Category Archives: Living Donation

Dear Doctor, I lost my father, 73 years of age, 4 months ago. He was diagnosed with CKD about 11 years ago and his creatinine level was between 2 to 3.5 for most of this item and increased to 4.5 in December 2017. He started dialysis in May 2018 and passed away in Dec 2018 due to upper GI bleed. I have been wondering why he was not recommended for preemptive kidney transplant. He did not suffer from any other co-morbidity. After entering into stage 5, he had a bout of pneumonia and COPD and was suspected of having TB later on. I feel he would have been qualified for transplant before entering into Stage 5 of CKD. Please throw some light on the subject.

Preemptive kidney transplantation is an option for patients who have progressive kidney disease and who have potential living donors. Tuberculosis (TB) and lung disease can be contraindications to transplantation, if these are active. Getting a cadaver donor can be a … Continue reading

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

Are parents always a match for a transplant to their children or are there times when they are not a match?

A biological parent should be at least a 50% match for their child. In commonly describing this, we talk about a three out of six (3 of 6) antigen mismatch. This is the least it can be and then depends … Continue reading

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

My brother (age 62) is at GFR 24, Cre 2.74. I don’t know where to turn to get the info that if I was to provide him (67 is my age) with a kidney transplant, since I have the condition of Lichen Sclerosis and use steroid Triamcinolone Acetonide ointment every 5 days and I also have Genital Herpes Simplex and take Valacyclovir tablet daily would I be able to donate a kidney to him. I certainly don’t want to pass on these diseases to my brother but can’t seem to find information about what diseases can be or won’t be transferred to a kidney transplant recipient. Can you answer this question or direct me to who or where to attempt to get these answered? Since my brother has Schizo Affective, I do all the research for him. His kidney disease was brought on from a doctor not monitoring the use of Lithium from his blood test many years ago. Brother is functioning well on his meds with his mental illness but I do have a concern if dialysis will flush or dilute the meds and this will be a concern with dialysis. Since the Nephrologist we see is a owner of a dialysis center, I have concerns that her answers may be swayed more towards using dialysis. Just trying to gather information to know what is the best option and to be prepared as much as possible for the future. May try to find another Nephrologist that doesn’t own a dialysis center and therefore, we wouldn’t have these concerns of getting the unbiased info we need. (We both take thyroid meds for low thyroid and I am using estradoil tablets right now for skin thinning due to the use of the steroids.) All information or direction you could provide would be most welcomed.

Neither Lichen Sclerosis or Genital Herpes should be transferred as a result of being a kidney donor. You can get more information about kidney transplantation and being a kidney donor on our web site at:  https://www.kidney.org/transplantation/livingdonors

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

This is a question I’ve had a variety of answers about. I know Marijuana has its good and bad points. My question is about transplant financial eligibility. Will Medicare refuse to cover their portion if the patient uses prescribed marijuana for pain?

Medicare has no official policy on marijuana. Medicare is the payer for most transplants but allows each individual transplant center to determine who can and who cannot be a donor and a recipient of a kidney transplant. Some transplant centers … Continue reading

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

Can someone donate a kidney here?

In order to be considered as a kidney donor, you must contact your local transplant center to be evaluated as a potential kidney donor. You can go to our web site and learn about how to find a transplant center … Continue reading

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

Hi, I donated my right kidney non-directed in 2010. I get fairly frequent pain in my remaining kidney. Creatinine is 1.31 and steady. Should I be concerned about pain? What could cause it? Recommend ultrasound? Thanks!

Donating a kidney should not cause pain in the remaining kidney. I would suggest an evaluation by your primary care physician (PCP) or by the surgeon who performed the kidney removal for transplantation. Pain in the contralateral kidney would be … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Living Donation, Nephrectomy / One kidney, Transplantation

Hello. My question is, how do I begin the process of becoming a living kidney donor through NKF? I went to the website but it was confusing.

The National Kidney Foundation (NKF) does not officially have any role in registering or evaluating individuals as a living kidney donor. Each individual transplant center determines who can and who cannot be a donor to their program. Hence, you would … Continue reading

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

Dear Sir, Can O+ (positive) donate kidney to O- (negative)?

Yes, a blood type O positive can donate a kidney to a blood type O negative individual. The Rh (Rhesus) status on the red blood cell, which is the positive or negative aspect of blood typing, is not important in … Continue reading

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

My brother was diagnosed with stage 5 renal failure with about 3-5% function left. My brother received a kidney transplant 25 years ago from our other brother and only has 1 kidney. The hospital is saying that he cannot receive dialysis until he gets insurance but does not qualify for Medicare until he is sicker or he gets an outpatient consultation- which the hospital canceled because he doesn’t have insurance. My brothers creatinine levels keep rising but the hospital says his potassium levels is what needs to be watched. My sister and I both want to get tested to donate but they said they can’t test us until he is assessed by the transplant team which also won’t help until he has insurance. I do not want my brother to get so sick he can’t handle a transplant but I feel he is being held back from treatment. Is there any other steps we can take? I feel like we are just watching and waiting for him to get too severe.

Your brother should consult with a nephrologist. If your brother has only 3-5% kidney function remaining, he should be eligible for social security disability insurance (SSI) and this would also make him eligible for Medicaid and possibly Medicare. It is … Continue reading

Posted in Ask the Doctor, Insurance & Medicare Coverage, Kidney-Related Health Questions, Living Donation, Nephrologist, Transplantation

Dear Doctor, I’ve been having CKD for almost 4 months now. It’s now in Stage 4, GFR around 19% (creatinine around +-3, urea around 50 to 100) I’m female and 26 years old. Indonesian. I feel like my body is getting weaker and weaker, and I can’t work normally. My albumin, Hgb and other number/parameter are also abnormal. What I don’t understand, my doctor refuses to talk about future possibility of kidney transplant. He keeps suggesting to me to just focus on the medicine, so that dialysis won’t start any time soon. In other hand, I wish I can do transplant as soon as possible even before I start dialysis (possible donor would be from my brother/sister). Please, kindly inform us, when is the right time to do kidney transplant? In my case, is it not the time yet? Should I wait until my CKD reaches stage 5? Thank you so much for your response.

I would agree with your thoughts on this issue. I agree that you and your nephrologist should make a plan and if your brother or sister can be evaluated as a possible donors, then the transplant can be planned in … Continue reading

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