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The Independent UK
The Independent UK
National
Thomas Kingsley

Woman waiting on rare double hand transplant rejects man’s hands

Tom Maddick SWNS

A woman waiting on a rare double hand transplant has turned down hands from a man.

Kim Smith, 61, politely declined offers of a pair of hands from a male donor and a pair of hands from a Black female donor, and claims she was warned she would face a much longer wait if she decided she would only accept a pair of hands from a white female.

Ms Smith, from Milton Keynes, Buckinghamshire, said the question came during a psychology talk in June 2021 at Leeds hospital.

Kim Smith, 61 of Milton Keynes, has spoken about her sepsis journey and her plans to get a hand transplant (Tom Maddick SWNS)

“It's just to see whether you're mentally suitable to have the transplant. I want them to be small hands. Before the amputations I was 5ft 2in. I had petite hands,” she said.

The former hairdresser, from Milton Keynes, lost both her hands and feet after a urinary tract infection led to sepsis and nine weeks in a coma following a 2017 holiday to Spain.

Ms Smith said she would also prefer to have a new pair of hands that matched her skin tone as best as possible, after also rejecting the chance to have Black hands.

Ms Smith is now anxiously awaiting a phone call to tell her that a donor has been found and the transplant can go ahead.

She also revealed how her husband Steve Smith, 64, had promised her a new wedding and engagement ring and a Pandora bracelet when she gets her new hands.

Ms Smith said: “He’s promised me the new rings - we’ll probably go shopping once I get my hands.

Kim Smith said she would also not want hands from a Black donor (Tom Maddick SWNS)

“There’s no point shopping without the hands - we don’t know what size I’ll be.

“I still wear my wedding and engagement ring on a chain around my neck but I’m holding him on his promise for new ones.”

Professor Simon Kay, the surgeon who is likely to carry out the procedure, said: “We all vary enormously to the degree we will accept variations from our own natural appearance.

“If the transplanted hands are not accepted by the recipient there is great potential for psychological rejection leading to noncompliance with immunosuppressive medication and eventually therefore to immunological rejection.

He explained the patient must also be accepting with the physical appearance of their new limb, as if they do not like how it looks, they might stop taking medication to ensure their body doesn't reject it.

Kim Smith had her hands amputated six years ago after contracting sepsis (Courtesy Kim Smith / SWNS)

Six years ago Ms Smith became a quadruple amputee after an infection led to sepsis- causing her immune system to overreact and damage tissue in her limbs.

She has now become a candidate for the rare surgery in which surgeons will join every tendon and nerve of two donor hands to hers.

Ms Smith currently lives in a non-wheelchair friendly two-bed bungalow and has said she feels “demoralised” by the lack of support from her council to rehome her.

She said: “I was naive at the time, I didn’t know anything about accessibility needs so trusted the Occupational Therapist to tell me if the house was accessible for me.

Ms Smith said her home is not suitable for a wheel-chair user (Tom Maddick SWNS)

“I commented at the time that I thought the doors were a bit narrow but she said they were fine. Ever since then I’ve struggled in this house.”

A Milton Keynes Council spokesman commented: “We’re actively searching for an acceptable property to which we can make further adaptations.”

A spokesperson for NHS Blood and Transplant said: “Only one per cent of people die in circumstances where any form of organ donation is possible.

“When it comes to limb donation, the donor has to die within a certain proximity of the hospital and be a suitable match for one of the patients waiting for transplant.

“The best way everyone can help make more transplants possible is to register your support for organ donation generally on the NHS Organ Donor Register and speak with your friends and family about specific forms of donation.

“Families are more likely to support donation when they know it is what their loved one wanted.”

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