Nagpur: Family members of a brain dead man saved lives of four critical patients by donating his vital organs such as liver, heart, kidneys, skin and eyes. Now, even after his death, the man continues to live on with organ donation.
The donor, Zanesh Pashine, 49-year old male, an engineer by profession and resident of Plot No. 230, Indira Gandhi Ward, Rail Toli, Gondia was admitted to Neuron Hospital in Nagpur on 22.08.2017 under care of Dr. Chandrashekhar Pakhmode, Neurosurgeon with complaints of sudden weakness at right side, slurred speech, hypertension, diabetes, and CVE. CT brain showed signs of Thalamic Bleed. Relatives of Zanesh were counselled by Dr. Pakhmode about the critical condition of the patient, brain dead status, outcome, vegetative status and its consequences.
After knowing the brain stem dead status, Zanesh’s wife Manisha Pashine and daughters Neha, a medical student and Kunjika, a class XI student proactively came forward and wished to donate the kidneys, eyes, heart, liver, skin to needy so that it could be beneficial to many others. It is learnt that the family had together decided that their organs should be donated in case of any eventuality.
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Accordingly, Randhir Nashine, a relative of Pashine family and Dr. Pakhmode called up Dr. Anup Marar, Director, OCHRI, Dr. Ravi Wankhede, Secretary, ZTCC (Nagpur) and Dr. Shivnaran Acharya, Transplant Advisor, OCHRI to discuss about the maximum organ retrieval plan. Dr. Acharya immediately visited the patient at Neuron Hospital and examined Zanesh Pashine to check for fitness to organ retrieval fitness. After needful statutory formalities; the patient was shifted to Orange City Hospital & Research Institute on 23.08.2017 around 7.30 pm for maintenance of potential organs donor pending retrieval under full time stationed OCHRI Intensivists’ team of Dr. Ashish Shukla, Dr. Rani Lakhe, Dr. Neha Agarwal, Dr. Roshan Jawdekar, Dr. Ganesh Bure, Dr. Santosh Gadge & Dr. Shivam Puniyani. Manjiri Damle, Transplant Coordinator, OCHRI completed all necessary documentation formalities and was overall in-charge of this undertaking at OCHRI. Veena Wathore, Social Worker, Nagpur ZTCC assisted in the endeavour.
After completing all essential confirmatory tests as per standard protocol by the Government approved team of specialists namely Dr. Devayani Buche, Dr. Rajesh Atal and Dr. Vasant Dangra, Zanesh Pashine was certified as brain stem dead status.
On 24.08.2017, teams of Mumbai and Pune hospitals reached OCHRI by 10 am and patient was shifted to OCHRI OT at 11 am. The chartered flight reached at 1 pm and accordingly signal of clamping vessels was given and retrieval was started to complete by 2 pm. Ravindra Pardesi, DCP Traffic was duly informed by Dr. Anup Marar and team of Traffic Police led by Bhandarkar, and Besarkar coordinated the green corridor arrangement in an exemplary manner for early transport of organs from OCHRI to Airport. This is for the first time in Nagpur city, heart retrieval surgery was conducted. Dr Rajesh Soni, Dr. Suhas Salpekar and Dr. Sandeep Deshmukh, Urologists, OCHRI and Dr. Rohit Gupta, Vascular Surgeon were members of the transplant team for the kidneys retrieval and recipient at OCHRI. Dr. Smita Harkare, Dr. Neeta Deshpande, Dr. Anita Pande and Dr. Sweety Pasari were the anaesthetists. Dr. Sameer Jahagirdar, OCHRI Plastic Surgeon retrieved the skin for Rotary OCHRI Skin bank while eye corneas were retrieved by Madhav Netra Pedhi. Dr. Mukund Thakur took over the responsibility of surgical auditor on behalf of OCHRI. Dr. Anand Sancheti , Heart Surgeon and Dr. Rahul Saxena, Liver Surgeon assisted the heart and liver retrieval teams. Sisters Rahel Patrange, Nisha Ashok, Preeti Joseph led team of nursing and paramedical staff. Dr. Noorul Ameen, Sunil Sure and Ganesh Iyer provided backup administrative support while Satish Ganvir and Ramesh Swami drove the ambulance through green corridor from OCHRI to Nagpur Airport.
The organs were utilized for needy patients registered as per recommendation of ZTCC. One kidney was transplanted to a 40-year-old Hoshangabad resident recipient in OCHRI itself while one kidney was transplanted in a 31-year-old Nagpur based male at Care Hospital. Skin will be processed by Rotary-OCHRI Skin Bank and used for burn patients. As per NOTO, SOTO and ROTO; Heart was transported to Global Hospital, Mumbai, for a 33-year-old male needy patient led by Dr Amjad Sheikh and liver was transported to Aditya Birla Hospital, Pune for a 64-year-old female led by Dr. Prashant Rao and team who went back in chartered flight after successfully harvesting the liver and heart. The Mumbai and Pune teams applauded the zeal, unity and enthusiasm shown by medical and police fraternity of Nagpur to realize the wishes of Pashine family. IMA led by Dr. Vaishali Khandait, President and VHA led by Dr. Uday Mahorkar, President, commended the efforts of team OCHRI led by Udaybhaskar Nair to have passionately pursued organ donation programme.
