Tripler Army Medical Center –
A U.S. Marine Corps spouse is thriving today because of a life-saving 2024 kidney transplant and collaboration between Walter Reed National Military Medical Center and Tripler Army Medical Center. The seamless coordination between the two military treatment facilities, spanning from Hawaii to Maryland, highlights a commitment to comprehensive care for military families and demonstrates the power of collaboration within the Military Health System.
Initial Diagnosis and Challenges
After moving to Oahu following a permanent change of station, Catherine Higginbotham sought iron supplementation due to concerns about fatigue, swelling and anemia. However, a routine checkup at TAMC revealed a diagnosis of kidney disease in July 2023.
Reviewing her records with her doctor, Higginbotham learned that the kidney disease likely began in 2013, following a bacterial pneumonia contracted years prior while stationed at Camp Pendleton.
“I didn’t know the bacterial pneumonia was the cause of the acute kidney injury,” Higginbotham said. “Looking back at my health records showed me exactly when the kidney disease began.”
Dr. Myungjin Kim, a nephrologist at TAMC, diagnosed Higginbotham with Stage 5 kidney disease and recommended she be added to a transplant list in July 2023. After being informed of an eight -to-nine year wait list at a local Hawaii hospital due to her blood type, Higginbotham sought evaluation at Walter Reed National Military Medical Center (WRNMMC). She then returned to TAMC for further assessment to confirm her candidacy for a transplant at WRNMMC.
Higginbotham underwent a comprehensive series of tests to assess her suitability and minimize potential complications. These included blood tests to evaluate overall health, kidney function, and blood type compatibility, as well as screening for immune system antibodies that could cause rejection of a donor kidney. Evaluations of heart and lung health were also conducted, along with a general health assessment to determine her overall fitness for the procedure.
“The good news was that I was perfectly healthy except for my kidneys. That was reassuring,” Higginbotham said. “What I learned is that I had to approach the process step by step. I broke it up into manageable parts, focusing on each appointment as it came.”
Fortunately, as Dr. Kim transitioned to WRNMMC, she connected Higginbotham with Dr. Christopher Middleman, a nephrologist who was simultaneously transferring from WRNMMC to TAMC. This seamless handover ensured continuity of care during the doctors’ moves.
After testing and health assessments confirmed her eligibility, Higginbotham was placed on the active kidney transplant waitlist. Concerned about her lack of nearby family support on the island, she took a friend’s advice and posted in a social media group that supports active-duty service members, retirees and service members’ families.
A Social Media Connection
“I woke up in the middle of the night, sobbing, overwhelmed and scared for my kids,” Higginbotham said. “I was on the bedroom floor crying when I heard my friend’s name, Michelle, come into my mind.” Remembering Michelle’s advice prompted her to grab her iPad and post in the group on Sept. 20 about her kidney failure, saying she needed a kidney donor.
Megan Boyd, a U.S. Marine Corps military spouse in Virginia, quickly responded to Higginbotham’s post just two days later, offering to be tested as a potential kidney donor. Boyd underwent testing at WRNMMC on Sept. 22 to determine if she was a potential kidney donor for Higginbotham.
A Perfect Match and a Successful Transplant
“Every single step, it was perfect. It was completely aligned. There was no hesitation,” Higginbotham said. “Just everything matched so well. Walter Reed was systematic in their transplant center. That transplant center should be world renowned. That’s how wonderful it is. They are caring, extremely organized, and empathetic. They have a wonderful team that works together.”
Testing confirmed that Higginbotham and Boyd were a perfect match for a kidney transplant. The transplant was quickly scheduled. Higginbotham described her experience at WRNMMC as calm and reassuring, saying she and Boyd felt well cared for.
The kidney transplant took place on Mar. 28 and was deemed a success. Higginbotham said she was able to briefly meet Boyd the day after the transplant surgery. Boyd knocked on Higginbotham’s door.
“The minute she came in and I saw her, it’s a moment I will never forget for the rest of my life,” Higginbotham said. “I hugged her, and she hugged me. What do you say to someone who has saved your life? All I could say was thank you.”
Initial Recovery and Return to Hawaii
Following her kidney transplant, Higginbotham spent two months in Bethesda, Maryland, receiving ongoing care with frequent visits between the Navy Lodge and WRNMMC. She consistently expressed profound gratitude for the dedication and support of the WRNMMC nursing staff, who played a vital role in her recovery. Higginbotham also acknowledged the unwavering support of her family, emphasizing their crucial role throughout the entire process.
“The surprising thing was how much better I felt immediately following the surgery,” Higginbotham said. “Before I went into surgery, my kidney function was at seven percent. And now it’s almost at 80 percent.”
Higginbotham returned to Hawaii on Mother’s Day in May 2024 and began post-transplant care with the Nephrology department at TAMC.
Long-Term Care at Tripler and Dr. Middleman’s Role
Kidney transplant recipients face a lengthy recovery process involving a strict medication schedule and regular monitoring to prevent organ rejection and manage side effects. Patients typically take immunosuppressant drugs for life, requiring frequent blood tests to adjust dosages and monitor kidney function. Achieving milestones – such as stable blood pressure, normal lab values, and a gradual return to activity – is crucial. Long-term care also includes vigilant monitoring for infections, as immunosuppressants weaken the immune system, and lifestyle adjustments to promote overall health and protect the transplanted kidney.
Dr. Christopher Middleman continued to oversee Higginbotham’s care upon her return to TAMC, ensuring a seamless transition and providing consistent monitoring and support. Higginbotham credits his dedication to her positive progress and peace of mind.
“I wanted to express my gratitude to Dr. Middleman,” Higginbotham said. “I wasn’t scared to come back home, because I knew he would be there waiting. He is one of the best doctors I have ever had in my life – a perfect combination of being knowledgeable about kidney transplant and health. He also has the rare capability of caring for his patients. It’s a combination of listening to you because he cares about you. He is wonderful. Thank you to the entire Nephrology team!”
A Heartwarming Reunion
Several months after her life-saving transplant, Higginbotham received another heartwarming surprise. Boyd’s Marine Corps family received permanent change of station orders to the island, bringing the two women together once more.
“When I found out Megan was moving to Hawaii, I was overjoyed,” Higginbotham said. “It felt like a gift on top of a gift.”
A strong bond quickly formed between the two military spouses, blossoming into a wonderful and lasting friendship between Higginbotham and Boyd. They now regularly enjoy coffee and long conversations, and Higginbotham considers Boyd more than just her donor. She is a cherished friend and forever part of her family.
“Megan and her family have become an integral part of our lives,” Higginbotham said. “I am eternally grateful for her selfless act, and I cherish the friendship we’ve built. I never felt afraid and had a sense of peace going through the transplant. This experience has been a constant reminder of the incredible power of human connection, kindness, and God’s grace in our lives even during times of challenge.”
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Resources for Kidney Donation
For families interested in learning more about kidney disease at Tripler Army Medical Center, information can be found at https://tripler.tricare.mil/Health-Services/Specialty-Care/Nephrology-Clinic.
For families interested in learning more about organ transplant and donation, information can be found through the Walter Reed National Military Medical Center’s Organ Transplant Program:
https://walterreed.tricare.mil/transplant.