Greater Love has No One     (A Kidney Transplant Journey)

10/03/2025

Many thanks to all who have united to walk with us through what some have termed an epic journey of sacrificial love and a previous gift of new life.

For those new to the situation, on Monday the 29th of September, Karla donated her left kidney to Raul, a person in our church here in El Paso. The prayers from at least thirteen groups locally and internationally, not to mention many individuals and families scattered around the globe, have been lifting both Raul and Karla up to our Heavenly Father. Prayers that Jesus would be holding their hands before, during and after the surgeries. Prayers that God would give the surgeons and the transplant teams skill and wisdom to discern and adjust, such that there would not be any bleeding, infectious, or rejection complications. Prayers that the new kidney inside Raul would take like a duck to water. Prayers that Karla would be able to have a cup of coffee while holding and reading from her Bible are just some of the many prayers that have been lifted up.

Thank you.

And please do not let up with these prayers.

Ultimately it is the power of God that matters, yet in some incredible ways, the prayers of righteous people are able to accomplish much. To God be the glory.

The Backstory behind the events unfolding this week

For those wanting to know the backstory behind this, this all started two years ago during a conversation before our weekly church prayer meetings. During this conversation, Karla learned that Raul's kidneys had failed and he was going three times a week for hemodialysis. His son had been the youth pastor for two of our children before he had headed off to do missionary work in the Middle East. Raul had been faithful in helping to keep the church clean and was an active Gideon. Now he was in great need. Karla said she would gladly see if her kidney was compatible with Raul, and if so, to proceed with donation. Her rationale was simple: she had two kidneys, and he had none.

Whoever has two tunics should share with him who has none, and whoever has food should do the same (Luke 3:11)

The path to kidney donation proved much more lengthy than either of us anticipated. The test to check compatibility was the easy part, coming back within a week. Green light! But compatibility was just the first step of what would prove to be a lengthy process of clearing Karla to make sure that she was both healthy enough to survive a donation, and that she would not require two kidneys herself. CT Scans, colonoscopies, cardiac clearance with a treadmill, and lots of blood tests were step one. Navigating this with four kidney transplant coordinators also lengthened the process, as the coordinators worked to schedule these tests and (in)numerable other ones around a busy travel schedule featuring eight international trips to Kenya, Uganda, Pakistan, Iraq, Canada, Mexico and Sudan, as well as lots of stateside travels ministering to family, friends and strangers scattered coast to coast in the US.

The gem of having four transplant coordinators was that the last one is a believer in God through Jesus Christ who prayed for Karla and all the teams just before Karla headed off to surgery.

The downside of multiple coordinators was that what could have gone quickly took longer. Yet we waited and trusted in God's supreme timing in all events (Psalms 37: 5-7). During this time of waiting, Karla would sustain not one, but two significant head injuries, one of which resulted in an emergency ambulance ride with Intensive Care hospitalization. God's purposes exceed ours, and He is able to provide comfort in all afflictions, so that we can comfort others. (2 Cor 1: 3-4)

As we got closer to the date of the surgery, the number of tests and clearances didn't decrease, yet curiously increased! However, they were all important. An Infectious Disease specialist due to all of our international travels. A nephrologist to titrate blood pressure medicines were just some of the visits in the last weeks. Meeting and spending time with not one, but two Transplant Surgeons, the last of who would turn out also to believe in God through the sacrifice of Jesus Messiah. Only God could arrange this.

As we got closer to the surgery, more people learned about this event. Some questioned (with great follow-on ideas) whether it was wise to donate given the places we travel. Some wondered whether the recipient would wisely steward the new kidney. We wondered whether the kidney transplant would succeed, or be rejected. We also wondered whether Raul would be overcome by infection in his vulnerable state (we had a dear friend of ours from our Augusta Fellowship die shortly after she received a kidney transplant due to a devastating infection). All great questions. All beyond our control, but not God's.

Cast all of your anxieties upon the Lord, because He cares for you (1 Peter 5: 7)…. And the peace of God, which surpasses understanding, will guard your hearts and minds in Christ Jesus. (Philippians 4: 7)

Quite honestly, some of these fears are still real. Yet we believe that God is able to work all things out to his Kingdom best (Romans 8: 28), that we would become like His Son, (Romans 8: 29) with eternal treasures exceeding those here in this world (Matthew 6: 19-21). So we entrust these fears to God daily as necessary, and rejoice in your continued prayers and support.

Spiritual Lessons

And as we continue together on this transplant journey, I am struck by many spiritual parallels and lessons.

Karla will tell you that donating is nothing. Her rationale: as believers, we should be willing to lay down our very lives for our brothers and sisters. And while there is always a risk of dying with any surgery, this risk quite honestly is quite low. As Karla puts it: "I am not laying down my life for Raul. I am only giving up one kidney"

Greater Love has no one than this, that he lay down his life for his friends. (John 15:13)

And yet there is a sacrifice with this gift of life. Our travel plans have been uncertain for the past half year, as in our simplicity, this transplant would have happened after our last winter trip to Kenya, Uganda and Pakistan. Yet God has used Karla incredibly in these last six months, with visits to past fellowships in California we have not been with for many years. She has traveled on short notices to provide medical assistance to stateside friends and family who had sustained traumatic injuries and devastating medical developments. She was able to get to Canada not once, but twice, helping family there and helping to coordinate a Syrian widow and her two daughters for the increasing possibility of immigration to North America with nesting in supportive Christian communities. She has gone to remote Sudanese villages stricken with cholera, facing death if anyone treated should die. We have enjoyed special times with our families near and far. God has used this uncertain time to humbly advance His Kingdom in and through us, and we can never say thank you God enough.

The recipient Raul continues to do incredibly well. He has said with this transplant, he now has a third day to celebrate every year: his birthday, the day he became a US citizen, and how his "Kidneyoliday". He looks forward to the ability to be free from tri-weekly dialysis treatments with the ability to travel to visit his son and daughter-in-law in Maryland. They are expecting their first child, and Raul is so looking forward to being a grandfather. Raul is aware that he is acquiring a kidney that has been through at least ten marathon races in five countries. And while he can not run yet, he looks forward to walking to help better deal with his diabetes. Raul's daughter Amy is looking to enroll both she and Raul in a local gym membership. And Karla, with extensive training in sports physiology knows how to coach people on properly using gym equipment. So I can picture (maybe with "sanctified imagination") the three of them spending some time in the gym together, and with some training, maybe doing a future 5K race together!

Continued Prayers Needed

Please continue to hold the kidney reception up in your prayers. While this gift offers life and freedom, the host bodies can viciously attack the gift. Modern medicine and prayers though is a powerful combination, especially when combined with confession as necessary to each other (James 5: 14-16) Salvation is a free gift to all who repent, confess and believe in God through Jesus Christ. It requires us to accept this gift freely given. So it is with Raul. A new kidney, a precious gift is now inside him. We pray that his body's natural defenses against foreign object would align itself with Rauls desires that this new kidney thrive and bring new life and freedom.

As we move forward, we continue to ask that God would use this kidney donation for His Kingdom, for His and only His Glory! We thank you for joining with us, and we pray that this journey would inspire each of you, wherever you are, onto love and good deeds with the people God brings into your life each and every day.