The Low-Coste Innovation Blog welcomes YOU


Welcome to this modest blog I started in early 2005!

To cure many diseases, like cancer or cystic fibrosis, we will need to target gene mutations, not organs! I am convinced that the future of replacement medicine (organ transplant) is genomics (the science of the human genome).
Anticipating the $100 genome era and the P4™ medicine revolution. P4 Medicine (Predictive, Personalized, Preventive, & Participatory): Catalyzing a Revolution from Reactive to Proactive Medicine.


After low-cost airlines (Ryanair, Easyjet ...) comes "low-cost" participatory medicine. Some of my readers have recently christened this long-lasting, clumsy attempt at e-writing of mine "THE LOW-COSTE INNOVATION BLOG".

Jean-Michel Billaut, famous French @nthropologist and Net economy geek : "
There are times when I think there are basically two kinds of people in my country ... A '1.0' Top-Management, frantically clinging to and stuck in the past and in (bio)conservatism... and a '2.0' startup ecosystem... building... building slowly... towards the future..."

Catherine Coste,
MIT certificate in Genomics, a Tim Burton fan (whose films are dealing with death, like this modest Blog -- and sometimes we just hate it!), a Wellywood fan (the new Hollywood)... I come from France (hopefully from that "2.0" part thing) and travel a lot: New-Zealand, Asia (Malaysia, Singapore), UK...

A death and health geek and travel buff of some kind, I love meeting new faces
. My motto:
Go Where You Are Celebrated, Not Where You Are Tolerated.

I love Genomics. Would you rather donate your data, or... your vital organs?

Audio files on this blog are Windows files ; if you have a Mac, you might want to use VLC (http://www.videolan.org) to read them.

Concernant les fichiers son ou audio (audio files) sur ce blog : ce sont des fichiers Windows ; pour les lire sur Mac, il faut les ouvrir avec VLC (http://www.videolan.org).


Appel à témoignage - Please share your experience - Teilen Sie Ihre Erfahrungen mit ! Don d'organes - Organ Donation - Organspende :


Appel à témoignage : lettre ouverte aux proches confrontés à la question du don d'organes (lire)

Please share your experience : letter to the attention of next-of-kin of donor-eligible individuals (read)

Im Krankenhaus oder in der Klinik wurden Sie nach dem mutmasslichen Willen Ihres Verwandten gefragt : ob er oder sie sich für Organspende ausgesprochen habe. Bitte teilen Sie Ihre Erfahrung mit ! (lesen)

Avertissement :

Merci de ne PAS poster de messages concernant la vente d'un organe et comportant des coordonnées téléphoniques, e-mail, etc. La loi française interdit la vente d'organes.

ICI LONDRES. LES CHIRURGIENS PARLENT AUX CHIRURGIENS. VIDEO DE JUIN 2013 SUR YOUTUBE : http://youtu.be/peHJg4taa1I

MEMOIRS OF A TRANSPLANT SURGEON

Thomas E Starzl : "The Puzzle People" (University of Pittsburgh Press), 2003.

Editorial Reviews

From Publishers Weekly:
"Powerful, poignant, deft, this memoir in itself serves as a masterful argument for organ transplantation as Starzl, a retired pioneer in the field, re-creates the intricate history, the stunning breakthroughs and the tragic failures of the controversial surgery. Born in Iowa in 1926 to a nurse mother and a journalist-science fiction novelist father, Starzl as a young doctor showed himself to be tenacious in perfecting kidney and liver transplants, while overcoming medical infighting and resistant to medical and government bureaucracies. Moving from the University of Colorado to the University of Pittsburgh -he established renal transplantation centers at both- he takes us through the advances, from the technique requiring related kidney donors to cadaveric kidney and liver implants to the development of drugs to aid in managing rejection and infection, to programs for finding donors and transporting their organs. Starzl pays tribute to colleagues who either paved the way or helped set the course, while firmly judging those he views as impeders. If he does not lay to rest the philosophical and financial issues surrounding organ transplantation, he succeeds in making us reconsider reservations, reminding us that 'All triumphs in medicine are the forgotten sorrows of past days.'"

Copyright 1992 Reed Business Information, Inc.

From Library Journal:

"Distinguished surgeon Starzl here spends relatively little time on his patients or even in the operating theater. Instead, he focuses on research funding, the politics of hospitals and medical schools, and the great number of people and scientific advances necessary for achieving successful organ transplants. He also discusses the ethics (and dilemmas) of defining brain death, of human experimentation and randomized clinical trials, and of obtaining donor organs. Though he uses his autobiography to settle a few old scores, Starzl is a good writer, skilled at explaining medical complexities in lay language without oversimplifying. He also gives credit to his nonphysician technicians and other medical colleagues. With the current debates on healthcare costs, "rationing," and perceived scientific irregularities likely to continue, this topical book is recommended for collections with strong medical or scientific/technological interests."

Mary Chitty, Biotrends Research, Natick, Mass. Copyright 1992 Reed Business Information, Inc.

From Kirkus Reviews:
"An innovative transplant surgeon looks back on a long and brilliant career. Starzl's 'puzzle people' are not only the patients whose acquisitions of new organs have profoundly altered both their bodies and their minds, but also the physicians whose lives have been changed by participating in the process. Here, the author, who no longer performs surgery but still directs the Transplantation Institute at the Univ. of Pittsburgh, probes -albeit gingerly- at the puzzle of his own life. He draws a vivid portrait of his father, but other family members remain shadows, and he never lets us very far inside his own psyche. In rapid succession, his wife leaves him, his father and sister die, and his son suffers an emotional breakdown; these events must have been devastating, yet, on the page, Starzl's expression of pain is carefully controlled. And so is his recounting of other significant events -career shifts, professional frustrations and triumphs, a new marriage to an abused black woman, and his own heart surgeries. Throughout, the author seems most intent on setting the record straight, generously crediting those whose work helped shape his own, praising those who carry it on, and excusing those who hampered it. Individual patients are mentioned from time to time, and although Starzl clearly cares about them, he avoids sentimentality in telling their tales. Clearly having thought long and hard about the doctor-patient relationship and the place of expensive technology in our financially troubled health-care system, he voices his concerns about patients' rights and the ethical dilemmas posed by obligatory randomized drug- testing. Not an intimate self-portrait but a well-crafted glimpse into a world of science where politics and personalities often clash."

Copyright ©1992, Kirkus Associates, LP. All rights reserved.

I am currently reading this book and will put my comments + book reception online in the near future.

DCD (Donation after Cardiac Death): Organ-donor unease

"Denver and the west - Patients partly brain-dead are growing source. While some ethicists say the option blurs the line between near-death and death, the demand is there.

Organ donations from partially brain-dead patients - a controversial source - jumped tenfold in Colorado and Wyoming last year, the group that coordinates donations said."

[Click twice on the picture to enlarge it].

==> Link to the press article: click here.

==> Read this article in the Worldwide Transplantation News Blog: click here.

Source:
DenverPost.com
Article by Karen Augé

"Le coeur de Berlin": pédiatrie, coeur artificiel et transplantation cardiaque au Canada

"Le coeur de Berlin"


"Le petit Richard Pham avait sept ans et toute sa vie devant lui lorsqu’on a constaté qu’il souffrait d’une sévère défaillance cardiaque. Son cœur dépérissait irrémédiablement, et la seule solution était une greffe. Mais il n’y avait pas d’organes disponibles pour la transplantation.

Les docteurs décident alors d’implanter le cœur de Berlin, un organe mécanique qui pourrait maintenir Richard en vie jusqu’à la transplantation. Cet appareil, installé à l’extérieur du corps du patient, est un des rares cœurs mécaniques qui puissent s’adapter à la physiologie de l’enfant.

Étant donné l’état critique du petit patient, l’opération sera très délicate".

==> "Le coeur de Berlin" : voir le reportage : cliquer ici.

Journaliste: Charles Tisseyre
Réalisateur: Yves Lévesque


Ajout du 13/04/2006 :
==> Voir l'article des News : "Girl's heart restarted after ten years"

Source :
Radio-Canada.ca

Canadian Council for Donation and Transplantation: Neurological Determination of Death

"The mandate of the Canadian Council for Donation and Transplantation is to provide advice to the Federal, Provincial and Territorial Conference of the Deputy Ministers of Health in order to improve organ and tissue donation and transplantation in Canada. We base that advice upon literature reviews, existing clinical practices and guidelines for best practices developed by stakeholder groups."


"Le Conseil Canadien pour le Don et la Transplantation a pour mandat d'offrir des conseils à la conférence fédérale, provinciale et territoriale des ministres de la Santé pour améliorer le don et la transplantation d’organes et de tissus au Canada. Nous basons ces conseils sur des revues de journaux, sur les normes de meilleures pratiques et les pratiques cliniques actuelles qui ont été développées par des groupes de parties prenantes".


==> Neurological Determination of Death (PDF): click here.

Source:
CCDT