Patients in the Hahnemann University Hospital Kidney Transplant Program receive advanced care from a highly-respected team of specialists offering these advantages:
Candidates for kidney transplantation are individuals with advanced kidney disease related to a number of illnesses, including diabetes, hypertension, chronic kidney inflammation, HIV, previous history of cancer, polycystic kidneys and other conditions. Patients may be considered for transplant if they have an estimated kidney function less than 20 percent, or if they are on dialysis.
Comprehensive Transplant Care
Hahnemann is one of few hospitals in the region with the expertise to handle a wide variety of patients eligible for kidney transplantation. Examples of this expertise include:
Living Donor Transplantation
The team works to transplant patients as quickly as possible using appropriate kidneys. Any medically suitable family member or friend can donate a kidney. There are many advantages to a living donor kidney. First, living donor transplants have the longest survival time. Second, the patient experiences a shorter waiting time to receive the transplant. Third, living donor kidneys function immediately, allowing for earlier discharge from the hospital.
Altruistic (non-directed) Donors
In some cases, an individual may donate a kidney to a stranger in need of a transplant. These donors are known as altruistic or “Good Samaritan” donors. They donate through a local transplant center or organ procurement organization within a specific region.
Patient exchange is also known as a “Kidney Swap.” This allows patients who have a donor that doesn’t match them, to match with another person in need of a kidney. Hahnemann participates in the Kidney Exchange program to allow our patients as many options for transplant as possible.
All potential living donors first undergo an extensive medical evaluation to ensure that they are in good health and are suitable to donate. Healthy individuals who donate a kidney have not been found to have any detrimental effects on their long-term health. Moreover, laparoscopic surgery has made donation less invasive allowing for quicker recovery and return to normal activities.
Deceased Donor (Non-Living) Donation
This type of transplant uses organs from individuals who donate at the time of their death, and is the most common type of transplant in the United States. Technical advances have resulted in very good success rates for transplants from non-living donors. Kidneys are obtained by the “Gift of Life” Organ Procurement Organization Program that serves Hahnemann University Hospital. Kidneys are allocated according to the amount of time the patient has been waiting for transplant and blood type. The distribution of donor kidneys is very equitable and is guided by Federal policy standards that ensure equal access to needed organs for all patients. The “Gift of Life Program” is very active, allowing for transplantation in the shortest possible time.
David J. Reich, MD, FACS
Chief, Center for Multi-Organ Transplantation
Professor and Vice Chair, Department of Surgery, Drexel University College of Medicine
Dr. Reich specializes in liver and kidney transplantation, complex liver surgery, treatments for liver tumors, and transplantation of high-risk patients. He has conducted internationally recognized research into safe use of extended criteria donor organs, bioartificial liver support, and healthcare performance improvement.
Dr. Reich serves in numerous national leadership roles, including as member of the Board of Directors and Region 2 Councilor for the United Network for Organ Sharing (UNOS), chair of the Quality and Pay Reform MACRA Task Force and past chair of the Standards Committee and of the Legislative Committee of the American Society of Transplant Surgeons, and Member of the Editorial Board of Liver Transplantation.
Dr. Reich is certified by the American Board of Surgery and is a Fellow of the American College of Surgeons. He is a Philadelphia Magazine Top Doc consecutively since 2010.
Gary S. Xiao, MD, FACS
Director, Liver Transplant Program
Assistant Professor of Surgery, Drexel University College of Medicine
Dr. Xiao specializes in liver and kidney transplantation and Hepato-Pancreato- Biliary surgery. He is highly experienced in laparoscopic and open liver resection, liver tumor ablation and pancreatic surgery and resection, especially in very complicated and challenging cases. Dr. Xiao is a United Network for Organ Sharing-certified laparoscopic living donor nephrectomy surgeon. He is an American Society of Transplant Surgeons certified liver, kidney and pancreas transplant surgeon. He serves on the Regulatory and Reimbursement Committee of the American Society of Transplant Surgeons. Dr. Xiao is also certified by the American Board of Surgery and is a Fellow of the American College of Surgeons. He has conducted pivotal clinical and translational research on liver cancer, and published and lectured internationally.
Stephen R. Guy, MD, FACS
Director, Kidney Transplant Program
Associate Professor, Drexel University College of Medicine
Dr. Guy is a kidney and liver transplant surgeon with over fifteen years of experience specializing in multi-organ transplantation. He was instrumental in developing laparoscopic living donor nephrectomy for kidney transplantation, a minimally invasive surgery for individuals donating a kidney. Dr. Guy is also experienced in transplantation of high-risk patients, long-term healthcare following transplantation and in pancreas, liver and laparoscopic surgery.
Dr. Guy is certified by the American Board of Surgery and is a Fellow of the American College of Surgeons.
The transplant nephrologist, or kidney specialist, monitors all non-surgical aspects of patient care. This includes performing examinations, assessing test results and adjusting medication as needed.
Karthik Ranganna, MD, MBA, FASN
Medical Director, Kidney Transplant Program, Hahnemann University Hospital
Associate Professor of Medicine and Associate Director, Nephrology Fellowship Program, Drexel University College of Medicine
Dr. Ranganna specializes in chronic kidney disease, end stage renal disease, dialysis, hypertension, and transplantation. His clinical and research interests include living donor transplantation, kidney transplantation in HIV infected patients, combined organ transplantation and novel immunosuppression. Dr. Ranganna is certified by the American Board of Internal Medicine in Nephrology and in Internal Medicine.
Meera Nair Harhay, MD, MSCE
Transplant Nephrologist, Kidney Transplant Program Assistant Professor of Medicine, Drexel University College of Medicine
Dr. Harhay specializes in kidney transplantation and clinical epidemiology. She is focused on studying methods of improving patient care and quality of life before and after kidney transplantation. Dr. Harhay is certified by the American Board of Internal Medicine in nephrology and internal medicine.
Lissa Levin Mizrahi, MD, is a board-certified nephrologist. As part of the kidney transplant program, she cares for pre- and post-kidney, liver and heart transplant patients at Hahnemann University Hospital. She leads the team on inpatient rounds for kidney transplant patients, as well as other transplant patients with renal issues. Dr. Levin Mizrahi is certified by the American Board of Internal Medicine in Nephrology and in Internal Medicine.
Dear Potential Kidney Donor:
Thank you for your interest in living kidney donation. We believe that living donation is safe and offers the best results for kidney recipients who are fortunate enough to have a donor. Below is some information that gives a general overview of the process of the evaluation of a potential living donor.
Please note that we cannot make the first call to you. Strict guidelines that regulate transplant centers in the United States prohibit donor programs from initiating phone calls to possible donor candidates as this is considered to be a form of solicitation. We are also prohibited by law to share or discuss any information about you or your situation with anyone other than you. Because of these restrictions, we cannot discuss your situation with your potential recipient or their doctors or nurses or other health care workers working with them.
If you are interested, the next toward being evaluated as a potential donor is to contact our living donor coordinator:
Kelly Miller, BSN, RN Living Donor Coordinator KidneyTransplant Program Hahnemann University Hospital215-762-8338
During the phone interview, she will take some basic information as well as a brief medical history in order to make an initial assessment of your suitability as a potential donor. After this initial contact, our team can proceed with a special blood test that helps determine if you would be compatible with the recipient. If you are found to be compatible and wish to move forward, you will then undergo a full medical evaluation to ensure that you are healthy enough to safely be a kidney donor. This comprehensive evaluation will assess for diabetes, high blood pressure, heart problems, and kidney issues that could affect your ability to maintain long term health after donation.
We look forward to hearing from you.
Stephen R. Guy, M.D., FACS
Director, Kidney Transplant Program, Division of Multi-Organ Transplantation and Hepato-Pancreato-Biliary Surgery, Hahnemann University Hospital
Associate Professor of Surgery, Drexel University College of Medicine
Dr. Guy is a kidney, pancreas and liver transplant surgeon with over twenty years experience specializing in multi-organ transplantation. He was instrumental in developing laparoscopic living donor nephrectomy for kidney transplantation, a minimally invasive surgery for individuals donating a kidney. Dr. Guy is also experienced in transplantation of high-risk patients, long-term healthcare following transplantation and in pancreas, liver and laparoscopic surgery. Dr. Guy is certified by the American Board of Surgery and is a Fellow of the American College of Surgeons.
Kelly Miller, BSN, RN
Living Donor Coordinator, Kidney Transplant Program, Hahnemann University Hospital
For more information, please call (215) 762-8338.
For more information regarding transplantation, please visit the following websites*:
Gift of Life Donor Program* Gift of Life Donor Program, the nonprofit organization serving Pennsylvania, New Jersey and Delaware, is responsible for recovering and distributing organs and tissues used in life-saving and life-enhancing transplants.
United Network for Organ Sharing* United Network for Organ Sharing (UNOS) is the private, non-profit organization that manages the nation's organ transplant system under contract with the federal government.
Transplant Living* Transplant Living is a project of the United Network for Organ Sharing (UNOS), a nonprofit organization that maintains the national Organ Procurement and Transplantation Network (OPTN) under contract with the Health Resources and Services Administration of the U.S. Department of Health and Human Services.
The American Society of Transplant Surgeons (ASTS)* The American Society of Transplant Surgeons supports Patient Education in Transplantation through committee work. Other sources of information are available below.
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