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Kidney Patient Renews Life With a Newspaper Ad

THE NATION

Health: Desperate man searches for his own donor and finds a perfect match. Altruistic person says he wasn't using the organ, so he gave it away.

June 02, 2002|BEN DOBBIN | ASSOCIATED PRESS Writer

ROCHESTER, N.Y.(AP) — ROCHESTER, N.Y.--Steve Aman believes that if you have something you aren't using, you should give it away.

So he gave a complete stranger one of his kidneys.

"I didn't need two," Aman said. "He needed one."

His kidney went to Pete Dobrovitz. The two of them attended the same Catholic high school in the 1960s, but they never knew each other.

Dobrovitz, 49, a former television news announcer, had waited 19 years for a successful transplant. Twice, kidneys from cadavers had failed him.

A kidney from a living donor seemed his only salvation. With a healthy donor, doctors could schedule the operation. Dobrovitz could take anti-rejection medicine ahead of time and make sure he was in the best physical shape for the transplant.

The organ itself would be vital and healthy. During his previous transplants, both donor kidneys went into shock and took more than a day to start working.

In desperation, he placed a $60 classified ad in June: "WANTED: Your Spare Kidney."

Within a week, a dozen people came forward. One wanted $10,000. Another talked giddily of daily church visits to "pray for this miracle." Some just hadn't thought their offer through. Dobrovitz's own screening narrowed the donors to four.

During testing, the first man discovered he had early signs of cancer. The second was Aman. Even while advances in anti-rejection drugs make genetic matching less relevant, he was an ideal match. "One in 10 million," the doctor said.

More important, though, Aman was acting on what seemed like the right impulses.

A recovering alcoholic, he had joined a self-help group after getting sober a decade ago and became friends with a Tuscarora Indian who helped transform his views on life.

"A lot of the Native [American] nations have this philosophy that if you don't use something, you should give it away," said Aman, whose wife, Mary, is part Mohawk.

Taking a break from springtime chores at his tree nursery east of Rochester, Aman said he regarded kidney donation as merely the "next step," and not a very risky one, in a journey of personal discovery.

"I'm really proud of him," Mary Aman said. "I think what he did was the most generous thing one human being can do for another."

More than 52,000 Americans are signed up for a kidney transplant. Every day, eight of them die waiting.

While the number of kidneys from dead donors has leveled off at around 8,000 a year, more sophisticated drugs and less invasive surgical methods doubled annual transplants involving living donors between 1994 and 2001, when 5,944 were performed, according to the United Network for Organ Sharing. Of those, 1,368 donors are not blood relatives of the organ recipients. That figure is a six-fold increase from 1994.

Last year, 26 people donated kidneys anonymously, with no recipient specified.

A rarer cluster that also shows promise of expanding is random donors steering a kidney to someone soliciting help through media channels, notably the Internet.

Transplantation regulators who use medical and psychiatric tests to screen donors find the job trickier in the absence of a genetic or emotional link. They also worry that unorthodox methods for getting off the waiting list might give some an unfair advantage.

"Our knee-jerk reaction is, is this person a saint or a psychopath?" said Dr. Mark Fox of the University of Rochester, who is chairman of the ethics committee of the kidney-sharing network in Richmond, Va. "Motivation is very hard to really get at, so the best we can do is identify those things we consider unacceptable and exclude those people.

"Very often we get a sense from prospective donors that somehow this is going to atone for their sins. On the other hand, we've had people that said, 'I've volunteered all my life. I've given 25 gallons of blood. I work for Meals on Wheels,' and this is just an extension of the behavior pattern they've established all along."

While it's illegal in the United States to sell or pay for an organ, Fox fears that people with more money, media savvy or even better looks might jump the queue by launching a marketing campaign.

Only a few medical centers accept anonymous organ donations. The Washington Regional Transplant Consortium in Falls Church, Va., has had more than 100 inquiries from people willing to donate a kidney. So far, 11 have resulted in transplants.

"We're always looking at ways to find more organs and this is just one," spokeswoman Toni Webb said. "Most people say it was an easy thing to do."

Born with kidney ailments, Dobrovitz had his first transplant in 1983. The kidney stopped functioning 18 months later; dialysis three times a week kept him alive. Another kidney transplanted in 1987 gave out in 1995. Back to dialysis. Doctors told him a third cadaver kidney held little promise.

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