Category Archives: organ donation

I am speaking to a woman from Tennessee who apparently has kidney disease because she was born four months early and therefore her kidney is smaller and malformed. Her father is too old, her mother is dead, her half brother may be incompatible, and she is now on the waiting list. Is there a way I can get screen to see if I can be compatible?

Yes. You can contact the transplant program where she is listed and ask to be evaluated for being a living donor.  Once she is on the list, your testing should be covered by her health insurance.  You can be tested … Continue reading

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

Is it possible for me, a type O, to donate to my aunt which is a type B +? If it is possible, even the slightest plausibility it could work, how can I donate and how much would the surgery cost? I’m from the Philippines in western Visayas.

A person with Type O blood might be able to donate a kidney to a person with Type B blood, as long as the rest of the matching is acceptable.  Your aunt would have to go to a transplant unit … Continue reading

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

I am a 40 year old woman. I donated my left kidney to my mom in 2001. My labs for the last few years have shown creatinine of 1.02-1.04 and a GFR of 58-60. Should I be concerned? I’m not sure if I should make an appointment with a nephrologist to discuss kidney care after donation.

A serum creatinine of 1.02 – 1.04 milligrams per deciliter (mg/dl) and an estimated glomerular filtration rate (eGFR) between 58 and 60 milliliters per minute per 1.73 meters squared is normal for a single functioning kidney.  I suggest that you … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Donation, GFR, Kidney-Related Health Questions, Laboratory Testing, Living Donation, Nephrectomy / One kidney, organ donation, Symptoms and Side Effects, Urinary Tract Infection/Pyelonephritis, Urological Issues

Hello Doctor: My husband suffered from a malformation of his kidneys for which he received a transplant that went very wrong and then had to remove the kidneys. He has lived without kidneys on dialysis for the past 29 years. They tell us that he is not a candidate for a transplant because it has HTLV in blood, but my husband has read that there have been people with HTLV transplants in Switzerland. We would like to know if someone has made transplant person carrying the HTLV virus in the United States and how likely it is that my husband could receive a transplant. I would also like to know if I am able to be a donor, because I suffered from hepatitis as a teenager. It would be kind enough to answer us? Thank you.

Each transplant center determines who is and who is not a transplant candidate.  There is no nationwide guidelines that are used to make this determination.  Human T-lymphotrophic virus (HTLV) is a known cause lymphoma in some patients.  If a transplant … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney-Related Health Questions, Laboratory Testing, organ donation, Transplantation, Treatments

I donated a kidney in 2001 and since then my serum Creatinine levels have been steady at 1.8. The Nephrologist said that since Creatinine is a function of kidney volume, this is normal for me. I recently volunteered to have a free cardiac angiogram to test the new machine but they will not perform the test because it requires contrast medium and my Creatinine is too high. My concern is that if I ever need to have a test requiring contrast, will I be able to? I am asymptomatic and always have been. I have slight hypertension for which I take Norvasc.

You have reduced kidney function from kidney donation and this does mean that you should not take risks with your remaining kidney.  Contrast administration is always a risk, even with normal kidney function.  The risk is greater with reduced kidney … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Function, Nephrologist, organ donation, Serum Creatinine

I am 57 years old. I want a kidney transplant. My cousin agreed to give his, but his blood tests show EBV DNA detected. Can I proceed?

Many normal individuals have Epstein Barr virus (EBV) and this should not interfere with transplantation.  Your EBV status should also be known before transplantation to make sure there are plans in place to more you for activation of the virus … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Living Donation, organ donation, Risk factors, Transplantation

How is a perfect match determined?

A perfect match (known as a 0 antigen mismatch) is determined by comparing the Human Leukocyte Antigens (HLA) type of the donor with the recipient.  There are six possible antigens.  If you match on all six, that is known as … Continue reading

Posted in Ask the Doctor, organ donation, Transplantation