As The Kidney Transplant List Grows, Iowans Seek Out Living Donors

Dec 3, 2019

Across the country, nearly 95,000 people are waiting for a kidney transplant, including more than 500 in Iowa, and that list has been growing for years. This has pushed some to try unusual ways to find donors.

Bettendorf resident Larry Burkholder has chronic kidney disease. He's 72 and was put on the list for a new kidney last March but was told the average wait is a long one.

"They say usually it's typically three and a half years. So three and a half to five," Burkholder said.

Burkholder turned to Facebook to see if he could find someone to donate a kidney. But no one stepped up.

"Well, a lot of support and prayers, but not a whole lot - nobody really said, 'Wow, I'll give one,' you know," he said.

Then Burkholder had another idea. He put a big custom vinyl sticker on the back window of his blue Hyundai Sonata.

The number of additions to the kidney transplant list has increased in Iowa for years as more people experience renal failure and doctors have started adding older patients, who would not have previously made the list. The most common reasons for non-transplant removals from the list are "died," "too sick to transplant" and "other."
Credit U.S. Department of Health and Human Services

"It says Larry needs a kidney, exclamation mark, any blood type, and then my phone number," he said.

Stickers are also on the cars of his wife, daughter and a friend. Burkholder said so far he’s gotten a few calls, but none has worked out.

"Well, one person wanted me to violate a federal law wanted to know how much money I'd give them for kidney because they were in financial trouble. I told him, 'that’s a federal law can't do that,'" he said.

In Iowa, about 90 percent of people in line for an organ transplant are waiting for a kidney, according to the U.S. Department of Health and Human Services.

Alan Reed, the Director of the Transplant Program at the University of Iowa, said an increasing number of people have medical conditions that cause kidney failure.

"The largest percentage of people being added to the list have diabetes and high blood pressure," he said.

As Baby Boomers age, more older patients are being added to the list, and he said all these factors have created a simple problem of supply and demand.

More than 3,800 people died last year waiting for a kidney, including 18 in Iowa.

(See graphics on the number of Iowans on the kidney transplant list here and the number of transplants by kidney type here, according to data from the U.S. Department of Health and Human Services.)

"We're not growing the available kidneys to transplant as quickly as there is a need," Reed said.

The number of kidneys from deceased donors has rapidly increased in the past few years -- due in part to the opioid epidemic.

Des Moines resident Sandy Firestine posted a message on Facebook after she could not find a family member that was a match. Firestine has Berger's Disease and has been on the list since April.
Credit Natalie Krebs / IPR

But the number of living donors has remained flat for years. And there still aren’t enough kidneys to meet the growing demand overall.

Reed said to get a kidney faster, he encourages his patients to reach out to their community. Still, there aren’t many incentives for donors.

"They may have to be out of work for a period of time. They may have to travel and need food and lodging. There's actually ways you can get compensated for that," he said. "But they don't necessarily get compensated for all the risk that they take."

Reed said he’d like that to change that because there are economic and medical benefits for patients to have a living donor.

"That kidney will work better, will work faster, will get you out of the hospital sooner and will cost society substantially less. You may not have to go on dialysis, you may not need dialysis access and [it] will last you longer than any deceased donor kidney that you can get," he said.

Des Moines resident Sandy Firestine looked for a donor on Facebook because she has a rare blood type.

"With my blood type, they told me it can be three to five years, which also means I could eventually go on dialysis to try to save my life before a kidney becomes available," she said.

The 62-year-old has Berger’s Disease, which keeps her kidneys from filtering blood properly. She was put on the list last April.

Firestine’s Facebook post was shared more than 90 times. It caught the eye of Clive resident Lynn Sucik. She volunteered, saying she’s always wanted to donate.

Clive resident Lynn Sucik volunteered to donate her kidney to Des Moines resident Sandy Firestine, who she has never met, after seeing her Facebook post.
Credit Natalie Krebs / IPR

"I just think that we should give back however we can," Sucik said. "So to me, whether it was someone I knew or someone I don't know, Sandy, even though I've never met her, she's just as important to me."

Sucik, who is 59, said she’s not worried about living with only one kidney.

"I have researched it and there's no discernible difference for people that in terms of lifespan if you have one kidney or two," she said.

Sucik also said missing weeks of work during recovery isn’t an issue.

"I'm very lucky that I am retired and don't need to worry about that," she said.

Sandy Firestine’s wait isn’t over. Sucik still needs to complete testing to see if she’s a match before she can donate.

Natalie Krebs is IPR's health reporter.  Funding for her work is provided by the Mid-Iowa Health Foundation.