Therapeutic Nephrectomy and Living Donation: One Patient’s Journey with Nutcracker Syndrome
- LJ Dong

- Feb 18
- 3 min read

For years, I lived with severe, unexplained pain that no test could seem to justify, and no doctor could fully explain. I was repeatedly told it was stress, anxiety, or something I simply had to learn to live with. But I knew my body was telling a different story. Eventually, I was diagnosed with Nutcracker Syndrome, a rare vascular condition in which the left renal vein is compressed between major arteries, restricting blood flow and causing debilitating symptoms. By the time I received an answer, my quality of life had been deeply impacted. Eating was painful, weight loss was severe, bloody in my urine, headaches, fatigue, and daily functioning became a challenge. Traditional treatment options offered uncertain outcomes and significant risk. After extensive research and consultation, I was told that removing the affected kidney would likely relieve my symptoms. However, what struck me most was that the kidney, though causing me harm, was otherwise healthy and would typically be discarded.
I asked a question that no one seemed prepared for... If removing this kidney could help heal me, why couldn’t it help save someone else? Despite resistance and being told it was “not standard,” I advocated for myself and for the possibility of living kidney donation as part of my treatment. In 2018, I became one of the first known patients with Nutcracker Syndrome to pursue a therapeutic nephrectomy paired with living kidney donation. The result was life-changing. I woke up pain-free, and in another room, a woman received my kidney, gaining a second chance at life. Although I am unable to have children, I was able to give the gift of life. One decision created two outcomes-- healing and hope.
That moment reshaped my purpose. What began as personal advocacy grew into service. I am a living donor and Nutcracker Syndrome mentor, supporting individuals navigating rare disease diagnoses, medical trauma, and complex transplant decisions. I work and mentor with the National Kidney Registry and rare-disease communities to help patients feel informed, empowered, and heard. I now serve on the Leadership Committee of the Nutcracker Syndrome Association, helping advance awareness, education, and systemic change for patients worldwide.
My journey also led me back to education and public advocacy. I earned my degree in Psychology and Mental Health Counseling, became a Substance Use Disorder Counselor, and expanded my work into mental health, grief education, and recovery support. As a pageant titleholder and public speaker, I use visibility not for glamour, but for impact, bringing awareness to rare diseases, organ donation, and the importance of patient-centered care. I am proud to be the new Ms. Achievement New York 2026, competing for Ms. Achievement World for Dr. World Productions. An organization that provides opportunities for women to support their communities through various forms of training, community service, and mentoring activities. I believe true achievement is measured in lives changed. I am leading this mission with compassion and courage and with a platform that is close to my heart (and kidney)!
Today, I am known as “The Queen with One Bean.” Not because of a crown, but because my story represents what can happen when patients are listened to, when systems are challenged with compassion, and when pain is transformed into purpose. My mission is to ensure no patient feels invisible, no story goes unheard, and no opportunity to save a life is overlooked.


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