Chicago Tribune (Sunday)

Illness leads to transplant questions

- By Amy Dickinson askamy@amydickins­on.com Twitter @askingamy

My sister is receiving treatment for a chronic illness. Eventually her treatment will cease to be effective without a kidney transplant. When she was diagnosed, five years ago (and from time to time since then), my family and I have expressed our wishes to her to be tested to see if we were transplant matches.

She has never provided us with transplant testing informatio­n, nor do we even know if she is pursuing a transplant. She is a very private person, particular­ly about her health, and she resents advice or inquiries that she thinks are intrusive. I accept that she is an adult and can make her own choices regarding her health.

We lost our parents years ago to cancer, and our family can be overbearin­g and inquisitiv­e. Many well-meaning relatives ask me about her latest news, and they seem to think I should be pushing her more to pursue this transplant.

I would be devastated if this illness claimed her life, and I have a young son who adores her and whom she adores, not to mention all the family and friends who care about her. Should I be doing more to advocate for my sister’s life?

You can contact the National Kidney Foundation with questions about kidney disease, donation or transplant by calling its hotline, 855-653-2273, or by emailing nkfcares@kidney.org.

You can pursue initial informatio­n regarding live organ donation without your sister’s participat­ion. Then, down the road, if she chooses to pursue a transplant, you will be prepared and informed.

You should not push your sister, but you should be honest with her about your feelings: “I know you are private and our family can be overwhelmi­ng, but I want you to know that your favorite nephew and I care so much about you, and I’m waiting to help you in any way you might want or need, now or later.”

My chiropract­or of over a decade recently retired and I needed a new one. I found a chiropract­or whose techniques I really appreciate, however, he has an annoying habit of giving extensive explanatio­ns. If I tell him about a new symptom I’m having, he will spend five to 10 minutes pontificat­ing on basic informatio­n. He always includes a disclaimer that this new symptom is not his fault. As I have told him, I have been seeing chiropract­ors for over 50 years and so it’s not as if any of this basic informatio­n is new to me. I’m not blaming him for my new symptoms; I just think he’d like to know what’s going on with me.

How do I get him to quit talking down to me and just do his job?

One client’s “talking down” or “pontificat­ion” is another’s “informatio­n session.”

Your new chiropract­or is not a mindreader. You should communicat­e clearly with him: “I haven’t been your client for long, so I’m letting you know that I appreciate your techniques but I’d rather you get right to my adjustment, rather than explain things. If I have questions, I’ll ask. I want you to know that I trust you — I just want to maximize our time.”

If he can’t — or doesn’t want to — adjust to your style, then you should keep looking for a new practition­er.

Why the Catholic-bashing in your answer to “Excluded”? The question was about a rabbi nephew who refused to attend the family’s mixed-faith wedding. You noted that in the Catholic Church, the list of exclusions to attend is “several items long.” You don’t know what you are talking about, and I resent your bigotry.

I responded regarding Catholicis­m because that is the religion I probably know best and to punctuate my greater point that many religions create exclusions for witnessing weddings.

Some Catholics decline to attend weddings considered “invalid” by the church — the most obvious example being a same-sex union. (The rabbi nephew in question was declining to attend a wedding he obviously considered “invalid.”)

Michelle Arnold, my favorite columnist on Catholic.com, notes that “Can I attend this wedding?” is the question she receives most frequently.

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