35 Burst results for "Kidney Disease"
There's a Reason Daniel Horowitz Uses the 'G Word'
"You used the G word early on. You're Jewish, to say genocide is a big deal. Can you elaborate on that? Some people would disagree. Sure. Well, I mean, how many millions of people died from COVID? COVID is not natural. Everyone knows that. It is not. It came from somewhere. That is a genocide. Denial of treatment. Here's the thing. The juxtaposition of the standard for which they use to not just approve, but market, not just market, but coerce. Upon us, the vaccines that Therapeutics that they're using versus the standard they're using not just to block but to almost criminalize doctors off of using things that have four decade long safety profiles, won the Nobel Prize. It listed as WHO essential medicine. At worst, it's just a placebo. Okay, let's say it doesn't work. It certainly couldn't do any harm. They will literally use Remdesivir, which was pulled from a clinical trial for Ebola because of kidney failure failure. They'll use it on people that have kidney disease. And it doesn't work. It doesn't work. WHO recommended against it because they did a large randomized controlled trial. It doesn't work. There's stuff doesn't work. And they block it. You know, when I talk about genocide, let me say this. There's a man named Ralph. He did all the Ivermectin right to try legal cases in the hospital. And he was up against people in the Rochester house systems in court, where they were blocking Ivermectin. The judge ruled in Ralph's favor. They got Ivermectin into the person. And the guy is home today with his kids this day. Even though he was ready on a ventilator, very, very hard to recover from that. This happens several times. Yet the same lawyer for the hospital systems will go up against him again. Why would you possibly do that? He told me they testified in court that they had advised the patient's family to take them off life support. So it's not just the bottom of the 9th inning, game over. And yet they wouldn't allow them to try something that was regarded as one of the safest medications around when they said it was over with, but they'll have no problem using stuff in the ICU that has FDA black box warnings for blood clotting. It's called lumia. It's one of the few drugs they use and Remdesivir. You can't recover from that observation, Charlie. This stuff I've seen and heard in hospitals. It's
"kidney disease" Discussed on Acupuncture is my Life
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"kidney disease" Discussed on Acupuncture is my Life
"Another awesome food or foods to recommend consider a berries various assortment. Berries like strawberries blueberries raspberries i mean various assortment of buries a rich and heart healthy antioxidant especially vitamin c and guess what buries a low in potassium which is important for those in late stage kidney disease because if you eat the wrong types of fruits and vegetables it can increase the potassium in your blood to dangerous levels. Which of course symptoms such as numbness entangling weakness and it can even cause heart palpitations or even a heart attack. Leave it or not so when it comes to fruits you want to really focus on berries the various assortment of berries blackberries as well blueberries raspberries job. I mean the berries are the best. If you have chronic kidney disease you know because as an acupuncturist. I understand health as well you see. The wealth isn't in a bank. it's not in a safe. It's not in your pocket. It's not in your purse. It's not into doghouse in the backyard. It's not in the matches and he's not in a shoebox in the closet. It's in you. The wealth is in you another food source that very beneficial for individuals with kidney disease. Our aches now. Why do i bring up eggs because eggs are very important because you need the protein but it's a safer form of protein although individuals with kidney disease a recommended to limit the amount of protein in which they eat because eating too much in the way of protein causes. Waste to build up in your blood and your kidneys may not be able to eliminate all of this waste which can be a big problem but protein is still important because you need protein in your body to fight off infections maintain muscle mass and so forth so eggs are safe. Form of protein and equality of protein interim eggs much higher than other food sources of protein and eggs along with poultry fish via the easiest forms of protein for your body to break down protein. Powders don't touch him. Don't stay away from now. Plant based proteins. Tough to break down to if you have chronic kidney disease. It's not advised and along with eggs being a great source of protein. They're all so low. In phosphorus and phosphorus is another mineral. Those with chronic kidney disease need to limit important as well another form of food. That's beneficial for you as olive oil. Because if you have chronic kidney disease you die in has to be low in saturated fat which of course raise you. Increase your risk of heart disease so when cooking and baking you want to stick with olive oil.
"kidney disease" Discussed on Acupuncture is my Life
"Who have kidney disease are faced with certain dietary restrictions and the level of restrictions is dependent upon what stage of the kidney disease in which they are.
Diabetes Has Surged Among US Youth, Decades-Long Study Finds
"On the rise among the nation's youth. A new study shows that Type one and type two diabetes have surged in those under 20. NPR's Ping Hong reports Over the past two decades, more and more young people have been diagnosed with diabetes. It's a chronic condition where the amount of sugar in the bloodstream is too high and can lead to serious health problems like heart and kidney disease. In the Under 20 age group, Type one diabetes has increased by 45% since 2000 and one Take two diabetes, which is linked to obesity has nearly doubled in that time, with the greatest increases seen in black and Hispanic youth. The reasons for the rise and diabetes are not totally clear, but could be related to rising rates of childhood obesity and exposure to environmental chemicals. The results published in JAMA, come from a long term research study funded by the CDC and the National Institutes of
S6 E7 - How YOU can build resilience in the face of chronic conditions
"This is the we served now. What podcast and if you're anything like me you've had a ton of questions after leaving the military and the lack of answers looking frustrated and probably a little confused. This show is here to help you make sense of what can sometimes be well just some craziness that is post military life so you can do more than survive. You can thrive my name. Is aaron perkins. I'm us army. Combat veteran husband. Who beautiful wife daddy to two amazing kiddos and the author of resolve a step by step guide. That takes you the veteran through the process of rediscovering purpose in your post military life sue. You can thrive so the questions we talk about on the show you know. A lot of them are direct questions. You know how to use eleven gi bill. What's new for veterans. twenty one. Those are just a couple of things we talked about in the season. This is a season six episode. Seven and we're tackling a tough question today and there's no single answer to that's the toughest part about this question so before we dive into the question. I want you to think of math equations for minute. Just really simple ones. Two plus two. What's two plus two. It's four right so very simple. Very easy math equation vice. What's tuplice to. You're always going to say you're always going to know. Won't let's four but if i say what math equations when you finish them we'll have four as that end number and be like man. I don't know that's almost an unlimited number of answers. What's the same thing today. Because today's question is surrounding how you build resilience when a family member has a chronic condition and there was a virtually unlimited number of answers to this question. But i'm going to do my best to unpack those and there's a lot to unpack here so let's get started so my son. Christopher was born in two thousand eight and he had a kidney disease and still. Has this kidney disease to this day and We knew that he had some problems with his kidneys. Because they found the these problems on an ultrasound. When i was in iraq and my wife was still in germany and The the did the ultrasounds that hey you know what we recommend you go ahead and head back to the states because you know you can get you can get better medical care there in the states and so my wife moved back what she thought was temporarily and ended up being a permanent move I- redeployed early on and a compassionate reassignment and Got to fort knox kentucky which was the closest. Us army post Where to where. My son was getting his medical care and for the first couple years of his life he went through. Thing was eleven or twelve operations and Numerous other procedures to get these kidneys fixed. Now today. it's amazing it. You would never know. A single thing was wrong within the last couple of times. He's gone to the kidney. Specialists are like look his kidney. Function is great. He's doing very very well. And so that was a trial by fire so to speak. That was kind of like. Hey this this is A method i guess. A real world Test to see if you. Aaron are resilient and so. I learned a lot about resilience just in that experience. You know because again this is not just a flash in the pan you know Something one thing happened and then we had to deal with that. You know a broken limb or you know an accident or something like that. It was a chronic condition and again still is to this day but i learned a lot about resilience through dealing with my son's challenges with that disease and if you think back to military life right and this is army specifically i have to expect that all the services are like this but they build resilience in to the training plan. You know and as important as that is personal resilience all together now the past two months. I'll be honest with you. Guys have been absolutely brutal. They've been crazy because not only does my son have a kidney disease but my wife has chronic conditions as well so the past couple of months. My wife and i got her permission to tell some of her story. Her story is man. If if you ever meet my wife asked her to tell you her story because it is absolutely jaw dropping. How she is where she is today. You know based on where she came from and an all the the difficulties she came through to become the woman she is today but just in these past couple of months We experienced quite the scare and that scare It it seemed like it was cancer. Just be honest so for A while we were getting tests and then waiting for more tests and we got those tests and We said okay well. We're just going to get through this. You know no matter what happens. We're we're in this together and we're gonna stick together through this well. My wife goes to get a biopsy and she gets this biopsy. She's in recovery. The biopsy went fine. It was painful but it went fine. nothing was unexpected But it went fine while she was in recovery and this recovery was just a quick recovery. Just a few hours. She had what is called a ti or a mini stroke. And so we're like. oh my goodness how. In the world number-one how in the world is this happened number. Two how do we deal with this now. You know this is. This seems so much more serious than what it The what started out to be. We thought it was going into get a biopsy and and now here you've got to stay in the hospital. You've gotta be admitted well actually admitted to one hospital then transferred to another because at first hospital was too small and they didn't have the right doctors. There had to be transferred to another hospital and then finally a few days later she gets out. She's getting slowly better. But we still don't have those answers right. Don't have the answers in the biopsy because it takes a week or more to come back and you know she finally gets these answers and they're like yeah. Well we really don't know what it is. We really don't know what it is. It's not cancer. But we're not sure. And so they said. Well we want to send you to an autoimmune specialist and and those Those doctors are are booked up forever and well we can get you. Maybe like june july and so here we are still waiting on those answers and obviously all of this is stressing her out now. Little bit about that mini stroke just answered stress for her brings about these These symptoms where It stress basically over stresses her brain and she ended up needing to quit her job. And you talk about frustrating. And i don't mean frustrating like all you can't work anymore but she was super frustrated at like me. Why in the world is this happening. And and you know. What can i do to help and to build that resilience right but this is. This is not a story about my son. This is not a story about my wife specifically. Today's show is all about building that resilience when your family member has a chronic condition. And so i'll just tell you over. This was going with my wife. I stopped everything i could. You know some of you may have seen an email from said. Hey sorry. Our live mental health event An open dialogue mental health is going to be cancelled if your sponsor for the event. You've already paid. You know we're going to refund your money Which which already did. But there were so many things that i was doing that having a hand in that i said you know what i've just gonna stop doing those things and focus on what matters most right now focus and for me. That's my family. And and i think that is a key element to resilience is focusing on what you need to focus on and again. I know that sounds vague. Right but what is it that you personally need to focus on. Because i can't tell you what you should focus on. I can't tell you that. I wish i could but unfortunately i can't at so. I resigned my position from a nonprofit board Alabama veteran here in here in obviously alabama But also got some help from facebook in preparation In preparation for this episode and Some of you responded and told me how you build resilience in your own personal life. And i want to go through some of those responses real quick and then i'll dive into the five science backed strategies to build resilience but on facebook right. You know one of my friends. He said it. Because i asked i said look. I'm news and helping an oak upcoming podcasts. What are your go-to strategies for building resilience in your personal life and one of my friends. He's kind of a kind of a jokester but he says he says avoiding people and puts us little laughing face or winking face at the end of the comment but the the fact is sometimes that is the to do to help you build resilience and focus on what matters most to you another person. I and i love this. She said it's all about the thought life. It's about your mindset and and she also she said. I'm practicing telling myself no just to exercise that muscle while you know what that's not a bad idea and so there was a number of really good comments here but a couple of them Not a couple of them. I should say a couple of themes came out number. One was faith how my friends saying you know what. I'm learning to do what i've needed to do for years. And that's focus on my faith. You know my faith pushes me past that present crisis or would i'm perceiving as a crisis right you know made. My faith is reading and prayer. And you guys know if if you've listened to this podcast before that you know. This isn't absolutely faith-based podcasts. You know and and my my faith is that of christianity of following jesus But faith has been incredibly important for those seeking to build resilience in a personal lives and Additionally is time for self reflection so one thing is faith is the one theme that came out in the second was self reflection scheduled time for relaxation. And so using those hobbies or those Chill lacks kinda relaxing moments and building those in to your everyday life so that you can handle those stressors right And i wanna mention one of the thing this was. This was a a another theme. That that i know i said only two. There's actually three themes that came out and that's relationships. Relationships are so critically important and one guy actually When my friends here in the area said whoa to him and this is a scripture verse. Actually he's fourteen. He says woe to him who was alone when he falls and doesn't have another lift him up because look lifestyle right. It's really really tough. And the truth is we can't do it by ourselves. We weren't meant to we weren't designed to So it's really really important to have those people in our lives to help us when we can't help ourselves so having those strong relationships around us In a one one other one other comment. I wanna to point out before you get to the five science back strategies for building resilience practice resilience by practicing being resilient each time. Something happens to us. We need to put that in her memory so next time that happens to us even if even if it never happens again we we have that memory of what we did as we figured out you know kind of how to go through that process the first time now. What does that have to do. With a chronic condition you a family member having a chronic condition. All those things apply. They apply directly. Okay so five. Science back strategies to build resilience and this will take just a few minutes number one change the narrative. So look when something bad happens whether it's a single event or a long term Kind of episode right. We often relive the event over and over in our heads and it's called ruminating rehashing the pain and and it it's like we're spinning our wheels. Basically you know There's a study. Said you know what maybe try expressive writing. You know to try gaining some new insights into the challenges in your lives. You know there are a few different ways. You can manage that but that you can change the narrative But one of the one of the ways is to reframe it in another Another perspective or another light. How do you that a one of the things you can do is talk to those in your life that you have those strong relationships with another reason why relationships are so incredibly important. That's the first one number to face your fears. Sure like man. I don't know what's going to happen. In my spouse's life from my child's life because of this chronic condition face it running away is not going to help and when i say face it i i don't mean just dive headlong into a by yourself and tackle it all alone. Another reason why those relationships are so important. So even if you know it's your spouse that's going through something being able to talk to someone else about it about what's going on in your life and how you were feeling is so incredibly valuable. You can't even put a number on it so number one going to change the narrative number to face your fears and face those fears with someone else number three and i'm gonna put this link. This is a great article will put this link in the show notes. You can check out this entire article yourself but practice self compassion. Think of it. Think of what. You're going through right now and think of that in someone else's perspective like if someone else had the same challenges you were having right. Now maybe your child is a chronic condition or your parent or your spouse and they came to you and said hey i. I'm having this problem you know. My wife had a cancer scare. She had many stroke and then We sort of know what's going on. Oh gosh i i don't know what to do. What would you do. Chances are you would be compassionate with them and we know fear versity they can make us feel really alone and we wonder why were the only ones feeling this way and what exactly is wrong with us and check chances are. There's nothing wrong with us at all. You know the there's this real problem with And with i within the veteran community that we all seem to think we're alone and the truth is were not and another reason why you need those strong relationships so you can remember. Hey i'm not alone this but practice self compassion be compassionate to yourself number four meditate and. I know that meditation sometimes gets a bad rap. But i will say. I've tried it myself meditation. Mindfulness and it is a wonderful stress. Reliever i will let you do your own research on that. But there is such value in meditation number. Five and this one is critically important. Cultivate forgiveness. And here's the thing. When it comes to a chronic condition of family member whether that's your spouse or child or your parent or or sibling you can sometimes get this. You can get mad right. And what is there to be mad at. Who is there to be mad at. Well you know you can be that nature you can be mad at god. You can be frustrated but holding a grudge is only going to hold you back. And and that expands far beyond just the Know caught debating forgiveness for forgiveness. Sake right extends will beyond that in well beyond the chronicle condition idea and goes further into your entire life because my pastor says it like this he says holding a grudge against someone is like setting yourself on fire and hoping. The other person dies from smoke inhalation. I know sometimes we feel like man. I've got to hold on to this grudge. I'm not going to forgive but cultivate forgiveness. And there's an entire chapter dedicated to forgiveness in the resolve book. And so i love you to check that out Head over to kurds fight again. Dot com click on. Get the book and you can find out more about forgiveness what that looks like. In the veteran's life look stress and struggles come in many forms in life adversity trauma. Fear shame betrayal of trust. Look there's a lot of things you can do though that can help you learn to cultivate forgiveness so those five science backs strategies to build resilience number one change the narrative face your fears in practice. Self compassion go easier self number four meditate again. You do your own homework. Do your own research there. Maybe it works for you. Maybe it doesn't. But i know in my own life it has helped kaminsky and number five avait forgiveness l look. I know we have a lot of questions. We all have a lot of questions in our lives but the most important question we can ask ourselves is this have. I accepted the forgiveness of sins. That only comes through faith. In jesus christ while i hope this episode has helped. I'd definitely hope that you've gotten something out of it. If you have would you go to. I tunes and leave us a five star review. That would be amazing. And if you if you didn't like the episode and you're like hey. I learned something. Would you please go leave five star review. Those reviews actually helped so much. If you're like you know what. I'll leave review but maybe not five stars both. We'd like to hear those two so again. If you have any questions for us at all that you would like us to address here own the show. Send us a message podcasts. At courage to fight again dot com. And like i said at the beginning of the show. If it's on your mind it's worth exploring. Well thank you so much for listening. I'll see you next time We served now. What is a production of courage to fight again.
Chicago's Cook County opens 25K 1st dose COVID vaccine appointments
"Of of Public Public Health Health opening opening 25001st 25001st dose dose vaccine vaccine appointments appointments today today amid amid rising rising case case number number statewide statewide and and across across the the country. country. WGN's Judy Wang has more the appointments. Available or at four suburban mass vaccination sites. This is the National Guard run site at a former came out start in displays. Cook County is currently in phase one B plus, which expanded eligibility to people down to H. 16, who have chronic health conditions that includes cancer, kidney disease, diabetes and obesity. Essential workers previously classified under phase one. C can also make appointments. Those who work in government, higher education, restaurants and the media eligibility scheduled to open to all people in the state outside of Chicago, ages, 16 and up on April 12th as covert
California Extends Vaccine Access to People With Disabilities
"Starting March. 15th younger Californian to have disabilities or severe underlying health conditions will be next in line for vaccinations against covert 19. State health officials say the plan will open access to vaccines to another 4 to 6 million people. Joining me now to talk about this is KQED science reporter Molly Peterson. And Molly. What health conditions is the state listing that will make people eligible for vaccinations. And do they have any idea how long it will take to get through this next group? Let's start with the health conditions. The state's new directive to providers lists cancer, chronic kidney disease, It's stage four or higher. Chronic lung disease Down syndrome, having a weakened immune condition from an organ transplant, sickle cell, some heart conditions, severe obesity and very high type two diabetes as The health conditions that will make people eligible for vaccinations and as for how long it will take to get this next group vaccinated literally. The state does not know in part because the states as it could only see supplies three weeks into the future with federal partners. So far, state and federal data show. There have been 5.5 Million doses given 7.9 million doses have been have arrived in the state. But we've had some hiccups with that Napa in Los Angeles this week paused first doses to make sure that they had enough second doses for everyone who had gotten the first dose earlier. Counties and their health officials also speak often about being on wait list to get more vaccine Now, Disability rights advocates have been pushing really hard for people with underlying conditions. To be moved. Moved up in line. How are they responding to this announcement? Well, some people say they are happy. Just go lame and talk to one of our KQED colleagues. She's with San Francisco Senior and Disability Action group. And she says Essentially the march 15th is too late and that countless people will die needlessly and will make it hard for people with disabilities who aren't on this list, and people who don't have regular medical care to access the vaccine. I should say they don't know exactly how many people there. Adding 4 to 6 Million people is the range and that's because some folks with disabilities or severe health conditions are already in groups, including job specified groups and age specified groups. That are already eligible. There are a lot of questions left to answer, like Will people be able to do this at mass vaccination sites or will verify and things that like a mass vaccination site? Slow Everything
Illinois Residents Eligible For COVID-19 Vaccine Expanded
"Would soon be eligible to get a covert 19 vaccine starting February. 25th people who are younger than 65, with underlying conditions will be eligible under the current phase one B. This includes those with cancer, chronic kidney disease, diabetes and heart conditions. People with disabilities will also be prioritized. This expansion comes a bit increasing vaccine supply.
Frailty Is A Thing?
"I am excited today to introduced to you dr mucci. She has the coolest instagram page. That you're ever gonna wanna watch so her pages linked in the show notes and we are going to discuss. Frailty today which. Until i ran into her. I didn't even know an actual medical thing. So thank you for joining me. Have i so i just thought frailty meant you know i have a very good definition of frailty. I just thought it meant that you started losing the ability to move freely. And then you've told me that there's actual stages and it's a medical thing so why don't you start by telling everybody what frailty actually is to a medical doctor a right. Thank you very much for the kind introduction jets and so frankly is very commonly used announced a families look after all people and they just say oh mommy's a bit freia and she's slowed down a little bit out. Of course they chum failty in medical world as means completely different thing and their definition official definition knees highly if they reduce physiological reserves allocco physiological reserves. This means and why is it important to understand while this happens. As a result of amalgamation wolf three major factors as a result of aging process amalgamated with age related diseases we accumulate over the life span as less side effects of medications. Let me give you an example. What this means. So recent example for my clinical practice beatrice is ninety two year old lady. She's quite fit. Well lead independently. She before the lockdown. Actually it was running classes in a swimming pool oval senior citizens so very engaged with her community and leaving a beautiful life with quote a good quality of life however decreases ninety two and in the lost two three years. Should he'd have a few medical problems into stroke clinic with couple of meanest strobes diagnoses on. Jain ah should also has a little bit okay. High blood pressure. Some kidney disease muggle problems. None of them are actually bad enough to impact on. Have day to day functioning. She takes madison's will. These conditions is on block thin as full day mini strokes or cholesterol tablets. So she's functioning will and then one day should develops really a bad kid named action or you're north talked infection and it was bad enough for her to be a stylized in hospital and what happened. She became very confused. Deal various and rather than spending just two three days in hospital For intravenous antibiotics shea had two weeks admission in hospital because have confusion was resolving and of course what happens told their doubts if they spend a lot of time in in bed completely condition muscles wasted away by them. Homeless admission is keen swimmer. Could not stand to go into a rehabilitation facility and it was good two months before she actually returned home and she was not back to normal cell sure required carrozza assistance required Family to help. And that's what frailities. It's their amalgamation. She did not know that. Race frail have family did not understand why mom sophie to while swimming the day before teaching her class next day hunterston agen and actually swearing which Merited before in. How confused state why this will happen into. It was very traumatic for the families. And that's what i said. I explained frame because of course as a result of a previous mini strokes should have reduced brain reserves and urinary infection. Eat infection there are toxins in the body which up poisoning the brain. Now in you. And i we might not have a major program but had strokes if so bring presents lou and should develop a confusion shays ninety two age related changes to the boogie moss and muscles. Do you know on net. After the age of fifty we use about one to two percent muscle mass every year. So just imagine when you come to ninety two remember. She's actually switch. It wasn't bad But you can't go against the nature so there you go mini strokes causing reduced brain reserves. Shays ninety two year old with reduction in her muscle mass spending two weeks hostile bat eligible kidney problem on the background and of course urinary tract infection led to deterioration that and have completed different individual at the
Reviewing Dapagliflozin For Chronic Kidney Disease With Dr. Jennifer N. Clements
"In the commentary wrote for i former ex. You reviewed the study entitled deputy flows in patients with chronic kidney disease which was published in the new england journal of medicine in late september. Two thousand and twenty. And while i think everyone in our audiences should read the paper for themselves. We provide a link to the paper on her. I former x website. But can you give us a brief synopsis of the study methods and results. The data stay k. D. trial was an international double blind placebo. Controlled trial conducted to assess the efficacy and safety of day Ten milligrams orly once-daily among participants with chronic kidney disease with or without type two diabetes to elaborate on chronic kidney disease participants had macro albumen urea and stage two through four kidney disease following one. To one random association each group received stable doses of either an ace inhibitor or arb for at least four weeks. The primary outcome was composite endpoint of a time to event analysis and included declined of gfr fifty percent in stage kidney disease and reno or cardiovascular death. There was a secondary composite outcome. In this included the primary outcome with cardiovascular death or hospitalization for heart failure when looking at baseline characteristics both groups were similar in terms of age females race. Gfr as far as cardiovascular disease and standard of care the gfr main was about forty three and a majority of these participants could be classified as stage three. B in addition thirty seven percent of these participants had cardiovascular disease and ninety eight percent. Did receive the ace inhibitor. Or a are now after three years dabba cliff flows and reduce the primary composite outcome by thirty nine percent with a benefit. Sharon individual outcomes of decline jeff for fifty percent in stage kidney disease and long-term dialysis as saying other trials with dabba gla flows in. There was a reduction of nine percent in the composite of cardiovascular endpoint of cardiovascular death or hospitalization for heart failure now discontinuation was low and similar between both groups. But it's important to look at some safety outcomes volume. Depletion was statistically higher with dabba in than placebo even though there was no statistically significant finding placebo group did have a higher percentage of participants experiencing a reno related adverse event than compared to flows in and lastly there was no cases of you. Glycemic kato acidosis among those. That received
DECLARE-ing Another Victory for Dapagliflozin
"Well hello and welcome to the i former x podcast where we explore the evidence that informs aleatory care pharmacy practice. This is stuart hanes the host of the i former x podcast in about a year ago we reviewed and discussed the data h f study which evaluated the benefits of the sodium glucose transporter two or s. l. t. two inhibitor. Adaptable flows in in patients with reduced ejection fraction. Heart failure even in patients without diabetes. And if you are not familiar with a data h f study. I strongly encourage you to read the original study. And the i former x commentary of course. The data regarding the use of the sglt two inhibitors to prevent cardiovascular events and to treat heart failure or quite compelling but can they also slow the progression of renal complications in patients with chronic kidney disease. Well i was excited to see the much anticipated data. Ck d. study published in the new england journal of medicine a few weeks ago. And i knew just the right people. I wanted to review this study for i former expert. Dr jennifer clements dr stephanie. Nitro jennifer and stephanie are no strangers to i former x. They are members of the i former x oriel board and have been frequent contributors over the years. That clements is clinical pharmacy. Specialist in diabetes transitions at spartanburg regional health. Care system in spartanburg south carolina indoctrinate grow is associate professor of pharmacy practice at the university of connecticut. Stephanie jennifer it's great to welcome you back on the i former x podcast. Thanks for the invitation stewart. Thank you for having us back so before we get started per usual. I'd like to get your thoughts on a patient case. A i think that is not unlike. What many of our listeners encounter in their practices and want to imagine. You're seeing k t a sixty one year old african american female in the primary care clinic today. The patient has a longstanding history of hypertension type two diabetes dyslipidemia and. She's morbidly obese. She also has osteoarthritis internees. She recently was diagnosed with chronic kidney disease in her primary care physician referred her to you to make certain quote. We are doing everything we can to protect your kidneys. According to her medical record katie has been prescribed lysenko pearl twenty milligrams twice daily resume astatine twenty milligrams daily metformin thousand twice daily and insulin Twenty it's bedtime and in addition over the counter. She takes aspirin eighty-one milligrams and naproxen sodium for arthritis pain. She currently weighs two hundred sixty four pounds of bmi forty point. Nine blood pressure today when thirty. Eight over seventy six and her most recent labs yesterday include a fasting glucose of eighty seven and a one c of six point seven percent. Sam crat nin of one point seven milligrams per deciliter and an estimated. Gfr of thirty seven seven potassium of four point seven. Ldl cholesterol fifty six hdl cholesterol. Forty eight triglycerides of one. Oh seven in addition. The patient had a timed urine protein tests performed and the album into creating ratio was three hundred fifty. So stephanie. Before we talk about the study that you reviewed in your i former x commentary. I'm wondering what's going through your mind in this case What are some of the key questions you ask this patient during the encounter and what additional apps if any might you want to obtain and is there any additional treatment options. Who'd be considering at this point to stewart. I would agree that. Kt really does mirror. Many of the patients that are encountered in clinical practice. And i think this case excites me because there are many opportunities for the pharmacists to intervene here and if we're going to utilize the ppc process. I would. I want to collect additional information from kt. for example. Does she smoke. How often is she using her naproxen. And at what dose. I'd also want to collect possible. Her a. one c. Blood pressure and serum craton and trends and we know how important it is to not evaluate labs in isolation so seeing her patterns would provide additional insight or care planning. It's really important to know. Kt's renal function is stable or if it's consistently fluctuating as this information would help our assessment of how we can manage. Her current metformin does since her egfr is approaching the cutoff for continue at minimum. She needed both reduction. And also story the for thinking about the potential use of sglt two inhibitors for katie ensuring that arena function is stable. What help us feel more comfortable recommending. Its use since we know that there have been reports of a two kidney injury and volume depletion upon initiation of these drugs. I don't want wanna collect a bit more information about her. Lifestyle habits including a general understanding of her dietary choices notably her sodium and protein intake and see if she is engaging in any physical activity given her need when the patient and osteoarthritis. I'd also wanna know her insurance provider and learn if she's burdened by any of the cost of her current medications in case we want to add anything in the future cd management perspective. I'm really happy to see that. She's on than a pro because she has albumin. Urea but further management is needed to help delay rano progression and when we think of good. Ck d. management. We need to consider it. I optimizing her glycemic control which looks really good for. Kt at this point and also painting and maintaining a blood pressure will have less than one thirty over eighty if we can do that safely
Jimmie Rodgers, singer of 'Honeycomb' and other hits, dies
"Musician Jimmie Rodgers has died of kidney disease and after testing positive for covert nineteen according to his publicist Rogers died last Monday in palm desert California at the age of eighty seven I marches are a letter with a look at his career Jimmy Rogers was discovered as he played shows on a ten dollar guitar while he was stationed in Nashville with the U. S. Air Force after the Korean War he auditioned with roulette records with the song honey comb which was his first single and only number one record his other hits include secretly and kisses sweeter than wine in nineteen sixty seven Rogers was found in his car in Los Angeles with a fractured skull he said he had pulled over and an off duty police officer attacked him although he suffered muscle spasms and seizures Rogers later had his own TV show and his own theater in Branson Missouri
TV icon Larry King has died at age 87 in Los Angeles
"Talk show icon Larry King spent half a century and broadcasting no cause of death was given, but a spokesperson said early this month that King had been hospitalized with covert 19. He was 87 Jimmie Rodgers recorded such hits as Honey Comb and Kisses Sweeter Than Wine in the 19 fifties and sixties. He died Monday from kidney disease at age 87. He had also tested positive for cocaine 19. Much news nation every
Dr. Samira Musah's Glomerulus-on-a-Chip could predict which drugs would fail in clinical trials
"When i took on this project i just ask myself. What are the what what is known about how the kidney develops what factors are necessary for fresh eating these cells into the desired cell type and that informed my strategy for developing them at that and so when we were able to obtain the cells and then characterize them and notice that they were Swiss specialize in their function. We thought well we have the engineering capabilities In a way that is not even assessable too many in the field. Can we integrate these cells into these micro fluidity oregon on chip systems. We have an idea what the structure of the mayor filtration barrier. We know we need that candid fluid channels. I'm for urinary compartment in the vascular and so those all help thus designed a platform that would allow us to integrate these cells into this chip and then Model the function of the gloom airless. So now that we have the motto established in my lab. Where really focused mostly on trying to use this platform to understand human kidney the mechanisms of kidney disease and some of the processes that are altered during disease progression. I also envision that the platform would be useful for toxicity testing because we know that about seventy five percent of drugs actually failed during clinical trials partly due to toxic to the kidneys and so and these are usually not always predictable or they're not predicted before these Drug candidates get into human clinical trials. So i am Hopeful that we could potentially use some of these platforms to identify some of these candidates that end up being toxic to humans during clinical trial We also have an projects that are aimed at really extend into extend into engineering capabilities. So we have been able to model one functional unit the structure and function of the capillary wall. We know that they keep. These are much more complex than that. So you lied. You alluded to strategies where you can develop different models of tissues and then put them together to create a more complex oregon. So we're at the stage where we're trying to develop the next generation of the oregon chip models by integrating complete capillary system. So instead of just looking at that blessed filtration interface with that beria where designing them so we have complete calculator like Systems that would pretty much mimic the the whole structure of the bowman's capsule or the capillaries in that in case am structure for blood filtration.
COVID-19 antibody therapy to be distributed across Texas, Abbott says
"The U. S. Food and Drug Administration approved the latest antibody covert drug governor Abbott laid down his plans for statewide distribution in Texas, Chris Fox reports Monday, the FDA gave emergency approval for the antibody therapy drug and now governor Abbott announced the Texas Department of State Health Services will begin the initial shipment of the drug statewide as early as next week. Dr. Jan Patterson is an infectious disease specialist at UT Health San Antonio, she says this has the potential to be a game. Danger. It decrease the hospitalization rate and people who are at high risk of progressing. Those were patients who are obese who have chronic kidney disease. You have diabetes who are immune to suppress who are over 65 at the Capitol. Chris Fox News Radio 1200 Wook I in the city
"kidney disease" Discussed on WGN Radio
"With kidney disease because there's a couple of new diagnostic tools that help US diagnosis earlier, so Here's Here's what we've been up against. Traditionally in cats. We haven't been able to detect kidney problems until the caddis lost at least two thirds, so they're running on like one third of their kidney function. In human medicine. That's totally unacceptable, so inhuman mess, and they've Device tools that give them early diagnosis. Finally, we have some tools so we can diagnose them earlier and then our prime therapy is going to be a special diet. Okay, so briefly. What are those tools? So there's a there's two on available as of now, one is a blood test that looks at another marker. It's It's Ah, it's ah Ah, metabolite. I guess you'd say with a long name, so I'm not even gonna try right. But it's a marker of how good the kidney function is. And so that's one possible test and now there's also ways to look at A lot of the things that we commonly see on a blood panel. But look at how they're changing and what the relationship is to each other and start to say, Oh, you know, maybe this pattern is suggesting that the cat is heading into kidney disease. Is this a good reason? I would argue a great reason. To see the veterinarian. In fact, I would argue twice a year. Not once he over twice. Yeah, and so you'll find a lot of veterinary organizations recommend twice a year is cats get older. It's not just kidney disease. We see a lot of other diseases and older cats and your vet can help diagnose and manage them earlier. Better for everybody. Duncan's new wake up Go tunes You never have to choose between breakfast.
Concerns over food insecurity grow amid COVID-19 pandemic
"Has created an economic disaster for millions of families, one that the nation's safety that hasn't been ableto handle. Millions of people have been thrown out of work with no new jobs to be had, and many of the measures designed to help them. Things like supplemental unemployment benefits and eviction moratoriums have run their course. They engaged in a lot of necessary coping strategies and trade off folks. They're making difficult trade off between painter of food and medical care, food and utilities. Food and transportation and helping Jessica Hager is director of health and Nutrition for Feeding America, a nationwide network of more than 200 food banks and the country's second biggest charity, she says Before the pandemic about 35 million Americans or 1/9 of the population lived in households that were food insecure without the resources to get adequate food. Since mid March. It's gotten much worse family's air having to decide whether to pay the rent or buy food. Food banks are crowded. We have projected right now that there'll be 54 Million people are one in six could be sued and secured this beer in 2020. We've also projected that food and security Rachel increase in every single county in the United States in 2020, so this could be a 21 and three adults and one and two Children could experience it in Korea this time again due to that. Economic impact that has been in effect around the pandemic. No individuals whose job individuals relying on their savings to make their way through experts in hunger, No, that family's suffering from food insecurity have a variety of goto strategies to try to stretch scarce food dollars. Hagar says. 55% of food insecure families have used at least three of the strategies are things such as receiving help from friends? Purchasing an expensive unhealthy food, which we, of course know in the long term has an impact on health, telling their personal property where, if possible, which isn't for all, of course, but growing food in their own garden. Anticipate. Families have continue to engage and they trade off in coping strategies while also trying to manage the difficult circumstances of managing the disease and being out of social distance increased normally have even in normal times. Many families go in and out of hunger, depending on economic circumstances. But today a lot of people are gig workers or freelancers whose income is far from consistent. What is certainly common or not unusual for there to be seasonal food insecurity or one coming in and out of the security and that against you Point gig economy. It could be our essential workers who are farmers, and much of their income is based on seasonal rotation of crops. We also know of course, that folks began as they're making tree off. Sometimes their assets are coming in, and they're able to live off those for quite some time. But a situation may come or a health crisis cooker that's unexpected in that put someone in a food insecure state, though it does change depending on a variety of circumstances, and also note that we have a lot of built in inequalities within our structures institution in this country. And so though helpful, maybe doing Well and being able to make ends meet for many years. There may be the circumstances that change the last idiotic cetera. That family made their individual, maybe food insecure for a period of time until they're able to re secure that financial foundation for their life Being food, insecure, even for just a little while, is a major risk factor for poor health. A recent study in the sage journals shows that independent of all other factors, food insecurity, Khun drastically increase the chances of an early death. We found that the drift of the people in America who are secure Eventually have a high chance of dying from any cause of that heart disease. And that is a striking finding good extended dance of death for insecure people After 10 Years of increases, 50%. That's Dr John Dee, scooped on Donny, professor of Public Health at New Mexico State University co author of the study, not a sophisticated multiple models. Adjusting for different types of actors. And yet no matter how much you account for just being food, insecure from a few years after a long duration, profound impact on someone's help. On the train, the heart, the liver, the kidney, and so any cause of death is more prominent in for insecure people essentially being food, insecure challenges your body medical autism, and then you're depending on your supply in the body, putting supplies. And those declining over time and eventually the challenger system so heavily but a liver stops function and people underground Club Gen. Donny says the increase in heart disease death as a result of food insecurity is especially striking 75% greater over 10 years than in people who are not food in secure. The reasons are fairly clear. Cheaper foods are generally less heart healthy. And there are few things more chronically stressful than not knowing where your next meal is coming from when an individual is going through this difficult and very stressful, my nontoxic, stressful experience that if they're making a stray off, perhaps again purchasing, inexpensive and healthy food That can lead to perhaps previously controlled diet related diseases becoming uncontrolled, uncontrolled diseases. Such a society that can lead to complications like kidney disease, identities and nerve damage. Often food insecurity and poor health combined to create a vicious cycle with no way out. If someone enters a cycle of food, insecure or their household is experiencing an unexpected and extensive medical crisis are often forced to engage in the financial coping strategies. And it includes the consumption of cheaper foods often that are hiring calories. But Lauren nutritional value and the reliance on the left healthy food can lead to poor nutrition and chronic diet, really, and diseases. Ensuring these diseases can worsen existing disabilities or other illnesses and results in an inability to work and bring in that previously the cheese income. What's more, the
"kidney disease" Discussed on WIBC 93.1FM
"Ther thie Voice of health wellness, tipped with Dr Robert Pray ther of the prey for practice. I know you always say that you're as young as your kidneys are, Yes, that that's absolutely true. There are several different factors that determine biological age. Lungs are probably the best indicator of how long you're going to live. But the kidneys air number two, and you, Khun Duke Blood tow us to find out exactly what your kidney age is, And that has a huge effect on how long you can live. In fact, I can look at those two markers on your lung function, too. Just and then your kidney disease and pretty well predict on how long you have to live. You know whether you're going to live into our nineties or eighties or seventies was pretty much determined by these. Those two things. There is biological age testing associated with the kidneys as we look at that, that's a very, very big factor and something that isn't really that well controlled medical When you're talking about people who are in in stage stage four of chronic kidney disease where they're actually ready for a day. Ls this almost 50% of the people who are in stage four aren't even diagnosed there. Mr 50% 50% are not diagnosed and should be. And why is that? A very good question. One of the things is I get people in and I look at their blood work. And I said, Well, you know, it looks like we're having some problems here. We need to do some further testing the testing from the average Medical doctor is very, very poor. If you don't test that, you don't know people have been going to doctors for years and years and not not getting the proper tests to find out if you have kidney disease. The recommendations from the CDC is that everyone really from about the age of 40 on up should be tested, too, on a yearly basis on the function of the kidneys, and that's why we promote those dearly. The blood test the Prater profile. Well least once a year because, he said, there's sometimes there's no symptoms. It's not here. It's an easy type of thing to do, and it gives a world of information. This is an extremely under diagnosed disease process and it is a definite healthcare crisis in America. To be frank with you. Everybody who has diabetes and hypertension has an under functioning kidney that needs to be addressed. If you have hypertension. If you have diabetes, you're damaging your kidneys. It is rare to see someone with a really, really healthy kidney. You know whether it's really functioning as a at the high level that it should be scheduled your appointment at the Prater practice 3178 for 8 80 48 That's 3178 for 8 80 48 or learn more on our website at the voice of health radio dot com. The appraiser practice, restoring hope. You're listening to the voice of help with Dr Robert Fraser of the Fraser practice where our mission is restoring hope to our patients. We're talking about Cove in 19 long haulers. Things that are happening six months after now that cove it and that they're seeing being chronic fatigue.
"kidney disease" Discussed on Mayo Clinic Q&A
"Found that patients with polycystic. Kidney disease can have dual surgery safely. That means that they can have their disease polycystic kidneys removed at the time of their transplant surgery instead of having two separate procedures as has been done traditionally with us today to discuss. This is a lead author of the study. Dr. Miguel Prieto. He is a transplant surgeon here at Mayo Clinic. Thanks so much for being with us today for early audience. You could explain what polycystic kidney disease is. I am a transplant surgeon as you said and I do a lot of kidney transplants now when we do a kitty Japanese because somebody's kidneys have failed. The reason for failing kidneys can be very many different diseases can cause this problem diabetes high blood pressure congenital birth. Jesus and other things and one of them is one of the main ones is called polycystic kidney disease, which is a genetic disease you're born with it. And what happens is jobs that your kidneys with time not as a child. They start to develop cysts actually is not just a kidney. Sometimes you have cysts also in the liver and the bankers other places and they took growing to assist and those kids start getting bigger and typically around your age forty or fifty. They can use stopped working and at that point off when you are getting close to the kidneys stopping working is when when we advise you to either to get a kidney transplant or otherwise, you will have to start dialysis. They're interesting things about this disease. And what is what this study does is that some of these patients not all of them. In fact, the majority don't have this problem the kidneys are so big that they cost a lot of quality of life. Problems, they campaign and other things so they not only need a new kidney that they also need to have their kidneys out. Why has it been necessary in the past to do the transplant surgery and the removal of diseased kidneys and another first of all, there are three big surgeries and you know, when you combine surgeries because people were obviously most of these transplants at least that may are a transplant from leading donor. Now, that's a precious gift that you cannot get more than once from the same donor, of course and you don't want to jeopardize the chances of that key net worth well by doing two additional operations at the same time that can cause complications like bleeding or infection and at the end you may put at risk the transplant and this is one of the reasons why our surgeons for a long time have been reluctant to do everything at the same time, even though clearly some patients. They need all three operations. How did you then decide to begin offer wage? The surgery laparoscopically and to do it kind of as an all-in-one surgery. I came to Mayo in nineteen ninety nine and then we were starting to do laparoscopic. Nephrectomy For Kidney donor at that time. We were doing a lot of living donor transplants and we were doing the the the donor surgery the old-fashioned.
Five Ways To Manage Constipation Even If Your Child Takes Laxatives
"Before I share tips on how to manage constipation. You may be good idea to just quick run through what is constipation and actually you know you may find that your baby or child has large stews and these are difficult to pause, and there's something called Burston stooge shorts. You can either Google that or if you go to my latest blog post on held babies and toddlers constipation, there's a link in that block pose on. How a picture of the Bristol stool shot, we basically grading of the different types of stews. So with constipation, it'll be more rating type one and type two rather stews either separated hawed and lumpy were they all sausage like but with cracks in it and that's conservation. Usually your baby child will experience pain when passing stools and generally if your baby pausing fewer than three movements but week and when they do a poo, if they are in pain discomfort, then generally that's a good telltale sign that they have constipation and is usually at this point, you probably have a chat with your child's GPO pediatrician and for children whether happened Sistan Constipation, they may have been described laxatives I thought we'd focus on laxatives for the purpose of today's block posed an podcast episode because it's the most common type of medication that's prescribed to manage the constipation. The ways of classifying. Constipation could be say. Less than a quarter of the stews all great ones are hard and they're quite separate hard lumps or grade to is lumpy sausage like Pooh that we've spoken about and very few students and less than a quarter of your students would be loose and watery. Some children and adults including older adults may also suffer from ideas and Bowel Syndrome is generally to affect about seven to fifteen percent of the population, and you know quite a majority of they may not even realize that they have insect of had long term problems with constipation. They may have some of these laxatives prescribed and IB sense to be more common in women. Than in men and the reason really bringing it up, is because it sort of wrongs in families. If women are more likely to suffer for my via. So chances are suspected you China might have ideas then you you know I the Mum or Dad may also have. IBS. But really. Many many reasons for constipation and in terms of ideas. That's more functional constipation. That's how the. is working with the GUT is working, and so these all of fear tips if you chocolate has never had a consultation with a pediatric, Don Titian and your doctor has prescribed laxatives to help your child Oakland bows and don't get me wrong they work really well so they should be quite effective in managing. But if you you know you'd thinking actually never really looked that out John's died and love to know what are some things that we need to focus on They are going to go through five things that you can try right now to help your Sean Open Their Bounds. So the first is of course fluid and this lawn tends to be overlooked often we you know we underestimate the power of good hydration and how it can affect your child's stools. If they are struggling to pass a poo and you notice that they also have very dark colored P or urine however, you want to say it or you want is imposing. There's been a reduction in the number of wet nappies. Then it may be time to think about the fluids. Especially, this week has been quite hot. Had A lovely Indian summer. Or delayed Indian weather if you like. So it may be that we just need to amp up the fluids and one thing that we found really effective so when I used to work as renal dawn Titian. And Age Ruins Hospital lovely rain on as used to give families in a four sheet of paper, and it would have say six to eight cups drawn in it, and it was actually the opposite. So often are renal kids particularly with advanced chronic kidney disease day will on fluid restriction. So the idea of having these cops. In the sheet with cops in it was that you know the kids could take than the each cops every time they had a couple fluid and a cup might be a sixty miles. Hundred and fifty miles or whatever it is that's been agreed. So they will have their own fluid allowance for the day. They were just ticket so that they could keep track of how much fluid the drinking and they don't go above their fluid announce it could be the opposite the if we we could use this nice eight four sheet with the cups. Pictures of cops in it by saying much encases China has six of three meals a day and perhaps two to three snacks. So get to make sure that they have a cup of fluid with each each meal and snack. Now, your might be completely different. So your child's Cup Maroney owed hundred mills in which case you may vary the amount of. Cups that he wanted to draw and I wouldn't get to walk down with how much fluids they need often if they're. Or urine is quite. Clear or Straw colored. Then it's a good sign that they are drinking enough and drinking more than what they need isn't necessarily going to benefit their constipation. It's more just making sure that they do get enough.
Why You Should Stop Snacking And Start Fasting
"Hello Jason. Welcome to the PODCAST. Thanks for having me on. We're GONNA have a great chat I. Loved Your Latest Book that you co wrote with eve and Meghan, and this is titled Life in the Fast Lane. I'm curious to start. How does somebody WHO's a kidney specialists get? So interested in fasting as a subject yeah. That's a great question I think that what happened is that as? A kidney specialists, what I do is I see a lot of type two diabetics and as we've had this sort of increasing obesity epidemic since the nineteen seventies that sort of was followed by an epidemic of type two diabetes starting in the late nineteen eighties, nineteen nineties, and then type two diabetes is actually far and away the most common cause of kidney disease. So as you know we went into the two, thousand, two, thousand ten we started to see much more and more of type two diabetes related kidney disease. So I actually encountered it quite a bit and as it became more and more important part of my practice I started to think about weight loss because the entire way that we treat you know. Disease is sort of backwards that is if you look at type two diabetes related kidney disease, for example, we spend a lot of money and effort trying to design drugs and dialysis and all that sort of stuff. However, the actual treatment doesn't make sense because we have kidney disease from type two diabetes while the answers to how to get rid of it is. Telling you right there if you have if you don't have type two diabetes, then you can't get diabetic related disease and if you lose weight year type two diabetes will get better. So the real answer to this whole problem lies in getting to the root cause, which is the weight. If you lose weight, then you don't get the type two diabetes. You don't get the kidney disease and that's really the only good way to treat the disease yet as a medical profession nobody was interested. In weight loss and to a large extent nobis really interested. We started gave up this entire concept which is so important. So fundamental to human health because this is what we face in North America today, lot of problems of of touchy diabetes and obesity, and we gave it up to like you know weight watchers, Jenny Craig and all those sorts of things it's like that's fine but it's really an important subject. So that's when I started to look at the question of weight loss and When I looked at it was clear that there wasn't a lot of really good thinking in the area. The entire field was dominated by sort of calories in calories out theory that is you know we've all heard this before you know it's just a matter of eating fewer calories and exercising more like if you actually think about it for a little bit, it actually makes very little sense that is you know it's a very sort of simplistic argument because the question is not whether people are eating more calories or burning less calories. The question is sort of wire the eating mark how And why are they not burn as many calories and it turns out that the real answer to why we're gaining weight is more likely related to our hormones. Then the number of calories were eating as an example, you can eat two different foods of the same. The same number calories. So you could eat broccoli or you could drink Soda Strictly Soda. Well, it's very easy to gain weight if you're drinking soda. But almost nobody gained weight eating Broccoli. So the point is that for two foods that are the same calories they're completely different in the minute you put it in your mouth. The hormonal response to those two foods is completely and utterly different. So if the hormones different the hormonal instructions that we deliver to our body or going to be completely different. So a simple example as tidy if you drink sugary soda, there's almost no sitadi signalling. You don't feel full from drinking sugary soda yet if you eat a large number of calories of Broccoli or steak or any sort of real. Natural food you will get full. So that's a simple example of how the body responds to these calories to foods of equal calories but totally different response from our bodies, and therefore what's important is not just the number of calories that this sort of hormonal response and that's you know that's what I talk about. A lot of is this sort of trying to get to the root cause of what causes weight gain rather than this, very, very simplistic sort of calories in calories out model which to be honest hasn't really helped anybody that is it's in the standard sort of advice for. Doctors and Dietitians everybody to count your calories yet it almost helps nobody. So you know here we have a treatment which is counting calories and doing calorie restricted diets, which has a failure rate's probably on the order of ninety nine percent. So it's like why would that be standard treatment if the failure rates like ninety, nine percent I, it's not just my opinion you see it in the numbers like the numbers don't lie there's more and more obesity out there people try to lose weight they count their calories and they don't lose weight. So it's not a very good strategy from all sorts of from all angles
"kidney disease" Discussed on WSB-AM
"Of kidney disease, bone fractures B 12 iron, magnesium, good internist anemia if it's iron, psychiatric problems and dementia. Because here's the thing that nobody seems to talk about. Your stomach has essentially one job and that job to take proteins whether it's from a character from a steak. Unravel them and break them into something called amino acids. Now the amino acid trip the fame is the most sparse amino acid. There is, there's not a lot of trip to faint out there, so trip to feign on DH. You can get it from things like chickpeas. By the way, it's a good source. Trip to feign combined to fight combines a vitamin B six and creates a chemical called five HDP, which then becomes serotonin in your brain, which helps you calm down and focus. Every case I've ever seen in my entire career. I've been doing this a long time. There's always of emotional disorder. There's always a digestive issue that's never been diagnosed or recognized. And many times we fix the digestive system that alone or that, along with other therapies does wonders for getting the brain working properly. We have other patients. You don't experience a lot of pleasure. It's just not a lot of pleasure in their life and tire scene becomes dopamine and dopamine gives you pleasure. Glutamine becomes GABA, which helps suppress pain. So as a pain management expert. A lot of people come to us. For that as well. And if we fix the digestive system, along with chiropractic care, along with a good diet many times we can manage that pain wonderfully without medication or in addition to medication, working in conjunction With their medications. So again, I'm not against medication against unnecessary use of the medication..
Unexpected Results on Lithium and the Kidneys
"Sometimes? It's the uncontrolled Frau's that changed practice particularly when the results go against the grain. That's what happened in twenty seventeen when Lars casting than colleagues published their seminal paper on lithium in renal disease, they looked at seven hundred and fifty four patients with chronic kidney disease, who are taking lithium or an anti convulsant. Some were continued on the medication during the renal disease while others stopped it. Now you'd expect the renal function to improve here when lithium was stopped, but they found the opposite patients who stopped the mood stabiliser whether lithium or the Anti convulsant had worse renal outcomes than those who continued it, but wait. You do kind of expect that I mean it's likely that the doctors stopped these meds in patients who are getting sicker and they just continued to get sicker since this is not a controlled trial. They did try to control for that selection bias and they're finding still held up. But. There was one more finding that starts to raise questions. Dr cussing honed in on the patients with bipolar disorder. He found that their renal function fared even better when continued on lithium versus switching them to an anti convulsant. That was an unusual finding. Suggesting that renal function is actually going to do better bipolar disorder if we keep them on lithium instead of switching them to something else. How do you explain that we don't really know? But perhaps it's all about the TUBUL 's at least one anti convulsant vow pro Depakote is associated with renal damage in the PROXIMAL tubular bells. Now that is a rare side, effect, Daviau but bear with me, and you'll see the point, so vow pro eight is hitting the proximal to Buell's lithium in contrast, causes damage in the distant Tubul 's so switching develop row aid could just damage the healthier half of the kidneys. These folks so if that theory is true, then keeping them on, lithium would sound like a better idea. Now while Dr Kessler's study gave us some reassurance for continuing lithium. Even as the Croat Nin starts to rise, it did start a lot of confusion, and it definitely needed replication, and that's what we got in a poster presentation by Dr. Me Hawk power on colleagues at the Mayo Clinic. The data was once again observational, and they arrived at the same conclusion, the risk of progressing to end stage renal disease was the same in patients with chronic kidney disease who continued versus stopped lithium. Sadly that risk was high, the risk of going on to end stage renal disease was about fifty percent in both groups. Remember though these are patients who already have chronic kidney disease. And stage. Renal disease is a very sad disease. The risk of suicide is seven times higher in this population and its highest in the first year of dialysis, so we need to take that into consideration when thinking about stopping lithium lithium prevents about one in eight suicides in bipolar disorder, and the risk of suicide goes up twenty fold in the first few months after lithium is, stop forty fold if lithium has stopped abruptly, that's why it's best to stop lithium slowly over one to two months to prevent drastic worsening of mood. Lithium's effects on the kidneys are also dose dependent with some studies showing no renal effects if the level is kept below zero point eight. The bottom line you see the creatine new rising at one point five or above you're gonNA need to consultant a frolic just on this complex question, but the answer is not always to stop lithium, and from these two studies, it looks like patients are GonNa fare just as well whether the lithium is stopped continued, and they might even fare better if it is continued. We also need to keep in mind that patient's entire history, and how well they did on off lithium, and how high the risk of suicide is. The first step is usually to lower lithium as low as you can get it in someone with renal disease without getting their mood worse.
NFLPA tells agents to inform players of virus risks
"The NFL Players Association has instructed their player agents to talkto all of their clients about the Ricks risk factors that could make them more susceptible to severe illness as the result of the Corona virus and Among the things they talk about Mike in this letter players who may suffer from chronic kidney disease or COPD, chronic obstructive pulmonary disease, right immune compromised state weakened immune system from solid organ transplant. Serious heart condition. Sickle cell disease type two diabetes. And then there's this one Mike, which is the first place I went when I saw this list. Ah, B m I r a body mass index. Of 30 or higher and let me be clear, according to the BM. If you have a body mass index of 30 hire your clinic are technically obese. Now. A lot of people would have some disputes with that, and I can understand why. But if you're talking about a B m E of 30 you have just described literally. Every single offensive lineman currently signed to a roster probably even go lesson that toe linebacker and or tight and I'll get to the heights and weights in a minute and understand when they had say all these things. It's not only the players, but remember, the NFL is not going to be in a bubble, so players are going to be going to practice. Flying two trips and then coming home to family. So again, you're going to be involved in, you know, are you single that may have have Ah say on if you're going to play You're married. You have young kids, You know that You're coming home to every day from practice or from runaway trip. So And what if some one of those kids you know if they have a weakened immune system, Do you want to take that chance? So this is not just the player himself, but also the family as well. But as Faras, the bm is now there are tons of charts author. I just kind of picked a chart that basically be, am I, you know Everybody understand. You know the height and your body weight your body Mass. So it gives you how how tall you are and the wait for your B and I, And there's a lot of discrepancy about there is soul. Listen, As I said, I picked up a chart. I'm sure people will tweeted ecological lingo, different charts. If you can't great because I'd like to see some different ones because some of them you look at our like, Wait a minute like the one I'm looking at right now. Says last I checked a six foot tall is 72 inches, Correct? Yes. Yeah, Okay. Just wanted to make sure that your question is good If you're six foot tall and you weigh £221 You are right at 30 bmo. You're right at the obese, which is ridiculous. If you're and then just keep going up because you start look at tight ends. Linebackers. Obviously, offensive lineman. They're usually that you know, anywhere from six to toe got 68 Let's go to like 65 Okay, six foot five. Or 64 76 inches, 64 If you weigh £246. That's beyond my 30. According to this chart, you are considered a
"kidney disease" Discussed on News 96.5 WDBO
"Can have it for twenty seven dollars so you just got a call eight five five eight eight nine eight four four six that analysis will is an eye opener for most folks yeah we talked about the metabolic is one thing that we that we haven't mentioned yet is and I think you mentioned diabetes earlier the the risk of heart disease and getting off a lot of those medications to that's another great by product to doing this program not only is the weight coming off you're getting rid of some of those those those prescriptions that you that you have to take it also the risk of heart disease drops it out of the weight is a complicating factor to all diseases in a to your overall health to your overall longevity I can't say enough about that you have to get close to your ideal weight in a over at your ideal weight and you'll have a good quality of life in the actually put more money in your bank account or not spend the money you have in your bank account because you won't have to go to the doctors and by the meds and you know the reason why the positions many times refer these patients or patients their patients to our offices because they've you know they've done every medication for the patients as they possibly can and they know if they don't fix it diabetes are gonna you know they're gonna lose a toe or negatives of further they're gonna lose you know amputation is there and then there's kidney disease just to name a another by product of of that plus your high risk of cancers you know with being overweight so it's really an overall health journey you know it is for everybody here and will customize individualize a program for you it's not a big box program you're not going to receive food in them in the mail you're going to know.
"kidney disease" Discussed on WIBC 93.1FM
"The printer practice we think a lot about prescription medicine and the liver the liver is always being checked the levels maybe the kidney is not getting enough attention yes and and that is one thing that we've seen where we've done a check on people's medications so you shouldn't be taking those with chronic kidney disease and then there are primary care physicians or well I didn't even know they had chronic kidney disease that is part of the thing that we do at the offices we check to see what diseases they have and cross check it with the pharmaceuticals and it's amazing how many people are on pharmaceuticals that they shouldn't be on for chronic kidney disease for how is chronic kidney disease treated medically basically what they try to do is to control the diabetes and hypertension try to keep those under control weight loss is another different type of factor dietary changes are also important there are no medications for chronic kidney disease and healthy kidneys that is a a real failure of the medical community when I've talked to medical doctors and showed them some of the changes that were able to make on the kidneys with the changes in blood work they said I didn't know you could do that we've taken people with twenty five Camaro filtration rate up to sixty sixty five and then where should they be well you should be above sixty anything below sixty is considered kidney disease the air filtration rate should be in the hundreds hundred fifteen is really where it should be eighty five is considered really a healthy kidney hypertension is the number two reason that people have problems with her kidneys and kidney destruction it's a very interesting type of a sort of a loop kind of a catch twenty two if you start to develop chronic kidney disease then that leads to hypertension hypertension wears out the kidneys because of the extra pressure that goes into there seventy percent of all hypertension.
"kidney disease" Discussed on Pet Life Radio
"Was usually made based on non specific clinical signs that would kind of lead us towards that and then the physical exam which we can't throw that out that certainly very important and then blood in urine test so the blood in urine test probably are the the number one thing that we're looking at we diagnose kidney disease and or whether we stages you mentioned earlier with the iris staging when we look at that the blood urea nitrogen which you mentioned in the creatinine there are historically the two ones that we look at on the blood work and you know for times sake here we're not gonna go into exactly what those are but those are some of the ways that are eliminated by the body and it's their elevated it means that kidneys aren't getting rid of those things so that's the way that we can look at that sometimes we can get some increased phosphorus in our blood work a lot of times we get your in that that what we call dilute urine but your and that is very clear it's not concentrated with the color and in you know to an extent some of that's normal but on the other end of that it's not normal sometimes we see some bacteria or protein in the urine so those are some of the typical things that we look at one final thing would be looking at the red blood cells and in severe disease you heard me say earlier that that the guns can be pale the kidneys are involved with helping to produce red blood cells and really seen certain hormones to produce red blood cells and when they're not doing that we can sometimes be and a mix of that would indicate the pale calms the last one that you mentioned was the estimate for the semester dimethyl arginine test we don't have to say that again just you Hey I was doing to me but estimate is certainly changed the way that we diagnose to me or when I see a way with we diagnose is that with the estimate test you with that you mentioned that there has to be about seventy five percent loss of of the functioning kidney to see it on regular blood work at the in may the numbers that the idex talks about or at least about twenty five to forty percent of the law so the key thing with that is if we can catch it earlier we can start doing more earlier on in let these or or give these pets cats and dogs a better life and a more comfortable life and maybe even slow the progression of kidney disease that they have great.
"kidney disease" Discussed on 77WABC Radio
"Protein in the urine but your kidney function is over ninety percent which is frequently the case in early diabetic kidney disease in early diabetic kidney disease you're leaking protein because the kidneys are working overtime and your kidney function is preserved you're over ninety percent so that is stage one kidney disease. that is stage one kidney disease with kidney function over ninety percent and perhaps protein in the urine. stage two kidney disease is a decrease in GFR to the range of sixty to eighty nine percent of sixty to eighty nine percent you may or may not have protein in the urine. stage three is a decline in GFR to the range of thirty to fifty nine percent thirty to fifty nine percent. and stay with me here as you progress if you progress stage four is fifteen to twenty nine percent stage four is fifteen to twenty nine percent function and that's where you may see some symptoms up until stage four you see practically no symptoms in stage four you may see some swelling of your legs he may have some trouble breathing depending on how much fluid your retaining and how much for the heart is involved. you may feel a little tired because your kidneys make a hormone called erythropoietin your kidneys make a hormone that makes red blood cells and you're in to just recap this again in stage for fifteen to twenty nine percent is where you might feel symptoms of kidney disease and that is late in the game everyone that is quite late in the game so I urge you to follow up with your primary care doctors make sure that they're checking your kidney function and your urine tests and their simple tests I cannot stress how simple these tests are a simple blood test and a simple urine dipstick a simple strip.
"kidney disease" Discussed on 77WABC Radio
"Three times a week dialysis can completely replace kidney **** can completely replace kidney function. is difficult to understand at best and what we do see is a few things number one we see that if patients get care early in the course of their kidney disease we can slow down the progression of that kidney disease and that is huge implications many of our listeners may of us seems a bit of news over the past three weeks where the administration the current administration wants to reduce the cost of kidney disease and also improve the outcomes of patients with kidney disease by moving towards transplantation options and home dialysis options as a better way to improve outcomes and for cost Medicare bears the brunt a lot of the cost of the kidney disease condition and population. as we go back a step getting care early in the course of kidney disease is essential. it has the opportunity to identify the cause of the kidney disease which many times can be diabetes and or high blood pressure as well as to slow down to slow down the progression of that kidney disease thereby preventing the complication of needing dialysis we understand in health care that prevention is so important prevention from a standpoint of what we can do as people for our own health in terms of exercise in terms of diet in terms of not smoking take a minute here to talk about smoking we understand through many out and news outlets that the risk of smoking and lung cancer smoking does something else which I think is a little bit more subtle and I want to talk with.
"kidney disease" Discussed on Pet Life Radio
"Is one of the reasons I like doing the STM make I'll explain to clients that all right Brian your twin brother needs a kidney transplant so fine you given one of yours you're now down fifty percent of what you started off life with that fifty percent is doing just fine and everything is absolutely normal you need to lose fifty percent more or seventy five percent total before we even start seeing those numbers going up see if you can catch it earlier with doing things like estimate if you can do that nearly blood work looking for trends for a year so ahead of the game doctor McLaughlin hand meadow keynote orders the murders sources that people can go to to learn more about chronic kidney disease yeah the first source I would go to would be your veterinarian the technicians their wealth of knowledge but certainly the iris website which is W. W. W. dot iris dash kidney dot com is a great source of information maybe more information than you want to know about kidney disease but that group is is dedicated to kidney disease and dogs and cats another one my happy pets dot com is is a website that we have to have some information that only on kidney disease that also osteo arthritis behavior and whatnot and that's a website that that that account so those are a couple areas that I would encourage you to go to if you have more questions about kidney disease thank you so much so I've had the joys.
"kidney disease" Discussed on KLBJ 590AM
"And welcome back to coast to coast back with our final segment with doc, Joel wallet. Of course, from critical health news dot com, let's go back to the calls. First time caller, Marvin and San Pablo California. Welcome to the program. Hey marvin. Go ahead, sir. Yes. Good evening, gentlemen. I have a list of conditions about COPD crying kidney disease as three. Relations, and I've also on my uncle's quite painful, and I called you office dot Monday. They recommend the Kinsel pets. Any other thing is that correct? Do you have high blood pressure or diabetes? No diabetes. I take medication for blood pressure. Okay. Sixty three hundred seventy five pounds since before years old. My daughter ties some oxygen twenty. Are you in Dallas as you say, no, I say my daughter died one year ago? I'm sorry to hear about the same set them days, forty one I'm sixty four okay. Okay. Well, sorry to learn about your daughter. Let's see we can help you out here. Yeah. I'm starting. What was it last thing about funds kind of limited? Okay. All right. Well, two things you have to do here number one to get rid of all the bad stuff. That'll save a lot of money ban stuff tends to cause a lot of money no fried foods processed meats, no oils. Gluten. And that was the basic program that covers a lot of territory, and we've got to do with the kidney issues. PD the lung issue. Yep. Now do you have any ringing in the ears any any tone like? Kinda thing. No. But when I walk, sometimes I send me light at it. Okay. And do you ever, let's see here? What caused the ringing in the years doc that actually caused by squeezing the of the auditory branch of the eighth cranial nerve? And since he gives a little light hit when he starts to walk. This could be called vertigo. Okay. Squeezing the chiller branch cranial nerve and just to see what was going on in that area. Okay. The cranial nerves twelve pairs and they get squeezed when you get off your process at the school. How old are you gins her six sixty four sixty four you're six foot tall three seventy five? Okay. Well at six foot tall I'd like to see you way. Maybe two hundred. Okay. So neat lose almost two hundred pounds. That's doable talk. I'm sorry. That's doable, isn't it? Absolutely. And so, again, what I want you to do. I delete, it would take four the healthy brain and heart PAKs per month is one hundred pounds of body weight. But that's going to be a little pricy. And so I would go with to go to they held your heart PAKs per month to hell her heart PAKs per month because you have a kidney issues, I would.
"kidney disease" Discussed on Pet Life Radio
"So my pet has kidney disease the best way to treat. It is just put it on really really low protein diet. There's been a lot of research that's gone into indict can make a major difference and oftentimes people and make their own food or they're just going to go to senior food and think that's going to be the trick. What's your opinion on that? Yeah. I I would say that the the first thing when when I would diagnose a chronic kidney disease patient. I would be first thing that I would reach for once we stabilized that patient would be to reach for diet and your right kidney. Diets historically have had a a lot less protein in. There has been a lot of debates on whether we increase that protein or or decrease that protein, and the reason why is is you know, if we have less protein, we're gonna tip. Typically, the protein supplies the muscles. And the muscles need that protein to build themselves up. We give less protein they're going to have less muscle mass. They're going to be centered. They're not gonna have as much energy. So that's kind of some of the thought with that. I don't know that the answers truly out there yet. But what I would recommend is a kidney diet which are made by hills. Royal Canaan Perina some of the good company that nary food companies out there that definitely have less protein, but a high quality protein and what a higher quality protein that they're able to use and help out their muscles and to help out there Bossie bodies. Plus, it creates less waste for those kidneys to eliminate. I always describe it with my clients is you have a new car, you can probably put any kind of gas in it. But we have that older car you need the super I let it so these renal diets kidney diets with the type of protein that it has totally greedy increased quality is I putting super unleaded into your pet. So it's no longer Pini. Oh, okay. Now, I kinda get that idea. But it's also the phosphorus that's in that food to in the sodium that can make a major difference candidate for sure for sure in in the foster is all of these so just to backtrack a few minutes. And I liked your your analogy there. I'll have to use that in the future. So thank you for that everything that we take in by mouth in our pets is contributing to our phosphorus levels. And so those phosphorus levels definitely are something to pay attention to and over the years as fosters levels being increased the kidneys. Have to work harder to eliminate that foster. If there's a lot of different mechanisms going on with the calcium and phosphorus and the bottom line is it higher fosters levels with chronic kidney disease, basically makes some progress or further damages the kidneys, and we need to kind of stop that process at some point. So feeding low phosphorus diet a lower phosphorus diet, we're not gonna eliminate phosphorus altogether. But feeding a lower phosphorus diet will help us to not have this higher fosters, though, not put much strain on the body to eliminate that phosphorus and cause further damage to the kidneys. And one thing that will say that that's one thing that studies have shown with the diets is using a phosphorus restricted diets, which the kidney diets are phosphorus restricted there's been some studies show that the cats that are on phosphorus restricted diet can live about two and a half times longer than those cats that are not on a Voss restricted diet. So to me, that's that's extremely important. It's tests sometimes because cats in particular having such picky appetites trying to find that food and thankfully right now, there are several companies that do make these kidney diets summer Pattase in summer, stews, hard, food, news, all these various things that you can do since. Sometimes it takes a lot of trial and error to find that food. But most of the time you can do it. And I think it can't as you said really make a major difference in clients really need to be aware to avoid those high protein foods that can be meet that we have on the table going. Oh, but it always liked that know chicken or that fish that we had for dinner or jerky treats or cheese or rawhide or even pig years for dogs all those things are very high protein. It can really put an extra strain the pet me like it. But it's not always the best thing for them. You talked a little bit about as we're going into this, hypertension and going blind. And for kitties in particular. And I think that's something. That's so important to know that that high salt like pingers to high salt can really be an issue when we have a pet that has kidney disease. So we'll start by using this renal diet the kidney diet, if he'll eat it. Sometimes we'll show people how to give fluids under the skin. So it's kind of a poor man's form dialysis and it's not impossible to do. But then it gets down to various types of supplements. Nutraceutical that can be given in. I know your company better Cornell on am I pronouncing correctly. Jeff at a vet Aquino Keno. It's close. Tomato tomato, you produce some products that are really very very different that are just an adjunct to help in our toolbox trying to slow this kidney disease. So you were talking a little bit about phosphorus than that was really important. What's the product that you have that helps for phosphorus? Yeah. So we talked about of higher phosphate levels with kidney disease. And certainly the diet helps out with that. But it comes to some to a point where there's only so much the diet can do when it comes to fostering, and there's certain levels that's the IRS or with that you mentioned earlier where we stage patients that that are recommended for phosphorus. So when they get above a certain level in your veterinarian. You can certainly ask your vetinarian what those levels are. There's a time that you need what we call a faucet binder in our packets and product is a phosphate binder. Kite is in based phosphate by. Finder. So an extract of crab and shrimp shells. And and that's the the main ingredient there, and what that phosphate binder does is when we have low phosphate in the food already. There's still some phosphorus in there. It will bind up the phosphorus. It's in the food and not allow it to be absorbed in it. It's pretty efficient at doing that. And does a very good job. So again, lowering the phosphorus levels will help that patient definitely live longer or live a more comfortable life for sure when the signs you were talking about that cats or dogs are experiencing this kidney disease is sometimes losing weight losing conditions. Just they don't have an appetite people aren't where maybe anything else, but just bring it in going just doesn't want to eat used to have a good appetite. And we'll find oftentimes doing blood work that the potassium seems to be a little on the low side. So I know you have a product and trying to find a yummy tasting. Potassium supplement going. Like bananas is like it wasn't gonna eat a banana feeling good. It's definitely not gonna eat a banana now. So what is your product? Yeah. For sure. So for for low potassium, certainly a common thing that can occur with with chronic kidney disease. We have a product called renal k plus, and it's essentially what it is it is potassium supplement. And in typically, if they're very severe potassium depleted, you can give IV potassium while they're getting IV fluids for those patients at aren't eating or drinking. But for those that are do have somewhat of an appetite a low potassium can certainly make them feel really poor. And and have a lot of weakness. So supplementing that potassium is certainly something we want to do. And again, those levels will be determined by your veterinarian, the nice thing about Reno K is that we have in two very palatable forms. We have a Joe in a powder and the Joe essentially tastes like pancakes syrup. I never knew pets like that. But. I do and it does. I have tasted. Actually, I take a lot of experience. Yeah. I have. I think almost everything we have. But our outer is certainly something that is a very strong fish flavor. So whatever they tend to like, we tend to have it. But then I think about them is they're they're very easy to give. And and as compared to some of the other potassium supplements out there that are usually a tablet or capsule or something like that. These are are pretty easy for owners to get and to me backtrack a bit with the packaging because I didn't really talk about the palatability with that. It is a fine powder sprinkled over the food. And that's key for binding phosphorus is the sprinkle that over the food. So I failed to mention that earlier. But it certainly makes it easier for owners you're not having to pill them or anything like that. Sometimes when cats and dogs are progressing in their disease, and you've done everything under the sun near trying this and that, and it's just trying to keep their quality of life as good as possible. I find a product that I've used of yours for quite a while. Now trying to use it sooner than later is one called as Adele, and as a deal, I tell people you can explain it also is again, try to do a dialysis such Patry using the gut to bind these toxins when I look at lab results. I'm not seen a major change in the numbers, but the pet feels a lot better. So please explain what as dillas. Yeah. Just as you said in a term that you know, when we talk about human patients, we talk about dialysis this'll be termed what we call enteric dialysis with as Adele. So he's Bill is made up of three beneficial bacteria, you could possibly call them probiotic. But they are proprietor. -tary to as a Dell and the three bacteria tend to what they do in. The God is they bind up or use toxins in the gut and use them as almost like a food source. So those got there the toxins aren't allowed to be reabsorbed and even Bill those bacteria use those toxin as a food source, and then there are eliminated in the waste of the patient. So essentially, we're trying to lower some of those toxins that are built up which we talked about earlier when we said the UN and create knee. We're trying to lower those toxins, and you said the right thing. I mean, you may not see some significant drops in in those values on the blood work. But what we should be seen as a patient is generally feeling better. And to me that is one of the most important things that we can do for them is to make them feel better. And certainly there's other things that we can add in to help with that that as Adila certainly is one of those that is there to do that for them. So Dr McLaughlin, somebody's you know, listen to this going. All right. What can I do to prevent can you disease in my pet? Is there anything you know there? There's really no way to prevent kidney disease from happening. But the one thing that I would do and you kind of touched on earlier, Dr cruise would be to have frequent veterinary checks, especially in those senior dogs and cats, and I'm not going to discount getting yearly blood work for those patients that aren't senior let me say senior typically think about seven years of age, and that that can be debated but seven years of age there are many parameters on on senior pet testing that can tip your veterinarian off to to chronic kidney disease early, and we talked about one of those which was the SDN may to find that disease earlier typically when you have and elevated ST may early on with no other indications on blood work. You're not gonna see a lot of clinical signs with these patients, but you know, something is going on and you can start to. Address that by maybe voiding drugs that are filtered by the kidney. Maybe starting them on a diet. It's maybe a little bit lower protein. There's a lot of things that can be done to to monitor these things into prevent the progression of the kidney disease from from occurring faster than it would if you if you didn't know that reversible. You know, he's he okay. You know, I now seen that this is disease is my pet has liver disease. Oftentimes, you can put them on medication and liver disease goes way in the liver goes back to being healthy when that happened with kidneys short answer is no do I wish that we could reverse it. Yes. Which we could. But we can't at this point. So we're born with all the functional units of our our kidneys which are called net FRANZ when we're born. So once we lose them, they're gone. So the nice thing about the kidneys, though, is that the those FRANZ of the functional units have a very good propensity to to overwork themselves into do a lot more work than what they would normally or any other sales would normally be able to do hints why the kidneys can compromise for a long period of time with disease and not see clinical signs. So no it's not reversible. I wish we could. I think again, the most important thing is to have frequent checks with your veterinarian. Whether it be a yearly blood work or even more frequently than that to to make sure again, you're right. I mean, it comes back clean. Well, why are we doing that? I think that's the best thing ever is to see a comeback clean. But we don't see if we don't do that. Then we'll never know. And then we can get ourselves. Justin trouble. Is one of the reasons I like doing the SDN may cause all explained to clients that. All right. Brian your twin brother needs a kidney transplant so fine. You give them one of yours. You now down fifty percent of what you started off lifeless that sich percent is doing just fine and everything is absolutely normal. You need to lose fifty percent more or seventy five percent total before we even start seeing those numbers going up seeking catch it earlier with doing things like DNA if you do that yearly bloodwork looking for trends, boy, you're still ahead of the game. Dr McLaughlin, had met Aquino. What are some other sources that people can go to to learn more about chronic kidney disease? The first source. I would go to your veterinarian technicians or wealth of knowledge, but certainly the IRS website, which is WWW dot IRS. Dash kidney dot com is a great source of information..
"kidney disease" Discussed on SuperTalk WTN 99.7
"So we all you have to do is just call my office this week. You don't have to schedule this week. But once we hit March fourteenth after that day, this offer no longer applies, but you can call tell him that you would like to do the initial evaluation the one that has the blood test for the kidneys. And we'll get you in. Let's find out what's going on with those kidneys. Rarely do. They get looked at on a regular. Basis and we need to find out. What's happening? So there's five stages of kidney failure or kidney disease. I should stay the different stages stage. One I see this quite a bit in my office. When the person started to have kidney problems stage one would be considered kidney damage with normal or increased G F R, which is a test to detect kidney disease. Now, why would it be normal, and you could be stage one? Well, there's a couple of things that can happen albumen, which is a a by product of protein metabolism will go up. This is a blood tests. They checked albumen and creatine, and if it's high it usually indicates is not being flushed out through the kidneys. So that could be a issue urine sediment abnormalities now this would you'd have to detect that in a urine test that could cause stage one. Kidney damage, electrolytes and other abnormalities and his are historic. Not his Dolac skin, abnormalities and tissue structure abnormalities. Let's put it that way. Can be may need to be detected say by imaging. So you do a cat scan or MRI to figure that out? But that would be stage one stage two is a mild reduction in the GFR staged three. They actually have stage three a which is a moderate reduction in the GFR, and then stage stage three b is a another moderate reduction. The just the numbers are a little different there. You have stage four which is severe reduction in the GFR. And that's usually when people start to being put on dialysis and then you have stage five kidney failure. And I believe the only hope you'd have end stage. Five is a kidney transplant. Unfortunately, hypertension is a frequent sign of chronic kidney disease. In other words, hypertension and other word fry pretension is high blood pressure is. A frequent sign for chronic kidney disease, but should not be by itself considered as a marker. In other words, if you have high blood pressure doesn't mean that you have kidney disease, but it does mean you need to be careful, and you should get checked on that to make sure that your kidneys are in good shape. Of course, high blood pressure when it's untreated is going to damage kidneys. That's one thing that you're concerned about with high blood pressures that it's damaging your kidneys, or it's not damaging your kidneys. But you just don't know it's better to know. So again because of world kidney day, which is March fourteenth all this week. We're gonna be offering the free evaluation. Just call my office, and you can have that done. And have it checked, you'll know or not know? All right. So here's some more statistics on these kidneys. Thirty nine.
"kidney disease" Discussed on Pet Life Radio
"The American college of veterinary sports medicine rehabilitation, it's been awhile. But I was for a couple of years and veterinary in that did sled dog racing one of the trail veternarian and wondering for sled dogs jury dogs Lorraine dogs, all these sports dogs that are out there. We know that horses are highly regulated with regard to what make you can use. If you're human what sports enhancing medications you can and cannot use how about dogs. Yeah. Well, I mean, yeah, I think we've all heard about some of the some of the hullabaloo last year I did arrive with Boggs testing positive for certain things. And and the reality is is that the idea of testing these dogs is probably of most important. To make sure people are doing on toward things. And when it comes to some of these other products. I mean, we're talking about not using anti-inflammatories like non steroidal and the reality is fish oils and obstacle. So we should be not be using those things too. And then we come to products like could have those might mitigate inflammation and pain on the trail too. So what's to stop someone from doing it, particularly when they're not testing for things like this? So it's just sort of a Pandora's box that we probably should be looking into a little bit more when we talk about testing, and what's appropriate not appropriate on the trail. And just because it's natural doesn't mean it's not quote, unquote, pharmacologic, right? So there's just a huge disconnect for nutraceutical and pharmaceutical, maybe we shouldn't have gray area since we just have a few moments here to wrap up doctor. Fred Metzker, you been in clinical practice, seeing these various cases talking to your clients about that could you give us one of the most touching. Success stories. Yeah. The I can talk personally from my my older lab. But I what I would probably do is rather tell a story about a dog that I saw actually one of the first dogs ever put on was the an older dog that I have, you know, taken care of for a long long time. This the dog that had chronic kidney disease that we were very afraid to use any of the non steroidal on of course. And we had used some of the other medications that we have available without much success. I literally said to this client who I know. Very, well, hey, you know, I don't know if this stuff works or not I don't know that much about it. But it would be worth a try because otherwise we're going to have to stop. And you know, anyone who's been that in practice? We have patients that are, you know, like our unpacked they become our own pet. So this is a dog named Monty that I knew really well, and we tried it. And you know, it took really less than a week till this is a dog. It was able to actually go upstairs again, which was pretty amazing the dog. It hasn't gone upstairs in several years. And this dog eventually died of a manager sarcoma. The spleen, but the last couple of months of life were just great for this dog again. And that's what made me really think about you know, what what we're doing. And what products that we have. And I think our mindset right now is to use it in the worst the worst. And that's what we've done. But now, I'm beginning to think we should be using this and other dogs, and I'm interested in the studies that Joe is talking about you on dogs that are getting cruciate ligament surgery, which we do in our practice, and we do quite frequently. You know, what about those dogs or you know, what about dogs with seizures or cats with urinary track problems? And it just opens up a whole 'nother part of practice, and it makes me start to think out of the box again. And it really just gets me excited about pain management again that we might have something new that hopefully, we'll have less side effects. And it's something we need to learn about again and being in practice that long and he would have been practice. We're in practice 'cause we love animals, and we love to learn new things. So I look at this field of veterinary medicine. In pain management? And I really do think the cannabinoid are going to turn it on its head. I always speak at North American and Western Conference, and I noticed that the speakers dawn booth on Canaveral they needed three different rooms. There was so much interested in it. So I think this is the hottest thing invetment. I think we definitely need to learn a lot more about it. But I think this is going to change more pets lives than anything. We've had in a real long time. You've got me very excited about this. And I'm sure that my listeners are wanting to know more don't be frustrated if you go to your veterinarian and your veteran looks at you with this blank look of either I know nothing about it or I don't feel comfortable talking to you about it. Because maybe you're from DA. There's a lot of concerns. But if you have an interest, you can go to the website elevate, E L L E, L dot com. Learn more about it and bring it to your veterans attention. I think we all need to learn. So doctors Fred Metzker. And Joe watch leg. Thank you so much for being with us today. I've learned a lot and do appreciate it, maybe one. Learn more.