against all odds might my data my grandfather both had poly cystic kidney disease . And my sister had a disposed be something that doesn't jump -- generation did missed me. And I was able seven years ago to take a very large to be put -- very small little girl. We're gonna come back to that topic -- -- -- about him and and and -- that the personal stories there but we actually asked a few folks join us in studio. One of them is who has good rhetoric she's director -- Pinkett transportation near presbyterian Columbia where I practice medicine very well respected. For some of its -- innovative things he's done. And in kidney transplantation. As well as tanker transportation He was that the second ever kidney swaps surgeon. In United States in 2000 what what while I was at Johns Hopkins in the back of that time lord. And give me an Intel about what the thought was in the transplant surgeon Terkel community about this idea of about it. Kidney swap maybe can finally can swap transplant is sure. Well first it's a pleasure to be here. The idea we kidney swap was first proposed and mid to late eighties by a fellow by the name of Felix Rappaport. Who is a transplant

really feel like it's an. Right exactly my loved one got the kidney now on multiple floppies in it exist in these chains have gotten a bit longer. Has that ever happened. Hum well the

this with what we do transplants if you don't mind the new kidneys first Olympic Chris. How'd you get them where the where the issues are getting donors half publish -- shortages there wait time to that stuff okay. Well first of all there about 80000 people waiting for kidneys in the United States. And only be about sixteen or 171000. Transplants done annually to the waiting list continues to grow and you know and the disparity between the supply and demand continues to grow that the single most important shortage we have. This is Daniel organ that we need more than 80000. Now to -- one organ transplant correct and every. Made progress in terms of increase in the age of people -- kidneys that is in the midst there. Now and in fact the Columbia we've even done a couple of people who were in their eighties. You know takes a pretty good eighty year old. Be able to get a kidney transplant but now these days not a usual is transparent people late sixties early seventies mid seventies. You know the HT as we get better and better at taking care of these patients -- These the the age limits become less and less important and it's expected survival of -- if He goes into a sixty -- healthy person well. If you get a deceased donor kidneys is a 5050 chance that the -- list for ten years or more. If you get a live donor kidney 5050 chance secure new list for twenty years or more. And if you're able if you're lucky enough to get a perfectly -- kidney from a brother or sister 5050 chance we can -- list 35 years or. -- -- -- -- -- Troops are currently