Khris Downing has gotten a lot of practice accepting things that are bittersweet -- good and bad that come together.

He is alive today because of a life-saving organ donation from his older sister, Geraldine Williams, after her death.

“This is an example of the expression ‘bittersweet,’” said Downing. “I am figuring out how to balance loss with life. It’s been really hard, but I pray about it daily and keep on going. It is what Geraldine would want me to do.

“She would tell me to take what God has given me and run with it. Those would be her words of encouragement.”

Downing, then 45, received a kidney transplant two days after his sister’s death and just months after joining the waiting list at Vanderbilt University Medical Center and beginning dialysis for end-stage kidney failure.

“I would have stayed on dialysis the rest of my life to maintain my sister’s life,” said the retired Huntsville, Ala., police officer. “But it was not in my hands. It was a power from above.”

There’s not much else that can explain the series of events leading up to Downing’s transplant.

Geraldine Williams and her six sisters were scheduled to leave for a weeklong vacation to Cancun, Mexico, to celebrate her recent retirement. But the day before their departure, Williams became very ill.

While in the hospital, she had a stroke, which left her with no brain function. Her children, aware that she was an organ donor, asked if their uncle could be considered for a directed kidney donation.

They took a tragic situation and turned it into a miracle.

The news came as a surprise to Downing, who was called to the hospital for a meeting.

“I knew to be alert to any calls from Vanderbilt, but when the Huntsville hospital called saying I needed to get there immediately to speak to the transplant folks, I was confused.

“They told me that my nephew and nieces had requested that I receive their mom’s kidney. Here they were about to lose their mother and they were being selfless. It takes a lot to think about someone else during a time like that. They took a tragic situation and turned it into a miracle.”

Unknown to anyone, Downing and his sister were the same blood type.

One week after his transplant, Downing attended his sister’s funeral. After recovery from his surgery, he began working to raise awareness of organ donation among minorities.

“People of color tend not to be organ donors,” he said. “We don’t realize that we can help others and even save lives, like my sister did.”

Data from Tennessee Donor Services shows that minorities make up 58 percent of the more than 120,000 patients in need of transplants in the United States, but only 34 percent of organ donors. Of the nearly 95,000 people nationwide awaiting kidney transplants, about 31 percent are African American, according to United Network for Organ Sharing data from March 2019.

Raising awareness about the critical need for organ donation within minority communities is vital, said April DeMers, ACNP, post-transplant coordinator at Vanderbilt.

“Minorities make up a large majority of our organ waitlist, but they are a small proportion of our donors,” said DeMers. “Although organs are not matched according to race or ethnicity, and people of different races frequently match one another, we do know that compatible matches are more likely to be found among members of the same ethnic group.”