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2008 – 2017 Adaptogeny .
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 After five years' effort, dialysis units were accepting only 500 patients a year out of an estimated potential three times that size. Once patients were on treatment they were there for years, blocking the units for new cases. Expansion of transplant facilities was urgently required, for a successful transplant removed the need for regular dialysis, made a place available for another patient and was probably cheaper in the long run. Kidneys were scarce. A national organ matching and distribution service was established in 1972 and it was found that many first transplants rapidly failed, probably reflecting the low quality of donor kidneys. 82 Increasingly, kidneys from living donors, often relatives, were used. The results were better and the effect of removal of a kidney from an otherwise healthy person was negligible. 83 Antony Wing, a nephrologist at St Thomas' Hospital, produced a graph showing a relationship between the total number of renal patients on programmes in different countries and the gross national product of each. The prospect of survival apparently depended on the economic productivity of the country of residence. 84 Dialysis and transplantation were now both established procedures and were interrelated. Neither could stand alone, for patients might need to move from one treatment to another, if for example a transplant failed. 85

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