Nathan Farmer - 62

Nathan Farmer w“I had my first kidney transplant at Le Bonheur Children’s Hospital in Memphis when I was a little kid. Then about four years ago, I noticed my ankles were swollen, and I knew something was wrong, so I went to the doctor. They said my body was rejecting my kidney. I went back on peritoneal dialysis.

“When I was put back on dialysis, at first I was good. Then the last year and a half, I started to feel like I was going downhill. It wasn’t working as well. I was tired, and I couldn’t really get out in the sun without sweating off a lot of fluid. It was one thing after another. And back then, I was raising my 13-month-old daughter by myself, so it was hard; but you just have to make it through.”

“My buddy Nick wanted to donate for me. He had wanted to donate for me when we were kids, but he was too young. Now, with my already having had a transplant, they said it was hard for me to be matched up with anybody. My antibodies were so high. That’s why they put us on the kidney chain.

“They tried doing plasmapheresis to try to filter my blood; but the first time, I started throwing up and couldn’t stop. The last time, I had some kind of reaction where I couldn’t breathe well and started breaking out in hives, and they had to just stop it. I was supposed to be getting ready for my transplant, and they had to call it off. The good news was that I went back home and was able to be at the hospital with my wife when our son was born.

“Then a year went by, and they paired me with Laura, a woman who was donating just to donate. They told me her kidney matched like it was my own. After I got my transplant, we all met in the same room. Now I have her on Facebook. We talk back and forth every now and then to check on each other. She and my wife talk, too.

“I feel a lot better. I do still feel tired a lot, but that’s just life. I’m sure most people feel tired sometimes. I’ve also been able to gain some weight. I think I weigh 150 pounds now and look a lot healthier — everybody I know tells me that. I feel great compared to how I felt before. My kids are really happy, too, to have me back.” 

Celebrating the nation's longest kidney chain

High-tech medicine and human kindness combine in UAB's ongoing kidney chain, a series of transplant surgeries that have given 101 people so far a new lease on life. The chain is the nation's longest ever.

The kidney chain has been kept going by many remarkable acts of sacrifice, and has revealed many moving stories of determination. Tyler Williamson went to TEDx Birmingham’s 2017 event in March expecting to be inspired and to network and make new connections with fellow attendees. What the 27-year-old did not anticipate was that inspiration would lead him to volunteer to become a living kidney donor just seven months later. See his story in this video:

In their words, stories from our transplant donors and recipients.

Kendra BrooksKendra Brooks. After more than four years of dialysis treatments, Kendra Brooks received her transplant in April 2016. Kendra’s mom donated a kidney so her daughter could receive one and wrote a letter to share the news. “It said, ‘God has answered our prayers. We have a match.’ I cried puddles of tears of joy,” Kendra says. Learn more about Kendra.

sheldon vaughn webSheldon Vaughn. High blood pressure and diabetes ravaged Sheldon Vaughn’s kidneys, and it was the kindness of two donors who helped him achieve a transplant. “A dialysis nurse my wife and I came to know wanted to donate to me, but wasn’t a match for me, and her kidney went to a woman in Florida. But because of her donation, I was able go on the UAB list and received my kidney from a young woman named Nicole who had contacted UAB and wanted to donate her kidney to anybody. So in a sense, I feel like I have two donors.” Learn more about Sheldon.

laura burks w Laura Burks. With a desire to help others, Laura Burks was looking for her next opportunity when a friend posted on her blog about how she was going to donate a kidney. “I thought, ‘That is what I need to do,’ Laura says. “Before that, I didn’t know you could be a loving donor. I thought it was something that happens after you pass away. After realizing that I could give away an organ that I don’t have to have to live with, I thought, ‘If I don’t do this, my life’s not complete.’ I just knew somebody needed a kidney and they’re depending on some stranger to give up theirs, and I was that stranger. Learn more about Laura.

William Harris w William Harris. High blood pressure caused William Harris’ kidneys to fail, and he was told he would eventually need a kidney transplant to live. After nine years of dialysis treatments, his wish came true. “When I was told I was a candidate to get a transplant, and that there was a match for me, I didn’t have any fears,” William says. “I was humbled to know that someone wanted to give me a kidney.” Learn more about William.

Become a part of the chain

Donate a kidney 
If you would like to donate to someone in need of a transplant, begin by filling out this form. You can learn more about kidney transplantation at UAB here.  

Get on the list
If you are in need of a kidney transplant, you will need a referral from your nephrologist. Your doctor can get all the details here.

Give a gift
Support the UAB Comprehensive Transplant Institute with a donation online .


2018 By the Numbers Kidney Chain 600px

Dr Locke quote

UAB Kidney Chain news

kidney chain 100 graphic kc siteNation’s longest single-site kidney chain reaches 100

To date, 101 living donors have changed the lives of 101 recipients as part of the nation’s longest ongoing single-center paired kidney transplant chain.


kc baseball thumbUAB baseball team helps Mississippi family cope with loss of father, husband

Young boy loses his dad, but finds many father figures on UAB's baseball team.


div kcFrom transplant lab worker to donor, employee becomes part of UAB’s world-record kidney chain

Divyank Saini is a UAB lab technologist and one of 17 employees who work behind the scenes at UAB Hospital to bring hope to those waiting on heart, lung, kidney, liver and other transplants. Saini made a decision that he wanted to do more than just his important work of interpreting lab samples to find the right matches. He decided to become a living donor and is UAB Kidney Chain donor No. 57. 


chalice kc2Science, generosity save lives in UAB Kidney Chain

Meet a family bound not by blood or name, but by their kidneys in the world’s longest living-donor kidney transplant chain. Discover how science and human kindness come together to save lives.


kc surgeryIncompatible, yet needed: What are incompatible kidney transplants? And why are they done?

The human body is primed to identify and destroy invaders like viruses, bacteria and other pathogens that can bring illness or death. Cells of the immune system and the antibodies they make recognize such foreign bodies and act to remove and destroy them. This defense system is a potential problem for kidney transplants. People have different blood groups and different human leukocyte antigens that can provoke an attack if a tissue, such as a kidney, or blood is transferred from one person to another. These two barriers are called blood group incompatibility and tissue (or histo-) incompatibility. A kidney transplant team uses the histocompatibility and blood bank testing laboratories to determine whether the tissues and blood group of a volunteer living kidney donor and the intended recipient match. A match is good, but matches are not always possible.


Jerry Phillips kcCommunity of the South: Donors help stretch UAB Kidney Chain to record 51 transplants

Fifty-first transplant means 102 total surgeries have been performed since December 2013 as the nation’s longest-ever chain continues to grow.


thompson kcNation’s longest kidney transplant chain reaches 34

The UAB kidney chain, which began December 2013 and expects more transplants in January 2015, ‘showcases the power of the human spirit in every aspect.’


nightline kcNation’s largest single-site kidney transplant chain underway at UAB

Since December, 21 living donor kidney transplants that have taken place at UAB are connected as donors “pay it forward” for a recipient to keep the chain going, and more transplants are scheduled for July.


locke press conferenceSnow can’t stop the Southeast’s largest kidney transplant chain at UAB

The unexpected 2014 snowstorm that crippled the Southeast did not deter the transplant team at UAB from continuing the largest nondirected donor chain ever performed at a single center in the Southeast. 


1080px UPDATE Kidney map 2018

The kidney chain has brought donors and recipients to UAB from across the eastern United States and as far away as Oregon.

KC How it Works 1 9

Learn more

dr locke video

UAB transplant surgeon Jayme Locke, M.D., and transplant nephrologist Vineeta Kumar, M.D., discuss living kidney donation and paired-kidney exchange in a series of videos on UAB's MD Learning Channel.