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An overview of living-donor kidney transplant for donors and adult and pediatric patients. The Q&A featured Mayo Clinic Kidney/Pancreas Transplant Program Surgical Director Mikel Prieto, M.D., Pediatric Kidney Transplant Program Medical Director Carl Cramer, M.D., and kidney donor and pediatrician Phil Fischer, M.D.. Dr. Prieto and Dr. Cramer explain the advantages of living donor transplantation, preemptive kidney transplantation, paired donation and donor chains, the kidney transplant operation for donors and patients, how potential donors can be screened, and what patients can do to be in the best possible condition for surgery. Dr. Fischer discusses his experience as a donor. After the presentation, the doctors answered questions.
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Thank you very much for this interactive webinar which I found very informative and interesting. We live in Montreal, Quebec and my husband is currently receiving dialysis . He is 65 years old has no anti-bodies with a blood type AB+. I'm a B+ and after being tested the results are that I'ma perfect match. Still have to see a psychologist and waiting for the hospital to call us.
Best of luck to you and your husband, Mona!
That's wonderful, Steven. Best of luck to you!
The video will be up for as long as the information is still accurate. Hope this helps!
In general, if your doctors tell you that you are able to be a donor you should be able to be evaluated.
Patients who have high antibody levels that react to foreign tissue are considered sensitized. At Mayo, we have two experts in treating sensitized patients: Carrie Schinstock, MD, and Mark Stigall, MD. They’ve generated protocols and procedures to help sensitized patients receive transplants. The first step at Mayo is to meet with these providers to determine what degree of sensitization the patient has. These providers will create an individualized plan based on the needs of the patient. The first approach is generally to try to find a donor who has a reasonable match with the patient through the paired donation program. Sometimes we’re not able to find a perfect match, but at least a better match than what has been found in the past. In that case we may be able to use medications and procedures, such as plasmapheresis, to improve the optimization of that kidney even more.
Mayo Clinic treats patients from around the country and globe. Here is information about transplant costs and insurance information you may find helpful: http://www.mayoclinic.org/departments-centers/transplant-center/kidney-transplant/choosing-mayo-clinic/costs-insurance-information. You can click the “contact us” button on the right-hand side of that page if you have additional questions.
Kerrie, with preemptive transplant we like to give patients a new kidney right before they need to start dialysis so they don’t have to experience the trials and tribulations of dialysis. Generally, we don’t start thinking about looking for a donor until a patient is in stage 4 and their kidney function is around 20-25%. When kidney function is less than 20% we move forward with the kidney transplant, hopefully bypassing the dialysis process.
Lauren, This webinar interactive has added much to my life. Already a Remicade user the thought of another constant time consumer (dialysis) just wiped me out. I had recently decided this was not for me at 68. I have a urologist at Mayo, Dr Nelson Leung, and a GI and many GI Oncs a friends on all 3 campus sites as I am their GI Advocate for the Alliance Cooperative Group.<br />
I am thinking a transplant may well be a good response to disease (stage 4 CKD). One never, never brought up by my nephrologist here and in whom I have wavering trust since the push to dialysis is ever present and the site is within the same building just another door!With 10 years a Mayo Advocate one thing learned is to look around and not go to anything we do not have faith in.I was taken by all 3 Mayo Docs today...though I did suspect I would be! Crohn's since early 20's lead to a life in the medical world with me the guinea pig. My Gastros at Boston's Beth Israel from Dr Zetzel to Dr Peppercorn and Dr Silen made me a fighter for my body. I am at home with this attitude. <br />
Please thank the three wonderful Doctors who presented today. Well received.Jo-Ellen ( Corkery De Luca) <br />
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Typically we recommend 5-6 weeks of weight restrictions. It depends on the type of work.
Alexis, the transplant recipient can (legally) assist the donor with financial expenses including lost wages. Some hospitals, including Mayo, have funds to help with expenses as well. But these funds are typically small and limited to donors in need. The donor should not have any medical expenses, everything is paid by the recipient’s insurance. The only donor expenses are related to travel, lodging and lost wages.