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URMC: Lieutenant Dan Schermerhorn, an officer and an organ donor

STAFF REPORTS

ROCHESTER, N.Y. -- For the past two years, Lieutenant Dan Schermerhorn Jr. has undergone dialysis for eight hours each night while he sleeps to treat his kidney disease, IgA nephropathy. An officer with the University’s Department of Public Safety (DPS) for 23 years, Schermerhorn has dealt with this disease for 15 years, to the point of two years ago when doctors at UR Medicine’s Strong Memorial Hospital told him he needed a new kidney to save his life. 
“Replacing a damaged kidney like mine with a new one is like putting new batteries into your flashlight when it is starting to die, and then you’re back to fully functioning again,” says Schermerhorn. “There’s no more fatigue or dialysis.” A successful transplant returns Schermerhorn to the activities he was passionate about before everything was restricted by the disease—running, swimming, competing in triathlons, traveling and spending quality time with his family.
Schermerhorn’s search for a new kidney began in 2016 when he was placed on the kidney transplant waiting list at SMH. He also joined the National Kidney Registry, a non-profit network that aims to match thousands of individuals in need with a compatible willing donor. Schermerhorn’s father also tried very hard to be a donor to his son. He was evaluated by the URMC Solid Organ Transplant team to see if he was a match but was not compatible, and was close to donating through a paired exchange facilitated by SMH—he gives a kidney to someone else whom he matches, and then Schermerhorn receives a kidney from someone who is a match to him. But in the end doctors advised against it.
In October 2017, DPS Lieutenant Keri Stein sent an email on Schermerhorn’s behalf to the entire Public Safety Department, about 140 staff members, explaining his condition and the living donor process. Several of his colleagues responded by making appointments to be evaluated as possible matches. Willing donors are first checked that their blood and tissue types are compatible, and that the recipient’s antibodies won’t fight against the donated organ. From there, they are evaluated on whether they are healthy enough to give a kidney, that their kidneys are currently working well, and that they are mentally prepared for the donation.
DPS Peace Officer Paul Wlosinski remembers seeing the email from Stein.
“I always have in my mind ‘never go through life saying you could have done something,’” says Wlosinski.
Wlosinski is an officer in the first platoon who over the years has worked directly with Schermerhorn on the force. Currently, he works overnight shifts, and Schermerhorn works days as part of new officer training and compliance certification programs. Wlosinski made an appointment to be evaluated as a match, and through the subsequent lab results and examinations learned that he could be a compatible and healthy kidney donor to Schermerhorn.
One day this past spring when the two officers overlapped at work, Wlosinski personally told him that he was in the early process of potentially being a donor.
“I was really happy. Being in end-stage renal failure is really difficult,” said Schermerhorn. 
In the months that followed, two separate teams of physicians, transplant coordinators, social workers, and others from the Division of Solid Organ Transplant at the University of Rochester Medical Center—one team solely overseeing the care for Schermerhorn, and one caring only for Wlosinski—said that everything was looking good to move forward with the next steps, looking toward a transplant procedure this fall.
 “For me it’s a second chance,” said Schermerhorn. “We’re like a band of brothers working here and there’s a responsibility for him to watch my back, and I watch his. You just build that relationship. That’s how I feel now—it’s like he’s my backup. There’s a lot of things in my life that he’s impacting, and I’m very grateful for it.”
“It’s weird because it’s just something I want to do,” said Wlosinski, who is also a U.S. Army veteran. “I’m just glad that I’m able to do something. I knew I had to get tested because I can. The donation of my kidney isn’t going to affect me in such great a fashion that ‘Ican’t.’ So, I can and I should.”
“Paul’s heart amazes me in its compassion and conviction, the things that drive him to do things such as donating a kidney,” said Laura Wlosinski, Paul’s wife and an emergency dispatcher for DPS. “When we first discussed Paul getting tested, it was in great depth about what that meant for him personally and for our family going forward. He has been committed from the start and knew that if he was a match he would go through with the donation. He said to me before the initial test, ‘I don’t want to know that I potentially could have helped Dan and never tried, I can’t live with that.’ I think that accurately speaks volumes to who he is and is a great example of the way he lives.” 
On Oct. 30, the URMC transplant team, led by Jeremy C. Taylor, M.D., associate director of Transplant Nephrology, and surgeons Mark S. Orloff, M.D., and Koji Tomiyama, M.D., Ph.D., successfully performed the transplant procedure. Both Schermerhorn and Wlosinski are recuperating well.
“Paul’s decision to donate a kidney speaks volumes about his character and his compassion for a law enforcement brother,” said Public Safety Chief Mark Fischer. “After 36 years in law enforcement, I am always amazed how willing brother and sister officers are to sacrifice for each other. Paul’s actions have touched my entire department, and will forever impact the life of Dan and his family. Truly inspirational.”
Living Donation Program at URMC
The URMC Division of Solid Organ Transplant cares for patients from across Upstate New York and northern Pennsylvania, offering kidney, liver and pancreas transplants, as well as a pediatric liver transplant program. A significant focus is on living donor kidney and liver transplants, with expansion of that specialty supported by the recruitment of additional transplant surgeons, nephrologists and hepatologists, and other staff.
URMC has the No. 1 volume in live-donor kidney transplants in Upstate New York. The number of kidney transplants in the first seven months of 2018 surpassed the total number performed in 2017, with currently 41 percent a result of living donors.
“We encourage our patients to consider living donation whenever possible,” said surgeon Roberto Hernandez-Alejandro, M.D., division chief of Solid Organ Transplant. “Heroes like Peace Officer Wlosinski selflessly provide the gift of life, which can translate into better recovery and long-term survival for Lieutenant Schermerhorn and patients just like him.”
The transplant team also offers a paired kidney exchange program, which connects URMC to a consortium of academic medical centers across the country. It allows living donor kidney donors, who are not a match for a known recipient such as a family member but are still willing to donate, to give their kidney to a stranger in need of transplant, and in turn their loved one receives an organ from a similar donor.