I am a little worked up over the Bad Art Friend piece. Two writers who have made questionable life decisions were mean to each other in an escalating fashion, and we all got to watch – unless you blessedly chose not to read this piece, go with God.
More successful (i.e., recognized and paid) writers than EITHER of these women had a lot of hot, allegedly funny takes on Twitter, “demanding” that their small donations to charity or small kindnesses to someone else be acknowledged. Hilarious. (Not hilarious.)
But leaving all of the drama, and there is much of it, aside, nobody should forget: a very minor character in this story got a kidney from a living donor.
I think that people don’t really have a great understanding of what this means. I don’t, fully, since I was only on the donor side. But in general – if the transplant is successful – this means that someone who is ill enough to be on dialysis will not need it again for a period of years.
Dialysis is amazing; it is literally lifesaving. It removes the blood and cleans it as the kidneys would and returns it to the body. But once someone’s kidney function is low enough to need dialysis, it’s not a casual thing. It is multiple times a week in a hospital for multiple hours each time. It causes great stress on the body. It is exhausting. Some people have “lived” on dialysis for many years, but it is risky and nobody’s first choice. A big “step forward” for dialysis was when patients were able to be dialyzed in their own home – but this literally ties them to a bed for 8-10 hours in a 24 hour period. There can be no deviation.
So while it saves lives in a very real way, dialysis is meant to be temporary. The ultimate solution is a donor kidney.
Deceased donor kidneys generally do not last as long as living donor kidneys.
Deceased donors are rarer than you might think, about 10,000 Americans in 2017.
In 2018 there were 6,442 living kidney donors in the US.
But there are more than 100,000 Americans waiting for a kidney, at last count. Probably more now, as COVID has affected kidneys as well as other solid organs (heart, lungs).
So the math here, frankly, sucks.
Kidneys are in short supply. The need is great. Perhaps you can understand how the entire concept of living donation being derided or minimized because of one donor’s personality flaws is…horrifying? Enraging? to me and a lot of other people. Seriously, forget these cries for therapy and zero in on this tiny success story.
There are thousands of stories of kidney donors, all of whom have their own sets of good and bad points, like every person. I am sure I’m not everyone’s cup of tea. Not everyone agreed with my decision to donate. I still changed someone’s life for the better. I didn’t demand adulation for it – I don’t really need to, because I have some lovely friends who to this day (today, in fact, at Pilates) introduce me to people by saying “This is OneTiredEma, she donated a kidney to a stranger!” – but I am ABSOLUTELY going to talk about it and ask you, internet friends and strangers, to think about it a couple of times a year.
I want it to feel like a slightly more complex blood donation. Takes more time and testing to get ready, and you only get to do it once, but it feels “normal” and “achievable,” for very many more people.
Even if you’re over 40. Or 50. Or 60. Even if you’re not in the best shape. Even if you drink a glass of wine with dinner. Even if you eat red meat. Even if you’re addicted to caffeine. Even if you curse. Even if you don’t return your library books on time. Even if you don’t like dogs. (This is a little questionable, but I’ll let it go.) Even if you read People magazine. Et cetera. It’s not an audition for an elite institution or MENSA or a third date or your dream job.
Just think on it.
(If you are inclined to read my story of donation, typing “kidney” in the search box will bring up links to the posts. The initial five are numbered and linked; a few random follow ups appeared later.)
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