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Now Streaming: How To Do a Kidney Transplant (vice.com)

Posted by EditorDavid on from the take-two-videos-and-call-me-in-the-morning dept.

tedlistens writes: In January, hundreds of students enrolled in the University of Leiden Medical School's 'Clinical Kidney Transplantation.' But they weren't there: the class is completely virtual, the world's first massively open online course to offer instruction in the surgical procedure. Taught by 13 doctors through videos and interactive modules...the free course isn't intended to replace real-life education with hospital patients. Nor is it likely to prepare students to conduct a kidney transplant anytime soon. (For a fee, students can receive a certificate of completion.) But it's part of a new digital push among medical schools around the world, including Harvard and Stanford, that are seeking to educate a generation of students raised on smartphones and to expand their audiences to virtually anyone with a computer and an internet connection.

64 comments

  1. Education for the masses by inode_buddha · · Score: 2

    This is cool, I used to dream of widespread education back in the day. And now people are finding ways to do it, cheaply and en masse. This will be better for everyone eventually.

    --
    C|N>K
    1. Re:Education for the masses by fustakrakich · · Score: 2, Funny

      Yeah, just what we need, a bunch of amateur surgeon junkies out there in Central Park stealing kidneys for a fix. This is like a course in making bombs.

      --
      “He’s not deformed, he’s just drunk!”
    2. Re:Education for the masses by Anonymous Coward · · Score: -1

      Congratulations on your purchase of a brand new nigger! If handled properly, your apeman will give years of valuable, if reluctant, service.

      INSTALL YOUR NIGGER.

      You should install your nigger differently according to whether you have purchased the field or house model. Field niggers work best in a serial configuration, i.e. chained together. Chain your nigger to another nigger immediately after unpacking it, and don't even think about taking that chain off, ever. Many niggers start singing as soon as you put a chain on them. This habit can usually be thrashed out of them if nipped in the bud. House niggers work best as standalone units, but should be hobbled or hamstrung to prevent attempts at escape. At this stage, your nigger can also be given a name. Most owners use the same names over and over, since niggers become confused by too much data. Rufus, Rastus, Remus, Toby, Carslisle, Carlton, Hey-You!-Yes-you!, Yeller, Blackstar, and Sambo are all effective names for your new buck nigger. If your nigger is a ho, it should be called Latrelle, L'Tanya, or Jemima. Some owners call their nigger hoes Latrine for a joke. Pearl, Blossom, and Ivory are also righteous names for nigger hoes. These names go straight over your nigger's head, by the way.

      CONFIGURE YOUR NIGGER

      Owing to a design error, your nigger comes equipped with a tongue and vocal chords. Most niggers can master only a few basic human phrases with this apparatus - "muh dick" being the most popular. However, others make barking, yelping, yapping noises and appear to be in some pain, so you should probably call a vet and have him remove your nigger's tongue. Once de-tongued your nigger will be a lot happier - at least, you won't hear it complaining anywhere near as much. Niggers have nothing interesting to say, anyway. Many owners also castrate their niggers for health reasons (yours, mine, and that of women, not the nigger's). This is strongly recommended, and frankly, it's a mystery why this is not done on the boat.

      HOUSE YOUR NIGGER.

      Your nigger can be accommodated in cages with stout iron bars. Make sure, however, that the bars are wide enough to push pieces of nigger food through. The rule of thumb is, four niggers per square yard of cage. So a fifteen foot by thirty foot nigger cage can accommodate two hundred niggers. You can site a nigger cage anywhere, even on soft ground. Don't worry about your nigger fashioning makeshift shovels out of odd pieces of wood and digging an escape tunnel under the bars of the cage. Niggers never invented the shovel before and they're not about to now. In any case, your nigger is certainly too lazy to attempt escape. As long as the free food holds out, your nigger is living better than it did in Africa, so it will stay put. Buck niggers and hoe niggers can be safely accommodated in the same cage, as bucks never attempt sex with black hoes.

      FEED YOUR NIGGER.

      Your Nigger likes fried chicken, corn bread, and watermelon. You should therefore give it none of these things because its lazy ass almost certainly doesn't deserve it. Instead, feed it on porridge with salt, and creek water. Your nigger will supplement its diet with whatever it finds in the fields, other niggers, etc. Experienced nigger owners sometimes push watermelon slices through the bars of the nigger cage at the end of the day as a treat, but only if all niggers have worked well and nothing has been stolen that day. Mike of the Old Ranch Plantation reports that this last one is a killer, since all niggers steal something almost every single day of their lives. He reports he doesn't have to spend much on free watermelon for his niggers as a result. You should never allow your nigger meal breaks while at work, since if it stops work for more than ten minutes it will need to be retrained. You would be surprised how long it takes to teach a nigger to pick cotton. You really would. Coffee beans? Don't ask. You have no idea.

      MAKE YOUR NIGGER WORK.

      Niggers are very, very averse to work of any kind. The nigger's

  2. Surgery Simulator by Citizen+of+Earth · · Score: 1

    The only surgery instruction you need is here.

  3. At least its an option. by allaunjsilverfox2 · · Score: 1

    I like the idea that if, in a most insanely dire emergency, where you can't get a real doctor, this might be available.

    --
    Restore the madness of youth's lechery
    1. Re:At least its an option. by Anonymous Coward · · Score: 0

      I like the idea that if, in a most insanely dire emergency, where you can't get a real doctor, this might be available.

      No this doesn't make sense. You don't just do a kidney transplant this isn't like removing a mole. There is a ton of followup and anti-rejection medication and labs that need to be run in the immediate postop and perioperative period. Doing a kidney transplant in the "bush" isn't realistic, so you don't need youtube to teach you how to do this if you are able to do this from a support standpoint the surgical staff are already going to know how to do the surgery.

    2. Re:At least its an option. by allaunjsilverfox2 · · Score: 0

      I like the idea that if, in a most insanely dire emergency, where you can't get a real doctor, this might be available.

      No this doesn't make sense. You don't just do a kidney transplant this isn't like removing a mole. There is a ton of followup and anti-rejection medication and labs that need to be run in the immediate postop and perioperative period. Doing a kidney transplant in the "bush" isn't realistic, so you don't need youtube to teach you how to do this if you are able to do this from a support standpoint the surgical staff are already going to know how to do the surgery.

      I agree it would be a Bad Idea if you had NO formal medical training. But lets assume the worst case scenario here, you are in a area that is hundreds of miles away from the nearest hospital. You have a compatible kidney match, but the doctor on hand has been killed. If given the choice beteewn trying to flip between medical texts and seeing a guide, I'd ALWAYS chose the guide.

      --
      Restore the madness of youth's lechery
    3. Re: At least its an option. by Anonymous Coward · · Score: 0

      Am a doctor, working 8.5 years. Trained in surgery for 5 years. Your patient would certainly die, probably soon after opening the abdomen. I think you misunderstand the magnitude of training required.

    4. Re: At least its an option. by Anonymous Coward · · Score: 0

      Indeed, I cannot even see the case for patch (if you lucky) your patient to allow enough time where it can be treated in a hospital (wich he will have to go anyway)

      In the other hand if your purpose is to collect product to be sold to wealthy patients doctors....you should probably manage enough quality after your fourth homeless donor
      We are not going to allow the Israelis to keep the whole business to themselves, are we?

    5. Re: At least its an option. by jedidiah · · Score: 1

      If you are just harvesting organs, you don't need any more skill than the average butcher. Although you probably do need to maintain some serious discipline regarding contamination of the organs. Again, the "surgical skills" are just the tip of the iceberg and are really aren't the main problem.

      --
      A Pirate and a Puritan look the same on a balance sheet.
  4. A Living Donor's viewpoint by linuxgurugamer · · Score: 3, Informative

    Last June I donated one of my kidneys to someone I didn't know. It saved his life.

    Currently, there are over 93,000 people on the kidney transplant waiting list. The wait for a deceased donor could be 5 years, and in some states, it is closer to 10 years. Patients are prioritized by how long they’ve been on the waiting list, their blood type, immune system activity and other factors. 80% of the people on the waiting list are on kidney dialysis. The longer a person is on dialysis and has to wait for a transplant, the short and long term success rates are negatively affected. On average, receiving a kidney transplant can double someone’s life expectancy.

      Each day, 18 Americans die waiting for an organ transplant.

    Please consider donating your kidneys after death, it can save lives. Better yet, consider doing a living donation such as what I did. All medical costs are covered by the recipient's insurance company. The results after a living donation are much better than after a post-mortum donation.

    While the risks are not zero, they are about the lowest you can expect for any major surgery you can undergo as a donor

    1. Re:A Living Donor's viewpoint by ArylAkamov · · Score: 1

      How was recovery?

      Short/long term side effects?

      Anything you could do before you cannot or should not do now?

    2. Re:A Living Donor's viewpoint by Opportunist · · Score: 1

      Anything you could do before you cannot or should not do now?

      Umm... donate a kidney, I'd assume?

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    3. Re:A Living Donor's viewpoint by linuxgurugamer · · Score: 3, Interesting

      Fully recovered, no restrictions on anything. I was out of work for 4 weeks, and took a few more weeks to fully recover.

      Interesting sidenote: I went in for a post-donation checkup, and my doctor felt a very small lump in my throat. it was checked out, and turned out to be a very early thyroid cancer. I had surgery on 2/29 to remove my thyroid, and have fully recovered from that. The tumor was extremely small, would not have been found except for the kidney donation. I have to be on thyroid medication for life, but I can live with that.

      So, looking at it, I can say that donating a kidney saved two lives: the recipient and my own.

    4. Re:A Living Donor's viewpoint by Anonymous Coward · · Score: 0

      Please consider donating your kidneys after death, it can save lives.

      The conditions under which organs can be accepted upon death are pretty restricted; you basically need to die in a hospital and have the organ removed in short order thereafter. So the pool of available people is more limited than those willing.

    5. Re:A Living Donor's viewpoint by Anonymous Coward · · Score: 0

      You story seems false because you are omitting some important details. There is no way in the hell you just walked into an ER one day and said "hey, take my kidney right now in case somebody might need it!".

    6. Re:A Living Donor's viewpoint by BarbaraHudson · · Score: 1

      Don't be stupid. You sign up to donate your kidney, you're tested for suitability and compatibility, and when someone who needs a kidney matches you, they call you in.

      --
      "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
    7. Re:A Living Donor's viewpoint by Anonymous Coward · · Score: 0

      Thankfully many healthy teenagers like driving cars and motorbikes while intoxicated. Their contribution is greatly appreciated.

    8. Re:A Living Donor's viewpoint by Anonymous Coward · · Score: 0

      I would, but I'm legally barred from donating any part of my body because I'm gay. I wonder how they test for that in a post mortem donation. Should I carry a card?

    9. Re:A Living Donor's viewpoint by Anonymous Coward · · Score: 0

      The results after a living donation are much better than after a post-mortum donation.

      Especially for the donor

  5. This is just republicans.... by Anonymous Coward · · Score: -1

    trying to ruin healthcare.

    1. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      That's been their goal for decades.

    2. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      That's just how they be.

    3. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      Republicans want a free market for healthcare which endangers everyone. The more unqualified people you allow into medical school, the more unqualified doctors you have.

    4. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      Their goal is to endanger all of us.

    5. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      And by meeting the demand for doctors, the average quality of doctors goes down. That's why it's important to not increase the number of medical schools. They succeeded in adding one the past two generations, and that is just too many.

    6. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      This. There are already too many doctors.

    7. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      But but those republicans said the free market would fix everything.

    8. Re: This is just republicans.... by linuxgurugamer · · Score: 1

      This doesn't make sense. Why not increase the number of medical schools to increase the supply of good doctors?

    9. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      Florida State's medical school is horrible. Those republicans are endangering everyone with it.

    10. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      That is part of their platform.

    11. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      The free market never fixes a damn thing.

    12. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      There's a reason the AmA opposes all new medical schools, and why we've only had one new one in two generations. There just aren't enough good candidates, but those republicans refuse to recognize that.

    13. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      Idaho is shoving a new medical school down our throats in 2018. That will endanger the lives of the entire northwest.

    14. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      Fortunately the hospital system I work in IT for has decided against hiring any doctors from Idaho for the next twenty-five years.

    15. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      We rank 49th in the number of doctors per capita, but unfortunately the republicans decided to flood the streets with unqualified doctors rather than addressing the real problem.

    16. Re: This is just republicans.... by vivian · · Score: 1

      Why is medical care so expensive in the US?
      Why do we keep hearing about doctors in hospitals working on average 74 hours a week (down from 105 a week) https://www.sharecare.com/heal...
      Doesn't sound like there are too many doctors to me.

    17. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      There are already more open medical school openings than qualified candidates.

    18. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      More unqualified surgeons is what this brings.

    19. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      The greatly reduced hours are a consequence of those republicans flooding the market with doctors in order to reduce their pay.

    20. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      This. They have Hong more supply will reduce prices.

    21. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      YouTube doctors are a danger to us all.

    22. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      And the Tepublicans are adding one in 2018! That will hurt healthcare.

    23. Re: This is just republicans.... by Opportunist · · Score: 1

      But more competition is healthy, and it will drive costs down. You can choose to either have a new doctor using old instruments or an old doctor using new instruments.

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    24. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      You sound like a republican in that you believe in supply and demand.

    25. Re: This is just republicans.... by Applehu+Akbar · · Score: 1

      Gee, somebody is afraid of a little competition, itching to return to the days when the AMA manipulated down the number of med school places.

    26. Re:This is just republicans.... by Anonymous Coward · · Score: 0

      But just wait until they need it

    27. Re: This is just republicans.... by Anonymous Coward · · Score: 0

      How can that be? Isn't it more likely a lack of visas for qualified candidates?

    28. Re: This is just republicans.... by vivian · · Score: 1

      The market is very far from flooded, if the average hospital doctor is still working 74 hours a week.

      74 hours a week is still way too many - the usual working week is 40 hours or so - 8 hours per day, leaving 8 for what is considered a healthy level of sleep, and 4 hours before and after to get ready, eat and go to work, get home eat a proper meal and get sufficient rest.

      you wouldn't want to fly in a plane that was piloted by an overworked and tired pilot - that was doing double the normal hours, so why is it ok to have the average hospital doctor make life and death decisions with double a normal workload?

    29. Re: This is just republicans.... by jedidiah · · Score: 1

      > Why is medical care so expensive in the US?

      It's not. People intentionally confuse billing rates with amounts that are actually paid.

      We also don't run the system at "100% load". There's some slack in the system that allows for timely medical care that often isn't possible in countries with "better medical care".

      --
      A Pirate and a Puritan look the same on a balance sheet.
    30. Re: This is just republicans.... by jedidiah · · Score: 1

      That's silly? Why would only Republicans believe in something basic like supply in demand. NOBODY works for free. Do you? Then why do you expect a doctor too, or a nurse, or an orderly?

      If there isn't some reasonable expectation that they're going to get PAID, they aren't going to do diddly for you. That's why there's a Junior Doctor's strike brewing in the NHS.

      Stuff isn't going to be made for you to leech off of if someone can't get rich off it first. Progress needs greed to feed on. This is why the Soviet Union collapsed and China backed off of total socialism.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    31. Re: This is just republicans.... by jedidiah · · Score: 1

      ...sounds like a classic case of "treating the number" rather than the disease. This leads to overdiagnosis of any number of things in the US. The relevant question isn't "how many doctors do you have" but how long to you have to wait to be seen?

      When you can see a specialist the next day, even on a weekend, then there's probably not a shortage.

      --
      A Pirate and a Puritan look the same on a balance sheet.
  6. But but but by Anonymous Coward · · Score: 0

    it's the future and stuff, I thought we just swallow a nano 3D printer and when it finds the right spot you just download a kidney?

  7. 13 Doctors? by wonkey_monkey · · Score: 1

    Taught by 13 doctors

    A grumpy old geezer, a shabby-looking chap with a recorder, a dandy, a Bohemian...

    --
    systemd is Roko's Basilisk.
    1. Re:13 Doctors? by fahrbot-bot · · Score: 1

      Taught by 13 doctors

      A grumpy old geezer, a shabby-looking chap with a recorder, a dandy, a Bohemian...

      This Tuesday on a all-new House MD - one of my favorite comics.

      --
      It must have been something you assimilated. . . .
  8. rofl by Anonymous Coward · · Score: 0

    humanity's last ditch effort to gamify everything before the civilization will be taken over by AI...
    stream Doom, it's better than brain surgery...

  9. Missing information. by fahrbot-bot · · Score: 4, Funny

    (a) Which motels are best for this type of surgery?
    (b) How much ice does a typical motel bathtub hold?

    I'm asking for a friend.

    --
    It must have been something you assimilated. . . .
    1. Re:Missing information. by Opportunist · · Score: 1

      (a) Any near a highway so you can easily get away... I mean access it.
      (b) Two or three buckets usually do. You do not want to endanger your victi...patient by hypothermia.

      I read a lot, ya know...

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    2. Re:Missing information. by Anonymous Coward · · Score: 0

      Does your friend already have a donor or is he still cruising?

    3. Re:Missing information. by Anonymous Coward · · Score: 0

      you forgot also
      (c) how to deal with a homeless corpse
      You may never know when you may find one in a highway motel

  10. Cultural literacy by Okian+Warrior · · Score: 1

    Yeah, just what we need, a bunch of amateur surgeon junkies out there in Central Park stealing kidneys for a fix. This is like a course in making bombs.

    On the contrary.

    As an adult in society, how can I decide whether to agree with a government pronouncement unless I have the relevant information?

    How can I know whether a law is needed, whether the technical claims of a company (looking for investment) are feasible, whether some claim to the safety of our nation is credible, or whether some risk is worth worrying about unless I have the information?

    I don't expect to be making bombs, but knowing the basic premise allows me to judge whether the reasoning behind the TSA ban on liquids is a lie.

    I don't expect to be making X-ray machines, but the basic information allows me to judge how much danger there is in a backscatter scan.

    I don't expect to be breaking computer security, but knowing the basic techniques allows me to secure my system and detect government overreach.

    Of course not everyone has the bandwidth and interest to become informed on all these issues, but for any single issue *some* people will be interested enough to become informed.

    Those same people might have an insightful post on, say, a tech website, their conclusions might be echoed by others who have come to the same conclusion, and the ideas espoused might inform many others.

    Really.

    The idea that information should be suppressed because bad people might misuse it is stupid.

    There are many, *many* more people who would use the information for good, rather than evil.

    1. Re:Cultural literacy by Shoten · · Score: 1

      Oh, I'm not so sure. I believe that this will be the scourge of unicorns everywhere...especially ones named "Charlie."

      --

      For your security, this post has been encrypted with ROT-13, twice.
  11. Do they start with... by Anonymous Coward · · Score: 0

    1. Find a hotel
    2. Fill tub with ice water
    3. Ensure patient is still drugged ...

  12. Kidney matter by Anonymous Coward · · Score: 0

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