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August 03. 2012 7:36PM

Woman's altruism ends in saving 5 lives


Honica Brittman, right, listens to a doctor's instructions as she waits to take part in a five-way organ transplant swap last Wednesday in New York. Brittman donated a kidney for transplant as part of chain of kidney donations that allowed five people to receive a transplanted kidney over a two-day period. (REUTERS/Keith Bedford)
NEW YORK — A soon-to-be wed gay couple, a retired teacher and his wife, and two pairs of fathers and sons were among those whose lives were changed one extraordinary day this week when a 35-year-old single mother of four from North Carolina donated a kidney to a stranger in New York.

“I'm not losing nothing,” Honica Brittman said this week, sitting in a blue and white hospital gown before surgery in which she would give, for free, the initial kidney in a chain of five kidney transplants at the New York-Presbyterian Hospital/Columbia University Medical Center.

“To actually help somebody live a little bit, a lot longer, that's an awesome thing,” she said.

Brittman, who decided to be part of the swap after learning she could not donate to a family friend because of incompatibility, represents what experts say is a critical and growing number of “altruistic” or “non-directed” donors, people willing to donate to anyone in need as long as their blood type, antigens and other factors are compatible.

The health dangers for kidney donors is believed to be low. The risk of death from the surgery is 1 in 1,700, according to the National Kidney Foundation, and life expectancy is said to be unchanged with one kidney.

Experts say donors such as Brittman are key to helping the more than 90,000 people awaiting a kidney transplant in the United States, according to the U.S. Organ Procurement and Transplantation Network.

As in Brittman's case, donors can enable a chain of kidney exchanges that increases the number of people who can benefit from live kidney transplants, which typically last longer than cadaver kidneys.

The series of operations on Wednesday and Thursday, which required 10 separate surgical teams and weeks of coordination, was made up of a series of swaps within a group of men and women between the ages of 23 and 68 and with compatible bloodtypes, all motivated by a mix of compassion and commitment to their loved ones.

The chain started with Brittman, who donated a kidney to a 39-year-old television producer whose fiancée and partner of more than 10 years donated to a businessman from upstate New York.

In turn, the businessman's son, a college-age student who felt that for being healthy and the youngest of four sons, he should step up on behalf of his father and donate one of his kidneys to another young man, a 23-year-old originally from Haiti. His father then donated to a retired teacher from New Jersey.

The chain that Brittman made possible ended on Thursday when a woman, the wife of the retired teacher, donated her kidney to another woman who had been waiting four years for a transplant.

“All this stems from the fact that this young woman ... wanted to donate a kidney purely altruistically without knowing any of the recipients,” said Lloyd Ratner, a surgeon and director of renal and pancreatic transplantation at the hospital.

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