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Chicago man receives kidney transplant while fully awake, goes home very next day

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Chicago man receives kidney transplant while fully awake, goes home very next day

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Kidney transplants are not uncommon — the kidney is actually the most frequently transplanted organ in the U.S. — but a Chicago man recently received his in a highly unusual way.

John Nicholas, 28, was awake during the entire procedure, which was performed on May 24 at Northwestern Medicine Hospital. He was discharged the very next day.

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Doctors administered a spinal anesthesia shot — similar to what is used for a Cesarean section — instead of general anesthesia, according to a press release from the hospital.

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“This is the first case at Northwestern Medicine where a patient was awake during an entire kidney transplant procedure and went home the next day, basically making this an outpatient procedure,” said Satish Nadig, M.D., PhD, transplant surgeon and director of the Northwestern Medicine Comprehensive Transplant Center, in the release. 

“Inside the operating room, it was an incredible experience being able to show a patient what their new kidney looked like before placing it inside the body,” he added. 

John Nicholas, the patient, is pictured with his surgeons in the operating room after completion of the kidney transplant. (Northwestern Medicine)

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“It was incredibly simple and uneventful.”

This type of “awake transplant” could reduce surgical risks and shorten the length of the patient’s hospitalization, doctors say.

“It was an incredible experience, being able to show a patient what their new kidney looked like before placing it inside the body.”

It could also increase access to care for patients who are considered high-risk or have phobias surrounding general anesthesia.

Ideal candidate

Nicholas’ surgery took about two hours, according to the hospital.

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He was considered an ideal patient for awake surgery due to his young age, his otherwise good health and his “eagerness to participate,” per the release.

John Nicholas

John Nicholas is pictured awake during his kidney transplant in late May. (Northwestern Medicine)

“It was a pretty cool experience to know what was happening in real time and be aware of the magnitude of what they were doing,” said Nicholas in a statement to Northwestern. 

“At one point during surgery, I recall asking, ‘Should I be expecting the spinal anesthesia to kick in?’ They had already been doing a lot of work and I had been completely oblivious to that fact. Truly, no sensation whatsoever.”

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Although Nicholas did receive sedation for comfort, he said he was still aware of what was going on. 

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“Especially when they called out my name and told me about certain milestones they had reached,” he noted.

John Nicholas with doctors

Nicholas, center, is pictured after surgery with Dr. Vicente Garcia Tomas, his anesthesiologist, at left, and Dr. Nadig, transplant surgeon, at right.  (Northwestern Medicine)

Nicholas walked out of the hospital on May 25, the day after surgery.

With typical kidney transplants, the recipient remains in the hospital for two to three days.

Saved by a friend

Nicholas’ kidney issues began at age 16 when he was diagnosed with Crohn’s disease, the release stated.

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After a few years of managing the condition with medication, his kidney function worsened and he required a transplant.

Nicholas’ mother originally planned to donate her kidney, but a breast cancer diagnosis prevented her from doing so, the hospital relayed.

John Nicholas and Pat Wise

Nicholas, at left, is pictured with his donor and best friend, Pat Wise, after surgery. (Northwestern Medicine)

It was Nicholas’ best friend from elementary school, 29-year-old Pat Wise in Alexandria, Virginia, who ultimately donated the life-saving kidney.

‘Another tool in our toolbelt’

Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was not involved in the surgery but shared his input.

“My opinion is that in most cases, spinal anesthesia presents a reasonable alternative for those at high risk of general anesthesia complications,” Siegel told Fox News Digital. 

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John Nicholas during surgery

Nicholas is pictured awake with his care team during his kidney transplant surgery. (Northwestern Medicine)

“Having said that, general anesthesia would be preferred whenever possible for major surgery like this,” said Dr. Siegel, “because control of the airway and breathing is essential, and is much easier if the patient is asleep and on the ventilator.”

  

The doctors at Northwestern credit the patient for helping to advance the field of transplant medicine.

John Nicholas with donor, Pat Wise

Nicholas, left, and donor Wise are pictured at a press conference after the surgery. (Northwestern Medicine)

“When John agreed to be the first known patient at Northwestern Medicine to undergo an awake kidney transplant and be discharged home the next day, he knew the benefits outweighed the risks, and … he’s now helping to move the field of transplantation forward,” said Vinayak Rohan, M.D., transplant surgeon at Northwestern Memorial Hospital, in the release. 

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“He is an extremely compliant patient who was in tune with his body and willing to push the envelope,” stressing that the patient had faith in the doctors and they, in turn, had faith in him.  

John Nicholas with care team

Nicholas, center, is pictured with his entire care team. “He’s now helping to move the field of transplantation forward,” a surgeon said about the patient. (Northwestern Medicine)

The hospital now plans to establish the AWAKE Program (Accelerated Surgery Without General Anesthesia in Kidney Transplantation) for patients who want or need to pursue surgery without general anesthesia.

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“It really opens up a whole new door and is another tool in our toolbelt for the field of transplantation,” Nadig added.

Fox News Digital reached out to Northwestern Medical for additional input.

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Childhood medical myths debunked as experts weigh in on 5 common warnings

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Mothers might know best, but it’s not always easy to separate fact from fiction when it comes to health advice.

A new report from University of California San Francisco (UCSF) Health has broken down several common wellness myths that children often hear while growing up.

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Fox News Digital spoke with experts who revealed the truth behind common medical misconceptions.

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Here are five.

Myth 1. Ginger ale relieves stomach aches

While actual ginger can help ease a stomach ache, most commercial ginger ales don’t actually contain the real thing, Michelle Jaelin, a registered dietitian practicing in Ontario, Canada, told Fox News Digital.

A new report from University of California San Francisco (UCSF) Health reveals the truth about several common wellness myths that children often hear while growing up. (iStock)

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This childhood myth persists as parents give ginger ale to children because it’s sweet and bubbly, she said.

“It makes parents feel better that they are doing something for their child when they aren’t feeling well, and the myth persisted as a drink that helps a stomach ache,” Jaelin said.

The carbonated beverages could actually make the stomach pain even worse by increasing gas in the digestive tract, according to Healthline’s website.

Kid eating chicken soup

Chicken soup has been viewed as a popular cold remedy since at least the 12th century, according to the National Institutes of Health (NIH). (iStock)

Drinks with real ginger also tend to contain excess added sugar, experts said – essentially the equivalent of soda that may worsen stomach pain. 

Myth 2. Gum stays in your stomach for seven years

“Swallowed gum does not stay in your stomach for [seven] years, as the myths suggest,” Su-Nui Escobar, a registered dietitian based in Miami, Florida, told Fox News Digital.

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“While swallowing gum is not recommended, if you do so accidentally, you will likely pass it like any other indigestible food.”

ASK A DOCTOR: ‘IS IT DANGEROUS TO SWALLOW GUM?’

The gum will pass through the stomach within two hours and be excreted in the stool after approximately two to five days, just like other foods, according to the recent UCSF report.

Although chewing gum can stick to many surfaces — including walls or desks — it travels mostly intact through the gastrointestinal tract without sticking to the intestinal walls, the report notes.

Kid chewing gum

“Swallowed gum does not stay in your stomach for [seven] years, as the myths suggest,” an expert told Fox News Digital. (iStock)

But experts still caution against children swallowing gum, because substantial amounts might cause an intestinal blockage, Escobar warned.

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This is a particular concern among children who have underlying constipation, according to Mayo Clinic’s website.

“If you suspect a blockage, seek immediate medical attention,” Escobar advised.

Myth 3. You shouldn’t swim for 30 minutes after eating

As summer kicks into high gear, there is good news for any swimmer itching to get in the water after lunch. Yes, it is usually OK to swim right after you eat.

The myth that you shouldn’t swim immediately after eating stems from a theoretical concern that blood flow will be diverted away from the arms and legs to help digest food, potentially leading to an increased risk of drowning.

“Based on current research, eating before swimming is not affiliated with a risk of drowning, and can be dismissed as a myth.”

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But a comprehensive American Red Cross scientific review on the effects of eating before swimming showed no effect on performance in the water after a meal.

“A recent literature review did not provide any information related to an increased risk of drowning due to consuming food before swimming,” Jodi Jensen, PhD, member of the American Red Cross Scientific Advisory Council in Virginia, told Fox News Digital.

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“There is no supporting evidence from a major medical or safety organization that recommends refraining from eating before engaging in aquatic activities such as swimming,” added Jensen, who is also an assistant professor and aquatics director at Hampton University in Hampton, Virginia.

little-girl-eating-ice-pop-by-pool

“There is no supporting evidence from a major medical or safety organization that recommends refraining from eating before engaging in aquatic activities such as swimming,” an expert told Fox News Digital. (iStock)

“Based on current research, eating before swimming is not affiliated with a risk of drowning, and can be dismissed as a myth.”

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Although study participants experienced “minimal” side effects at different time intervals after eating, some outside experts do recommend waiting a bit after a meal if you plan to swim laps or compete to avoid any stomach cramping or digestive issues.

Myth 4. Chicken soup cures a cold

Chicken soup has been viewed as a popular cold remedy since at least the 12th century, according to the National Institutes of Health (NIH).

ASK A DOCTOR: ‘DOES CHICKEN SOUP REALLY HELP CURE A COLD?’

“Chicken soup is warm and comforting when you’re sick, but it’s not a cure,” Jaelin told Fox News Digital.

“Chicken soup is warm and comforting when you’re sick, but it’s not a cure.”

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“Drinking any hot broth when your sinuses are stuffed can help to clear them out.”

The steam from the chicken broth may relieve a sore throat and congested sinuses, the NIH noted.

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When battling a cold, get plenty of clear fluids to help regulate body temperature and promote improved immune system function, said Jaelin.

“Chicken soup counts toward overall fluid intake,” she added.

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It also helps prevent dehydration and clear out mucus, the NIH noted.

Myth 5. You will ruin your eyes if you sit too close to the TV

Sitting too close to the TV will not damage your eyes, though it may cause eye strain, according to the American Academy of Ophthalmology.

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To prevent eye strain while watching television, experts recommend keeping the room well-lit and taking occasional breaks from the screen.

little-kid-watching-TV

Sitting too close to the television will not damage your eyes, but may cause eye strain, according to the American Academy of Ophthalmology. (iStock)

“Children can focus at very close distances better than adults, and may not develop the same eye strain symptoms,” Nishika Reddy, M.D., assistant professor of ophthalmology at Moran Eye Center’s Midvalley Health Center at University of Utah in Murray, Utah, told Fox News Digital. 

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It may be a red flag, though, if children are watching television too closely, experts warned.

The behavior may indicate an underlying vision issue that should be addressed, the UCSF report noted.

kids-closely-watching-TV

The American Academy of Pediatrics says high-quality digital media can be introduced to children between 18 and 24 months of age (only when supervised by parents or caregivers). The academy also recommends limiting screen time to one hour a day for children ages 2 to 5. (iStock)

“See an eye care provider to perform an eye exam for your child,” Reddy recommended.

A more concerning issue is the indirect effect of too much screen time, according to the report.

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Although experts say there is no one-size-fits-all guideline when it comes to children and screen time, the American Academy of Pediatrics says high-quality digital media can be introduced to children between 18 and 24 months of age (only when supervised by parents or caregivers). 

The academy also recommends limiting screen time to one hour a day for children ages 2 to 5.

Fox News Digital reached out to UCSF for additional comment about its new study.

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