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(10 floors) became my primary mode of
         exercise… I remember climbing them three
         to four times a day.
          We had repeated meetings with the
         physicians and surgeons, explaining the
         finer points of the procedure— the time it
         would take, details like the percentage of
         liver resected, the recovery time.
          Then, of course, is the other part… all
         the legal formalities. There was a lot of
         paperwork to be done, permissions, consent         My surgery lasted around 12 hours (Representative
         from the families of the donor and recipient,      photograph)
         recorded on video. Our family members               I regained consciousness when they
         were on their toes, trying to, and finally         wheeled me out of the operation theatre, to
         succeeding, in getting all the paperwork in        see my family and close friends all there. I
         order.                                             was told, later, that they all had been there
          After the grueling two weeks, we repeated         all through the surgery.
         an MRI to check the LAI (liver attenuation          The first night post-surgery was painful
         index), one of the parameters to check fatty       and had me asking for a painkiller almost
         infiltration of the liver, and it was found to     every two hours. It became more tolerable
         be within normal limits (6).                       over the next two days. I also had to
          By this time, Papa was medically critical,        undergo physiotherapy, practise breathing
         the pleural effusion requiring tapping             exercises, and try walking with a straight
         almost daily. His liver function tests             back, which was most difficult.
         (bilirubin, SGOT/PT,) were all very high. A         What made it all worthwhile was seeing
         reversed Albumin: Globulin ratio meant he          my father, in the opposite room, getting
         had oedema in the limbs too. Therefore, the        back to his old self… able to consume food
         transplant team and physicians decided to          without any salt restrictions, no limit to the
         go ahead with the surgery immediately.             fluids he could take.
          I was asked to be NBM (nil by mouth or             I got a discharge after eight days. It took
         fasting) for 12 hours pre-surgery. Though          almost a month to recover… walk properly,
         apprehensive, I managed a few hours of             breathe without a catch, and eat more than
         sleep, before the nurse came to prep me for        a few mouthfuls. My father’s recovery
         the surgery at 4 am in the morning… it was         was quicker, as they say it is always the
         a Sunday. I was wheeled in for surgery at          case. But we all attended a close relative’s
         about six in the morning.                          wedding at the end of two months post-
          I was required to take an epidural                surgery.
         anesthesia, as well as a general.                   We had follow up appointments with
          The surgery lasted around 12 hours. They          the doctors every month. The livers, both
         transplanted about 60 % of my liver, as            of them, grew to almost their normal size
         was explained to us earlier. My gall bladder       within three months.
         was also resected, as it was anatomically in        It’s now almost seven years… my father is
         the way of the incision.                           practising just as before. And so am I.


        SENIORS TODAY | ISSUE #27 | SEPTEMBER 2021                                                          29
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