Help Save Robert Bexton’s Life

My story:


My figurative house is on fire and I am screaming for help from the second story window.

Will you walk through the flames to save my life?

I was very healthy in my 20s and 30s. I met Anne, my future wife, in 2010. We have enjoyed traveling and hiking in the US and overseas. Shortly before Anne and I married in 2012, I was diagnosed with IgA nephropathy (IGAN), a rare autoimmune disease that I was told might lead to kidney failure in 5 or more years, or perhaps never. After reading about kidney disease, I changed to a vegan / vegetarian diet to forestall kidney decline and we led pretty normal lives. Andrew was born in 2017 – he is now 7 years old and is interested in engineering, math and building things (LEGOs!).

In 2019, when Andrew was 18 months old, Anne was diagnosed with breast cancer and went through surgery, chemotherapy and targeted therapy. Then more surgeries. I became primary caretaker for Andrew for a time as well as primary housekeeper. We also had a tremendous amount of help from family and friends. It was hard seeing Anne going through treatment, including multiple ER visits and a hospitalization dealing with serious side effects from chemo. She has had “no evidence of disease” since late 2019 and her last surgery was in 2021.

In the 2020s my kidney function started to decline more noticeably. I joined a clinical trial for a medicine to treat IGAN and was one of the first IGAN patients to take a different medicine (SGLT2 inhibitor) that worked well in clinical trials. In February 2023 my medical team started discussing a need for dialysis in the next 6-18 months. In March 2023 my kidneys failed.

I was sick during the remainder of 2023 including two week-plus visits to the hospital plus post-discharge issues including orthostatic hypotension (multiple low blood pressure near-collapse episodes). I was often nauseous and vomited almost daily for months. When I was first evaluated for transplant, the team indicated I was too sick. From a healthy weight I lost 27 pounds through the end of July and wasn’t sure that I would make it. I started subtly saying goodbye to coworkers, friends and family. Then my nephrologist augmented my treatment (peritoneal dialysis at that time) and I have gained much of the weight back. In March 2024 I was well enough for transplant and joined the waitlist for a kidney from a deceased donor in California. Because of the 10+ year waitlist for kidneys from deceased people in California, I also got listed for transplant from a deceased donor in Arizona. I felt almost normal occasionally between February and May 2024.

In May 2024 Anne found me collapsed on the floor of our bathroom at 3 AM, which prompted our second visit to an emergency room in a week. I had developed serious side effects from the lack of efficacy of my treatment, including heart and lung issues. I was hospitalized for 8 days including one day in the ICU. Doctors performed surgery to create new bloodstream access to perform hemodialysis, a new method of treatment. A week later I was out of the hospital being treated with hemodialysis 3x per week (about 15 hours each week).

Many people with kidney failure don’t live very long; death rates are similar to some cancers: worse than typical death rates for prostate and breast cancer. I used to think most of the mortality arose from very old patients with multiple comorbidities, but here I am as a younger, healthier person and I have been near death 3x in the last 18 months while undergoing standard treatment under the watchful eye of more than one physician. People in my situation live better and longer with a kidney transplant.

While undergoing assessment for a kidney from a deceased donor, I was informed that my best chance for a long life is to find a living kidney donor: someone who will be a hero to me and my family by donating one of their kidneys to me.

I am looking for a “forever kidney” from a living donor. This is my best chance for survival, for living well and being here for my son and wife.

Please read the “Why” section below for more details.

3 ways to help

  1. Be my living kidney donor
  • You can save my life by going out of your way for a few weeks and taking a small amount of risk in surgery
    • You will be screened for any condition that could potentially make the surgery risk your health in the short term or long term. This means many people won’t make it through the assessment process and those who do are highly unlikely to be harmed by the surgery.
  • My insurance will pay for your testing, surgery and recovery
    • You will be screened for cardiovascular issues, some cancers, etc. The screening process can take 1 month but usually takes ~6 months – with the time dependent on how quickly you are able to schedule and complete screening appointments.
  • In the highly unlikely event that you have kidney failure after donating one of your two kidneys despite health screening, you will have priority access to a kidney from a deceased patient, bypassing the ~90,000-person waitlist.
  • Your recovery should be quick – out of the hospital within a couple days and feeling normal within a few weeks.
  • You can choose the date of the surgery
  • After donation, you can still have a long, healthy, normal life: eat and drink what you want, no need for medication, exercise normally, have a baby after donation, etc.
  • Your blood type and kidney tissue type don’t need to match mine: paired donation can create a chain of kidney donations helping many patients at once (Programs for Donor/Recipient Pairs with Incompatible Blood Types | National Kidney Foundation)
  • 10 Things You Should Know About Living Kidney Donation | University of Utah Health
  • Becoming a Living Donor | National Kidney Foundation
  • Ask questions about the process (any questions – this is not a group that will pressure you to donate, they are there to educate) or become my donor: UCLAKidneyDonor@mednet.ucla.edu or 866-672-5333. Or contact me at any time! robert@saverobert.com
  • Every living kidney donor helps reduce size of the ~90,000-person kidney wait list. Your donation will help me and everyone on the list behind me in California, Arizona and Arkansas.

2. Spread the word!

  • Create an appeal for me on a social media platform
  • Add me to your church’s prayer list
  • Mention my predicament to friends and family

3. Register to be an organ donor in the unlikely event that you pass away while your kidneys are still healthy

Please read my “Why” below

Why?

People whose kidneys have failed live longer with a kidney transplant than they do when treated with dialysis

  • Every extra day means more time with Andrew, Anne and the rest of the family.
  • I want to spend more time with Andrew while he is still young. I want to see Andrew graduate from high school.
  • Every extra day means more time with friends, more time for travel.

Kidney transplants from living donors last longer than kidneys from deceased donors: about 15 – 20 years on average vs. 7 – 10 for a kidney from a deceased donor (according to Becoming a Living Donor | National Kidney Foundation). 8 – 10 years longer. I have met two people whose kidneys from living donors have lasted more than 20 years. At 46 years old I hope to find a forever kidney.

  • A kidney transplant from a deceased donor would likely need to be redone when I am in my late 50s or early 60s. There is a reasonable chance that I will not be able to be transplanted after years on dialysis in my late 50s/early 60s. A kidney from a living donor will probably extend my life by years.

Very long wait lists: Wait lists to receive kidney transplants from deceased people are years long. In California, the waitlist for a patient with O negative blood like me is about 10 years. There is a good chance that without a transplant I won’t live that long. I am also listed for a deceased donor kidney in Arizona and Arkansas – but the wait lists in other areas are also years long. Transplant in another state would also require relocation, uprooting my family for a few months.

Missing time with my family: Each dialysis (treatment) session takes 5 hours including drive time. On treatment days (typically M/W/F) I only see our boy in the hour before he leaves for school: I’m at treatment from before he gets home from school until after his bedtime.

Quality of life. My kidneys failed March 2023. I was very sick during 2023 and was finally cleared for transplant surgery in March 2024. After a period of relative health from February to early May 2024 I got sick, my treatment (peritoneal dialysis) failed, I ended up with a couple new health issues, a new catheter and a new treatment regimen: in-center hemodialysis. Hemodialysis is a tiring rollercoaster.

Diet. With a kidney transplant I will be able to drink as much as I want (non-alcoholic of course) and eat a much wider range of food. My current diet is <= 24 oz of water per day, high protein, low salt, low potassium, low phosphate. It is very limiting: no or very limited amounts of tomatoes, potatoes, banana, avocado, mangos and most tropical fruit, orange juice, dairy, nuts and beans, chocolate, etc. Very little restaurant food, which is extremely salty!

Energy. People with kidney transplants have more energy and more consistent energy than people treated with dialysis. They also don’t spend 15 hours every week in dialysis. There is no alternative treatment for my condition except transplant.

What I miss. Time with family. Time in general: I am often tired and need to rest. Feeling healthy. Eating without worrying about nausea. Being able to drink and eat so many things – I love food and the combination of regular nausea and significant dietary restrictions impacts me every day. After a transplant my diet will be much less restricted and I will have more energy and feel better all around.

How to help