You should be able to attend to your office work after 4-6 weeks. You can expect to be fully rehabilitated after 3 months.

AFTER YOUR TRANSPLANT: DO'S
Please follow your Nephrologist's orders diligently. Only a renal physician will know what medicines can be given safely and those that may endanger the transplanted kidney.

• Do clarify any doubts, difficulties with your Nephrologist. Even those complaints that you may think are trivial may, if unattended, cause adverse effects.
• Do drink large quantities of water - about 3-4 ltr / day.
• Do eat clean food and drink boiled, cooled water.
• Do take all medicines at the correct times as indicated by your Nephrologist. Failure to lake medicines at the proper time, or missing even a single dose could cause the body to reject the transplanted kidney.
• Do come for follow-up on the exact date mentioned. Get the following investigations done every month - CBC, urine routine, BUN, Sr. Creatinine, Blood Sugar, LFT.
• Do get the following tests done every 6 months - chest X-ray,24 hour urine protein, Doppler ultrasound of transplant kidney and blood cyclosporine levels, If you do not check kidney functions as advised, you may miss early signs of rejection. Early rejection can be treated successfully, most often, but not in the late stage.
• Do exercise regularly, and keep your weight in check. Failure to maintain" ideal weight can result in the dosage of Cyclosporine being inadequate, and can consequently cause rejection of the transplanted kidney.

AFTER YOUR TRANSPLANT: DONT'S

• Don’t eat at Hotels / restaurants which are unclean. Eating unhygenically cooked food can cause infections, which can become life threatening.
• Don’t eat at wayside shops.
• Don’t gain too much weight.
• Don’t drink alcohol or smoke. Drugs like azathioprine (Azoran) and predinisolone are toxic to the liver. Alcohol, too, affects the liver, and therefore, should he avoided.
• Don’t skip meals if you are a diabetic.
• Don’t become pregnant for 2-3 years. Pregnancy is associated with higher rate of rejection, and should be avoided.
• Don’t take medicines without consulting your nephrologist.
• Don’t take medicines containing non-steroidal anti-inflammatory, drugs-ibuprofen, aspirin, indomethacin, ketoprofen or antibiotics like gent amicin, tobramycin, amikacin, etc. These drugs are toxic to The transplanted kidney and can cause kidney damage.

KANTI'S IMMUNIZATION SCHEDULE

FIRST VISIT: 2 vials ( 40mcg ) Hep B Vaccine *
IM TO DELTOID REGION ONLY
1 Vial ( 150 mcg) Leucomax S.C. ONLY

SECOND VISIT : ( ONE MONTH LATER )
TEST FOR ANTI BODY TITERS
2 Vials ( 40 mcg) Hep B Vaccine *
IM TO DELTOID REGION ONLY

THIRD VISIT : (ONE MONTH AFTER 2ND VISIT)
2 Vials (40 mcg) Hep B Vaccine *
IM TO DELTOID REGION ONLY

FOURTH VISIT : ( SIX MONTHS AFTER 2ND VISIT )
TEST FOR ANTI BODY TITERS
2 Vials ( 40 mcg) Hep B Vaccine *

* Please check with your nephrologist about the brand to be used.

KANTI'S ERYTHROP0IETIN SCHEDULE

The quality of your dialysis can be enhanced by improving your haemoglobin level to abut 10 to 12 g/dl.This will also help you to he better prepared for your kidney transplant.
- INJ. ERYTHROP0IETIN * 4000 UNITS
SUBCUT. TWICE WEEKLY POST-HAEMODICALYSIS

- INJ. VENOFER (IRON SUCROSE ) 2 AMPS
I.V. INFUSION IN 100 ML. SALINE OVER 1 HOUR
ONCE WEEKLY
* Please check with your nephrologist about the brand of erythropoietin to be used.