TRANSKRIPT 🔗
WEBVTT
00:00:00.400 --> 00:00:03.680
Well, so he was approved there, and I was approved at Wisconsin.
00:00:03.759 --> 00:00:11.679
So on October 30th last year, in the morning, Dave's kidney was retrieved and flown immediately to some unknown recipient in need.
00:00:11.839 --> 00:00:17.440
And at the same time, an unknown donor gave a kidney and it was flown to me at University of Wisconsin.
00:00:17.600 --> 00:00:20.640
We prayed for good weather so these kidneys could make it around.
00:00:20.800 --> 00:00:24.559
But in the afternoon, both of us who needed transplants received them.
00:00:24.960 --> 00:00:26.239
I don't know who the other people are.
00:00:26.480 --> 00:00:30.399
We got word that the transplant that Dave gave the kidney for went well.
00:00:30.559 --> 00:00:31.760
And we're all so grateful.
00:00:31.839 --> 00:00:33.920
I mean, it was just an amazing process.
00:00:51.759 --> 00:01:00.159
Hello and welcome back to Donor Diaries, a podcast exploring the world of living donation and the ordinary people changing lives every day.
00:01:00.479 --> 00:01:08.640
Today's guest brings a perspective we haven't explored in the four seasons of this podcast yet, and that is the world of cornea donation.
00:01:08.879 --> 00:01:22.079
Our guest, Diane Hollingsworth, has spent decades working in transplantation and donation advocacy, currently serving in leadership roles with Eversight, Vision Share, and Gift of Hope Organ and Tissue Donor Network.
00:01:22.319 --> 00:01:28.560
But what makes Diane's story especially meaningful to me is that transplant is not just her profession.
00:01:28.799 --> 00:01:30.319
It's deeply personal.
00:01:30.640 --> 00:01:36.560
Diane is a grateful kidney transplant recipient whose mother donated her more than 30 years ago.
00:01:36.640 --> 00:01:45.040
And then more recently, she received her second kidney transplant through a paired exchange that included her husband, Dave, as a donor.
00:01:45.760 --> 00:01:55.359
This is also a story about being informed, about understanding your options, and advocating for yourself through every stage of the transplant journey.
00:01:55.599 --> 00:02:04.959
From eye donation to kidney paired exchange, Diane's life has been shaped by the power of education, persistence, and people helping people.
00:02:06.239 --> 00:02:11.120
It's really special to me to have my friend Diane on donor diaries today.
00:02:11.199 --> 00:02:15.039
Diane's somebody who I see at Illinois awareness events.
00:02:15.120 --> 00:02:17.039
Anytime I go to one, she's there.
00:02:17.439 --> 00:02:25.280
And I think that you have a story that should be heard by people who are trying to navigate the transplant landscape because it's not always easy.
00:02:25.360 --> 00:02:30.639
And I think that your story is a true example of somebody who advocated for themselves.
00:02:30.800 --> 00:02:31.759
So thank you for being here.
00:02:31.919 --> 00:02:33.759
I'm excited to jump into your story.
00:02:34.080
Load full transcript
--> 00:02:35.280
Well, I'm excited to be here.
00:02:35.360 --> 00:02:43.759
And I am excited to tell my story because I think there are many people out there that might need the advice to follow to help them through the transplant journey that I just went through.
00:02:44.000 --> 00:02:45.439
I totally agree.
00:02:45.680 --> 00:02:52.960
So we're going to talk a little bit about your professional career today, but let's start first with the beginning of your story.
00:02:53.120 --> 00:02:57.919
And tell us a little bit about when you first learned that you would need a kidney transplant.
00:02:58.479 --> 00:03:00.960
Well, I say kidney disease took me by surprise.
00:03:01.039 --> 00:03:02.000
I had no idea.
00:03:02.080 --> 00:03:04.319
I was in my early 30s and healthy.
00:03:04.479 --> 00:03:09.120
So I thought, you know, I was pregnant with my first child and I had preclampsia.
00:03:09.280 --> 00:03:10.319
Okay, that's normal.
00:03:10.560 --> 00:03:16.319
And then again, my second pregnancy was preclampsia again, maybe not as normal, but it everything was fine.
00:03:16.560 --> 00:03:24.639
It wasn't until my third child that the doctors figured out that was causing my preclampsia and other issues was kidney disease.
00:03:24.879 --> 00:03:30.879
Um, we actually together figured out that in college I had strep throat and it settled into my kidneys.
00:03:31.039 --> 00:03:38.560
And so while being pregnant and being great and that high protein intake stressed my body enough that I was having kidney failure.
00:03:38.879 --> 00:03:43.840
So we needed an emergency delivery at 31 weeks with my third child.
00:03:44.080 --> 00:03:52.319
Um, and then after that, we started the process of our daughter being in NICU care and me figuring out next steps for kidney failure.
00:03:52.560 --> 00:03:54.400
But I have to say there is good news.
00:03:54.639 --> 00:03:59.520
Our baby, Emily Ann, is now 34 and she's having a baby of her own.
00:03:59.759 --> 00:04:01.280
Oh, congratulations.
00:04:01.520 --> 00:04:02.319
Thank you.
00:04:02.560 --> 00:04:04.000
So that had to be scary.
00:04:04.080 --> 00:04:08.240
So during your third pregnancy, you you had a a health crisis.
00:04:08.479 --> 00:04:08.960
Yes.
00:04:09.199 --> 00:04:09.599
Yes.
00:04:09.759 --> 00:04:14.879
I've been in the hospital for a very long time when they decided that they figured out it was kidney disease.
00:04:15.120 --> 00:04:19.120
And then um, at some point they just said, this is stressing the baby too much.
00:04:19.279 --> 00:04:22.160
We have to take the baby and you know, hope for the best.
00:04:22.319 --> 00:04:24.959
So it was a very, very trying time.
00:04:25.360 --> 00:04:29.199
What do you remember most about the first chapter of that journey?
00:04:30.240 --> 00:04:32.079
That it was the most trying time of my life.
00:04:32.240 --> 00:04:33.040
It really was.
00:04:33.199 --> 00:04:37.519
Um, splitting your time between the NICU and praying that your baby's going to live.
00:04:37.680 --> 00:04:42.560
And I had two toddlers at home and starting dialysis all at the same time.
00:04:42.639 --> 00:04:46.879
And all the emotions that go with that is just overwhelming.
00:04:47.600 --> 00:04:48.160
Wow.
00:04:49.040 --> 00:04:51.360
What an incredible thing to triumph through.
00:04:51.519 --> 00:04:55.040
I mean, that's I can't I can't imagine being on dialysis.
00:04:55.120 --> 00:05:02.160
And then when I think about being on dialysis with a baby and NICU and toddlers, and that just had to be terrifying for your husband as well.
00:05:02.399 --> 00:05:02.879
It was.
00:05:02.959 --> 00:05:04.240
It definitely was.
00:05:04.879 --> 00:05:08.399
And tell me a little bit about who ended up being your donor.
00:05:09.040 --> 00:05:20.079
So my mom ended up being a great match, and it was surreal because she's in an operating room at 57 years old, giving me a kidney, and I'm in the other room receiving.
00:05:20.319 --> 00:05:22.800
I mean, she gave me life a second time.
00:05:23.199 --> 00:05:37.759
My mom remembers that the doctor came into her room to see her after my surgery and said she peed on the table, which was good news because I was not producing urine prior to the transplant, which really meant that the transplant was successful.
00:05:38.000 --> 00:05:40.079
And my mom's a superhero.
00:05:40.240 --> 00:05:46.639
Now, on top of all of this, my father had passed away four months earlier, but she really wanted to do this.
00:05:46.800 --> 00:05:51.199
And um, even in her grief, she moved forward with uh giving me a kidney.
00:05:51.439 --> 00:05:51.680
Wow.
00:05:51.839 --> 00:05:56.000
So you had losing a father going on at the same time as all of us, too.
00:05:56.319 --> 00:05:57.360
Yeah, it was a lot.
00:05:58.319 --> 00:06:00.639
That was a hard point in life.
00:06:01.279 --> 00:06:02.639
So I've met your mother.
00:06:02.720 --> 00:06:06.480
I believe she was at the living donor, the donor rally that we had, right?
00:06:06.639 --> 00:06:06.959
And she was.
00:06:07.680 --> 00:06:08.879
She was always that event.
00:06:09.199 --> 00:06:11.600
And she was one of the oldest donors there, I believe.
00:06:11.759 --> 00:06:12.800
She was in her 90s.
00:06:13.040 --> 00:06:15.839
That was 2018, so she would have been in her 90s at that point.
00:06:15.920 --> 00:06:16.319
Is that right?
00:06:16.639 --> 00:06:20.079
She's 90 now, so she's 90 now, so she was in her 80s.
00:06:20.240 --> 00:06:20.480
Right.
00:06:20.720 --> 00:06:27.120
Can you just briefly tell us about your mom's health having donated a kidney and reaching the milestone of 90?
00:06:27.439 --> 00:06:30.240
Yeah, she's 90, and her kidney is still going strong.
00:06:30.399 --> 00:06:33.600
She might have other health issues going on, but I always check her care.
00:06:34.800 --> 00:06:39.360
Her kidney's going well, and I am so grateful for her continued kidney health.
00:06:39.439 --> 00:06:46.720
I mean, it's just it's
really her kidney must have been a workhorse because it worked that way for me for 33 years, and hers is continuing to go be strong.
00:06:47.120 --> 00:06:47.839
Go, mom.
00:06:48.639 --> 00:06:50.720
And how long did her kidney last?
00:06:51.759 --> 00:06:53.040
33 years.
00:06:54.560 --> 00:06:55.680
That's a long time.
00:06:55.920 --> 00:06:56.800
That's a long time.
00:06:57.040 --> 00:07:02.879
It it it allowed me to raise my children, um, continue my career.
00:07:03.120 --> 00:07:06.800
Um, it was just something amazing for me.
00:07:07.279 --> 00:07:13.120
So, fast forwarding to the end of last year, you had your second transplant.
00:07:13.360 --> 00:07:17.680
What led to that moment after 33 years with your mom's healthy kidney?
00:07:18.079 --> 00:07:21.360
Well, a few years ago, my labs started to be not as good.
00:07:21.519 --> 00:07:24.639
And then over two years, they just continued to decline.
00:07:25.120 --> 00:07:26.160
But no complaints.
00:07:26.240 --> 00:07:28.319
I mean, I had it for 33 years.
00:07:28.560 --> 00:07:38.480
And I have come to understand that I think it was great timing because better to have it fail in my 60s if it's not gonna last me my lifetime than when I'm later in life.
00:07:38.639 --> 00:07:40.480
So I kind of thought it was a blessing.
00:07:40.560 --> 00:07:41.360
It was gonna fail.
00:07:41.519 --> 00:07:47.120
I was it it was good that it failed now and not at a time where I couldn't get a transplant potentially.
00:07:47.439 --> 00:07:48.639
I love your positivity.
00:07:48.720 --> 00:07:52.000
I remember you telling me that when you told me that you needed a kidney.
00:07:52.079 --> 00:07:59.199
And yes, it would be wonderful to have a kidney that lasts that long, but if you're gonna need a second one, yeah, I got your train of thought there.
00:07:59.600 --> 00:08:01.759
So tell us about your second donor.
00:08:02.319 --> 00:08:11.680
My husband, Dave, um, went to be a donor, but he wasn't considered to be a donor for me at the hospital I was but registered at, but he was very healthy.
00:08:11.839 --> 00:08:16.560
And then we learned the criteria for each hospital for living donors is not the same.
00:08:16.879 --> 00:08:24.480
We found through different research and things, we found the National Kidney Registry and looked to see if any other hospitals would take him as a candidate.
00:08:24.639 --> 00:08:31.680
And there were a few, so we contacted one of them, Mayo Clinic in Jacksonville, Florida, and they agreed to test him as a donor.
00:08:31.920 --> 00:08:36.240
We flew down, he tested throughout the day, and he was approved as my donor.
00:08:36.399 --> 00:08:38.399
However, he was not a great match.
00:08:38.559 --> 00:08:47.679
So the next step we took was to work with both hospitals, and it was so great that both hospitals were willing to work with us on this and registered in the paired exchange program.
00:08:47.840 --> 00:08:55.360
So um, in this program, they attempted to find a person that matched me and a person that matched him.
00:08:55.679 --> 00:08:57.039
And we were so lucky.
00:08:57.120 --> 00:09:02.320
We they didn't know how long this was gonna take, but we waited only two months to find a match.
00:09:02.480 --> 00:09:10.240
I know others have waited longer, but it's I think for most people, it's a much less waiting time than waiting for a deceased donor.
00:09:10.559 --> 00:09:12.799
And I think it went well.
00:09:13.200 --> 00:09:16.000
So backing up a little bit, I have a question about Dave.
00:09:16.240 --> 00:09:28.879
So he was originally, I remember when I talked to you, you said your sister, your daughters, your friends, and your husband were all initially ruled out in Wisconsin, which is where you've been getting your care.
00:09:29.120 --> 00:09:37.840
So rather than saying, let's find another donor, your husband said, Well, let's let's look a little bit further into this and see who else might approve me.
00:09:38.000 --> 00:09:44.480
Can I can I ask what the condition was or what what was the medical reason that he was denied at your transplant center?
00:09:44.799 --> 00:09:45.279
Sure.
00:09:45.600 --> 00:09:51.039
He had kidney stones 40 years ago, and he was a runner at the time.
00:09:51.200 --> 00:09:57.759
You know, he's was young, and he would drink huge vanilla milkshakes after his run.
00:09:57.840 --> 00:10:02.399
So you're dehydrated and you're putting all this dairy into your system and it caused him to have kidney stones.
00:10:02.480 --> 00:10:06.480
But he hasn't, he changed his ways and he hasn't had kidney stones for that long.
00:10:06.720 --> 00:10:10.480
But a lot of centers disqualify if you've ever had any kidney stones.
00:10:10.720 --> 00:10:12.240
Yeah, even one kidney stone.
00:10:12.480 --> 00:10:18.480
Okay, so he ultimately donated through Mayo and Tampa while you were transplanted at the University of Wisconsin.
00:10:18.720 --> 00:10:20.960
How did that come together?
00:10:21.519 --> 00:10:24.639
Well, so he was approved there and I was approved at Wisconsin.
00:10:24.720 --> 00:10:32.639
So on October 30th last year, in the morning, Dave's kidney was retrieved and flown immediately to some unknown recipient in need.
00:10:32.799 --> 00:10:38.399
And at the same time, an unknown donor gave a kidney and it was flown to me at University of Wisconsin.
00:10:38.559 --> 00:10:41.600
We prayed for good weather so these kidneys could make it around.
00:10:41.759 --> 00:10:45.600
But in the afternoon, both of us who needed transplants received them.
00:10:45.919 --> 00:10:47.200
I don't know who the other people are.
00:10:47.440 --> 00:10:51.360
We got word that the transplant that Dave gave the kidney for went well.
00:10:51.519 --> 00:10:52.720
And we're all so grateful.
00:10:52.799 --> 00:10:54.559
I mean, it was just an amazing process.
00:10:54.799 --> 00:10:59.759
It is, and it's so crazy to me that you guys were separated for that experience.
00:10:59.840
--> 00:11:06.639
Because if my spouse was having a transplant or donating, I'd want to be with him, but you guys had to be physically apart from one another.
00:11:06.799 --> 00:11:12.799
So what did your kids just kind of like divide and conquer and decide who's watching mom and who's watching dad or what?
00:11:13.039 --> 00:11:13.919
Yes, they did.
00:11:14.159 --> 00:11:15.840
So I have three daughters.
00:11:16.080 --> 00:11:18.480
One went to Wisconsin, one went to Tampa.
00:11:18.559 --> 00:11:31.200
And then the um third daughter filled in when we both got home together because we still needed care then, because you think that one spouse is gonna care, one friend or whatever is gonna care for the other, but we're both down, right?
00:11:31.360 --> 00:11:32.960
So she came and really helped us.
00:11:33.120 --> 00:11:38.159
Our biggest thing was when we looked at things, we're like, it's more than 10 pounds, neither of us can live, right?
00:11:39.840 --> 00:11:46.320
Yeah, so you recovered together after a short period of time of probably because you live in Illinois, right?
00:11:46.399 --> 00:11:54.639
So you were neither of you were in your home state after how many days or weeks were you guys brought back together to begin your joint recovery in Illinois?
00:11:54.960 --> 00:11:59.200
Surprisingly, you know, I remember from the last time, I think I was in the hospital almost three weeks.
00:11:59.360 --> 00:12:02.320
We met up at our house one week after transplant.
00:12:02.399 --> 00:12:03.279
So it was great.
00:12:03.600 --> 00:12:04.639
What was that like?
00:12:05.120 --> 00:12:07.120
It was good to be back together.
00:12:07.360 --> 00:12:10.559
And you know, because it was all over phone and stuff calling back and forth.
00:12:10.639 --> 00:12:17.519
It was just, you know, it was challenging for us to to heal together, but overall it was really it was really a great reunion.
00:12:17.759 --> 00:12:20.080
Did you binge some Netflix together?
00:12:20.480 --> 00:12:29.200
I I I actually both of us were got Kindles at this time, and so we were reading books like crazy, but then in the evenings we would were binge watching all kinds of things.
00:12:29.519 --> 00:12:29.840
Wow.
00:12:29.919 --> 00:12:32.399
And this was kind of over the holidays, right?
00:12:32.559 --> 00:12:32.879
Right.
00:12:33.039 --> 00:12:35.519
Yeah, so you had a really chill holiday.
00:12:35.840 --> 00:12:36.799
Yeah, very chill.
00:12:36.879 --> 00:12:45.360
We didn't we didn't get together with family over Thanksgiving or Christmas because we were still in the mode of we want to stay away from any other anybody else's germ.
00:12:45.440 --> 00:12:46.159
So yeah, yeah.
00:12:46.399 --> 00:12:47.440
We hunkered down.
00:12:47.679 --> 00:12:49.919
That was a germy end of 2025, too.
00:12:50.000 --> 00:12:52.080
That's probably a really good choice.
00:12:52.320 --> 00:12:54.559
So which daughter had the hardest job?
00:12:54.960 --> 00:13:03.039
I think actually who had the hardest job was the was Katie, who was at our house when we were together because we were both demanding.
00:13:05.120 --> 00:13:06.639
Well, thank you, Katie.
00:13:07.200 --> 00:13:07.840
Right.
00:13:08.639 --> 00:13:13.919
So switching gears a little bit, you work in the donation world professionally.
00:13:14.080 --> 00:13:20.559
What was it like navigating the transplant system as a patient versus a transplant professional?
00:13:21.360 --> 00:13:22.879
It was really interesting for me.
00:13:23.039 --> 00:13:26.080
I thought I knew everything, but I didn't.
00:13:26.320 --> 00:13:32.080
It was an education, and it was somewhat frustrating for me at times being in the industry.
00:13:32.240 --> 00:13:40.320
I kept thinking, what about those that are going through this and most likely sick and on dialysis without the resources that I could lean on?
00:13:40.480 --> 00:13:42.399
I think it'd be it was overwhelming for me.
00:13:42.559 --> 00:13:44.639
I can't imagine what it'd be like for others.
00:13:44.960 --> 00:13:53.039
Did anything surprise you about how complicated the system can feel, even for someone, like you said, somebody like yourself who does understand it?
00:13:53.440 --> 00:13:53.759
Yes.
00:13:54.000 --> 00:13:58.639
One thing that really surprised me was how to get on the list for a deceased or living donor.
00:13:58.799 --> 00:14:00.720
You have to be qualified, right?
00:14:00.879 --> 00:14:03.600
So you're getting given a list of tests to get done.
00:14:03.840 --> 00:14:07.039
You want to get through as soon as possible because you want to qualify.
00:14:07.120 --> 00:14:14.240
So that, you know, you know, maybe you're trying to stay off dialysis or do preemptive transplant, or you just don't want to be on dialysis too long.
00:14:14.480 --> 00:14:16.399
So you get all these tests you got to get done.
00:14:16.480 --> 00:14:19.600
You're calling around, trying to get them done as quickly as possible.
00:14:19.759 --> 00:14:22.960
And it took me four months to get all my testing done.
00:14:23.120 --> 00:14:28.159
And then you go in front of committee, and committee decides if they have enough and you're approved.
00:14:28.240 --> 00:14:29.279
And in my case, I didn't.
00:14:29.360 --> 00:14:30.559
They wanted more tests.
00:14:30.720 --> 00:14:32.879
So I went through more tests and came back.
00:14:32.960 --> 00:14:36.720
So it took me an entire year to get on the registry.
00:14:36.799 --> 00:14:40.559
And again, I think that's a really tough road.
00:14:40.720 --> 00:14:48.639
And I thought I wish it were a little simpler, truthfully, because with a living donor, you go in and you get all your tests done at the same day, and it's a quick process.
00:14:48.879 --> 00:14:55.759
So I was really surprised at all it took for an individual to do what they needed to do to get on the list to begin with.
00:14:55.840 --> 00:14:57.919
So that was very eye-opening to me.
00:14:58.159 --> 00:14:59.200
Yeah,
that's a long time.
00:14:59.279 --> 00:15:02.000
And did you have to go on dialysis during that time?
00:15:02.320 --> 00:15:07.519
So I was really lucky because I I my nephrologist said, okay, let's just keep waiting.
00:15:07.600 --> 00:15:08.240
Let's keep waiting.
00:15:08.399 --> 00:15:10.240
So I was feeling sicker and sicker.
00:15:10.399 --> 00:15:13.360
I was really, I was working and sleeping, it was all I was doing.
00:15:13.679 --> 00:15:21.679
But because my process went through really fairly quickly, I mean, after I was on the list, that I was able to stay off dialysis.
00:15:21.759 --> 00:15:27.919
And I think that's what's also helping me to be so healthy now that I was able to find a way to do it preemptively.
00:15:28.159 --> 00:15:28.480
Yeah.
00:15:28.799 --> 00:15:32.320
Can you talk a little bit about how you're feeling now and your health today?
00:15:32.799 --> 00:15:34.399
I just feel so grateful.
00:15:34.480 --> 00:15:44.960
Um, first of all, I have a renewed respect and compassion for those waiting and in need because I was lucky, but I know others are struggling through that, and I have a just have a renewed compassion for them.
00:15:45.200 --> 00:15:47.200
And I also have renewed life.
00:15:47.360 --> 00:15:54.960
I know God kept me here for a reason, and I tend to pay it forward as long as I'm here on this earth because I've gotten this gift.
00:15:55.200 --> 00:15:55.679
Yeah.
00:15:55.919 --> 00:16:06.000
I think it's a powerful thing to have for you as a transplant professional to have had this experience and the insight that it gives you that I think that you can use in your work as invaluable.
00:16:06.639 --> 00:16:07.440
Absolutely.
00:16:07.600 --> 00:16:11.279
You know, first thing I did was go back to our office and say, what are we doing for the recipients?
00:16:11.440 --> 00:16:12.879
What are we doing for the donor families?
00:16:12.960 --> 00:16:13.759
Are we doing enough?
00:16:13.919 --> 00:16:14.240
Right.
00:16:14.399 --> 00:16:17.519
So definitely motivated me in that category.
00:16:18.000 --> 00:16:24.159
Is there anything that you learned about yourself going through the transplant experience twice that you'd like to share?
00:16:24.559 --> 00:16:26.080
I I think resilience.
00:16:26.320 --> 00:16:33.519
I think that I didn't realize how motivated and determined I was, that I really pushed and pushed.
00:16:33.600 --> 00:16:35.360
So I learned that about myself.
00:16:35.519 --> 00:16:38.080
And I wish I could transfer that to everyone.
00:16:38.480 --> 00:16:40.159
I know it's overwhelming.
00:16:40.720 --> 00:16:46.559
You were pushing the ball forward the whole time and and working with the system versus against it.
00:16:46.639 --> 00:16:49.679
And resilience is what I would describe you as.
00:16:50.399 --> 00:16:52.320
They would laugh at me uh when I would call.
00:16:52.399 --> 00:16:55.840
I was got all my testing done at Northwestern, and they said, Well, where do you want to do
it?
00:16:55.919 --> 00:16:57.039
I was like, I don't care.
00:16:57.200 --> 00:17:01.120
I'll do it at any location, just the quickest appointment you can get for me.
00:17:02.720 --> 00:17:03.679
So that's interesting.
00:17:03.759 --> 00:17:08.000
So you did your testing at Northwestern, but went to Wisconsin for the transplant.
00:17:08.240 --> 00:17:08.640
Yes.
00:17:08.880 --> 00:17:10.079
How does that work?
00:17:10.480 --> 00:17:17.920
The reality is that Wisconsin, if I was going to have a deceased donor, Wisconsin has a two-year wait list for my blood type.
00:17:18.000 --> 00:17:19.839
And in Chicago, it was five years.
00:17:20.000 --> 00:17:24.000
So that's why and I had had my first transplant at University of Wisconsin.
00:17:24.079 --> 00:17:25.839
So that's why I made that choice.
00:17:26.160 --> 00:17:26.720
Wow.
00:17:26.880 --> 00:17:27.839
That's interesting.
00:17:28.000 --> 00:17:33.279
So that kind of gives us a lesson in dual listing or being mindful about where you get listed.
00:17:33.359 --> 00:17:35.599
Is there anything else you want to share about that?
00:17:36.000 --> 00:17:37.759
I did a lot of research on that as well.
00:17:37.920 --> 00:17:38.880
I called around.
00:17:38.960 --> 00:17:48.240
I've, you know, to various centers that I felt that I could get to because, you know, you have you get the call if you're getting it to see stoner, you have to know that you can get there in a few hours.
00:17:48.400 --> 00:17:51.359
So I looked in just my radius.
00:17:51.519 --> 00:17:54.720
I don't have the means to say I'm just gonna go anywhere.
00:17:55.279 --> 00:17:55.920
Get somewhere.
00:17:56.559 --> 00:17:59.920
So, and um, I kind of ranked them based on that.
00:18:00.319 --> 00:18:03.920
I think Chicago has an amazing, amazing transplant network.
00:18:04.000 --> 00:18:08.000
There's so many great hospitals here, but I had to look at that await time as well.
00:18:08.160 --> 00:18:08.640
Yeah.
00:18:09.119 --> 00:18:11.279
Well, I'm so glad all that worked out for you.
00:18:11.680 --> 00:18:12.319
Thank you.
00:18:13.200 --> 00:18:19.519
You've lived the transplant experience personally, and you also lead one of the country's largest iBanks.
00:18:19.920 --> 00:18:20.160
Sure.
00:18:20.240 --> 00:18:27.279
I work for Eversite, and we're an IBank that is has locations across the country and an additional one in South Korea.
00:18:27.599 --> 00:18:29.839
And you're CEO of Eversite, yes.
00:18:30.240 --> 00:18:30.559
Okay.
00:18:30.720 --> 00:18:35.039
And for listeners who might not know, what happens when somebody donates their corneas?
00:18:35.359 --> 00:18:44.480
Well, if donation is consented, then a recovery technician goes out, usually to the hospital, to recover the tissue and has to be recovered within 24 hours.
00:18:44.720 --> 00:18:49.119
The tissue is brought back to our office to evaluate for suitability for transplant.
00:18:49.279 --> 00:18:57.359
At the same time, we're checking the medical
history to make sure there are no rules, getting blood results back for additional check to ensure the tissue is safe.
00:18:57.599 --> 00:19:03.359
We make every effort to show the tissue is cleared to be a gift to someone in need of renewed site.
00:19:03.680 --> 00:19:07.599
If the tissue is suitable, then we offer the tissue to a corneal surgeon.
00:19:07.680 --> 00:19:14.880
And if accepted, we proceed to process the tissue to the surgeon's specification for that specific patient.
00:19:15.119 --> 00:19:20.799
And we get the tissue out the door to arrive at the surgical facility in time for a scheduled surgery.
00:19:21.039 --> 00:19:24.160
Scheduled surgery is what's really amazing with cornea.
00:19:24.400 --> 00:19:32.799
We provided um 11,000 tissues last year for transplant alone and also 3,000 tissues for research and training.
00:19:32.880 --> 00:19:39.200
So if the tissue can't be used for transplant, we really want to make sure that it's used for research and education as well.
00:19:39.519 --> 00:19:42.480
Wow, that is truly inspirational and incredible.
00:19:42.640 --> 00:19:44.319
That's a lot of corneas.
00:19:44.559 --> 00:19:45.119
It is.
00:19:45.359 --> 00:19:56.640
So on our pre-call, you educated me because I was picturing if I donate my corneas, that you know, one day my niece or nephew might see my eyeballs in somebody else's head and be like, I think that's my aunt's eyes.
00:19:56.720 --> 00:19:57.680
And you corrected me.
00:19:57.759 --> 00:20:00.160
So tell me a little bit about what does it mean?
00:20:00.240 --> 00:20:03.119
What part of the eye is actually transplanted?
00:20:03.440 --> 00:20:05.119
Yeah, we get that question a lot.
00:20:05.359 --> 00:20:10.400
For example, a donor family might say, I hope Sypient gets my husband's beautiful blue eye.
00:20:10.720 --> 00:20:12.160
Yeah, that's what I was thinking.
00:20:12.319 --> 00:20:14.079
And I think I know about this stuff.
00:20:14.640 --> 00:20:18.000
The iris is what gives the eye the color, and that stays with the donor.
00:20:18.079 --> 00:20:21.599
We recover just a small amount of tissue, the surface of the eye.
00:20:21.759 --> 00:20:27.279
It's a clear dime-shaped tissue that acts as a window into the eye, letting light in.
00:20:27.599 --> 00:20:27.839
Okay.
00:20:28.000 --> 00:20:36.319
And one of the things I think that's really cool about cornea transplants is the recovery time isn't as urgent.
00:20:36.480 --> 00:20:41.680
Can you talk a little bit about recovery times and how long they remain viable once they're removed?
00:20:42.079 --> 00:20:42.480
Sure.
00:20:42.720 --> 00:20:48.000
We have to recover within 24 hours, but we like to recover within 12.
00:20:48.079 --> 00:20:52.160
So that's our internal goal, but we can recover up to 24 hours.
00:20:52.319 --> 00:21:00.240
Tissue, corneal tissue expires in 15 days, but it's ideally used within 11 days studies show.
00:21:00.400 --> 00:21:03.839
But many US surgeons prefer to get the tissue much more quickly.
00:21:03.920 --> 00:21:06.160
So typically three to five days.
00:21:06.319 --> 00:21:08.079
So a lot of things have to happen.
00:21:08.160 --> 00:21:10.319
I talked about all those moving parts in our office.
00:21:10.400 --> 00:21:14.240
They have to happen very quickly to get that tissue off to the surgeon.
00:21:14.559 --> 00:21:20.319
So is the preference of three to five days because it's just fresher and it's going to work better?
00:21:20.559 --> 00:21:23.680
Does something happen around day 15 where it's not as good?
00:21:24.160 --> 00:21:31.519
It's still good, but there can be some swelling, which would take, you know, it makes it a little bit more difficult and a little bit extra time for healing.
00:21:31.759 --> 00:21:34.000
Patients want to see instant results, right?
00:21:34.160 --> 00:21:40.559
So we find that the tissue we send internationally that goes those long times does just as well.
00:21:40.799 --> 00:21:46.640
But if surgeon does it within, you know, within three to five days, that patient could be seeing the next morning.
00:21:46.880 --> 00:21:48.400
Wow, isn't that incredible?
00:21:48.640 --> 00:21:49.680
Yeah, it is.
00:21:50.000 --> 00:21:54.559
Does everyone who needs a cornea transplant get one in the U.S.?
00:21:54.960 --> 00:21:59.839
Yes, you're 10 times more likely to be a cornea donor than an organ donor as the tissue is avarium.
00:22:00.160 --> 00:22:03.920
Vascular, so no blood flow, just because it's the surface of the eye.
00:22:04.160 --> 00:22:09.359
So many rules for organs do not apply to cornea, including many types of cancer.
00:22:09.680 --> 00:22:12.319
Today, corneal surgeons can schedule with us.
00:22:12.400 --> 00:22:16.400
They say, I have a patient, I want to do the transplant on today.
00:22:16.720 --> 00:22:18.559
You know, we we need a few days.
00:22:18.720 --> 00:22:21.200
And we're able to supply that tissue for the surgery.
00:22:21.279 --> 00:22:22.079
No wait lists.
00:22:22.480 --> 00:22:24.559
Can you imagine if we could do that with kidneys?
00:22:24.799 --> 00:22:26.000
Wouldn't it be amazing?
00:22:26.160 --> 00:22:26.960
Wouldn't it be?
00:22:27.119 --> 00:22:27.599
Yeah.
00:22:27.920 --> 00:22:29.039
Schedule a kidney.
00:22:29.359 --> 00:22:30.640
Schedule a kidney.
00:22:31.119 --> 00:22:35.200
So in reality, the I Bank is the only party that can recover the tissue.
00:22:35.359 --> 00:22:38.559
Why is that important for listeners to understand?
00:22:40.240 --> 00:22:45.039
So corneal transplants, as I said, help cure 10% of blinding eye conditions.
00:22:45.119 --> 00:22:49.440
But we also work with researchers on cures for other blinding eye conditions.
00:22:49.519 --> 00:23:00.400
Since the eye bank is doing all of the recoveries, we feel it's our mission to supply researchers with disease tissue to study and help find cures for all other blinding eye conditions.
00:23:00.559 --> 00:23:10.160
If we did it just for cornea, we wouldn't be
helping the other parts of the eye that the disease parts of the eyes that need solutions as well.
00:23:10.480 --> 00:23:11.920
Oh, interesting.
00:23:12.559 --> 00:23:19.119
So how does consent work when corneas are the only tissue being recovered from somebody?
00:23:19.440 --> 00:23:24.880
The organ procurement partners that we work with do a wonderful job of getting consent for organ tissue and eye.
00:23:24.960 --> 00:23:31.519
So if it's more than eye, then the OPO does all of that, gets the consent, and then sends it over to us for the recovery.
00:23:31.759 --> 00:23:44.000
If it is that the only thing that qualifies for donation is the cornea, then they send it over to us, and then we start the process of working with the donor family, getting the medical social history before we proceed with recovery.
00:23:44.160 --> 00:23:54.240
So it's just a different process that we take depending on what the family has consented to or based on their medical history, what they're able to donate.
00:23:54.480 --> 00:23:56.559
So we do all the recoveries.
00:23:56.799 --> 00:24:06.079
So basically that they have a donor in their facility to do uh tissue donation, then we go to their OPO to do the eye recovery.
00:24:06.240 --> 00:24:09.440
Since we're we, you know, have the best knowledge and skills to do that.
00:24:09.519 --> 00:24:14.000
So we do both donors and individual eye donors.
00:24:14.079 --> 00:24:19.519
When we have an eye donor, we go out directly to that hospital or funeral home to do the recovery.
00:24:19.759 --> 00:24:20.640
Oh, interesting.
00:24:20.880 --> 00:24:21.200
Okay.
00:24:22.160 --> 00:24:28.960
Eversight operates in Connecticut, New Jersey, Ohio, Illinois, Michigan, Arizona, and South Korea.
00:24:29.119 --> 00:24:31.039
I like how South Korea is part of that.
00:24:31.359 --> 00:24:33.920
What does that footprint allow you to do?
00:24:34.240 --> 00:24:38.160
The network of IBANGS allows us to serve our community to the best of our ability.
00:24:38.319 --> 00:24:41.839
We have, you know, strategic locations across the country.
00:24:42.000 --> 00:24:49.440
And we want to honor donors' wishes and make sure as many possible donors get to have the legacy of living on through others and saving lives.
00:24:49.680 --> 00:24:52.960
So we want to maximize the donation.
00:24:53.200 --> 00:24:56.799
I think that with our network, we're able to do that very successfully.
00:24:56.960 --> 00:25:02.640
And even if we recover more in a state than is needed for that state, there are other states that need it.
00:25:02.720 --> 00:25:04.480
There are other IBANks that might need it.
00:25:04.559 --> 00:25:06.240
We can move it internationally.
00:25:06.480 --> 00:25:09.039
So we want to maximize donation.
00:25:09.440 --> 00:25:16.079
And then for our IBank in South Korea, it helps us to meet the needs of more patients internationally.
00:25:16.160 --> 00:25:20.720
Right now, we ship tissue over to our South Korea location.
00:25:20.799 --> 00:25:23.920
They reevaluate the tissue and then can distribute it from there.
00:25:24.240 --> 00:25:27.279
So how do you transport corneas internationally?
00:25:27.440 --> 00:25:28.400
Is it FedEx?
00:25:28.880 --> 00:25:29.759
Whatever works.
00:25:30.000 --> 00:25:34.240
Sometimes it's FedEx, but it's usually flights that a travel travels on.
00:25:34.319 --> 00:25:35.519
And we have different coolers.
00:25:35.599 --> 00:25:39.599
So we have 12-hour cools, 24-hour cools, 72-hour coolers.
00:25:39.759 --> 00:25:46.319
We also sometimes include trackers that make sure it stays at the right temperature as it's going across the country.
00:25:46.400 --> 00:25:48.319
So we've perfected it pretty well.
00:25:48.480 --> 00:25:50.319
We don't have very many mishaps.
00:25:50.480 --> 00:25:53.039
We have become logistics masters.
00:25:54.400 --> 00:25:55.599
I love logistics.
00:25:55.680 --> 00:25:59.119
And when it comes to moving body parts, it really fascinates me.
00:26:00.160 --> 00:26:03.920
It sounds like in the United States, a cornea transplant is super common.
00:26:04.000 --> 00:26:07.039
We aren't, you know, there's not a wait list for corneas.
00:26:07.279 --> 00:26:08.960
What about the rest of the world?
00:26:09.119 --> 00:26:11.039
How does this apply internationally?
00:26:11.440 --> 00:26:16.240
Yeah, it's really a part of our mission because we're meeting the need in the United States.
00:26:16.400 --> 00:26:24.079
And our excess tissue goes overseas, as there are 12 million people need of a transplant from corneal blindness worldwide.
00:26:24.240 --> 00:26:25.119
Um, and U.S.
00:26:25.200 --> 00:26:27.680
exports are not coming close to meeting the need.
00:26:27.839 --> 00:26:29.279
We can help less than 1%.
00:26:30.160 --> 00:26:34.000
But we have to say if we help 12 people this week, it's better than none.
00:26:34.319 --> 00:26:42.880
So many countries with strong I banks and donation systems like Italy, Canada, Australia, but there's so many more that don't have anything in place.
00:26:43.119 --> 00:26:47.599
Plus, countries have a lot of cultural and religious beliefs that they don't support donations.
00:26:47.759 --> 00:26:53.759
So the process has to also be helping to develop a positive attitude towards donation.
00:26:54.000 --> 00:27:03.039
It has to start with helping to educate and working with the governments there and things to educate the country about the positives of donation.
00:27:03.519 --> 00:27:09.759
Can you talk a little bit about the global education work, including your five-year partnership in Pakistan?
00:27:10.240 --> 00:27:10.799
Sure.
00:27:11.200 --> 00:27:17.839
Another part of our mission is to help countries build capacity, provide their own countries with the need of corneal tissue.
00:27:18.000 --> 00:27:24.559
It's a long process, a really long process, to have a donation system in place, sometimes 10 to 20 years.
00:27:24.720 --> 00:27:27.680
It's really, you know,
to really change the culture.
00:27:27.839 --> 00:27:29.279
And that's the biggest issue.
00:27:29.440 --> 00:27:31.839
But we've been in packaged hand for some time.
00:27:32.000 --> 00:27:37.680
We've helped them build a culture of donation, along with help them start four i banks across the country.
00:27:37.920 --> 00:27:42.559
Our goal is to be able to walk away and have them be self-sustaining.
00:27:42.720 --> 00:27:45.599
And we look to do that in other countries as well.
00:27:45.839 --> 00:27:49.039
But we also think is important that we have to train the surgeons.
00:27:49.119 --> 00:27:53.839
So our training and education program that we have is also something we do around the world.
00:27:54.160 --> 00:27:56.960
I'm curious what you're doing to shift a culture.
00:27:57.119 --> 00:27:58.240
Like, why Pakistan?
00:27:58.400 --> 00:27:59.039
Let's start there.
00:27:59.119 --> 00:28:08.480
Like, what was bright and shiny about Pakistan where you thought this is a country that we could truly help self-sustain their own corneotransplant program?
00:28:08.960 --> 00:28:11.920
Pakistan at a government level really wanted to do this.
00:28:12.000 --> 00:28:17.359
And so you need someone within the country that's going to help to drive the donation process.
00:28:17.599 --> 00:28:35.759
They were believers in donation and they were willing to really have billboards and messages across the country, really trying to build that positive, sharing the stories, all the marketing things we've probably done in the US to really make people understand the positivity of it.
00:28:35.920 --> 00:28:40.240
And you need a country that's willing to do that in order to be successful.
00:28:40.400 --> 00:28:45.359
And so Pakistan was one of those countries that said, we need help, will you help us?
00:28:45.839 --> 00:28:52.319
So was Korea kind of like Pakistan where they wanted help and Eversight was able to help support?
00:28:52.640 --> 00:28:55.839
South Korea is an Eversight-owned IBank.
00:28:56.319 --> 00:29:04.160
So that was that we they were really struggling, but they wanted us to come in and do it versus Pakistan was like help them do it.
00:29:04.400 --> 00:29:18.720
And actually, we're in the process now of changing that in to being an Eversight's IBank to Alliance Korea I Bank and also just working on the education of the community for donation.
00:29:18.880 --> 00:29:21.839
There's also a uh strange law in Korea.
00:29:21.920 --> 00:29:28.240
Well, I think it's strange law is that only a doctor can recover any organs or tissues.
00:29:28.400 --> 00:29:35.359
So, therefore, you know, how many doctors have time and are trained enough to be able to go and do a corneal retrieval?
00:29:35.440 --> 00:29:40.799
So we're working on changing the law so that our recovery team can do the recoveries.
00:29:41.119 --> 00:29:42.960
Wow, that is fascinating.
00:29:43.440 --> 00:29:49.920
The difference between saying, okay, we're going to set up Eversight
in South Korea versus we're going to teach Pakistan how to do this on their own.
00:29:50.160 --> 00:29:54.240
Do you see benefits to one over the other or just different?
00:29:54.319 --> 00:29:59.440
Or can you talk a little bit about those two different strategies to get more people transplanted?
00:30:00.319 --> 00:30:01.440
We look at the country.
00:30:01.599 --> 00:30:08.400
We really evaluate the country itself and decide what would be the best action for that country.
00:30:09.119 --> 00:30:17.119
We wanted a distribution center in South Korea so that could help us internationally, but we don't want them all over in every country.
00:30:17.440 --> 00:30:22.240
Our main objective mostly is to develop a country to be self-sufficient.
00:30:22.960 --> 00:30:30.240
And what big things are on your in your plans for the next few years with Eversight and growing Eversight to get more people transplanted?
00:30:30.640 --> 00:30:38.559
So in South Korea, we're spending a lot of time there right now to move it to a local IBAN and changing the laws so that we can move that forward.
00:30:38.640 --> 00:30:41.279
We're also working on a project in UAE.
00:30:42.079 --> 00:30:44.160
We've been talking to people in Vietnam.
00:30:44.319 --> 00:30:50.400
So we look at where the need is and where it can be most successful and we proceed with that.
00:30:51.039 --> 00:30:56.640
So you've experienced transplant as a recipient and lead a major donation organization.
00:30:57.119 --> 00:31:01.599
What do you wish Diane, the public understood about donation?
00:31:02.079 --> 00:31:04.319
That donation saves and enhanced lives.
00:31:04.480 --> 00:31:11.119
Um, if you have concerns, call and talk to someone about it and really understand your family's wishes.
00:31:11.359 --> 00:31:16.079
It makes that make that decision so much easier for you if you if someone you love pass.
00:31:16.480 --> 00:31:18.960
Um and that living donation works.
00:31:19.119 --> 00:31:22.880
And it's such a beautiful alternative to waiting for a deceased donor.
00:31:23.119 --> 00:31:28.319
Although tough, work through the process and call others to help to navigate the system.
00:31:28.480 --> 00:31:31.839
It really takes a village to get this process done.
00:31:32.079 --> 00:31:32.559
It does.
00:31:32.640 --> 00:31:34.799
And you are proof that it's possible.
00:31:35.039 --> 00:31:36.880
What gives you hope right now?
00:31:38.880 --> 00:31:48.079
What gives me hope is that I work with so many organizations across the world that are trying to change the world, to give people their lives back to work and prosper.
00:31:48.240 --> 00:31:53.680
And more and more people are open to donation, especially when they see how it's changed lives for others.
00:31:53.839 --> 00:32:06.079
So I encourage anyone who's gone through the process to talk, talk about their story, talk about what a success it has for you to really shine a light on the positivity of donation overall.
00:32:06.559 --> 00:32:08.160
That gives me hope too.
00:32:08.799 --> 00:32:13.920
And how can listeners learn more about Eversight or become donors if if they're not already?
00:32:14.240 --> 00:32:14.799
All right.
00:32:15.039 --> 00:32:20.720
Um, individuals can share their stories, they can give, they can volunteer, they can join the registry.
00:32:21.200 --> 00:32:28.000
You can have a direct impact on making vision a reality for people here and around the world.
00:32:28.160 --> 00:32:35.680
You can go to Eversightvision.org forward slash get involved to learn more and choose what your path might be.
00:32:35.920 --> 00:32:40.079
Everyone's different as to what they can do or want to do, but get involved.
00:32:40.400 --> 00:32:44.880
Okay, and I'll put that link in our show notes for any listeners who would like to check it out.
00:32:45.759 --> 00:32:51.119
To our listeners, thank you so much for joining us for this episode of Donor Diaries.
00:32:51.440 --> 00:32:59.599
Diane's story is a powerful reminder that understanding your options and advocating for yourself can truly change the course of a transplant journey.
00:32:59.839 --> 00:33:10.480
If you would like to learn more about cornea donation, kidney paired exchange, or the organizations discussed in today's episode, please visit the show notes for additional resources and information.
00:33:10.640 --> 00:33:12.400
We'll have lots of great links there.
00:33:12.880 --> 00:33:23.359
This season of Donor Diaries is sponsored by Giftworks, an organization dedicated to education, advocacy, and support for both organ recipients and living donors.
00:33:23.680 --> 00:33:30.480
Giftworks celebrates the courage it takes to ask for help and the miraculous ways help often answers.
00:33:30.720 --> 00:33:41.680
Within this growing community, recipients, families, and donors all come together to participate in a transformative exchange that reminds us of the power of human connection.
00:33:41.839 --> 00:33:44.880
Visit yourgiftworks.com to learn more.
00:33:45.119 --> 00:33:48.400
Remember, keep exploring what is beautiful and what is meaningful.
00:33:48.640 --> 00:33:50.799
This is Lori Lee signing off.