Category Archives: organ donation

Hello, I donated a kidney to my father in April of this year. My labs have always been great and never had any abnormalities with kidney function. I just had my 6 month follow up labs and my eGFR is slightly low (just out of range) my BUN was elevated as well. I have, however, been on the Ketogenic diet (which is high protien, high fat, low carbs). I was on it before the donation and lost 30+ pounds. But now with one kidney, I don’t know if this is what is causing my kidney function to change. I’m worried and not sure if to just go back to a more “normal” way of eating.

A high protein diet for a patient with one kidney should be avoided, in my estimation. High protein diets could be changing your blood chemistry and resulting in changes in your kidney function testing. I suggest that you discuss this … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Kidney-Related Health Questions, Nephrectomy / One kidney, organ donation

I am considering becoming a living donor for my brother. I recently suffered a stroke due to a blood condition – polycythemia vera. Will this prevent me from being a donor?

In most transplant centers, it is necessary for kidney donors to be “perfectly healthy”. Each center determines what that means and who will be able to donate a kidney. It is likely the Polycythemia Vera will increase your risk for … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, organ donation, Transplantation

I’ve been undergoing testing to donate a kidney to a friend who has a very difficult match. I’ve lowered my BMI and my cholesterol and undergone much repeat testing. The (hopefully) last hurrah is to identify the cause of the chronic trace of blood in my urine. I’m having my bladder scoped in 2 wks. If that is negative for any cysts or polyps, the next step they want to do is a kidney biopsy. This has been an 18 month journey. My nephrologist says that I will be rejected if this reveals TBM. Everything I’ve read about TBM says it’s basically asymptomatic and doesn’t interfere with good kidney function. I’ve never had a UTI in my 66 years. To admit the frustration my recipient and I are experiencing, you’ve probably heard it all! Any insights or words of wisdom? 2nd opinion? Thank you.

Thin basement membrane (TBM) disease is an uncommon disease that causes blood in the urine and is commonly associated with normal kidney function. There are no nationwide guidelines that tell you what to do for TBM patients and allowing them … Continue reading

Posted in Ask the Doctor, Kidney Biopsy, Kidney-Related Health Questions, organ donation

I donated a kidney to my friend in 2010 (living unrelated) and she’s still doing great. What are the general statistics for how many years a donated kidney might last from a non related donor vs. related donor? Thank you.

The United States Renal Data System (USRDS) does not break out living unrelated versus living related kidney donors in graft survival. According to the most recent data we have, all living donor kidney transplantation is associated with a 10 year … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, organ donation

What would cause a person who is in need of a liver and kidney transplant to not qualify for a living donor organ if they are a match to a sibling? I am a student nurse and am just curious about this. I am trying to understand CKD and transplants in more detail.

It would be unheard of for a sibling to donate both a kidney and part of a liver. This would be a very challenging surgery and likely associated with a significant increase in risk to the donor. Liver/kidney transplants have … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, organ donation, Transplantation

My husband is 46 and has Polycystic Kidney Disease. He is now in the 5th stage of CKD and he should be prepared to replace kidney function. I am 45 and I have no other health problems except Hashimoto’s thyroiditis with >1000 antibodies (anti-tro). He has blood type O+ and I have A+. Am I a good candidate for being a kidney donor for him?

Your blood types are incompatible. Your husband’s Blood Type O means that he has antibodies against Blood Type A in his blood. Hence, in order to donate a kidney to him, very special and high risk treatments would have to … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, organ donation, Transplantation

My brother is currently being evaluated for a kidney transplant. He has lupus and has been on dialysis for almost 6 years. I am 63 years old and in very good health, and because he and I are very similar physically I am hoping I may be a good match for him. However, I am a retired correction officer, and in 1999 my regular TB test reacted positively. My liver wasn’t able to tolerate the medication for the full course; I believe I was able to complete about 5 weeks of a 3 month treatment before I was told to stop taking it. I know that I don’t have the actual disease, but I was told to stop donating blood because of this, and I am wondering if this automatically precludes my ability to donate organs. Thank you.

The condition that you describe is called “latent tuberculosis” and means that the tuberculosis can reactivate at a later date. I am not aware that this finding would make you ineligible as a kidney donor. I am sure they will … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, organ donation, Transplantation

My husband has polycystic kidneys. The left one has cancer also. QUESTION Can he have both of the kidneys removed & a family member (if compatible, give him a kidney). We are aware of the criteria for cancerous kidneys concerning transplant. We are talking about not using the donor list.

If the remaining kidney is still working sufficiently, even though it is polycystic, there should be no reason to perform a kidney transplant at this time. Removing a functioning kidney would not be medically indicated. In the case of kidney … Continue reading

Posted in Ask the Doctor, Kidney Cancer, Kidney-Related Health Questions, Medication and Kidney Function, organ donation, Polycystic Kidney Disease, Transplantation

My brother has been put on the kidney transplant list at Cedar Sinai in Los Angeles. He and I are 2 years apart and share both mother and father and there is no denying we are siblings. I would very much like to give him a kidney. He is all I have left. Please tell me what I can do to better my health and be tested as soon as possible. I’m pretty healthy, just a little out of shape. Also he is 49 and I am 47. Please help me.

Since your brother is already on the transplant list, all you need to do is contact the transplant center and ask to be tested. Once your brother is on the list, then his insurance coverage should pay for your evaluation … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, organ donation

I’m 56 and would love to be a living kidney donor. I’ve been doing a good deal of reading on this topic from reputable resources. I am seeking clarification about being accepted as a live donor because I have a history of the following medical issues, some of which have been cured or eliminated: History of anemia due to gastric bypass malabsorption problem. Several years ago, when diagnosed, I received treatment via IV transfusion and am monitored regularly and have not needed any further treatment. About 3 years ago I had a stent placed in my left groin (no filter) because I have DVT. I was prescribed Xarelto 20mg daily and not had any issues since. About 2 years ago I was diagnosed with COPD and given a PRN inhaler that I only actually used for about a week. My oxygen levels have been fine ever since. I used to smoke then stopped for many years. I smoked again for about a year and have not smoked at all since. With help from the gastric bypass I’ve lost approximately 100 lbs and have a BMI of 30.1. Frankly, I’m sure it wouldn’t be that high if I had my extra skin removed. Prior to the bypass I had the following issues that are now cured or I no longer need any treatment/medication for: Type 2 diabetes, High cholesterol, Low iron count. On the bright side, I’ve never had ANY kidney problems and no infection or stones. My physician has declared me to be in general good health. Sooo, is there any possibility of being cleared to donate a kidney?

I am not able to offer an opinion about being a kidney donor without performing a complete history and physical examination. Each transplant center determines which criteria will be used to accept a kidney donor. There are no nationwide universally … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, organ donation