Episode 046: I Couldn't Save My Father. So I Gave My Kidney to a Stranger with Matthew Harmody

Episode Summary
Dr. Matthew Harmody was twenty years old and an engineering student when his mother called to tell him his father had been rushed to the Cleveland Clinic. Both kidneys had completely failed. The man who had done everything for himself, a strong, healthy veteran, an outdoorsman, a mechanic, was going on emergent dialysis. For the next nine years, Matthew watched the decline up close. Nine years of a once-vibrant man being slowly hollowed out by a process that kept him alive but would not let him live. At the end of it, his father had had enough. He withdrew from dialysis. He passed away. And Matthew, who had spent those nine years reading everything he could find about kidney disease and helping his father navigate the medical system, decided to go back to school at thirty and become an emergency physician.

He spent twenty-five years in emergency medicine. He saw dialysis patients nearly every day. Every one of them reminded him of his father. And in 2017, he donated one of his own kidneys to a complete stranger through an anonymous living donation program, because if he could not save his father, he could at least give someone else the chance his father never had.
That would already be a complete story. It was only the beginning. A few years after the donation, a Kilimanjaro climb to raise awareness led to a bigger idea. What if a team of kidney donors climbed the highest peak in every single state in the country? What if they did it fast enough to break a Guinness World Record? What if they used the whole thing to show the world that giving a piece of yourself does not make you smaller?

Forty-one days and one hour later, Dr. Harmody and four other kidney donors had set the world record for the fastest team to summit all fifty state high points. From Denali in Alaska to Britton Hill in Florida. Through record snowfall in the Pacific Northwest. Through two in the morning trailheads in the cold and rain. Through RV laundromats and hunger and exhaustion and the kind of personality friction that only shows up when people have not slept in days. They finished. And somewhere in California, between Mount Whitney and the next summit, an email arrived. Someone had registered to be considered as a living kidney donor for the first time, strictly because of seeing their story on social media. That was the whole point.
This episode is for anyone who has watched someone they love fight something they could not fix, and is still trying to figure out what to do with that.

In This Episode, You'll Discover:
  1. What nine years of watching his father decline on dialysis actually looked like, how it redirected an engineering career toward medical school at thirty, and why Matthew says the most difficult race he has ever run was the one his father ran for nine years just trying to stay alive
  2. What anonymous living kidney donation is, how the process works, why Matthew's father refused to accept a kidney from a family member, and what the decision to donate to a complete stranger cost him in conversations with his own family
  3. The Guinness World Record attempt that brought five kidney donors together across fifty states in an RV, the record snowfall in the Pacific Northwest that nearly derailed the whole thing, and the specific moment in a laundromat in California that made the entire ordeal worth every sleepless mile
  4. The three most common myths about living kidney donation that Matthew dispels regularly, including age limits, income loss during recovery, and physical restrictions after the surgery
  5. Why ninety-three thousand people are currently on the transplant waitlist for kidneys in this country, why roughly half of them will die before a kidney becomes available, and why the gold standard solution is a living donor rather than a deceased one
  6. The Jesuit high school motto that has guided every chapter of Matthew's life, men for others, and why he measures the value of every role he has held by how many people it allowed him to reach
  7. Why Matthew's book Ascending America is not just a kidney donation story, how it covers everything from what causes kidney disease to the future of pig-to-human kidney transplants, and why even someone with zero interest in organ donation would find it worth reading
  8. The lesson from a Steven Levitt study on quitting early that Matthew applies to every major decision, and why he believes sticking with something past the point of diminishing returns can cost you just as much as giving up too soon
Key Takeaways:
  1. If You Cannot Save the Person in Front of You, Save the Next One. Matthew could not give his father a kidney. His father would not accept one. For nine years he watched that decision play out. Then he gave his kidney to a stranger and spent his post-retirement years trying to make sure the next family does not have to go through what his did. Grief that moves forward is not the same as grief that stops. It is the most productive version of love.
  2. Giving a Piece of Yourself Does Not Make You Smaller. This is the thesis behind everything Matthew does. The Kilimanjaro climb, the fifty state record, the book, the advocacy work. The people who give do not diminish. They expand. The kidney is gone. Everything that followed the donation is bigger than anything that came before it.
  3. Purpose Far Exceeds the Obstacles In Its Path. Matthew's definition of grit is precise and hard-won. Having a purpose that is large enough changes the math on every obstacle between you and it. The two in the morning trailhead in the rain is not a hardship when you know what it is for. The laundromat is not a low point when an email arrives saying someone just signed up to donate because of your story.
  4. Hard Decisions Lead to Easy Lives. Easy Decisions Lead to Hard Ones. Matthew says this to his two boys and lives it himself. Leaving a comfortable engineering career for medical school at thirty was hard. Donating a kidney to a stranger was hard. Setting a world record with four teammates in an RV was hard. Every one of those decisions built a life he would not trade for the easier version.
  5. The Difficult Race Was Not Yours. Matthew's perspective check in the middle of the hardest stretches of the fifty-state attempt was always the same. His father ran for nine years on dialysis. Three times a week. Every week. For nine years. That is the benchmark for difficult. Everything else is relatively small potatoes. Find the person in your life who ran the hardest race and let their story put yours in proportion.
  6. Know When to Quit Early. Matthew is as clear about this as he is about perseverance. There is a point of diminishing returns in every career, every relationship, every chapter of life. Sticking with something past that point because you are afraid of what change looks like is not grit. It is avoidance dressed up as commitment. Grit and wisdom sometimes look identical from the inside. You have to learn to tell them apart.
  7. The Complication Rate of Donating a Kidney Is on Par With Delivering a Baby. Matthew puts this in context deliberately. Thousands of women deliver babies every day in this country. Nobody suggests they are being reckless. The risk profile of living kidney donation is comparable. Most people do not know that. Most people do not know you can donate a kidney at eighty. Or that lost income during recovery can be reimbursed. Or that there are no physical limitations after the surgery. The myths are the barrier.
  8. Measure Impact in Concentric Circles. Matthew learned to think about impact as an engineer thinks about a system. The patient in the ER is the direct circle. Their family is the next. The EMS system he directed is the next. The fifty-state awareness campaign is the next. The person who watched a social media post and signed up to donate is the circle he never directly touched. That is the one that matters most.
Timestamps:
  • [00:00] Karl introduces Dr. Matthew Harmody: retired emergency physician, world record holder, kidney donor, author of Ascending America, and chairman of the board of the National Kidney Donation Organization
  • [03:00] The phone call at twenty: his father at the Cleveland Clinic, both kidneys failed, emergent dialysis, and the engineering student who became a de facto medical researcher overnight
  • [07:00] Nine years of watching his father decline, the withdrawal from dialysis, the death, and the decision that sent Matthew back to school at thirty
  • [11:00] Medical school at thirty: being the oldest person in a class of twenty-two-year-olds, the brutal first months of memorization, and why the engineering brain became a superpower by year two
  • [15:00] Hard decisions, easy life: the framework Matthew passes to his sons and the Freakonomics study on quitting early that he applies to every major crossroads
  • [18:00] Karl's ad break: The Grit Code Exposed at https://gritcodeexposed.com
  • [19:00] Twenty-five years in emergency medicine, seeing dialysis patients daily, and the growing sense that if he could not help his father, he could help someone else
  • [23:00] Anonymous living kidney donation: how the process works, why his father refused to accept a family member's kidney, and the conversations Matthew had to have with his brother, sister, nieces, and sons before donating
  • [28:00] The Kilimanjaro climb: going public for the first time, his wife's question at the airport about how he would feel if he did not summit, and the shift from competing to experiencing
  • [33:00] The fifty-state world record attempt: the team of five kidney donors, the RV, the Guinness record at stake, and the counterclockwise route through America
  • [37:00] Granite Peak and the Pacific Northwest: record snowfall, the RV that could not reach the trailhead, and the decision to press on rather than skip and return
  • [42:00] The laundromat in California: exhausted, on the clock, doing laundry for the umpteenth time, and the email that arrived saying someone had registered to donate because of their social media posts
  • [47:00] Forty-one days and one hour: what the record actually was, the math behind Denali taking eleven days, and what it looked like to summit five or six states in a single twenty-four hour stretch in the southeast
  • [51:00] Karl's ad break: The Grit Code Exposed at https://gritcodeexposed.com
  • [52:00] Dispelling the myths: age limits, income loss during recovery, physical restrictions after surgery, and the complication rate compared to delivering a baby
  • [57:00] The scale of the problem: ninety-three thousand people on the transplant waitlist, twenty-five thousand kidneys transplanted per year, fifty percent of those waiting will die before a kidney arrives
  • [01:02:00] Ascending America: the book, why it is not just a medical text, and why the most compelling part is the five donation stories and their recipients
  • [01:07:00] The future of transplantation: pig-to-human kidney transplants and what the next decade of the field may look like
  • [01:09:00] What Matthew is most fired up about now: national speaking, the National Kidney Donation Organization, and the goal of getting more people on the deceased donor list
  • [01:12:00] Grit defined: having a purpose that far exceeds the journey and the obstacles you face in pursuing it
  • [01:14:00] The directive: thinking of his father's nine years on dialysis whenever the advocacy work feels frustrating, because nothing he does is small potatoes by that comparison
  • [01:16:00] George Tinsley's question from Episode 44: what legacy are you going to leave behind?
  • [01:18:00] Matthew's answer: men for others, his Jesuit high school motto, and servant leadership as the throughline of every chapter of his life
  • [01:20:00] Matthew's question for the next guest: was there ever a moment you would have considered quitting earlier, not because you were a quitter, but because you stuck with something far past the point of diminishing returns?
  • [01:22:00] Where to find Matthew, the book, the organization, and Karl's close
Resources & Links:

  • Book: "Ascending America" by Dr. Matthew Harmody (available through mattharmodymd.com and major online retailers)
  • Organization: National Kidney Donation Organization (largest nonprofit kidney donation advocacy group in the country, five thousand five hundred members, Matthew is chairman of the board)
  • Challenge: The Grit Code Exposed at https://gritcodeexposed.com
Connect with Dr. Matthew Harmody:
Connect with Karl Jacobi:

Creators and Guests

Karl Jacobi
Host
Karl Jacobi
Host of The Grit Factor Podcast, Resilience & Performance Coach, Founder, Entrepreneur, Combat Veteran
Episode 046: I Couldn't Save My Father. So I Gave My Kidney to a Stranger with Matthew Harmody
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