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DARLENEK04 Posts: 29,711
3/24/13 8:23 P

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All good articles Jean...thanks....

If you always do what you've always done,
You'll always be who you've always been!!!!!!

"Courage doesn't always roar. Sometimes courage
is the quiet voice at the
end of the day saying "I
will try again tomorrow!"

Mary Anne Radmacher


A good laugh and a long sleep are the best cures in the doctor's book.

- Irish Proverb

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3/24/13 9:28 A

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How much of a difference can one nephrologist make?

How much of a difference can one nephrologist make?

Rebecca Zumoff 5/2/2011

NKF president Lynda A. Szczech, MD, MSCE, calls on nephrologists to help lower the burden of kidney disease through prevention efforts.

During her address at the National Kidney Foundation's Spring Clinical Meetings, NKF president Lynda A. Szczeh, MD, MSCE, told an anecdote about a 44-year-old black man, Walter, who she met at an NKF KEEP (Kidney Early Evaluation Program) event. Walter was obese, had high blood pressure, and learned at the KEEP event that he had stage 3 kidney disease. He hadnít seen a doctor in more than 10 years.

Walter is not a unique case, Szczech said. More than 43% of the more than 112,000 patients beginning treatment for kidney failure with dialysis or transplant in 2008 had not seen a nephrologist prior to initiation, Szczech said, and nephrologists must take the lead on closing this gap.

"To answer this question of 'what can I do about it?', one must realize that to truly affect the big issues of undetected disease, we must do things outside of our usual clinical comfort zone," Szczech said." We must do more than taking care of only the patients who come to see us. We must take care of the patients who do not come to see us. Some are in the primary care offices. Some are screened and not diagnosed. Some are screened and diagnosed but not referred. Some are not screened."

Nephrology is not a huge subspecialty, Szczech noted; there are only 8,000 in the United States. But if each of them donated 12 hours a year, it would add up 1,800 hours per week of free nephrology care a year.

This means more people with CKD would learn how to slow their progression to ESRD, more patients starting dialysis can do so with a fistula, and less patients each year would join the transplant waiting list. If every nephrologist aimed to help one Walter a year, 8,000 patients would benefit from a nephrologist's intervention, Szczech said.

The speech's message was very inspiring: The growing rate and burden of ESRD in this country is not a hopeless cause. Szczech highlighted that nephrologists donít have to take a back seat in this dilemna, and only treat the situation in its final stages. Nephrolgists can take the reigns.

from my contact at Michigan NKF

Dad: BIBLE: Basic Instructions Before Leaving Earth

Leader:Loving Our Kidneys
Kidney Failure is the 8th leading cause of death in USA

"Seventy years are given to us! Some may even reach eighty.
But even the best of these years are filled with pain and trouble;soon they disappear, and we are gone."(Psalms 90:10)

You cannot change your life until you change something
that you do every day.
~John C. Maxwell~

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