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  • Locations
    Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Kawasaki Disease Clinic Locations Rady Children s Specialists Kawasaki Disease Clinic Locations Kawasaki Disease Clinic Team Treatment Frequently Asked Questions Research and Clinical Trials Resources Locations Patient Stories Locations Kawasaki Disease

    Original URL path: http://www.rchsd.org/programs-services/kawasaki-disease-clinic/locations/ (2015-03-26)
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  • Patient Stories
    MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Kawasaki Disease Clinic Patient Stories Rady Children s Specialists Kawasaki Disease Clinic Patient Stories Kawasaki Disease Clinic Team Treatment Frequently Asked Questions Research and

    Original URL path: http://www.rchsd.org/programs-services/kawasaki-disease-clinic/patient-stories/ (2015-03-26)
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  • Cristian: Superhero
    Serrano Cristian s mom He woke up with a rash all over and a fever She took Cristian to his pediatrician who diagnosed him with scarlet fever and put him on antibiotics But the fever kept climbing and he was not feeling any better Not knowing what to do next Talia brought Cristian to Rady Children s Hospital San Diego When Cristian came in to the emergency department we confirmed his pediatrician s findings said Adriana Tremoulet M D a physician at Rady Children s Kawasaki Disease Clinic and associate director of the Kawasaki Disease Research Center at the University of California San Diego At the Sam S and Rose Stein Emergency Care Center Cristian s blood work showed mild inflammation of the liver He had an echocardiogram that was normal Dr Tremoulet suspected Kawasaki disease a condition in which blood vessel inflammation occurs throughout the body but she couldn t confirm it based on Cristian s symptoms As there is no single test for Kawasaki disease doctors evaluate symptoms and blood work to diagnose it Dr Tremoulet educated Talia on what signs and symptoms to look for red eyes swollen hands or feet bright red or cracked lips a strawberry tongue bright red tongue with bumps swollen glands of the neck or peeling fingers and toes She was instructed to bring Cristian back if any of these occurred It had been about two weeks since Cristian s symptoms first started His fever was still present he developed red eyes and his hands and feet started peeling significantly It hurt him to walk or touch anything Talia brought him back in to Rady Children s and Cristian was admitted for treatment of Kawasaki disease Left untreated the disease can cause the heart s arteries to swell and form an aneurysm Rarely these aneurysms can clot off causing a heart attack It s a self limited disease so eventually children who are not treated will get better but the heart complications that can occur can be dangerous said Jane C Burns M D director of the Kawasaki Disease Clinic at Rady Children s director of the Kawasaki Disease Research Center at UC San Diego and co director of the Division of Allergy Immunology and Rheumatology at Rady Children s UC San Diego School of Medicine Said Dr Tremoulet Cristian s mom did exactly what she should have done We are working to increase awareness of Kawasaki disease in the community at large The incidence rate for Kawasaki disease is five times higher than that of tuberculosis in children in San Diego County yet not many people have ever heard of it Approximately 100 children in San Diego are diagnosed with Kawasaki disease each year and more than 90 of them are treated at Rady Children s The Clinic is currently following the health status of 1 300 children in San Diego with the disease Cristian was treated with aspirin and intravenous immunoglobulin IVIG In most cases only one IVIG treatment is

    Original URL path: http://www.rchsd.org/about-us/patient-stories/stories-2011/cristian-superhero/ (2015-03-26)
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  • Jane Burns, M.D.
    Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Find a Doctor Jane Burns M D Jane Burns M D Rose Pavillion 1st Floor San Diego CA 92123 858 966 5855 Specialty Kawasaki Disease Locations Rose Pavillion 1st Floor San Diego CA 92123 858 966 5855 858

    Original URL path: http://www.rchsd.org/doctors/jane-burns-md/ (2015-03-26)
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  • About Kidney and Liver Transplants
    Related Donors LRD or Living Emotionally Related Donors LERD LRDs can be any healthy blood relatives ranked in the following order An identical twin A sibling or parent Another blood relative cousin niece nephew etc Typical LERDs are spouses in laws or close friends they are not blood related to the patient All donors must be blood type and immunologically compatible have normal kidney function and be in overall good health Kidney Transplant Process The average kidney transplant takes three hours In most cases surgeons use a laparoscopic technique to remove the kidney from a live donor which minimizes postoperative pain and recovery time Using an incision approximately two inches long and endoscopic instruments allows surgeons to avoid cutting through abdominal muscles as is required in the open technique The new kidney is inserted into the recipient through an incision in the lower abdomen The average pediatric kidney transplant can be performed in three to four hours The new organ is inserted and connected to a vein an artery and to the bladder The donor spends between two and five days in the hospital and is then on limited activity for approximately six weeks Liver Transplant There are two options available for patients awaiting a liver transplant an organ from a deceased donor or a portion of the liver from a living donor Deceased donation refers to donation of organs after an individual s death When a deceased donor organ becomes available priority is determined based on the patient s degree of illness blood type size and time spent on the waiting list The waiting list managed by UNOS is used to tabulate all factors affecting priority Living related donation eliminates the need to wait for a compatible deceased donor but requires that another healthy individual undergo surgery to remove part of his her liver for donation Donors can be Living Related Donors LRD or Living Emotionally Related Donors LERD LRDs can be any healthy blood relatives such as A sibling or parent Another blood relative cousin niece nephew etc Typical LERDs are close friends they are not biologically related to the patient All donors must be blood type and size compatible have normal liver function and be in overall good health Liver Transplant Process The average pediatric liver transplant operation can be performed in six to eight hours The operation is done through a large transverse incision in the upper abdomen and the old liver is removed Then the new liver portion of liver is inserted and the blood vessels two veins and one artery that carry blood to and from the liver are connected to the patient s own blood vessels In addition the tube that drains bile from the liver must be connected to the intestinal tract The average operation for liver donation takes four to six hours and is also done through an upper abdominal incision The donor spends between three to five days in the hospital and is then on limited activity for approximately six

    Original URL path: http://www.rchsd.org/programs-services/kidney-liver-transplant-program/about-kidney-and-liver-transplants/ (2015-03-26)
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  • Team
    Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Kidney Liver Transplant Program Team Kidney Liver Transplant Program Team Kidney Liver Transplant Program About Kidney and Liver Transplants Team Resources Locations Team Kidney Transplant Program Alan Hemming M D Director Elizabeth Inguilli M D Medical Director Kristin Mekeel M D Surgical Director Santiago Horgan M D Kidney Living Donor Surgeon Jennifer Beruman M D Surgeon Physicians Peter Yorgin M D Robert Mak M D Ph D Nadine Benador M D Liver Transplant Program Alan Hemming M D Director Kimberly Newton M D Medical Director Kristin Mekeel M D Surgeon Jennifer Beruman M D Surgeon Physicians Rebecca Cherry M D Ranjan Dohil M D Jeannie Huang M D Sherry Huang M D Jeffrey Schwimmer M D Warren Shapiro M D Sharon Taylor M D Administrative Staff Donna Donoghue Administrative Director Interim Solid Organ Transplant Victor Villarreal Clinical Transplant Associate Kyla Gonzalez N P Liver Transplant Coordinator

    Original URL path: http://www.rchsd.org/programs-services/kidney-liver-transplant-program/team/ (2015-03-26)
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  • Resources
    Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Kidney Liver Transplant Program Resources Kidney Liver Transplant Program Resources Kidney Liver Transplant Program About Kidney and Liver Transplants Team Resources Locations Resources American Liver Foundation Children s Liver Foundation National Kidney Foundation San Diego Chapter The Scientific Registry of Transplant Recipients The Scientific Registry of Transplant Recipients SRTR supports the ongoing evaluation of the scientific and clinical status of organ transplantations in the United States In addition to national statistics SRTR provides center specific reports that profile individual transplant programs describing their waiting list populations transplant patients and outcomes Some comparison of patients and outcomes is made to national profiles United Network for Organ Sharing The United Network for Organ Sharing UNOS is a non profit organization that administers the nation s only Organ Procurement and Transplantation Network OPTN In addition to facilitating organ matching and placement UNOS collects and manages data about every transplant in the U S and develops organ transplantation policy All organ transplant institutions in the U S use the UNOS transplantation information database to register patients for transplants match donated

    Original URL path: http://www.rchsd.org/programs-services/kidney-liver-transplant-program/resources/ (2015-03-26)
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  • Locations
    Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Kidney Liver Transplant Program Locations Kidney Liver Transplant Program Locations Kidney Liver

    Original URL path: http://www.rchsd.org/programs-services/kidney-liver-transplant-program/locations/ (2015-03-26)
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