35 Burst results for "Kidney Disease"
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
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
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
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
Father Of ‘Wicked Tuna’ Captain Gets Lifesaving Gift From Stranger
"Que ever watch the show wicked tuna well the father of the captain of the boat pain we all now on the receiving end of some life saving news WBZ TV's Julie McDonald explains my savior Thomas going from all right Marty McLaughlin gets choked up and who wouldn't in just days a new friend his savior will give a life saving kidney donation and the gift is an answer to prayer with ties to heaven exactly one year ago Thomas Edwards a Virginia lost his dad to kidney disease he said that was one of most likely things anybody has done for me and I remember him saying that and I said yeah but it didn't work and right after that he said well maybe it was meant for somebody else with his dad in his heart Thomas found matching donors dot com and now twelve months after losing his father Thomas will at the McLaughlin kids keep theirs thank you from the bottom of my heart Chris appreciate so much really do I'm blessed to be able to do Thomas Edward saying it was in god's hands as to who would receive his kidney after going on to matching donors dot com he soon after received an email and now Marty McLaughlin awaits a kidney from his new friend and hero Thomas
Concerned About Prediabetes and Diabetes?
"Part of your body. As you just heard the list so every body's system. You have and your brain. Diabetes can cause low moods, poor memory, weak blood vessels, fragile bones, kidney disease, just to name a few, but truly the list does go on, and on the bottom line, keeping your blood glucose numbers in the normal range of eighty to one hundred is critical to maintaining good health and avoiding the potential risks that Brittany just mentioned. An F.. Half the population has either prediabetes type two diabetes. You really need to understand what diabetes is an how to prevent it so you should know also what to eat, but what to avoid, and if you have diabetes, or if you are concerned about getting type, two diabetes will also start by talking about what's actually going on in your body. If you have type two diabetes, that's right so first of all diabetes is a disease in which the body cannot get sugar or glucose into your cells for energy. The pancreas makes insulin so insulin is a hormone that helps deliver glucose to your cells. And we know your body needs a certain amount of glucose for energy, but those high glucose levels greater than one hundred twenty six. That falls into the diabetes level type, two diabetes level, and can cause the health problems that Brittany talked about earlier. The Kidney Disease Heart Disease Depression Alzheimer's many many more. And as a Dietitian, I frequently have clients. Tell me my mother has diabetes. My grandmother had diabetes, so they often think it's a genetic problem in yes, genetics can play a role in getting diabetes, but the truth is our lifestyle. Habits actually play the biggest role in whether or not. We get type two diabetes. That those poor lifestyle habits can lead to insulin resistance, which is the most common cause of type two diabetes.
"kidney disease" Discussed on 850 WFTL
"Five five we have time to go to Bill Let's go to Bill Old if. We, gotta be. Tricked bell. Go ahead what's up Hot. Crash patient And I got my diagnosis Hero the outgoing sheet that they give you, when you leave the office chronic kidney disease. On specified seat PK level what? What can I do naturally Are there things you can, do absolutely but when you're talking No no. But because you're talking transplant it's? A. Whole different follow back Is it. Has to be done very carefully right it has to be done, correctly it has to be done under. The guidance of a natural practitioner natural practitioner who. Knows what they're doing you can always make, an, appointment. At our office we do, telephone appointments are in office appointments But. Because this is such a serious situation we can't. Just rattle off something for you to do Toby cyclosporine Again because of the transplant makes it much more tricky for us to be able to. Recommend appropriately so the best way to handle it is through an appointment on. Our office just give a call, at, five, three, three, six, four, two. Four two.
"kidney disease" Discussed on The Majority Report with Sam Seder
"Just let signal the rats three no problems rats always get renal problems dogs they probably get no problems to they're not humans so there was turning that i and then you have to realize that something like chronic kidney diseases a long term disease that comes up right it's in most clinical trials that were done in people we're talking maybe amac's year and there were numerous clinical trials time right but you're not going to see those clinical trials what has been borne out through the decades of uses timeframe you necessarily eliminate right a whole host of elements that could show absolutely cute right okay and so do you need to show that they operated well obviously was it their duty to report the results of those tests to the fda what were their all nations in terms of warning the so they absolutely had a duty to report these the fda and in all regards what i've seen is that these animal studies which you know are literally thousands of pages long they were submitted to the fda and the fda receives these submissions they are you know about a foot deep in terms of submission and they were submitted but then they had a further duty and they always have a duty to further investigate when they see a warning sign and to be on the lookout and to further test and then also to warn people there's still not a warning today despite the incredible science that's been developed there's still not a warning for chronic kidney disease.
"kidney disease" Discussed on The Obesity Code Podcast
"One of the things that we try to do at our idea m clinicas treat people very early so that they don't developed complications and we prevent the complications so who whereas i had high hopes prior to reverse the kidney disease it doesn't look reversible and therefore you have to treat people almost ten or fifteen years before they get there i kidney disease or heart attack or stroke in order to prevent that problem so john what advice would you give people who just been diagnosed with type 2 diabetes or prediabetes i say you've got to see you see opportunity you've got to control your diabetes before it controls you and by the time you realize health but it is they could will be to lakes even after over 25 years of poorly controlled diabetes all was still able to substantially reverse my donated at one stage it was out of stubbornness i didn't put myself who would be registered as blind but technically analyst blind had so little vision and i had some surgery which helped but annell back to technically 2020 fission pie can drive the car again for three years i'd indesit behind the will of can mm hmm i was lame persisted in trying to do a tumour woke up uh several times a week but i would stop every twenty y'all's to catch my breath within a few months of reversing my diabetes i was strolling that to mohsen in less than an hour with with no hesitation it really made me feel 5 to 10 years young and although it was too late to save my kidney it gave me phony fears of vigorous active life that i wouldn't've hut.
"kidney disease" Discussed on The Obesity Code Podcast
"I was so glad to be able to meet jason fung and shake his hand at the pac conference an unjust to tell him the wonderful work he's been to uh he and in in in our country david on when has done so much to bring hope to so many people the i just want to do whatever i can i'm in my small way to support the medical professionals who doing that uh uh uh two compete with him or replace them a you know not qualified to give medical advice what i am qualified to do is to attest to how it is to live with diabetes john is very happy to hold up his experiences as a cautionary tale about what happens if you don't take care of yourself and he's now an ambassador with sam fell thumbs public health collaboration in the uk for example the local medical center that i attend i wrote to the the lead partner for diabetes lead partner for a be city one of the nurse his i know uh is the lead on diabetes care and wrecked the practice manager and i had no response not even an acknowledgement from any of uh voice heard they all starting to use community um joint session led patient groups and i asked to be referred to that because i said by attending patient groups only find that keeps me motivated uh to stick to my diet knows i need much motivation now because the died among now is is enjoyable and sustainable but i find it helps me to stay motivated and i think i have something to offer to the other patient.
"kidney disease" Discussed on The Obesity Code Podcast
"Thing is that if you don't have diabetes then you can't develop diabetic kidney disease because you don't have that disease and because the type 2 diabetes as a dietary condition than changing the diet has the power to prevent all the complications not just the kidney disease but also the blindness the amputations the foot ulcers the heart attacks strokes and so on on august 11th 2016 john suffered an emergency that was what my kidneys filed completely well i was suffering from breathing problems for in the night squad warm summa for us and i found the only way i could overcome to breathing problems was to get up sit in an upright position and set in the coldest part of the house which was a computer room so incidently ill quite a bit of work done on a computer in the middle of the night because they could lay flat what i now know is that was pulmonary oh dima is fluid was building up in my lungs which was the real final collapse of my kidneys a deigned to my family doctrine they've been treating me for us marin indigestion which is another misdiagnosis and i bit admitted to what we call a andy accident and emergency which would probably call the emergency room couple of times and each time by the time i got there because the only one that was open in the middle of the night was twenty more driveway the paramedics took me in.
"kidney disease" Discussed on The Obesity Code Podcast
"Oh jin punished saw shuttle the diabetes talk coastal uk website and i followed that's all followed their low carb program really to validated two seat and i founded agreed very much with what i'd already done myself a north i found therefore i could then recommend that to anybody who asked me for his voice as a as a way to get started with lou count and then some felton started the public health collaboration and our joint that and thing to both conferences i i met jason found at the 2017 conference in manchester one of the things that sort of drives us at the uh the intensive dietary mandra program is i don't really wanna see anybody on dialysis from type 2 diabetes anymore and it's as sixty seventy percent of the cases that go on dialysis are due to this disease the reason i always think that it's so hard to watch people do it is that one it really takes over your life that is if you do humor dialysis its four times for hours three times a week you're basically just spending your whole life doing dialysis and the other thing is that at the back of my mind i know that this whole thing was completely preventable if we had gotten the people the right information short of ten or fifteen years ago then they wanted to have this problem and i wouldn't need to put the month alice's and that's what really bothers me is that i know that all of this sort of suffering was preventable just by getting the right information about low carbohydrate diet about intermittent fasting to reverse the type 2 diabetes because the important.
"kidney disease" Discussed on The Obesity Code Podcast
"When i met john he was on quite slender between about one hundred fifty and one hundred sixty pounds that of course is megan rommel's director of the intensive dietary management program meghan had just started the long distance program three years ago when john joined by sugar levels are fantastic um his sugar levels a range from the of four to five all of the time so they were they were under 90 they were two in seventy and ninety for our american friends he said me a food dyeri every time we talked in foods are fantastic so meghan was really wondering what this guy was doing in the idea emperor rim he had such great blood sugar and he reversed his diabetes onandon told me that he had siege five diabetic had any disease stage five kinney disease occurs shortly before dialysis is required or a kidney transplant john's man with a tremendous amount of common sense he said to me you know is that fasting probably can't prevent dialysis or can't prevent his kidneys from completely deteriorating and him going into kidney failure and that he did say you know if there is a chance i got an extra day or an extra couple of days or even the next couple of hours by introducing fasting into my life to help prevent this kidney failure then that's okay he'd be happy with an action our extra day or an extra week so just reiterate john had reversed type 2 diabetes on his own just by doing research in the uk.
"kidney disease" Discussed on The Obesity Code Podcast
"Then at zero point six zero point eight seems perfectly reasonable to me uh again if you're on dialysis lake john however it's a totally different story because there's protein losses from various things like blood a chronic blood loss in some songs so those are special situation so even though john's kidneys were failing by 2013 he had reversed his type 2 diabetes i had been told us the renewal into diabetes clinic not to experiment with that so i went back six months later and i was prepared to tell the endocrinologist that i wanted her to trump's firming to one of our colleagues because i didn't want to see her again professionally but before i could do that she told me not to come back to the diabetes part of the clinic because i was no longer diabetic she said my blood mud blood glucose levels were now no and so being polite i said i said well i'm sorry not to be saying you again because i'd just like to thank you for the the help that you've given me in the past and i went be saying you again and she just said oh yes you will you be back such so i thought held discouraging not even a welcome that it was a belt that time i guess 2013 probably even eddie 2014 that i came across jason phone on the internet and started following his blog email to him and asked the question and i got response so i was amazed dr replying to me and then they started the intensive dietary management programme which i joined and really never looked back since then.
"kidney disease" Discussed on The Obesity Code Podcast
"These would reverse their kidney disease and fortunately it's largely not been truth so there are isolated cases that have shown reversal of diabetic kidney disease or kidney disease goes through several stages for diabetes so what's important is that this disease once it has progressed is largely not reversible so it has to be prevented not reversed so whereas diet type 2 diabetes is largely reversible even until almost the end stage the damage that stunned by the diabetes is not so easily reversible and this holds true for many of the diseases so diabetic i disease diabetic nerve damage our heart disease and so on once you have it is not so easily treated even though the underlying diabetes is east reversible so it's kind of like when you think about for example something like eur changing the oil on your car supposed that you never changed the oil in your car and then you're carbon and then he say okay well now i'm going to change your my car well it doesn't do a lot of good it's still good to do it to prevent further damage but it's not going to reverse the damage you may have heard me say this on the to keita dudes podcast but when i was first looking into doing atkins i was dissuaded by a nurse who said that low carb diets were hard on the kidneys yeah i think the reasoning for that is if it's a very high protein that come put a strain on the kidnappers.
"kidney disease" Discussed on The Obesity Code Podcast
"In john's case he he was able to implement intermittent fasting very successfully who is able to reverse as type 2 diabetes but he was too late to save his kidneys man it's really strange that we think that intermittent fasting say not eating for 24 hours of such a radical crazy way of doing things in it so dangerous yet we accept that if we don't do if we continue let these people continue on their path we know they're going to have kidney failure and gone dialysis it was too late to save the kintner's yup you're a doctor friend of mine discount killer to tell you hey estimate said i probably delayed the onset of dialysis about five years by by the change of diet if i were to stall now i would have gone as low carb even zero before i could right from the start because i have been attending a clinic doctor friend of mine runs and i seen people who've started really low carb 'and within within a week one of them had hoped his blood glucose levels others have within a matter of a few months has become known diabetic have lost weight of become healthy a stronger mentally more nuts one of the things that we can asselot is whether a low carbohydrate diet or intermittent fasting for example can reverse diabetic kidney disease and as you now i'm a neurologist at me kidney specialists in this is how i became interested in the entire process in the first place and when i got into the field of of sort of obesity medicine i actually had very very high hopes that reversing somebody's diabetes.
"kidney disease" Discussed on The Obesity Code Podcast
"American pathologist dr joseph croft analyzed almost fifteen tacin glucose tolerance tastes he also tested the patience insulin levels for each taste and he was able to say many of these patients over the years has they developed diabetes so he went looking for patents that he could use to predict who would become diabetic and who wouldn't he was able to identify unique patent of high intialling levels the preceded by over a decade the high levels of glucose that would eventually indicate a diagnosis of diabetes so before you start to feel seek from diabetes before even your doctor notices your blood sugar as a high you could have been overproducing intialling the ten to fifteen years so i've had several cases in my career where hifi op seed kidneys because i saw a lot of protein in the urine which is sort of a very common symptom of diabetic property and people only had prediabetes so i thought well that's very strange i did the biopsy end lo and behold when the by abc's came back there was classic diabetic damage in the kidneys so what are the stages of kidney disease so the stages that diabetic frothy go through his that how he start from normal and then you go into actually a stage of hyper filtration that is remmer that the kidneys clean the blood the blood goes through the kidneys the kidneys are supposed to keep all the good stuff in like uh the protein for example and let all the bad stuff all the toxin than sawn out into the yearn so how wide the first thing that you see is that there's too much blood being filtered through the kidney and has called hyperfocused.
"kidney disease" Discussed on The Obesity Code Podcast
"It's probably started going back home more than five years ago maybe ten years ago um the the kidney function was getting lower and lower now to be clear john developed kidney disease when he still had high blood sugar i also about a couple of years ago had problems some cullman to men of my age of process with prostate and treatment for the consisted of inserting a catheter which guaranteed permanent urinary infections while i was waiting for surgery and after seven months of waiting for surgery all now wonderful free national health service i lost patience and paid privately to have the surgery done which which killed live the urinary infections but by then my kittens were so far gone they didn't recover diabetic kidney disease or what we call diabetic new property progresses in several stages and that of course this dr jason farm the first stage from diabetes is that each stage takes roughly five years that's just a general average uh sometimes progresses more quickly and sometimes a little bit more slowly but if you want to take an overall average it takes bo you know four to five years to progress through each stage the total thai from onset of type 2 diabetes to diabetic kidney diseases on average fifteen to twenty years but he can actually present before the diagnosis of diabetes south so the hyperinsulinemia which precedes the diagnosis of type 2 diabetes can actually 'cause a lot of kidney damage.
"kidney disease" Discussed on The Obesity Code Podcast
"John had stumbled onto a way of treating type 2 diabetes with diet he not only saw successful weight loss but more stable blood glucose um once on scene the difference so then gave me the confidence to try and reducing my carbohydrates even more on the laura i went in carb's the lower and more stable my blood glucose became more weight just kept falling off by the time i really started switching to low carb authority lost quite a bit of weight i was back down to about two hundred twenty pounds and i was aiming to lose at least another twenty pounds and i just kept losing weight and i got right down to about one hundred seventy pounds with no no real effort on my power but i still kept recording on my food mug my wife very faithfully waited it all and i device from spreadsheets some software to convert all the the weights and foods into the macronutrients so i got measures of carbohydrate fat sultan protein but what i noticed walls it was easier to restrict myself to fewer calories because i didn't have the hunger between meals i now generally eight once or twice a day and a number of the time that's more out of habit hole because i enjoy food so much and what did john's healthcare professionals think about is low carbohydrate approach had been going about twice a year to at diabetes and renew clinic and the endocrinologist in the clinic wasn't a fan of luke she didn't understand anything to balance it didn't want me to try it unless a dietician approved and the dietician you even less about it so logistic knowlton both i did keep my family doctor fully informed all the time on the theory that if i really did mosow some damage at least should know where to stop putting me back together again unfortunately john developed a disease that many type 2 diabetics end up with kidney disease while i've been in endstage renal failure for probably about the last four or five years.
"kidney disease" Discussed on The Obesity Code Podcast
"But i knew that the result of what they were doing the moment wasn't very good as far as i was concerned and i was prepared to take a risk so i just haft mike carbohydrate intake one hundred years ago before insulin is available for clinical use the treatment for diabetes was fairly consistently a alot carbohydrate diet in fact very low carbohydrate diet was lifeprolonging in type one were juvenile diabetes that's harvard professor and new york times best selling author of always hungry david ludwig children could be kept alive in some cases for years with in ultralow or what we now call akito genic low carbohydrate diet with the discovery of insulin people could eat more carbohydrate and control the surge of blood sugar by adjusting the insulin dose over the years as a consequence the recommendations for carbohydrate greatly liberalized until the 1980s 1990s when fat was considered universally unhealthy has a nutrient uh led to recommendations for all people including diabetes of a very high carbohydrate diet up to sixty percent of calories as carbohydrate or more fact the classic american diabetes association recommendations during that time was sixty 2020 sixty percent carbohydrate twenty percent protein twenty percent fat out since then recommendations of continued to change to varying degrees among professional organisations around the world so that the american diabetes association now doesn't have one specific nutrient target and encourages individualization but as a starting point their website to this day suggest aiming for forty five to sixty grams of carbohydrate per meal.
"kidney disease" Discussed on The Obesity Code Podcast
"The highest recorded a one c i have is 78 get away richard e v i n c is a measure of your average glucose exposure of the past three months johnny's using the new european i fcc units in american thames john would have had an hbo and say of roughly nine point three percent normal nondiabetic is around five percent oh my weight very deluxe when i was six my late teams early twenties it would have been about one hundred fifty pounds by the time owes in my midthirties it was double that as living in america at the time and i sort of embraced the culture and i was eating and drinking to excess i would say over the years mike control was not not very good as with so many people in the early stages i wasn't suffering from any symptoms as living a normal life owes healthy it was vigorous and the doctors didn't seem to concerned about it our member one doctor once looking at more results and saying what are your blood glucose is 1213 you seem to operate okay on that he wasn't too concerned a blood glucose of roughly twelve million most pelita is about two hundred twenty milligrams per deciliter in american unit i was i was over whites my a one c was pretty high that i wasn't ready showing any symptoms so i wasn't really that to that concerned as he is when boy i did make efforts to lose weight and i notice when i lost weight my blood glucose to improve a little but it still fluctuated wildly off to meals john took the advice that we are all given in order to lose weight just eat less low lowfat calorie restricted and i was i was pretty pretty disciplined about it i set myself a target of fifteen hundred calories a day and i found it was quite easy to achieve 1200 today which is what i stuck it and we heard all about this strategy and episode eight of the obesity code podcast yoyo dieting when i really started measuring everything i lost.
"kidney disease" Discussed on The Obesity Code Podcast
"From two keito l l c gets the obesity code podcast with dr jason fund and meghan romme's each week we bring you lessons and stories from the intensive dietary management program in toronto canada i'm carl franklin and on today's show we're talking about one patients struck with kidney disease the obesity code podcast is brought to you by two kito llc who strives to support the low carb community with podcasts in other publications and you can support our mission by making a monthly pledge no matter how small at patriarch deng to keito dot com today show centers around ibm patient john collier who was told by a doctor that he had staved off kidney failure for about five years by using a ketogenic diet i was diagnosed with type 2 diabetes in 1918 nine furious after that my mother was also diagnosed with type 2 diabetes and she died as a result of complications from that in nineteen ninety six john's mother died at a young age typical for those of us with type 2 diabetes she was sixty nine years old when she died we are going through an epidemic of diabetes chronic disease it's unprecedented in human populations that's awardwinning author and science journalist gerry tabs bought it's happening worldwide so this here's a disease at in the 19th century in europe in the us was in exceeding lee rare disease i mean estimates of the prevalence of diabetes and the us in the late nineteenth century in hospitals was may be one in every thousand or three thousand hospital patients had diabetes in the va hospitals in the us today one in four patients have diabetes one in eleven americans have diabetes i mean these are enormous increases if you look at the cdc numbers sincerely 1960s there's been a seven hundred percent increase in the prevalence of diabetes i mean if this was any other disease particularly in infectious disease you would have investigative committee teams of scientists people in white coats with electron akiir walking around our backyard's as we speak trying to figure out what was the cause of this.
"kidney disease" Discussed on KMET 1490-AM
"Disease and two thousand four hundred thirty eight of those cases of endstage kidney disease requiring dialysis the research of the lead researcher in this study said the findings suggest or at least to him that there are no safe levels of pollution and most of us get up every day we're not thinking about pollution unless you live in a place in the country where there's a lot of pollution it's on your mind and they're forecasting it in the local weather reports more in a country such as india or china worry if some places in china where i mean the visibility is not very good for the pollution and people walking around wearing masks but round here for example now it's pretty nice it looks the air looks just fine right doesn't smell toxic doesn't look toxic well things are not what they seen and this study israel the data a real and it's off concern and i brace it and i reported on it because oftentimes people get sick with one thing or another whether it's kidney disease cancer heart disease and there's no history of it in our family they've let a healthy life they got land up with lung cancer for example see i never smoked environmental most likely on bar mentally caused when that phrases use environmentally caused you can take that literally meaning the environment but oftentimes that's used to mean everything outside of the body when you say it's environmental so it is of concern here and the question becomes what do you do about that is there anything you can do two help your body cope with these toxic chemicals because we're building up a body burden of these chemicals unbeknownst to us out of our awareness unless you get a blood.