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Interactive Webinar: What Patients and Donors Need to Know About Living-Donor Kidney Transplant

Tue. Apr 14, 2015 at 12:00 pm CDT

An overview of living-donor kidney transplant for donors and adult and pediatric patients. The webinar featured Mayo Clinic Kidney/Pancreas Transplant Program Surgical Director Mikel Prieto, MD, Pediatric Kidney Transplant Program Medical Director Carl Cramer, MD, and kidney donor and pediatrician Phil Fischer, MD. Dr. Prieto and Dr. Cramer explained 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 discussed his experience as a donor. After the presentation, the doctors answered questions. Speakers include: -Dr. Mikel Prieto -Dr. Carl Cramer -Dr. Phil Fischer Would you like to: Request An Appointment Learn More About Living-donor Transplantation


Tags: kidney

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angiegq59

angela wrote:

HELP SAVE A LIFE Please take the time to read this: My family is in need of help….. Let me start by introducing myself for those who don’t know me, my name is Angela and i’m 42 and my husband [...] View full text  

Posted Mon, May 11 at 11:30pm CDT

Thank you for your questions! We will try to answer the questions that were not answered during the webinar in the next few days. If you have additional questions, please contact our program: http://www.mayoclinic.org/departments-centers/transplant-center/kidney-transplant/contact-us.

Posted Wed, Apr 15 at 9:01am CDT

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 [...] View full text  

Posted Tue, Apr 14 at 1:21pm CDT

LaurenSpiceland

Lauren Spiceland replied:

Best of luck to you and your husband, Mona!

Posted Tue, Apr 14 at 2:39pm CDT

stevennelson

Steven Nelson wrote:

Very interesting, and informative. We live in Canada and are registered in the Paired Exchange Program here. We also went the route of Social Media (Facebook) to let others know our situation. We had about 30 people come forward offering [...] View full text  

Posted Tue, Apr 14 at 12:58pm CDT

LaurenSpiceland

Lauren Spiceland replied:

That's wonderful, Steven. Best of luck to you!

Posted Tue, Apr 14 at 2:39pm CDT

margil89

purple wrote:

Thank you

Posted Tue, Apr 14 at 12:54pm CDT

dee2255

dee2255 wrote:

Is there a way to view this webinar after it is done. My friend needs a transplant but couldn't get this webinar to work. Her kidney function is at 19 % and has appointments scheduled to start this process very [...] View full text  

Posted Tue, Apr 14 at 12:49pm CDT

LaurenSpiceland

Lauren Spiceland replied:

Yes! This webinar is being recorded and will be available for viewing on this page after the webinar concludes.

Posted Tue, Apr 14 at 12:51pm CDT

What if a potential donor has a job that involves lifting -- construction worker, child-care provider, etc. Can they go back to work after just one month?

Posted Tue, Apr 14 at 12:47pm CDT

LaurenSpiceland

Lauren Spiceland replied:

Typically we recommend 5-6 weeks of weight restrictions. It depends on the type of work.

Posted Wed, Apr 15 at 8:38am CDT

alexisdenny

Alexis wrote:

What policies are available to support donors?

Posted Tue, Apr 14 at 12:47pm CDT

LaurenSpiceland

Lauren Spiceland replied:

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.

Posted Wed, Apr 15 at 8:47am CDT

Anonymous wrote:

Is their treatments for patients with high antibodies? We live in tx... How would we pay for sevices at Mayo?

Posted Tue, Apr 14 at 12:45pm CDT

LaurenSpiceland

Lauren Spiceland replied:

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.

Posted Tue, Apr 14 at 3:30pm CDT

I received a kidney and it was damaged by BK 7 years later. What can I do to avoid being "attacked" by BK again. I am scheduled for another transplant in May and very concerned?

Posted Tue, Apr 14 at 12:41pm CDT

Than-you so much for your info. on pre-emptive kidney transplant and this entire webinar. - Porter Versfelt, Atlanta

Posted Tue, Apr 14 at 12:40pm CDT

psu68usa

Jeff wrote:

Does Mayo have an upper age limit to evaluate a potential living kidney donor?

Posted Tue, Apr 14 at 12:38pm CDT

Anonymous wrote:

My husband is currently receiving dialysis due to end stage renal failure. He has no anti-bodies and we have same blood type. My chances of being his donor is good but I have some health issues. My doctors treating those [...] View full text  

Posted Tue, Apr 14 at 12:36pm CDT

LaurenSpiceland

Lauren Spiceland replied:

In general, if your doctors tell you that you are able to be a donor you should be able to be evaluated.

Posted Tue, Apr 14 at 3:14pm CDT

judyjohnson

Judy Johnson wrote:

Can you be on more than one paired donation group at a time?

Posted Tue, Apr 14 at 12:35pm CDT

LaurenSpiceland

Lauren Spiceland replied:

Yes, you can.

Posted Wed, Apr 15 at 8:52am CDT

judyjohnson

Judy Johnson wrote:

My donor is a relative matches 5/10 but has A2 and I dont. They say my chance of rejection is 20%. What is a reasonable rejection %?

Posted Tue, Apr 14 at 12:33pm CDT

LaurenSpiceland

Lauren Spiceland replied:

Judy, unfortunately we'd need more information to answer your question. Having a rejection usually doe not mean losing the organ. You can call us to discuss, if you'd like: http://www.mayoclinic.org/departments-centers/transplant-center/kidney-transplant/contact-us.

Posted Wed, Apr 15 at 8:52am CDT

I have stage 4 CKD, adult life-long Crohn's and in 2001 Rectal Cancer.My blood pressure is generally normal. A brother wants to donate a kidney. He has been a drinker all his adult life. What sort of donor could this [...] View full text  

Posted Tue, Apr 14 at 12:30pm CDT

LaurenSpiceland

Lauren Spiceland replied:

Jo-Ellen, generally speaking none of your conditions should be a contraindication for a successful transplant. If your brother is an active alcoholic and unwilling to quit, he will not be able to donate. He can call to ask to be evaluated: http://www.mayoclinic.org/departments-centers/transplant-center/kidney-transplant/contact-us.

Posted Wed, Apr 15 at 8:51am CDT

fabasame

Fabiola wrote:

Hi!! Two months ago I was donator. I would like to know about physical activity and nutrition. I'm 27 years.

Posted Tue, Apr 14 at 12:29pm CDT

krikerkeller

kerrie wrote:

Yes I would also like to know in terms of preemptive kidney transplants what is the earliest stage that you would transplant someone? I have a family member with PKD and is currently stage 2.

Posted Tue, Apr 14 at 12:29pm CDT

LaurenSpiceland

Lauren Spiceland replied:

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.

Posted Tue, Apr 14 at 3:55pm CDT

Anonymous wrote:

I have some medical issues caused by medication. My primary care physician is in the process of tapering me off of medication to resolve those issues. Will I still be able to donate as long as my labs are in [...] View full text  

Posted Tue, Apr 14 at 12:28pm CDT

margil89

purple wrote:

My mother has good health and is 72. can she be a donor to my 22 yr old daughter?

Posted Tue, Apr 14 at 12:28pm CDT