After Rick Ruzzamenti donated the kidney to the anonymous 66 year old donor last August, his niece, who wanted to donate but could not due to different blood type, donated anyhow, went to another person that continued the chain. As reported in dailymail.com, Rick went through rounds of psychological and medical tests before he could make the donation.
 
He talked about people asking him why he wanted to donate a healthy kidney to a stranger and that they do not understand but then Rick said that he felt odd that people felt odd about what he was doing. The idea came to him after a worker in his Yoga studio donated a kidney to a sick friend bumped at a target store.

 
After the idea, he donated and started a four-month long chain of donation involving 17 hospitals across 11 states that ended with Mr Terry as mentioned above. Terry was waiting for five years as his relatives either could not or did not want to give him their kidney but he was saved in the nick of the time by the chain from Riverside Community Hospital that ended at Loyola University Medical Center in Chicago, Illinois. The entire chain not only saves lives but also has rich and touching stories like a woman from Canada gaving her kidney to her fifth cousin in New York, after unintentionally meeting him in Italy.