Raj Finds A Kidney Donor!

After six months on a strict diet, Raj Guntuku enjoys a potato chip after receiving a new kidney from Joel Morales. 

It was an ordinary December day and Joel Morales was getting ready to put the latest issue of the Neighborhood News into the recycling bin.

But first, he wanted to see what was going on in New Tampa, and maybe pick up a suggestion for a place to grab some dinner. Since moving to K-Bar Ranch from Ohio in late 2019, Joel and wife Shelby had practically been quarantined the whole time due to Covid. Maybe this night would be the one they would finally venture out.

So, he started thumbing through the pages.

Then, he stopped. A picture of a 13-year-old boy named Raj Guntuku, and his 70-pound Golden Doodle Benji, caught his attention. ā€œIā€™ll probably never forget it,ā€ Joel says. ā€œIt was such a cute picture.ā€

Joel read the story. Raj needed a kidney. His parents were desperate. 

Then, the strangest darned thing happened. Almost immediately, Joel decided he was going to give Raj his kidney. 

On March 4, just a few weeks after meeting for the first time and passing all of the required tests, Joel was wheeled into an operating room, and four hours later, his kidney had been transplanted into Raj.

ā€œA miracle,ā€ says Rajā€™s mother Radha. 

Just a few days later, both Raj, who friends and family call ā€œBunny,ā€ and Joel returned home from the hospital, and they were online playing Fortnite together on the Xbox. 

ā€œJoel is so happy to see him happy,ā€ Radha says. ā€œI donā€™t know if we will ever meet anyone like that in this world again, but we are so fortunate to have him.ā€

Raj has a new lease on life, and Joel is glad he could help.

So, the question remains, why did he?

ā€œIt seems strange to say, but when I read the article, it just seemed like the obvious thing to do,ā€ says Joel. ā€œI had done a tiny bit of research after I read the article, just to see the long-term impacts of donating a kidney, and it was surprising to me. It seems like thereā€™s really nothing I have to watch out for or need to be careful of. I canā€™t take any more ibuprofen, and I have to eat enough protein, but to me itā€™s just life as normal. It just seemed obvious that thereā€™s this poor 13-yr-old kid with his life ahead of him, and I should do what I can to help. Thank God I ended up being a match.ā€

Joel Morales

A wholesaler for Nationwide Insurance, Joel says he doesnā€™t regret his decision, even if some of his friends and co-workers questioned his sanity. 

ā€œMy boss said, ā€˜Hold on, let me see if I understand this ā€” you have never met this boy, you never met this family, you have no relationship with them whatsoever, and you just decided to give your kidney to him?,ā€™ā€  Joel says. ā€œThat was the moment I probably understood it was a little bit crazy.ā€

But, the only person he really had to convince was Shelby, and her primary concern was what if their 2-year-old son Leo, or another family member, needed a kidney one day?

ā€œMy thought process was, if you look at the stats, the chances of one of our children or someone in our family needing a kidney are extremely low,ā€ Joel says. ā€œBut, the chances of Raj needing a kidney is 100 percent. He needs one. He might not get one.ā€

It was only a 10-minute conversation. Joel said he probably had that look in his eyes, where Shelby knew he wasnā€™t going to be talked out of it. Besides, he reasoned, ā€œHopefully now, weā€™ve got some good karma coming our way.ā€

Radha says Joel certainly deserves it. Before he read the article about Raj in the Neighborhood News, she had been relying on a growing list of 15 or so potential donors who had stepped forward after a television report on Thanksgiving Day.

More names were added as time went on. The Neighborhood News article about Rajā€™s plight hit mailboxes on December 8.

ā€œYou put in a great article which was super detailed,ā€ Radha says. ā€œWhen I read it, I even started to get emotional, even though it is our own story. So many people told us they read it.ā€

However, day by day, many potential donors had dropped out. Some were talked out of it, others were worried about being able to afford missing work, and some just changed their minds. 

Raj and Joel meet for the first time. 
(Photo courtesy of the Guntuku family)

Soon, a carefully curated spread sheet which, Radha says, had as many as 30 names on it at one point, had red lines through most of those potential donors, and only four remained.

Then, Joel called. He asked Nehru, Rajā€™s dad, to explain the process. Joel says he told Nehru it sounded as if he had explained all this before, and Nehru said he had. But, few had followed through, and it was becoming frustrating.

Joel, however, was in it to the finish. He filled out the paperwork, got tested and, on Feb. 24, was approved to be Rajā€™s donor. The surgery was scheduled.

The families finally met at Rajā€™s Tampa Palms home a few days later. 

Everyone was too nervous to eat, and they just ended up nibbling at the Olive Garden and Liangā€™s Bistro takeout Radha had picked up. Raj, however, was bursting with joy. 

It was a great night, both families say. Raj and his sister Bhavika, a senior at King High, thought Joel was ā€œcool,ā€ Shelby spent the night cracking jokes and Joel left knowing that he had a made a great decision. 

On the way home, he turned to Shelby and said he hoped the Guntuku family liked him.

ā€œYouā€™re giving Raj a kidney,ā€ Shelby said. ā€œI think they like you fine.ā€

And they both laughed.

On March 4, Raj and Joel went in for the surgery. Joel was home after two days, while Raj came home on March 9. The families have spoken via FaceTime every day since.

Thanks to Joel, Raj has a functioning kidney and was able to enjoy a happy homecoming after the successful kidney transplant surgery earlier this month.  

Raj had been sick for much of 2020. In early September, he vomited after waking up one morning, and it happened again a few weeks later. He went and had bloodwork done, and the results concerned his doctor. In October, Raj was diagnosed with chronic kidney disease (CKD), which is characterized by the gradual loss of kidney function. He was Stage 5 at the time, and his kidneys were operating at less than 10 percent of their normal function.

Raj has been on a strict diet ever since, and will need to watch what he eats now that he has a new kidney. He told Joel the first thing he was going to do after receiving his kidney was eat a slice of cheese pizza. 

However, his diet will have to be limited. He will need to eat healthier, but Radha says Raj is ready for that challenge. At a Super Bowl party a month before his surgery, everyone was celebrating the Tampa Bay Bucsā€™ victory with cupcakes. 

ā€œI would like to eat,ā€ Raj said, ā€œbut sadly, I cannot. No thank you.ā€

Rajā€™s immunity will be lower than it used to be, and special care will need to be taken for the next 90 days. He is on seven medications, gets his blood tested twice a week, and has to stay out of the sun. 

He is eager to shoot some hoops, but contact sports like soccer and football are off limits. His dream to be a grand master at karate, which he has been taking since he was 4, may be in peril, but Radha says they will have to decide on that later.

It is likely that Raj will have to go through this process again, in 20 or 30 years, so he needs to maximize the health of this kidney. ā€œHe knows he needs to be careful,ā€ Radha says.

As for Joel, he was off the pain medication in a week and doctors say heā€™ll be fully recovered in 4-6 weeks.

ā€œThey really just said stay away from contact sports, so my future NFL career is no longer an option at the ripe age of 28,ā€ Joel says.

Heā€™s back at work, and every once in a while he thinks about the selfless decision he made. He doesnā€™t regret it for a second.

ā€œI donā€™t think I knew, even today, just how big a deal this was, which probably helped with the nerves,ā€ Joel says. ā€œI  genuinely just felt like this was the obvious thing to do. I may not have thought about it as much as I probably should have, but even if I had, I still think the outcome would have been the same. It was definitely well worth it.

ā€œIā€™d say Iā€™d do it again, but I canā€™t. You can only do this once.ā€

Tampa Palms Family Praying For Kidney Donor

Raj Guntuku is suffering from kidney failure, and his family is desperately seeking a donor so he can return to his normal life of chasing his dog Benji around. (Photos provide by the Guntuku family)

Raj Guntuku is like many 13-year-old boys ā€” always smiling, always moving, whether heā€™s dancing, shooting hoops, playing video games or chasing Benji, his 70-pound Golden Doodle, around the house.

He is a second-degree blackbelt in karate, which he has been practicing since he was only 5. He loves watching videos to learn tricks like juggling and dice stacking to show his family. And, he can solve a Rubikā€™s Cube in mere seconds (16, to be exact).

However, unlike many 13-year-old boys, Rajā€™s kidneys are failing him. In October, he was diagnosed with chronic kidney disease (CKD), which is characterized by the gradual loss of kidney function. Doctors say Raj is in Stage 5, and his kidneys are now operating at less than 10-percent of normal function and will not recover.

His family has turned to social media, as well as their Buckingham neighborhood in Tampa Palms, to help find a transplant donor ā€” going door-to-door and handing out flyers asking for help. If there is an available live kidney donor out there for Raj, his dad Nehru, mom Radha and sister Bhavika are intent on finding them.

ā€œItā€™s four people, but one of us has to be with him, so we spread out as much as we can, house to house, ringing door bells,ā€ Radha says. 

More than 90,000 people nationwide are on a waiting list for a kidney donor. Raj is on the waiting list at Tampa General Hospital, where he receives dialysis on Mondays and Fridays, and sometimes on Wednesdays if his body requires it.

In a short span, Raj ā€” or Bunny to his family and close friends ā€” went from a kid with boundless energy to one visibly struggling with an undetected illness.

In early September, he vomited upon waking up, which his parents attributed to returning to a school schedule after a summer of sleeping in.

But then, it happened again a few weeks later, and then another time after that. For a moment, Radha says she feared Raj had contracted Covid.

It was discovered that Raj had lost 8 pounds since his last visit in March to the pediatrician, but everyone in the family had lost weight during Covid because they hadnā€™t been eating out. His doctor thought it might be a stomach flu, and Raj was put on a stricter diet heavy on liquids.

It didnā€™t help. His doctor ran some blood tests, and did not like the results, Radha says. 

ā€œThey were way off,ā€ she says.

However, another test confirmed the numbers and, after a visit to Tampa General Hospital for more testing, it was determined on Oct. 7 that his kidneys were not working and that he needed dialysis immediately.

Two days after his first dialysis treatment, Raj had a seizure. While watching television, he had suddenly frozen, biting his lip so hard it began bleeding. The doctor said the seizure was caused by his low sodium levels, so an additional dialysis on Wednesdays was added to his Monday and Friday routine.

He also developed a serious rash around the catheter in his chest, another cause for concern for his family, due to fear of infection. Raj wears socks on his hands and sleeps in between his parents, who each hold one of his hands so he doesnā€™t scratch the area. 

ā€œI canā€™t imagine all this has happened in less than (a few) months,ā€ Radha said. ā€œItā€™s crazy. Even if he coughs, or if he yawns, everyone looks around like, is he okay? Itā€™s like living in fear. Nothing is normal.ā€

Rajā€™s parents, who are both software engineers, cannot donate their kidneys due to other health issues. Bhavika, who is 17 and a senior at King High, isnā€™t old enough to donate one of hers (you need to be 21).

So, Raj and his family pray that a living match can be found. While a kidney from a deceased donor is still an option, those tend to be less reliable compared to those from living donors, which are healthier and usually function immediately, as opposed to taking days or even weeks to begin functioning on their own.

The longer the lifespan and healthier the kidney, the better for Raj, who will almost certainly need another transplant in 15-20 years.

ā€œHe will have to undergo the process again, so if a transplant can last for at least 20 years, he can get back to his normal life,ā€ Radha says.

A normal life that includes sports, dancing and chasing Benji around the house, like a regular 13-year-old. While not a day goes by that she doesnā€™t worry, Radha says her boy has another trait shared by many 13-year-old boys.

He is fearless.

ā€œI did not expect it out of him, to be honest,ā€ she says. ā€œI am really really surprised how he is able to take all this. When I go to the hospital I am more scared and more tense, and he is doing much better than me or my husband. But, everyone is praying for him. And I think the prayers are what are making him be strong.ā€

The kidney donor for Raj must have O+ or O- blood, be between the age of 21-49 and not be diabetic or have any known kidney issues. Visit tgh.org/services/transplant/kidney-transplant/living-kidney-donor-program for more information.Ā 

If you know someone or would like to help, call (813) 748-7235 or (813) 995-4815.