Kidney Transplant Evaluation Notes taken 10-8-2012

Post-transplant maintenance must be performed in the "village" (geographical region) where the transplant is performed.  Duration is about three months, with visits 2-3 times a week initially dwindling to minimal contact /self-maintenance at the end of the post-transplant period.

Once approved and put on waiting list, the waiting period in the DC metropolitan area is usually 3-5 years; longer in NYC metro area (5-8 years).

LOTS of logistics pre- and post-transplant; lots of rules to follow.  Support structure is critical!  I will feel a lot better about things when my financial situation improves (i.e., I go back to work).

Surgery normally lasts 2-3 hours and patient stays in hospital an additional two days for observation.

Transplanted kidneys last an average of 10-15 years.

Immunosuppressants have to be taken post-transplant to reduce risk of kidney rejection.  A side effect of this is increased risk of skin cancer (use sunblock).  Immunosuppressants have to be taken for rest of lifetime.

Tasks:  Research rejection rates; Research peritoneal dialysis as an alternative.

I am daunted and energized, doubtful and confident, discouraged yet grateful that I am healthy enough to consider this option.  I am not 100% convinced that this is the way to go, but I am going to keep every option open for now.