Kidney Disease Symptoms [amp] Treatment - Chronic Kidney Disease Treatment

Kidney Disease Symptoms and Treatment




>>> HELLO.
I'M TERRANCE AFER-ANDERSON AND
THIS IS HEALTHWATCH.
JUST SO YOU KNOW, I HAVE REALLY
BEEN TRYING TO REDUCE MY
WAISTLINE AND GETTING IN SOME
EXERCISE.
I'VE ONLY LOST THREE POUNDS SO
FAR, BUT IT LOOKS REALLY GOOD ON
ME, DON'T YOU THINK?
I REALLY ENJOYED MYSELF WHEN YOU
SAW ME WORKING UP A SERIOUS
SWEAT ON THE LAST EDITION.
TO BE HONEST, I MAY NOT HAVE
LOOKED LIKE IT, BUT IT TRULY
FELT GOOD TO BE WORKING OUT
AGAIN.
SO MUCH SO, THAT I AM NOW
DEVELOPING AN INVENTIVE PROGRAM
IN WHICH I THINK MANY OF YOU
WILL BE INTERESTED.
I SHOULD HAVE MORE INFORMATION
ON THE NEXT EDITION OF
HEALTHWATCH.
AGAIN, STAY TUNED.
BUT RIGHT NOW, I HAVE SOME
GUESTS THAT I AM VERY ANXIOUS TO
INTRODUCE.
OUR TOPIC FOR TODAY'S SHOW IS
CHRONIC KIDNEY DISEASE.
FIRST UP IS WALLACE GREEN, ALSO
KNOWN AS ACE, A U.S. NAVY
RETIREE, THE FOUNDER AND CEO OF
HEALTH AND WELLNESS, INC., AND
SOMEONE WHO HAS AN INSPIRING
PERSONAL STORY TO SHARE ABOUT
KIDNEY DISEASE.
NEXT UP IS DENISE LUNDY, A
DIETITIAN WITH FRESENIUS MEDICAL
CARE.
FINALLY, WE HAVE NEPHROLOGIST
DR. MAXIM MIROVSKI, M.D.
GUYS, WELCOME TO HEALTHWATCH.
>> THANK YOU.
>> THANK YOU.
>> I'M REALLY EXCITED TO HAVE
YOU ON BOARD AND DELIGHTED AS
WELL.
YOU KNOW, I LOSE A LITTLE BIT OF
WEIGHT, SOME POUNDS, AND MY
BRAIN GOES TO JELLY.
BUT ANYWAY, MAX, I WANT TO --
NOW I'M CALLING YOU MAX.
ACE.
OKAY, I'LL GET IT TOGETHER IN A
SECOND.
>> ALL RIGHT.
>> ACE, I WANT TO REALLY KNOW
MORE ABOUT YOUR OWN SITUATION,
BEING DIAGNOSED WITH KIDNEY
DISEASE.
TELL US YOUR JOURNEY, IT'S BEEN
AN INTERESTING JOURNEY FOR YOU.
>> OH, VERY INTERESTING.
IN MY CASE, WITH KIDNEY DISEASE,
OF COURSE, THERE IS NO SYMPTOMS
OR AT LEAST NO NOTABLE SYMPTOMS
UNLESS YOU KNOW WHAT YOU'RE
LOOKING FOR.
BEING A JOCK, I PLAYED BALL,
PLAYED SPORTS, PRETTY MUCH A
WORKAHOLIC AND I WAS ABLE TO GO
ABOUT MY NORMAL BUSINESS WITHOUT
REALIZING ANY SYMPTOMS OR
ANYTHING GOING ON.
I TOOK MY PHYSICALS AND
EVERYTHING, LIKE THE AVERAGE
PERSON WOULD, BUT DURING THE
WHOLE PERIOD, THERE WAS NO
CHANGES IN MY LIFE, SO IT WAS
LIKE A NORMAL DAY AT WORK.
>> NOW, FROM WHAT I GATHERED
ABOUT YOU, YOU'RE SOMEONE THAT
DOES A LOT OF RESEARCH, SO WHEN
YOU GOT THAT DIAGNOSIS, YOU DID
SOME RESEARCH.
WHAT DID YOU LEARN ABOUT KIDNEY
DISEASE?
>> WELL, FUNNY YOU MENTION
RESEARCH BECAUSE, LIKE THE
AVERAGE PERSON, YOU KNOW, YOUR
MECHANIC WILL DO A LOT OF
PUBLICATION ON FIXING A CAR AND
BEING A MILITARY PERSONNEL, I
DID A LOT OF READING,
PUBLICATIONS ON MY JOB AND
THINGS OF THAT NATURE, BUT WHEN
IT CAME TO SELF, THAT'S WHERE I
WAS LACKING.
THE SIGNS AND SYMPTOMS OF HAVING
KIDNEY DISEASE WAS THERE, BUT,
OF COURSE, I DIDN'T CONCENTRATE
ON THOSE.
I DIDN'T REALLY TAKE TOO MUCH --
PAY ANY ATTENTION TO IT.
MY ROLE WAS TO GO TO THE DOCTOR,
PUT IT IN HIS HANDS, AND, OF
COURSE, I WAS LETTING THE DOCTOR
LIVE FOR ME.
I WASN'T REALLY TAKING THAT
ACTIVE ROLE IN FINDING OUT WHAT
THOSE RESULTS WERE THAT HE WAS
GIVING TO ME WHEN I TAKE THAT
BLOOD TEST THAT HE TELLS ME TO
TAKE AND WE SIT DOWN AND WE TALK
ABOUT IT.
AS LONG AS HE WERE ABLE TO TELL
ME THAT I WAS GOING TO CONTINUE
TO LIVE, I JUST WENT ON ABOUT MY
BUSINESS.
SO AT THAT DIAGNOSE STAGE,
WHICH, OF COURSE, WHEN I FINALLY
GOT THE SHOCKING NEWS THAT MY
KIDNEY HAD FAILED AND I STARTED
DOING MY RESEARCH AT THAT POINT,
WHICH WAS A LITTLE BACKWARDS,
AND I STARTED REALIZING THAT
THERE WAS SIGNS OF KIDNEY
DECLINING AS EARLY AS 20 YEARS
OLD, BUT AS I MENTIONED, I
DIDN'T PAY ANY ATTENTION TO
THAT.
MY DIFFERENT BLOOD TESTS, URINE
TESTS AND EVERYTHING THAT I
TOOK, MEDICATION THEY GAVE ME
AND THINGS OF THAT NATURE, WHY I
WAS TAKING IT, JUST DIDN'T ASK
THE QUESTIONS.
SO I DIDN'T TAKE THE ACTIVE ROLE
OF FINDING OUT EXACTLY WHAT I
NEEDED TO DO TO CONTROL IT.
I WAS STILL GIVING IT AND
LEAVING IT UP TO THE DOCTOR.
>> WE'RE GOING TO TALK A LITTLE
BIT LATER ABOUT SYMPTOMS, BUT
YOU SAID THAT YOU NOTICED THAT
THERE WAS SOMETHING DIFFERENT
ABOUT WHAT WAS GOING ON WITH
YOUR BODY, BUT YOU WERE KIND OF
DISMISSIVE OF IT.
IS THAT CORRECT?
>> THERE WAS THINGS THAT THE
DOCTOR WAS TELLING ME, BUT I
DISMISSED THEM.
>> I SEE.
>> LIKE WHEN I WOULD VISIT THE
DOCTOR AND I WOULD GIVE BLOOD
WORK --
>> RIGHT.
>> -- OF COURSE, THEY WOULD DO
CREATININE, ALBUTEROL, THEY
WOULD RATE MY GFR, WHICH IS A --
I HAVE A PROBLEM PRONOUNCING
THIS WORD, BUT IT'S THE --
>> GLOBULOMEROL ASSOCIATION
RATE.
>> THAT'S RIGHT.
>> THAT SOUNDS LIKE A
CONSTELLATION.
>> GFR IS WHAT IT IS FOR SHORT,
SO IF I CONTINUE TO USE THAT,
THAT'S WHAT IT IS.
IT SHOWS HOW WELL YOUR KIDNEY IS
FUNCTIONING AND WHEN I WOULD
VISIT THE DOCTOR AND GET THOSE
RESULTS, I WOULD BASICALLY
DISMISS THEM BECAUSE I WAS OKAY.
>> FELT OKAY.
>> I FELT OKAY, THAT'S CORRECT.
AND I JUST CONTINUED TO GO, AND
ONCE MY KIDNEY FAILED AND I WAS
ON DIALYSIS AND I COMPARED THESE
NOTES, I COULD SEE WHERE THEY
WERE ACTUALLY DECLINING.
I COULD SEE THE INCREASE IN THE
PROTEIN IN MY URINE AND THINGS
OF THAT NATURE, WHICH OF COURSE,
IS NOT LAYMAN TERMS FOR THE
AVERAGE INDIVIDUAL, SOMETHING
THAT WE DON'T LOOK FOR EVERY
DAY.
>> RIGHT.
>> SO INCLUDE THE LAB REPORT,
WHEN YOU HAVE THE CODES AND
THINGS IN THERE, I DIDN'T TAKE
THE TIME TO SAY WHAT IS THIS,
WHAT IS IT FOR, AND THINGS OF
THAT NATURE.
SO I WAS DIAGNOSED WHAT I DIDN'T
TAKE AS AN ACTIVE ROLE IN
FINDING EXACTLY WHAT IT WAS.
I JUST...
>> SO THE LESSON HERE IS THAT
YOU LEARN TO BE PROACTIVE IN
YOUR OWN HEALTHCARE.
>> BY ALL MEANS AND WITH HEALTH
AND AWARENESS, THAT'S ONE OF THE
MAIN THINGS THAT WE TRY TO
EDUCATE PEOPLE ON IS TAKE THAT
ACTIVE ROLE.
>> AND THUS THE COMPANY THAT YOU
RUN, HEALTH AND WELLNESS, INC.
>> THAT IS CORRECT.
>> WHEN WERE YOU DIAGNOSED, HOW
LONG AGO?
>> I WAS DIAGNOSED, AS I
MENTIONED, AS EARLY AS 18 YEARS
OLD.
>> OH, I SEE.
>> BUT I DIDN'T TAKE THE ACTIVE
ROLE ON IT AND I DIDN'T REALIZE
IT WAS THAT FAR BACK UNTIL MY
KIDNEY FAILED IN 2006.
SO THE SIGNS WAS THERE.
>> OKAY.
>> BUT I DIDN'T TAKE IT SERIOUS.
>> I'M SORRY, YOU'RE SAYING THAT
YOU GOT AN ACTUAL DIAGNOSIS OF
KIDNEY DISEASE WHEN YOU WERE --
>> THROUGH MY MEDICAL RECORDS
AND I'M CALLING THAT A DIAGNOSIS
BECAUSE INDIVIDUALS WITH A RISK
FACTOR OF KIDNEY DISEASE IS
ACTUALLY DIAGNOSED WITH KIDNEY
DISEASE.
FOR EXAMPLE, IF AN INDIVIDUAL
HAVE HIGH BLOOD PRESSURE,
DIABETES, THEY'RE ACTUALLY AT
RISK FOR KIDNEY DISEASE.
WHICH IS A DIAGNOSIS TO ACTUALLY
START GETTING KIDNEY SCREENING
AND THINGS OF THAT NATURE TO
MONITOR YOUR KIDNEYS AND SEE HOW
WELL THEY'RE FUNCTIONING.
>> THAT'S SOMETHING I'M GLAD
THAT YOU EXPLAINED BECAUSE AS I
WAS DOING RESEARCH, AS I WAS
WRITING THE SCRIPT AND SO FORTH,
I SAW THAT AND I WASN'T CERTAIN
ABOUT THE DISTINCTION BETWEEN
THE SYMPTOMS BEING MANIFESTED
AND AN ACTUAL CLINICAL
DIAGNOSIS.
>> YEAH, BECAUSE THERE'S A LOT
OF PEOPLE THAT ACTUALLY HAVE
KIDNEY DISEASE AND IF IN FACT
THEY'RE FOLLOWING THE
COMPLIANCE, DOCTOR'S ORDERS AND
THINGS OF THAT NATURE, THEY CAN
CONTINUE TO LIVE WITH IT,
SLOWING DOWN THE PROCESS, AND
THEY NEVER HAVE KIDNEY FAILURE.
>> WHAT KIND OF TREATMENTS DID
YOU HAVE?
I GET THE IMPRESSION THAT THE
TREATMENTS CHANGED OVER A PERIOD
OF TIME OR --
>> YES, THEY DID.
>> OKAY.
>> BECAUSE FROM THE VERY
BEGINNING, I WAS ACTUALLY SEEING
THE NEPHROLOGIST ONCE A YEAR,
AND THAT WAS A PART OF WHAT I
UNDERSTAND AS BEING THE KIDNEY
SCREENING WHERE THEY TOOK THE
BLOOD TESTS AND THE URINE.
>> OKAY.
>> AND, OF COURSE, HERE AGAIN, I
DISMISSED THOSE IN TERMS OF THE
SERIOUS NATURE OF THEM, HOW WELL
MY KIDNEYS ARE FUNCTIONING.
AS LONG AS THE DOCTOR SAID OKAY,
YOU CAN GO BACK OUT AND PLAY
BALL, YOU'RE OKAY, AND THINGS OF
THAT NATURE, I DIDN'T TAKE THE
EXTRA STEP THAT I SHARE WITH
INDIVIDUALS NOW AND ESPECIALLY
TALK TO YOUR DIETICIAN AND
THINGS OF THAT NATURE TO FIND
OUT THOSE THINGS THAT WE CAN
TAKE AN ACTIVE ROLE IN TAKING
CARE OF OUR BODIES.
BEING A STEAMING SAILOR, I
CONTINUED TO DRINK.
I WAS A SMOKER.
THERE WAS A LOT OF THINGS I
COULD HAVE ACTUALLY STOPPED THAT
I FEEL TODAY COULD HAVE
PREVENTED THAT KIDNEY FROM
ACTUALLY FAILING AND CONTINUED
TO LIVE WITH KIDNEY DISEASE.
>> THAT MAKES FOR A GREAT SEGUE
TO MY NEXT QUESTION.
WE CAN TALK SOME MORE ABOUT
TREATMENTS HERE, BUT WHAT WOULD
YOU SUGGEST TO SOMEONE THAT HAS
BEEN DIAGNOSED, HOW THEY CAN
SLOW DOWN -- HOW THEY CAN RETARD
THE PROGRESSION OF KIDNEY
DISEASE?
>> ONE OF THE FIRST THINGS I
SUGGEST TO EVERYONE TO DO IS
WHEN THEY'RE AT FAMILY REUNIONS
AND THINGS LIKE THAT IS FIND OUT
THE FAMILY HISTORY.
IF IN FACT HIGH BLOOD PRESSURE,
DIABETES AND THINGS OF THAT
NATURE, SOMEONE MAY HAVE PASSED
BECAUSE OF KIDNEY DISEASE IN
THEIR FAMILY, IT'S INHERITED, SO
THEREFORE, THEY SHOULD ACTUALLY
TAKE A KIDNEY SCREENING
THEMSELVES.
THAT'S ONE OF THE MAJOR THINGS
THAT I TELL THEM.
THE SECOND THING IS TAKE AN
ACTIVE ROLE, BECOME AWARE OF
YOUR CONDITION AND TAKING THAT
ACTIVE ROLE DOESN'T NECESSARILY
JUST APPLY TO KIDNEY DISEASE.
THAT'S FOR ANY OF THE HEALTH AND
THINGS OF THAT NATURE BECAUSE
DIABETES, HIGH BLOOD PRESSURE,
AND THINGS OF THAT NATURE CAN
ACTUALLY -- IF AN INDIVIDUAL IS
LIVING WITH COMPLIANCE AND
THINGS LIKE THAT, GET IT UNDER
CONTROL, A LOT OF TIMES WHERE
THEY'RE ACTUALLY IGNORING THAT.
SO THE SECOND THING WOULD BE TO
ACTUALLY TAKE AN ACTIVE CONTROL
IN COMPLIANCE AND FOLLOW THOSE
GUIDELINES INSTEAD OF ALLOWING
THE DOCTORS TO LIVE FOR YOU.
LISTEN TO YOUR BODY AND TAKE
CHARGE YOURSELF.
>> MAX, IN THE NOTES THAT ACE
SENT ME, I'M GOING TO QUOTE YOU
VERBATIM HERE, HE SAID HE HAD
DROPPED THE BALL IN TERMS OF
PATIENT COMPLIANCE.
HOW IMPORTANT -- I GATHER IT
PROBABLY IS PRETTY IMPORTANT,
BUT YOU CAN ELABORATE.
HOW IMPORTANT IS PATIENT
COMPLIANCE TO THE TREATMENT OF
KIDNEY DISEASE?
>> WELL, COMPLIANCE IS CRITICAL.
IT IS REALLY CRITICAL, AND WE'RE
TALKING ABOUT DAY IN/DAY OUT
TYPE OF COMPLIANCE.
IT'S A FUNNY DISEASE.
IN FACT, COMPLIANCE IS NECESSARY
FOR LIFE AND MY HEART GOES OUT
TO OUR PATIENTS.
SOME OF THEM HAVE TO TAKE TEN --
MORE THAN TEN PILLS A DAY, AND
THAT'S HARD.
SOME OF THOSE PILLS MAY HAVE
SIDE EFFECTS, UNPLEASANT SIDE
EFFECTS.
IT IS DIFFICULT, VERY DIFFICULT.
ON THE OTHER HAND, PATIENTS WHO,
YOU KNOW, ARE COMPLIANT WITH
DOCTOR'S VISITS, THEY'RE
COMPLIANT WITH THEIR BLOOD WORK,
YOU KNOW, BLOOD WORK WE ORDER,
COMPLIANT WITH THEIR
MEDICATIONS, THOSE PATIENTS
CERTAINLY DO BETTER.
THEY LIVE LONGER, THEIR KIDNEYS
LAST LONGER, AND THEY LIVE
HEALTHIER.
MR. GREEN MAY HAVE NOT BEEN
PERFECTLY COMPLIANT AT SOME
POINT, BUT HE IS A PERFECT
EXAMPLE OF THE MOST COMPLIANT
PATIENT WE HAVE AT THIS TIME OR
ONE OF THE MOST AND IT'S
CERTAINLY PAYING OFF.
RIGHT, MR. GREEN?
>> YES, IT IS.
>> WITH SUCH AN INTENSIVE
REGIMEN OF MEDICATIONS, YOU
MENTIONED AS MANY AS 10 TO 12
PILLS A DAY, THAT KIND OF
DEMANDS COMPLIANCE.
>> ABSOLUTELY.
>> MAJOR STEP TOO.
>> HARD, HARD.
>> THERE ARE NO SYMPTOMS.
WHAT DO YOU LOOK FOR?
WHAT DOES ONE LOOK FOR?
WHAT KIND OF TESTING IS DONE?
ACE REFERRED TO A FEW.
CAN YOU ELABORATE?
>> MR. GREEN WAS ABSOLUTELY
RIGHT.
FREQUENTLY THERE MAY BE NO
SYMPTOMS OR FEW SYMPTOMS.
SOME PATIENTS MAY HAVE SOME
ANKLE SWELLING, SOMETIMES
SWELLING BEHIND THE EYES WHEN
THEY WAKE UP.
>> BEHIND THE EYES?
>> WELL, AROUND THE EYES.
SOMETIMES SOME PATIENTS MAY SEE
BLOOD IN THEIR URINE.
WHEN THEY GO TO THE DOCTOR, THEY
ARE TOLD THAT THEIR BLOOD
PRESSURE IS GETTING HIGH, THAT
MAY BE THE RESULT OF SIGNIFICANT
KIDNEY DISEASE.
BUT FREQUENTLY THERE ARE NO
SYMPTOMS AND, YOU KNOW, THAT
CERTAINLY IS A PROBLEM.
>> SOMEONE MAY WELL BE
GENETICALLY PREDISPOSED TO HAVE
KIDNEY FAILURE OR TO HAVE KIDNEY
DISEASE.
WHO IS AT THE GREATEST RISK, AND
HOW OFTEN IS THE TESTING DONE?
ACE MADE A REFERENCE TO AN
ANNUAL MONITORING, AN ANNUAL
SCREENING.
>> RIGHT.
WELL, AS MR. GREEN SAID, YOU
KNOW, HE MIGHT HAVE DONE HIS
WORK, BUT -- HOMEWORK, BUT
PATIENTS WITH DIABETES CLEARLY,
PATIENTS WITH HYPERTENSION,
AFRICAN AMERICANS HAVE FOUR
TIMES HIGHER RISK OF KIDNEY
DISEASE THAN CAUCASIANS.
YOU KNOW, THAT'S A -- THAT'S ONE
OF THE GENETIC FACTORS YOU
MENTIONED.
AND --
>> YOU -- I'M SORRY, GO RIGHT
AHEAD.
>> AND AS MR. GREEN AS POINTED
OUT, FAMILY HISTORY IS VERY,
VERY IMPORTANT.
KIDNEY DISEASE DOES RUN IN THE
FAMILIES, VERY IMPORTANT.
>> YOU MENTIONED ONE OF THE
THINGS THAT'S A POTENTIAL
INDICATOR IS BLOOD IN THE URINE,
HEMATURIA, I GUESS IT'S CALLED,
AND AS I MENTIONED SOMETHING
ABOUT PROTEIN IN THE URINE.
THE BLOOD IS EASILY SEEN, BUT
PROTEIN, HOW -- WHAT DOES ONE
LOOK FOR?
>> THAT'S A VERY GOOD POINT.
BLOOD SOMETIMES CAN BE SEEN,
SOMETIMES CANNOT BE SEEN,
DEPENDING UPON THE DEGREE OF
HEMATURIA.
THE PROTEIN IN THE URINE, SOME
PATIENTS MAY NOTICE THE CLOUDY
URINE, AND THAT USUALLY
SIGNIFIES THAT THERE'S A VERY
SIGNIFICANT AMOUNT OF PROTEIN IN
THE URINE.
FREQUENTLY THE AMOUNT OF PROTEIN
IN THE URINE IS MODERATE AND YOU
DON'T SEE ANYTHING AND THAT'S
WHEN THE LAB, THE BLOOD WORK
COMES IN AND LAB TESTS.
SO THERE ARE BASICALLY TWO
SIMPLE TESTS TO SCREEN FOR
KIDNEY DISEASE.
ONE IS THE BLOOD WORK TO LOOK
FOR THE CREATININE, THE GFR, THE
KIDNEY FUNCTION, AND THE SECOND
TEST IS THE URINE TO LOOK FOR
PROTEIN.
SO THAT'S A SPECIAL TEST.
BOTH TESTS ARE VERY SIMPLE AND
READILY AVAILABLE, THOUGH.
>> ANY IDEA ON THE INCIDENCE OF
KIDNEY DISEASE IN VIRGINIA, THE
NUMBERS?
>> WELL, THE NUMBER IS ACTUALLY
QUITE HIGH.
UP TO 500,000 VIRGINIANS DO HAVE
A KIDNEY DISEASE.
FORTUNATELY THE MAJORITY OF IT
IS FAIRLY MILD KIDNEY DISEASE,
SO INITIAL STAGES OF KIDNEY
DISEASE, AND WITH PROPER CARE,
THOSE PATIENTS WOULD NOT, YOU
KNOW, PROGRESS TO MORE
SIGNIFICANT DISEASE.
>> 500?
>> 500,000.
MANY OF THOSE PATIENTS ARE NOT
DOING THE WORK AND THAT'S NOT
OKAY.
THOSE PATIENTS DO NEED TO BE
IDENTIFIED AND THEY NEED TO GO
TO THEIR DOCTORS TO, YOU KNOW,
TO TAKE CARE OF THEIR KIDNEYS.
THEIR KIDNEY DISEASE HAS TO BE
MANAGED.
THERE ARE ABOUT 10,000
VIRGINIANS WHO ARE ON DIALYSIS
AND ABOUT 4,000 LIVE WITH A
FUNCTIONING KIDNEY TRANSPLANT.
THOSE PATIENTS WHO WERE ON
DIALYSIS OR HAD ADVANCED KIDNEY
DISEASE AND RECEIVED A KIDNEY.
>> SO SOMEONE'S SITUATION BEFORE
THEY GET A TRANSPLANT HAS TO
APPARENTLY DETERIORATE TO NOT
NECESSARILY CRITICAL POINT, BUT
A VERY SERIOUS POINT.
>> WELL, DIALYSIS IS TYPICALLY
INITIATED WHEN THE KIDNEYS FAIL
COMPLETELY OR ALMOST COMPLETELY
WHEN PATIENTS DEVELOP
SIGNIFICANT SYMPTOMS.
>> OKAY.
DENISE, I'VE SAVED THE BEST FOR
LAST.
WE'RE GOING TO TALK ABOUT FOOD
AFTER I JUST SAID THAT I LOST
SOME WEIGHT, RIGHT?
>> OKAY.
>> WHAT AS DIETICIAN'S ROLE IN
MAINTENANCE, HEALTH MAINTENANCE
OF SOMEONE DIAGNOSED WITH KIDNEY
DISEASE?
>> BASICALLY, I'D LIKE TO POINT
OUT FIRST, THERE ARE DIFFERENCES
WITH THE RENAL DIET PLANS WHEN
IT COMES TO KIDNEY DISEASE.
FOR YOU'RE PATIENTS ON
DIALYSIS -- FOR YOUR PATIENTS
THAT ARE ON DIALYSIS AND THEN
YOU HAVE PATIENTS THAT AREN'T ON
DIALYSIS.
YOU CAN FOLLOW A RENAL DIET PLAN
THAT WILL HELP SLOW THE
PROGRESSION, JUST AS AS I
MENTIONED A FEW MINUTES AGO,
SLOW THE PROGRESSION OF KIDNEY
DISEASE, BUT AGAIN, YOU HAVE A
DIET PLAN FOR YOUR PATIENTS THAT
ARE ON DIALYSIS.
FOR THOSE THAT ARE ON DIALYSIS,
YOU DEFINITELY WANT TO MAKE SURE
THAT YOU ARE INCREASING YOUR
PROTEIN INTAKE, SO THERE ARE
SOME KEY NUTRIENTS THAT YOU NEED
TO LOOK AT WHEN YOU'RE EATING.
ONE IS YOUR PROTEIN.
INCREASE YOUR PROTEIN INTAKE,
BASICALLY BECAUSE YOUR PROTEIN
IS BEING PULLED OFF WHILE YOU'RE
BEING DIALALYZED, AND THAT HAS A
GREAT EFFECT ON YOUR TREATMENT.
IT HAS A GREAT EFFECT ON THE
SUCCESS OF YOUR DIALYSIS WITH
YOUR PROTEIN, BUILDING THAT
ALBUMIN NUMBER IS WHAT WE CALL
IT.
WE TALKED ABOUT THE LAB WORK,
AND THE ALBUMIN LAB NUMBER IS AN
INDICATOR OF YOUR PROTEIN
STATUS.
SO THAT'S VERY IMPORTANT WITH
THE DIALYSIS PATIENTS.
THE SECOND, I WOULD SAY, WOULD
BE SODIUM.
WE DEFINITELY WANT TO MAKE SURE
THAT YOUR SODIUM, YOUR SALT
INTAKE IS LIMITED BECAUSE, OF
COURSE, IF YOU'RE HAVING EXCESS
OF SALT IN YOUR SYSTEM, YOU'RE
GOING TO HAVE FLUID REEXTENSION
WHICH IS BAD FOR YOUR --
RETENTION WHICH IS BAD FOR YOUR
KIDNEYS AND HEART AS WELL.
AND YOU WANT TO LOOK AT YOUR
POTASSIUM AND YOUR FOREFORERUSS.
YOU WANT TO -- PHOSPHORUS.
YOU WANT TO LOOK AT THAT BECAUSE
THAT DETERMINES YOUR HARLT
HEALTH AS WELL IN PREVENTING
CARDIOVASCULAR RISK DISEASE AS
WELL AS SALT.
>> POTASSIUM, SODIUM CHLORIDE
AND I GUESS -- WELL, I GUESS
SODIUM CHLORIDE IS --
>> PROTEIN, SODIUM, POTASSIUM
AND PHOSPHORUS.
>> DO YOU GET MANY REQUESTS FOR
FOLKS SEEKING ASSISTANCE WITH
MAINTAINING THEIR DIET?
>> THAT'S NOT TOO OFTEN.
BECAUSE I WORK IN A DIALYSIS
CENTER, I MAY RECEIVE A PHONE
CALL FROM A PATIENT STATING THAT
MY PHYSICIAN HAS TOLD ME I HAVE
TO START DIALYSIS NOW OR I HAVE
KIDNEY DISEASE AND THEY'RE
LOOKING FOR FURTHER INFORMATION
OR MORE RESOURCE.
MOST OF OUR PATIENTS COME FROM
THE NEPHROLOGIST REFERRALS WHEN
WE'RE IN THE DIALYSIS CENTER.
>> YOU TOUCHED UPON THIS A
LITTLE BIT, BUT CAN YOU TALK
ABOUT THE TYPES OF FOODS THAT
ARE REALLY GOOD?
>> OH, SURE, SURE.
I DIDN'T MEAN TO JUMP AHEAD.
>> OH, NO, NO, NO, THAT'S FINE.
YOU DIDN'T JUMP AHEAD.
I PROBABLY WAS STAGGERING.
>> OKAY.
AGAIN, GOING BACK TO THE FOUR
KEY NUTRIENTS, WHEN YOU HAVE A
PATIENT THAT IS NOT YET ON
DIALYSIS AND YOU WANT TO HELP
SLOW THE PROGRESSION OF KIDNEY
DISEASE, YOU WANT TO LIMIT
PROTEIN, YOU WANT TO LIMIT YOUR
PROTEIN INTAKE, AND THOSE
SOURCES OF PROTEIN ARE BASICALLY
COMING FROM YOUR ANIMAL
PRODUCTS, YOUR MEAT, YOUR
CHEESE, YOUR MILK, YOUR EGGS,
YOUR FISH.
NOW, YOU DEFINITELY WANT TO MAKE
SURE YOU LIMIT THAT SODIUM
INTAKE, THAT SALT INTAKE, AND
YOUR HIGH SALTY FOODS ARE THOSE
THAT YOU WANT TO AVOID AS MUCH
AS POSSIBLE.
YOU'RE TALKING ABOUT YOUR CANNED
FOODS, YOUR PROCESSED FOODS,
YOUR FAST FOODS, YOUR SMOKED AND
CURED MEATS.
EVEN YOUR SEASONINGS THAT YOU
HAVE IN YOUR PANTRY AT HOME THAT
HAVE ADDED SALT.
YOU NEED TO READ THE FOOD LABEL
TO THOSE SEASONINGS SO SEE WHERE
YOUR ADDED SALT IS.
YOUR POTASSIUM FOODS.
MOST OF YOUR HIGH POTASSIUM
FOODS ARE YOUR FRUITS, FOR
INSTANCE, YOUR ORANGES, YOUR
TOMATOES, YOUR BANANAS, YOUR
MELONS.
VERY HIGH IN POTASSIUM.
YOUR POTATOES ARE VERY HIGH IN
POTASSIUM.
AGAIN, THE PHOSPHORUS FOODS IS
THE LAST KEY NUTRIENT THERE AND
THAT'S SORT OF TRICKY BECAUSE
YOU HAVE PHOSPHORUS IN ALMOST
ALL OF YOUR FOODS.
YOUR DAIRY PRODUCTS ARE HIGH
PHOSPHORUS, YOUR CHOCOLATE, YOUR
BREADS AND YOUR CEREAL ITEMS ARE
HIGH PHOSPHORUS AND MOST OF YOUR
PACKAGED FOODS, NOT ONLY ARE
THEY TYPICALLY HIGH IN SODIUM,
THEY HAVE A LOT OF PHOSPHORUS
ADDED TO THEM FOR PRESERVING.
>> SO YOUR ROLE THEN AS A
DIETICIAN IS PRETTY IMPORTANT IN
HELPING PEOPLE SELECT THE FOODS
TO EAT.
>> IT REALLY IS AND I WOULD SAY
THAT IS VERY DIFFICULT, ONE OF
THE HARDEST DIETS TO FOLLOW IS A
RENAL DIET SO WE HAVE TO WORK
WITH THE PATIENTS, MONTHLY
BASIS, WEEKLY BASIS.
IT'S A COMPLETE LIFESTYLE
CHANGE.
>> PROBABLY AN ISSUE WITH
COMPLIANCE THERE AS WELL BECAUSE
PEOPLE LIKE TO EAT.
THEY REALLY, TRULY DO.
>> THEY DO, THEY DO, AND WE HAVE
TO BE VERY CREATIVE IN JUST
EDUCATING, HAVING PEOPLE TO GO
BACK INTO THE KITCHENS AND COOK,
AND JUST TAKING NOTE OF WHAT --
EVERYTHING THEY'RE TAKING IN,
EVERYTHING THEY'RE EATING, AND
LISTENING TO THEIR BODY, JUST AS
AS I MENTIONED EARLIER.
>> AND AROUND THE HOLIDAYS --
>> YES, VERY HIGH PHOSPHORUS, WE
SEE THAT IN PATIENTS' LAB WORK
PARTICULARLY DURING THE
HOLIDAYS.
>> MY NUMBERS WENT UP OVER THE
HOLIDAYS BECAUSE OF MACARONI AND
CHEESE.
COULDN'T GET OVER IT.
>> THAT'S A VERY DIFFICULT THING
TO RESIST.
>> YES, SIR, IT IS.
>> YOU HAVE AN EVENT -- WELL,
TELL US, WE'RE GOING TO RUN OUT
OF TIME HERE PRETTY QUICKLY, BUT
IF YOU CAN TELL US A LITTLE BIT
ABOUT HEALTH AND WELLNESS, INC.,
AND ABOUT THE EVENT THAT YOU
HAVE COMING UP.
>> SURE.
MARCH THE 13th, WE'RE ACTUALLY
CELEBRATING CAREGIVER MONTH WITH
THE NATIONAL KIDNEY MONTH.
NOW, SOUNDS KIND OF STRANGE, BUT
WITH CAREGIVER MONTH BEING IN
NOVEMBER, THE REASON WE DO THIS
IS BECAUSE OF THIS INCREASE IN
THE NEED FOR DIALYSIS PATIENTS,
WHICH ALSO INCREASED THE NEED
FOR CAREGIVERS.
SO TO TRY TO BRING SOME
ATTENTION TO THIS, WE KIND OF
COMBINED THE TWO AND WE'RE
HOLDING THIS AT NORFOLK STATE,
6:00 UNTIL 11:00.
WE'VE GOT SOME CAREGIVER
SPEAKERS THAT'S GOING TO BE
THERE.
IT'S AN EDUCATING EVENT, BUT IN
A RELAXED ATMOSPHERE.
HEALTH AND AWARENESS DOES NOT
WALK OR RUN TO RAISE FUNDS.
WE DANCE.
SO WE'VE GOT AN EXCELLENT BAND
THAT'S GOING TO BE THERE, THE
EDUCATION GOING, AND INDIVIDUALS
BE ABLE TO RELAX WHILE THEY
STALK TO THE INDIVIDUALS THAT'S
THERE BECAUSE -- TALK TO THE
INDIVIDUALS THAT'S THERE BECAUSE
THE EDUCATORS WILL STILL BE
THERE TALKING TO THE INDIVIDUALS
AS THEY GO THROUGH, SO WE'RE
TRYING TO GO AT IT A DIFFERENT
WAY TO ACTUALLY EDUCATE
INDIVIDUALS WHERE THEY WOULDN'T
ORDINARY COME OUT AND SPEAK TO
SOMEONE, BUT IN THAT ATMOSPHERE,
THEY FEEL A LITTLE MORE RELAXED.
>> IT'S AT NORFOLK STATE, WHAT
DAY?
>> THAT'S A FRIDAY EVENING 6:00
UNTIL 11:00.
>> WHAT DAY IS THAT?
>> THAT'S A FRIDAY.
>> MARCH THE 13th.
>> YES.
>> I JUST WANTED TO REPITE IT
AGAIN.
>>.
>> AND WE'RE STILL LOOKING FOR
CAREGIVERS.
THERE'S A FEW SPOTS OPEN.
15th IS THE DEADLINE FOR THAT.
>> AND DOZER HALL, IS THAT WHERE
IT IS?
>> THAT'S CORRECT.
>> AND LES SMITH IS GOING TO
SPEAK?
>> IT'S NOT GOING TO BE
SPEAKING.
>> HE'S PRESENTING AN AWARD.
>> HE'S GOING TO BE PRESENTING
THE AWARDS AND THE ILLUSTRIOUS
TERRANCE IS GOING TO BE OUR
SPEAKER!
>> OH, REALLY?
I THOUGHT I WAS GOING TO BE THE
EMCEE.
I'M GOING TO SPEAK, OKAY.
>> YOU'RE NOT GOING TO BE THE
GUEST SPEAKER, YOU'RE GOING TO
BE THE ACTUAL EMCEE, THAT'S
CORRECT.
WE HAVE A CAREGIVER THAT'S GOING
TO BE OUR SPEAKER FROM NEWPORT
NEWS.
>> OKAY.
>> BUT WE GOT A PRETTY
POWERHOUSE THIS YEAR IN SPEAKERS
AND PRESENTERS AND ALL, AND
WE'RE VERY, VERY HONORED TO HAVE
YOU ON BOARD.
>> I'M DELIGHTED TO BE THERE.
>> TO JOIN US THIS YEAR.
>> I'M VERY DELIGHTED.
I FEEL HONORED THAT YOU ASKED ME
TO DO SO AND I HAD FORGOTTEN
THAT THERE WAS SOME DANCING
INVOLVED.
THE LAST TIME I DID A LITTLE
DANCING, I PUT IT ON FACEBOOK
AND GOT 2500 HITS.
>> THAT'S GREAT BECAUSE WE'RE
LOOKING FOR PUBLICITY.
>> WELL, WE WON'T USE THAT
AGAIN.
HOW CAN SOMEONE GET INFORMATION
ABOUT THIS?
WHERE DO THEY CALL?
>> IF THEY REACH OUR WEBSITE,
WHICH IS
WWW.HEALTHANDAWARENESSKIDNEY
DANCE.COM OR GIVE US AN ALL AT
757-376-7645.
>> LET'S REPEAT THE NUMBER.
>> 757-376-7645.
>> AND HEALTH AND AWARENESS
KIDNEY DANCE --
>> DOT-COM, YES.
>> OKAY.
>> WE DON'T WALK, WE DON'T RUN,
WE DANCE.
>> I LIKE THAT.
I HAVE TO REMEMBER THAT.
I WANT TO THANK ALL OF YOU FOR
COMING ON BOARD AND TALKING
TODAY AND TALKING ABOUT HOW WE
CAN APPROACH KIDNEY DISEASE FROM
THE DIFFERENT ANGLES WITH
DIETICIAN, WITH THE NUTRITION,
AND DIET AND WITH THE HEALTH
MAINTENANCE THROUGH SCREENINGS,
THE ANNUAL SCREENINGS, AND THE
IMPORTANCE OF BEING PROACTIVE
AND PATIENT COMPLIANCE.
THAT'S A VERY IMPORTANT THING TO
ALL OF YOU, AND EACH ROLE THAT
YOU PLAY.
AGAIN, THANK YOU SO VERY MUCH.
>> THANK YOU FOR HAVING US.
>> THANK YOU.
>> AND IT'S ACE AND MAX AND
DENISE.
SOMEONE SAID EARLIER, A ROSE
BETWEEN TWO THORNS.
>> THERE WE GO.
>> GUYS, THANK YOU AGAIN SO VERY
MUCH.
AND OF COURSE, WE WANT TO THANK
YOU FOR JOINING US TODAY.
REMEMBER, YOU CAN WATCH PREVIOUS
EDITIONS OF HEALTHWATCH ONLINE
AT WWW.NORFOLK.GOV/HEALTHWATCH.
IF YOU'D LIKE TO DROP ME A LINE,
YOU CAN E-MAIL ME AT
TERRANCE.AFER-ANDERSON@VDH.
VIRGINIA.GOV.
PLEASE ALSO FEEL FREE TO GIVE ME
A CALL AT 757-683-8836.
THAT'S 757-683-8836.
FOR THE NORFOLK DEPARTMENT OF
PUBLIC HEALTH, I'M TERRANCE
AFER-ANDERSON AND THIS HAS BEEN
HEALTHWATCH.

https://www.youtube.com/watch?v=8kBjSgvYyu8


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