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U.S. woman’s altruism starts chain of five kidney swaps

NEW YORK (Reuters) – 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 non-directed donors.

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 blood types, 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.

The 23-year-old’s 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 Dr. Lloyd Ratner, director of renal and pancreatic transplantation at Columbia.

Brittman, by giving the first kidney, prevented any pair in the chain from having to donate a kidney before receiving one.

While there is no conclusive national data on the number of donors like Brittman, experts estimate they have increased to between 100 and 200 a year, up from just dozens a few years ago.

“After every chain that gets some publicity, there’s a flood of potential donors contacting kidney exchange networks and individual transplant centers,” Alvin Roth, an economics professor at the Harvard Business School said.

The chain was also made possible by the decision of one pair in the group to be part of it.

Adam Abernathy, the television producer, and his fiancée Dave Ferguson, 43, could have done a simple transplant between them because Ferguson’s blood type made him a universal donor.

But they decided to be part of a chain when it was proposed by the hospital that Ferguson donate his kidney to a man whose blood type had made him a harder match for a donor, A. Jamal, the businessman and father of four.

“We realized if we were in somebody else’s shoes, we’d want someone to do the same,” Ferguson said.

Most of the group said they plan to meet their donors after recovering from the operation.

“I can’t wait to meet them,” Brittman said.