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Learning about Chronic Kidney Disease

>First of all. One in seven Americans are
estimated to have kidney disease. Now Dr. Taghva and let’s… let’s both get
you both in here. is… is this number rising, is it lowering? What… what do we
see here in trench.>I would say that it’s probably rising just like most chronic
illnesses in America I think that we’re seeing with the obesity epidemic with
diet with people eating a lot more salt, that people are more likely to have
things such as diabetes, high blood pressure and these eventually leads to
chronic kidney disease. So, what really happens here is we have again personal
choices, diet that that’s involved here more than anything else people never
quite understand that. A lot of things that we deal with our dealing with diet.
30 million Americans have chronic kidney disease and most are unaware of it. How
is that possible? how do you certainly people know that their body that they’re
feeling something wrong, something’s happening?>The truth is that people don’t
feel often that they’re ill they don’t feel sick you know the they come to me
that they always tell me is “doctor I feel fine, I urinate fine, I’m doing fine,
my kidneys are ok. No one has told me I have kidney disease, so I don’t have
kidney disease”.>Is there a fear of testing here is that part of it.>Yeah. I
mean, absolutely. I find a lot of patients are reluctant to even just go
to the doctor they’ve had a bad experience. So if somebody tells you
maybe there’s something wrong and you feel alright
and sometimes people just don’t necessarily go to the doctor because
they’re afraid of the what if, what if I’m told that my kidneys are not working.
Maybe they’ve known someone personally who has severe kidney disease and
they’ve seen it’s a debilitating illness and they don’t want to find out.>And we
have to point out that the only way to know if you have CKD is through specific
urine and blood tests. That’s correct?>That is correct.>Are these extensive
tests are these… I mean… I would imagine that everything starts out at an early
testing phase and then you move forward to something more intrusive if you will.
>Right. So the the initial testing done by often by the primary care physicians you
know are the routine labs we have something called creatinine, that we look
at which is a mark the kidney function. The urine test we
look to see to make sure that there there isn’t anything in the urine that
shouldn’t be in there, whether that’s blood protein glucose or
other abnormalities.

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