Got Milk? It May Lower Kidney Stone Risk
Kidney stone risk may be lower for those who
consume more dietary calcium.
I'm Erin White and this is a dailyRx Minute.
Calcium stones are the most common type of
kidney stone. Consuming more calcium, however,
doesn't cause them. A new study has lent support
to the idea that more calcium in a diet may
lower the risk of getting kidney stones. Ask
your doctor about calcium in your diet. For
dailyRx TV, I'm Erin White.
https://www.youtube.com/watch?v=Nj7KmxqEt90
Banfield Pet Hospital - Risks and Signs of Dental Disease in Dogs and Cats
[Music]
>>NARRATOR: Periodontal disease.
>>DR. WEBB: Hi, I'm Dr. Webb, a veterinarian
at Banfield Pet Hospital.
As your partner in pet care, it's our goal
to help you keep your pet healthy and happy.
Today we're going to share some information
with you about periodontal disease.
>>NARRATOR: Healthy teeth and gums are one
of the best healthcare gifts you can give
your pet.
Did you know that 68% of cats and 78% of dogs
show signs of periodontal, or dental disease
after age three?
Dental disease is a bacterial infection of
the tissue that surrounds the teeth.
It sounds harmless, but the truth is that
dental disease can cause a lot more than just
bad breath.
In fact, Banfield's Applied Research & Knowledge
team, called BARK, has found that dental disease
is the most common disease in dogs and cats.
Here's what you should know about dental disease's
signs and symptoms.
Just as in humans, dental disease begins with
plaque and tartar buildup on your pet's tooth
surface.
Food particles and bacteria rest along the
gum line, forming plaque.
At first, it's soft and easy to remove at
home with brushing or dental chews.
If it's not removed quickly, within three
to four days, plaque mineralizes and hardens,
turning into tartar, which is a yellowish-brown
color.
The bacteria in tartar can cause gingivitis,
which is inflammation of the gums.
If tartar isn't regularly removed, it will
continue to accumulate along and inside the
gum line,
encouraging more bacterial growth.
Gingivits can easily and rapidly progress
to more severe inflammation, or periodontitis.
This leads to infections, tooth loss, bone
damage and associated pain.
>>DR. WEBB: If left untreated, severe dental
disease can lead to bacterial infections that
spread through the bloodstream to other organs
in the body including the heart and kidneys,
causing chronic disease and even organ failure.
It's important to visit your Banfield veterinarian
if you notice any of the following signs in
your pet.
These may appear suddenly or develop slowly
over time:
>>NARRATOR:
Bad breath
Decreased appetite
Pain when chewing or chewing only on one side
of mouth
Weight loss
Yellow teeth
Red or swollen gums
Missing, cracked or broken teeth
Nasal discharge
Tearing or swelling below one eye
Thanks for listening.
Remember, you know your pet best.
And we know how to help you keep them healthy.
For more information on this and other pet
healthcare topics, visit banfield.com
[Music]
https://www.youtube.com/watch?v=V1Chy66GV00
viernes, 15 de enero de 2016
Check Your Kidney Health Manitoba! - What do the kidneys do? Approach 1
Check Your Kidney Health Manitoba!
One in 10 Manitobans have kidney disease.
That's about 130,000 people.
But many don't know it.
Since 2010, our dialysis patient population
has grown by almost 30 per cent.
And it grows every year.
The good news is the earlier we catch kidney disease,
the more options there are.
Blood and urine tests show how your kidneys are doing.
So see a doctor if you are at risk of kidney disease.
You're at risk if you have high blood pressure, diabetes,
or a family history of kidney disease.
High blood pressure and diabetes are the biggest
causes of kidney disease in Manitoba.
Talk to your doctor before you get sick.
Because there are options. We can work together
to keep your kidneys healthy as long as possible.
Explore kidneyhealth.ca and talk to your doctor to learn more.
https://www.youtube.com/watch?v=86GSzL7_6es
What do the kidneys do? Approach 1
>> A doctor speaks with a patient in his office.
>> So what do the kidneys do?
>> Well, you have two kidneys and
they're each about the size of your fist
and they're located on each side of your spine.
The kidneys are usually described simply as
filters but they do a lot more than that.
Their job really is to maintain the
composition of the blood at a constant level.
They do filter the blood and they remove waste
products and water and they produce urine
which is waste products and water.
But in addition to that, they
have many other functions.
They play a major role in controlling
blood pressure, they maintain a major role
in preventing you from becoming anemic,
and they also have a very important role
in maintaining the strength of your bones.
https://www.youtube.com/watch?v=c4kifUnssfs
One in 10 Manitobans have kidney disease.
That's about 130,000 people.
But many don't know it.
Since 2010, our dialysis patient population
has grown by almost 30 per cent.
And it grows every year.
The good news is the earlier we catch kidney disease,
the more options there are.
Blood and urine tests show how your kidneys are doing.
So see a doctor if you are at risk of kidney disease.
You're at risk if you have high blood pressure, diabetes,
or a family history of kidney disease.
High blood pressure and diabetes are the biggest
causes of kidney disease in Manitoba.
Talk to your doctor before you get sick.
Because there are options. We can work together
to keep your kidneys healthy as long as possible.
Explore kidneyhealth.ca and talk to your doctor to learn more.
https://www.youtube.com/watch?v=86GSzL7_6es
What do the kidneys do? Approach 1
>> A doctor speaks with a patient in his office.
>> So what do the kidneys do?
>> Well, you have two kidneys and
they're each about the size of your fist
and they're located on each side of your spine.
The kidneys are usually described simply as
filters but they do a lot more than that.
Their job really is to maintain the
composition of the blood at a constant level.
They do filter the blood and they remove waste
products and water and they produce urine
which is waste products and water.
But in addition to that, they
have many other functions.
They play a major role in controlling
blood pressure, they maintain a major role
in preventing you from becoming anemic,
and they also have a very important role
in maintaining the strength of your bones.
https://www.youtube.com/watch?v=c4kifUnssfs
Anemia of chronic disease - Kidney Transplantation: Ask Dr. Matthew Cooper
Anemia of chronic disease
- [Voiceover] So anemia of
chronic disease is the second
most common cause of anemia
in hospitalized patients
and it's a type of microcytic anemia,
microcytic anemia.
So, that tells us that
anemia of chronic disease
is somehow due to a problem,
a problem in producing hemoglobin
because we know that
all microcytic anemia's
result from a problem
in producing hemoglobin.
The second thing that's really
important about this disease
is that it's always, always,
always, always related
to some inflammatory condition.
So that's to say that
there must be some source
of inflammation in the body
for this disease to result.
Now, anemia of chronic disease
has absolutely everything
to do with the molecule, hepcidin
which is a polypeptide,
is just a fancy term
for a chain of amino acids
that's produced by the liver
that serves as the bodies
major iron regulator.
And by regulator, I mean that when
the serum iron levels are low,
when the bodies iron
levels are running low,
there's a low production of hepcidin.
But, when the bodies iron
storage are running high
or when there is excessive
amount of iron in the body,
the liver increases
it's hepcidin production
and it does this because the hepcidin
then turns around and
it decreases serum iron,
decreases serum iron.
And it does this, it decreases serum iron
in a couple of different ways.
And to understand how it decreases it,
I guess we'd have to go
back for a couple seconds
to understand iron physiology.
So, we talked about how iron
is absorbed it the duodenum,
but something we didn't mention is that
at the base of these cells in duodenum
is this channel called ferroportin
and ferroportin is what allows the iron
to go across these cells in the duodenum
and be absorbed into the bloodstream.
Now hepcidin comes in and it blocks
the ferroportin channels and by doing so,
it inhibits the absorption
of the iron from the gut.
So, that's the first way
in which hepcidin acts
to decrease serum iron levels.
Now, I'm going to scroll down,
scroll down just a little,
okay, so secondly, let's
take a look at the liver,
and here's a blood vessel
that has blood in it
and we know that blood has
lots of red blood cells in it.
And every 120 days or so, each
one of these red blood cells
is taken out of commision, it's retired
and it's degraded by cells in
the liver called macrophages.
So, these red blood
cells are broken down by
the macrophages and
inside the red blood cells
we know we have lots of hemoglobin
and the hemoglobin has iron in its center,
and the iron that is
released from the degradation
of the red blood cells
isn't just thrown away,
instead it's saved and it's recycled
to be used later on to
make new red blood cells.
So, what hepcidin does in this scenario
is it comes in and it
inhibits the degradation,
it prevents a degradation
of these red blood cells,
and it does so to prevent this iron
from being saved and
being recycled later on.
So this is the second
way in which hepcidin
acts to decrease serum iron.
So, moving to the side just a little,
so just to quickly
summarize what hepcidin does
is it decreases serum iron by decreasing
the absorption of iron from the gut
and decreasing recycling by inhibiting
the degradation of red blood cells.
And, in normal people,
hepcidin is released
in response to an increase
in serum iron, right?
So it's essentially the
bodies compensatory mechanism
to deal with too much iron.
Now, in the case of
anemia of chronic disease,
hepcidin is released in response to
any inflammatory condition,
so any condition in which
there's inflammation.
So firstly, what do I mean
by inflammatory condition?
Well, I mean things such as infection,
because we know our body
mounts an inflammatory response
to protect us from infections.
Now I also mean things like cancer,
who's malignancies a pretty
inflammatory condition
and also autoimmune diseases,
autoimmune diseases,
and usually what comes to
mind with autoimmune diseases
is things like rheumatoid
arthritis or lupus
but really any autoimmune condition
can do the same thing.
So these are just three
of the most common causes
of inflammation but really
there's several other disorders
that could lead to the same response.
Now, when there's any source
of inflammation in the body,
the body releases cytokines
or small signalling molecules.
And these cytokines cause
an increase in hepcidin production.
The hepcidin then decreases
the absorption and recycling
of iron to lead to a
decrease in serum iron.
That much we've already established.
Now this decrease in serum iron
then leads to a decrease
in hemoglobin production,
and that decrease in hemoglobin production
is what leads to the anemia.
And that's how an inflammatory condition
or a chronic disease leads to anemia.
Now, I guess something that we
haven't really addressed very well,
is why would you want
there to be a decrease
in serum iron in response to
an inflammatory condition,
why does this pathway even occur?
And the response to that
is really important.
So, in conditions such as, for example,
such as infection, bacteria
thrive off of iron.
They use it as an
essential nutrient to grow.
So really what the body
does is quite smart,
it essentially plays
keep-away with the iron.
So it releases hepcidin
to keep away the iron
so that the bacteria can't use it to grow.
And really, this same thing occurs
in cancer and in autoimmune condition
in which these cells use iron
as an essential nutrient.
So that is essentially the background
and the pathophysiology of
anemia of chronic disease.
https://www.youtube.com/watch?v=EkFUb3L040E
Kidney Transplantation: Ask Dr. Matthew Cooper
I'm Dr. Matthew Cooper, I'm the director of
the Kidney and Pancreas Transplant Program
here at the
MedStar Georgetown Transplant Institute
which is a component of the
MedStar Georgetown University Hospital.
I have the privilege of overseeing
the Kidney and Pancreas Programs
for Georgetown Hospital and for
Washington Hospital Center.
I've been involved in transplantation now
for over 12 years,
having trained at the
Georgetown University Medical School
and then completing residency
in the Midwest in Milwaukee
in my fellowship at Johns Hopkins.
I have the privilege of seeing patients
who I think unfortunately
are becoming more and more
of a health epidemic,
those that have end-stage kidney disease
from real common problems
like hypertension and diabetes.
We look to try and offer them
a better answer than being on dialysis
because as I tell our patients,
really dialysis robs people
of years of life.
So my job as a transplant surgeon
is to provide them the gift of life
through transplantation
of an organ either through
a deceased owner or a living donor.
In terms of pancreas transplant
for people that have type 1 diabetes
or insulin-dependant diabetes,
we're really able to give these people
new lives as well, to be able to avoid
checking blood sugars every 4-5 times a day.
We can even look into combining
both of those transplants,
receiving both a kidney and
a pancreas transplant, so really
the ability to enjoy both
of those successes
in kidney and pancreas transplantations.
I tell people I have the greatest job in
the world and its not an understatement.
The pleasure of forming our relationship
with our patients that last decades
into the future, well beyond our initial
meeting with them,
in terms of a surgical specialty,
we cure disease by putting something
in someone rather than
taking something out.
We also speak for the donors
and the donors' families,
making sure that everybody
who has the joy
to receive that gift of life recognizes
what a tremendous opportunity
the gift that they've received.
What comes back to us
is a transplant team and an enormous
responsibility is that stewards
are a very valuable resource.
But again,
I come to work every day
with a new enthusiasm
and invigoration for what I do.
I get to meet some wonderful people
who really look to me for opportunities
better than what they have right now,
I like to think that we embrace that
and try and work closely with
a very large team here at the MedStar
Georgetown Transplant Institute
which is something again that attracts me
to this job as I get to meet
and work with very committed,
very dedicated people who are
all in this together to make
a better life for somebody else.
The MedStar Georgetown
Transplant Institute
is primarily concerned about outcomes
and safety
and being certain that we're always
looking for a way
to move transplantation forward.
I was fortunate to be offered
this position to come to Georgetown
and for me it was one of those things
that was the opportunity
to come to an institution that I know
that places outcomes and safety
above everything else. There are many
transplant programs
in many institutions that are perhaps
unfortunately looking at
the wrong statistic, which is the numbers
of transplants that are completed.
Now yes, that's something that absolutely
we're interested in doing,
it's providing the gift of transplantation
to as many people as we possibly can,
but ultimately, we want to be able to look
back and say that we've done
good things for good people
through a good opportunity
and a good team. And I think
that's the one thing
that transplants here at the MedStar
Georgetown Transplant Institute
has, will, and in the future always will
continue to focus on is making sure
that the outcomes... because we want
to be able to look at patients
and say that we're looking to make
your life better through transplantation.
We want to be able to look to families
of people who've donated their organs
through the deceased donations and say
that we've been
cautious and careful and considerate
in making sure that the individuals
who receive your transplant
truly appreciate that gift of life
and they're going to take care of it,
we want to make sure that we're able
to look at living donors and say
that we recognize the sacrifice
that you're making and that
we wouldn't put you in harm's way if
we didn't think that it was safe for you
and that the recipient who again
is receiving your organ
is appreciative of the tremendous
gift that you're receiving.
There's really two broad categories that
put people in need for organ transplants,
namely kidney transplants.
The most common are diabetes
and hypertension,
number 1 and 2 by far.
The trouble with both of those problems is
that unfortunately many people
either don't know they have those problems
or they unfortunately don't seek help
for treating those problems and they go
on to cause kidney disease
and ultimately end-stage kidney failure.
The other problems are more
genetic problems,
people can be born with kidney problems,
either the kidneys don't develop properly
or they grow improperly or they have
some genetic condition
which ultimately leads to failure
of those kidneys.
So we look at all of those conditions
as being very similar in that
their ultimate result of
end-stage kidney disease.
We still believe it's better treated
with transplant than dialysis.
Dialysis really should be looked upon
as a stepping stone for kidney transplant.
It's important for folks that are
on dialysis or are approaching dialysis
look for transplant centers like we have here
at MedStar Georgetown Transplant Institute
so that we can look to find a way
to avoid that stepping stone altogether,
because we can't transplant someone
before they've actually reached dialysis.
There's about 90,000 people across
the United States
that are waiting for a kidney transplant.
Takes your breath away at times.
Now the truth is that because of that
and the numbers of deceased donor organs
haven't changed to keep up with
those numbers of increases on the lists,
the time in which people wait for
a transplant unfortunately does.
So the average wait time for
a deceased donor transplant
based upon people's blood type
could be somewhere between 3-5 years
and that's the numbers that we quote here at
the MedStar Georgetown Transplant Institute
is that it can be some 3-5 years after we
initially see somebody for a transplant.
Which means again, the relationship
continues many years after
the initial visit with the transplant center,
we have to be
regularly in touch with one another
with any changes in medical health
or conditions. We know that this relationship
is something which is important
not only to the patient, but it's important
to us, it's important to the donor,
so we always have to be appreciative
of those open lines of communication
that we don't lose track
with one another.
If an individual contacts our institution
we have them come
to our transplant center
and they're seen by
what we call a multi-disciplinary team,
means many people,
everybody wearing their particular
specialty hat,
gets the opportunity to meet
that individual
and as a team we put
all that information together
as well as try and gather information
from a referring physician
or from a previous hospitalization
so that we can say
it's safe to do particularly 2 things:
1, that it's safe to have an operation,
which usually means that we have
to make sure that people
from a heart and a lung standpoint
are safe to go into the operating room,
and 2, we need to make sure
it's safe for people to have
the immunosuppressant medications,
the medications that allow
the immune system to accept
the transplant.
We have to be certain that it's safe
to give people medications
which increase the risk for things like
infections and even things like cancers.
So we do a very thorough workup
from top to bottom
to make sure that we're making people's
lives better
and certainly don't want
to make them worse
which means we take no shortcuts,
we utilize the resources
we have available both here at our
institution and with referring doctors
and always look to partner with our
referring physicians nephrologists
and endocrinologists so that we can provide
the best possible care for the patient.
There is a potential way in which
people can receive transplants
via living donor. Not everyone unfortunately
has a living donor available to them
but if we look again very carefully
at the outcomes for living donor
versus deceased donor transplants,
we know that results in terms of
how long the graft or the kidney will last
in the recipient
is about twice as long for a living donor
as compared to a deceased donor.
So that means that we ask people
to seriously consider that,
not only because of that information
but also because of the waiting time
for a deceased donor transplant.
Then we have to be very honest
and think of options
for living donor transplants.
It's important to appreciate
that the ultimate goal
in all living donor transplantation
is the safety of the donor
and that's something that as
an institution
here at the MedStar Georgetown
Transplant Institute
we place as the highest priority
which is the safety of the donors.
We have to be very careful
and we never want to hurt one person
trying to help someone else
so the process requires
a very large group of individuals who again
look very carefully at that donor
to say, is this safe for the person
to go forward
to have an operation or a procedure
performed that they don't need
and we find the it is not right
for everybody,
that it's not that we're trying to deny
somebody the opportunity
to help someone they care about,
but we have to always protect the safety
of that individual as well as protect
the safety of transplants.
A large number of people actually
come to our institution
and are able to move forward
as being a living donor.
It's important to appreciate that
that individual doesn't necessarily
need to be related to the recipient,
that it could be somebody
who they have again a close
relationship with but is not genetically
related to that person,
because there's many things that
we're able to do now
that allow living donation
to move forward
separate from what we call
a negative cross-match
or having the same blood type
as the donor and recipient.
So I think been very important for people
to think outside of their family tree
about who may be a living donor
and be able to bring about
that gift of life for the recipient.
So donors and recipients can really have
no relationship to each other whatsoever.
They don't need to be the same race
and if they're different blood types
that isn't important as well.
It would be untruthful to say that
there isn't any risks
but the fact is that again with
the specialties and the institution
here at the MedStar Georgetown
Transplant Institute
we have a group that is truly committed
to making sure that we eliminate
all potential risks, that we evaluate
the donor completely
and be certain that going into the
operating room we make the risk
as small as possible
and we're certainly always in communication
and open and honest
about what those risks may be
and sometimes again, we have to tell
a donor that the risks are too high
but when we look very carefully
at the outcomes across the county
and the outcomes
at our institutions
we have found that safety
has been in fact yes,
something that we've achieved
and something that we're always
going to continue to look for
as our top priority.
We never know when that phone call
or that kidney is going
to become available for the recipient
and sometimes it's important
to appreciate that there may be
a false alarm,
sometimes our efforts are to try
and get that kidney transplanted
as soon as we can because we know
the shorter the time that it takes
the transplant to happen,
typically the better the outcome
but sometimes things happen towards
the end of the process
where a transplant just isn't safe
to move forward,
that it keeps people at the same place
on the list and ultimately
they will get their transplant but
at a later time.
So many years ago when people became
interested in being a living donor
we found that they weren't either
the same or compatible blood-types
or had what we call
a positive cross-match,
meaning, when we put donor and
recipient's blood together,
they have a reaction which would
not allow the transplant to happen,
we would unfortunately have to tell
both the donor and recipient,
"I'm sorry, you have to look
for another living donor."
You know, the turn of the century and
technology and electronic communications
that we have available nowadays
really made that seem very short-sighted
and there's a lot of different things
now that we're able to do
that would allow living donation
to happen in all of those situations.
So for some donor-recipient pairs
we're able to remove the incompatibility
for the recipient, we call that a process
of desensitization
and there're some pretty exquisite
and pretty elaborate techniques,
safe, but still require the commitment
and the dedication of a number of
very dedicated staff here to allow
that living donor transplant to happen
so that we remove the incompatibility.
We also have things called
"paired exchanges", where multiple
donor-recipient pairs
who were incompatible with each other
may be compatible with other exchanges
and we allow living donor transplant
to happen for a number of different pairs
perhaps not with their intended recipient
but with another donor
that we can bring about multiple
living donor transplants
and sometimes that can occur
over the course of a couple of days
and sometimes we can allow the process
to extend over a couple of months
and we call that a chain.
They don't go on vacation.
They can't just go away
to visit a relative who may be
on the other side of the country.
They can't even disappear for days
on end if they can't get back
to the dialysis center, because again
they need the machine
not only to keep them alive
but also because without the machine
they actually feel pretty badly.
So even days when they're not on dialysis
a lot of times their body... or they're
physically just feeling
as if they need dialysis. So it is again
a pretty destructive and troublesome life
for people.
Overall, if you look again at the risks
and the benefits of transplant
versus that of dialysis if falls clearly
on the sides of benefit for transplant.
One of those risks associated with
dialysis is unfortunately
that dialysis has an increased risk
of things like heart disease,
of strokes and peripheral
vascular disease.
People who are on dialysis
can unfortunately need
things like blood transfusions which
can lead to what we call
developing antibodies in their bloodstream
so it can make it
more difficult for them to receive
a kidney transplant.
So again, if we can try to avoid dialysis
we know that those outcomes
are better not only long-term for the
survival but allow us more opportunities
through transplantation by avoiding
sensitization as we call it,
that's the word for people when
they develop antibodies.
So again, dialysis and transplant -
two ways of taking care
of end-stage renal disease.
One is clearly better than the other,
dialysis is but merely a stepping
stone to the transplant
which is why we want everybody to come
and see us as soon as possible.
We've learned more about the safety
of living donation and have
better medications to improve the outcomes
for transplantation
as well as mechanisms and ways in which
we can allow a living donation
to occur through things we call
paired exchange,
where donors and recipients who may not
be the same blood type
or may have a positive reaction
when we put their bloods together,
we can put donor and recipient pairs
together to allow recipients
to receive the benefit of living donor
transplant
from someone who may not have been their
intended donor
but yet the recipients all see the benefit
of living donor transplant
that we talk so much about.
The average kidney transplant from a
deceased donor lasts about 10 or 11 years.
From a living donor transplant it's
closer to 17 or 18 years.
We of course always want to make sure
that the first transplant is the best one
and has the best outcome,
but if we need a second transplant
we're going to think the same thing
about the second one.
But it is important to understand that
there may in fact be a need
for a repeat transplant depending upon when
someone received their first transplant.
The donor process is one which again
we take very seriously.
A donor can contact the institution here
at the MedStar Georgetown Transplant
Institute and the process begins.
We ask them to fill out a questionnaire
which gives us some
baseline information about the history
of the donor
and any significant medical history that
would allow us
to make the decision more clear.
The donor then comes to see
a group of individuals from various
specialties in the hospitals,
surgeons, nephrologists, social workers,
financial people.
Important to appreciate that the donor
does not incur expenses
for the process of being worked up
for a donor or for the hospitalization.
The recipient's insurance does pay for that,
but we do want to make sure
that the donor can afford to do things like
taking off time from work
or for child care, because those expenses
we cannot pay for.
The donor also sees somebody who has
a very important role in the institution
called an independent donor advocate
whose job is, as the name says,
to be independent from the transplant center
and to advocate on their behalf,
to make sure again that everything
is very carefully looked at
to say that it's safe for this individual
to become a donor.
The process often requires other testing
including an electrocardiogram,
a chest X-ray and then another test
which looks at the arteries and veins
of the kidney that we actually
get in our radiology department,
we call that an MRI.
Patients may then need to see
other specialists in order to work up
other conditions which we need to say
are safe to go into the operating room.
Again, sometimes this takes a couple of
weeks, it may take a couple of months
but again I'd hope that the donors
and the families will feel comfortable
knowing that we're trying to make sure
that safety is the top priority
and if it takes an extra week or so
that was initially anticipated
for the donor to be clear, it's all because
we want them to go into the operating room
feeling comfortable that they've made
the right decision to be a donor,
that they're comfortable
that they chose
the MedStar Georgetown Transplant Institute
to have their donation done
and that when it's all completed
they can look back
and say that they're very
comfortable in what they did
and that they have no regrets
having done this.
https://www.youtube.com/watch?v=Y0XfaxC9cLM
- [Voiceover] So anemia of
chronic disease is the second
most common cause of anemia
in hospitalized patients
and it's a type of microcytic anemia,
microcytic anemia.
So, that tells us that
anemia of chronic disease
is somehow due to a problem,
a problem in producing hemoglobin
because we know that
all microcytic anemia's
result from a problem
in producing hemoglobin.
The second thing that's really
important about this disease
is that it's always, always,
always, always related
to some inflammatory condition.
So that's to say that
there must be some source
of inflammation in the body
for this disease to result.
Now, anemia of chronic disease
has absolutely everything
to do with the molecule, hepcidin
which is a polypeptide,
is just a fancy term
for a chain of amino acids
that's produced by the liver
that serves as the bodies
major iron regulator.
And by regulator, I mean that when
the serum iron levels are low,
when the bodies iron
levels are running low,
there's a low production of hepcidin.
But, when the bodies iron
storage are running high
or when there is excessive
amount of iron in the body,
the liver increases
it's hepcidin production
and it does this because the hepcidin
then turns around and
it decreases serum iron,
decreases serum iron.
And it does this, it decreases serum iron
in a couple of different ways.
And to understand how it decreases it,
I guess we'd have to go
back for a couple seconds
to understand iron physiology.
So, we talked about how iron
is absorbed it the duodenum,
but something we didn't mention is that
at the base of these cells in duodenum
is this channel called ferroportin
and ferroportin is what allows the iron
to go across these cells in the duodenum
and be absorbed into the bloodstream.
Now hepcidin comes in and it blocks
the ferroportin channels and by doing so,
it inhibits the absorption
of the iron from the gut.
So, that's the first way
in which hepcidin acts
to decrease serum iron levels.
Now, I'm going to scroll down,
scroll down just a little,
okay, so secondly, let's
take a look at the liver,
and here's a blood vessel
that has blood in it
and we know that blood has
lots of red blood cells in it.
And every 120 days or so, each
one of these red blood cells
is taken out of commision, it's retired
and it's degraded by cells in
the liver called macrophages.
So, these red blood
cells are broken down by
the macrophages and
inside the red blood cells
we know we have lots of hemoglobin
and the hemoglobin has iron in its center,
and the iron that is
released from the degradation
of the red blood cells
isn't just thrown away,
instead it's saved and it's recycled
to be used later on to
make new red blood cells.
So, what hepcidin does in this scenario
is it comes in and it
inhibits the degradation,
it prevents a degradation
of these red blood cells,
and it does so to prevent this iron
from being saved and
being recycled later on.
So this is the second
way in which hepcidin
acts to decrease serum iron.
So, moving to the side just a little,
so just to quickly
summarize what hepcidin does
is it decreases serum iron by decreasing
the absorption of iron from the gut
and decreasing recycling by inhibiting
the degradation of red blood cells.
And, in normal people,
hepcidin is released
in response to an increase
in serum iron, right?
So it's essentially the
bodies compensatory mechanism
to deal with too much iron.
Now, in the case of
anemia of chronic disease,
hepcidin is released in response to
any inflammatory condition,
so any condition in which
there's inflammation.
So firstly, what do I mean
by inflammatory condition?
Well, I mean things such as infection,
because we know our body
mounts an inflammatory response
to protect us from infections.
Now I also mean things like cancer,
who's malignancies a pretty
inflammatory condition
and also autoimmune diseases,
autoimmune diseases,
and usually what comes to
mind with autoimmune diseases
is things like rheumatoid
arthritis or lupus
but really any autoimmune condition
can do the same thing.
So these are just three
of the most common causes
of inflammation but really
there's several other disorders
that could lead to the same response.
Now, when there's any source
of inflammation in the body,
the body releases cytokines
or small signalling molecules.
And these cytokines cause
an increase in hepcidin production.
The hepcidin then decreases
the absorption and recycling
of iron to lead to a
decrease in serum iron.
That much we've already established.
Now this decrease in serum iron
then leads to a decrease
in hemoglobin production,
and that decrease in hemoglobin production
is what leads to the anemia.
And that's how an inflammatory condition
or a chronic disease leads to anemia.
Now, I guess something that we
haven't really addressed very well,
is why would you want
there to be a decrease
in serum iron in response to
an inflammatory condition,
why does this pathway even occur?
And the response to that
is really important.
So, in conditions such as, for example,
such as infection, bacteria
thrive off of iron.
They use it as an
essential nutrient to grow.
So really what the body
does is quite smart,
it essentially plays
keep-away with the iron.
So it releases hepcidin
to keep away the iron
so that the bacteria can't use it to grow.
And really, this same thing occurs
in cancer and in autoimmune condition
in which these cells use iron
as an essential nutrient.
So that is essentially the background
and the pathophysiology of
anemia of chronic disease.
https://www.youtube.com/watch?v=EkFUb3L040E
Kidney Transplantation: Ask Dr. Matthew Cooper
I'm Dr. Matthew Cooper, I'm the director of
the Kidney and Pancreas Transplant Program
here at the
MedStar Georgetown Transplant Institute
which is a component of the
MedStar Georgetown University Hospital.
I have the privilege of overseeing
the Kidney and Pancreas Programs
for Georgetown Hospital and for
Washington Hospital Center.
I've been involved in transplantation now
for over 12 years,
having trained at the
Georgetown University Medical School
and then completing residency
in the Midwest in Milwaukee
in my fellowship at Johns Hopkins.
I have the privilege of seeing patients
who I think unfortunately
are becoming more and more
of a health epidemic,
those that have end-stage kidney disease
from real common problems
like hypertension and diabetes.
We look to try and offer them
a better answer than being on dialysis
because as I tell our patients,
really dialysis robs people
of years of life.
So my job as a transplant surgeon
is to provide them the gift of life
through transplantation
of an organ either through
a deceased owner or a living donor.
In terms of pancreas transplant
for people that have type 1 diabetes
or insulin-dependant diabetes,
we're really able to give these people
new lives as well, to be able to avoid
checking blood sugars every 4-5 times a day.
We can even look into combining
both of those transplants,
receiving both a kidney and
a pancreas transplant, so really
the ability to enjoy both
of those successes
in kidney and pancreas transplantations.
I tell people I have the greatest job in
the world and its not an understatement.
The pleasure of forming our relationship
with our patients that last decades
into the future, well beyond our initial
meeting with them,
in terms of a surgical specialty,
we cure disease by putting something
in someone rather than
taking something out.
We also speak for the donors
and the donors' families,
making sure that everybody
who has the joy
to receive that gift of life recognizes
what a tremendous opportunity
the gift that they've received.
What comes back to us
is a transplant team and an enormous
responsibility is that stewards
are a very valuable resource.
But again,
I come to work every day
with a new enthusiasm
and invigoration for what I do.
I get to meet some wonderful people
who really look to me for opportunities
better than what they have right now,
I like to think that we embrace that
and try and work closely with
a very large team here at the MedStar
Georgetown Transplant Institute
which is something again that attracts me
to this job as I get to meet
and work with very committed,
very dedicated people who are
all in this together to make
a better life for somebody else.
The MedStar Georgetown
Transplant Institute
is primarily concerned about outcomes
and safety
and being certain that we're always
looking for a way
to move transplantation forward.
I was fortunate to be offered
this position to come to Georgetown
and for me it was one of those things
that was the opportunity
to come to an institution that I know
that places outcomes and safety
above everything else. There are many
transplant programs
in many institutions that are perhaps
unfortunately looking at
the wrong statistic, which is the numbers
of transplants that are completed.
Now yes, that's something that absolutely
we're interested in doing,
it's providing the gift of transplantation
to as many people as we possibly can,
but ultimately, we want to be able to look
back and say that we've done
good things for good people
through a good opportunity
and a good team. And I think
that's the one thing
that transplants here at the MedStar
Georgetown Transplant Institute
has, will, and in the future always will
continue to focus on is making sure
that the outcomes... because we want
to be able to look at patients
and say that we're looking to make
your life better through transplantation.
We want to be able to look to families
of people who've donated their organs
through the deceased donations and say
that we've been
cautious and careful and considerate
in making sure that the individuals
who receive your transplant
truly appreciate that gift of life
and they're going to take care of it,
we want to make sure that we're able
to look at living donors and say
that we recognize the sacrifice
that you're making and that
we wouldn't put you in harm's way if
we didn't think that it was safe for you
and that the recipient who again
is receiving your organ
is appreciative of the tremendous
gift that you're receiving.
There's really two broad categories that
put people in need for organ transplants,
namely kidney transplants.
The most common are diabetes
and hypertension,
number 1 and 2 by far.
The trouble with both of those problems is
that unfortunately many people
either don't know they have those problems
or they unfortunately don't seek help
for treating those problems and they go
on to cause kidney disease
and ultimately end-stage kidney failure.
The other problems are more
genetic problems,
people can be born with kidney problems,
either the kidneys don't develop properly
or they grow improperly or they have
some genetic condition
which ultimately leads to failure
of those kidneys.
So we look at all of those conditions
as being very similar in that
their ultimate result of
end-stage kidney disease.
We still believe it's better treated
with transplant than dialysis.
Dialysis really should be looked upon
as a stepping stone for kidney transplant.
It's important for folks that are
on dialysis or are approaching dialysis
look for transplant centers like we have here
at MedStar Georgetown Transplant Institute
so that we can look to find a way
to avoid that stepping stone altogether,
because we can't transplant someone
before they've actually reached dialysis.
There's about 90,000 people across
the United States
that are waiting for a kidney transplant.
Takes your breath away at times.
Now the truth is that because of that
and the numbers of deceased donor organs
haven't changed to keep up with
those numbers of increases on the lists,
the time in which people wait for
a transplant unfortunately does.
So the average wait time for
a deceased donor transplant
based upon people's blood type
could be somewhere between 3-5 years
and that's the numbers that we quote here at
the MedStar Georgetown Transplant Institute
is that it can be some 3-5 years after we
initially see somebody for a transplant.
Which means again, the relationship
continues many years after
the initial visit with the transplant center,
we have to be
regularly in touch with one another
with any changes in medical health
or conditions. We know that this relationship
is something which is important
not only to the patient, but it's important
to us, it's important to the donor,
so we always have to be appreciative
of those open lines of communication
that we don't lose track
with one another.
If an individual contacts our institution
we have them come
to our transplant center
and they're seen by
what we call a multi-disciplinary team,
means many people,
everybody wearing their particular
specialty hat,
gets the opportunity to meet
that individual
and as a team we put
all that information together
as well as try and gather information
from a referring physician
or from a previous hospitalization
so that we can say
it's safe to do particularly 2 things:
1, that it's safe to have an operation,
which usually means that we have
to make sure that people
from a heart and a lung standpoint
are safe to go into the operating room,
and 2, we need to make sure
it's safe for people to have
the immunosuppressant medications,
the medications that allow
the immune system to accept
the transplant.
We have to be certain that it's safe
to give people medications
which increase the risk for things like
infections and even things like cancers.
So we do a very thorough workup
from top to bottom
to make sure that we're making people's
lives better
and certainly don't want
to make them worse
which means we take no shortcuts,
we utilize the resources
we have available both here at our
institution and with referring doctors
and always look to partner with our
referring physicians nephrologists
and endocrinologists so that we can provide
the best possible care for the patient.
There is a potential way in which
people can receive transplants
via living donor. Not everyone unfortunately
has a living donor available to them
but if we look again very carefully
at the outcomes for living donor
versus deceased donor transplants,
we know that results in terms of
how long the graft or the kidney will last
in the recipient
is about twice as long for a living donor
as compared to a deceased donor.
So that means that we ask people
to seriously consider that,
not only because of that information
but also because of the waiting time
for a deceased donor transplant.
Then we have to be very honest
and think of options
for living donor transplants.
It's important to appreciate
that the ultimate goal
in all living donor transplantation
is the safety of the donor
and that's something that as
an institution
here at the MedStar Georgetown
Transplant Institute
we place as the highest priority
which is the safety of the donors.
We have to be very careful
and we never want to hurt one person
trying to help someone else
so the process requires
a very large group of individuals who again
look very carefully at that donor
to say, is this safe for the person
to go forward
to have an operation or a procedure
performed that they don't need
and we find the it is not right
for everybody,
that it's not that we're trying to deny
somebody the opportunity
to help someone they care about,
but we have to always protect the safety
of that individual as well as protect
the safety of transplants.
A large number of people actually
come to our institution
and are able to move forward
as being a living donor.
It's important to appreciate that
that individual doesn't necessarily
need to be related to the recipient,
that it could be somebody
who they have again a close
relationship with but is not genetically
related to that person,
because there's many things that
we're able to do now
that allow living donation
to move forward
separate from what we call
a negative cross-match
or having the same blood type
as the donor and recipient.
So I think been very important for people
to think outside of their family tree
about who may be a living donor
and be able to bring about
that gift of life for the recipient.
So donors and recipients can really have
no relationship to each other whatsoever.
They don't need to be the same race
and if they're different blood types
that isn't important as well.
It would be untruthful to say that
there isn't any risks
but the fact is that again with
the specialties and the institution
here at the MedStar Georgetown
Transplant Institute
we have a group that is truly committed
to making sure that we eliminate
all potential risks, that we evaluate
the donor completely
and be certain that going into the
operating room we make the risk
as small as possible
and we're certainly always in communication
and open and honest
about what those risks may be
and sometimes again, we have to tell
a donor that the risks are too high
but when we look very carefully
at the outcomes across the county
and the outcomes
at our institutions
we have found that safety
has been in fact yes,
something that we've achieved
and something that we're always
going to continue to look for
as our top priority.
We never know when that phone call
or that kidney is going
to become available for the recipient
and sometimes it's important
to appreciate that there may be
a false alarm,
sometimes our efforts are to try
and get that kidney transplanted
as soon as we can because we know
the shorter the time that it takes
the transplant to happen,
typically the better the outcome
but sometimes things happen towards
the end of the process
where a transplant just isn't safe
to move forward,
that it keeps people at the same place
on the list and ultimately
they will get their transplant but
at a later time.
So many years ago when people became
interested in being a living donor
we found that they weren't either
the same or compatible blood-types
or had what we call
a positive cross-match,
meaning, when we put donor and
recipient's blood together,
they have a reaction which would
not allow the transplant to happen,
we would unfortunately have to tell
both the donor and recipient,
"I'm sorry, you have to look
for another living donor."
You know, the turn of the century and
technology and electronic communications
that we have available nowadays
really made that seem very short-sighted
and there's a lot of different things
now that we're able to do
that would allow living donation
to happen in all of those situations.
So for some donor-recipient pairs
we're able to remove the incompatibility
for the recipient, we call that a process
of desensitization
and there're some pretty exquisite
and pretty elaborate techniques,
safe, but still require the commitment
and the dedication of a number of
very dedicated staff here to allow
that living donor transplant to happen
so that we remove the incompatibility.
We also have things called
"paired exchanges", where multiple
donor-recipient pairs
who were incompatible with each other
may be compatible with other exchanges
and we allow living donor transplant
to happen for a number of different pairs
perhaps not with their intended recipient
but with another donor
that we can bring about multiple
living donor transplants
and sometimes that can occur
over the course of a couple of days
and sometimes we can allow the process
to extend over a couple of months
and we call that a chain.
They don't go on vacation.
They can't just go away
to visit a relative who may be
on the other side of the country.
They can't even disappear for days
on end if they can't get back
to the dialysis center, because again
they need the machine
not only to keep them alive
but also because without the machine
they actually feel pretty badly.
So even days when they're not on dialysis
a lot of times their body... or they're
physically just feeling
as if they need dialysis. So it is again
a pretty destructive and troublesome life
for people.
Overall, if you look again at the risks
and the benefits of transplant
versus that of dialysis if falls clearly
on the sides of benefit for transplant.
One of those risks associated with
dialysis is unfortunately
that dialysis has an increased risk
of things like heart disease,
of strokes and peripheral
vascular disease.
People who are on dialysis
can unfortunately need
things like blood transfusions which
can lead to what we call
developing antibodies in their bloodstream
so it can make it
more difficult for them to receive
a kidney transplant.
So again, if we can try to avoid dialysis
we know that those outcomes
are better not only long-term for the
survival but allow us more opportunities
through transplantation by avoiding
sensitization as we call it,
that's the word for people when
they develop antibodies.
So again, dialysis and transplant -
two ways of taking care
of end-stage renal disease.
One is clearly better than the other,
dialysis is but merely a stepping
stone to the transplant
which is why we want everybody to come
and see us as soon as possible.
We've learned more about the safety
of living donation and have
better medications to improve the outcomes
for transplantation
as well as mechanisms and ways in which
we can allow a living donation
to occur through things we call
paired exchange,
where donors and recipients who may not
be the same blood type
or may have a positive reaction
when we put their bloods together,
we can put donor and recipient pairs
together to allow recipients
to receive the benefit of living donor
transplant
from someone who may not have been their
intended donor
but yet the recipients all see the benefit
of living donor transplant
that we talk so much about.
The average kidney transplant from a
deceased donor lasts about 10 or 11 years.
From a living donor transplant it's
closer to 17 or 18 years.
We of course always want to make sure
that the first transplant is the best one
and has the best outcome,
but if we need a second transplant
we're going to think the same thing
about the second one.
But it is important to understand that
there may in fact be a need
for a repeat transplant depending upon when
someone received their first transplant.
The donor process is one which again
we take very seriously.
A donor can contact the institution here
at the MedStar Georgetown Transplant
Institute and the process begins.
We ask them to fill out a questionnaire
which gives us some
baseline information about the history
of the donor
and any significant medical history that
would allow us
to make the decision more clear.
The donor then comes to see
a group of individuals from various
specialties in the hospitals,
surgeons, nephrologists, social workers,
financial people.
Important to appreciate that the donor
does not incur expenses
for the process of being worked up
for a donor or for the hospitalization.
The recipient's insurance does pay for that,
but we do want to make sure
that the donor can afford to do things like
taking off time from work
or for child care, because those expenses
we cannot pay for.
The donor also sees somebody who has
a very important role in the institution
called an independent donor advocate
whose job is, as the name says,
to be independent from the transplant center
and to advocate on their behalf,
to make sure again that everything
is very carefully looked at
to say that it's safe for this individual
to become a donor.
The process often requires other testing
including an electrocardiogram,
a chest X-ray and then another test
which looks at the arteries and veins
of the kidney that we actually
get in our radiology department,
we call that an MRI.
Patients may then need to see
other specialists in order to work up
other conditions which we need to say
are safe to go into the operating room.
Again, sometimes this takes a couple of
weeks, it may take a couple of months
but again I'd hope that the donors
and the families will feel comfortable
knowing that we're trying to make sure
that safety is the top priority
and if it takes an extra week or so
that was initially anticipated
for the donor to be clear, it's all because
we want them to go into the operating room
feeling comfortable that they've made
the right decision to be a donor,
that they're comfortable
that they chose
the MedStar Georgetown Transplant Institute
to have their donation done
and that when it's all completed
they can look back
and say that they're very
comfortable in what they did
and that they have no regrets
having done this.
https://www.youtube.com/watch?v=Y0XfaxC9cLM
Medications For Kidney Disease - Kidney Transplant: Mary's Story
Medications For Kidney Disease
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https://www.youtube.com/watch?v=2RawjNZ8Woc
Kidney Transplant: Mary's Story
[MUSIC]
Mary, she's an extraordinary person.
Every time she comes up she brings, you
know, a king
cake or some sort of nostalgic item from
New Orleans,
where she comes from, and shares that with
us.
She always sends us beads and everything
Mardi Gras
to the whole floor, to the whole
transplant unit.
She expresses her gratitude and her love
for
people in a very open and gorgeous way.
>> Alright Mary, tell us how you feel
today.
>> I feel very excited and very
blessed.
I'm gonna get a new kidney and it's, I'm
so grateful to God and I'm
so grateful to Susan because if it weren't
for Susan, I wouldn't be getting this
kidney.
Pan to Susan [LAUGH].
This is Susan.
Wave hello.
[MUSIC]
>> I've been married for probably about
a year and a half.
And I'd worked in another part of the
pharmacy.
It was at a time that, my mother had just
passed
away, probably six months prior to coming
to work in here.
I had always known that Mary had PKD, but
it was getting to the
point where she had found out, she was
gonna have to go, on dialysis.
>> My creatinine had risen that much
and my function was so down.
And I was starting to display symptoms,
tiredness, cramping just overall and I
was on the list at Ochsner Hospital in New
Orleans to receive a kidney transplant.
They after running my blood and testing it
they told me it
would be at least six years before they
found me a kidney.
>> Currently there are about 100,000
people
who are waiting for a kidney transplant.
This year, only about a fifth of those
people will receive a transplant.
There's about a 35% chance that, when you
go onto the
list, that you're not gonna live long
enough to receive a transplant.
>> I sounded hopeless over the phone.
Isn't there anything else you can do?
The nurse said that he had been to a
lecture of doctor Montgomery's in Hopkins,
had a program where they could take the
antibodies out of your blood, process
called plasmapheresis.
Immediately after, I started researching
this, got on the phone, called Hopkins,
she sent me the package, and that's how
the whole process started.
You two ought order more 25s on Monday cuz
I'm leaving at noon.
>> Yeah, we're gonna need them.
>> We got the call that said Hopkins
came back and said that I was not a
close enough match for Mary to get my
kidney,
but that I could still donate on her
behalf.
>> There are a large number of patients
who have
a willing donor, who wants to give them a
kidney,
but can't because of an incompatibility
and there're, there're
essential two types of incompatibilities
either by blood or by tissue.
And the, the pair donation or the swap
allows those donors to fulfil their desire
to
give a kidney.
Not necessarily to their loved one, but to
ensure that their loved one receives a
kidney.
>> I was told we would wait for a
match.
And Susan would have to give her kidney so
that I was going to get a kidney.
>> Most of the swaps now are done as,
as what we call chains.
And the chains are started by someone who
just comes forward
and says, I wanna donate my kidney to
anyone who needs it.
So this person doesn't have a designated
recipient.
And so that person gives to a person who
has an incompatible donor.
And then that donor gives to another
person,
and you can imagine how this chain
unfolds.
>> Right before Christmas they called,
and they told me they
had an altruistic donor, who was willing
to give a kidney.
He was a male, and we would be able to do
this in February.
And that's all I knew about my donor.
Well, after surgery, he wanted to meet me
and I wanted to meet him.
And it was wonderful meeting him.
Since then he's like my brother he calls
me sis,
I call him bro he came to my daughter's
wedding.
This is Julianne and Susan.
These two gave me the gift of life, so we
thought it
was only appropriate that they bring up
the offertory gifts at the wedding.
Whenever we go up to Baltimore, we always
get together.
He took us out to eat crab cakes, and he
is such a
selfless, wonderful young man, and I'm so
glad to have him in my life.
>> Some of these relationships have
become very durable.
And people have become really close
friends over the years.
And this, you know, certainly is true of
Mary and her donor.
And her intended donor.
All three of them.
>> We do everything together,
everything.
>> They were over here New Years Eve,
oh, we go
to lunch together just about every day
that we work together.
We go into the Mardi Gras Ball together in
just a few weeks.
We went last year.
This year I'll be able to dance, because I
have a new kidney and more energy.
>> It's, it's just heartwarming and
beautiful to, you
know, witness have the privilege of
witnessing that sort of,
great moment in, in the human experience.
>> Most definitely, if I could regrow a
kidney every two years, I would donate.
The experience was fine.
It was not hard at all.
I was in the hospital four days.
The care I received was excellent.
The nurses were so caring, so
professional.
I''ve been telling everybody if I ever
need another surgery, I'm going to
Hopkins.
[LAUGH] I'm not staying here.
They're just the treat you with care, with
respect.
it, it's just, from the moment you walk
in, the way
they greet you at the door, and everybody
is so incredibly helpful.
>> What a hero she is because she never
wavered in this decision.
She was the strongest person I've ever
seen, and I love her so much.
I say that she gave me a kidney and I gave
her my heart.
>> She's one of these people that, you
know, for me and, and what I do,
it, it really sort of crystallizes the,
you know, the humility
of being able to help these people who are
such amazing people
get their lives back and get their health
back.
>> Okay tomorrow night we're going to.
>> My husband said post transplant I
got the Mary back that I married.
I was so full of energy when I got back
home from transplant.
I woke up at three o'clock in the morning
and cleaned out my kitchen cabinets.
>> Oh, I would.
I would do, I would do anything for Mary.
>> Anything for you.
>> And her, and her family.
>> And I feel the same about your
family.
>> I know you do.
>> I would do anything for you.
I'd give you the world, I would.
>> I know you would.
>> You know what?
I'm gonna say it on camera, I'd give you a
Kitchenaid Stand Mixer.
>> You heard that.
[LAUGH]
>> But I have to give her one now.
[LAUGH]
[MUSIC]
https://www.youtube.com/watch?v=h5NyHVjROj0
video I'll show you had it easily and
permanently stop the progression and you
can you disease
and even avoid dialysis the shocking
truth
about kidney disease if you have kidney
disease your doctor probably told you
there are many treatment options
available
except dialysis in going through the
hard the kidney transplant but that's
not true
their real solutions for stopping the
progression in even reversing your
kidney disease
you can improve your even stop your
kidney disease from progressing using a
hundred percent
on actual map is with out dialysis 100
percent on natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage kidney treatment
secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seen in
kidney disease
but if you don't use the proper dose it
won't provide your kidney with any
benefit
kidney treatment secret number four you
must avoid red meat if you suffer from
kidney problems
in France real doctors advise their
patients to avoid this food at speeds up
kidney disease
kidney treatment secret number five the
super nutrient Co q10 give significant
result in helping Kenny problems
lowering blood pressure in study
participants report a boost in energy
and focus kidney treatment secret number
six
vitamin D extends the life for your
kidneys slows down the progression of
renal diseases
improves muscle bone strength and
significantly decreases your risk
related diseases and complications and
did you now
that if your vitamin D levels in a
certain range on your blood test
increases the benefits even more if you
read the web page below
i've a few more kidney treatment secret
tips you can begin using
right now my no dialysis needed
all-natural kidney how
kidney function restoration program is a
step-by-step plan to help heal your
kidneys naturally
and safely here so to me
easing success stories eighty-five
percent improvement in the function
Regine of all the program lost 18 pounds
lessening is medication
gain back in the function four years and
still no dialysis
Jennifer was getting ready for dialysis
which she starred in my program
next visit her doctor she came back for
kidney function
has been stable ever since Vinny was
able to get kidney function back it has
been stable for six years
they need a Hari has polycystic kidney
disease and lost some his kidneys
function
the following the program and I he's
improved his kidneys has been doing well
and that's a small portion of the many
people I health avoid dialysis here my
consulting practice in New Jersey
but even after helping so many people I
wasn't satisfied
because I knew that for every person I
was able to see in my office there are
literally thousands
more who would continue to suffer
without this critical kidney healing
knowledge
that's why I've created the kidney saver
program that medical dialysis promoters
hope you'll never discover
my no dialysis new program is a
step-by-step healing program
which helps improve your kidneys
naturally easily
and with no side effects even better
when you follow the program
you'll be able to delay dialysis by
years are even decades ur
even avoid dialysis altogether like many
people have
are these natural kinney remedies diet
and supplements a hundred percent say
everything in this program is safe
natural and with good safety profiles
proven case studies and doctor
recommended many other products
including the diet supplements
and herbs have been used safely other
countries for years and in some
hospitals
in the United States this program is so
powerful this man doctor reviewed
an approved by a frolic just this
https://www.youtube.com/watch?v=2RawjNZ8Woc
Kidney Transplant: Mary's Story
[MUSIC]
Mary, she's an extraordinary person.
Every time she comes up she brings, you
know, a king
cake or some sort of nostalgic item from
New Orleans,
where she comes from, and shares that with
us.
She always sends us beads and everything
Mardi Gras
to the whole floor, to the whole
transplant unit.
She expresses her gratitude and her love
for
people in a very open and gorgeous way.
>> Alright Mary, tell us how you feel
today.
>> I feel very excited and very
blessed.
I'm gonna get a new kidney and it's, I'm
so grateful to God and I'm
so grateful to Susan because if it weren't
for Susan, I wouldn't be getting this
kidney.
Pan to Susan [LAUGH].
This is Susan.
Wave hello.
[MUSIC]
>> I've been married for probably about
a year and a half.
And I'd worked in another part of the
pharmacy.
It was at a time that, my mother had just
passed
away, probably six months prior to coming
to work in here.
I had always known that Mary had PKD, but
it was getting to the
point where she had found out, she was
gonna have to go, on dialysis.
>> My creatinine had risen that much
and my function was so down.
And I was starting to display symptoms,
tiredness, cramping just overall and I
was on the list at Ochsner Hospital in New
Orleans to receive a kidney transplant.
They after running my blood and testing it
they told me it
would be at least six years before they
found me a kidney.
>> Currently there are about 100,000
people
who are waiting for a kidney transplant.
This year, only about a fifth of those
people will receive a transplant.
There's about a 35% chance that, when you
go onto the
list, that you're not gonna live long
enough to receive a transplant.
>> I sounded hopeless over the phone.
Isn't there anything else you can do?
The nurse said that he had been to a
lecture of doctor Montgomery's in Hopkins,
had a program where they could take the
antibodies out of your blood, process
called plasmapheresis.
Immediately after, I started researching
this, got on the phone, called Hopkins,
she sent me the package, and that's how
the whole process started.
You two ought order more 25s on Monday cuz
I'm leaving at noon.
>> Yeah, we're gonna need them.
>> We got the call that said Hopkins
came back and said that I was not a
close enough match for Mary to get my
kidney,
but that I could still donate on her
behalf.
>> There are a large number of patients
who have
a willing donor, who wants to give them a
kidney,
but can't because of an incompatibility
and there're, there're
essential two types of incompatibilities
either by blood or by tissue.
And the, the pair donation or the swap
allows those donors to fulfil their desire
to
give a kidney.
Not necessarily to their loved one, but to
ensure that their loved one receives a
kidney.
>> I was told we would wait for a
match.
And Susan would have to give her kidney so
that I was going to get a kidney.
>> Most of the swaps now are done as,
as what we call chains.
And the chains are started by someone who
just comes forward
and says, I wanna donate my kidney to
anyone who needs it.
So this person doesn't have a designated
recipient.
And so that person gives to a person who
has an incompatible donor.
And then that donor gives to another
person,
and you can imagine how this chain
unfolds.
>> Right before Christmas they called,
and they told me they
had an altruistic donor, who was willing
to give a kidney.
He was a male, and we would be able to do
this in February.
And that's all I knew about my donor.
Well, after surgery, he wanted to meet me
and I wanted to meet him.
And it was wonderful meeting him.
Since then he's like my brother he calls
me sis,
I call him bro he came to my daughter's
wedding.
This is Julianne and Susan.
These two gave me the gift of life, so we
thought it
was only appropriate that they bring up
the offertory gifts at the wedding.
Whenever we go up to Baltimore, we always
get together.
He took us out to eat crab cakes, and he
is such a
selfless, wonderful young man, and I'm so
glad to have him in my life.
>> Some of these relationships have
become very durable.
And people have become really close
friends over the years.
And this, you know, certainly is true of
Mary and her donor.
And her intended donor.
All three of them.
>> We do everything together,
everything.
>> They were over here New Years Eve,
oh, we go
to lunch together just about every day
that we work together.
We go into the Mardi Gras Ball together in
just a few weeks.
We went last year.
This year I'll be able to dance, because I
have a new kidney and more energy.
>> It's, it's just heartwarming and
beautiful to, you
know, witness have the privilege of
witnessing that sort of,
great moment in, in the human experience.
>> Most definitely, if I could regrow a
kidney every two years, I would donate.
The experience was fine.
It was not hard at all.
I was in the hospital four days.
The care I received was excellent.
The nurses were so caring, so
professional.
I''ve been telling everybody if I ever
need another surgery, I'm going to
Hopkins.
[LAUGH] I'm not staying here.
They're just the treat you with care, with
respect.
it, it's just, from the moment you walk
in, the way
they greet you at the door, and everybody
is so incredibly helpful.
>> What a hero she is because she never
wavered in this decision.
She was the strongest person I've ever
seen, and I love her so much.
I say that she gave me a kidney and I gave
her my heart.
>> She's one of these people that, you
know, for me and, and what I do,
it, it really sort of crystallizes the,
you know, the humility
of being able to help these people who are
such amazing people
get their lives back and get their health
back.
>> Okay tomorrow night we're going to.
>> My husband said post transplant I
got the Mary back that I married.
I was so full of energy when I got back
home from transplant.
I woke up at three o'clock in the morning
and cleaned out my kitchen cabinets.
>> Oh, I would.
I would do, I would do anything for Mary.
>> Anything for you.
>> And her, and her family.
>> And I feel the same about your
family.
>> I know you do.
>> I would do anything for you.
I'd give you the world, I would.
>> I know you would.
>> You know what?
I'm gonna say it on camera, I'd give you a
Kitchenaid Stand Mixer.
>> You heard that.
[LAUGH]
>> But I have to give her one now.
[LAUGH]
[MUSIC]
https://www.youtube.com/watch?v=h5NyHVjROj0
Kidney Disease Diet Plan - Stage 3 Kidney Disease Diet
Kidney Disease Diet Plan
own personal experience I can deeply
understand how a person with advanced
stage kidney disease suffers on dialysis
and I want to help you avoid dialysis
and the harsh have a kidney transplant
surgery I want to help you with over 70
apps to better kidney health
in this video today after years of
proven kidney healing experience helping
myself
n my clients arm known as an expert on
kidney disease
I help people who suffer from this
horrible disease improve their key me
how
regain function even avoid or postpone
dialysis
or kidney transplant for ever medical
tests don't lie
more than a thousand people have tested
this all-natural kidney restoration
program
and their own medical results prove it's
saving their kidneys
and it is drastically improving the
quality of their lives find out where
people with kidney problems are saying
about this new
all-natural kidney healing program
kidney damage stays reduced
stage for reduced to stage 3 I follow
the diet and took the herbs and I
reverse a severity
my kidney disease from a stage 4 2003 of
the role that my results
I'll continue to take the herbs and do
the diet to help improve my kidney
function even more in the coming weeks
my life is changing for the better I'm
so happy to see my real doctor says my
kidney disease is reversing
Gladys Martinez Florida United States
no more dialysis my kidney doctor says I
don't need dialysis
I don't have headaches or daily Nanji
anymore and that is the true God sent
when I started the program
I was surprise it was easier than I
thought to make this simple changes
I needed to do to reverse my kidney
damage my medical doctor was really
surprised at my recovery with this
program
and the best part is I don't have to go
to dialysis Richard picard
from the US kidney numbers improved I
was skeptical but I had nothing to lose
I couldn't just sit around and do
nothing like my doctor suggested
they don't want me to do anything or to
take supplements play have to try
something
they just want to be awake for dialysis
this program allowed me to take control
my health
I went from a stage for to stage 3
kidney disease
it was easy to do in might be UN creat
min
anemia are all in betar Rangers mary
hall from Alameda
California even medical doctors approve
it my patient is doing better than I
could ever imagine
I've been impressed by how well research
and complete this program is
this all natural CEN the restoration
program takes into the account the
factors a kidney disease
in gives you many options and
information to help you can use returned
to their natural good how
as a medical doctor I look at the wrist
and benefits
all treatments before making a
recommendation that said
this program definitely gets my thumbs
up doctor john re
medical doctor United States in this
video
I'll show you had it easily and
permanently stop the progression and you
can you disease
and even avoid dialysis the shocking
truth
about kidney disease if you have kidney
disease your doctor probably told you
there are many treatment options
available
except dialysis in going to the hearts
have a kidney transplant but that's not
true
their real solutions for stopping the
progression in even reversing your
kidney disease
you can improve your even stop your
kidney disease from progressing using a
hundred percent
on natural methods with out dialysis 100
percent all natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage kidney treatment
secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seeming
kidney disease
but if you don't use the proper dose it
won't provide your kidney with
any benefit kidney treatment secret
number four you must avoid red meat if
you suffer from kidney problems
in France real doctors advise their
patients to avoid this food at speeds up
kidney disease
https://www.youtube.com/watch?v=O-9mjrBW5wA
Stage 3 Kidney Disease Diet
even reversing your kidney disease you
can improve your even stop your kidney
disease from progressing using a hundred
percent
on natural methods with out dialysis 100
percent on natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage kidney treatment
secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seen in
kidney disease
but if you don't use the proper dose it
won't provide your kidney with any
benefit
kidney treatment secret number four you
must avoid red meat
if you suffer from kidney problems in
France real doctors advise their
patients to avoid this food and it
speeds up kidney disease
kidney treatment secret number five the
super nutrient Co q10 give significant
result in helping Kenny problems
lowering blood pressure in study
participants reported a boost in energy
and focus kidney treatment secret number
six
vitamin D extends the life for your
kidneys slows down the progression of
renal diseases
improves muscle bone strength and
significantly decreases your risk
related diseases and complications and
did you now
that if your vitamin D levels in a
certain range on your blood test
increases the benefits even more if you
read the web page below
i've a few more kidney treatment secret
tips you can begin using
right now my no dialysis needed
all-natural kidney how
kidney function restoration program is a
step-by-step plan to help heal your
kidneys naturally
and safely here some amazing success
stories
eighty-five percent improvement in the
function Regine of all the program
lost 18 pounds lessening is medication
game back in the function
four years and still no dialysis
Jennifer
was getting ready for dialysis when she
started my program
next visit her doctor she came back for
kidney function
has been stable ever since Vinny was
able to get kidney function back it has
been stable for six years
the media Hari has polycystic kidney
disease and lost some his kidneys
function
the following the program and I he's
improved his kidneys has been doing well
and that's a small portion of the many
people I help avoid dialysis here my
consulting practice in New Jersey
but even after helping so many people I
wasn't satisfied
because I knew that for every person I
was able to see in my office there are
literally thousands
more who would continue to suffer
without this critical kidney healing
knowledge
that's why I've created the kidney saver
program that medical dialysis promoters
hope you'll never discover
my no dialysis new program is a
step-by-step healing program
which helps improve your kidneys
naturally easily and with no side
effects
even better when you follow the program
you'll be able to delay dialysis by
years err
even decades ur even avoid ounces
altogether like many people have
are these natural kinney remedies diet
and supplements a hundred percent say
everything in this program is safe
natural and with good safety profiles
proven case studies and doctor
recommended many other products
including the diet supplements
and herbs have been use a clean other
countries for years
and in some hospitals in the United
States this program is so powerful
this man doctor reviewed an approved by
Anna ProLogis
this is a wonderful program I read this
with amazement leave this can help many
people with kidney disease
I recommend it have seen the results
firsthand this program can help
anyone with renal disease doctor rod you
kramer nephrologist
I don't just want you to slow or stop
buchanan disease I want you to improve
your kidney function
quickly and with minimal fuss so for a
limited time
also throwing in five Super bonuses bike
in the house
and restoration guide is enhance with
five more customize kidney health and
wellness guides
and less plus my personal email
contactus special bonus number one
the all-natural kidney health in kidney
function restoration program diet plan
you get a 14-day easy to follow many
play with recipes
and snack
X
https://www.youtube.com/watch?v=WOzMUrH2gGc
own personal experience I can deeply
understand how a person with advanced
stage kidney disease suffers on dialysis
and I want to help you avoid dialysis
and the harsh have a kidney transplant
surgery I want to help you with over 70
apps to better kidney health
in this video today after years of
proven kidney healing experience helping
myself
n my clients arm known as an expert on
kidney disease
I help people who suffer from this
horrible disease improve their key me
how
regain function even avoid or postpone
dialysis
or kidney transplant for ever medical
tests don't lie
more than a thousand people have tested
this all-natural kidney restoration
program
and their own medical results prove it's
saving their kidneys
and it is drastically improving the
quality of their lives find out where
people with kidney problems are saying
about this new
all-natural kidney healing program
kidney damage stays reduced
stage for reduced to stage 3 I follow
the diet and took the herbs and I
reverse a severity
my kidney disease from a stage 4 2003 of
the role that my results
I'll continue to take the herbs and do
the diet to help improve my kidney
function even more in the coming weeks
my life is changing for the better I'm
so happy to see my real doctor says my
kidney disease is reversing
Gladys Martinez Florida United States
no more dialysis my kidney doctor says I
don't need dialysis
I don't have headaches or daily Nanji
anymore and that is the true God sent
when I started the program
I was surprise it was easier than I
thought to make this simple changes
I needed to do to reverse my kidney
damage my medical doctor was really
surprised at my recovery with this
program
and the best part is I don't have to go
to dialysis Richard picard
from the US kidney numbers improved I
was skeptical but I had nothing to lose
I couldn't just sit around and do
nothing like my doctor suggested
they don't want me to do anything or to
take supplements play have to try
something
they just want to be awake for dialysis
this program allowed me to take control
my health
I went from a stage for to stage 3
kidney disease
it was easy to do in might be UN creat
min
anemia are all in betar Rangers mary
hall from Alameda
California even medical doctors approve
it my patient is doing better than I
could ever imagine
I've been impressed by how well research
and complete this program is
this all natural CEN the restoration
program takes into the account the
factors a kidney disease
in gives you many options and
information to help you can use returned
to their natural good how
as a medical doctor I look at the wrist
and benefits
all treatments before making a
recommendation that said
this program definitely gets my thumbs
up doctor john re
medical doctor United States in this
video
I'll show you had it easily and
permanently stop the progression and you
can you disease
and even avoid dialysis the shocking
truth
about kidney disease if you have kidney
disease your doctor probably told you
there are many treatment options
available
except dialysis in going to the hearts
have a kidney transplant but that's not
true
their real solutions for stopping the
progression in even reversing your
kidney disease
you can improve your even stop your
kidney disease from progressing using a
hundred percent
on natural methods with out dialysis 100
percent all natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage kidney treatment
secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seeming
kidney disease
but if you don't use the proper dose it
won't provide your kidney with
any benefit kidney treatment secret
number four you must avoid red meat if
you suffer from kidney problems
in France real doctors advise their
patients to avoid this food at speeds up
kidney disease
https://www.youtube.com/watch?v=O-9mjrBW5wA
Stage 3 Kidney Disease Diet
even reversing your kidney disease you
can improve your even stop your kidney
disease from progressing using a hundred
percent
on natural methods with out dialysis 100
percent on natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage kidney treatment
secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seen in
kidney disease
but if you don't use the proper dose it
won't provide your kidney with any
benefit
kidney treatment secret number four you
must avoid red meat
if you suffer from kidney problems in
France real doctors advise their
patients to avoid this food and it
speeds up kidney disease
kidney treatment secret number five the
super nutrient Co q10 give significant
result in helping Kenny problems
lowering blood pressure in study
participants reported a boost in energy
and focus kidney treatment secret number
six
vitamin D extends the life for your
kidneys slows down the progression of
renal diseases
improves muscle bone strength and
significantly decreases your risk
related diseases and complications and
did you now
that if your vitamin D levels in a
certain range on your blood test
increases the benefits even more if you
read the web page below
i've a few more kidney treatment secret
tips you can begin using
right now my no dialysis needed
all-natural kidney how
kidney function restoration program is a
step-by-step plan to help heal your
kidneys naturally
and safely here some amazing success
stories
eighty-five percent improvement in the
function Regine of all the program
lost 18 pounds lessening is medication
game back in the function
four years and still no dialysis
Jennifer
was getting ready for dialysis when she
started my program
next visit her doctor she came back for
kidney function
has been stable ever since Vinny was
able to get kidney function back it has
been stable for six years
the media Hari has polycystic kidney
disease and lost some his kidneys
function
the following the program and I he's
improved his kidneys has been doing well
and that's a small portion of the many
people I help avoid dialysis here my
consulting practice in New Jersey
but even after helping so many people I
wasn't satisfied
because I knew that for every person I
was able to see in my office there are
literally thousands
more who would continue to suffer
without this critical kidney healing
knowledge
that's why I've created the kidney saver
program that medical dialysis promoters
hope you'll never discover
my no dialysis new program is a
step-by-step healing program
which helps improve your kidneys
naturally easily and with no side
effects
even better when you follow the program
you'll be able to delay dialysis by
years err
even decades ur even avoid ounces
altogether like many people have
are these natural kinney remedies diet
and supplements a hundred percent say
everything in this program is safe
natural and with good safety profiles
proven case studies and doctor
recommended many other products
including the diet supplements
and herbs have been use a clean other
countries for years
and in some hospitals in the United
States this program is so powerful
this man doctor reviewed an approved by
Anna ProLogis
this is a wonderful program I read this
with amazement leave this can help many
people with kidney disease
I recommend it have seen the results
firsthand this program can help
anyone with renal disease doctor rod you
kramer nephrologist
I don't just want you to slow or stop
buchanan disease I want you to improve
your kidney function
quickly and with minimal fuss so for a
limited time
also throwing in five Super bonuses bike
in the house
and restoration guide is enhance with
five more customize kidney health and
wellness guides
and less plus my personal email
contactus special bonus number one
the all-natural kidney health in kidney
function restoration program diet plan
you get a 14-day easy to follow many
play with recipes
and snack
X
https://www.youtube.com/watch?v=WOzMUrH2gGc
Foods To Avoid With Kidney Disease - Stage 4 Kidney Disease Diet
Foods To Avoid With Kidney Disease
stage 5 I was dialing Monday Wednesday
and Friday I didn't want a kidney
transplant within seven weeks my kidney
function went from nine percent stage
fire to 16% stage for and dialyzed
Tuesday and Saturday to off dialysis
within a month in mid-november dead
almost 90 was told that he's keen
efficiency was 36% on the 7th of January
2010 use new blood test results came
through and he's keeping efficiency is
now 73 percent of the same people of
dads agent have genes that efficient
you're about to learn how to reverse
your impaired kidney function and heal
your kidneys with this safe
scientifically proven unique
step-by-step guaranteed method starting
today to put it simply when your kidneys
are not working efficiently the toxins
build up in your body making you feel
more on well as time goes on there are
serious consequences to impaired kidney
function when you have impaired kidney
function or kidney disease you will be
experiencing a wide range of symptoms
the most significant being overwhelming
forty you feel absolutely exhausted even
if you haven't done anything you feel
totally drained this may be from anemia
which is a consequence of kidney disease
and can be treated changes in urination
getting up during the night to urinate
it may be funny or bubbly you may have
to go more often with less urine that
stock and smelly or with more urine that
slot swelling when your kidneys done
remove the extra fluid your feet ankles
legs face and hands can swell skin rash
and itching your kidneys remove waste
and toxins from your bloodstream when
you have impaired kidney function or
kidney disease the toxins coming out in
your skin causing a rash and itching and
if that's not enough
more distressing symptoms of kidney
disease you may be experiencing right
now
headaches disturbed sleep nausea and
vomiting restless leg syndrome chest
pain due to inflammation around the
heart bone pain and fractures decreased
sex drive in erectile dysfunction
but I'm gonna let you in on a little
secret as bad as those kidney symptoms
may same if you don't treat your cause
then your efforts will be futile that's
the key to your healing treat your cause
he'll your kidneys you are the main
causes of kidney disease diabetes one
and two this type of kidney disease is
known as diabetic nephropathy high blood
pressure if not controlled over time
high blood pressure hypertension can
cause kidney damage
glomerulonephritis this is inflammation
in damage to the kidneys filtration
system which can cause kidney failure
post infectious conditions and Lucas are
among the causes of glomerulonephritis
policy stick kidney disease
this is an hereditary disease where the
kidneys gross it's causing chronic
kidney disease ok but before moving on I
can hear you saying I thought kidney
disease was irreversible will you are
right in some respects there are no
known medical treatments for healing
chronic kidney disease however there are
a variety of treatments for the symptoms
some of these are controlling blood
sugar levels in diabetes treating
hypertension high blood pressure
medication taking diuretics to relieve
the load on the kidneys however they can
be complications with this dialysis
peritoneal dialysis dialysis through the
abdomen lining hemodialysis the blood is
circulated through a machine and claimed
before being put back into the body and
kidney transplant natural medicine on
the other hand has literally dozens of
remedies that can heal
https://www.youtube.com/watch?v=ae1lvUINf2M
Stage 4 Kidney Disease Diet
more than a thousand people have tested
this all-natural kidney restoration
program
and their own medical results prove it's
saving their kidneys and it is
drastically improving the quality of
their lives find out where people with
kidney problems are saying about this
new
on natural kidney healing program kidney
damage stage reduced
stage for reduced to stage 3 I follow
the diet and took the herbs and I
reverse a severity
my kidney disease from a stage 4 2003 of
the role that my results
I'll continue to take the herbs in do
the diet to help improve my kidney
function even more in the coming weeks
my life is changing for the better I'm
so happy to see my real doctor says my
kidney disease is reversing
Gladys Martinez Florida United States
no more dialysis my kidney doctor says I
don't need dialysis
I don't have headaches or daily nausea
anymore and that is the true God sent
when I started the program
I was surprise it was easier than I
thought to make this simple changes
I needed to do to reverse my kidney
damage I medical doctor was really
surprised at my recovery with this
program
and the best part is I don't have to go
to dialysis Richard per card
from the US kidney numbers improved I
was skeptical but I had nothing to lose
I couldn't just sit around and do
nothing like my doctor suggested
they didn't want me to do anything or to
take supplements but I have to try
something
they just want to be awake for dialysis
this program allowed me to take control
my health
I went from a stage for to stage 3
kidney disease
it was easy to do in might be UN creat
min
and anemia are all a matter ranges mary
hall
from Alameda California even medical
doctors approve it my patient is doing
better than I could ever imagine
I've been impressed by how well research
and complete this program is
this all natural CEN the restoration
program takes into the account the fact
is a kidney disease
in gives you many options and
information to help you can use returned
to their natural good how
as a medical doctor I look at the risk
and benefits all treatments before
making a recommendation
that said this program definitely gets
my thumbs up doctor john re
medical doctor United States in this
video
I'll show you had it easily and
permanently stop the progression and you
can you disease
and even avoid dialysis the shop
in truth about kidney disease if you
have kidney disease your doctor probably
told you there are many treatment
options available
except dialysis in going through the
hard the kidney transplant but that's
not true
their real solutions for stopping the
progression in even reversing your
kidney disease
you can improve your even stop your
kidney disease from progressing using a
hundred percent
on natural methods with out dialysis 100
percent on natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage kidney treatment
secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seen in
kidney disease
but if you don't use the proper dose it
won't provide your kidney with any
benefit
kidney treatment secret number four you
must avoid red meat if you suffer from
kidney problems
in France real doctors advise their
patients to avoid this food at speeds up
kidney disease
kidney treatment secret number five the
super nutrient Co q10
give significant result in helping
kidney problems lowering blood pressure
in study participants reported a boost
in energy and focus
Jimmy treatment secret number six
vitamin D extends the life for your
kidneys
slows down the progression of renal
diseases
https://www.youtube.com/watch?v=iFZPkALsEEY
stage 5 I was dialing Monday Wednesday
and Friday I didn't want a kidney
transplant within seven weeks my kidney
function went from nine percent stage
fire to 16% stage for and dialyzed
Tuesday and Saturday to off dialysis
within a month in mid-november dead
almost 90 was told that he's keen
efficiency was 36% on the 7th of January
2010 use new blood test results came
through and he's keeping efficiency is
now 73 percent of the same people of
dads agent have genes that efficient
you're about to learn how to reverse
your impaired kidney function and heal
your kidneys with this safe
scientifically proven unique
step-by-step guaranteed method starting
today to put it simply when your kidneys
are not working efficiently the toxins
build up in your body making you feel
more on well as time goes on there are
serious consequences to impaired kidney
function when you have impaired kidney
function or kidney disease you will be
experiencing a wide range of symptoms
the most significant being overwhelming
forty you feel absolutely exhausted even
if you haven't done anything you feel
totally drained this may be from anemia
which is a consequence of kidney disease
and can be treated changes in urination
getting up during the night to urinate
it may be funny or bubbly you may have
to go more often with less urine that
stock and smelly or with more urine that
slot swelling when your kidneys done
remove the extra fluid your feet ankles
legs face and hands can swell skin rash
and itching your kidneys remove waste
and toxins from your bloodstream when
you have impaired kidney function or
kidney disease the toxins coming out in
your skin causing a rash and itching and
if that's not enough
more distressing symptoms of kidney
disease you may be experiencing right
now
headaches disturbed sleep nausea and
vomiting restless leg syndrome chest
pain due to inflammation around the
heart bone pain and fractures decreased
sex drive in erectile dysfunction
but I'm gonna let you in on a little
secret as bad as those kidney symptoms
may same if you don't treat your cause
then your efforts will be futile that's
the key to your healing treat your cause
he'll your kidneys you are the main
causes of kidney disease diabetes one
and two this type of kidney disease is
known as diabetic nephropathy high blood
pressure if not controlled over time
high blood pressure hypertension can
cause kidney damage
glomerulonephritis this is inflammation
in damage to the kidneys filtration
system which can cause kidney failure
post infectious conditions and Lucas are
among the causes of glomerulonephritis
policy stick kidney disease
this is an hereditary disease where the
kidneys gross it's causing chronic
kidney disease ok but before moving on I
can hear you saying I thought kidney
disease was irreversible will you are
right in some respects there are no
known medical treatments for healing
chronic kidney disease however there are
a variety of treatments for the symptoms
some of these are controlling blood
sugar levels in diabetes treating
hypertension high blood pressure
medication taking diuretics to relieve
the load on the kidneys however they can
be complications with this dialysis
peritoneal dialysis dialysis through the
abdomen lining hemodialysis the blood is
circulated through a machine and claimed
before being put back into the body and
kidney transplant natural medicine on
the other hand has literally dozens of
remedies that can heal
https://www.youtube.com/watch?v=ae1lvUINf2M
Stage 4 Kidney Disease Diet
more than a thousand people have tested
this all-natural kidney restoration
program
and their own medical results prove it's
saving their kidneys and it is
drastically improving the quality of
their lives find out where people with
kidney problems are saying about this
new
on natural kidney healing program kidney
damage stage reduced
stage for reduced to stage 3 I follow
the diet and took the herbs and I
reverse a severity
my kidney disease from a stage 4 2003 of
the role that my results
I'll continue to take the herbs in do
the diet to help improve my kidney
function even more in the coming weeks
my life is changing for the better I'm
so happy to see my real doctor says my
kidney disease is reversing
Gladys Martinez Florida United States
no more dialysis my kidney doctor says I
don't need dialysis
I don't have headaches or daily nausea
anymore and that is the true God sent
when I started the program
I was surprise it was easier than I
thought to make this simple changes
I needed to do to reverse my kidney
damage I medical doctor was really
surprised at my recovery with this
program
and the best part is I don't have to go
to dialysis Richard per card
from the US kidney numbers improved I
was skeptical but I had nothing to lose
I couldn't just sit around and do
nothing like my doctor suggested
they didn't want me to do anything or to
take supplements but I have to try
something
they just want to be awake for dialysis
this program allowed me to take control
my health
I went from a stage for to stage 3
kidney disease
it was easy to do in might be UN creat
min
and anemia are all a matter ranges mary
hall
from Alameda California even medical
doctors approve it my patient is doing
better than I could ever imagine
I've been impressed by how well research
and complete this program is
this all natural CEN the restoration
program takes into the account the fact
is a kidney disease
in gives you many options and
information to help you can use returned
to their natural good how
as a medical doctor I look at the risk
and benefits all treatments before
making a recommendation
that said this program definitely gets
my thumbs up doctor john re
medical doctor United States in this
video
I'll show you had it easily and
permanently stop the progression and you
can you disease
and even avoid dialysis the shop
in truth about kidney disease if you
have kidney disease your doctor probably
told you there are many treatment
options available
except dialysis in going through the
hard the kidney transplant but that's
not true
their real solutions for stopping the
progression in even reversing your
kidney disease
you can improve your even stop your
kidney disease from progressing using a
hundred percent
on natural methods with out dialysis 100
percent on natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage kidney treatment
secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seen in
kidney disease
but if you don't use the proper dose it
won't provide your kidney with any
benefit
kidney treatment secret number four you
must avoid red meat if you suffer from
kidney problems
in France real doctors advise their
patients to avoid this food at speeds up
kidney disease
kidney treatment secret number five the
super nutrient Co q10
give significant result in helping
kidney problems lowering blood pressure
in study participants reported a boost
in energy and focus
Jimmy treatment secret number six
vitamin D extends the life for your
kidneys
slows down the progression of renal
diseases
https://www.youtube.com/watch?v=iFZPkALsEEY
Chronic kidney diseases and dialysis in Israel - Why Is It Important To Agressively Treat Diabetic Kidney Disease?
Chronic kidney diseases and dialysis in Israel
CKD and Dialysis in Israel
The price patients pay
Ariela is preparing her dinner.
In awe, she removes the tomato
from the plastic bag.
Today, she decided to indulge herself
with an additional slice of tomato.
This is no trivial matter.
Ariela is a kidney dialysis patient.
One extra slice of tomato
can cause her body serious damage.
If I eat it at all, I eat two slices.
That's all.
I can steal some more.
I'm having dialysis tomorrow,
it'll get cleaned.
Ariela is one of 5,500
kidney patients on dialysis in Israel.
For those not familiar
with the disease,
it's difficult to explain what
this means for the patients.
Things which are trivial
for healthy people,
are taboo for dialysis patients.
For example, passing a vegetable store
and taking a few things home.
These are unreal, amazing.
I miss touching a strawberry,
eating a banana,
but it's suicide for me,
straight to the emergency room.
So is a tomato...
and forget about a potato.
It's as toxic as a banana.
It's the same thing.
With the approaching
World Kidney Day,
disturbing data is being published
in Israel indicating an increase
in kidney diseases in recent years.
In the past five years
there has been a 50% increase
in the number of patients
waiting for kidney transplants.
At the same time there's been
a 25% decrease in kidney donations.
For kidney patients,
this means that the hope
of returning to a normal life
is growing more distant.
1,000 of them will die
by the end of the year.
For a dialysis patient
one can simply say,
that he lives life
every other day.
Four times a week...
18 hours a week.
Figure out how much
that is in a month,
that's my job here
at Kaplan Hospital.
When this is what life is about,
it's hard to find many bright sides
to hold on to.
I'm divorced,
I have two wonderful sons,
Ben and Gur
who give me the will to live.
I'm... very...
Would you like to stop for a moment?
I'm very close to them
and they're my hope for living.
One out of every 10 Israelis
will be afflicted with kidney disease
during his lifetime.
It usually starts with diabetes
or high blood pressure.
Lack of follow up and treatment
of these conditions
can result in kidney damage.
From this point to dialysis
is only a matter of time.
I think there is always
place for improvement.
There is certainly place to improve
awareness among the general public
and among family physicians
on the importance of
follow-up on kidney functions
and the appearance of protein in urea
or any other symptom.
There isn't enough control today
and exposure of all those people
who should come in for a follow-up,
not necessarily to nephrologists
but at least for continued monitoring.
It's certainly lacking and there's
definitely room for improvement.
When reaching the dialysis stage,
there's only one direction,
transplantation or death.
On the way there,
they gradually lose their livelihood
and sometimes their self respect.
During the first year of dialysis,
I used to cover my face
so that no one would see me,
no one would discover me.
I didn't want anyone to know
that I was on dialysis.
I did everything quietly, secretly.
No, I'm not sick. I'm not sick.
I kept denying it.
The shame of not having money to buy
my grandson or granddaughter an outfit
or a birthday present.
But this is not
a predetermined fate.
Today it's possible to treat
chronic kidney diseases
through early detection
and preventive treatment
in the early stages of the disease.
Proper management of the disease
can save lives.
I think that more awareness is needed
for the public to go to doctors.
People who are at risk...
it's important to clarify this matter,
who should have checkups
more often than others,
are those with a family background
of kidney diseases,
diabetes or high blood pressure,
or smokers over the age of 50,
there is a connection to the disease.
We should pay attention
to a number of parameters.
First of all, kidney functions.
Are they normal or not,
and if not, have the family physician
refer you to a nephrologist.
Check urine tests,
which are very important.
The first warning signs
appear in blood tests.
Abnormal blood tests must be
referred to a nephrologist.
I think the message is clear.
"Brought to you as a public service by
The Israel National Kidney Foundation"
WWW.INKF.ORG.IL
https://www.youtube.com/watch?v=d-1BARRYOgg
Why Is It Important To Agressively Treat Diabetic Kidney Disease?
When you develop kidney disease and it worsens,
not only do the kidney functions get worse,
but almost every other aspect of diabetes
gets worse. The kidney disease seems to be
that tipping point when the cardiovascular
system, eyes and other issues all start worsening
at a more rapid rate. Early diagnosis with
kidney disease, early aggressive management
actually has a huge effect on protecting the
rest of your body from the side effects of
diabetes.
https://www.youtube.com/watch?v=YKI2mXhk2A0
CKD and Dialysis in Israel
The price patients pay
Ariela is preparing her dinner.
In awe, she removes the tomato
from the plastic bag.
Today, she decided to indulge herself
with an additional slice of tomato.
This is no trivial matter.
Ariela is a kidney dialysis patient.
One extra slice of tomato
can cause her body serious damage.
If I eat it at all, I eat two slices.
That's all.
I can steal some more.
I'm having dialysis tomorrow,
it'll get cleaned.
Ariela is one of 5,500
kidney patients on dialysis in Israel.
For those not familiar
with the disease,
it's difficult to explain what
this means for the patients.
Things which are trivial
for healthy people,
are taboo for dialysis patients.
For example, passing a vegetable store
and taking a few things home.
These are unreal, amazing.
I miss touching a strawberry,
eating a banana,
but it's suicide for me,
straight to the emergency room.
So is a tomato...
and forget about a potato.
It's as toxic as a banana.
It's the same thing.
With the approaching
World Kidney Day,
disturbing data is being published
in Israel indicating an increase
in kidney diseases in recent years.
In the past five years
there has been a 50% increase
in the number of patients
waiting for kidney transplants.
At the same time there's been
a 25% decrease in kidney donations.
For kidney patients,
this means that the hope
of returning to a normal life
is growing more distant.
1,000 of them will die
by the end of the year.
For a dialysis patient
one can simply say,
that he lives life
every other day.
Four times a week...
18 hours a week.
Figure out how much
that is in a month,
that's my job here
at Kaplan Hospital.
When this is what life is about,
it's hard to find many bright sides
to hold on to.
I'm divorced,
I have two wonderful sons,
Ben and Gur
who give me the will to live.
I'm... very...
Would you like to stop for a moment?
I'm very close to them
and they're my hope for living.
One out of every 10 Israelis
will be afflicted with kidney disease
during his lifetime.
It usually starts with diabetes
or high blood pressure.
Lack of follow up and treatment
of these conditions
can result in kidney damage.
From this point to dialysis
is only a matter of time.
I think there is always
place for improvement.
There is certainly place to improve
awareness among the general public
and among family physicians
on the importance of
follow-up on kidney functions
and the appearance of protein in urea
or any other symptom.
There isn't enough control today
and exposure of all those people
who should come in for a follow-up,
not necessarily to nephrologists
but at least for continued monitoring.
It's certainly lacking and there's
definitely room for improvement.
When reaching the dialysis stage,
there's only one direction,
transplantation or death.
On the way there,
they gradually lose their livelihood
and sometimes their self respect.
During the first year of dialysis,
I used to cover my face
so that no one would see me,
no one would discover me.
I didn't want anyone to know
that I was on dialysis.
I did everything quietly, secretly.
No, I'm not sick. I'm not sick.
I kept denying it.
The shame of not having money to buy
my grandson or granddaughter an outfit
or a birthday present.
But this is not
a predetermined fate.
Today it's possible to treat
chronic kidney diseases
through early detection
and preventive treatment
in the early stages of the disease.
Proper management of the disease
can save lives.
I think that more awareness is needed
for the public to go to doctors.
People who are at risk...
it's important to clarify this matter,
who should have checkups
more often than others,
are those with a family background
of kidney diseases,
diabetes or high blood pressure,
or smokers over the age of 50,
there is a connection to the disease.
We should pay attention
to a number of parameters.
First of all, kidney functions.
Are they normal or not,
and if not, have the family physician
refer you to a nephrologist.
Check urine tests,
which are very important.
The first warning signs
appear in blood tests.
Abnormal blood tests must be
referred to a nephrologist.
I think the message is clear.
"Brought to you as a public service by
The Israel National Kidney Foundation"
WWW.INKF.ORG.IL
https://www.youtube.com/watch?v=d-1BARRYOgg
Why Is It Important To Agressively Treat Diabetic Kidney Disease?
When you develop kidney disease and it worsens,
not only do the kidney functions get worse,
but almost every other aspect of diabetes
gets worse. The kidney disease seems to be
that tipping point when the cardiovascular
system, eyes and other issues all start worsening
at a more rapid rate. Early diagnosis with
kidney disease, early aggressive management
actually has a huge effect on protecting the
rest of your body from the side effects of
diabetes.
https://www.youtube.com/watch?v=YKI2mXhk2A0
Chronic Kidney Disease Diet - Educator from Kidney Smart explains diabetes and link with kidney disease
Chronic Kidney Disease Diet
up the progression and you can you
disease and even avoid dialysis
the shocking truth about kidney disease
if you have kidney disease
your doctor probably told you there are
many treatment options available
except dialysis in going through the
horrors of the kidney transplant but
that's not true
their real solutions for stopping the
progression in even reversing your
kidney disease
you can improve your even stop your
kidney disease from progressing using a
hundred percent
on natural methods with out dialysis 100
percent on natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage kidney treatment
secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seen in
kidney disease
but he don't use a proper dose it won't
provide your kidney with any benefit
Jimmy treatment secret number four you
must avoid red meat
if you suffer from kidney problems in
France real doctors advise their
patients to avoid this food and it
speeds up kidney disease
kidney treatment secret number five the
super nutrient Co q10 give significant
result in helping kidney problems
lowering blood pressure in study
participants reported a boost in energy
and focus kidney treatment secret number
six
vitamin D extends the life for your
kidneys slows down the progression of
renal diseases
improves muscle bone strength and
significantly decreases your risk
related diseases and complications and
did you now
that if your vitamin D levels at a
certain range on your blood test
increases the benefits even more if you
read the web page below
i've a few more kidney treatment secret
tips you can begin using
right now my no dialysis needed all
natural to me how
in kidney function restoration program
is a step-by-step plan to help heal your
kidneys naturally
and safely here's some amazing success
stories
eighty-five percent improvement in the
function
Regine of all the program lost 18 pounds
lessening is medication game back in the
function
four years and still no dialysis
Jennifer
was getting ready for dialysis when she
started my program next visit her doctor
she came back for kidney function has
been stable ever since
Vinny was able to get kidney function
back it has been stable for six years
they need a Hari has polycystic kidney
disease and lost some his kidneys
function
the following the program and I he's
improved his kidneys has been doing well
and that's a small portion of the many
people i helped avoid dialysis here my
consulting practice in New Jersey
but even after helping so many people I
wasn't satisfied
because I knew that for every person I
was able to see in my office there are
literally thousands
more who would continue to suffer
without this critical kidney healing
knowledge
that's why I've created the kidney saver
program that medical dialysis promoters
hope you'll never discover
my no dialysis new program is a
step-by-step healing program
which helps improve your kidneys
naturally easily
and with no side effects even better
when you follow the program
you'll be able to delay dialysis by
years are even decades ur
even avoid ounces altogether like many
people have
are these natural kinney remedies diet
and supplements a hundred percent say
everything in this program is safe
natural and with good safety profiles
proven case studies and doctor
recommended many other products
including the diet supplements
and herbs have been used safely other
countries for years
and in some hospitals in the United
States this program is so powerful
this man doctor review
https://www.youtube.com/watch?v=M4sQXORRapQ
Educator from Kidney Smart explains diabetes and link with kidney disease
VICE PRESIDENT UNDER MARCO RUBIO
.
NOVEMBER IS NATIONAL
DIABETES MONTH.
TREATMENT AND LIFESTYLE CHANGES
CAN LEAD TO A HEALTHIER LIFE.
HERE IS DIETITIAN WITH MORE.
I WORK IN KIDNEY DISEASE AND
DIABETES IS THE LEADING CAUSE
FOR KITTY DECIDE -- TO THE
DISEASE.
WHAT OF THE FIRST SIGNS?
PEOPLE TEND TO BE THURSDAY AND
UNEXPLAINED WEIGHT LOSS.
IS IT HEREDITARY?
IT CAN BE A LOT OF DIFFERENT
THINGS.
THERE IS THE HEREDITARY
CONNECTION, BUT OBESITY PLAYS A
ROLE, THERE IS A LOT OF
DIFFERENT THINGS.
HOW IS KIDNEYS CONNECTED?
DIABETES IS ONE OF THE
LEADING CAUSES OF KIDNEY
DISEASE.
SOME PEOPLE DON'T EVEN KNOW IT.
THE KIDNEYS ARE AFFECTED WITH
HIGH BLOOD SUGAR.
SO WHEN SOMEONE HAS ELEVATED
BLOOD SUGAR, THAT HAS HOW THE
BLOOD IS FLOWING THROUGH THE
SMALL VESSELS AND THAT CAN
CREATE KIDNEY DAMAGE.
TELL ME ABOUT THE TYPES.
TYPE I YOUR PANCREAS ISN'T
CREATING IT SO YOUR BLOOD SUGAR
IS HIGH AND YOU HAVE TO TAKE
INSULIN TO LOWER IT.
TYPE II IS SOMETIMES INSULIN
RESISTANT SO THE INSULIN YOU
MIGHT BE CREATING SOME AND NOT
ENOUGH. SO IT'S NOT WORKING THE
WAY IT SHOULD.
DO YOU HAVE DIABETES FOREVER
?
IT CAN GO INTO REMISSION.
I KNOW SOME PEOPLE WHO TOOK
CARE OF THEMSELVES AND MAKE
LIFESTYLE CHANGES AND IT BECAME
UNDER CONTROL. SO THERE ARE A
LOT OF THINGS YOU CAN DO BUT
YOU ARE AT ADVANCE RISK.
WHAT SHOULD WE DO TO AVOID
DIABETES?
I WORK IN KIDNEY DISEASE.
BEING EDUCATED IS IMPORTANT.
WHEN YOU ARE LOOKING FOR
INFORMATION, LOOK AT THE RISK
FACTORS.
MAKE SURE YOU ARE TAKING CARE
CURRENT DIET AND GOING TO THE
DOCTOR.
LEARN WHAT YOUR LAB VALUES ARE.
WE HAVE THE WEBSITE WE CAN GET
INFORMATION ON DIABETES AND
TAKING CARE OF YOURSELF.
TELL US ABOUT THE DIALYSIS
FINDER.
LIKE I SAID, ONE IN THREE
PEOPLE WITH DIABETES HAVE
KIDNEY DISEASE.
ONE IN 10 AMERICANS HAVE IT.
HOW MANY DON'T KNOW?
A LOT.
UNTIL IT GETS FAR GONE.
CHRONIC ANY DISEASE HAS FIVE
STAGES.
IT IS A LONG-TERM CONDITION.
PEOPLE GET TO STAGE V WHICH IS
AND STAGE.
-- END STAGE.
HOW FRUSTRATING IS THIS FOR
THE PEOPLE WHO HAVE IT?
WHEN YOU ARE PROACTIVE ABOUT
EDGING KIDDING -- EDUCATING
YOURSELF YOU CAN GO ONLINE AND
THE CRAZY SERVICES -- LOOK FOR
THESE SERVICES.
EVERY FACILITY IN THE COUNTRY
IS LOOKED AT FOR PATIENT
OUTCOMES.
PUTTING IT INTO A DATABASE AND
CREATING A CAR.
THEY RATE EVERY CENTER ON A
FIVE-STAR SCALE. YOU CAN LOOK
UP THE CENTERS AND FIND A FIVE-
STAR. EVERY SINGLE CLINIC IS
HELD TO GOVERNMENT STANDARDS.
BUT YOU DO WANT TO TRY TO FIND
THE BEST ONE YOU CAN.
https://www.youtube.com/watch?v=pL3Lzgr6qTM
up the progression and you can you
disease and even avoid dialysis
the shocking truth about kidney disease
if you have kidney disease
your doctor probably told you there are
many treatment options available
except dialysis in going through the
horrors of the kidney transplant but
that's not true
their real solutions for stopping the
progression in even reversing your
kidney disease
you can improve your even stop your
kidney disease from progressing using a
hundred percent
on natural methods with out dialysis 100
percent on natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage kidney treatment
secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seen in
kidney disease
but he don't use a proper dose it won't
provide your kidney with any benefit
Jimmy treatment secret number four you
must avoid red meat
if you suffer from kidney problems in
France real doctors advise their
patients to avoid this food and it
speeds up kidney disease
kidney treatment secret number five the
super nutrient Co q10 give significant
result in helping kidney problems
lowering blood pressure in study
participants reported a boost in energy
and focus kidney treatment secret number
six
vitamin D extends the life for your
kidneys slows down the progression of
renal diseases
improves muscle bone strength and
significantly decreases your risk
related diseases and complications and
did you now
that if your vitamin D levels at a
certain range on your blood test
increases the benefits even more if you
read the web page below
i've a few more kidney treatment secret
tips you can begin using
right now my no dialysis needed all
natural to me how
in kidney function restoration program
is a step-by-step plan to help heal your
kidneys naturally
and safely here's some amazing success
stories
eighty-five percent improvement in the
function
Regine of all the program lost 18 pounds
lessening is medication game back in the
function
four years and still no dialysis
Jennifer
was getting ready for dialysis when she
started my program next visit her doctor
she came back for kidney function has
been stable ever since
Vinny was able to get kidney function
back it has been stable for six years
they need a Hari has polycystic kidney
disease and lost some his kidneys
function
the following the program and I he's
improved his kidneys has been doing well
and that's a small portion of the many
people i helped avoid dialysis here my
consulting practice in New Jersey
but even after helping so many people I
wasn't satisfied
because I knew that for every person I
was able to see in my office there are
literally thousands
more who would continue to suffer
without this critical kidney healing
knowledge
that's why I've created the kidney saver
program that medical dialysis promoters
hope you'll never discover
my no dialysis new program is a
step-by-step healing program
which helps improve your kidneys
naturally easily
and with no side effects even better
when you follow the program
you'll be able to delay dialysis by
years are even decades ur
even avoid ounces altogether like many
people have
are these natural kinney remedies diet
and supplements a hundred percent say
everything in this program is safe
natural and with good safety profiles
proven case studies and doctor
recommended many other products
including the diet supplements
and herbs have been used safely other
countries for years
and in some hospitals in the United
States this program is so powerful
this man doctor review
https://www.youtube.com/watch?v=M4sQXORRapQ
Educator from Kidney Smart explains diabetes and link with kidney disease
VICE PRESIDENT UNDER MARCO RUBIO
.
NOVEMBER IS NATIONAL
DIABETES MONTH.
TREATMENT AND LIFESTYLE CHANGES
CAN LEAD TO A HEALTHIER LIFE.
HERE IS DIETITIAN WITH MORE.
I WORK IN KIDNEY DISEASE AND
DIABETES IS THE LEADING CAUSE
FOR KITTY DECIDE -- TO THE
DISEASE.
WHAT OF THE FIRST SIGNS?
PEOPLE TEND TO BE THURSDAY AND
UNEXPLAINED WEIGHT LOSS.
IS IT HEREDITARY?
IT CAN BE A LOT OF DIFFERENT
THINGS.
THERE IS THE HEREDITARY
CONNECTION, BUT OBESITY PLAYS A
ROLE, THERE IS A LOT OF
DIFFERENT THINGS.
HOW IS KIDNEYS CONNECTED?
DIABETES IS ONE OF THE
LEADING CAUSES OF KIDNEY
DISEASE.
SOME PEOPLE DON'T EVEN KNOW IT.
THE KIDNEYS ARE AFFECTED WITH
HIGH BLOOD SUGAR.
SO WHEN SOMEONE HAS ELEVATED
BLOOD SUGAR, THAT HAS HOW THE
BLOOD IS FLOWING THROUGH THE
SMALL VESSELS AND THAT CAN
CREATE KIDNEY DAMAGE.
TELL ME ABOUT THE TYPES.
TYPE I YOUR PANCREAS ISN'T
CREATING IT SO YOUR BLOOD SUGAR
IS HIGH AND YOU HAVE TO TAKE
INSULIN TO LOWER IT.
TYPE II IS SOMETIMES INSULIN
RESISTANT SO THE INSULIN YOU
MIGHT BE CREATING SOME AND NOT
ENOUGH. SO IT'S NOT WORKING THE
WAY IT SHOULD.
DO YOU HAVE DIABETES FOREVER
?
IT CAN GO INTO REMISSION.
I KNOW SOME PEOPLE WHO TOOK
CARE OF THEMSELVES AND MAKE
LIFESTYLE CHANGES AND IT BECAME
UNDER CONTROL. SO THERE ARE A
LOT OF THINGS YOU CAN DO BUT
YOU ARE AT ADVANCE RISK.
WHAT SHOULD WE DO TO AVOID
DIABETES?
I WORK IN KIDNEY DISEASE.
BEING EDUCATED IS IMPORTANT.
WHEN YOU ARE LOOKING FOR
INFORMATION, LOOK AT THE RISK
FACTORS.
MAKE SURE YOU ARE TAKING CARE
CURRENT DIET AND GOING TO THE
DOCTOR.
LEARN WHAT YOUR LAB VALUES ARE.
WE HAVE THE WEBSITE WE CAN GET
INFORMATION ON DIABETES AND
TAKING CARE OF YOURSELF.
TELL US ABOUT THE DIALYSIS
FINDER.
LIKE I SAID, ONE IN THREE
PEOPLE WITH DIABETES HAVE
KIDNEY DISEASE.
ONE IN 10 AMERICANS HAVE IT.
HOW MANY DON'T KNOW?
A LOT.
UNTIL IT GETS FAR GONE.
CHRONIC ANY DISEASE HAS FIVE
STAGES.
IT IS A LONG-TERM CONDITION.
PEOPLE GET TO STAGE V WHICH IS
AND STAGE.
-- END STAGE.
HOW FRUSTRATING IS THIS FOR
THE PEOPLE WHO HAVE IT?
WHEN YOU ARE PROACTIVE ABOUT
EDGING KIDDING -- EDUCATING
YOURSELF YOU CAN GO ONLINE AND
THE CRAZY SERVICES -- LOOK FOR
THESE SERVICES.
EVERY FACILITY IN THE COUNTRY
IS LOOKED AT FOR PATIENT
OUTCOMES.
PUTTING IT INTO A DATABASE AND
CREATING A CAR.
THEY RATE EVERY CENTER ON A
FIVE-STAR SCALE. YOU CAN LOOK
UP THE CENTERS AND FIND A FIVE-
STAR. EVERY SINGLE CLINIC IS
HELD TO GOVERNMENT STANDARDS.
BUT YOU DO WANT TO TRY TO FIND
THE BEST ONE YOU CAN.
https://www.youtube.com/watch?v=pL3Lzgr6qTM
ICD 9 Coding — Coding Hypertension and Chronic Kidney Disease - Chronic Kidney Disease Treatment
ICD 9 Coding â€" Coding Hypertension and Chronic Kidney Disease
Alright, hypertension and chronic kidney disease.
ThatÃs AliciaÃs. I guess IÃll bring that
answer sheet up.
Alicia: Yeah. And you know what? You guys,
I just took a class on this so itÃs very
exciting. I just feel like my little spongy
brain has absorbed all kinds of information
and it was a lot of fun. IÃve struggled with
this too.
So hypertension, abbreviated HTN if you guys
didnÃt know that you know, what is hypertensive
disease? And itÃs so broad that you know,
you canÃt really define it per se. But the
main thing about hypertension is you want
to know is it essential or primary hypertension?
OkayÖ and itÃs going to mean, is there no
underlying condition that is causing the blood
pressure to increase? Okay so what percentage
do you think is essential or primary hypertension?
In fact, 95% is essential and unless blood
pressure readings are very high, efforts to
control blood pressure are usually based on
things thatÖ you can just change in your
lifestyle. You know, you can lose weight.
You can exercise. You can you know, reduce
your salt. You know, reduce your stress. Only
10% have a secondary hypertension which would
be under category 405.
So probably the first codeÖ I always laugh
because the first code that most new coders
learn is 401.9 because you see it a lot especially
if youÃre coding for Medicare patients. Everybody
seems to have hypertension. So letÃs see,
the physician must document if the patientÃs
hypertension is benign or malignant in order
to get your 4th digit. Okay so if it doesnÃt
say whether itÃs benign or malignant then
you have to use 401.9 which, by the way, translates
in ICD 10 as I10 which I think is kind of
fun. So now you already know an ICD 10 code.
Okay so what would you code if you have a
diagnosis of elevated blood pressure without
a diagnosis of hypertension? ThatÃs something
else. ThatÃs actually 796.2 which reads elevated
blood pressure, reading without diagnosis
of hypertension. Okay, what if you have an
encounter of elevated blood pressure and then
the patientÃs taking Benicar and they refill
their Benicar for 3 months you know, what
would you use? YouÃre actually going to use
the 401.9 because Benicar is used to control
hypertension. So that way, it says elevated
blood pressure. YouÃre not going to use that
796.2. TheyÃre actually treating them for
hypertension so you would use the 401.9.
Okay, we need to make sure that the patient
has hypertension from the documentation in
order to code the hypertension though. So
as we scroll down, these are the key ones
that you need to know in order to code 401.1.
It has to say itÃs benign hypertension. In
order for it to be 401.0, it has to be malignant
in the documentation. And if it doesnÃt state
whether itÃs benign or malignant then youÃre
going to default to 401.9. And for you new
coders out there, theyÃre just starting to
go through the codes. If something ends in
a 9 in ICD 9, it usually means itÃs unspecified.
Okay, thatÃs yourÖ youÃll notice that as
you go along.
Now for your chronic kidney disease, the CKD.
So some diagnoses have to be supported with
link you know, they have to link in likeÖ
you have hypertension and CAD then you know,
they have toÖ the doctor has to specifically
say that theyÃre linked for you to be able
to code certain codes. But with hypertension
and CKD, you donÃt have to have support.
So in other words, theyÃre saying if the
patient has a chronic kidney disease and they
have hypertension, youÃre going to go to
your hypertensive table and use those codes.
So as we scroll down to CKD for our next page,
assign codes from category 4 or 3, hypertensive
chronic kidney disease when conditions classified
to category 585 or 587 or present with hypertension.
Now, that may sound kind of scary to new coders
but 585 is the code forÖ is the main code
for chronic kidney disease. Okay so thatÃs
what theyÃre saying that if your patient
has hypertension and chronic kidney disease,
youÃre not going to use a 401 code. YouÃre
going to use a 403 code and then youÃre going
to get the proper kidney disease code.
Okay, unlike hypertension, like I said before
with heart disease where it has to say the
patient has heart disease and itÃs hypertensive
heart disease you know, it has to say due
to or all that terminology to link it, you
donÃt have to do that with CKD. Okay, the
appropriate code, 585 is for chronic kidney
disease and it is aÖ it should be your secondary.
So when you get into the primary and the secondaryÖ
so letÃs say you know, it states person has
hypertensive chronic kidney disease. The 585
is going to go second and the 403 will go
first and your guidelines in your manual tell
you this. You donÃt have to memorize it.
So youÃll use the 403 to identify that itÃs
hypertensive. The CKD unspecified includes
these things: chronic renal disease, chronic
renal failure ñ not otherwise specified or
chronic renal insufficiency. That all means
CKD. Okay so as youÃre going through terminology
and your anatomy and physiology courses and
stuff like that then youÃll start seeing
these other terms and youÃll know thatÃs
all chronic kidney disease. ItÃs all lumped
under that umbrella. Okay so acute and not
otherwise specified renal insufficiency remains
classified as 593.9, just throwing that in
there.
Okay so if a specific CKD or end stage renal
disease are both documented, you code only
the end stage renal disease. ThatÃsÖ but
your guidelines tell you that in the book
so you donÃt have to worry about memorizing
that.
So hereÃs your little reminder: hypertension
in CKD presumes that the cause and effect
relationship, the HTN and the CKD are going
to be 403.90 and 585.9. The 585 is kind of
nice because itÃs kidney disease and there
are stages for it. And stage 1 is like 1 or
stage 3 is .3, .9 is unspecified.
So I think is that the last of the page? I
think thereÃs a poll for that where I gave
an example of a question. There you go.
So patient seen today for review of his hypertension.
Oh, thatÃs not all the question. But letÃs
say its date. Patient was seen today for review
of his hypertension and is to continue his
medication for chronic kidney disease stage
3. Okay so it said that so now you know. HeÃs
got chronic kidney disease stage 3 which is
585.3. You donÃt have to guess, I told you
thatÃs the right answer. But what are we
going to do with the hypertension? YouÃve
got 401.1 which is benign, 401.9 which is
essential, 403.90 which isÖ I have to see
the hypertensive table to see what itÃs actually
called. But 403.10 is benign hypertension
associated with CKD. So 403.90 off the top
of my head is hypertension with chronic kidney
disease. If we had the hypertension table,
weÃll show you that.
Laureen: Do you see it?
Alicia: The hypertension table? Do you have
it?
Laureen: I did. Oh you donÃt maybe because
the pollÃs going on. You canÃt see it.
Alicia: Oh yeah. So if I give you that information,
real quick, which one do you think that youÃre
going to pick? You have to have your terminology.
So patient was seen today for review of his
hypertension. He is to continue his meds for
his stage 3 chronic kidney disease.
Boyd: This oneÃs taking a little time, huh?
Alicia: Yeah, just guess.
Boyd: 50% voted now.
Alicia: ThatÃs probably good.
Boyd: 62, okay great. IÃm going to go and
close it in 3, 2, 1Ö 70% voted. Great, guys.
Thank you. And closing the poll and showing
the poll.
Alicia: YouÃre right. 403.90 because in the
hypertension table, that is the unspecified,
whether benign or malignant hypertension when
a person has chronic kidney disease. Whereas
the 403.10 was benign, I believe, hypertension
when the person has chronic kidney disease.
And youÃre not going to use the 401.1 because
thatÃs benign and 401.9 is unspecified. But
when you use your hypertension table which
is in the middle of the index under the HÃs,
itÃs before your poison control table, itÃs
going to tell you that if your person has
hypertension and then theyÖ it says ìwith
chronic kidney diseaseî youÃre going to
use these codes. It works just like that poison
control table that we used in previous webinars.
Laureen: Alright, great. But did you need
to show anything in the hypertension table?
Alicia: There you go, guys. See real quick
there? Now if you look down, this is all the
different hypertension codes. Look up at the
top. You got malignant, 401.0. 401.1 is benign.
401.9 is unspecified. Then you go down and
you find your person has chronic kidney disease.
So youÃre going to scroll down until you
findÖ oh right there, with chronic kidney
disease. You know your person has stage 3
so 1 through 4 or unspecified. So thereÃs
your choices, 403.00, 403.10 and 403.90. Oh,
doesnÃt LaureenÃs nails look nice. And since
benign was not mentioned, you cannot use the
403.00 and the 403.10. It is unspecified,
403.90.
https://www.youtube.com/watch?v=1pqaapHRqBM
Chronic Kidney Disease Treatment
ad choices you're prone to have are
everywhere you get a myriad of choices
in front of you
that are most often harmful be a kidney
health
among them are hit in sugary foods
salty foods unregulated protein content
and fluid late in foods
everything that you're not supposed to
take
however let me tell you a fact
it's not your fault you didn't know any
better
or even if you did there's no clear-cut
guide to help you implement it and make
sure you stick to it and tell your
kidneys get back exhaust tell
we will change all that
know you're here because you're smart
and your proactive enough to make
changes in your life to achieve great
health and well-being
and get your loved ones that he's about
your health so let me ask you
would you like to get a clear-cut guide
on what to eat
while not being alienated in the dining
table and still
eat together with your family
would you rather not worry about the
foodie later
tomorrow or next week
do you get bored about the food you eat
and feel like you eat the same things
over and over again
how great would it be to have a kidney
dieting solution that will give you the
fundamental things you need to be able
to eat the right kidney foods
get a collection of easy recipes and
cooking tips money-saving grocery tips
and a regular email follow up so you can
be guided along the way
I'm pretty share I've got the right
solution for you
it's called that kidney diet secrets
it's a kidney diet guide that will help
you get up to speed with
everything you need to know about your
specific disease and align it with what
you should eat
the tips you'll get from here will help
you get started as early as your next
meal
and plan the following a week in advance
the recipes and instructions are very
easy to do
you can get started cooking tasty meals
in a breeze with it
no special cooking skills I needed
and by the next time you go to the
grocery you'll be able to get healthier
food choices
further the tips that you will get in a
four-week e-newsletter
are filled with money saving tips
helpful advice
and important resources that will help
you stick to the program as dead simple
as they can get
in this kidney diet guide and cookbook
you will not find
any other following
high-protein meals that are deadly for
your kidneys
high potassium foods their maker kidneys
even sicker
high fluid intakes they give the kidneys
heavier workloads
high phosphorus content they're hard to
excrete from the kidneys
here's what you will find instead
for appetizers and snacks
onion bagel chips
oriental egg rolls
holiday eggnog
turkey kabobs
kidney healthy snack trail mix
for breakfast kidney healthy french
toast
hooted oat pancakes
Mexican brunch eggs
for soups and salads chile con Canara
cottage cheese salad
Cranberry Salad
mango oriental salad
for meat entrees
bait al a bit
Cajun pork chops
grilled chicken with sesame
grill marinated beef steak
https://www.youtube.com/watch?v=BI6kIpDoXgY
Alright, hypertension and chronic kidney disease.
ThatÃs AliciaÃs. I guess IÃll bring that
answer sheet up.
Alicia: Yeah. And you know what? You guys,
I just took a class on this so itÃs very
exciting. I just feel like my little spongy
brain has absorbed all kinds of information
and it was a lot of fun. IÃve struggled with
this too.
So hypertension, abbreviated HTN if you guys
didnÃt know that you know, what is hypertensive
disease? And itÃs so broad that you know,
you canÃt really define it per se. But the
main thing about hypertension is you want
to know is it essential or primary hypertension?
OkayÖ and itÃs going to mean, is there no
underlying condition that is causing the blood
pressure to increase? Okay so what percentage
do you think is essential or primary hypertension?
In fact, 95% is essential and unless blood
pressure readings are very high, efforts to
control blood pressure are usually based on
things thatÖ you can just change in your
lifestyle. You know, you can lose weight.
You can exercise. You can you know, reduce
your salt. You know, reduce your stress. Only
10% have a secondary hypertension which would
be under category 405.
So probably the first codeÖ I always laugh
because the first code that most new coders
learn is 401.9 because you see it a lot especially
if youÃre coding for Medicare patients. Everybody
seems to have hypertension. So letÃs see,
the physician must document if the patientÃs
hypertension is benign or malignant in order
to get your 4th digit. Okay so if it doesnÃt
say whether itÃs benign or malignant then
you have to use 401.9 which, by the way, translates
in ICD 10 as I10 which I think is kind of
fun. So now you already know an ICD 10 code.
Okay so what would you code if you have a
diagnosis of elevated blood pressure without
a diagnosis of hypertension? ThatÃs something
else. ThatÃs actually 796.2 which reads elevated
blood pressure, reading without diagnosis
of hypertension. Okay, what if you have an
encounter of elevated blood pressure and then
the patientÃs taking Benicar and they refill
their Benicar for 3 months you know, what
would you use? YouÃre actually going to use
the 401.9 because Benicar is used to control
hypertension. So that way, it says elevated
blood pressure. YouÃre not going to use that
796.2. TheyÃre actually treating them for
hypertension so you would use the 401.9.
Okay, we need to make sure that the patient
has hypertension from the documentation in
order to code the hypertension though. So
as we scroll down, these are the key ones
that you need to know in order to code 401.1.
It has to say itÃs benign hypertension. In
order for it to be 401.0, it has to be malignant
in the documentation. And if it doesnÃt state
whether itÃs benign or malignant then youÃre
going to default to 401.9. And for you new
coders out there, theyÃre just starting to
go through the codes. If something ends in
a 9 in ICD 9, it usually means itÃs unspecified.
Okay, thatÃs yourÖ youÃll notice that as
you go along.
Now for your chronic kidney disease, the CKD.
So some diagnoses have to be supported with
link you know, they have to link in likeÖ
you have hypertension and CAD then you know,
they have toÖ the doctor has to specifically
say that theyÃre linked for you to be able
to code certain codes. But with hypertension
and CKD, you donÃt have to have support.
So in other words, theyÃre saying if the
patient has a chronic kidney disease and they
have hypertension, youÃre going to go to
your hypertensive table and use those codes.
So as we scroll down to CKD for our next page,
assign codes from category 4 or 3, hypertensive
chronic kidney disease when conditions classified
to category 585 or 587 or present with hypertension.
Now, that may sound kind of scary to new coders
but 585 is the code forÖ is the main code
for chronic kidney disease. Okay so thatÃs
what theyÃre saying that if your patient
has hypertension and chronic kidney disease,
youÃre not going to use a 401 code. YouÃre
going to use a 403 code and then youÃre going
to get the proper kidney disease code.
Okay, unlike hypertension, like I said before
with heart disease where it has to say the
patient has heart disease and itÃs hypertensive
heart disease you know, it has to say due
to or all that terminology to link it, you
donÃt have to do that with CKD. Okay, the
appropriate code, 585 is for chronic kidney
disease and it is aÖ it should be your secondary.
So when you get into the primary and the secondaryÖ
so letÃs say you know, it states person has
hypertensive chronic kidney disease. The 585
is going to go second and the 403 will go
first and your guidelines in your manual tell
you this. You donÃt have to memorize it.
So youÃll use the 403 to identify that itÃs
hypertensive. The CKD unspecified includes
these things: chronic renal disease, chronic
renal failure ñ not otherwise specified or
chronic renal insufficiency. That all means
CKD. Okay so as youÃre going through terminology
and your anatomy and physiology courses and
stuff like that then youÃll start seeing
these other terms and youÃll know thatÃs
all chronic kidney disease. ItÃs all lumped
under that umbrella. Okay so acute and not
otherwise specified renal insufficiency remains
classified as 593.9, just throwing that in
there.
Okay so if a specific CKD or end stage renal
disease are both documented, you code only
the end stage renal disease. ThatÃsÖ but
your guidelines tell you that in the book
so you donÃt have to worry about memorizing
that.
So hereÃs your little reminder: hypertension
in CKD presumes that the cause and effect
relationship, the HTN and the CKD are going
to be 403.90 and 585.9. The 585 is kind of
nice because itÃs kidney disease and there
are stages for it. And stage 1 is like 1 or
stage 3 is .3, .9 is unspecified.
So I think is that the last of the page? I
think thereÃs a poll for that where I gave
an example of a question. There you go.
So patient seen today for review of his hypertension.
Oh, thatÃs not all the question. But letÃs
say its date. Patient was seen today for review
of his hypertension and is to continue his
medication for chronic kidney disease stage
3. Okay so it said that so now you know. HeÃs
got chronic kidney disease stage 3 which is
585.3. You donÃt have to guess, I told you
thatÃs the right answer. But what are we
going to do with the hypertension? YouÃve
got 401.1 which is benign, 401.9 which is
essential, 403.90 which isÖ I have to see
the hypertensive table to see what itÃs actually
called. But 403.10 is benign hypertension
associated with CKD. So 403.90 off the top
of my head is hypertension with chronic kidney
disease. If we had the hypertension table,
weÃll show you that.
Laureen: Do you see it?
Alicia: The hypertension table? Do you have
it?
Laureen: I did. Oh you donÃt maybe because
the pollÃs going on. You canÃt see it.
Alicia: Oh yeah. So if I give you that information,
real quick, which one do you think that youÃre
going to pick? You have to have your terminology.
So patient was seen today for review of his
hypertension. He is to continue his meds for
his stage 3 chronic kidney disease.
Boyd: This oneÃs taking a little time, huh?
Alicia: Yeah, just guess.
Boyd: 50% voted now.
Alicia: ThatÃs probably good.
Boyd: 62, okay great. IÃm going to go and
close it in 3, 2, 1Ö 70% voted. Great, guys.
Thank you. And closing the poll and showing
the poll.
Alicia: YouÃre right. 403.90 because in the
hypertension table, that is the unspecified,
whether benign or malignant hypertension when
a person has chronic kidney disease. Whereas
the 403.10 was benign, I believe, hypertension
when the person has chronic kidney disease.
And youÃre not going to use the 401.1 because
thatÃs benign and 401.9 is unspecified. But
when you use your hypertension table which
is in the middle of the index under the HÃs,
itÃs before your poison control table, itÃs
going to tell you that if your person has
hypertension and then theyÖ it says ìwith
chronic kidney diseaseî youÃre going to
use these codes. It works just like that poison
control table that we used in previous webinars.
Laureen: Alright, great. But did you need
to show anything in the hypertension table?
Alicia: There you go, guys. See real quick
there? Now if you look down, this is all the
different hypertension codes. Look up at the
top. You got malignant, 401.0. 401.1 is benign.
401.9 is unspecified. Then you go down and
you find your person has chronic kidney disease.
So youÃre going to scroll down until you
findÖ oh right there, with chronic kidney
disease. You know your person has stage 3
so 1 through 4 or unspecified. So thereÃs
your choices, 403.00, 403.10 and 403.90. Oh,
doesnÃt LaureenÃs nails look nice. And since
benign was not mentioned, you cannot use the
403.00 and the 403.10. It is unspecified,
403.90.
https://www.youtube.com/watch?v=1pqaapHRqBM
Chronic Kidney Disease Treatment
ad choices you're prone to have are
everywhere you get a myriad of choices
in front of you
that are most often harmful be a kidney
health
among them are hit in sugary foods
salty foods unregulated protein content
and fluid late in foods
everything that you're not supposed to
take
however let me tell you a fact
it's not your fault you didn't know any
better
or even if you did there's no clear-cut
guide to help you implement it and make
sure you stick to it and tell your
kidneys get back exhaust tell
we will change all that
know you're here because you're smart
and your proactive enough to make
changes in your life to achieve great
health and well-being
and get your loved ones that he's about
your health so let me ask you
would you like to get a clear-cut guide
on what to eat
while not being alienated in the dining
table and still
eat together with your family
would you rather not worry about the
foodie later
tomorrow or next week
do you get bored about the food you eat
and feel like you eat the same things
over and over again
how great would it be to have a kidney
dieting solution that will give you the
fundamental things you need to be able
to eat the right kidney foods
get a collection of easy recipes and
cooking tips money-saving grocery tips
and a regular email follow up so you can
be guided along the way
I'm pretty share I've got the right
solution for you
it's called that kidney diet secrets
it's a kidney diet guide that will help
you get up to speed with
everything you need to know about your
specific disease and align it with what
you should eat
the tips you'll get from here will help
you get started as early as your next
meal
and plan the following a week in advance
the recipes and instructions are very
easy to do
you can get started cooking tasty meals
in a breeze with it
no special cooking skills I needed
and by the next time you go to the
grocery you'll be able to get healthier
food choices
further the tips that you will get in a
four-week e-newsletter
are filled with money saving tips
helpful advice
and important resources that will help
you stick to the program as dead simple
as they can get
in this kidney diet guide and cookbook
you will not find
any other following
high-protein meals that are deadly for
your kidneys
high potassium foods their maker kidneys
even sicker
high fluid intakes they give the kidneys
heavier workloads
high phosphorus content they're hard to
excrete from the kidneys
here's what you will find instead
for appetizers and snacks
onion bagel chips
oriental egg rolls
holiday eggnog
turkey kabobs
kidney healthy snack trail mix
for breakfast kidney healthy french
toast
hooted oat pancakes
Mexican brunch eggs
for soups and salads chile con Canara
cottage cheese salad
Cranberry Salad
mango oriental salad
for meat entrees
bait al a bit
Cajun pork chops
grilled chicken with sesame
grill marinated beef steak
https://www.youtube.com/watch?v=BI6kIpDoXgY
Treatments For Kidney Disease - Home Remedies for Kidney Failure II घरेलू नà¥à¤¸à¥à¤–ों दà¥à¤µà¤¾à¤°à¤¾ ख़राब गà¥à¤°à¥à¤¦à¥‡ का उपचार II
Treatments For Kidney Disease
I don't have headaches or daily Nanji
anymore and that is the true God sent
when I started the program
I was surprise it was easier than I
thought to make this simple changes
I needed to do to reverse my kidney
damage my medical doctor was really
surprised at my recovery with this
program
and the best part is I don't have to go
to dialysis Richard per card
from the US kidney numbers improved I
was skeptical but I had nothing to lose
I couldn't just sit around and do
nothing like my doctor suggested
they didn't want me to do anything or
take supplements by has to try something
they just want to be awake for dialysis
this program allowed me to take control
my health
I went from a stage for to stage 3
kidney disease
it was easy to do in might be UN creat
min
and anemia are all in betar Rangers mary
hall
from Alameda California even medical
doctors approve it my patient is doing
better than I could ever imagine
I've been impressed by how well research
and complete this program is
this all natural CEN the restoration
program takes into the account the
factors a kidney disease
gives you many options and information
to help you can use returned to their
natural good how
as a medical doctor I look at the risk
and benefits all treatments before
making a recommendation
that said this program definitely gets
my thumbs up doctor john re
medical doctor United States in this
video
I'll show you had it easily and
permanently stop the progression and you
keep the disease
and even avoid dialysis the shocking
truth
about kidney disease if you have kidney
disease your doctor probably told you
there are many treatment options
available
except dialysis in going to the harsh
have a kidney transplant but that's not
true
their real solutions for stopping the
progression in even reversing your
kidney disease
you can improve your even stop your
kidney disease from progressing using a
hundred percent
on natural methods with out dialysis 100
percent on natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage
edge kidney treatment secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seen in
kidney disease
but if you don't use the proper dose it
won't provide your kidney with
any benefit kidney treatment secret
number four you must avoid red meat if
you suffer from kidney problems
in France real doctors advise their
patients to avoid this food at speeds up
kidney disease
kidney treatment secret number five the
super nutrient Co q10 give significant
result in helping kidney problems
lowering blood pressure in study
participants report a boost in energy
and focus kidney treatment secret number
six
vitamin D extends the life for your
kidneys slows down the progression of
renal diseases
improves muscle bone strength and
significantly decreases your risk
related diseases and complications and
did you now
that if your vitamin D levels in a
certain range on your blood test
increases the benefits even more if you
read the web page below
i've a few more kidney treatment secret
tips you can begin using
right now my no dialysis needed
all-natural kidney health
kidney function restoration program is a
step-by-step plan to help heal your
kidneys naturally
and safely here some amazing success
stories
eighty-five percent improvement in the
function Regine of all the program
lost 18 pounds lessening is medication
gain back in the function
four years and still no dialysis
Jennifer
was getting ready for day out is when
she started my program neck to visit her
doctor
she came back for kidney function has
been stable ever since
https://www.youtube.com/watch?v=CX9F2kWwGVA
Home Remedies for Kidney Failure II घरेलू नà¥à¤¸à¥à¤–à¥&lsqauo;ं दà¥à¤µà¤¾à¤°à¤¾ ख़राब गà¥à¤°à¥à¤¦à¥‡ का उपचार II
Welcome to health care at home
We have one of our viewer from Barcelona, he has written that his kidney is on the level of failure
and he has written that he has the responsibility of his complete family
in case we have any home remedy that he is asking
Look, of course we have home remedy and will definitely tellyou
and your kidney will be healthier with that remedy
but first of all this need to be known that why the kidney's gets failure
now day there are 2 mains reasons are for kidney failure
first is high blood pressure and second is diabetes
so you have to be careful that if you control on your sugar
as well as if you control on your blood pressure
then the chances of your kidney failure will be very less
apart from that diabetes patients should be careful for one thing
once in a year they are prescribed to get the test done of serum creatinine
which is a kidney test, if your serum creatinine is going on higher side
you taking some precaution for you is mandatory
you must start drink at least 3 or 3& 1/2 liter of water
so that your serum creatinine does not exceeds
and also not goes to the kidney failure level, as diabetes patients has the major possibilities of kidney failure
so drink lots of water, apart from that you must do one remedy
take cucumbers, 2 cucumbers and
and add 7-8 leaves of basil leaves and take out its juice
add one spoon of honey into it and consume it with empty stomach
this works like a kidney cleanser and make your kidney healthier
so people their serum creatinine is running towards 1.5 or exceeding more than 1.5
those people should start this cucumber juice
Apart from that you must consume 2-3 apples with empty stomach
with this also you will get very much relief in kidney
Now i will talk about my viewer, who has written that his serum creatinine is getting on higher level
and its kidney is almost to be failed,for them i will tell the treatment.
you have to use this remedy, take 1/2 glass of water
add 1 spoon of honey and mix it well
and add 2 spoon of cow urine into it
yes cow urine, which is easily available in sealed bottle in the market, you can check out in the market
ans empty stomach, morning and evening you have to consume it
after 3 months your level of serum creatinine, you may get once this checked again
and you will notice that your creatinine level is getting in reverse back.
or getting reduce that means your kidney is now getting healthy
people their serum creatinine level is high or people who are on the dialysis
they must take low protein, low salt and high carbohydrate value food
you can use soya protein, like you can take soya milk, tofu
along with this veg soups and seasonal fruits should be consumed
that will be good for you
one remedy i am telling you, if you will do this remedy then you will get very much of relief
what you have to do first in the morning takeout 1 glass juice of tomato
put the tomatoes into the blender and blend them
and strain it and that juice will come out add one pinch of black salt and one pinch of black pepper
you must consume this with empty stomach
you will notice that you will get so much of relief in kidney problem
Apart from that lots of more remedies are there like the hairs of corn
which is called corn silk, if you take them
and let it boil in 1 glass of water
after boling and straining if you will consume that water
then also you will find very much relief in the kidney problem.
Apart from that we have much more remedies, that i will tell you in the next episode
Rest isn't it these remedies were very easy?
Our wish is only that you stay healthy,busy, carefree and be with us.
To meet us you have to subscribe this channel. Tell to your friends and relatives to subscribe this channel.
Get the health benefits while sitting at home and support us in our motive.
Our motive is that maximum number of people stay healthy while sitting at home
Share our videos as much as you can. Thank You...
https://www.youtube.com/watch?v=fhpqs2DL3Yo
I don't have headaches or daily Nanji
anymore and that is the true God sent
when I started the program
I was surprise it was easier than I
thought to make this simple changes
I needed to do to reverse my kidney
damage my medical doctor was really
surprised at my recovery with this
program
and the best part is I don't have to go
to dialysis Richard per card
from the US kidney numbers improved I
was skeptical but I had nothing to lose
I couldn't just sit around and do
nothing like my doctor suggested
they didn't want me to do anything or
take supplements by has to try something
they just want to be awake for dialysis
this program allowed me to take control
my health
I went from a stage for to stage 3
kidney disease
it was easy to do in might be UN creat
min
and anemia are all in betar Rangers mary
hall
from Alameda California even medical
doctors approve it my patient is doing
better than I could ever imagine
I've been impressed by how well research
and complete this program is
this all natural CEN the restoration
program takes into the account the
factors a kidney disease
gives you many options and information
to help you can use returned to their
natural good how
as a medical doctor I look at the risk
and benefits all treatments before
making a recommendation
that said this program definitely gets
my thumbs up doctor john re
medical doctor United States in this
video
I'll show you had it easily and
permanently stop the progression and you
keep the disease
and even avoid dialysis the shocking
truth
about kidney disease if you have kidney
disease your doctor probably told you
there are many treatment options
available
except dialysis in going to the harsh
have a kidney transplant but that's not
true
their real solutions for stopping the
progression in even reversing your
kidney disease
you can improve your even stop your
kidney disease from progressing using a
hundred percent
on natural methods with out dialysis 100
percent on natural treatment
scientifically proven to repair kidney
damage
here just a few a bikini healing secrets
tips
you need to now kidney treatment secret
number one the delicious superfood
blueberries is loaded with special
compounds that reverses free radical
kidney cell damage
edge kidney treatment secret number two
dietary and supplemental fiber is used
by Middle Eastern doctors to clear out
poi
kinney destroying toxins reading your
kidneys are these toxins is very
important kidney treatment secret number
three
the essential fatty acid fish oil
reduces information
and corrects heart complications seen in
kidney disease
but if you don't use the proper dose it
won't provide your kidney with
any benefit kidney treatment secret
number four you must avoid red meat if
you suffer from kidney problems
in France real doctors advise their
patients to avoid this food at speeds up
kidney disease
kidney treatment secret number five the
super nutrient Co q10 give significant
result in helping kidney problems
lowering blood pressure in study
participants report a boost in energy
and focus kidney treatment secret number
six
vitamin D extends the life for your
kidneys slows down the progression of
renal diseases
improves muscle bone strength and
significantly decreases your risk
related diseases and complications and
did you now
that if your vitamin D levels in a
certain range on your blood test
increases the benefits even more if you
read the web page below
i've a few more kidney treatment secret
tips you can begin using
right now my no dialysis needed
all-natural kidney health
kidney function restoration program is a
step-by-step plan to help heal your
kidneys naturally
and safely here some amazing success
stories
eighty-five percent improvement in the
function Regine of all the program
lost 18 pounds lessening is medication
gain back in the function
four years and still no dialysis
Jennifer
was getting ready for day out is when
she started my program neck to visit her
doctor
she came back for kidney function has
been stable ever since
https://www.youtube.com/watch?v=CX9F2kWwGVA
Home Remedies for Kidney Failure II घरेलू नà¥à¤¸à¥à¤–à¥&lsqauo;ं दà¥à¤µà¤¾à¤°à¤¾ ख़राब गà¥à¤°à¥à¤¦à¥‡ का उपचार II
Welcome to health care at home
We have one of our viewer from Barcelona, he has written that his kidney is on the level of failure
and he has written that he has the responsibility of his complete family
in case we have any home remedy that he is asking
Look, of course we have home remedy and will definitely tellyou
and your kidney will be healthier with that remedy
but first of all this need to be known that why the kidney's gets failure
now day there are 2 mains reasons are for kidney failure
first is high blood pressure and second is diabetes
so you have to be careful that if you control on your sugar
as well as if you control on your blood pressure
then the chances of your kidney failure will be very less
apart from that diabetes patients should be careful for one thing
once in a year they are prescribed to get the test done of serum creatinine
which is a kidney test, if your serum creatinine is going on higher side
you taking some precaution for you is mandatory
you must start drink at least 3 or 3& 1/2 liter of water
so that your serum creatinine does not exceeds
and also not goes to the kidney failure level, as diabetes patients has the major possibilities of kidney failure
so drink lots of water, apart from that you must do one remedy
take cucumbers, 2 cucumbers and
and add 7-8 leaves of basil leaves and take out its juice
add one spoon of honey into it and consume it with empty stomach
this works like a kidney cleanser and make your kidney healthier
so people their serum creatinine is running towards 1.5 or exceeding more than 1.5
those people should start this cucumber juice
Apart from that you must consume 2-3 apples with empty stomach
with this also you will get very much relief in kidney
Now i will talk about my viewer, who has written that his serum creatinine is getting on higher level
and its kidney is almost to be failed,for them i will tell the treatment.
you have to use this remedy, take 1/2 glass of water
add 1 spoon of honey and mix it well
and add 2 spoon of cow urine into it
yes cow urine, which is easily available in sealed bottle in the market, you can check out in the market
ans empty stomach, morning and evening you have to consume it
after 3 months your level of serum creatinine, you may get once this checked again
and you will notice that your creatinine level is getting in reverse back.
or getting reduce that means your kidney is now getting healthy
people their serum creatinine level is high or people who are on the dialysis
they must take low protein, low salt and high carbohydrate value food
you can use soya protein, like you can take soya milk, tofu
along with this veg soups and seasonal fruits should be consumed
that will be good for you
one remedy i am telling you, if you will do this remedy then you will get very much of relief
what you have to do first in the morning takeout 1 glass juice of tomato
put the tomatoes into the blender and blend them
and strain it and that juice will come out add one pinch of black salt and one pinch of black pepper
you must consume this with empty stomach
you will notice that you will get so much of relief in kidney problem
Apart from that lots of more remedies are there like the hairs of corn
which is called corn silk, if you take them
and let it boil in 1 glass of water
after boling and straining if you will consume that water
then also you will find very much relief in the kidney problem.
Apart from that we have much more remedies, that i will tell you in the next episode
Rest isn't it these remedies were very easy?
Our wish is only that you stay healthy,busy, carefree and be with us.
To meet us you have to subscribe this channel. Tell to your friends and relatives to subscribe this channel.
Get the health benefits while sitting at home and support us in our motive.
Our motive is that maximum number of people stay healthy while sitting at home
Share our videos as much as you can. Thank You...
https://www.youtube.com/watch?v=fhpqs2DL3Yo
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