Judy Perry and Karen Gutman have always been more than cousins. Just five weeks apart in age, they grew up side by side, spending weekends together, sharing family traditions, and forming a bond they describe as “Custers,” cousins who are like sisters.

When Judy’s kidney health declined after decades of challenges, that lifelong connection became something even more powerful. Together, they became part of a paired kidney donation chain that changed not just their lives, but many others as well.

Read their stories below, in their own words.

Judy's Story

Why I Walk: My Kidney Recipient Story

I have been dealing with kidney issues for over 30 years. I never thought I would need a kidney transplant. But things changed and my kidney function deteriorated to the point that it was time to register on the Kidney Transplant List. The wait, I was told, is 5-6 years for a cadaver kidney. A living donor is a much faster and better solution. I am not someone who is comfortable telling my story or sharing the fact that I needed a kidney. But when I decided that it was important to share, that is when my miracle came to life! When I told my cousin Karen, she said, “I will see if I’m a match” and she went in for testing. Let me tell you a little about my Karen…we are first cousins, we grew up in the same crib. My Dad and her Mom were brother and sister. We are 5 weeks apart in age, we slept over each others houses every weekend. Our Dad’s owned a furniture store together, our Mom’s shared a station wagon. We were more like sisters than cousins so we came up with “Custer” which seemed to fit. So Karen has been my angel on every level. As Karen was working to see if she was a match, I was broadcasting on social media, telling everyone I knew, meeting with the Rabbi of my synagogue who put out a video asking for donors to help me. As difficult as it is to ask, it had to be done. It is the only way to make a living donation a reality.

Karen, in the meantime, found out she wasn’t a match. She was very upset. I knew there was a program out there for kidney swapping so we found out that there is a Paired Matching program. Karen continued testing and was approved as a healthy donor. Six months later, January 7, 2026, we were scheduled for our surgeries! There were 10 people in our pairing chain, 5 donors, 5 recipients. All surgeries were done in several days and at hospitals all around the country. It was miraculous. Karen and I are both doing well and feeling great!

Karen and I know that this is bigger than both of us. The Kidney Walk seems like a perfect way to share our story and bring awareness to this important issue. This will be our first year walking. As we talk to others, we hope to educate them about the need for organ donation from living donors. While sharing my story with a friend who lives in Atlanta, she was so moved that she is going through the process of donation. It is looking promising. So sharing our story will hopefully save another life! We look forward to seeing you at this years’ Kidney Walk!

Karen's Story

Judy and I tell people we grew up in the same crib! My mother and her father were siblings, and our fathers were business partners. We are five weeks apart and growing up we spent every weekend together. That is why say we are “Custers”, cousins who are like sisters.

Judy has endured declining kidney health for many years. When she was told she should begin pursuing a transplant, I knew I would do anything to save her life. Just give me the phone number to call, I told her. It was important to me that I do this without putting any responsibility on Judy. She had enough to deal with. Of course, I first enlisted the support of my husband and three sons, and they agreed without hesitation.

I contacted the hospital, and the first step was a blood test. I remember when the nurse called to tell me I was not a match. I cried. But then she told me about the paired donation program and I felt such relief! I had never heard about it before, and it seemed perfect for our situation.

I underwent a lot of testing. I am 70, with lifelong high blood pressure. But I knew I was otherwise healthy, and very determined. It took months but I was approved as a suitable doner in the paired program. We waited several months…

In mid-December of 2025 I got the call! Was I still willing to donate? YES! It was scheduled for January 7, 2026. I was told that there was a paired chain of 5 donors and 5 recipients, and Judy and I would be the only ones in Michigan. It was a fragile wait. At any time, one of the 10 involved could break the chain. In fact, my intended recipient was no longer able to receive my kidney, but a replacement recipient was on standby! We cancelled plans to gather with others during the holiday season, in order to avoid getting sick.

January 7 finally arrived! I was scheduled to have my surgery in the morning at University of Michigan hospital, and my kidney was to be sent to another midwestern state. Judy’s kidney was coming from further away, so her surgery was scheduled for the evening. I remember being very calm before the surgery. My husband later told me that I was acting like I was going to get my nails done! He, however, was very nervous. My donor nephrectomy surgery went really well. I spent the night in the hospital and was released the following afternoon. I can’t say enough good things about the U of M transplant clinic staff. It took about two weeks for me to be able to move easily, but I would do it again in a minute!

It is I who have been the recipient of a tremendous gift. I feel such gratitude that I was given the opportunity to save a life. I am awed to be part of something so big, the donor chain involving ten people. It is too soon now, but I am hopeful that at some time in the future, the ten of us can meet!

But clearly, the best gift of all is knowing that I can have many more years of celebrations with my Custer.

My advice to others in this situation is this: If you are thinking about donating a kidney, there is only one question you should ask the recipient, and it isn’t about their blood type. Just ask for the phone number to call and then call it and start the process! If you are serious about donating, keep following through and pursuing donation. Many people stop at “I am not a blood type match”, but a paired donation removes that barrier. And know that you can exit the process at any time.

This year, Judy and Karen will walk together at the Michigan Kidney Walk for the first time. By sharing their story, they hope to inspire others to consider living donation and to show how one decision can change multiple lives.

Join us at the Michigan Kidney Walk at kidneywalk.org/detroitzoo or learn more about living donation at nkfm.org/organdonation.