Live donor kidney transplantation is emerging as the predominant practice of
kidney transplantation around the world.
—Francis Delmonico and Mary Amanda Dew
I began this book with a German mother who became más mexicana. I will
end with a Mexican nephrologist going global. In 2010 I was invited back to
Mexico to speak at an international conference on chronic kidney disease,
drawing on my research in Guadalajara to address cultural issues in dialysis
and transplantation for a largely clinical audience. I arrived not quite sure
what to expect but delighted by the opportunity to spend some time with
the conference or ganizer who had invited me, one of the key transplant pro-
fessionals I had come to know during my main fieldwork stint. I had known
him as a dedicated but often beleaguered and deeply tired man. Building the
SSa nephrology program from one abandoned dialysis machine languish-
ing in the hospital basement into a functioning kidney transplant program
had required tenacity, commitment, and nearly boundless patience with
the daily round of setbacks both small and large, challenges that his men-
tors in the U.S. program where he had trained could never even have imag-
ined. Back when I first knew him he would joke ruefully with me about how
he had started his day trying to figure out how to get soap stocked for scrub-
bing in to surgery, and then moved on to the glamorous task of scrounging
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