Air Force Staff Sgt. Franciscoadan Orellana, a Gretna, Louisiana, resident assigned to the Louisiana Air National Guard's 159th Mission Support Group, donated one of his kidneys to his sister, Alejandra Orellana, April 11.
Alejandra's health issues began 10 years ago when she was pregnant with her son. She suffered from eclampsia, high blood pressure, and gestational diabetes, which caused her son to be born premature at 31 weeks.
Although her son was healthy, the doctors said her veins had collapsed and her organs were shutting down. During the following years she experienced further complications, including being diagnosed with stage four chronic kidney disease.
"The whole family was there for me, but mainly my brother took the role of, 'What do you need? or What can I do for you?'" she said. "He was really wonderful."
Not wanting to continue with hemodialysis because of the stress on veins in her neck and chest, her doctor recommended peritoneal dialysis which uses the lining of the stomach as a natural filter. Ultimately, her kidney disease progressed and her case was presented to the kidney transplant board.
In November 2016, after numerous tests and reviews of her medical history, Alejandra Orellana's case was accepted and she was placed on a transplant waiting list. That's when Franciscoadan took action and informed his family that he would donate one of his kidneys.
"I still remember telling my family the good news, and my sister responding, 'No, I couldn't live with myself if something were to happen to you,'" Franciscoadan said. "That's when I told them I wasn't asking them for permission and immediately started the process of testing to see if we were a match."
Out of five siblings, Franciscoadan and Alejandra are particularly close. Franciscoadan describes his sister as the backbone of the family, a confidant who is very supportive of his career in the military.
Louisiana Air National Guardsmen. (Photo by Master Sgt. Toby M. Valadie, 159th Public Affairs Office)
Franciscoadan was determined to donate a kidney to his sister, regardless of personal health risks or career consequences. Knowing that a health issue could potentially have an effect on his military career, he met with his commander and the 159th Medical Group for advice.
"When Staff Sgt. Orellana first told me about his desire to determine his compatibility I was not surprised he was contemplating this," said Air Force Col. Brian Callahan, the 159th Mission Support Group commander. "When he sees a need, he automatically goes into a 'fix it' mode."
Over the next few months, Franciscoadan underwent a series of tests and interviews. To ensure he was a match and was healthy enough to donate, he had between 20-30 vials of blood drawn, X-rays, CAT scans, and MRIs.
He also had to meet with social workers, psychologists, financial advisors, and the transplant team to make certain he wasn't being coerced and to assure he was acting of his own free will.
Air National Guard photo by Master Sgt. Patricia F. Moran
"The fact that it was his sister only increased his desire to find a successful outcome. He went through all of the testing and when it was determined he was a match, there was no turning back," Callahan said. "He went through all of the proper steps to determine if this would impact his military service and, upon hearing there wouldn't be, he went full speed ahead to help his sister. He attacks his work with that exact fervor."
Franciscoadan said his military training and mindset is what allowed him to act swiftly and expedite the screening process.
"Warrior ethos came into play. This is a mission," he said. "It's a confidence, being in the military. There's a warrior mind frame and sometimes you don't get a chance to the think; you just execute."
The seven-hour surgery was successful, and the siblings were soon on the road to recovery. Overcoming this challenge has strengthened their relationship and allowed them to grow even closer.
"Our relationship is stronger than ever, just like my family's relationship is stronger than ever," Franciscoadan said. "It's humbling to know that you have that support always."
Navy photo by Lt. Cmdr. Roy Rice
Alejandra's new kidney took effect immediately. She was retaining fluid before the surgery, but that is now going away and she hopes to soon reach an ideal weight to be eligible for a pancreas transplant as she continues her battle with diabetes.
Today, she looks to the future as an advocate for organ donations and plans to speak at schools, businesses, and fundraisers to educate people about the screening process and motivate them to act.
As for Franciscoadan, he wants people to understand that donating a kidney was a privilege and an honor. He has a healthy life, and continues to serve his country, and be an active community volunteer with one kidney. He is scheduled to deploy next year, once he is fully recovered.
"I have noticed that life will put you in situations where all you can do is act. It is at those times when you must stop thinking and simply execute," Franciscoadan said. "I truly feel God gave me two healthy kidneys knowing that when the time came, I would have the ability to give one up."