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In his case he went through a couple of steps I didn't-he met with a bioethicist. We both has to guess at what that was as it seemed to differ from the psychiatrist and social worker. By definition it is someone who deals with bioethics which is the "study of the ethical and moral implications of new biological discoveries and biomedical advances, as in the fields of genetic engineering and drug research". In the end though the bioethicist just asked a lot of the same questions as a social worker would and didn't bring up ethics at all really.
The donor friend also had one of his cross matches fail...he got "the call" that said that the person they thought he matched was not a good match. Outside of the "you aren't allowed to donate" this is the next worst call I think. I am very glad I never had such a call...I am sure it would be more than a bit frustrating and I know for me last spring it would have seemed devastating. Luckily for him though another match was found quickly and that cross-match passed with flying colours. And as of this morning, there is someone in the mid-US who has a kidney. My kidney friend is doing well. What an awesome Christmas gift he's given some one! I am sure he knows this but he did a really great thing today. I feel really proud of him which seems so odd given that he is otherwise a stranger to me. He was so calm and collected throughout the process it was unbelievable.
I feel so lucky to have been able to keep in touch with this donor along the way. Much like my friendship with Erin, it has been really rewarding for me to be able to help someone else through the ups and downs of the process. I really feel like I am paying it forward. In no way am I responsible for either of them choosing to donate but hopefully I made some part of the journey easier for them just as others made the journey easier for me.