Doctors had determined by this time that Matt's kidneys would most likely not begin working again. The chest catheter that Matt had placed in June as the access point for dialysis has a high risk of infection, he couldn't get it wet for 3 months so taking showers was a real challenge.
They decided to create a fistula on his forearm as a longer term access point for hemodialysis. An arteriovenous fistula is created by surgically connecting an artery to a vein. Over the next few weeks or months the vein gradually becomes larger and stronger allowing repeated access to the vascular system over a longer period of time (see arteriovenous fistula
http://kidney.niddk.nih.gov/kudiseases/pubs/vascularaccess/). Matt underwent this procedure on Sept 2nd and had to wait several weeks for it to become strong enough for use during dialysis before he could have the chest catheter removed.
Matt was referred to the Kidney Transplant Program at the University of Minnesota. On September 16-17, Matt, Jaimee and Rachel went to the two-day work up and education sessions to get Matt on the Deceased Donor List. He underwent physical exams with several specialists to make sure he is physically sound to have surgery, and also met with social workers and transplant educators that provided a wealth of information regarding both short and long term expectations. He finds out that he needs to have a colonoscopy done before he can start accumulating time on the deceased donor list. He will have to do that once he returns home to Duluth.
During the same visit, Jaimee and Rachel met with Margaret Voges, the Living Donor Coordinator, to start testing and find out if they were compatible donors. Jaimee's blood type is not a match (Matt needs a donor with blood type O, positive or negative doesn't matter). This also means that Matt's parents are not matches either. Rachel's blood type is a match, but Dr. Matas, the transplant surgeon, is concerned that Rachel has had a previous kidney surgery and history of kidney stones. Rachel does the second blood test that determines the compatibility of the antigens in her blood with the antibodies in Matt's blood, this test is call crossmatching.
Also in September, Matt got a dog!! He is a beautiful Singapiel Small Munsterlander Springer (try saying that even ONE time fast!) and his name is Windsor. He is a beautifully bred hunting dog and Matt was there the night he was born. He's very energetic, but he knows who's boss. They're a great team on their expeditions together.