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Kidney transplant recipient Roxanne Boyd Williams, second from left, holds her twins Jordan, wearing denim shirt, and Ethan Williams, and recipient Irene Otten, right, and donor Tom Otten, center, during a news conference at Georgetown University Hospital in Washington, Tuesday, Dec. 15, 2009. The donors are part of a record-setting marathon 13-way kidney swap, a pioneering effort to expand transplants to patients who too often never qualify. Williams received Tom Otten's kidney, while Tom's wife Irene Otten received a kidney from another donor Kelvina Hudgens.