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"Chronic
renal failure," doctors told my cousin Lee, hooked up to
dialysis machines for more than four years but deteriorating
rapidly. "Your only hope is a kidney transplant." I, among
several other relatives, was asked to give samples to see if a compatible
donor could be found. I readily agreed, without contemplating the
consequences. It came as a shock to learn that I was the perfect
match.
The call came from the hospital in the middle of my 4year old
daughter's birthday party. My wife, eight months pregnant with our second
child, threw me a wary look when I hung up the phone. She had caught the
nuances of the muted conversation, my careful responses. I hadn't wanted
to spoil the party, for her sake or my daughter's. "What is it?"
she asked. "Not now," I said, looking pointedly at our child and
the birthday cake.
"This is really big, Ron," she said, distressed, when our
daughter fell asleep later that evening and we withdrew to the kitchen to
talk. "Can we think about this for a while?"
"He doesn't have much time, Di. I told the doctors I would give
them an answer tomorrow."
"Tomorrow?" she shrieked, furious. "What do you think……..the
kidney is an extra tire? What happens when you need a spare? Will someone
be around to give you one?"
"Di," I said, "this isn't easy for me, either. Believe
me, I'm absolutely terrified! And I'm torn and ambivalent. If I'm really
honest with myself, I have to admit I would have been vastly relieved to
find out I wasn't a match. But the fact is that I am."
"Ron," Di said firmly, "this is a major surgery, with
serious risks involved. I forbid you to go through with it!"
"Lee is like a brother to me, Di. It's not something I want to do;
it's something I have to do. What's my life going to be worth if I deny L
the right to live?"
"This is a major decision, Ron, one that involves all of us. You
have a family now, and a responsibility to this family, too!'
Di," I said weakly, "I have to sleep on this."
"I don't want you to do this..…. Ron, I just can't allow you to
take the risk!" And she stormed out of the room, her eyes ice cold,
her chin set in determination.
Part of me longed to cave in to her demands and accede, I could blame
it on her……"So, sorry, Lee, but as you know Di's about to give
birth and she just won't allow me to…." I envisioned myself saying.
But another part of me repudiated that scenario, ashamed.
That night, I tossed and turned in bed in a restless slumber, agonizing
over what to do. And then I had a dream.
In the dream, I was visiting Lee at the hospital.
I walked in, arranging in a cheerful face prior to my entry, and called
out in an insincere, hearty manner: "Hey, buddy, how's life?"
"This is not life," Lee answered bitterly. "Can't eat
food..….barely allowed to drink….hooked up to the machine for hours,
and when the hellish procedure is over, I feel worse than ever."
"But Lee," I interjected, still attempting false cheer.
"At least, this procedure lets you move and you're free!"
"Yeah, free!" he replied sourly. "Free to go to dialysis
and from dialysis." He motioned toward the wires hooking him up to
the machine. "I'm 28 years old and I've got an umbilical cord that's
like a ball and chain!"
"Lee," I said helplessly, "what can I do?"
"I can't go on like this anymore. Help me, please!" he cried.
I woke up in a cold sweat. And I resolved - despite my wife's anger and
my own misgivings - to give him my kidney.
As I was wheeled into the operating theatre, the doctor at my side
murmured encouragement. "You're in good hands, Ron," he said.
"You've made a decision you can live with."
The next morning, I woke up groggy and saw a doctor hovering near my
side. "Good morning, Ron!" he said cheerfully. "How are you
feeling….aside from the normal postoperative discomfort?" he asked.
"Doc," I groaned, "I don't know what normal is, but I
sure am in a lot of pain."
"Yes….well…." He hesitated for a fraction of a second.
"I must tell you something we were not prepared for occurred during
the operation…."
"What's happened to Lee?" I asked, alarmed.
"He's still on dialysis, but don't worry, we have another match
all lined up for him."
I stared at the doctor, confused.
"Ron," he began gently, "I doubt that you have ever
heard of renal cell carcinoma?" I shook my head no. :It's an
incurable form of cancer, " he continued, "virtually always
fatal."
"Are you saying that Lee has…." I asked tremulously, my
heart palpitating, even as the doctor interrupted me in mid-sentence.
"No, Ron, he was spared…..And so were you. Your ultrasound
indicated two healthy kidneys, Ron. Either one of them would have saved
your cousin. And it was arbitrary….or so we thought….which one we
chose to remove. Little did we know that our hands were being guided to
the correct one….Because, Ron once we removed your left kidney, the
naked eye was able to see what the ultrasound had failed to show. On the
left kidney cortex was a tiny nodule, a nodule of renal cell carcinoma.
Had you not elected to donate your kidney to your cousin, you could
easily have been dead within a year. Ron, your intentions were indeed very
noble. You thought you were saving your cousin's life - but as it turns
out, my friend, it was Lee who saved yours."
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