Referring Physicians - Kidney Transplantation
Nephrologists and/or endocrinologists generally refer patients to our office, although referrals can also be made through a dialysis unit employee or by the patients themselves. The person making the referral can contact our office by calling 717-531-6092 or 1-800-525-5395. At that time some background information will be obtained and an appointment will be scheduled in which the patient will meet with the transplant team.
Prior to Appointment Date
The patient’s insurance is verified by our financial counselor, a transplant social worker reviews any current info we have received on a patient to complete their psychosocial evaluation and the pre-transplant coordinator reviews the medical history. You will be sent two videos to view prior to your appointment that give information on transplantation.
Educational videos will be mailed to the potential transplant recipient to be viewed in the comfort of their home. They are asked to bring the videos with them to their appointment. There will be an opportunity to ask questions relating to anything they saw in the videos during their appointment. Laboratory blood studies are obtained at this time. At their appointment the recipient will meet with a transplant surgeon, a pre-transplant coordinator and a social worker. Laboratory blood studies are obtained at this time. Lastly, our financial counselor interviews the recipient. This process usually begins at 8 am and is typically done by lunchtime.
Pre-Transplant Team Meeting
Every week the pre-transplant team meets to discuss the potential candidates we have seen in clinic for the past week. The team consists of a transplant surgeon, the pre-transplant coordinators, social workers and the financial counselor. At this time we discuss any social or insurance issues, and contraindications, if any, to transplantation. Also the team decides what tests are to be completed in order to be on the transplant list. The physician then sends a letter of candidacy to the patient, their nephrologist and dialysis unit. If a patient is not on dialysis yet, a letter will be forwarded to their primary care physician.
Work up of the recipient
All testing should be scheduled through the nephrologist, primary care physician or dialysis unit. If a patient specifically requests to have his/her work up done at Hershey Medical Center, our office will schedule the needed tests. The testing process should take no longer than 4 - 6 weeks.
Work up of the Donor
After a donor is seen in our clinic and is found to be blood type compatible along with a negative crossmatch, they will be sent a list of tests to be completed for kidney donation.
Cadaveric Listing of Recipient
When all tests are completed, the transplant physician will review the results. If no further testing is indicated, the recipient can be listed for transplantation.
Scheduling of Living Related/Unrelated Kidney Transplant
When the recipient and donor complete all tests, the transplant physician will review the results and the surgery date may be scheduled.