09/17/2026
There are several pathways to a kidney donation. It takes a specialized team to make the right one happen. Rachel learned this during her astonishing quest for a new kidney.
She was diagnosed with polycystic kidney disease about 30 years ago, and told she would eventually need a kidney transplant. But due to a complicated medical history, finding a kidney that was the right match for her proved to be very difficult. None of her family and friends who got tested as potential living donors for her were a match. Rachel joined the wait list for a kidney from a deceased donor, but knew that her chances of finding a well-matched kidney this way were small. And due to a blood clotting disorder, dialysis was not a good temporary solution for her failing kidney.
Rachel’s care team at the Vanderbilt Living Kidney Program knew her situation was ominous. They arranged a “paired exchange” of kidneys. Rachel’s cousin had offered to donate a kidney to her, but she wasn’t a good match. The Vanderbilt team found a man in Ohio who also needed a kidney transplant; his wife wasn’t a good match for him, but she was for Rachel. The four patients formed a paired exchange: Rachel’s cousin would donate her kidney to the Ohio man, and the man’s wife would donate her kidney to Rachel.
Then the unexpected happened: A kidney that was a match for Rachel came from the national wait list, from a deceased donor. After years of searching for one perfect kidney, suddenly Rachel had the pick of two.
“I learned that … the whole process is a roller coaster ride of emotions,” Rachel said, “and it is most important to focus on getting the exact right kidney that was meant for me.”
Read the link in the comments to see what Rachel chose, and what advice she shares with others who need a kidney transplant.