By JESSICA COOLEY
The Lufkin Daily News
Sunday, August 02, 2009
A Lufkin boy struggling with kidney disease since birth needs community support for a potentially life-changing operation.
Every Monday, Wednesday and Friday morning for the last seven years 16-year-old Adam McCleskley and one of his parents make a trip to Memorial Hermann Hospital in Houston, where he sits for the next several hours getting dialysis. McCleskey was born with autosomal recessive polycystic kidney disease (ARPKD), a genetic disorder with an incidence rate of one in 10,000, according to yougenesyourhealth.org.
“Because Lufkin has no pedi-nephrologists, pedi-dialysis or pedi-pulmonary, he has to go to Houston,” Kelli McCleskey, Adam’s mother said. “I take him two days a week and his dad one day a week. My dad was helping me by going one day a week, but in October 2008 he became sick and passed away December 28.”
ARPKD has a high mortality rate in infants — something the McCleskey family has experienced first hand. At 16 months McCleskey went into cardiac arrest and recovered but in 1997 the family lost an eight-day-old daughter named Kelson to the disease.
“She was also born with kidney failure and her father and I had to decide to take her off life support,” Kelli McCleskey said. “After her death, life was just too hard to deal with and our marriage ended. We had been married for 10 years, but it was very hard for me to handle her death.”
McCleskey was only two at the time of his sister’s death and doesn’t remember the experience. Although McCleskey’s life has been dependent on dialysis for the last seven years, a successful kidney transplant could change that, his mother, Kelli McCleskey said. Also suffering from cystic fibrosis, the boy has already been through one transplant in his life.
“In 2004 my mom donated her kidney to me and we thought it would work, but unfortunately it didn’t,” Adam McCleskey said.
Kelli McCleskey said that during surgery, doctors damaged her removed kidney before placing it in her son but were still hopeful it would function.
“When they took a biopsy later, they said it had 75 percent damage so it needed to be removed,” Kelli McCleskey said. “It was devastating to go through all that and have it not work. No other family members can donate. He has a cousin that is trying to donate her kidney through a matched donation program.”
Matched donation connects individuals who want to donate but aren’t a match for their own family member. Through a cross-matching system multiple transplants can occur. “We’re really hoping matched donation will work for us, but right now from the transplant and all the blood transfusions over the years, his antibodies are on high alert,” Kelly McCleskey said. “They’ll attack anything we try to do.”
For that reason McCleskey first needs to travel to John Hopkins Hospital in Baltimore, where a doctor has agreed to see him for a procedure that will desensitize his antibodies.
“Desensitization is a process that removes harmful antibodies from the blood stream. These antibodies, which fight foreign tissues like those found on a donated organ, can cause organ rejection. These antibodies are removed through a process called plasmapheresis,” a transplant services Web site stated. “Typically, three or four treatments are required prior to transplant. At the start of the plasmapheresis treatments, the patient receives anti-rejection medications to help prevent the reformation of the harmful antibodies. These anti-rejection medications are the same medications that the patient will continue to use after the transplant.”
“After the transplant” are words the family can’t wait to say, Kelli McCleskey said.
“We’re tired of waiting. We’re not going to wait for him to lose his strength before we start pushing for this,” she said. “We have a big family and he’s seeing everyone else doing all these things while he’s stuck in the dialysis chair.”
“That’s what hurts,” she continued, voice breaking with emotion. “It hurts a lot. When does he get to live his life?”
There will be a fundraiser for McCleskey at 2 p.m. today in the Lufkin Sam’s Club parking lot.
“We will be selling turkey legs, sausage-on-a-stick and Ben and Jerry’s has donated 50 pints of ice cream,” Kelli McCleskey said. “We would be so very grateful of anything the community can help us with.”