Category Archives: Living Donation

What is the best way to find a donor: My friend just started dialysis. The hospital wait lists seem longer than the average lifespan of someone on dialysis. And I have read the sooner the better. Three potential donors have failed to pass their health screening.

Each family and group of friends has unique ways of interacting in regards to seeking a donor for a kidney patient.  We have a page on our web site that deals with seeking donors (The Big Ask) and being a … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Treatments

If I donate a kidney and the person dies can I have it reattached? What are the chances of having negative health effects like rejection from a reattached kidney?

There are rare instances when the kidney transplant recipient suffers brain death and in such cases, the kidney has been removed and replaced in the donor in cases of living donation.  I am aware of one instance when the kidney … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Living Donation, Transplantation

I had a pyeloplasty in 2006 due to a ureteral pelvic junction (UPJ) obstruction. I am now having pain in my left kidney going down to my groin. I am slightly nauseous. There is no pain while urinating, urine is clear and I do not have a fever. Can the pyeloplasty fail? Or could it be a stone or infection or anything else? I appreciate any advice.

The question that you ask is a urological question.  I am a nephrologist and do not perform surgery and do not deal with diseases of the lower urinary tract.  I suggest that you consult with your primary care physician (PCP) … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney-Related Health Questions, Living Donation, Nephrologist, Symptoms and Side Effects, Treatments, Urological Issues

I’m 37 years old male and awaiting a second transplant as my first transplanted kidney (from an unrelated donor) has stopped functioning after 8 years. I have got registered for a cadaveric kidney and my sister too has volunteered to donate her kidney. We are a 100% HLA match. Her corrected creatinine clearance is 82.5 ml/min/1.73m2 and serum creatinine 0.8 mg/dl and GFR is 76.She is 34 years. She is a healthy person with no diabetes, cholesterol or high BP. My HLA class 1 PRA is 7 % and HLA Class II PRA is 91%. If I were to select between a cadaveric kidney and my sister’s kidney, what would be the best option for me? Is her kidney function sufficient to cater me as well for her, once she donates one kidney?

The question that you ask is very informed and also very complex.  If you opt for a cadaver kidney transplant, your waiting time is likely to be very long, depending on the kidney center where you are listed. The living … Continue reading

Posted in Ask the Doctor, GFR, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Transplantation, Treatments

I would like to donate my kidney.

I suggest that you contact the transplant center in your area to learn if you are a candidate to be a kidney donor.  Each kidney transplant center determines who can and cannot be a kidney donor for their particular program. … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Living Donation

I would like to donate my kidney.

You may be evaluated as a kidney donor by contacting the transplant center in your area and ask to be evaluated.  If you want further information, you can go to our new web page about kidney transplantation and kidney donation. … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Living Donation, Symptoms and Side Effects, Transplantation

Hi I have wanted to donate a kidney for years. I was diagnosed with stage 1B squamous cell lung cancer in 2012. The left upper lobe was removed and I had one dose of chemo which almost killed me. It will be 5 years on Aug 20 2017. Can I donate a kidney or is it to risky? My age is 58 yr old female otherwise in decent health.

It is unlikely that you could be a kidney donor with a history of lung cancer.  It is your right to offer to donate, and each and every transplant center determines who can and cannot be a kidney donor.  There … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Symptoms and Side Effects, Transplantation, Treatments

My brother is awaiting a second kidney transplant. His first transplant was 7 years back. Dr’s are saying his PRA levels are very high. He has HLA Class I PRA -7% and HLA Class II PRA -91% (tests done in Feb 2017) What are options to reduce PRA and can continuous dialysis for some more time reduce PRA? He started dialysis again in Feb this year and he had few blood transfusions in Jan & feb this year.

Panel reactive antibodies (PRA’s) are immune proteins in the blood that are non-specifically directed against potential kidney donors.  In some cases, the exact Human Lymphocyte Antigen (HLA) type can be detected, but in some cases, we do not know the … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Symptoms and Side Effects, Treatments

My brother lives in Dubai and will need a kidney transplant. What do I do and where can I go to find out if I am a match? Thanks.

You will need to contact the transplant center where your brother is registered.  Your brother must first be evaluated and then placed on a transplant list.  Once he is on a list, then you can go to be screened to … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Transplantation

I am being evaluated at Mayo Clinic Florida for living kidney donation. My question is about how my kidney function will be when I go from two kidneys to one. My first creatinine clearance number was only 77, which the transplant doctor said was lower than she expected but still above the 73 needed for my age (56 years old). With one kidney I am concerned this number could be cut in half, and wouldn’t that put me in the CKD range? The second test result was 90. I am interested in getting an opinion from a non-transplant nephrologist about what might be the effects on my down the road. Thanks in advance.

Your thinking is correct.  By donating a kidney, you will expect to have a reduction in total kidney function as expressed as an estimated glomerular filtration rate (eGFR).  While the eGFR does not commonly decrease by half, after donation of … Continue reading

Posted in Ask the Doctor, GFR, Kidney-Related Health Questions, Living Donation