Kidney Donors Quotes

One thing I do know about intimacy is that there are certain natural laws which govern the sexual experience of two people, and that these laws cannot be budged any more than gravity can be negotiated with. To feel physically comfortable with someone else's body is not a decision you can make. It has very little to do with how two people think or act or talk or even look. The mysterious magnet is either there, buried somewhere deep behind the sternum, or it is not. When it isn't there (as I have learned in the past, with heartbreaking clarity) you can no more force it to exist than a surgeon can force a patient's body to accept a kidney from the wrong donor. My friend Annie says it all comes down to one simple question: "Do you want your belly pressed against this person's belly forever --or not?

What was she thinking?” muttered Alexander, closing his eyes and imagining his Tania. “She was determined. It was like some kind of a personal crusade with her,” Ina said. “She gave the doctor a liter of blood for you—” “Where did she get it from?” “Herself, of course.” Ina smiled. “Lucky for you, Major, our Nurse Metanova is a universal donor.” Of course she is, thought Alexander, keeping his eyes tightly shut. Ina continued. “The doctor told her she couldn’t give any more, and she said a liter wasn’t enough, and he said, ‘Yes, but you don’t have more to give,’ and she said, ‘I’ll make more,’ and he said, ‘No,’ and she said, ‘Yes,’ and in four hours, she gave him another half-liter of blood.” Alexander lay on his stomach and listened intently while Ina wrapped fresh gauze on his wound. He was barely breathing. “The doctor told her, ‘Tania, you’re wasting your time. Look at his burn. It’s going to get infected.’ There wasn’t enough penicillin to give to you, especially since your blood count was so low.” Alexander heard Ina chuckle in disbelief. “So I’m making my rounds late that night, and who do I find next to your bed? Tatiana. She’s sitting with a syringe in her arm, hooked up to a catheter, and I watch her, and I swear to God, you won’t believe it when I tell you, Major, but I see that the catheter is attached to the entry drip in your IV.” Ina’s eyes bulged. “I watch her draining blood from the radial artery in her arm into your IV. I ran in and said, ‘Are you crazy? Are you out of your mind? You’re siphoning blood from yourself into him?’ She said to me in her calm, I-won’t-stand-for-any-argument voice, ‘Ina, if I don’t, he will die.’ I yelled at her. I said, ‘There are thirty soldiers in the critical wing who need sutures and bandages and their wounds cleaned. Why don’t you take care of them and let God take care of the dead?’ And she said, ‘He’s not dead. He is still alive, and while he is alive, he is mine.’ Can you believe it, Major? But that’s what she said. ‘Oh, for God’s sake,’ I said to her. ‘Fine, die yourself. I don’t care.’ But the next morning I went to complain to Dr. Sayers that she wasn’t following procedure, told him what she had done, and he ran to yell at her.” Ina lowered her voice to a sibilant, incredulous whisper. “We found her unconscious on the floor by your bed. She was in a dead faint, but you had taken a turn for the better. All your vital signs were up. And Tatiana got up from the floor, white as death itself, and said to the doctor coldly, ‘Maybe now you can give him the penicillin he needs?’ I could see the doctor was stunned. But he did. Gave you penicillin and more plasma and extra morphine. Then he operated on you, to get bits of the shell fragment out of you, and saved your kidney. And stitched you. And all that time she never left his side, or yours. He told her your bandages needed to be changed every three hours to help with drainage, to prevent infection. We had only two nurses in the terminal wing, me and her. I had to take care of all the other patients, while all she did was take care of you. For fifteen days and nights she unwrapped you and cleaned you and changed your dressings. Every three hours. She was a ghost by the end. But you made it. That’s when we moved you to critical care. I said to her, ‘Tania, this man ought to marry you for what you did for him,’ and she said, ‘You think so?’ ” Ina tutted again. Paused. “Are you all right, Major? Why are you crying?

Parents with dependents are somehow thought to count for more. If, for example, there is some scarce resource—a donor kidney perhaps—and of the two potential recipients one is a parent of young children and one is not, the parent, all things being equal, will likely be favoured. To let a parent die is not only to thwart that person’s preference to be saved, but also the preferences of his or her children that their parent be saved. It is quite true, of course, that the death of the parent will harm more people, but there is nonetheless something to be said against favouring parents. Increasing one’s value by having children might be like increasing one’s value by taking hostages.

the U.S., 5,000 people die waiting for a transplant that never comes.               Supply and demand.               People need donor kidneys to survive, but only a third of all kidney transplants come from living donors and 96% of those are family members.               The demand is there, but the supply is limited, not because kidneys are not available,

Donating sperm was not the same as, say, donating a kidney. Or a retina. It was the passing along of an essence that was inseparable from personhood itself.

The sick suffer alone, they undergo procedures and surgeries alone, and in the end, they die alone. Transplant is different. Transplant is all about having someone else join you in your illness. It may be in the form of an organ from a recently deceased donor, a selfless gift given by someone has never met you, or a kidney or liver from a relative, friend or acquaintance. In every case, someone is saying, in effect, “Let me join you in the recovery, your suffering, your fear of the unknown, your desire to become healthy, to get your life back. Let me bear some of your risk with you.

The only country in which it is legal to buy and sell kidneys from living donor/sellers is the Islamic Republic of Iran. Legal markets were permitted there after the need for kidneys spiked during the Iran-Iraq War.

Rather, I was fascinated with how going through the process of becoming Robert's kidney donor gave me a glimpse of the kidney transplant system that being a primary care doctor did not provide. Though at the time I was working on research projects on the effects of language barriers on health outcomes, my experience with Robert inspired me to change my research focus to what made some people more likely to get a kidney transplant than others. Donating my own kidney was my solution for Robert. I saw research as the way to help other people like him.

It wasn’t until cyclosporine was discovered in 1976 that the balance between preventing rejection and avoiding infection greatly improved. That plus simultaneous efforts to figure out how to better match donors to recipients and the discovery of newer, better drugs over time has created the current reality in which more than two-thirds of all kidney transplants are still working after five years, while little more than a third of dialysis patients are still alive in that same time span. Some kidney transplants last twenty, thirty, forty, even fifty years.

This is why I love the field of transplant. Since I began taking care of sick people, I have noticed that one of the hardest things about getting sick, really sick, is that you are separated from the people you love. Even when families are dedicated to the patient, illness separates the well from the sick. The sick suffer alone, they undergo procedures and surgeries alone, and in the end, they die alone. Transplant is different. Transplant is all about having someone else join you in your illness. It may be in the form of an organ from a recently deceased donor, a selfless gift given by someone who has never met you, or a kidney or liver from a relative, friend, or acquaintance. In every case, someone is saying, in effect, “Let me join you in your recovery, your suffering, your fear of the unknown, your desire to become healthy, to get your life back. Let me bear some of your risk with you.

Again, everything needs to be perfect. It doesn’t matter how tired or distracted you are, how many things might be going on with other patients or with your boss or your lab or in your personal life. It needs to be perfect. Otherwise, the patient will pay a huge price, the donor won’t have given the gift of life, and you will be woken in the middle of the night by a shrill pager letting you know you’ve screwed up, it is your fault, and now you have to deal with it. That’s a kidney transplant. No big deal, but one of the best things we do in health care.

In Israel, living kidney donors are now offered forty days’ pay at their current wage, even if they don’t miss that many days of work, and they are promised priority on the deceased-donor waiting list, in case they should ever need a transplant themselves.)

Another possible solution would be to think about kidney exchange in a global way. There is virtually no kidney transplantation, and little or no access to dialysis, in places such as Nigeria, Bangladesh, and Vietnam, where kidney failure is a death sentence. Presumably, many kidney patients there have willing donors, but in a country such as Nigeria, for example, where fewer than 150 transplants occurred from 2000 to 2010, that willingness doesn’t do patients any good. But suppose we were to offer them access to American hospitals, at no cost? That may sound expensive, but it wouldn’t have to be—indeed, it could be self-financing. Remember that removing an American patient from dialysis saves Medicare a quarter of a million dollars. That’s more than enough to finance two kidney transplants, as well as postsurgical care and medicines. That money could pay for an exchange between an American patient-donor pair and, say, a Nigerian pair.