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Kidney transplant recipient Charlie Cloninger and nephrologist Nauman Shahid discuss their article “How early care saved my life from silent kidney disease.” Charlie shares his personal story of being diagnosed with kidney …
A few months ago, I met a woman who had stopped speaking at dialysis. She had grown quiet, worn thin by the rhythm of a system that seemed to talk around her but never truly to her. When she finally spoke to me, it was not about her labs or transplant status. It was a whisper — “Do you think I’ll make it in time?”
In that moment, she wasn’t asking …
I shadowed a neurologist recently. As a high school student on the cusp of applying to college, I thought I’d’ spend the day quietly observing: watching labs get ordered, hearing terms I’d Google later, maybe seeing the human side of medicine up close.
But nothing prepares you for watching someone slowly lose their chance at life—not because of their diagnosis, but because two parts of the medical system weren’t speaking to …
I never thought much about my kidneys. I felt fine, I stayed active, and at 74 years old, I figured I was in pretty good shape. But kidney disease has a way of sneaking up on you. By the time most people find out they have it, they’re already in trouble. That could have been me—but thanks to the right care at the right time, I got a transplant before …
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Nephrologist Timothy Pflederer discusses his article “How value-based care transforms chronic kidney disease management,” highlighting how value-based care (VBC) is reshaping the treatment of chronic kidney disease and end-stage kidney disease. Timothy …
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Physician and public health advocate Judith Eguzoikpe discusses her article, “Hope is the lifeline: a deeper look into transplant care.” She pulls back the curtain on the kidney transplant process, revealing that …
Chronic kidney disease (CKD) affects more than 1 in 7 U.S. adults, while approximately 2 in 1,000 are living with end-stage kidney disease (ESKD)—kidney failure that is treated either with a kidney transplant or through dialysis. Today, however, there is much that can be done to prevent kidney failure if CKD is diagnosed early and comorbid conditions are well managed. Patients with CKD and ESKD have multiple complex chronic …
Most people think of high blood pressure as a silent threat to the heart. But it’s time we start talking about another organ it quietly destroys: the kidneys.
As a public health researcher and clinician, I have seen how chronic kidney disease (CKD) creeps in unnoticed—especially among older adults—and how hypertension is often the unspoken culprit. Despite being preventable and treatable in its early stages, CKD remains a major cause of …
The modern medical profession presents practitioners with an abundance of opportunities that extend far beyond traditional patient care. Today’s physicians navigate complex roles as clinicians, researchers, educators, administrators, and community leaders while maintaining personal relationships and spiritual well-being. Rather than viewing these diverse responsibilities as competing demands, successful physicians learn to integrate them into a balanced approach that prioritizes meaningful contribution over external recognition.
The myth of perfect balance
The concept of …
An excerpt from The Healthy Kidney Handbook: A Comprehensive Guide to Manage Hypertension, Control Stress, and Prevent Renal Failure, Kidney Disease, and More.
A good friend and neighbor of mine is a kidney transplant survivor, and I wanted to thoughtfully document her thoughts on different parts of her journey. She is currently a married, African American woman, mother of a teenage son, in her forties, and works full time in …
We’re constantly reminded of the organ shortage and the lives lost while waiting for a kidney. Like fish unaware they swim in water, we’ve accepted the rising tide of kidney failure as natural and inevitable, but it’s not. The most urgent question goes unasked: Why do so many kidneys fail?
Diabetes is the leading cause of kidney failure, with 40 percent of those on the kidney waitlist diabetic. Every day …
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Health care executive and patient advocate Aja Best discusses her article, “How early CKD diagnosis can save lives: a transplant survivor’s journey.” She shares her harrowing personal experience with a delayed diagnosis …
Chronic kidney disease (CKD) often develops unnoticed, gradually impairing kidney function. Approximately 950 million people worldwide are affected by CKD, and it is now the 9th leading cause of death, projected to become the 5th leading cause in the near future.
For years, I was unaware of the severe health battle brewing beneath the surface—until a routine pregnancy scan in 2015, at the age …
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We sit down with Amol Shrikhande, a nephrologist, to explore the challenges faced by frontline health care workers in an overburdened system. We delve into the real-world impact of budget constraints, staffing shortages, …
An excerpt from The Committee Will Kill You Now.
“You couldn’t get her niece to budge on the hemodialysis decision?” Harper sank into the resident lounge’s threadbare couch and kicked up her feet.
“Nope.” Noah slumped in the chair across from her. It was late afternoon, and he’d almost finished checking off …
When a colleague recommended a book, I hoped it would be something enjoyable – perhaps a sports anthology, a music biography, or even a novel. Unfortunately, it was about dialysis, the great American scam that it is.
As a nephrologist (kidney doctor), I had already come to the same conclusion. Here’s why, supported by Tom Mueller’s meticulous research in How To Make a Killing: Blood, Death and Dollars in American …
After she developed a serious complication, she wanted to know the facts plainly stated. I told her the treatment would change her quality of life; it would be hard but doable. To this, she replied, “Now, don’t bullsh*t me, I don’t like bullsh*tters.”
These words were uttered by my resilient, 75-year-old patient undergoing peritoneal dialysis. She had recently developed one of the most dreaded complications of this treatment: calciphylaxis.
Her strong will …
I noticed a troublesome trend during my three weeks working in the pediatric dialysis unit and the post-kidney transplant unit. The whiter and younger pediatric patients were resting comfortably in the post-transplant unit with their new surgically placed kidneys being meticulously taken care of. The darker and older pediatric patients spent countless, mindless hours attached to a dialysis machine with little hope for a new kidney after years of being …
As I’m sure you know, nephrology is the branch of internal medicine that deals with the kidneys. And in the U.S., young doctors are quite unlikely to choose this path.
Why? The combination of long hours, chronic illness, and (relatively) unimpressive pay has proven deadly to the field. In fact, around 30 percent of training (fellowship) positions go unfilled each year.
To stay afloat, the nephrology community has turned to …
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