Steve
Steve was diagnosed with X-linked Alport Syndrome at 3, but didn’t have any symptoms until his early 30s. He was on dialysis for 8 months, and he received a live kidney transplant from afriend. He has had no hearing loss.
Steve works full-time and has a daughter, aged 4. He is active in a national charity and support group for people with Alport Syndrome. Ethnicity: White British.
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Steve was diagnosed with X-linked Alport Syndrome at the age of three. Although initially he was given a bad prognosis and his parents were told that he was not going live long, he didn’t show any symptoms throughout his adolescence. Steve considers himself lucky that his hearing was never affected, therefore he felt he had a “completely normal childhood”. At 17, he was wrongly told he had passed the ‘danger area’, as he had not developed any symptoms. His nephrologist subsequently referred him back to the GP.
Steve didn’t worry about Alport Syndrome until his early thirties when he and his wife decided to take part in genetics counselling for their newborn daughter. It was the geneticist who noticed that Steve had most of the symptoms of final stage renal failure. Steve recalls experiencing signs like a metallic taste in his mouth, leg cramps, and itchiness, but he felt that none of them were severe enough to warrant a doctor’s visit. He had thought he was ‘safe’, but he found out later that his GP failed to notify him about the indicators of kidney failure from a blood test.
Steve found dialysis “awful”. He thinks there is “a common misconception that it kind of keeps everything fine like […] a cure when it isn’t”. He remembers feeling constantly weak and tired during those 8 months. He is thankful that his employer let him work from home, but he feels that his social life suffered. He also had to be cautious with his diet, but he was happy with the dietary information and practical advice that the hospital provided him.
Steve received a live transplant from afriend, to whom he will remain eternally grateful. He recalls noticing the difference that the transplant made immediately, and only then he realised how sick he looked and felt while on dialysis. Although his recovery was set back by a muscle tear, he was so focused on getting better, he didn’t feel the passing of time. In retrospect, he thinks that this period was much more challenging for his wife who was taking care of Steve and raising their daughter at the same time.
Steve feels that although the hospital provided him excellent medical care, their mental health support was lacking. He remembers feeling extremely anxious after the transplantation. He was worried about how long his new kidney would last, and what implications another renal failure would hold for his family and his friend who was the donor. The doctors couldn’t provide him much reassurance apart from giving statistics on the longevity of kidney transplantations. It was talking to other people through Alport UK that gave him the hope and emotional support that he was looking for.
Steve’s message to other patients is to “be their own experts” because doctors can make mistakes. He would also advise newly diagnosed people to “find other people in the same situation” because it’s a way of getting “realistic information, not just statistical information from doctors” and “also some understanding”.
Steve talks about his earliest memories of being diagnosed and how he was told not to worry about his diagnosis.
Steve talks about his earliest memories of being diagnosed and how he was told not to worry about his diagnosis.
Steve talks about ACE inhibitors and scientific progress for Alport Syndrome.
Steve talks about ACE inhibitors and scientific progress for Alport Syndrome.
Steve was rushed into hospital with six percent kidney function.
Steve was rushed into hospital with six percent kidney function.
Steve was able to work from home around his dialysis and transplantation.
Steve was able to work from home around his dialysis and transplantation.
Even though Steve said dialysis was necessary it felt like his body was running a marathon.
Even though Steve said dialysis was necessary it felt like his body was running a marathon.
Yeah with dialysis they take fluid because you're not really going to the toilet as much as you should; some people don’t go at all. They take fluids, like excess fluid from your body, which can cause really severe cramping. Although for me that improved the cramps for a while because I had all these cramps before I had them because I had too much fluid in my body. So, once they kind of - , they get through and they get rid of it all. Eventually they can take a bit too much and that can cause the same problem. So, they try and kind of find a weight that they want you to be and take off enough fluid to keep you at that weight. But it -, my blood pressure increased so I had to have medication for that which caused various side-effects as well. Yeah so it's [sighs], it was difficult but it was necessary and it, it kept me going, but you could see, you could see that -. I'd do Monday, Wednesday and Friday, so every other day apart from Sunday I wouldn’t do, but the extra day between Saturday and Sunday and then having dialysis on Monday; Sunday you could feel the difference in not having had dialysis for that day. Yeah it would, it was pretty awful; your body kind of feels like it wants to shut down and I suppose that is what it was trying to do but-.
Steve’s donor lived in another country and things moved very quickly.
Steve’s donor lived in another country and things moved very quickly.
Well it's just the timeframe that it all happened really. By the time he could be arranged to come over and get tested; it usually takes about three months I think, but with him they managed to get all the tests done in the space of a week.
Right
They gave us a window for, not sure when it was now, sometime in August I think and a space became available in May, so yeah it all kind of jumped forward, it was all very last minute but it, yeah but I'm fortunate again that I had a live donor. I've known people that are on dialysis for years, like many, many years that weren't fortunate enough to find a match.
How did you feel with the run up to the transplantation?
I, honestly I started to have doubts but only when my, only where my daughter was concerned. My grandfather died when my mum was very young and she grew up never really knowing him, and my daughter at the time was, you know she was one year old. So, I had the same fear that if there's something wrong with the operation that she might grow up never knowing me.
And but then you kind of look at the other side of things where I couldn’t stand dialysis forever and you can't have a like a normal life on haemodialysis really. So, it was the better option and yeah there was fear, but at the same time I was generally too tired to really let that kind of affect me and I'm glad for that I think cos once I had the operation immediately my mind kind of came alive again.
Steve had a lot of anxiety after his transplant and found it helpful to talk to others in a similar situation.
Steve had a lot of anxiety after his transplant and found it helpful to talk to others in a similar situation.
Steve says that having a positive attitude is very important with Alport Syndrome.
Steve says that having a positive attitude is very important with Alport Syndrome.
Steve’s workplace allowed him to work from home throughout dialysis and transplantation.
Steve’s workplace allowed him to work from home throughout dialysis and transplantation.
Steve connected with others who had gone through similar experiences through the Transplant Games and says they are like his ‘transplant family’.
Steve connected with others who had gone through similar experiences through the Transplant Games and says they are like his ‘transplant family’.
I mean people do things they couldn’t do before, or they wouldn’t have done before. I've -, Transplant Sport is an organisation that raises awareness of organ donation about the country and about the world in fact as well, and once a year there's a big sports event where anyone that’s had a transplant can take part and you know do sports. So, it's like a mini Olympics for people that have had transplants. So, it kind of -. Every hospital that’s got a transplant unit has got their own team and they can go there and compete and, yeah it's a really, really good, good time; it's over five days and yeah I've, you know I've learned to play volleyball, I started doing archery; just things that I do now for myself, for fun, outside of the events. But it's also, it's a nice way of, you know spending some time with people, I consider them like my transplant family at the hospital, you know we meet up outside of that; we do other events about the place and really it's driven me to kind of get involved a lot more than I would have done before with sports.
Steve’s GP didn’t notify him about his blood test results which showed his kidneys were failing.
Steve’s GP didn’t notify him about his blood test results which showed his kidneys were failing.
For quite some time.
But I managed to kind of channel that into something else cos I also had to be well – be a father - and you know actually get through the whole process of dialysis and transplantation which really were more of a problem than the anger I felt towards my doctor.
So yeah but nothing came of that. I made complaints to the correct authorities and, yeah nothing came of that in the end, so that is quite rage inspiring but not much can be done about that really.