Kinsey Saleh, a 6-year-old from Queens, NY, has spent most of the year doing things a normal 6-year-old should not have to. New York Daily News reports that the young girl has been on dialysis for the last five months after being diagnosed with end-stage renal failure. Kinsey’s parents could not be donors due to their own minor medical conditions, so she joined 72 other children also awaiting transplants.

While she waited for a donation, Kinsey had dialysis three times a week and received injections and pills every day. A live donor gave Kinsey his kidney on May 27 and Kinsey is now returning home, reports SF Gate. Though she has to see a specialist twice a week for blood tests and take 21 pills every day for a few months, Kinsey is expected to be well enough to start in the first grade in the fall.

End-stage kidney disease, or end-stage renal disease (ESRD), is described by Medline Plus as the point at which the kidneys are no longer able to work at the level needed for daily life. The most common causes of ESRD in the U.S. are diabetes and high blood pressure. Generally, kidneys may slowly stop working over 10 to 20 years before ESRD results. However, doctors are not sure how Kinsey developed the rare end-stage renal failure and have not determined the cause.