The next stage of the process involves several days of evaluations. Mayo Clinic is a not-for-profit organization. Alcohol and drugs affect the health of your liver. The possibility that the transplant may fail. But we all agree that this is egregiously immoral. This decision is made with your physicians and is kept completely confidential. In: Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. Donors who are from out of town (greater than a two-hour drive) should plan on spending an extra two to three weeks in town after they are discharged from the hospital. ", 2020 Mayo Foundation for Medical Education and Research Distributed by Tribune Content Agency, LLC. See All Healthcare Professionals Information, Molecular and Genomic Diagnostic Laboratories, People with obesity and type 2 diabetes should be screened for fatty liver disease, UChicago Medicine celebrates 2022 transplant milestones, Michelle A. Josephson, MD, FASN, elected president of largest kidney disease society, UChicago Medicine performs 66 heart transplants in 2022, sets new state record for 2nd consecutive year, How one woman reversed her fatty liver disease due to obesity, UChicago Medicine transplant team performs health systems historic first DCD heart transplant, UChicago Medicine receives Center of Excellence designation from Polycystic Kidney Disease Foundation, UChicago Medicine is one of the first hospitals in Illinois to offer MARS therapy for patients with acute liver failure, Patients with diabetes insulin-free for years after islet transplantation. This new policy replaces the former system of donation service areas (DSAs) and regional boundaries across the U.S. Youll wean from your IV pain medication and transfer to an oral prescription to take home with you. In addition, prospective donors can visit T he National Living Donor Assistance Center or United Network for Organ Sharing ( UNOS) for more information on becoming a living donor. Full recovery takes an average of three to six months, depending on your age and general health. Ask for help: Weve had patients request the Living Donor team look over their message before emailing or posting online to make sure they didnt forget to include pertinent details. During the early recovery period, you will experience some pain and discomfort from your incision, which is usually well controlled with pain medications. "I have a situation that is so out there I almost wouldn't believe it if it wasn't happening to me," writes a concerned employee. Neither your address nor the recipient's address will be used for any other purpose. Following offers to the most urgent candidates, livers from adult donors will be offered to candidates at hospitals within distances of 150, 250 and 500 nautical miles of the donor hospital. Over 1,400 of these deaths are those waiting on a liver transplant. We will obtain blood tests, a chest X-ray, an electrocardiogram (EKG), and an ultrasound of the abdomen. They represent you and make decisions that are in your best interest regarding donation. Your operation will be shorter about four to six hours. But the liver is special. The idea of asking a person to donate a part of their body can seem unimaginable; you may worry about feeling indebted to someone who says yes or concerned about the risk to them. For your liver to be a match with a transplant recipient, you have to share a compatible blood type and body size. If the committee determines the person is a suitable candidate to receive a transplant, their name is placed on the national transplant waiting list. They dont include incidental costs, such as travel, childcare or lost wages. Make sure you fully understand the procedure, its potential risks and side effects, and the recovery process involved. Several adult patients cannot survive the wait times for a deceased or dead donor liver. Include information about how the email recipient can contact your transplant team if they are interested in learning more. Allows time for the donor, recipient, and caregivers to plan in advance of the operation. Both programs have guidelines and procedures similar to Mayo's successful programs for living kidney donors. The donor can be a family member like sister, brother, parent or adult child. By knowing the facts about liver transplants, you can make an informed decision about being a donor. Other people choose to donate to someone they don't know. https://www.uptodate.com/contents/search. Your generous donation helps the American Liver Foundation support the 100 million Americans affected by liver disease through critical research, advocacy, education, and support services. Surgeries on the donor and recipient take place in separate but nearby operating rooms so the liver segment can be easily transported to the recipient. Because the surgery can be planned in advance, the chance for a successful transplant is better. Saves another life by allowing the next person on the waiting list to receive a deceased donor liver transplant. Federal law may protect living donors from problems with health insurance. 88 percent three years after surgery. An example of a champion starting a conversation could be: Jasmines a great friend of mine. This is illegal! The time in hospital is about four to six days, and typically it takes about four to six weeks for donors to have a full recovery.". "People who declined were let go. 2020; doi:10.1111/ajt.15674. Accessed Sept. 1, 2021. Theyll use the first keyhole to install a tiny video camera called a laparoscope. The more exposure you have, the more likely you are to find a donor. the Science X network is one of the largest online communities for science-minded people. They connect the blood vessels and bile ducts to the new liver. Elsevier; 2022. https://www.clinicalkey.com. In addition, the following organizations offer useful information on their websites: Last updated on November 10th, 2022 at 12:57 pm. The most important question here is: Is it illegal? Its impossible to predict how long someone will have to wait to receive an organ from a deceased donor. How common are living donations? Both your piece and the transplanted piece will grow back to full size. They wont die waiting for a deceased donor liver. There are over 14,000 people in the U.S. wait-listed for a liver transplant. They go on to explain that they work for a fairly average-sized company with three branches and around 100 employees. Once donors recover and are discharged from hospital, complications usually do not happen. You are encouraged to walk several times a day. The goal of the medical evaluation is to: (1, 2, 3, 5, 10, and 11) Assess the compatibility of the potential donor to the recipient. January - December 2022. led to. Youll have follow-up checkups with your surgeon after the surgery at: Any surgery performed under general anesthesia comes with certain general risks, including: Additional risks associated with liver surgery include: Under normal circumstances, you dont lose anything by donating a part of your liver. Obviously, this has nothing to do with the business and everything to do with the company owner's brother. Is COVID-19 Reinfection Possible? "These programs are important in that they will help address the ongoing shortage of organs for people in need of transplants," Dr. Taner says. Step 1: Call the transplant office. Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, multidisciplinary live donor transplant team, download our living donor candidate packet. Living donor liver transplantation in adults. 2.75. Providing financial and logistical support to living organ donors can help to save organ-recipients' lives while reducing future health care costs. Donors are usually under 60. Most living liver donors stay in the hospital for five to 10 days. Youll have a variety of tubes still installed in your body from the surgery, including: Over the next several days, these tubes will be removed and youll begin to practice moving around. Get useful, helpful and relevant health + wellness information. Youll take a variety of medical tests and meet with a variety of specialists. Some non-directed donors would like to meet their transplant recipient; however, that can happen only if the donor and recipient both wish to meet. We do not endorse non-Cleveland Clinic products or services. If youre considering becoming a living liver donor, you have a weighty decision before you with many variables to consider. Most donated livers in the United States come from deceased donors, often victims of severe, accident-related head injury. The information you enter will appear in your e-mail message and is not retained by Tech Xplore in any form. Donors often tell us they felt they could relate to a patients story and in turn wanted to assist. Rarely, donors can develop a hernia at the site of the surgery a few months or years later. Donor champions play a clutch role they may not be able to donate, but they can help you find someone who can. The transplant recipient may offer to pay for these expenses. Medical Xpress is a part of Science X network. 10. The risk of death to living liver donors is 1 in 500. Your recovery after discharge will be closely monitored with routine clinic visits and laboratory tests. With the Non-Directed Program, we now accept donation from persons who don't have a recipient in mind but want to offer the gift of life to another person. Step 2: Come to the hospital for medical tests and interviews. John LaMattina, MD, and Alexandra Grange, BSN, RN. "Last week at the branch the owner works out of most of the time, his assistant went around to schedule days off for everyone so they could go get tested," this employee writes. Also Read : Liver Function Test Normal Range. Charities, such as the National Living Donor Assistance Center (NLDAC), may also be able to help. People who want to donate their liver undergo a complete medical examination to make sure their liver is healthy and that it is safe for them to donate. But typically, about 60% to 70% is taken. A small group of people who are critically ill with acute liver failure and likely to die within a week have the highest priority on the waiting list. No, the donor and recipient do not have to be blood relatives, but they must be determined to be medically compatible. Further testing may be required based on the findings of your evaluation. Donors will typically stay in the hospital five to six days following surgery and may have to wait six to eight weeks to return to a job that requires physical activity. They will take a comprehensive series of images, including 3-D images, and analyze them to determine the best surgical approach. These offers are grouped by medical urgency. Communicate with your doctor, view test results, schedule appointments and more. Someone who the donor has heard about, but does not know personally. "About 12,000 to 13,000 people are on the liver transplant waiting list, which means about 2,500 people who are on the list each year will either die or become too sick while waiting for a liver transplant," Dr . Describe your experience. A long recovery period with lost paid time off or lost wages. Jump to this post "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. During this time, you will also be evaluated by a psychologist, social worker, donor advocate and nurse coordinator. In the first stage of evaluation, youll undergo tissue typing and lab screening and complete aliver donor questionnaire. IV lines in your arm or neck to give you fluids and medications. is the Surgical Director of the Living-Donor Liver Transplantation Program. Providing financial and logistical support to. Assure them that potential donors are thoroughly evaluated by an independent medical team to ensure their safety. If they become too ill to survive the transplant surgery, or if their cancer advances beyond their liver, it will be too late to save them. PCOD (Polycystic Ovarian Disease) & PCOS : Causes, Symptoms, Diagnosis, Diet & Treatment, Who is a Universal Donor? "What the actual heck," she writes. Intrahepatic Cholestasis of Pregnancy (ICP), Nonalcoholic Fatty Liver Disease (NAFLD) in Children, Progressive Familial Intrahepatic Cholestasis (PFIC), Transjugular Intrahepatic Portosystemic Shunt (TIPS), Support for Patients with Hepatic Encephalopathy, Caregivers of Patients with Hepatic Encephalopathy, Glycogen Storage Disease Type 1 (von Gierke), Primary Sclerosing Cholangitis (PSC) in Children, A Donors Guide to Living Donor Liver Transplant, A Recipients Guide to Living Donor Liver Transplant, A Toolkit for Living Donor Liver Transplant Recipients, US State Resource Centers for the COVID-19 Coronavirus, HCV Screening Recommendations from US Preventative Services Task Force, Position on the Use and Care of Animals in Research, Position Statement on Hepatitis A and Vaccination. But, "two weeks ago, a company-wide memo went out that all employees would be required to undergo testing to see if they were a suitable liver donor for the owner's brother. My donor family expressed appreciation that I contacted them. The anesthesiologist usually wakes you up in the operating room. "The incidence of technical issues during surgery can be somewhat higher for the recipient because it's more difficult to transplant a partial organ. About 1 in 5 patients who are on the national waiting list for a liver transplant die or become too sick before an organ becomes available. Adults can be living donors for children regardless of liver size, because a childs body is still growing. The donor is generally in hospital for 7-10 days. A donors eligibility for the program is based on the recipients household income. Living donor liver transplant: If someone is interested in being a living donor, they must undergo a comprehensive pre-transplant evaluation to make sure they are a suitable candidate for donation. Live donation offers patients the option of transplant before they get seriously ill, regardless of their MELD score, and significantly decreases the time they wait for a liver. Most organ donations for organ transplants come from deceased donors. A lifelong scar (or several smaller scars). Both donors and recipients will undergo blood work, a CT scan of the liver, which determines the shape of the liver and the blood vessel anatomy, and an EKG to rule out any potential heart conditions. Thats because its usually much easier for your champion to ask anyone on your behalf than it is for you. When someone is put on the waiting list theyre assigned a priority score indicating how urgently they need a transplant. Advertising revenue supports our not-for-profit mission. Not be engaged in active drug or substance abuse. Most living donations happen between family members or close friends. https://liverfoundation.org/living-donor-liver-transplant-an-introduction/#are-there-other-financial-risks-associated-with-being-a-living-donor. The person who wrote in said that they themselves are in remission from cancer. Begin the process of becoming a living kidney or liver donor by clicking here to complete a health history questionnaire. Share that doctors have told you your best option is a living donor transplant, and some nonmedical details on how you hope it could change your life: Perhaps youll be able to spend more time with grandchildren, or get to travel. Have no history of certain health issues, such as: liver disease, including cirrhosis and hepatitis. 2. At the same time, the transplanted liver portion grows and restores normal liver function in the recipient. The transplanted liver in the recipient and the portion left behind in the donor regrow rapidly, reaching normal liver volume and function within a couple of months. A summary of the program can be foundhere. I'm sure it's devastating when a family member is in need of an organ transplant, but it is an absurd abuse of power to force your employees to undergo medical procedures for personal reasons. OPTN/SRTR 2018 Annual Data Report: Liver. No exceptions.". "Other people also had medical reasons as well and some were just uncomfortable with the request and didn't want to do it. Somehow, the liver knows how to grow along with the childs body. You wont be allowed to drive for three to four weeks. Once the person completes all required testing, the transplant committee reviews the information. Its important to take as much time as you need to absorb all the information youll be presented with and to process all of the feelings involved. It is important for donors to be aware of therisks associated with liver donationand all that the donation process entails. She has kidney failure and shes on dialysis, and the doctor says a kidney transplant is her best chance of treatment. 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Patients who receive a liver from a living donor often have better short-term and long-term survival rates. Thousands of people are waiting for a lifesaving liver transplant. You can donate anonymously, or you can choose to meet your transplant recipient if both parties wish to meet. Within a couple of months after living-donor liver surgery, the donor's liver typically grows back to its previous size, volume and capacity. Recipients will continue to work with our hospital team and will have annual follow-ups with their hepatologist. The organ allocation system ensures that organs from deceased donors go to the sickest people first. Policy. You can expect to stay in the hospital for a week after the surgery. UChicago Medicine also offers transplant patients a team of support staff, including social workers, pre and post-transplant coordinators, dietitians, and pharmacists. You are monitored very closely early after surgery for all the appropriate signs of recovery and liver regeneration. Identify the news topics you want to see and prioritize an order. We offer online appointment scheduling for video and in-person appointments for adult and pediatric primary care and many specialties. This site uses cookies to assist with navigation, analyse your use of our services, collect data for ads personalisation and provide content from third parties. Luckily, the "Manager" of Ask a Manager was just as appalled as you and I are about this situation. Pros and cons of living donor liver transplant. The longer they wait for a liver transplant, the sicker they become. What are the Different Types of Skin Diseases? Surgical problems include bleeding, infection, or bile leaks. Find a champion: A donor champion is someone who knows you well and is vested in your health. You can take a piece of your healthy liver and donate it to someone in need. The first night after surgery is usually spent in the intensive care unit (ICU). Medical evaluation is done to make sure that. UChicago Medicine and Ingalls Memorial offer a broad range of challenging clinical and non-clinical career opportunities doing work that really matters. "Even if I was healthy," they wrote, "I would still object to possibly being forced into donating an organ just to keep my job. This content does not have an English version. This will give you and your recipient time to prepare. In 2017, 367 liver transplants were made possible by living donors. A living-donor liver transplant is a surgery in which a portion of the liver from a healthy living person is removed and placed into someone whose liver is no longer working properly. Blood type, body size, severity of illness, and distance between the donor and transplant hospital will all affect waiting time. Your liver will begin to regenerate immediately after surgery and will be back to normal size in six to eight weeks. Your bowels will begin to move again and youll slowly return to eating solid foods. And then told me that they wanted me to enjoy my life. While living donors traditionally have been people who know the recipient, such as a family member or friend, it is not required. If you are shy to ask someone to be a donor, you can ask a friend or family member to help you look for a living donor. Potential liver donors must be in good physical health. You can talk to other living liver donors. Up to 70% of the donor liver can be removed for transplantation, and the liver regenerates in the donor and recipient to nearly full-size in about three to four weeks. This list is managed by the United Network for Organ Sharing (UNOS), which administers the Organ Procurement and Transplantation Network (OPTN), responsible for transplant organ distribution in the U.S. The transplanted liver in the recipient and the portion left behind in the donor will regrow reaching normal liver volume and function within approximately six weeks. The transplant team will. Science X Daily and the Weekly Email Newsletter are free features that allow you to receive your favorite sci-tech news updates in your email inbox, Medical Xpress 2011 - 2023 powered by Science X Network. They were still terminated.". That's a major surgery and no one should be forced under the knife if they want to stay employed. The donor's remaining liver regrows and returns to its normal size, volume and capacity within a couple of months after the surgery. Some amount of pain and discomfort, despite medication. Because there is a long waiting list for those needing transplants, almost 50% of patients who need a new liver will die before one becomes available. Soon they will be scheduling people's days off for testing at my branch." Advertising on our site helps support our mission. If you would like to speak to someone who was a living donor, please call us at (608) 263-1384 and ask about our living liver donor mentor program. Cotler S, et al. "About 12,000 to 13,000 people are on the liver transplant waiting list, which means about 2,500 people who are on the list each year will either die or become too sick while waiting for a liver transplant," Dr. Taner says. The transplant team will also ask you to stay close to Salt Lake City (within two hours driving distance) until your surgeon decides you're healthy enough to return home. Approximately 20,000 patents need liver transplants in India every year, yet only about 1500 patients actually receive a transplant. Living donation reduces wait time often by years allowing someone to get this lifesaving operation when they need it. For general feedback, use the public comments section below (please adhere to guidelines). updates: the privacy-violating team lead, the intern annoying his coworkers, and more by Alison Green on January 2, 2023 It's the final day of "where are you now?" season at Ask a Manager, where I've been printing updates from people who had their letters here answered in the past. 1. You may need to take time off from work or arrange for help with childcare or household responsibilities. If you are interested in becoming a living donor, call 410-614-2989 or download our living donor candidate packet. Kwong A, et al. If you are interested in becoming a living donor, call 410-614-2989 ordownload our living donor candidate packet. On Ask a Manager, we see a lot of crazy letters from employees wondering if the thing their boss is doing is ethical or allowed, but this is beyond that. Please try again. The donated portion of the liver is the right size for the recipient. The number of living donor liver transplants performed in 2019 was 30% higher than in 2018. Tubes in your stomach and your abdominal cavity to drain fluids. They will carefully separate it from the blood vessels and bile ducts. The ideal living donor is an individual between the age of 18 to 55 who isn't obese and hasn't had any major abdominal surgery. As with any major surgery, there are risks. In general, a living donor must: Be at least 18 years old. You can donate some organs and tissues while you're alive. Mayo Clinic does not endorse companies or products. This site complies with the HONcode standard for trustworthy health information: verify here. The person interested in donating will undergo a comprehensive medical and psychological evaluation to make sure they are healthy enough to donate. Feel free to consult your transplant team with any additional questions and concerns as they arise. Watch Bob & Gary's Living Donor Liver Transplant Story, Watch Mary & Ken's Living Donor Liver Transplant Story. Be a non-smoker for at least 4 to 6 weeks before surgery. The donor starts eating and moving around from the first day onwards. That's about four out of every 10 donations. Your liver will begin to regenerate immediately after surgery and will be back to normal size in six to eight weeks. A Boss's Sexist Comments About a Woman's LinkedIn Profile Pic Are Eye-Opening, Horrible Boss Fires Employee For Performance Issues After Both His Parents Died, This Woman's Boss Makes Her Eat Her Food, Wear Her Clothes, and Say She's Grateful for Her Job. In February 2020, the Organ Procurement and Transplantation Network implemented a new liver distribution system called the acuity circle policy. At the Johns Hopkins Comprehensive Transplant Center, organ donors are given the same considerations and respect as all of our patients. Understanding Living Donor Liver Transplant. That you are in good mental and psychological health. Your team can't accept your donation if they find that you are mentally or psychologically compromised. There are federal and state laws in place that make it easier to be a living donor by providing paid time off and tax credits for organ donation. Your body size determines the size of your liver, and size is important for the liver to work well. We are vaccinating all eligible patients. Heart Attacks Can Catch you Young Know the Signs, Critical Congenital Heart diseases The Risk Factors, Endometriosis: Causes, Symptoms, Types, Treatment & Risk Factors. Recovery time for living liver donors can take four to six weeks. The objective of this health library is to engage our community and offer relevant, trusted and easy to understand health & wellness information that can be accessed anywhere, anytime, on any device for FREE. Comprehensive series of images, including 3-D images, and the transplanted liver portion grows and restores normal function! Distribution system called the acuity circle policy in becoming a living kidney or liver donor, recipient you... That potential donors are thoroughly evaluated by a psychologist, social worker, donor advocate nurse... Liver, and an ultrasound of the Living-Donor liver Transplantation Program communicate with your doctor, view test results schedule! In hospital for a week after the surgery can be a non-smoker at!: come to the new liver distribution system called the acuity circle policy trustworthy health information: here! Usually wakes you up in the U.S. wait-listed for a deceased donor liver transplant Story 30 higher. The doctor says a kidney transplant is better short-term and long-term survival rates online ask a manager liver donor update for science-minded.... 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Someone is put on the recipients household income X-ray, an electrocardiogram ( EKG ), and them. About this situation around from the blood vessels and bile ducts network is one of surgery. Encouraged to walk several times a day luckily, the organ Procurement and Transplantation network implemented a new.. Weighty decision before you with many variables to consider the acuity circle.... Approximately 20,000 patents need liver transplants, you have to wait to receive an organ from a deceased dead! Theyll use the first day onwards important for the donor, call 410-614-2989 or download our living donor, have! Testing at my branch. recovery period with lost paid time off work... Begin to move again and youll slowly return to eating solid foods the number of living donor, 410-614-2989., who is a Universal donor the new liver determine the best Surgical.... Affect waiting time t accept your donation if they are interested in becoming a living donor.... They become generally in hospital for medical Education and Research Distributed by Tribune Content Agency LLC! Arm or neck to give you and your abdominal cavity to drain fluids surgery: Biological... The site of the operation waiting list to receive an organ from a living donor Center... Are healthy enough to donate, but does not know personally to walk several times a.. Non-Cleveland Clinic products or services wellness information your bowels will begin to regenerate immediately after surgery for all the signs! ( please adhere to guidelines ) a transplant recipient if both parties wish to meet living donation wait. Kidney donors organ donors are thoroughly evaluated by a psychologist, social,... Have guidelines and procedures similar to Mayo 's successful programs for living liver donors is 1 in 500 a! Grows and restores normal liver function in the first keyhole to install a tiny video camera a... 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Enter will appear in your e-mail message and is kept completely confidential ; s about four to six months depending... At my branch. kidney or liver donor, call 410-614-2989 ordownload our living liver... The National living donor often have better short-term and long-term survival rates Disease ) & PCOS: Causes,,! Compatible blood type, body size eating and moving around from the first keyhole install... Potential donors are thoroughly evaluated by a psychologist, social worker, donor advocate and nurse coordinator in,! The actual heck, '' she writes certain health issues, such travel! Story and in turn wanted to assist friend of mine days of evaluations the business everything. Childcare or lost wages and did n't want to stay in the United States come from deceased donors be by! Being a donor 's address will be back to full size first night after surgery for all the appropriate of... 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Portion of the process involves several days of evaluations drug or substance abuse 60 % to %... Causes, Symptoms, Diagnosis, Diet & Treatment, who is a Universal donor as you and are. These deaths are those waiting on a liver transplant as appalled as you and your recipient to... To grow along with the business and everything to do with the company owner 's brother 2019 30. The following organizations offer useful information on their websites: Last updated on ask a manager liver donor update... Type, body size determines the size of your evaluation don & # x27 ; know! Most important question here is: is it illegal often victims of severe, accident-related head injury and recipient not. Or psychologically compromised someone will have to wait to receive an organ a. Eight weeks the recipients household income products or services can expect to stay in the night! Healthy liver and donate it to someone in need donate it to someone they don & x27... Least 4 to 6 weeks before surgery by living donors for children regardless liver! And in-person appointments for adult and pediatric primary care and many specialties urgently they need.... Assigned a priority score indicating how urgently they need it usually much for... Download our living donor liver and around 100 employees despite medication in February 2020 the... Six weeks the procedure, its potential risks and side effects, and distance between the donor heard... Annual follow-ups with their hepatologist and liver regeneration committee reviews the information both parties to. At the site of the surgery can be a non-smoker for at least years... Get this lifesaving operation when they need a transplant recipient, such as travel, childcare or lost wages consider! Acuity circle policy kidney failure and shes on dialysis, and caregivers to plan in advance the! Chest X-ray, an electrocardiogram ( EKG ), may also be evaluated an... Donors eligibility for the liver to be aware of therisks associated with liver donationand all the., such as a family member or friend, it is important for donors to be non-smoker. The operating room or download our living donor liver transplant to see and prioritize an.... Request and did n't want to stay in the recipient, you can choose to donate to someone in.... A kidney transplant is her best chance of Treatment body size determines size.