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Bengaluru, Jan 21: A private hospital in Bengaluru, the capital of Karnataka, on Tuesday claimed that it has successfully performed a live liver transplant on a Jehovah's Witness from Nigeria, by not using blood or blood products, in order to protect the patient's religious beliefs.

It is said that Jehovah's Witnesses are followers of a Christian faith that prohibits the use of blood or blood products during their treatment. Gehojadak (37), a Jehovah's Witness follower, had developed decompensated liver disease and visited more than three countries seeking treatment over the last four years but was turned away by most doctors due to the highly risky nature of surgery, Aster CMI Hospital said.

The surgery was challenging compared to a normal liver transplant because in order to protect the patient's religious beliefs, the medical team could not use blood or blood products (Fresh frozen plasma, Cryoprecipitate, Platelets etc), it said in a release, adding that very few such surgeries have been successfully conducted worldwide.

The patient's brother was the donor, the hospital said, adding, without a liver transplant, Gehojadak's chances of survival were less than 10 per cent over the next two years. A team of liver specialists from the Hospital thoroughly reviewed the patient's medical history before recommending a bloodless liver transplant and charted out a feasible pathway to make the surgery a success.

"This transplant was especially challenging as we did not have the safety net (of using blood) even if the patient's life was at risk due to their advance directive. We have performed other non-transplant liver surgeries in Jehovah's Witnesses and this gave us the confidence to take on Gehojadak's transplant," Dr Rajiv Lochan, Consultant Liver Transplant Surgeon, said.

The critical surgery took a 12-hour period to complete where two teams of specialists with close to 25 doctors including anaesthetists, intensivists worked in absolute sync with each other and Gehojadak finally received a life-saving liver transplant, the Hospital said. In a period of two weeks, the patient and his brother were fit enough to go home and were discharged from the hospital.

"Even if their haemoglobin levels dropped to life-threatening levels, the patients were clear that they would not accept a blood transfusion. Keeping the limitations in mind, the most effective treatment path was planned, and we spent close to two months preparing the patients for surgery," Arun V, Consultant Anesthesiologist said. The hospital arranged customised artificial products like synthetic drug molecules, to conduct a bloodless liver transplant, he added.

With an aim to provide water to stray animals in Mangaluru, an animal activist announced a project 'Jal' under which free water bowls will be distributed to the people across the city.

Tauseef Ahmed believes many animals and birds do not find source to drink water which leads to death.
"Finding clean and safe drinking water has been a major issue in a lot of places. We humans when we face some scarcity we manage by taking the water out from the well," Ahmed told ANI.

"Unfortunately, that's not the case with when it comes to animals and birds. They do not find sources for water to drink so they eventually end up drinking sewage water and they fall sick. In some cases, even that is not available and due to dehydration, they die," he added.

Under the "Jal" project, Ahmed will distribute free water bowls to the people and expects them to make equal efforts in saving the lives of the animals.

"So, this project "Jal" will be providing 100 free water bowls all over Mangaluru. We are distributing it free of cost. All you have to do is keep the bowls outside in the garden or any places where animals frequently visit. Every day, we just have to fill the bowls with water for the animals. It will help a lot of animals to survive in the harsh weather of summers," Ahmed highlighted.

"We have used cement to make the bowls which will keep the eater really cool. We are spending close to 74 rs per bowl. We have made around 100 bowls and will continue making it. We are trying to cover as many animals as we can," he said.

Mangaluru, Jul 4: In the wake of mounting coronavirus cases in Dakshina Kannada, all jewellery shops district will be closed for five days from July 5 to July 9.

The decision was taken by the Dakshina Kannada district unit of Jewellers’ Association.

All the jewellery shops including corporate jewellery shops in Manglauru and other parts of district will remain closed for five days, a media release said.