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Author Topic: What to do with a high PRA????  (Read 3738 times)
Des
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« on: May 24, 2011, 12:48:59 AM »

After my bad news yesterday about the live donor not happening I phoned the transplant clinic to check up on my position on the list only (for the first time) to find out that I have a PRA of 78%. I believe this is very very bad. Well it caused me to drop on the transplant list from 12.9 down to 7.98 points.
 :rant;
 So the saying that when one door closes the next one opens is a load of B#$%@&t !


My question is : What to do with a high PRA??
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Please note: I am no expert. Advise given is not medical advise but from my own experience or research. Or just a feeling...

South Africa
PKD
Jan 2010 Nephrectomy (left kidney)
Jan 2010 Fistula
Started April 2010 Hemo Dialysis(hate every second of it)
Nov 2012 Placed on disalibity (loving it)
willowtreewren
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My two beautifull granddaughters

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« Reply #1 on: May 24, 2011, 06:16:07 AM »

Women tend to run higher on PRA because each pregnancy raises it.  :thumbdown;

You can go through plasmapheresis to lower it. That works sometimes, but not all the time.

Even with a high PRA, transplant DOES happen. Look at Paris. Her PRA was MUCH higher than yours and Petey's Marvin had a PRA of 100!!! And he got a transplant (of course they really considered that somewhat of a long shot!)

Hope is a very powerful component, though. Your overall health will be uplifted if you can keep that shining light of hope alive.  :cuddle;

Aleta
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Wife to Carl, who has PKD.
Mother to Meagan, who has PKD.
Partner for NxStage HD August 2008 - February 2011.
Carl transplanted with cadaveric kidney, February 3, 2011. :)
okarol
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« Reply #2 on: May 24, 2011, 12:36:50 PM »

Patients in the US with high PRA's get priority - an extra point because they are hard to match - is it different there?
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Admin for IHateDialysis 2008 - 2014, retired.
Jenna is our daughter, bad bladder damaged her kidneys.
Was on in-center hemodialysis 2003-2007.
7 yr transplant lost due to rejection.
She did PD Sept. 2013 - July 2017
Found a swap living donor using social media, friends, family.
New kidney in a paired donation swap July 26, 2017.
Her story ---> https://www.facebook.com/WantedKidneyDonor
Please watch her video: http://youtu.be/D9ZuVJ_s80Y
Living Donors Rock! http://www.livingdonorsonline.org -
News video: http://www.youtube.com/watch?v=J-7KvgQDWpU
carol1987
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« Reply #3 on: May 24, 2011, 12:53:11 PM »

Patients in the US with high PRA's get priority - an extra point because they are hard to match - is it different there?

I was wondering that also Karol... I had high PRA and it gave me a point.... I don't know if that is an advantage... perhaps it levels the playing field??

Des I got a living donor transplant from an altruistic donor... do you have any kind of exchanges/chains over there??
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Diagnosed with  PKD July 2002 (no family history)
Fistula placed April 2009
Placed on Transplant list April 2009
Started HD 10/6/10
Transplanted 1/6/11 (Chain Transplant My altruistic donor was  "Becky from Chicago" , and DH Mike donated on my behalf and the chain continued...)
Des
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« Reply #4 on: May 24, 2011, 11:06:57 PM »

Okarol, a high PRA reduces your chances - no extra points :(

No chain donation as far as I know????
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Please note: I am no expert. Advise given is not medical advise but from my own experience or research. Or just a feeling...

South Africa
PKD
Jan 2010 Nephrectomy (left kidney)
Jan 2010 Fistula
Started April 2010 Hemo Dialysis(hate every second of it)
Nov 2012 Placed on disalibity (loving it)
Jelena
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« Reply #5 on: May 25, 2011, 06:06:32 PM »

Des, please don't give up hope. Good things can still happen, there are so many people who can prove it. Hang in there!  :cuddle;
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Jelena
Des
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« Reply #6 on: June 27, 2011, 04:31:42 AM »

 :bump;

I posted this question because I really need some feedback here.

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Please note: I am no expert. Advise given is not medical advise but from my own experience or research. Or just a feeling...

South Africa
PKD
Jan 2010 Nephrectomy (left kidney)
Jan 2010 Fistula
Started April 2010 Hemo Dialysis(hate every second of it)
Nov 2012 Placed on disalibity (loving it)
rsudock
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will of the healthy makes up the fate of the sick.

« Reply #7 on: June 27, 2011, 04:36:20 AM »

Des from what I have researched besides plasmaphersis, you can also do IVIG to lower the PRA. Plasmaphersis sounds like a machine like dialysis that separates the antibodies from the rest of the blood.

I hope this helps in some small way....I had a PRA of 65.
Thinking of you...

xo,
R
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Born with autosomal recessive polycystic kidney disease
1995 - AV Fistula placed
Dec 7, 1999 cadaver transplant saved me from childhood dialysis!
10 transplant years = spleenectomy, gall bladder removed, liver biopsy, bone marrow aspiration.
July 27, 2010 Started dialysis for the first time ever.
June 21, 2011 2nd kidney nonrelated living donor
September 2013 Liver Cancer tumor.
October 2013 Ablation of liver tumor.
Now scans every 3 months to watch for new tumors.
Now Status 7 on the wait list for a liver.
How about another decade of solid health?
*kana*
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« Reply #8 on: September 01, 2011, 01:15:26 PM »

My sister had  very high PRA's and got a 6 point match after being on the list 4mths.  She wasnt on D yet AND she is O+!  If she can get one, anyone can.
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PD started 09/08
PKD kidneys removed 06/17/09

Failed donor transplant-donor kidney removed,
suspected cancer so not used 06/17/09

Hemo 06/2009-08/2009

Liberty Cycler-11/09-5/13
Nx Stage-current tx
Diagnosed with SEP 2014
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