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Paul van den Bosch – GP

Vandenbosch Photo

“The risks are less than those of mountaineering or microlight flying.”

Paul van den Bosch, GP, Surrey, and member of the steering committee of Give a Kidney –  one’s enough, gave a kidney in 2008, at the age of 53.

I still find it difficult to say exactly why or  when I decided to look into the possibility of donating a kidney. My first job as  a junior doctor in hospital in the 70’s was on a renal ward, and while dialysis  was obviously life saving it was also very clear that it was far from an ideal  treatment. Over the years as a GP I have come across many people with  kidney disease, but perhaps the turning point came when I asked a man about my  own age about the impact that having a transplant had made. “It’s like winning  the lottery,” he said, and then hesitated a moment before adding, “No, better  than that, because no amount of money could have made me feel well again.”

Aside from willingness on my part, practical  issues and the opinions of my family needed to be considered. I have reached an  age where my children are more independent and old enough to understand and  discuss the decision. My wife, who is also medical, was very supportive, and my  work colleagues were flexible.

NHS Blood and Transplant and the Human Tissue  Authority have excellent websites, so I was reasonably well informed by the  time I got in touch with a local transplant co-ordinator. The whole assessment  process was quite straightforward but time consuming, and I found this more  irksome than any other aspect. I questioned the necessity for a full  psychiatric evaluation. My tolerant co-ordinator persuaded me that it had to be  done, even though I am still not entirely convinced. I know that there are  significant risks associated with donation, but they are not huge and certainly  less than the risks of mountaineering or microlight flying. They are probably  less than the risks taken by my brother-in-law, who recently started riding a  large motorbike. He did not have to undergo a psychiatric interview – although  his wife might have thought it appropriate!

My first admission ended with a last minute  cancellation because my recipient became ill, but on the second occasion all  went according to plan. The post-operative period was perhaps more painful than  I had expected, but there were no complications. I went home 48 hours after my  laparoscopic nephrectomy and was back at my desk two weeks later. I am not sure that I am a good patient, but pushing the system and being self employed probably helped me return to normal quickly, although thorough assessment, high-quality surgery and excellent aftercare were clearly the most important factors. Four months on, I have just returned from a cycling holiday and have a scar, but no  other signs or symptoms.

My only regret is that I am not in a position to donate another kidney. While the whole process has its inconvenience,  discomfort and risk, these are far outweighed by the benefits. I am very glad to have heard that my recipient, whom I have never met, is doing well, but the benefits are mine as well as hers. I know it is not something everyone would  wish or be able to do, but there are few actions one can take in life that are so unequivocally useful. It is worth a thought.

Give a Kidney – One’s Enough is a registered charity in England and Wales (1143576) and in Scotland (SC045767).

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