At the inspiring launch of Dr. Viney Kirpal’s book “New Life. New Beginnings,” veteran transplant nephrologist Dr. Sundar shared his deep experience and vision for kidney transplantation in India. His message weaved together science, hope, statistics, and humanity, offering lessons for all—patients, caregivers, policy makers, and the broader community.
The Evolution of Kidney Transplantation in India
Dr. Sundar began by reflecting on the roots of kidney transplantation, from India’s first surgery in Vellore in 1971 to today’s advanced practices and the world’s progression since its historic beginning in Boston in 1954. He underlined how vital kidneys are, not just for purifying blood, but for supporting bone health, fluid balance, and more.
The Changing Face of Kidney Failure
Over the decades, Dr. Sundar has witnessed diabetes rise to become the lead cause of kidney failure—now accounting for over half of all transplant cases, compared to fewer than 1% forty years ago. He explained the stark difference between acute (often reversible) and chronic (irreversible) kidney issues, with end-stage patients relying on either ongoing dialysis or transplantation for survival.
Dialysis vs. Transplant: The Hard Truths
Dr. Sundar candidly described dialysis as a lifeline, but a limited one: “if you take 100 patients on dialysis today, in 10 years’ time, 90 are dead—even in the best centers; with transplant, 90 are doing well.” Transplantation, he emphasized, allows people to not just survive, but thrive—building families and leading full lives.
A Lifetime Commitment and the Power of Teamwork
He reminded the audience that a kidney transplant’s success requires lifelong dedication: some grafts may fail quickly, while others can last 40 years or more. “Transplant patients are married to the transplant team for life,” he remarked, noting the importance of ongoing care and mutual trust.
Championing Donor Heroes and Policy Change
Dr. Sundar passionately advocated for more support and recognition of donors, calling them the “real heroes.” He urged for a unified national law to make organ donation more accessible and to ensure parity for living and deceased donors alike. He called for donor compensation, streamlined permissions, and systemic policy support.
A Look to the Future: Technology, AI, and Beyond
The field is rapidly advancing, Dr. Sundar noted, highlighting improvements in organ preservation, the introduction of mechanical and artificial organs, and the adoption of AI in organ matching and monitoring. He predicted a future of robotic surgeries, transgenic donor organs, and technological leaps that will make transplantation safer and more effective for generations to come.
Humanity and Hope at the Heart of Donation
Beyond science and medicine, Dr. Sundar reminded everyone that organ donation is “one human being giving life to another.” He called for positivity, open communication between patient and doctor, and for every individual to step forward as a potential donor—“be a hero, save lives.” He also advocated for better insurance and healthcare support for recipients and donors, ensuring no one is left behind.