Georgia 2-year-old receives lifesaving kidney transplant from late cousin

After battling a severe kidney condition since birth, 2-year-old John Miller’s life completely changed thanks to a transplant from his late cousin.
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11Alive Morning News at 5am
Author: Karmen Brown (WMAZ)
Published: 9:58 PM EDT September 7, 2026
Updated: 9:59 PM EDT September 7, 2026

MONTROSE, Ga. — After fighting for his life since birth, 2-year-old John Miller is finally thriving, and his story has become a powerful reminder of the lifesaving impact of organ donation.
John was born with hydronephrosis, a kidney condition that caused urine to back up into both of his kidneys. At just 5 weeks old, his body was failing.
“If you would’ve waited any longer, he would have gone into cardiac arrest and you would not have him with us,” said Greer Miller, John’s mother, said they were told by medical professionals.
John was airlifted to Children’s Healthcare of Atlanta, his potassium dangerously at a level that typically causes cardiac arrest. His parents drove behind, unsure whether their son would survive.
During the months that followed, the Miller family lived between Dublin and Atlanta, Georgia. Every small illness became an emergency.
“I think November and October of 2024, we lived in Atlanta, it felt like,” Greer said.
John was hospitalized nearly 10 times during that first year alone, and his older sister, Charlotte, stayed with her grandparents during many of those trips. But the Millers persevered, supported by their community, their employer and their faith.
A feeding tube became their lifeline. When John finally started gaining weight, his parents saw a glimmer of light. By March 2026, he was strong enough to be added to the transplant list.
The family waited and prayed for a donor match. Then, in May, John’s older cousin, Lance Miller, died in a motorcycle accident.
“Lance was a great, a great husband, a great father,” said Kris Miller, John’s father.
In the midst of their grief, Lance’s immediate family made a choice that would change everything and save John’s life: Lance would be an organ donor.
Kris said what doctors discovered was remarkable: Lance’s kidney was one of the best matches they had seen in years— better, even, than most parent-to-child donations.
“My dad and Lance’s dad were twin brothers,” Kris said. “That’s why the match was so great genetically. Lance would look like an uncle for John, not a cousin.”
But Greer and Kris said there was a challenge: fitting an adult kidney into a 2-year-old’s body. Surgeons had to innovate to make it work. On June 3, John had the transplant surgery.
The Millers said the procedure went smoothly, with no complications. John became the 2,000th pediatric transplant recipient at Children’s Healthcare of Atlanta.
Now his family said he’s thriving. His parents said his energy has transformed. Where John once felt constantly sick — what his nephrologist described as feeling like “a constant hangover” — he now plays nonstop, laughs freely and experiences the vitality of a healthy 2-year-old.
Charlotte is overjoyed to have her little brother home and healthy, excited to finally have him by her side.
The Millers said John will need to take immunosuppression drugs for the rest of his life and will make regular trips to Atlanta for medical appointments. But his parents say every check-up is worth it.
“Lance gave John such a better quality of life, just such a legacy to leave behind and let John live through,” Kris Miller said. “John will carry that on. John has been doing absolutely amazing. He’s just growing and blossoming and taking off. He’s running and playing.”