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Keegan’s Story

My motivation 

It’s understandable why many people hesitate to consider kidney donation, given the intimidating prospect of surgery and concerns about potential long-term health impacts. My own introduction to the idea of kidney donation was rather light-hearted—I recall an episode of Curb Your Enthusiasm where Larry David goes to great lengths to avoid donating his kidney to a friend. Although I’ve been a regular blood donor since I turned 18 and had occasionally considered donating a kidney, like Larry, I mistakenly believed it would negatively impact my physical health long-term, which naturally made me reluctant to pursue it. 

For those in the advanced stages of kidney disease, daily life revolves around medical treatment. Dialysis, a gruelling process that acts as an artificial kidney, is not a cure—it is a demanding and exhausting necessity that can take up to 12 hours a week. They often suffer from severe fatigue, nausea, muscle cramps, and a dramatically reduced quality of life. Many must give up work, social activities, and even simple freedoms like travelling without medical support. It is hard to fully understand or appreciate just how deeply it impacts those living with the condition. A transplant, however, can literally offer a second chance at a fuller, healthier life—something I felt compelled to contribute to. 

Image of living kidney donor Keegan standing by the bar in an old British pub. Beside him is the staff of Gandalf the Grey from the Lord of the Rings movie, propped up in a holder by the bar.

Following my decision, I am often asked, “Why?”—along with receiving words of praise for my supposed bravery and selflessness. Yet, I would argue the opposite. I’m just an average person and my motivation for donating a kidney is neither heroic nor complicated: I had an extra one, and people are dying for the lack of it. 

This sense of duty cemented while I was watching a five-day ultramarathon in Georgia—on YouTube, of all places. One of the participants, Matt Cavanaugh, a fellow Minnesotan, was interviewed during the event. Matt had donated a kidney and was still running ultramarathons, demonstrating that not only had his life not been negatively impacted by the donation, but that he was actually thriving. 

Inspired by Matt’s story, I contacted NHS trusts to begin the process of becoming a kidney donor. My boss at the time, Dr Alex Crowe, a consultant nephrologist, also played a pivotal role in those early stages, guiding me through the process and addressing my concerns with care and expertise. 

The kidney donation process 

The journey to becoming a kidney donor is both straightforward and rigorous, encompassing a series of tests including CT scans, renal function assessments, electrocardiograms, and even a psychiatric evaluation. I chose to undertake this process at The Royal London Hospital in Whitechapel, conveniently just three stops away from my home on the Overground. From the outset, the team at Barts was exceptional, transforming what could have been a daunting experience into something smooth and manageable. 

Every step of the process was thorough and meticulous, which reassured me that all necessary precautions were being taken to ensure both my safety and the success of the donation. Barts even went the extra mile by reimbursing my travel expenses—a thoughtful gesture that eased any logistical concerns and allowed me to focus entirely on the process.

Throughout this period, I was supported by an outstanding team. Henrietta, one of the nurse coordinators, and my surgeon, Mr Benjamin Lindsey, were pivotal in guiding me through each stage. Their expertise and care were evident, instilling confidence in me as I navigated the various tests and evaluations. 

Being in good health and in my early thirties, I didn’t need to make major lifestyle changes. However, I do enjoy beer, so I made the challenging decision to go teetotal for a couple of months before and after surgery. It wasn’t required as you can still drink alcohol after donating a kidney, but I felt it would help my recovery. This small sacrifice felt like a necessary step to ensure the best possible outcome for both me and the recipient. To be honest, it’s now April 2025 and I continue to drink much less, although I would hardly suggest donating a kidney as a strategy for abstinence!  

The donation 

The day of the operation was both nerve-wracking and surreal. I had fasted from the night before and arrived at Bart’s at 7:00 AM on a Monday morning. Strangely enough, my biggest concern was not the surgery itself but the catheter—a fear that, in hindsight, turned out to be unwarranted (I will add that the removal wasn’t ideal or dignified, but felt worse for the healthcare assistant!). 

Image of living kidney donor Keegan lying on his bed. In front of his face is one of his cats, cuddling up in front of his face.

The operation was successful, and my left kidney was on its way to its new home. While the surgical team was excellent, the hospital stay itself was the most challenging part of the experience. The conditions at The Royal London Hospital reflected the broader funding and operational challenges within the NHS. Despite this, my recovery began swiftly, and after two nights in the hospital, I chose to continue my recuperation at home under the care of my wonderful wife: Megan (as well as two cats who were less helpful). 

Life after surgery 

Post-surgery, my recovery was relatively swift. I was fortunate to be able to take some time off work, thanks to the support of my employer, NHS Resolution, which allowed me to focus entirely on getting back to normal. This time off was crucial, giving my body the rest it needed while I monitored progress closely. My employer was understanding; however, if your job doesn’t cover your wages during such a period, the NHS can while you are taking the time off. 

Since the surgery, life has largely returned to normal. I’m back at work and celebrated my birthday with a well-earned trip to Romania, indulging in some much-needed relaxation at Marmorosch Bucharest. I’ve gradually resumed running, taking it slow as I rebuild my fitness. Looking ahead, I’m eager to get back into weird and wonderful places to take on new physical challenges and am on the lookout for upcoming trail ultra-marathons—if you have any recommendations, please let me know! 

Looking back 

The decision to donate a kidney has been one of the most rewarding experiences of my life. Knowing that I’ve potentially saved a life is a profound and humbling feeling. The process was long, but the outcome makes every moment worthwhile. The support I received from Bart’s Hospital, my family, and my employer was invaluable, and I’m grateful for the care and attention given to ensure my health and well-being were prioritised. 

For anyone considering kidney donation, I can say with confidence that the journey, while challenging, is immensely rewarding. It’s a commitment that not only changes the life of the recipient but enriches your own in ways you might never have imagined. If you have a ‘spare tyre in your boot’, consider helping someone in need—you might just find it’s one of the most fulfilling things you ever do. 

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