed to happen yesterday, but you had a surgery that came about. Yeah, no, yeah, so we, I think in our domains, we are so used to surgeries springing up at the last minute and I'm sorry, I had to cancel because of an emergency, a surgical emergency that had come in. But yeah, that's just the part of the game. You manage saving a life and then being here, so time is of so much a sense and we really appreciate the fact that you decided to spend time with us, giving all this information. Thank you so very much. Thank you. Thank you, Sridham. Thank you for your time, for this opportunity. Really enjoyed this and I look forward to collaborating in the future.