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i) transplantul de organe si tesuturi, cu exceptia cazurilor prevazute in Programul National, aprobat de Agentia Nationala de Transplant si CNAS;
Where the Health System fails, the Internet wins
It’s the case that brought a new era to charity in Eastern Europe. It’s proof that people can save a life with or without the help of officials. When they turn their backs on us, we grow stronger and more ambitious. And we win.
For the past few weeks the Romanian Internet community managed to unite and do their best to save the life of Daniel Răduță. The twittersphere became the 29 year-old IT engineer’s best friend. Ever since he was diagnosed with leukemia, the vast majority of the 10.000 Twitter users have helped in every way they could: donations, telling friends, retweeting and writing on their personal weblogs or organizing charity events.
We want to help Daniel live to raise his little boy who will be born in less than two weeks.
13 days and €70.000 - the outcome of a common effort of people that have never met Daniel, but can relate to his story. Every one of us has had a relative who suffered from cancer. Every one of us would like to see things change. We don’t want to wait for “the system” to take action – it might just be too late!
Considering the fact that in Romania the minimum salary is just a bit over €170 and the average one goes slightly over €400, it is a big effort. Daniel needs, however, €150.000 for the bone marrow transplant that he is forced to “purchase” for himself, abroad. Life does not fall out of trees, but it can be saved by a tree of hope grown by people.
Unfortunately, not even the most open-hearted people have almighty powers. We have to turn to the borderless kingdom known as the World Wide Web. The hash tag #draduta shows the interest of the Romanian online community for the case. Every hour tweets flow, updating everyone with the latest news, with how much money is left to be collected, how the campaign grows and how many more people are interested.
Daniel’s cause on Facebook has over 8400 people at this moment. There are over 180 weblog articles, starting with Daniel’s own page, visited by more than 34.000 people already.
Why the online communities and not the Health System?
...because Romania does not have a functional database with bone marrow donors. Because, in Romania, a bone marrow transplant can only be performed if the patient has a 100% compatible (kindred) donor.
This is what this campaign will address in a secondary stage: in order for us to be able to fish, we need to learn how.
The online community moves fast. Updates run smoothly, people can suggest, comment, relate, brainstorm, be a part of it all. But it’s not enough to raise as much as that small fortune to go to the international life-selling marketplace and buy a life. We got help, from the editors from major publications, such as Deutsche Welle or Realitatea.net,.
The key word here is TIME. We only have a few months to get Daniel to transplant. We need all the help we can get, to save a life dear to us and to prove that Romania can save Itself, doing everything with its online, magical powers.
Your help is needed!
Every little bit of effort helps. Two bank accounts have been opened at Banca Transilvania for easier support for those who want to help Daniel:
EUR: RO72BTRL06404201F02712XX
RON: RO57BTRL064013HAF02712XX
Or by simply using Paypal
1. Despre leucemie. Leucemia este un cancer al sangelui. Forma acuta a leucemiei inseamna o proliferare exploziva a celulelor canceroase. Maduva incepe sa produca celule albe in mod necontrolat, iar aceste celule sufera mutatii. Din cauza mutatiilor, celulele nu pot sa-si mai indeplineasca functiile normale, adica sa produca celule albe sanatoase, trombocite si hematii. Astfel, sistemul imunitare este la pamant si orice infectie poate fi fatala.
2. Exista doua modalitati de tratament: chimioterapie sau transplant. Transplantul este indicat, in general, pacientilor cu risc mare de recadere. Desi transplantul nu elimina in totalitate probabilitatea recaderii, ultimele studii arata ca este cea mai buna varianta in multe cazuri.
3. Transplantul presupune mai multe proceduri: a) pretransplantul, b) transplantul propriu-zis si c) procedurile post-transplant. Pre-transplantul presupune administrarea unei doze intense de chimioterapie pacientului astfel incat maduva sa fie golita si sa nu mai produca nimic. Transplantul propriu-zis este o operatie foarte simpla, celulele stem recoltate de la donator sunt transferate pacientului. Complicatiile pot aparea dupa aceasta procedura cand organismul pacientului este predispus la infectii. De aceea, pacientul trebuie sa stea intr-o camera sterila o perioada medie de 3-4 saptamana pana cand maduva accepta noile celule si incepe sa produca ea insasi celule albe, hematii si trombocite. Procedurile post-transplant pot fi destul de complexe in functie de complicatiile pe care le dezvolta pacientul. Poate aparea asa numitul efect Grefa contra Gazda din cauza ca celulele stem primite de la donator pot ataca organele pacientului din cauza ca nu le recunosc. Aceste efecte, in functie de starea generala a pacientului, pot fi o cauza importanta de mortalitate.
4. In Romania se fac transplanturi din 2001, insa doar autologe (celulele stem sunt recoltate de la pacient) sau alogenice de la donatori inruditi compatibili 100%. Din pacate doar 1/4 dintre pacientii diagnosticati cu leucemie au sansa sa aiba un frate/sora compatibil/a 100%. Pentru acestia, Romania este o solutie. Pentru ceilalti insa, nu.
In Romania, exista 3 clinici unde se fac transplanturi de celule stem: Centrul deTransplant Medular Fundeni, Centrul de Transplant Medular din Tg Mures, Centrul de Transplant Medular din Timisoara. Nici una dintre aceste clinici nu are inca expertiza in a face transplant alogenic de la donator compatibil neinrudit. In principiu, este nevoie sa realizeze 10 transplanturi alogeneice intr-un an pentru a obtine expertiza internationala. La Timiosara dna doctor Margit Serban a inceput sa faca primele transplanturi cu donator compatibil neinrudit, dar doar la copii si asta de foarte scurt timp si in colaborare cu o clinica din Viena.
Insa nu este suficient. Romania trebuie sa aiba si un Registru National Al Donatorilor Voluntari de Celule Stem care sa fie conectat la Registrul International. Registrul international cuprinde 13 milioane de donatori astfel incat sansa de a gasi un donator compatibil neinrudit pentru pacient este mult mai mare.
5. Anul trecut o campanie intensa a contribuit la infiintarea Registrului National al Donatorilor Voluntari de Celule Stem. Din pacate, din sursele noastre, am aflat ca nu se poate cauta in acest registru. Lipsa fondurilor a impiedicat realizarea unui soft care sa permita cautarea in registru. Tot din lipsa fondurilor nu tuturor voluntarilor inscrisi li se face testul HLA (testul prin care testeaza compatibilitatea), astfel incat chiar daca avem 3-4 mil de voluntari, daca acestora nu li se face testul HLA, tot degeaba.
Procedura de donare de celule stem este neinvaziva. Donatorului i se recolteaza sange si i se face testul HLA. Daca este compatibil 100% cu pacientul, donatorului i se va administra un medicament prin care maduva sa va produce o cantitate mare de celule stem, care vor trece in sange. Apoi, donatorul va fi supus unui procedeu asemanator recoltarii de sange, doar ca va fi conectat un instrument mai complicat care ii va filtra sangele si va extrage de acolo celulele stem. E simplu, nu are efecte secundare, donatorul nu sufera vreo alta interventie gen anestezie si pleaca acasa aproape imediat dupa donare.
