Last year Annie Laib was in a lot of pain. The 33-year-old doctor's kidneys were failing and no one in her extended family, not even one of her 25 cousins, was a match for a transplant.
Annie's twin sister, Emily, received a kidney from their cousin - the girl's only healthy familial match - a year before and was doing well. Doctors told their family there was a 50/50 chance the kidney would last for 20 years.
The women have polycystic kidney disease, a genetic condition. Their father, grandmother and uncle have it as well but their cases are far milder than the twins'.
"Here's poor Annie, facing a few years of dialysis and possibly her kidneys wouldn't do so well," said University Hospital transplant surgeon Dr. Steven Woodle.
Annie, of Newport, worried she wouldn't get the same lease on life. But she hadn't yet met Amy Maliborski.
Sitting in University Hospital on Friday with a new, healthy kidney inside of her, Annie Laib wept, letting loose the fear and anticipation she'd held onto for so long.
Then, happy tears, as she met her donor, a 36-year-old mother of three who heard about Annie's plea and in a split second thought, "I could do that."
"It's a miracle," said Annie's dad, Richard, standing over the two, Annie at the edge of her hospital bed and Amy next to her in a wheelchair, grasping hands.
"Your kidney is so energetic," Annie told Amy. "I haven't felt this good in years."
Amy Maliborski was out of town when the plea for a donor was printed in the church bulletin at Our Lady of Lourdes Catholic Church in Westwood, the neighborhood where she lives.
She happened to think to read it online.
Coming across Annie's name, Amy learned that this stranger was in the end stages of renal disease and needed a kidney. People with type O blood can wait four years to find a match, Woodle said.
Amy decided to call.
"I was just really at peace with it," she said. "I thought, when else in your life do you have the opportunity to make such a big difference?"
She shared the idea with her husband, Craig, who admittedly wasn't as gung-ho. But the assistant principal at St. Xavier High School couldn't say no to his wife's brave spirit.
Amy's mother, Mary Lou Blount, was supportive and also bit her tongue.
"I was very concerned for her," Blount said. "I knew she had to go through all this fear and courage at the same time, which I think is a very difficult thing to do."
Amy was tested and found that she was a perfect match for Annie.
"I wasn't afraid of the pain. I wasn't afraid of dying," Amy said. "But it was hard knowing if something went wrong, it was my choice."
On Thursday she went in for surgery, refusing some medications so she could "see Craig's face until the very last second."
"They wheeled me back and they said, can you just hop up onto the operating table, so I did."
Although Woodle believes modern medicine has improved survival rates for today's transplant donors, the reported risk of death is one in 5,000.
University Hospital prefers living donors transplants because the kidney can lasts an average of 20 years, compared to a deceased donor's kidney, which on average lasts 10 to 11 years, Woodle said.
Forty-five percent of all kidney transplants in the United States today involve living donors. University Hospital has edged up its percentage to 64 percent, Woodle said.
"It adds years of life expectancy," Woodle said. "That kidney will get (Annie) into middle age of life with one transplant."
A subsequent transplant can be more difficult, making the first transplant critical, Woodle said.
According to the national Scientific Registry of Transplant Recipients, from July 2006 until January 2009 University Hospital completed 82 living donor transplants with a 100 percent survival rate after a year, 7 percentage points higher than the national average.
On the day after their surgeries, Amy Maliborski decided she wanted to meet the woman who received her organ. Annie Laib had hoped this would be the case.
The women's mothers recognized each other. Kathleen Laib and Blount had worked together in years past as Realtors at Coldwell Banker on the West Side.
"Did you know it was us?" Kathleen Laib asked. Blount nodded her head "yes."
Amy Maliborski was home on Saturday, about 48 hours after surgery. She'll require a checkup in a week and should see her doctor once a year to check her kidney function and blood pressure, Woodle said. Living with one kidney gives her no better chance of kidney failure, because the things that cause kidney failure would affect both kidneys, Woodle said.
Annie will take a little more recovery time in the hospital, where they will monitor how her body receives its new organ.
The transplant means the girls are technically no longer living with polycystic kidney disease.
"It's gone," Annie said with a smile. "It's too wonderful for words. She saved my life."
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