Bring Him Now: Transplant Teams Bring Together ‘Mayo Clinic at Its Finest’ For Young Patient

<img class="alignnone size-full wp-image-35271" src="https://mdthinks.com/wp-content/uploads/2017/12/bring-him-now-transplant-teams-bring-together-mayo-clinic-at-its-finest-for-young-patient.jpg" alt=" When Maksim Messerer's renal function declined suddenly and unexpectedly, Mayo's surgical staff The clinic quickly reunited to perform his kidney transplant with several weeks in advance. "Width =" 805 "height =" 453 "/>

When the renal function of 4-year-old Maksim Messerer unexpectedly and unexpectedly declined, the Mayo Clinic's surgical staff met quickly for a kidney transplant several weeks ahead of schedule.

New Year's Eve is meant to be a time of celebration and hope. But for Jeremiah and Rachael Messerer on December 31, 2014, was anything but festive. As people from around the world gathered to celebrate the new year, Jeremiah and Rachael were in a pediatric intensive care unit in Minneapolis, Minnesota, with their young son, Maksim.

Admitted for severe lethargy and dehydration Maksim's rapidly worsened instead of improving. The doctors discovered that he had been infected with E. coli who then suddenly progressed to Hemolytic Uremic Syndrome and Renal Failure .

"He started peritoneal dialysis the next day," says Jeremiah. "A week later, he entered septic shock and was intubated, he was in a very critical condition and his doctors were very worried."

So were his parents. And this worry would only grow when Maksim was taken for major surgery on his abdomen, during which most of his large intestine was removed. "At that time, he was also switched to hemodialysis ," says Jeremiah.

After spending nearly three months in the hospital, Maksim was allowed to return home. During the next year, however, he would return to the hospital three times a week for dialysis. And it is during this time that we started talking about a kidney transplant .

"It seemed pretty obvious early in his recovery that a kidney transplant was going to be in his future," says Jeremiah.

A search for the best match

With this prognosis in mind, Jeremiah and Rachael began looking in the country for the best transplant center for Maksim. It was a long and exhaustive process that eventually led to two finalists, including Mayo Clinic.

"After doing an evaluation of the transplant at Mayo, we had a very strong sense of the team," says Jeremiah. "They listened to all our concerns and were willing to work with us and collectively consider what was the best treatment plan for Maksim."

What ended up selling Jeremiah and Rachael at the Mayo Clinic, however, was a transplant surgeon Mikel Prieto, MD Jeremiah says the level of care and compassion shown to them by Dr. Prieto a few minutes after their first meeting, this is what made them realize that their search for a transplant center and a transplant surgeon had ended

.

"We had a very strong sense of the team, they listened to all our concerns and were willing to work with us and collectively consider the best treatment plan for Maksim." – Jeremiah Messerer

"We had seen a lot of doctors before coming to Mayo, and in the 10 minutes following the meeting with Dr. Prieto, he gave us his card with his cell number," says Jeremiah. "It's the level of care and compassion that he has for his patients."

At the time of their meeting with Dr. Prieto, Jeremiah had already undergone a full donor kidney assessment in another health facility that had determined that it was a match for Maksim. When three days of testing at the Mayo Clinic confirmed this, Jeremiah said that he felt a wave of instant relief.

"It was a huge relief to find that when it comes time to transplant, we were not necessarily looking for a donor," he says.

A sudden turn of events

Jeremiah being officially recognized as a donor, Dr. Prieto programmed Maksim's kidney transplant for July 18, 2017. It could have happened earlier, but Rachael was to give birth to the third child in June. She had wanted a little time to recover before going down the transplant route with Maksim.

Unfortunately, these plans would all change. Initially, Maksim had required dialysis for 18 months after admission to the Minneapolis Hospital. Then, for no clear reason, her kidneys recovered just enough so that her body could function without her. However, Maksim's health care providers warned the family that this would not last forever. It was only a matter of time before Maksim again needed dialysis. At the end of June 2017, as expected, the renal function of Maksim declined to the point that dialysis would be necessary.

Dr. Cramer who is a nephrologist in pediatric transplantation here at Mayo Clinic, called me and said Maksim was not doing very well and that his kidney function was not going well function. three more weeks, "says Dr. Prieto." He said that Maksim would have to start dialysis very soon. "

The only other option would be to move the date of transplantation. There was just one problem. Dr. Cramer's call came on a Monday, and Dr. Prieto was to be away for two and a half weeks, starting later that same week. This did not stop him from putting Maksim's needs first.

"All this was supposed to happen on July 18. But I had been told that Maksim was not going to arrive on July 18, so I said," OK, let's bring the family to Mayo. Clinic now. "It was in the evening," says Dr. Prieto. "I said," Let's call the family and see if they are ready to see their life turned upside down like that so suddenly. "We We called and said, "If you can come here tomorrow, we can do the Maksim transplant tomorrow." "

After a brief discussion, Jeremiah and Rachael were there: "After praying and discussing, we decided to go ahead, the next morning we were on the road to Rochester around 9:30 am"

A plan in place

Meanwhile, back at the Mayo Clinic, plans were underway for their arrival. "It's important to understand that when we called the family for the first time, nothing was planned," says Dr. Prieto. "No operating rooms, no surgical teams … nothing."

It all started to change with a call to Cheryl Christopherson, head of surgical services.

"Everyone was so phenomenal and so well united." – Cheryl Christopherson

"Dr. Prieto always calls me when he gets acquainted with a kid who needs a kidney transplant," says Christopherson. "When he spoke to me about Maksim, I knew that I was going to need two operating rooms – one for Maksim and one for his father."

Cheryl told Dr. Prieto that she could get there and started working on the phone lines.

<img class="alignright wp-image-35236" src="https://mdthinks.com/wp-content/uploads/2017/12/1512812207_37_bring-him-now-transplant-teams-bring-together-mayo-clinic-at-its-finest-for-young-patient.jpg" alt=" When the renal function of four-year-old Maksim Messerer unexpectedly and unexpectedly declined, the Mayo Clinic's surgical staff met quickly for a kidney transplant several weeks before the date planned. "Width =" 280 "height =" 338 "/> " Everyone was so phenomenal and so well together, "she says," I said, "Here's the case, we We have this little guy, and we have planned his transplant, but now we have to do it today, and everyone said OK. What should we do to help? ""

The answer to this question, says Dr. Prieto, was to come together in one Mayo Clinic with little or no warning.

"I asked St. Marys Hospital to give me two operating rooms, and they opened me the doors without prior planning, then six or seven people from the hospital. Methodist hospital accompanied Saint Marys for the procedures. " Prieto said. "We had to have something like 30 people involved in all of this, we had to have two anesthesia teams, two nursing teams, two operating room teams, Methodists who were working with me regularly on adults with people from Saint Marys. We work regularly with the children and we managed to get these two teams together in a few hours, so that when Maksim and his father arrived, we would be ready. "

And they were there. "We arrived at the Mayo Clinic around 11:30 am and the admission desk was waiting for us by name," says Jeremiah. "After our arrival, they took us pre-operatively and put Maksim and me in adjacent rooms, then there was a wave of pre-operative activities from there, I went into the operating room in one hour to one hour. half to get to Rochester. "

A Deployment of Excellence

It was then that Dr. Prieto and his surgical teams took over. "I did the operation on Jeremiah from 1:30 pm," he says. "Then, I did the transplant on Maksim, we are done with everything that happened at 6:30 that night, they both did good."

More importantly, they both continue to do well, which is a result Jeremiah and Rachael can not be more grateful for.

"We really can not express our gratitude for the speed with which all this has happened," says Jeremiah. "We feel really blessed that everything worked like it did because we know it was the right thing for Maksim."

"My first call to the operating room was made the same morning to tell them that I would like to do it and they said yes, so we were able to build a team of 30 People for Everything is done, and for me, it's Mayo Clinic at its best. "- Mikel Prieto, MD

Everything worked like that, says Dr. Prieto, because the only interest in all of this was Maksim's.

"To bring together two operating teams of virtually nothing … my first call to the operating room was made the same morning to tell them that I would like to do that," says Dr. Prieto . "And they said yes, so we were able to put together a team of 30 people to finish everything, which I think is the Mayo Clinic at its best."

This is a feeling with which Dr. Cramer fully agrees.

"Everywhere else they would have put Maksim on dialysis and would have waited for the date of the transplant," he says. "That would certainly have been the path of least resistance for us too, but we felt that if we could avoid all that, then it would certainly be in his best interest."

USEFUL LINKS

Tags: Cheryl Christopherson Dr. Carl Cramer Dr. Mikel Prieto Kidney Transplantation Center for transplant of the Mayo Clinic Transplantation

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