Dr. Samra sits down with Dr. Danovitch. They talk about the importance of slowing the progression of chronic kidney disease by using medications such as SGLT2 i and GLP-1 RA.  

They identify and recognize how hard it is to wait and the uncertainty of getting a transplant 

How dialysis is getting better even though it only provides you about 15-20% of your kidney function and allows patients to feel better. 

There are certain things that can preclude one from getting a transplant. Such as active cancer, infections. 

There are two types of transplants. Deceased donor and living donor. A living donor transplant can have huge advantages such as not ever starting dialysis, and getting a transplant sooner. 

It may be beneficial to be listed at multiple transplant centers. 

The number of years on dialysis is important. 

Living donation is the preferred avenue for kidney transplantation. 

1)low wait time

2)kidneys tend to function better and longer

3)you get the transplant on a fixed day and can better prepare for it

Traditionally, living donation came from close family member, parents, siblings etc. 

Can have friends, neighbors, from your religious place of gathering. 

The health of the donor is very important.  They undergo a very intense evaluation process to ensure that it is safe for them to be a donor. 

Its a beautiful gift to donate a kidney. Dr. Danovitch shares a endearing story of a donor. 

These days you don't you have to be a perfect match. There are ways for us to get around incompatibilites. Organ exchanges or organ chains are one such way. 1/3 of living donors done are done through such exchanges.

Have an open mind towards those who want to donate a kidney to you. 

They ended the conversation with discussing kidney exchanges as a way to get around incompatibilites.

https://www.ovid.com/jnls/transplantjournal/fulltext/10.1097/tp.0000000000004892~gabriel-m-danovitch-md-frcp-hon

https://www.livingdonortoolkit.com/

Please note this is not medical advice. It is meant for entertainment purposes only. 

Dr. Reddy shares his journey into the field of Transplantation including the mentors he met. He highlights his journey over the last 11 years to grow the Transplant team and the transplant program. His north star being patient care and educating his patients.

https://www.ucihealth.org/clinicians/uttam-reddy-1487846481

Please note this is not medical advice. It is meant for entertainment purposes only. 

Dr. Samra sits down with Dr. Beje Thomas, the Medical Director of the Kidney and Pancreas Transplantation program at the Medical College of Wisconsin, Froedtert Hospital . 

They discuss, how the team at Froedtert has been able to grow the program by placing the patient at the center of their care while also utilizing the lens of entrepreneurship and business principles. 

They share some great anecdotal stories. Remembering that the journey to transplantation is not always a simple straight line. Sometimes there are can be multiple stops along the way. Its important to embrace them and to continue to self advocate for yourself.

https://www.mcw.edu/find-a-doctor/thomas-beje-md. 

Please note this is not medical advice. It is meant for entertainment purposes only. 

Dr. Samra sits down with Devin Holland, the Business Development Lead at UNOS,  the United Network of Organ Sharing. 

In their conversation they highlight the modernization of the OPTN(Organ Procurement and Transpantation Network and the future of UNOS.

They also discuss the upcoming Transplant Management forum happenign in Atlanta, GA April 29 to May 1, 2026. 

https://unos.org/about/tmf/

Please note this is not medical advice. It is meant for entertainment purposes only. 

In this episode, our guest is Andrea Tietjen. She is the Assistant Vice President of Transplant Adminstrative Services. She has worked with this dynamic team since 1999. Hear about how she entered Transplant. 

https://www.rwjbh.org/cooperman-barnabas-medical-center/treatment-care/transplant-services/kidney-pancreas-transplant/our-team/administrative-leadership/ 

We discuss what changes have occurred in the Transplant space over the last 10- 15 years. 

We talk about how important ACCESS to Transplant Care is and what struck me about the leadership at their medical center, is how they are constantly trying to improve the care delivered to their patients. 

Please note this is not medical advice. It is meant for entertainment purposes only. 

Dr. Payas Vasanth, a Transplant Nephrologist at Emory University, shares how her personal journey navigating chronic disease and how that has made her a better physician.

She discussed how important Clinical informatics is in practicing Transplant Medicine and quality improvement that comes with it. 

She reviews various EHRs, Phoenix and other platforms. 

Please note this is not medical advice. It is meant for entertainment purposes only. 

Enjoy this converation between Dr. Basu and Dr. Samra. They discuss what ignited their interest in Transplant Nephrology and their path since. How much they enjoy practicing Transplant Nephrology and making a meaningful difference in patients lives. They then discuss Dr. Basu's focus on the vulnerable population. Pregnant women and the use of Belatacept 'bela'. The older adult population and access to transplant, avoiding arbitrary age cut-offs. The importance of utilizing race modification/race neutral formula. All these efforts have been to improve access to transplant for those populations that have historically been at a disadvantage. They then discuss an Adolescent to Adult Transition clinic that was started in concert with pediatric Transplant nephrologist, Dr. Roshan George. At age 18, transplanted patients start to visit the adult Kidney Transplant Clinic so as to start to feel comfortable and safe in this new space while remaiing under the Childrens Transplant Clinic umbrella. They continue this from age 18 to 21 such that by the age of 21 they are now familiar with the adult Transplant Clinic and have built a rapport with the adult Transplant Nephrology Team. Dr. Basu intentionally formed a multi-disciplinary team formed of social workers, physicians, transgender specialists. They identified unique challenges in this population and while addressing those, created a holistic, collaborative and personalized clinic. Improving compliance by utilizing telehealth in follow up visits being one such example. They then discuss Belatacept, a long term immunosuppressant that is un ique in that it is administered intravenously at 4-6 week intervals. At Emory, this is used as a primary immunosuppressant unless there is a contraindication. It has been shown to have better allograft and patient survival, cardiac outcomes and less post transplant diabetes mellitus when compared with calcineurin inhbitors as shown inthe BENEFIT trial. Belatacept cannot be used in those patients who are EBV(epstein barr virus ) positive. They then discuss the gap that older patients have to access to transplant. Some transplant centers have an arbitrary age cut off which we discussed doesnt pertain to all individuals. Further, we discussed the need for guidelines for older adult post transplant management including but not limited to frailty and cognition. We are all in the center of the continous innovation happening in the world of transplant medicine. The future of transplantation is exciting, inlcuding the recent gene edited Xenotransplantation. Increasing the number of transplants performed and aiming for one transplatn for life will be what we strive for as a community. 

Dr. Arpita Basu is a Transplant Nephrologist at Emory University.

Please note this is not medical advice. It is meant for entertainment purposes only.