Q: My brother-in-law, aged 30 years, has been suffering from grade three chronic renal failure due to hypertension since 40 days. He is on ventilators and every alternate day dialysis is being done. He is also suffering from pneumonitis in both lungs. His blood urea and serum creatinine values are ranging from 45 to 145 and 2.3 to 5.6 after and before dialysis with a urine output of 170 to 300 ml per day. Can he undergo kidney transplantation now?

A:For kidney transplantation, an elective procedure, patient should be in a good medical, physical and mental condition. At this point of time, it seems your brother-in-law is quite sick with pneumonia and is on ventilator. He is at present too sick to be considered for transplant. He should be off the ventilator, pneumonia cured and as I emphasised earlier, medically fit for such a procedure. I do not think this is an option at this stage.