NOTE: This blog does not contain medical advice. It is not intended to be a scholarly journal, merely a good-faith effort by unpaid, self-funded volunteers to help others beginning their own kidney transplant quests. Please always check with your own medical and other professionals before taking or not taking any action that might be discussed here. Never rely on any information in this blog. It's only information acquired during personal, non-professional experiences during our own kidney quests. Always consult with, and rely only upon information from, licensed medical practitioners with whom you have a doctor-patient relationship.

Friday, November 30, 2018

How a Kidney Donor Saved my Life and How we are Paying it Forward

Navigating the kidney transplant world as a desperate recipient-to-be is daunting.

We're going to try to make it easier in many ways.  On this blog we will explain what we've learned as kidney recipients and kidney donors.

There are other Options:

Dialysis and the UNOS list are the most common options but living kidney transplant is the best, albeit least used treatment.  It's the least used because there is an insufficient number of donors relative to the population of patients needing transplant.

But I received a living donation and I've helped others find their ways to doing the same.  There can be no guarantees, but there are ways to improve your possibilities.

We are still learning, but webelieve that we've acquired enough information to share with others who need transplants.

How Did I Find My Donor?

To put it simply, I created a website (using Google’s Blogger.com), and launched a social media campaign (using Facebook.com).  Phase A was website design.  Phase B was designing and launching a social media campaign.

Some people think that a Facebook page or group will work.  Ask them how that approach is working for them.  Facebook is great for getting the word out.  I don’t think that it’s a good place for conveying information to donors so that they might act upon it.  A webpage is better for that, in my opinion.

That is the reason that I use (a) a webpage with a unique but memorable name containing information to be conveyed (such as Kidney4Aidan.com) and (b) Facebook to spread that information by directing interested persons to the webpage for more detailed information.

Most importantly, I don't advise asking for a kidney.  It's too big an ask.  Ask for something that masses of people would be readily willing to do, such as sharing your post.

I advise that people just ask that their posts to Facebook be shared.  It doesn't cost anything and people can easily help you simply by sharing your post; very little effort but potentially a huge result.

Facebook Pages - No; Facebook Posts - Yes:

I’m not a fan of Facebook groups or pages for generating interest in potential kidney donors  because Facebook pages or groups don’t allow for the freedom of content organization and graphics available with webpages.  Facebook wasn’t designed to be a webpage.  It was designed to be a platform for multi-voice information and opinion sharing.  That's how you should use it.

Using Facebook to present information to kidney donors on which they might act is like using a shotgun to hit a target a mile away.  You won’t reach them.

Webpages, by contrast, allow for embedded informational videos, custom content and organization, and much more effective targeted messaging.  Viewing a webpage can be largely a single voice experience.  You can stay on task and avoid distracting, off-topic material from coming in.  Not so with Facebook.  So I use webpages built with a very simple tool (Blogger.com).  Blogger is easy to use, modify and update.  Plus it comes with built-in analytical tools that allow you to see how your posts are doing.

I had good success with both elements (Parts A and B) of my personal Kidney Quest (Kidney4Ellis.com).  More than a thousand people shared my personal Facebook post and my Blogger.com webpage drew 18,000 page views. Within three months, a person whom I had never previously met and did not previously know, Cheri Ruane (co-creator of this blog), then a 44-year old wife and mother of two, saw my twice re-posted Facebook post (3 levels removed from my first post), went on to read my webpage and decided that this was something that she could do. She could save my life.  And she did.

That’s the nickel version.  There’s a lot more to our story, but that’s basically what brought Cheri and me together and that's the reason that I am alive and thriving today.

Helping Others Find Their Donors:

As soon as I was back on my feet, I knew I had a mission.  My mission was to bring my Kidney Quest experience to others so that they could clone it and go on to live and enjoy their lives, like I was doing.  Following my kidney transplant, Cheri and I have worked with 20 kidney patients or their parents (that’s right, some of the people we’ve helped are children).  And some of our efforts have been successful.  So far our KidneyQuest efforts have helped find kidney donors for 5 transplanted patients.  Other patients are scheduled for transplant or have potential donors undergoing screening and testing.

What makes for a Successful Campaign?

Many factors weigh into the success of each patient's personal Kidney Quest.   Webpage and social media design and message clearly are very important but the biggest differentiator appears to be the patient’s and their team's own efforts in getting the word out.  Having a supporting team of family and friends eases that burden.

All of our successful Kidney Quests are marked by aggressive and continued social media campaigns.  Conversely, most of the Kidney Quests that are languishing are marked by minimal efforts to apply the powers of social media to finding a donor.

And People make Mistakes:

1. Who are you?  Inquiring minds want to know.  Potential donors usually want to know too.

If you hold or post polarized political views of either extreme, you’ll eliminate people of a different view.  You should stay non-political, and cleanse your attitude as well as your personal social media presence of non-PC material.

You are seeking the gift of life, your life.  Recognize that everything else is trivial and not worth wasting time on.  You have one goal - stay alive by getting a kidney transplant.  Avoid petty social media squabbles and offensive views.

Your life-saving kidney could come from someone on the complete opposite side of the fence politically and socially.  Kidneys are age-, skin color-, race-, national origin-, sexual orientation-, and gender-blind.  If you're not also, you'll likely be passed over for someone who is.

2. Don't specify blood type - it doesn't matter, and specifying could hurt:  If you specify that you need a particular blood type, you could be eliminating large numbers of potential donors.  In fact with paired kidney donation and kidney transfer chains, a willing donor of any blood type can result in you getting a kidney.  Specifying blood Type is a mistake.  See https://kidneyquestorg.blogspot.com/2018/11/the-costly-mistake-of-specifying-blood.html.

3. There's plain and there's fancy.  Plain and Simple are Better:  Fancy Wordpress-style webpages might be too slick, too professional-looking.  Avoid distracting special effects and pukey colors.  Keep it simple.  Make your website look like the work of an ordinary person who needs a kidney - you.  I don't care for kidney websites that look as if they had been designed by a Madison Avenue advertising agency.  I use blogger.com for a simple but pleasant appearance.

4. Use Videos: People fail to embed informational YouTube videos sometimes made by the same hospital where they are registered.  YouTube videos deliver information in an easy-to-understand way.  I use them.  You should too.  They disseminate usual information and increase awareness of the need for more kidney donors.

5. Use Photographs: A picture is worth a thousand words.

6. Know your Stats: People don’t know their webpage stats.  What are your traffic patterns?  At what times of the day are people viewing your website?  How many people are viewing your webpage? How much time are they spending on your webpage (i.e., how "stick" is your site?).  Google and Blogger analytics can tell you what’s working on your webpage and what’s not working to drive traffic to your webpage.  I used them.  You should too.  If you don't know your website stats, how can you know whether your message is reaching its intended audience?  Answer: You can't.

7.  Mobilize the Troops: Pull out all the stops.  This is your life we're talking about.  It's an all hands on deck situation.  Get help from anyone and everyone.  Try everything you can think of.  Car bumper stickers, tee-shirts, lawn signs, prayer groups (Facebook has them), local TV interviews, local newspaper pubic interest articles.  Enlist every group of which you are a member (social, volunteer, religious, school alumni, musical, charities - the list is endless.

8.  Don't be Shy; Don't be Proud:  You have nothing to loss and everything to gain by coming out with information about your need for a kidney donor.  Forget about not wanting to burden your friends with your health problem.  If they're your friends, they will happily do at least the minimum (sharing your post with a moving message about you).  Your choice is a stark one - Pride and dignity be damned.  Let everyone know you need a kidney, and let them know it again and again.  Ask them to share your post again and again.

Our Results are Pretty Good.  How are your Results?

Some of our Kidney Quests that resulted in transplants are 4FredAKidney.com (3-1/2 years on dialysis, Direct Kidney Donation 3 months after KQ's intervention); Kidney4Leesa.com (transplanted pre-dialysis via Kidney Transplant Chain after less than one year); Kidney4Jackie.com (3 years of dialysis, Direct Kidney Donation within one year after KQ's intervention); Kidney4Matt.com (6 months from launch to transplant); and, of course, Kidney4Ellis.com.

Other Kidney Quests that are in progress and doing well to attract interested potential donors include 16-year old Kidney4Aidan.com (4.5 million pageviews; 60+ requests for donor questionnaire, plus overflow inquiries directed to DonorToDonor.org.  Still others are in progress.

Success Brin
lgs Capacity Probems:

We are now receiving requests for our free service.  We are helping as many people as possible but it’s not enough.

So we’ve been thinking about how to effectively leverage the knowledge and skills that we've developed in our self-funded non-profit volunteer work to raise kidney donation awareness in order to reach more donors and help more patients save their lives.  We are working on that as we try to help others find donors.

If you know someone with some basic computer and website skills who would like to help others in desperate need, let us know.  You can send a message by using the form at the right side, top of the page.

Or email me at emirsky@gmail.com.

The Costly Mistake of Specifying Blood Type When Seeking a Kidney Donor

Specifying blood type when seeking a kidney donor is a mistake.  Let's debunk the myth that you need a donor with the same blood type in order for you to receive a kidney transplant.

In the case of direct donations, yes, only donors with certain blood types can make a direct donation.

But direct donation isn't the only way.  Paired donations (where a Donor 1 gives to Recipient 2 and Donor 2 gives to Recipient 1), increase the availability of suitable donors to the intended recipient.

Kidney Transplant Chains ("KTCs") take that idea farther.  In KTCs, a willing donor starts the chain by giving to Recipient 1.  Donor 1 then donates to Recipient 2 and Donor 2 donates to Recipient 3, and so on.

So you don't need a donor with the same blood type.  You just need a donor willing to donate their kidney so that you can receive a kidney, albeit from someone else in the KTC.

Here's the story:

1. A donor with any blood type can provide a kidney so that their intended beneficiary receives a kidney, just not necessarily the donor's kidney, but a kidney neverthless, just one from someone else who donates a kidney to benefit some other recipient or for anyone without specific direction.  That's done via a KTC facilitated by one or more hospitals or by the National Kidney Registry ("NKR").

2. Specifying a particular blood type can eliminate significant portions of the donor population who might think that they can't help the intended recipient because their blood type is different. The fact is, though, that through KTCs persons with a different blood type can donate so that their intended beneficiary does receive a kidney transplant.

3. There are 8 blood types, with the following prevalences:

4.  The chart below shows the percentage of the donor population who can donate to you directly, as well as the percentage of the donor population who cannot donate to you directly.  And, even though some donors cannot donate to you directly, nevertheless, their donation of a kidney into a kidney transplant chain, can result in you getting a compatible kidney, just not your donor's kidney.

Source: Ellis Mirsky, this Post, this Blog

Thus, if you're O and you specify O for a donor, you're unnecessarily eliminating 55% of the donor population.

If you're B, and you specify B or O, you're unnessarily eliminating 44%of the donor population.

Certainly no AB blood type recipient should ever restrict donors to AB blood types because any blood type donor can donate to an AB recipient.

And any A recipient can accept A or O, and that's 85% of the population.  But it's not 100% of the population so why eliminate even 15% of the eligible donor population?

Note: This assumes uniform distributions of eligible donors among all blood types which may or may not be correct.

Wednesday, November 28, 2018

Publishing Your Content with Facebook, Blogs and Websites

In our post "How to Create an Internet Presence to Help Kidney Donors Find You" (this blog) we recommend using Facebook to publicize your Kidney website and to use a blog (like one hosted by Blogger.com or Wordpress.com) as a permanent and flexible base of operations or landing zone for the information that you want interested readers to see.

Blogging Beats Facebook for Content
A Blogpost by Larry Bodine

Larry Bodine, a long-time friend and marketing guru, holds similar views.  He writes in "Why Blogging is So Much Better than Facebook" about the reasons to use a blog for your information.

Although Bodine's post is directed to law firm marketing, the reasons to prefer a blog over a Facebook page for your Kidney site are the same.  Bodine writes:

1. Facebook truncates long-form content.  "Facebook truncates content at 400 characters with a "See more" link. Updates with 40 to 80 characters or less (8 to 16 words) are considered the ideal length for Facebook.  On a blog, the sky is the limit in length. With a blog, you own the site and can change a post's length, its design, the marketing, and anything else you could want to change. With posting to Facebook, you're limited in all of those things."

2. Facebook posts are not sent to all of your followers.  "You may have 5,000 followers, but when you post an update, only 2% of your fans will see it. This is because Facebook wants you to pay to "boost" a post. On Facebook, your carefully-prepared article will appear to a tiny segment of your fans and then be overwhelmed by the social torrent. However, if you have 5,000 followers of your blog, all of them will be able to see it."

3. Blog posts last much longer.  "A blog post will be an evergreen resource for years, while a Facebook post is essentially seen once, and is then lost in the feed. A Facebook post has a steep drop-off in readers, is virtually valueless after a week, and might as well not exist after a month. In contrast, a blog post will generate readers on the first day it's online and will continue to turn up in Google searches year after year."

4. Blogs are more stable.  "Facebook is known to update its algorithm, change its layout or even ban people at a moment's notice. Facebook is constantly changing its platform and policies. Your blog is under your total control, and no changes will happen unless you make them."

5. Google loves blogs.  "Here are some statistics that prove the value of a blog for SEO.  Websites with blogs have 434% more indexed pages than websites without."

Thanks Larry for sharing your insights and for allowing us to quote your material and use your graphic.