
healthy and stay off of dialyisis- to not have kidney failure. So by donating one of your kidneys, you are still left with with 2-3 times the amount of kidney function that you need to be healthy and lead a normal life"
York -Presbytarian Hospital - Weill Corneil Medical Center, New York, NY. Source of quote: Video produced by Dramatic Health |
"High blood pressure, diabetes, obesity are the factors that account for most kidney failure."
Source of quote: "The Fight for Kidney Health" NY Daily News, February 11, 2009. For article, click here. Why living kidney donation?
cleans the blood and removes wastes and excess water from the body. Normally, this work is done by healthy kidneys. There are 2 types of dialysis. One type is done at home and the other is done at a dialysis center. Most go to a dialysis center for treatment hooked up to a machine, 3 days a week for at least 3 hours at a time. The longer a person is on dialysis, the more likely other health issues will develop. A person can only live a certain amount of years on dialysis. Dialysis is only a temporary treatment until a person can receive a kidney. For more information about dialysis, click on "When is dialysis needed?" - National Kidney Foundation. Website: - www.kidney.org
prevention, statistics, etc. click here. This is an article that appeared in the New York Daily News. This is an interview with Dr. Jon Bromberg, Surgical Chief, Transplantation Institute, Mount Sinai Hospital, New York, NY. (This is article is not on the New York Daily News website) Personal note: Thanks for clicking on the "Donate-A-Kidney" section. Hope you will consider becoming a kidney donor! There is a great shortage of kidneys. People are dying every day because they are not able to find anyone to donate a kidney to them. And there is a long waiting list for a kidney from a cadaver. Your considering donating a kidney is greatly appreciated. I am in touch with many people who have already donated a kidney. All are doing great, some of us wish we can do it again, including myself! I can put you in touch with some of the others who are happy to share their great kidney donation experience. Please see quotes by some kidney donors on the left side of the page. Most of the kidney donation surgery is done laproscopically, the less invasive way. Hospital stay is usually about 2 days for that procedure. When I came home from the hospital, it was business as usual, I did everything as I did before. People are generally not bed ridden. I myself didn't do any resting. Everyone recuperates differently. Most people do take off at least 10 days from work. There are organizations that can possibly compensate for lost wages. And, depending on the state, you may be able to deduct from your taxes for lost wages due to organ donation. One thing to note: One cannot be paid for organ donation. This is not legal. One has to donate a kidney altruistically - with no ulterior motives. Once a person donates a kidney, there is no special diet that one has to be on. No medications to take. Life is exactly the same with one kidney as with two.
Also best to drink 8 cups of water a day. (This is something that most people should be doing regardless of kidney donation or not. As for drinking water is very beneficial for many health reasons, including to possibly prevent kidney stones.)
who will to try to talk you out of it. You will find if you talk to others about your considering donating a kidney - people may tell you that you are "crazy" for wanting to donate a kidney. Most of us who have donated a kidney have gone through this. Most of the public is not educated about kidney donation. People don't realize one can live just as well with one kidney as with two. (Please see quotes on the left hand side of this page by professionals in the kidney transplant field about this.) Before my brother donated a kidney, he got negative feedback from someone he knows who thought my brother was crazy for wanting to donate a kidney. This person admitted that he didn't know about kidney donation. My brother started to have some doubts. But I told my brother, don't listen to people who don't know anything about kidney donation. Only speak to people who have done it or professionals in the field. So, in the end, my brother ended up donating a kidney and was so happy he did! How well did he do? That same day that he donated a kidney - he had almost no pain and was walking around the hospital like nothing happened!
people are tested to make sure they are 100% healthy enough to donate a kidney. One is given many medical tests, to make sure of this. There are tests that are given to the potential kidney donor. that they may not otherwise take in their lifetime. There are people who thought they were healthy enough to donate a kidney - but through this extensive medical testing - have found out they had health issues that they didn't know about and would have possibly otherwise not discovered. So, some of these people who were turned down for kidney donation, their own life has been saved through the process of wanting to save another person's life! I am always happy to answer any other questions or concerns you may have! Please feel free to contact me. Please click on the "Contact Us" page or e-mail me at KidneyMitzvah@aol. com. I can also put you in contact with kidney transplant centers in your area to answer your questions and concerns as well. Or, you can feel free to contact them as well on your own. Please check out all the great websites regarding kidney donation, great articles about kidney donors, and video as well - on the lower left side of this page, or on the "Websites- Kidney Donors" page, where you have more information on all those listed. Thank you for your time in visiting my website! Sincerest best wishes, Chaya Lipschutz Kidney Donor & Kidney Matchmaker
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Before you can test for anyone who needs a kidney, you would need to find out what your blood type is. One of the things you can do to find out what your blood type is, is go to donate blood and tell them to let you know what your blood type is - or, you can go to your doctor to have a special blood test taken to find out what your blood type is. If you are going to do this at a doctor's office, ask your doctor to put on the request form for the lab, "If A blood type, please subtype", because in most cases people who are A blood type can only donate to an A or an AB blood type person in need of a kidney. But if your subtype is A2 you might be able to donate a kidney to someone who is B or O as well. If you are an A2B you may be able to donate to a B as well as an AB blood type. This A2 subtype is rare but it can happen. If you are subtype A1, you can only donate a kidney to someone who is blood type A. There is an alternative treatment to make blood-types that are different, compatible, such as plasmapherisis, a treatment that would be done on the person in need of a kidney. But this isn't always the best alternative for the person in need of a kidney.
the above info. * * * * General Information on Living Donation (Please note: Below is information provided by a particular hospital in New York. Other hospitals may have different criteria regarding kidney donation.) What is living donation?
transplantation to another person. The living donor can be a family member, such as a parent, child, brother or sister (living related donation). Living donation can also come from someone who is emotionally related to the recipient, such as a good friend, spouse or an in-law (living unrelated donation). In some cases, living donation may even be from a stranger, which is called non-directed donation.
life span. One in every 750 people is born with one kidney and don’t even know it…..Why?….Because they are living completely normal lives.
performed from non-living donors (individuals who have been declared brain dead and their families have made the decision to donate their organs). Some living donor transplants are done between family members who are genetically similar. A better genetic match lessens the risk of rejection. A kidney from a living donor usually functions immediately, making it easier to monitor. Some living donor kidneys do not function immediately, and as a result, the patient may require dialysis until the kidney starts to function. (usually two or three treatments) Are transplants from living donors always successful? (95% of living donor kidneys are still working at one year) Although transplantation is highly successful, and success rates continue to improve, problems may occur. Sometimes, the kidney is lost to rejection, surgical complications or the original disease that caused the recipient’s kidney to fail.
prospective donor and recipient must have compatible blood types. If the donor meets the criteria for donation, additional testing will be required to check for further compatibility (cross matching and tissue typing) as well as physical examinations and psychological evaluation. More information on testing and surgery procedures can be found below. The donor should make the decision voluntarily and free from internal or family pressure. Federal law bans the sale of organs. The decision to donate needs to be made with all the information necessary to make an informed, educated choice. Immunosuppressive medications, which keep the recipient's body from rejecting the donor kidney, have improved greatly over the last few years. Now, a genetic link between the donor and recipient does not appear to be necessary to ensure a successful transplant. Before surgery, the donor will receive education and counseling to help prepare mentally and emotionally for the donation and recovery. If the donor has questions, the transplant team can help. The decision to donate will affect all members of the person’s family and should not be taken lightly. It is quite normal for a donor and the donor’s family to have fears and concerns about potential complications. This might be felt by some as reluctance to donate; yet it is natural reaction to a major surgery. Potential donors should speak openly with the transplant team about these fears. All conversations between the living donor and the transplant team and the results of medical testing will be kept confidential.
Medicare or private health insurance, if the donation is to a family member or friend. Donors should always coordinate their tests with the transplant coordinator at the hospital in case there are any exceptions. Time off from work and travel expenses are not covered by Medicare or private insurance. General Health Maintenance screening such as Pap Smear, Mammogram and Colonoscopy will be billed to the donors insurance if they have any. However, donors may be eligible for Act sick leave, state disability and the Family and Medical Leave (FMLA). Some follow-up expenses may also not be covered, so it’s important to discuss these matters with the transplant center.
If you are compatible (a match) with your recipient you will begin a medical work up. Potential donors will have blood, urine and X-Ray tests to determine suitability for donation. A full physical examination will be done, and psychology evaluation may also be required. Time will be allotted for asking questions and addressing any concerns the donor may have. Before surgery, special x-rays will be taken of the donor’s kidneys, including a spiral CT scan to check the anatomy of the kidney.
process and the donation itself. Generally, if the donation is to a family member or friend, the recipient’ s insurance will pay for testing and surgery expenses. However, until recently the donor was responsible for travel expenses (if the donor and recipient live in different towns/states) and follow-up care, in addition to lost wages. The Organ Donation and Recovery Improvement Act was signed into law which contained $5 million for reimbursing living organ donors for travel and subsistence expenses, be sure to ask the financial counselor and/or social worker at the transplant center for assistance with these issues. It is illegal to buy or sell organs in the United States. Laboratory Tests:
Can I get tested as a donor without the recipient knowing?
consider a living donor. The person with kidney failure can choose to accept or reject your offer to donate. He or she has the right to decide against a transplant (though you may feel it would help). The patient, who must live with the disease, has the right to decide what is to be done. That decision, as well as yours, must be respected.
is administered in the operating room. Generally, the donor and the recipient are in adjacent operating rooms. The kidney is carefully removed and transplanted into the recipient. Immediately, the donor’s single kidney should take over the work previously done by the recipient’s two kidneys. Typically, the surgery takes 3 hours with time in the recovery room recovery afterward for obseration. A kidney can be removed in either of two ways, the traditional open surgery or the laparoscopic technique. Your transplant team can provide you with information about the different types of surgery. Some donors may not be able to have laparoscopic surgery because of previous surgeries or anatomical variations. These variations are generally detected during the testing process, in which the potential donor would be notified that they would not be a candidate for laparoscopic donation. Some scheduled laparoscopic donations must be converted to the open technique during the surgery process.
of surgery relate to anesthesia, blood loss, and the potential for injury to the kidney or other organs during the operation. Another difference in living donation is that the surgery is done for the recipient’s benefit and not for any medical need of the donor. This is the reason that the donor must have a complete medical evaluation. The majority of complications following surgery are minor and may cause a longer hospitalization. Long-term complications are rare. The risks associated with surgery and donation are that 3 in 10,000 people can die having donor surgery. For some more information on risks - click on: - "Q&A on Living Donation" - from the National Kidney Foundation website.
type of procedure performed (traditional vs laparoscopic kidney removal) although the usual stay is 2 to 3 days for either procedure. Although the rate of recovery varies greatly among individuals, in general patients are ready to return to work 3 to 6 weeks after an open nephrectomy and 10 days to two weeks after a laparoscopic kidney removal. Patients who need to lift weights in excess of 50lbs will need to wait 12 weeks (open procedure) or 3-4 weeks (laparoscopic procedure) before returning to manual labor activities. After leaving the hospital, the donor will typically feel tenderness, itching and some pain and numbness as the incision continues to heal. Generally, heavy lifting is not recommended for about six weeks following surgery. It is also recommended that donors avoid contact sports where the remaining kidney could be injured. It is important for the donor to speak with the transplant staff about the best ways to return as quickly as possible to being physically fit.
cleared for donation, he or she can lead a normal life after the surgery. When the kidney is removed, the single normal kidney will increase in size to compensate for the loss of the donated kidney. The American Academy of Pediatrics, American Academy of Family Physicians and the Medical Society of Sports Medicine have suggested that people with one kidney avoid sports that involve higher risks of heavy contact or collision. This includes, but is not limited to, boxing, field hockey, football, ice hockey, Lacrosse, martial arts, rodeo, soccer and wrestling. This may also include extreme activities such as skydiving. Anyone with a single kidney who decides to participate in these sports should be extra careful and wear protective padding. He or she should understand that the consequences of losing a single kidney are very serious. Donors are encouraged to have yearly medical follow-up with their primary care doctors. A urinalysis (urine test) and blood pressure check should be done every year, and kidney function should be checked every few years, or more often if an abnormal urinalysis or blood pressure is found. Living donation does not change life expectancy, and does not appear to increase the risk of kidney failure. In general, most people with a single normal kidney have few or no problems; however, you should always talk to your transplant team about the risks involved in donation. Pregnancy after donation is possible but is usually not recommended for at least six months after the surgery. Living donors should talk to their physician about pregnancy and have good pre- natal care. Some branches of military service, police and fire departments will not accept individuals with only one kidney (see http://usmilitary.about.com/library/weekly/aa082701e.htm for general information about Military Enlistment Standards). In addition, if you are already in military service, certain new service career options may not be available to you. If you are currently in one of these fields, or if your future plans include these career choices, you should check to see if living donation would affect your eligibility for that particular field. Are there any dietary restrictions prior to, or after donation?
diet. Avoid these low carb high protein diets because they can affect your kidneys (even if you had two). But those are more general health issues, and not related to living donation per se.
the donor at a higher risk of developing pneumonia after surgery. In general it is best for one to stop smoking for good, but if you can’t, stop at least two weeks before surgery. Some smokers may need to see a pulmonary specialist before donating.
However, there have been some instances (rare) in which living donors had difficulty changing insurance carriers after the donation, due to higher premiums or a pre-existing waiting period. Talk to the financial counselor and social worker to find out if donation will affect your health or life insurance coverage.
is to protect the best interests of the donor. Physicians involved with the care of potential recipients are, and ought to be, primarily concerned with the recipient's interests. Two separate physicians, one for the donor and not involved in the candidate or recipient's care can be a way to eliminate any conflict of interest between the potential donor and candidate's needs. Ideally, the donor advocate is in a position to veto the transplant if they feel it would cause unacceptable risk to the donor. You will be seen by a Nephrologist and a Surgeon who are not involved with the care of the recipient they will act as a donor advocate for you at the hospital.
have the right to decide that kidney donation is not for them. Likewise, some individuals with kidney failure may decide they do not want a transplant or choose not to consider a living donor. The decision of the potential donor and recipient must be respected. Living donors may change their minds at any time during the evaluation process without fear of embarrassment or repercussions: There may be instances in which the potential donor seeks the support of the transplant team to decline donation. For example, if the potential donor anticipates being ostracized from the family by saying “no” to the recipient, the transplant team could assist the potential donor in developing an appropriate medical disclaimer, enabling the potential donor to decline gracefully... — The Authors for the Live Organ Donor Consensus Group,” Consensus Statement on the Live Organ Donor”, JAMA, December 13, 2000— Vol 284, No. 22 (Reprinted)Again, it is normal for donors and their families to have fears and concerns about potential complications. This is a natural reaction to having major surgery. Speak openly with the transplant team about your fears. All conversations and results of medical testing will be kept confidential.
harm both your kidneys. If you get a kidney disease, whether you have one two or ten kidneys, your kidneys would fail. Kidney disease hurts kidneys. There are two situations where having one kidney makes a difference: 1) If you have an accident and damager your remaining kidney, you don’t have a spare. You would have to go on dialysis or have a transplant. 2) If you get a kidney cancer and they need to remove your kidney to save your life, you don’t have a spare. You would need to go on dialysis or have a transplant There have been some cases in which living donors needed a kidney later– not necessarily due to the donation itself. As of 1996, UNOS* policy gives extra points on the waiting list to living donors to move them up to the top
making a final decision. You can also get additional information by contacting the National Kidney Foundation at livingdonors@kidney.org or by phone at 1-800-622-9010 * * * *
1. If I am registered with the Bone Marrow registry, can that information be used for kidney donation? No, The testing for kidney donation is totally different. The blood of the donor and the recipient in kidney donation have to be mixed together to see if it is compatible. And with bone marrow, it is a better match if the donor and recipient have similar backgrounds. This is not so with kidney donation. 2. Can a man only donate a kidney to a man and a woman only to a woman No, A man can donate to a woman and visa versa 3. If I am on medication - will I be able to donate a kidney? It depends what you are on medication for. Someone who is taking medication to lower their blood pressure, for example, cannot. donate a kidney, even though their blood pressure is normal, which would most likely as a result of the medication they are taking to lower their blood pressure.
I have been asked this question by people in the past. If no one in your family currently has diabetes, high blood pressure and a history of kidney disease, I wouldn't let this be of great concern. I believe if you do a good deed, that good deed will be returned to you, one day. Perhaps, if one donates a kidney, G-d in return will make sure that no one in that family will never need one. I can't guarantee this, or be held responsible, but I am a religious person and this is my viewpoint. I know several people with very large families - who have donated kidneys to strangers. People feel when someone out there is in great need and the need is now, to act now. We have no guaranty we will be alive when there is a need in the family. Also, many people do develop health issues as they get older, which can make them ineligible for kidney donation. And, even if a family member would ever need a kidney - there is a possibility you may not be a blood or tissue match. I know a woman with 9 children who needed a kidney - all her 9 children were A blood type and she was O blood type and none of her children were able to donate a kidney to her because an O blood type person can only receive a kidney from someone O blood type. Also, I know of someone who wanted donate a kidney to her son, She was O blood type - a universal donor and her son was A. So even though she is a universal blood type, she was tested and was not a match,and therefore couldn't donate a kidney to her son. If you donate a kidney and G-d forbid will later on ever have a family member in need of a kidney, I will put that person in need of a kidney before everyone else on my list who is in need of a kidney and will not rest until I find a kidney donor for that person! 5. Does donating a kidney have any impact on my being able to have more children in the future? No, Many people who have successfully donated a kidney have had children after kidney donation. * * * *
wife, and they are now getting divorced and he wants his kidney back or 1.5 million dollars! This is really crazy. Keep in mind -once one donates a kidney one cannot get their kidney back or ask for money instead! One has to donate a kidney altruistically - without expecting anything in return. |










| Rabbi Ephraim Simon father of 9, who donated a kidney to a stranger talking about his kidney donation on Zev Brenner Show-Talkline Communications September 7, 2009 |
| "What Prospecitve Donors Need To Know" Click her for this article |