Preemptive Transplantation for Kidney Patients


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Nov 08 2024 38 mins   2

Getting a kidney transplant before starting dialysis or with little time spent on dialysis is a preferred form of kidney failure treatment. Despite that, preemptive kidney transplants are under-utilized. In today’s episode Daniella Duke, a preemptive transplant recipient, and Bethany Cruz, an Outreach Coordinator discuss this and more.



Bethany Cruz has over a decade of experience in kidney transplant education and is a dedicated outreach coordinator at the Houston Methodist J.C. Walter Jr. Transplant Center in Houston, Texas. Specializing in preemptive and living donor kidney transplant education, Bethany is passionate about improving access to living donation for all patients in need of a kidney transplant. Through her work, Bethany strives to raise awareness to make a meaningful impact in the lives of those affected by kidney disease.


Daniella Duke is a chronic kidney disease patient, since childhood. Her disease became more active in her 20s, and she received a living-donor kidney transplant in 2000. In 2021, she received her second kidney transplant from a deceased donor. Both of these transplants were pre-emptive, and Daniella has never been on dialysis. She is grateful for having been the recipient of two kidney transplants and advocates for chronic kidney disease patients to receive the care they need. In addition, Daniella is a physician, specializing in medical and surgical dermatology, has a master’s in public health, and is the proud mother of twins, Andy and Juli. Dr. Duke has navigated both her professional and personal life, blending the experiences, knowledge, and perspectives of both a physician and a chronic kidney disease/transplant patient. She deeply empathizes with the issues, concerns, and medical challenges that kidney disease patients face on a day-to-day basis.



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