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Finishing off the ICU 👨🏻‍⚕️👨🏼‍⚕️👨🏽‍⚕️ #doctors #icu #nephrologist #meih #whitecoats #physicians #medicine
Один из положительных и наглядных примеров содружественной работы нефролога и пациента: динамика за 4 месяца креатинина со 170 до 117 радует врача ничуть не меньше, чем самого пациента. Умеющие слушать и слышать пациенты - это очень ценно. Но и капризные больные, получив такой наглядный эффект (не только в цифрах, но и в самочувствии), становятся твоей (в данном случае врача) подмогой, т.к. колоссальная доля в достижении положительного результата принадлежит соблюдению пациентом назначенного режима.
И чтобы не уйти в парамедицинскую философию 😄😉🤔 просто пожелаю всем  здоровья и хорошего самочувствия! 
Врач-нефролог Марина Александровна 
#здоровье#почки#креатинин#нефрология#зож#обследования#health#kidney#nephrologist#analysis
Один из положительных и наглядных примеров содружественной работы нефролога и пациента: динамика за 4 месяца креатинина со 170 до 117 радует врача ничуть не меньше, чем самого пациента. Умеющие слушать и слышать пациенты - это очень ценно. Но и капризные больные, получив такой наглядный эффект (не только в цифрах, но и в самочувствии), становятся твоей (в данном случае врача) подмогой, т.к. колоссальная доля в достижении положительного результата принадлежит соблюдению пациентом назначенного режима. И чтобы не уйти в парамедицинскую философию 😄😉🤔 просто пожелаю всем здоровья и хорошего самочувствия! Врач-нефролог Марина Александровна #здоровье #почки #креатинин #нефрология #зож #обследования #health #kidney #nephrologist #analysis 
“I  had been seen by a physiotherapist in the same medical centre I work in and had started the treatment sessions for approximately 6 months. Improvement of my condition was only at 50 per cent and I was still suffering now and then from pain and limitation in some body movement. Through Jason’s communications with my physiotherapist, he was able to formulate an exact exercise and nutritional programme. During this time, my improvement was assessed by my physiotherapist where I was told had improved 90 per cent. Pain has disappeared with my movement, body flexibility has markedly improved that I could perform my daily activities and exercises.  I have found Jason’s character to be honest, sincere, caring and his work ethic and professionalism exempt. His advice was always helpful and he continued to have a support structure in place whenever I needed it.”
DR MAZEN ABOU-CHAABAN .
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#rehabilitation #doctor #dubai #flexibility #flexibilitytraining #spine #gp #healing #fitness #dubaitrainer #nephrologist #muscle #riding
“I had been seen by a physiotherapist in the same medical centre I work in and had started the treatment sessions for approximately 6 months. Improvement of my condition was only at 50 per cent and I was still suffering now and then from pain and limitation in some body movement. Through Jason’s communications with my physiotherapist, he was able to formulate an exact exercise and nutritional programme. During this time, my improvement was assessed by my physiotherapist where I was told had improved 90 per cent. Pain has disappeared with my movement, body flexibility has markedly improved that I could perform my daily activities and exercises. I have found Jason’s character to be honest, sincere, caring and his work ethic and professionalism exempt. His advice was always helpful and he continued to have a support structure in place whenever I needed it.” DR MAZEN ABOU-CHAABAN . . #rehabilitation  #doctor  #dubai  #flexibility  #flexibilitytraining  #spine  #gp  #healing  #fitness  #dubaitrainer  #nephrologist  #muscle  #riding 
#Repost @iheartguts (@get_repost)
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Peep our bigger and better kidney hangtag, now with more info, drawings and silly photos of your renal friends at work! A miniature booklet comes with each of our plush organs! #whenurinelove
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#kidneys #renal #kidneyfunction #kidneyfailure #kidneydonor #pkd #dialysis #livingdonor #nephrology #nephrologist #urinegoodhands #donatelife #beanorgandonor #organdonor #kidneytransplant
Cytomegalovirus nephritis with typical bull’s eye appearance of virus in the cytoplasm (electron microscopy).
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Cytomegalovirus (CMV) is a double-stranded DNA virus that is a member of the herpesvirus family. Most people are CMV positive, with latency established in hematopoietic cells after primary infection. Immunosuppressed patients and kidney transplant recipients are particularly vulnerable. Seropositive recipients of a seropositive transplant are treated with prophylaxis, and seronegative individuals may have primary infection. Reactivation of the latent virus in the kidney transplant patient can result in a severe systemic illness, with fever, multiple organ dysfunction with associated leukopenia, and CMV in the blood. Commonly involved organs include the gastrointestinal tract, liver, lung, kidneys, and central nervous system. Patients present with acute kidney injury in the setting of findings of systemic infection. Patients may respond to antiviral therapy, with worse outcome in infected patients without such therapy. CMV infection is also associated with increased risk for acute rejection.
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AJKD Atlas of Renal Pathology: Cytomegalovirus Infection (freely available online – link in profile)
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DOI: 10.1053/j.ajkd.2016.10.008 (Dec 2016)
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#AJKD #AtlasofRenalPathology #nephrology #kidneydiseases #renal #renalpath #renalpathology #kidney #microscopy #medicine #nephrologist
#Cytomegalovirus #herpesvirus #virus #kidneytransplant #transplant #transplantation
Cytomegalovirus nephritis with typical bull’s eye appearance of virus in the cytoplasm (electron microscopy). . Cytomegalovirus (CMV) is a double-stranded DNA virus that is a member of the herpesvirus family. Most people are CMV positive, with latency established in hematopoietic cells after primary infection. Immunosuppressed patients and kidney transplant recipients are particularly vulnerable. Seropositive recipients of a seropositive transplant are treated with prophylaxis, and seronegative individuals may have primary infection. Reactivation of the latent virus in the kidney transplant patient can result in a severe systemic illness, with fever, multiple organ dysfunction with associated leukopenia, and CMV in the blood. Commonly involved organs include the gastrointestinal tract, liver, lung, kidneys, and central nervous system. Patients present with acute kidney injury in the setting of findings of systemic infection. Patients may respond to antiviral therapy, with worse outcome in infected patients without such therapy. CMV infection is also associated with increased risk for acute rejection. . AJKD Atlas of Renal Pathology: Cytomegalovirus Infection (freely available online – link in profile) . DOI: 10.1053/j.ajkd.2016.10.008 (Dec 2016) . #AJKD  #AtlasofRenalPathology  #nephrology  #kidneydiseases  #renal  #renalpath  #renalpathology  #kidney  #microscopy  #medicine  #nephrologist  #Cytomegalovirus  #herpesvirus  #virus  #kidneytransplant  #transplant  #transplantation 
Not all protein bars are created equally. .

My grandma is on dialysis. She had her routine visit to her nephrologist and one of her labs showed her protein was low. Her nephrologist suggested adding some protein bars to her diet but she needed to bring the ones she liked to the office for approval since she is also diabetic. My grandma told him about Brie's Bars so he pulled up our website and was blown away at the quality of the ingredients we use in Brie's Bars and fit treats!! Grandma will always have a stock of Brie's Bars & Fit Treats! .

Nephrologist Approved! ✔✔✔👊👊
Not all protein bars are created equally. . My grandma is on dialysis. She had her routine visit to her nephrologist and one of her labs showed her protein was low. Her nephrologist suggested adding some protein bars to her diet but she needed to bring the ones she liked to the office for approval since she is also diabetic. My grandma told him about Brie's Bars so he pulled up our website and was blown away at the quality of the ingredients we use in Brie's Bars and fit treats!! Grandma will always have a stock of Brie's Bars & Fit Treats! . Nephrologist Approved! ✔✔✔👊👊
Беременность с пересаженной (трансплантированной почкой)
⏩Критерии допустимости беременности у пациенток с трансплантированной почкой:
✅ не менее 1 года после пересадки,
✅ стабильная функция почек с уровнем креатинина менее 200 мкмоль/л,
✅ отсутствие в анамнезе случаев отторжения трансплантата в течение 3 – 5 лет,
✅ компенсированная аретриальная гипертензия (АД не выше 140/90 мм рт. ст. на фоне приема препаратов),
✅ УЗИ почек без признаков воспалительной патологии,
✅ суточный белок в моче не более 0,5 гр,
✅ дозировки препаратов. Должно быть компенсированное состояние пациентки при дозировках преднизолона до 15 мг в сутки, азатиоприна до 2 мг/кг/сутки, циклоспорина до 4 мг/кг/сутки.
🔵Особенности ведения беременности после трансплантации почки:
❇ наблюдение акушера – гинеколога и нефролога;
❇ смена принимаемых препаратов на препараты, совметимые с беременностью за 3 месяца до предполагаемого зачатия.
❇ Реакция отторжения – это самое грозное осложнение беременности для матери. При подозрении на реакцию отторжения транстплантата показана консультация трансплантолога и уролога.

Это была заключительная тема в разделе "почки и беременность". Снова напомню, что рассмотренные ранее заболевания сами по себе НЕ ПРОТИВОПОКАЗАНИЯ ДЛЯ БЕРЕМЕННОСТИ. Помните, что вы имеете право сравнить консультации разных врачей одной специальности. Важно регулярное обследование и своевременное обращение за помощью! 
С пожеланием здоровья врач-нефролог Марина Александровна

#здоровье#почки#здоровыепочки#почкиибеременность#ХПН#беременность#МКБ#поликистоз#аномалиипочек#трансплантацияпочек#пересадкапочек#терапевт#нефролог#гинеколог#акушер#уролог#ЗОЖ#врачироссии#врачисочи#health#kidney#HKD#physician#therapist#nephrologist#sochi#vrachirf
Беременность с пересаженной (трансплантированной почкой) ⏩Критерии допустимости беременности у пациенток с трансплантированной почкой: ✅ не менее 1 года после пересадки, ✅ стабильная функция почек с уровнем креатинина менее 200 мкмоль/л, ✅ отсутствие в анамнезе случаев отторжения трансплантата в течение 3 – 5 лет, ✅ компенсированная аретриальная гипертензия (АД не выше 140/90 мм рт. ст. на фоне приема препаратов), ✅ УЗИ почек без признаков воспалительной патологии, ✅ суточный белок в моче не более 0,5 гр, ✅ дозировки препаратов. Должно быть компенсированное состояние пациентки при дозировках преднизолона до 15 мг в сутки, азатиоприна до 2 мг/кг/сутки, циклоспорина до 4 мг/кг/сутки. 🔵Особенности ведения беременности после трансплантации почки: ❇ наблюдение акушера – гинеколога и нефролога; ❇ смена принимаемых препаратов на препараты, совметимые с беременностью за 3 месяца до предполагаемого зачатия. ❇ Реакция отторжения – это самое грозное осложнение беременности для матери. При подозрении на реакцию отторжения транстплантата показана консультация трансплантолога и уролога. Это была заключительная тема в разделе "почки и беременность". Снова напомню, что рассмотренные ранее заболевания сами по себе НЕ ПРОТИВОПОКАЗАНИЯ ДЛЯ БЕРЕМЕННОСТИ. Помните, что вы имеете право сравнить консультации разных врачей одной специальности. Важно регулярное обследование и своевременное обращение за помощью! С пожеланием здоровья врач-нефролог Марина Александровна #здоровье #почки #здоровыепочки #почкиибеременность #ХПН #беременность #МКБ #поликистоз #аномалиипочек #трансплантацияпочек #пересадкапочек #терапевт #нефролог #гинеколог #акушер #уролог #ЗОЖ #врачироссии #врачисочи #health #kidney #HKD #physician #therapist #nephrologist #sochi #vrachirf 
Kidney Specialists, Nephrology Nurses, Dialysis Clinics ! Do you have custom-made kits for your patients yet? Our kit packing department does it all for you. Strive for the upmost quality care for your patients, just the way you like. Call us now at 1 (800) 462-8310, ask for Tammy.
Kidney Specialists, Nephrology Nurses, Dialysis Clinics ! Do you have custom-made kits for your patients yet? Our kit packing department does it all for you. Strive for the upmost quality care for your patients, just the way you like. Call us now at 1 (800) 462-8310, ask for Tammy.
Женщины с хроническим гломерулонефритом должны быть обследованы в первые 12 недель беременности для уточнения формы заболевания и решения вопроса о сохранении беременности.

Нюансы обследования беременной с ГН
✅Ведение и лечение женщин с ГН проводят совместно акушер-гинеколог и нефролог. ✅Кроме первичной госпитализации в ранние сроки беременности, показано стационарное лечение в любые её сроки при любом ухудшении.
✅Белок в моче определяют не реже 1 раза в 2—3 нед. ✅Биохимическое исследование крови проводят не реже 1 раза в 1—1,5 мес. ✅Контроль АД - ежедневно.
✅Ультразвуковая фетометрия с 20—22-й недели. Контроль двигательной активности плода.
✅В сроке 36-37 недель - плановая госпитализация в отделение патологии беременных для подготовки к родам и выбора метода родоразрешения.
❗При благополучном завершении лечения и доношенной беременности физиологические роды таким мамам не противопоказаны. ❗После выписки из род. дома женщине, у которой во время беременности был диагностирован ГН, - встать на учёт к нефрологу!❗ Влияние ГН на беременную:👩
1. Прогрессирование основного заболевания.
2. Самопроизвольное прерывание беременности.
3. Преждевременные роды.
4. Преждевременная отслойка нормально расположенной плаценты.
5. Развитие анемии средней и тяжелой степени.
Последствия ГН для плода:👶
1. Развитие плацентарной недостаточности.
2. Антенатальная (до родов) гибель плода. 
3. Токсическое действие препаратов для лечения ГН на плод. 📝Лечение ГН:
1.✏Режим - госпитализация. При острой форме заболевания - строгий постельный, до исчезновения отёков и нормализации цифр АД.
При хронически бессимптомном течении заболевания - можно передвигаться в пределах палаты.
2.✏Основное правило диеты - ограничение жидкости и поваренной соли. Общее количество жидкости, потребляемой в сутки = объём выделенной за предыдущие сутки мочи + 300—500 миллилитров. Если диагностирован острый гломерулонефрит, то ограничивают количество белка 📍в рационе до 60 г/сут.; при хронической форме, суточное потребление белка — ув. ок. 2г/на кг массы тела. Соли не более 3—5 г/сут. Эту диету соблюдать до нормализации анализов мочи и исчезновения симптомов.↘↘↘
Женщины с хроническим гломерулонефритом должны быть обследованы в первые 12 недель беременности для уточнения формы заболевания и решения вопроса о сохранении беременности. Нюансы обследования беременной с ГН ✅Ведение и лечение женщин с ГН проводят совместно акушер-гинеколог и нефролог. ✅Кроме первичной госпитализации в ранние сроки беременности, показано стационарное лечение в любые её сроки при любом ухудшении. ✅Белок в моче определяют не реже 1 раза в 2—3 нед. ✅Биохимическое исследование крови проводят не реже 1 раза в 1—1,5 мес. ✅Контроль АД - ежедневно. ✅Ультразвуковая фетометрия с 20—22-й недели. Контроль двигательной активности плода. ✅В сроке 36-37 недель - плановая госпитализация в отделение патологии беременных для подготовки к родам и выбора метода родоразрешения. ❗При благополучном завершении лечения и доношенной беременности физиологические роды таким мамам не противопоказаны. ❗После выписки из род. дома женщине, у которой во время беременности был диагностирован ГН, - встать на учёт к нефрологу!❗ Влияние ГН на беременную:👩 1. Прогрессирование основного заболевания. 2. Самопроизвольное прерывание беременности. 3. Преждевременные роды. 4. Преждевременная отслойка нормально расположенной плаценты. 5. Развитие анемии средней и тяжелой степени. Последствия ГН для плода:👶 1. Развитие плацентарной недостаточности. 2. Антенатальная (до родов) гибель плода.  3. Токсическое действие препаратов для лечения ГН на плод. 📝Лечение ГН: 1.✏Режим - госпитализация. При острой форме заболевания - строгий постельный, до исчезновения отёков и нормализации цифр АД. При хронически бессимптомном течении заболевания - можно передвигаться в пределах палаты. 2.✏Основное правило диеты - ограничение жидкости и поваренной соли. Общее количество жидкости, потребляемой в сутки = объём выделенной за предыдущие сутки мочи + 300—500 миллилитров. Если диагностирован острый гломерулонефрит, то ограничивают количество белка 📍в рационе до 60 г/сут.; при хронической форме, суточное потребление белка — ув. ок. 2г/на кг массы тела. Соли не более 3—5 г/сут. Эту диету соблюдать до нормализации анализов мочи и исчезновения симптомов.↘↘↘
Несколько слов о гломерулонефрите (далее - ГН), которые будут общими для беременных и НЕбеременных, для мужчин и женщин.👫
🤔ГН — иммуновоспалительное заболевание с поражением клубочков почек, структур, которые отвечают за непосредственную фильтрацию плазмы и образование мочи. 🔺Может развиться при попадании в организм определённой бактерии (чаще ей бывает бета-гемолитический стрептококк). Развиваются такие инфекции, как тонзиллит, ангина, пиодермия, рожа, скарлатина. 🔺Возбудитель вызывает иммуноаллергическую реакцию организма. 🔺К развитию заболевания предрасполагает переохлаждение организма, инсоляция (чрезмерное пребывание на солнце). 🔷Классическая клинико-лабораторная картина развивается через 10-14 дней после выше перечисленных инфекций (сочетание 2-х и более):
✒белок в моче
✒эритроциты в моче (вплоть до окрашивания мочи в тёмно-коричневый цвет)
✒снижение гемоглобина в крови
✒высокий титр анти-О-стрептолизина в крови
✒отёки
✒повышение артериального давления.
🖍Может развиться почечная недостаточность.

ГН бывает:
📍- острый (развивается впервые), во время беременности это бывает редко
📍- хронический, м.б. как следствием острого ГН (если нет клиниколабораторного улучшения за год), так и развиваться первично в хронической форме.

Конечно, для диагностики надо сдавать кровь, мочу, делать УЗИ, но «Золотой стандарт» верификации ГН — нефробиопсия! Это укол в почку, с помощью которого получают столбик почечной ткани, окрашивают и смотрят эту ткань под микроскопом! 🔬Иногда её необходимо повторять, в неокоторых случаях, перед планированием беременности!

О ГН и беременности расскажу завтра.🔜 С пожеланием здоровья, врач-нефролог Марина Александровна

#здоровье#почки#хроническаяпочечнаянедостаточность#гломерулонефрит#нефробиопсия#беременность#роды#терапевт#нефролог#гинеколог#акушер#ЗОЖ#диета#врачироссии#врачисочи#health#kidney#HKD#glomerulonephrit#pregnancy#childbirth#physician#therapist#nephrologist#gynecologist#sochi#vrachirf
Несколько слов о гломерулонефрите (далее - ГН), которые будут общими для беременных и НЕбеременных, для мужчин и женщин.👫 🤔ГН — иммуновоспалительное заболевание с поражением клубочков почек, структур, которые отвечают за непосредственную фильтрацию плазмы и образование мочи. 🔺Может развиться при попадании в организм определённой бактерии (чаще ей бывает бета-гемолитический стрептококк). Развиваются такие инфекции, как тонзиллит, ангина, пиодермия, рожа, скарлатина. 🔺Возбудитель вызывает иммуноаллергическую реакцию организма. 🔺К развитию заболевания предрасполагает переохлаждение организма, инсоляция (чрезмерное пребывание на солнце). 🔷Классическая клинико-лабораторная картина развивается через 10-14 дней после выше перечисленных инфекций (сочетание 2-х и более): ✒белок в моче ✒эритроциты в моче (вплоть до окрашивания мочи в тёмно-коричневый цвет) ✒снижение гемоглобина в крови ✒высокий титр анти-О-стрептолизина в крови ✒отёки ✒повышение артериального давления. 🖍Может развиться почечная недостаточность. ГН бывает: 📍- острый (развивается впервые), во время беременности это бывает редко 📍- хронический, м.б. как следствием острого ГН (если нет клиниколабораторного улучшения за год), так и развиваться первично в хронической форме. Конечно, для диагностики надо сдавать кровь, мочу, делать УЗИ, но «Золотой стандарт» верификации ГН — нефробиопсия! Это укол в почку, с помощью которого получают столбик почечной ткани, окрашивают и смотрят эту ткань под микроскопом! 🔬Иногда её необходимо повторять, в неокоторых случаях, перед планированием беременности! О ГН и беременности расскажу завтра.🔜 С пожеланием здоровья, врач-нефролог Марина Александровна #здоровье #почки #хроническаяпочечнаянедостаточность #гломерулонефрит #нефробиопсия #беременность #роды #терапевт #нефролог #гинеколог #акушер #ЗОЖ #диета #врачироссии #врачисочи #health #kidney #HKD #glomerulonephrit #pregnancy #childbirth #physician #therapist #nephrologist #gynecologist #sochi #vrachirf 
Thrombotic microangiopathy with fibrin thrombi within glomerular capillary loops (Jones silver stain).
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Thrombotic microangiopathy (TMA) is a lesion with multiple etiologies. The presentation depends on the cause, and typically includes the triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury. Hemolytic uremic syndrome (HUS) and thrombotic thrombocytopenic purpura (TTP) both manifest as TMA. In addition to classic TMA findings, HUS typically presents with bloody diarrhea, fever, and hypertension. TTP typically presents with fever, hypertension, mild proteinuria, and neurologic symptoms. TMA may occur at any age, but HUS due to E. coli is more common in children.
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AJKD Atlas of Renal Pathology: Thrombotic Microangiopathy (freely available online)
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DOI: 10.1053/j.ajkd.2016.10.006 (Dec 2016) .
#AJKD #AtlasofRenalPathology #nephrology #kidneydiseases #renal #renalpath #renalpathology #kidney #microscopy #medicine #nephrologist
Thrombotic microangiopathy with fibrin thrombi within glomerular capillary loops (Jones silver stain). . Thrombotic microangiopathy (TMA) is a lesion with multiple etiologies. The presentation depends on the cause, and typically includes the triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury. Hemolytic uremic syndrome (HUS) and thrombotic thrombocytopenic purpura (TTP) both manifest as TMA. In addition to classic TMA findings, HUS typically presents with bloody diarrhea, fever, and hypertension. TTP typically presents with fever, hypertension, mild proteinuria, and neurologic symptoms. TMA may occur at any age, but HUS due to E. coli is more common in children. . AJKD Atlas of Renal Pathology: Thrombotic Microangiopathy (freely available online) . DOI: 10.1053/j.ajkd.2016.10.006 (Dec 2016) . #AJKD  #AtlasofRenalPathology  #nephrology  #kidneydiseases  #renal  #renalpath  #renalpathology  #kidney  #microscopy  #medicine  #nephrologist 
Presidiendo el Comité de terapias sustitutivas !!! 👩🏻‍⚕️😊✌🏻#nephrologist
Presidiendo el Comité de terapias sustitutivas !!! 👩🏻‍⚕️😊✌🏻#nephrologist 
In a recent Q+A, Consultant360 spoke with James Matera, DO, FACOI, who is a #nephrologist at the Nephrology Hypertension Associates of Central NJ and co-director of physician integration at CentraState Medical Center in Freehold, New Jersey, about how to manage patients with #cardiometabolic risk and #kidney disease. Read the full Q+A on our website: http://ow.ly/ZhSB30fNJ7s.

#CONnephrology #CONkidney #CKD #CVD #cardiovasculardisease #CardiometabolicRisk #cardiology #heart #nephrology #hypertension #bloodpressure #highbloodpressure #BP
In a recent Q+A, Consultant360 spoke with James Matera, DO, FACOI, who is a #nephrologist  at the Nephrology Hypertension Associates of Central NJ and co-director of physician integration at CentraState Medical Center in Freehold, New Jersey, about how to manage patients with #cardiometabolic  risk and #kidney  disease. Read the full Q+A on our website: http://ow.ly/ZhSB30fNJ7s. #CONnephrology  #CONkidney  #CKD  #CVD  #cardiovasculardisease  #CardiometabolicRisk  #cardiology  #heart  #nephrology  #hypertension  #bloodpressure  #highbloodpressure  #BP 
I was born with this and only found out 2 years ago (I've never had an ultrasound before) the pain in my pelvic region has gradually gotten worse and I'm losing sensation in my right leg. Don't normally post anything about my health issues, but I'm DESPERATE for help. Please tag any nephrologist in the NJ/NY area. 🙏🏾🙏🏾🙏🏾 #nephrology #nephrologist #pelvickidney #pelvicpain
I was born with this and only found out 2 years ago (I've never had an ultrasound before) the pain in my pelvic region has gradually gotten worse and I'm losing sensation in my right leg. Don't normally post anything about my health issues, but I'm DESPERATE for help. Please tag any nephrologist in the NJ/NY area. 🙏🏾🙏🏾🙏🏾 #nephrology  #nephrologist  #pelvickidney  #pelvicpain 
Говоря о вопросах профилактики, важно помнить, что этим вопросом стоит заниматься не только с детского возраста, но и на этапе планирования беременности. Поэтому в ближайших темах рассмотрим нефрологическое здоровье будущих мам и пап.👫👶
Даже если вы никогда не страдали нефрологическими заболеваниями или болели когда-то давно и убеждены, что болезнь бесследно прошла, планируя беременность или узнав о ней, обязательно обследуйте почки.☝ Большинство изменений, которые происходят в почках при беременности, носят АДАПТИВНЫЙ и ОБРАТИМЫЙ характер.🔄 Вот эти за НОРМАЛЬНЫЕ изменения:
⏩Возрастает объём циркулирующей плазмы => фильтровать приходится бОльший объём крови => увеличивается почечный кровотока на 25-35%.
⏩Увеличивается СКФ (показатель, по которому оценивают работу почек) на 35-50%
⏩Увеличивается количество токсинов, которые надо выводить: за счёт продуктов жизнедеятельности плода, которые поступают в кровь матери через плаценту, НО снижается концентрация продуктов азотистого обмена (мочевина, креатинин) из-за увеличения объёма плазмы.
⏩Взрастает объём почечной ткани ≈ на 30%, увеличиваются толщина почечных слоев и размеры почек на 1,5-2 см.
⏩Увеличивается ёмкость почечной лоханки, преимущественно справа, что связано с особенностями и различиями кровоснабжения правой и левой почек, а также давлением беременной матки. Увеличение может достигать 200 мл при норме 10-15 мл.
⏩Физиологическая протеинурия НЕ БОЛЕЕ 300 мг/л.
⏩Под действием прогестерона - "гормона беременности" – размягчаются волокнистые структуры => мочеточники становятся более широкими и хуже регулируют процесс одностороннего (из почек в мочевой пузырь) движения мочи.
⏩Мочевой пузырь также претерпевает влияние прогестерона. С одной стороны его стенки временно снижают свою эластичность, поэтому ёмкость пузыря увеличивается, а с другой, мочевой пузырь испытывает давление растущей матки. И чем больше срок беременности, тем сильнее сдавливается мочевой пузырь маткой, его ёмкость становится меньше. Малая ёмкость пузыря ведет к частому мочеиспусканию. Но беременным частые походы в туалет идут только на пользу.
⏩Физиологические снижение иммунитета
Продолжение ↘↘↘
Говоря о вопросах профилактики, важно помнить, что этим вопросом стоит заниматься не только с детского возраста, но и на этапе планирования беременности. Поэтому в ближайших темах рассмотрим нефрологическое здоровье будущих мам и пап.👫👶 Даже если вы никогда не страдали нефрологическими заболеваниями или болели когда-то давно и убеждены, что болезнь бесследно прошла, планируя беременность или узнав о ней, обязательно обследуйте почки.☝ Большинство изменений, которые происходят в почках при беременности, носят АДАПТИВНЫЙ и ОБРАТИМЫЙ характер.🔄 Вот эти за НОРМАЛЬНЫЕ изменения: ⏩Возрастает объём циркулирующей плазмы => фильтровать приходится бОльший объём крови => увеличивается почечный кровотока на 25-35%. ⏩Увеличивается СКФ (показатель, по которому оценивают работу почек) на 35-50% ⏩Увеличивается количество токсинов, которые надо выводить: за счёт продуктов жизнедеятельности плода, которые поступают в кровь матери через плаценту, НО снижается концентрация продуктов азотистого обмена (мочевина, креатинин) из-за увеличения объёма плазмы. ⏩Взрастает объём почечной ткани ≈ на 30%, увеличиваются толщина почечных слоев и размеры почек на 1,5-2 см. ⏩Увеличивается ёмкость почечной лоханки, преимущественно справа, что связано с особенностями и различиями кровоснабжения правой и левой почек, а также давлением беременной матки. Увеличение может достигать 200 мл при норме 10-15 мл. ⏩Физиологическая протеинурия НЕ БОЛЕЕ 300 мг/л. ⏩Под действием прогестерона - "гормона беременности" – размягчаются волокнистые структуры => мочеточники становятся более широкими и хуже регулируют процесс одностороннего (из почек в мочевой пузырь) движения мочи. ⏩Мочевой пузырь также претерпевает влияние прогестерона. С одной стороны его стенки временно снижают свою эластичность, поэтому ёмкость пузыря увеличивается, а с другой, мочевой пузырь испытывает давление растущей матки. И чем больше срок беременности, тем сильнее сдавливается мочевой пузырь маткой, его ёмкость становится меньше. Малая ёмкость пузыря ведет к частому мочеиспусканию. Но беременным частые походы в туалет идут только на пользу. ⏩Физиологические снижение иммунитета Продолжение ↘↘↘
Don't ignore symptoms. Don't wait until you're life is being threatened before you pay attention. This is a #dialysis machine. That's my #blood in those tubes. Listen to your #body. If you're urinating often at night, feeling #weak, getting a lot of #nausea, go and have your #kidneys checked. Ask your doctor to refer you to a #nephrologist. In most cases, this is preventable. I started #dialysis while on #lifesupport. Find out what's going on when something is not right. I don't want you having to do this. #naturallyinflamed #kidneyfailure #kidneyhealth #kidneyawareness #anca #wegeners
Don't ignore symptoms. Don't wait until you're life is being threatened before you pay attention. This is a #dialysis  machine. That's my #blood  in those tubes. Listen to your #body . If you're urinating often at night, feeling #weak , getting a lot of #nausea , go and have your #kidneys  checked. Ask your doctor to refer you to a #nephrologist . In most cases, this is preventable. I started #dialysis  while on #lifesupport . Find out what's going on when something is not right. I don't want you having to do this. #naturallyinflamed  #kidneyfailure  #kidneyhealth  #kidneyawareness  #anca  #wegeners 
My nephrologist is truly amazing. So glad he's my doctor. Last Thursday I've had an appointment with my nephrologist. When I first walked in he said: I think you don't really feel that we'll, maybe we should draw some blood before we continue. So he called someone who could access my port to draw some blood. After that was done we talked for almost an hour about many different things, but the main thing we discussed is to do weekly potassium and phosphate infusions at the daycentre/infusion center to prevent symptomatic hypokalemic and low phosphate episodes. We start doing them weekly and if needed we'll do them more. If we know how my body reacts to the potassium and phosphate and know exactly how much I need of it, we will go ahead and do home infusions. He said some of his colleagues are a bit scared of doing so, because normally potassium can only be givin in the hospital, but he said he's doing good anything to prevent those admissions and make life a bit easier for me. I really love this nephrologist and how he's actually seeing me instead of work. He takes his time to actually talk to me and listen to me. He was also a bit frustrated with my neurosurgeon, so he decided to call him, even though he's in a different hospital. 
Tuesday he's calling me back and then we'll talk about when I'm going to get my first infusions planned. -----------------------------------------------
#chronichope #chronicillness #invisibleillness #kidneydisease #kidneyproblems #fanconisyndrome #hypokalemia #hypophosphatemia #portacath #potassiuminfusion #ivpotassium #ivphosphate #weneedacure #weeklyinfusion #hospitallife #homeinfusion #spoonielife #spoonieproblems #spoonie #lowphosphate #lowpotassium #ineedanap #amazingdoctor #nephrology #nephrologist #totiredtofunction #sickandtiredofbeingsickandtired #butyoudontlooksick #electrolyteimbalance #miracleshappen
My nephrologist is truly amazing. So glad he's my doctor. Last Thursday I've had an appointment with my nephrologist. When I first walked in he said: I think you don't really feel that we'll, maybe we should draw some blood before we continue. So he called someone who could access my port to draw some blood. After that was done we talked for almost an hour about many different things, but the main thing we discussed is to do weekly potassium and phosphate infusions at the daycentre/infusion center to prevent symptomatic hypokalemic and low phosphate episodes. We start doing them weekly and if needed we'll do them more. If we know how my body reacts to the potassium and phosphate and know exactly how much I need of it, we will go ahead and do home infusions. He said some of his colleagues are a bit scared of doing so, because normally potassium can only be givin in the hospital, but he said he's doing good anything to prevent those admissions and make life a bit easier for me. I really love this nephrologist and how he's actually seeing me instead of work. He takes his time to actually talk to me and listen to me. He was also a bit frustrated with my neurosurgeon, so he decided to call him, even though he's in a different hospital. Tuesday he's calling me back and then we'll talk about when I'm going to get my first infusions planned. ----------------------------------------------- #chronichope  #chronicillness  #invisibleillness  #kidneydisease  #kidneyproblems  #fanconisyndrome  #hypokalemia  #hypophosphatemia  #portacath  #potassiuminfusion  #ivpotassium  #ivphosphate  #weneedacure  #weeklyinfusion  #hospitallife  #homeinfusion  #spoonielife  #spoonieproblems  #spoonie  #lowphosphate  #lowpotassium  #ineedanap  #amazingdoctor  #nephrology  #nephrologist  #totiredtofunction  #sickandtiredofbeingsickandtired  #butyoudontlooksick  #electrolyteimbalance  #miracleshappen 
🌱خوراکی های مفید ضد جوش👌👇 🔹کلم 🔸کاهو 🔹خیار
🔸لیمو ترش
🔹سیب
🔸آووکادو
@ashtibagiyahan1
#غدد #چشم #پوست #مو #زنان #مغزواعصاب #اعصاب #روان #تغذیه #ستون_فقرات #داخلی #عمومی #متخصص #بالینی #doctor #cardiologist #neurologist #nephrologist #nutrition
I can't handle m baby girl being so sick ;( hopefully by Monday everything will be sorted ;( so glad you are home with me ❤️ #doctors #Nephrologist #sickbabygirl #pleasegetbetter
We value feedback from our patients on their experiences at McFarland Clinic. Patients can share their experiences through Press Ganey surveys, comment cards and the Patient Relations Department. One patient shared this about a recent appointment with Dr. Jacob Alexander in Nephrology.
"Dr. Alexander is hands down one of the top physicians at McFarland Clinic. He is thorough, attentive, and knows his stuff. My medical issues over the years have been much less severe than they could have been due to his diligence and expertise!"
#ExtraordinaryCare #EveryDay
#Ames #AmesIowa #IowaHealthcare #IowaDoctors #Nephrology #Nephrologist #PatientFeedback #KidneyHealth #Kidneys
We value feedback from our patients on their experiences at McFarland Clinic. Patients can share their experiences through Press Ganey surveys, comment cards and the Patient Relations Department. One patient shared this about a recent appointment with Dr. Jacob Alexander in Nephrology. "Dr. Alexander is hands down one of the top physicians at McFarland Clinic. He is thorough, attentive, and knows his stuff. My medical issues over the years have been much less severe than they could have been due to his diligence and expertise!" #ExtraordinaryCare  #EveryDay  #Ames  #AmesIowa  #IowaHealthcare  #IowaDoctors  #Nephrology  #Nephrologist  #PatientFeedback  #KidneyHealth  #Kidneys 
On the October 2017 Cover: Florence Nightingale, credited as the founder of modern nursing, making the night rounds. Today’s nurses continue the tradition of caring for their patients at all hours and in many difficult circumstances, and in more recent years have taken on important new responsibilities. In this month’s issue of AJKD, Steven Fishbane (@northwellhealth) and colleagues discuss how nurse care managers can play a critical role to improve late-stage chronic kidney disease (CKD) outcomes in their patients, by enhancing coordination of care and patient education, identifying critical needs during home visits, working with nephrologists to develop plans of care, and monitoring patients’ clinical progress bit.ly/2xhRmRX (freely available).
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“Florence Nightingale, An Angel of Mercy, Scutari Hospital 1855” A print by Charles Algernon Tomkins after a painting by J. Butterworth. From @wellcomelibrary, London, released under a CC BY 4.0 license (cropped from original).
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#AJKD #kidneydiseases #nephrology #renal #nurse #nursing #nephrologist #FlorenceNightingale #CKD #patients  #patienteducation #AJKDCover
On the October 2017 Cover: Florence Nightingale, credited as the founder of modern nursing, making the night rounds. Today’s nurses continue the tradition of caring for their patients at all hours and in many difficult circumstances, and in more recent years have taken on important new responsibilities. In this month’s issue of AJKD, Steven Fishbane (@northwellhealth) and colleagues discuss how nurse care managers can play a critical role to improve late-stage chronic kidney disease (CKD) outcomes in their patients, by enhancing coordination of care and patient education, identifying critical needs during home visits, working with nephrologists to develop plans of care, and monitoring patients’ clinical progress bit.ly/2xhRmRX (freely available). . “Florence Nightingale, An Angel of Mercy, Scutari Hospital 1855” A print by Charles Algernon Tomkins after a painting by J. Butterworth. From @wellcomelibrary, London, released under a CC BY 4.0 license (cropped from original). . #AJKD  #kidneydiseases  #nephrology  #renal  #nurse  #nursing  #nephrologist  #FlorenceNightingale  #CKD  #patients  #patienteducation  #AJKDCover 
Discussing #cranes and #concrete and the finer points of large scale #construction and generally being amazing #kids while we wait for Wes to see his #nephrologist at #childrenshospital. #livingwithckd #chronickidneydisease #renaldisease #hero #iweargreenformyson #kidneydisease 💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚
Nephrologists are physicians who deal with diseases of the kidneys and fluid and electrolyte imbalances. Patients are first examined and assessed by general physicians who refer them to nephrologists when kidney diseases or abnormalities are confirmed.

If you think you have some problems with your kidneys, arrange a visit to Dr. Enrica. Click the link in bio.
Contact us +971 (0)2 613 3999

Harley Street Medical Centre highly experienced doctors will help to bring your health back.

أطباء الكلى هم الأطباء الذين يتعاملون مع أمراض الكلى واختلال توازن السوائل والالكتروليتات في الجسم. يتم فحص المرضى وتقييمهم لأول مرة من قبل الأطباء العامين ومن ثم إحالتهم إلى أطباء الكلى بعد تأكد الإصابة بأمراض أو اختلالات الكلى.

إن كنت تعتقد بأنك تعاني من مشاكل في الكلى، يرجى حجز موعد مع الدكتورة إنريكا عبر الرابط التالي  #HSMC #MedicalCentre #AbuDhabi #healthcare #nephrologist #nephrologist #kidneydisease
Nephrologists are physicians who deal with diseases of the kidneys and fluid and electrolyte imbalances. Patients are first examined and assessed by general physicians who refer them to nephrologists when kidney diseases or abnormalities are confirmed. If you think you have some problems with your kidneys, arrange a visit to Dr. Enrica. Click the link in bio. Contact us +971 (0)2 613 3999 Harley Street Medical Centre highly experienced doctors will help to bring your health back. أطباء الكلى هم الأطباء الذين يتعاملون مع أمراض الكلى واختلال توازن السوائل والالكتروليتات في الجسم. يتم فحص المرضى وتقييمهم لأول مرة من قبل الأطباء العامين ومن ثم إحالتهم إلى أطباء الكلى بعد تأكد الإصابة بأمراض أو اختلالات الكلى. إن كنت تعتقد بأنك تعاني من مشاكل في الكلى، يرجى حجز موعد مع الدكتورة إنريكا عبر الرابط التالي  #HSMC  #MedicalCentre  #AbuDhabi  #healthcare  #nephrologist  #nephrologist  #kidneydisease 
@Regranned from @freedom_faction -  Thoughts?

The #world is constantly bombarded with the idea that #vaccines are completely safe and necessary, it’s mass marketing at its best. It’s always best to do some examination and #research before blindly believing what you are told. It’s good to know that  more doctors who have spent years researching the topic are sharing their professional opinions.

Sure, there are doctors that support and trust #vaccinations, but just as valid are the arguments of those that don’t support them. They should not be ignored. The #point I’m trying to make is that there is no definite answer, that the #debate has not been settled as so many governing health authorities claim it to be.

#SuzanneHumphries, MD, is a conventionally educated medical doctor who was a participant in the conventional medicinal system from 1989 until 2011. During those years she “saw how often that approach fails patients and creates #new diseases.” She left conventional medicine to research “the many problems with mainstream medical theory, to write, and conduct a holistic medical practice.” She was a #Nephrologist , a specialty of #medicine and pediatrics that concerns itself with the study of the kidney.

Those who are interested in doing the research will find #papers that completely put to rest the debate. One example is a paper published by the #CDC, titled “Increasing exposure to Antibody-Stimulating Proteins and Polysaccharides (antigenes) in Vaccines is Not Associated with #Autism.” On the other hand, we have studies, also published in peer reviewed journals that do create a cause for concern. One example would be a study published a few months ago in the peer-reviewed journal Translational Neurodegeneration that provided epidemiological evidence supporting an association between increasing organic – Hg exposure from #Thimerosal containing childhood vaccines and the risk of an ASD diagnoses. 
We also have multiple studies in peer-reviewed #journals that suggest #thimerosal should be removed from all vaccines. 🏾#GlobalHealthSecurittAgenda #PopulationControl - #regrann
@Regranned from @freedom_faction - Thoughts? The #world  is constantly bombarded with the idea that #vaccines  are completely safe and necessary, it’s mass marketing at its best. It’s always best to do some examination and #research  before blindly believing what you are told. It’s good to know that more doctors who have spent years researching the topic are sharing their professional opinions. Sure, there are doctors that support and trust #vaccinations , but just as valid are the arguments of those that don’t support them. They should not be ignored. The #point  I’m trying to make is that there is no definite answer, that the #debate  has not been settled as so many governing health authorities claim it to be. #SuzanneHumphries , MD, is a conventionally educated medical doctor who was a participant in the conventional medicinal system from 1989 until 2011. During those years she “saw how often that approach fails patients and creates #new  diseases.” She left conventional medicine to research “the many problems with mainstream medical theory, to write, and conduct a holistic medical practice.” She was a #Nephrologist  , a specialty of #medicine  and pediatrics that concerns itself with the study of the kidney. Those who are interested in doing the research will find #papers  that completely put to rest the debate. One example is a paper published by the #CDC , titled “Increasing exposure to Antibody-Stimulating Proteins and Polysaccharides (antigenes) in Vaccines is Not Associated with #Autism .” On the other hand, we have studies, also published in peer reviewed journals that do create a cause for concern. One example would be a study published a few months ago in the peer-reviewed journal Translational Neurodegeneration that provided epidemiological evidence supporting an association between increasing organic – Hg exposure from #Thimerosal  containing childhood vaccines and the risk of an ASD diagnoses. We also have multiple studies in peer-reviewed #journals  that suggest #thimerosal  should be removed from all vaccines. 🏾#GlobalHealthSecurittAgenda  #PopulationControl  - #regrann 
Picture picture after rounds of our Pedia Nephrologist Ever Gorgeous Dra. Mia Collado-Bautista and our Pedia Resident Ever Beautiful Dra. Pop Zarate 
Remembrance daw with our new and old patient hihi 😍😍😍 per request "Beautiful things happen when you distance yourself from the negative"

#tphpd
#peritonealdialysis
#pedianephro
#pdnurse
#nephrology
#nephrologist
Picture picture after rounds of our Pedia Nephrologist Ever Gorgeous Dra. Mia Collado-Bautista and our Pedia Resident Ever Beautiful Dra. Pop Zarate Remembrance daw with our new and old patient hihi 😍😍😍 per request "Beautiful things happen when you distance yourself from the negative" #tphpd  #peritonealdialysis  #pedianephro  #pdnurse  #nephrology  #nephrologist 
Life to be a medical physician: getting certificates, licences and keeping licences alive  #physician #doctorlife #internalmedicine #nephrologist
#break #coffebreak #workbreak #working #medicaldoctors #doctorslife #nephrologist #inprogress 😉 👩‍⚕️👩‍⚕️👩‍⚕️👩‍⚕️👨‍⚕️
When you're being tested for #chronic #kidney #disease (CKD), you start to feel like things are out of your control, due to a fundamental shift that is taking place in your life --> #change 💨 ! Remember knowledge is power ✋🏾 There are so many unknowns and what if's. I would like to provide further insight into the testing 💉process. I'm not always a very good patient in terms of following doctors orders - when I had my #biopsy and had to stay overnight - I did not lie flat for 8 hours... I made it to 4 then had to pee 🚰! Shhhh - no tattling on me!😂 Serum Creatinine: this is a blood test that identifies how well your kidneys are filtering waste products 🕳. As blood creatinine ⬆️rises, kidney function decreases ⬇️. GFR: glomuler filtration rate - an estimate of kidney function determine by a mathematical formula that includes creatinine measurement, age, height, weight, ethnicity and gender. 
Urinalysis: determines how much albumin is in the urine, which is useful in detecting kidney function early

Albumin-creatinine ratio: also detects the amount of albumin and creatinine in the urine, which is useful in determining kidney function 
Imaging 🔎: ultrasound, CT, MRI are used to view the kidneys and identify any blockages or structural changes 
Biopsy ✂️: a small sample of kidney tissue is removed using a large needle to examine the cells under a microscope 🔬for signs of damage and may provide a diagnosis for your #CKD

Always check w your #healthcare team or #nephrologist if you have any questions 😊
When you're being tested for #chronic  #kidney  #disease  (CKD), you start to feel like things are out of your control, due to a fundamental shift that is taking place in your life -->#change  💨 ! Remember knowledge is power ✋🏾 There are so many unknowns and what if's. I would like to provide further insight into the testing 💉process. I'm not always a very good patient in terms of following doctors orders - when I had my #biopsy  and had to stay overnight - I did not lie flat for 8 hours... I made it to 4 then had to pee 🚰! Shhhh - no tattling on me!😂 Serum Creatinine: this is a blood test that identifies how well your kidneys are filtering waste products 🕳. As blood creatinine ⬆️rises, kidney function decreases ⬇️. GFR: glomuler filtration rate - an estimate of kidney function determine by a mathematical formula that includes creatinine measurement, age, height, weight, ethnicity and gender. Urinalysis: determines how much albumin is in the urine, which is useful in detecting kidney function early Albumin-creatinine ratio: also detects the amount of albumin and creatinine in the urine, which is useful in determining kidney function Imaging 🔎: ultrasound, CT, MRI are used to view the kidneys and identify any blockages or structural changes Biopsy ✂️: a small sample of kidney tissue is removed using a large needle to examine the cells under a microscope 🔬for signs of damage and may provide a diagnosis for your #CKD  Always check w your #healthcare  team or #nephrologist  if you have any questions 😊
Our next Ask The Experts Webinar (featuring Dr. Bruce Morgenstern) will be held TODAY at 2pm PDT / 5pm EDT. Click the link in our profile to register!

Today's webinar will help members of the #Alportsyndrome community and their friends and relatives better understand the meaning of the various blood and urine tests that are used to assess the health of #kidneys. Participants will have the opportunity to ask questions after the presentation. Dr. Morgenstern is a pediatric #nephrologist with many years in practice. He has cared for many children and adolescents with Alport syndrome. He is a member of the Alport Syndrome Foundation’s Medical Advisory Committee. He is currently Associate Dean for Clinical Affairs at Roseman University College of Medicine in Las Vegas, NV. #kidneydisease #raredisease
Our next Ask The Experts Webinar (featuring Dr. Bruce Morgenstern) will be held TODAY at 2pm PDT / 5pm EDT. Click the link in our profile to register! Today's webinar will help members of the #Alportsyndrome  community and their friends and relatives better understand the meaning of the various blood and urine tests that are used to assess the health of #kidneys . Participants will have the opportunity to ask questions after the presentation. Dr. Morgenstern is a pediatric #nephrologist  with many years in practice. He has cared for many children and adolescents with Alport syndrome. He is a member of the Alport Syndrome Foundation’s Medical Advisory Committee. He is currently Associate Dean for Clinical Affairs at Roseman University College of Medicine in Las Vegas, NV. #kidneydisease  #raredisease 
Всем известно, что болезнь легче предупредить, чем лечить. 👆Но не всегда понятно🤔, что означает «предупредить» и как это делать, особенно, если ничего не беспокоит и чувствуешь себя хорошо. 
Для  этого нужны и специалисты, и ваше непосредственное желание/участие. 
В первой части (специалисты, в данном контексте - врачи) приму непосредственное участие: клинический минимум обследований для мужчин 🕴и женщин 👸 в разном возрасте, особенности работы почек во время беременности, физическая нагрузка и работа почек и многое другое. 
Можете предлагать свои темы🗣: иногда, с позиции врача некоторые вещи кажутся очевидными, а человеку без мед.образование они не ясны. 
Давайте находить ответы на интересующие вас темы вместе на понятном всем языке. 👥
Желаю вам, чтобы щущение «чувствую себя хорошо» сохранилось и было таким в действительности как можно дольше. 
С пожеланием здоровья, врач-нефролог Марина Александровна. 
#почки#болезнипочек#здоровыепочки#хроническаяпочечнаянедостаточность#ХПН#профилактика#обследование#нефролог#уролог#здоровье#мужскоездоровье#женскоездоровье#пациент#ЗОЖ#Сочи#врачисочи#kidney#HKD#health#nephrologist#physician#Sochi#vrachivmeste
Всем известно, что болезнь легче предупредить, чем лечить. 👆Но не всегда понятно🤔, что означает «предупредить» и как это делать, особенно, если ничего не беспокоит и чувствуешь себя хорошо. Для этого нужны и специалисты, и ваше непосредственное желание/участие. В первой части (специалисты, в данном контексте - врачи) приму непосредственное участие: клинический минимум обследований для мужчин 🕴и женщин 👸 в разном возрасте, особенности работы почек во время беременности, физическая нагрузка и работа почек и многое другое. Можете предлагать свои темы🗣: иногда, с позиции врача некоторые вещи кажутся очевидными, а человеку без мед.образование они не ясны. Давайте находить ответы на интересующие вас темы вместе на понятном всем языке. 👥 Желаю вам, чтобы щущение «чувствую себя хорошо» сохранилось и было таким в действительности как можно дольше. С пожеланием здоровья, врач-нефролог Марина Александровна. #почки #болезнипочек #здоровыепочки #хроническаяпочечнаянедостаточность #ХПН #профилактика #обследование #нефролог #уролог #здоровье #мужскоездоровье #женскоездоровье #пациент #ЗОЖ #Сочи #врачисочи #kidney #HKD #health #nephrologist #physician #Sochi #vrachivmeste 
E o que temos pra hoje é plantão denovo, segundo finde na sequência! Simbora que já foi metade!!!! #plantaozim #16hours #nephrology #nefrologia #nefro #tx #txrenal #doctor #doctorslife #nephrologist #hd #saturdaylife #med #medicina #medicine #md #healthcare
Spent nearly 4 hour at the kidney doctor and things started to get a little crazy! #crazy #nephrologist #beausolo #thrivingwithautism #icandoallthings #medicallyfragile
Lukisan wanita berambut panjang yg merupakan sakah satu ikon di Hotel Tugu Malang: wanita cantik dalam lukisan ini bernama Oei Hui Lan. Ia yang lahir pada tahun 1889 di Semarang, Jawa Tengah, merupakan anak kedua dari pengusaha gula yang dikenal sebagai orang terkaya di Asia Tenggara, Oei Tiong Ham.

Bagi sebagian wanita zaman itu, Oei Hui Lan dipandang sebagai wanita yang penuh keberkahan. Ia lahir dari keluarga kaya raya dan juga dikaruniai wajah rupawan. Ia dibesarkan dalam rumah yang sangat besar, luasnya mencapai 9.2 hektar dengan perpaduan gaya arsitektur Eropa dan China. Di rumah Oei terdapat 200 ruangan, dapur, vila pribadi, dan dua paviliun besar. Tidak hanya itu, keluarganya juga punya kebun binatang pribadi di rumahnya.

Namun, di balik semua harta dan kemewahan yang didapatnya, ia sebenarnya merasa tidak bahagia. Hal itu ia tuangkan dalam buku No Feast Lasts Forever. Ia mengaku bahwa kekayaan keluarganya yang seolah tak terbatas itu malah membuat keluarganya tercerai berai. Dikarenakan, semua disebut saling berambisi untuk menguasainya. #pernefri2017 #nephrologist #doctorlife #mylifeisblessed
Lukisan wanita berambut panjang yg merupakan sakah satu ikon di Hotel Tugu Malang: wanita cantik dalam lukisan ini bernama Oei Hui Lan. Ia yang lahir pada tahun 1889 di Semarang, Jawa Tengah, merupakan anak kedua dari pengusaha gula yang dikenal sebagai orang terkaya di Asia Tenggara, Oei Tiong Ham. Bagi sebagian wanita zaman itu, Oei Hui Lan dipandang sebagai wanita yang penuh keberkahan. Ia lahir dari keluarga kaya raya dan juga dikaruniai wajah rupawan. Ia dibesarkan dalam rumah yang sangat besar, luasnya mencapai 9.2 hektar dengan perpaduan gaya arsitektur Eropa dan China. Di rumah Oei terdapat 200 ruangan, dapur, vila pribadi, dan dua paviliun besar. Tidak hanya itu, keluarganya juga punya kebun binatang pribadi di rumahnya. Namun, di balik semua harta dan kemewahan yang didapatnya, ia sebenarnya merasa tidak bahagia. Hal itu ia tuangkan dalam buku No Feast Lasts Forever. Ia mengaku bahwa kekayaan keluarganya yang seolah tak terbatas itu malah membuat keluarganya tercerai berai. Dikarenakan, semua disebut saling berambisi untuk menguasainya. #pernefri2017  #nephrologist  #doctorlife  #mylifeisblessed 
"...The physician-patient relationship is an important but often overlooked contributor to patient #health. Impressively, a good physician-patient relationship is just as important to health outcomes as the use of well-established #medical interventions.
⠀⠀⠀⠀⠀⠀⠀⠀⠀
It is therefore critical that #physicians and patients alike commit to the development of this important connection and explore opportunities to strengthen it.
⠀⠀⠀⠀⠀⠀⠀⠀⠀
What contributes to a healthy physician-patient relationship?
⠀⠀⠀⠀⠀⠀⠀⠀⠀
Communication is critical to physician-patient relationships Physicians who communicate well are more likely to have high-quality relationships with their patients..."
⠀⠀⠀⠀⠀⠀⠀⠀⠀
From the curecomms.com blog. ⠀
"...The physician-patient relationship is an important but often overlooked contributor to patient #health . Impressively, a good physician-patient relationship is just as important to health outcomes as the use of well-established #medical  interventions. ⠀⠀⠀⠀⠀⠀⠀⠀⠀ It is therefore critical that #physicians  and patients alike commit to the development of this important connection and explore opportunities to strengthen it. ⠀⠀⠀⠀⠀⠀⠀⠀⠀ What contributes to a healthy physician-patient relationship? ⠀⠀⠀⠀⠀⠀⠀⠀⠀ Communication is critical to physician-patient relationships Physicians who communicate well are more likely to have high-quality relationships with their patients..." ⠀⠀⠀⠀⠀⠀⠀⠀⠀ From the curecomms.com blog. ⠀
😁💃🏼 <– me when i arrive at work and client says she wants to do the books by color 🌈 #rainbowshelfie .
+ check out the before! 👉🏼 bonus points if you can spot the decorative kidneys 😛 #nephrologist
😁💃🏼 <– me when i arrive at work and client says she wants to do the books by color 🌈 #rainbowshelfie  . + check out the before! 👉🏼 bonus points if you can spot the decorative kidneys 😛 #nephrologist 
COLPOSCOPY FTW • Tomorrow is stock full of specialists, biopsies, and lab work. First on the list is worst on the list though, and that would be the #colposcopy also known as a cervix biopsy! Then in the evening I get to go see my #nephrologist to see how these kidneys are holding up, and see when I can schedule my kidney biopsy. Fall is gonna be busy AF, I can already feel it in my bones... and joints, ligaments, tendons, and every other part of this faulty lil body of mine! But I'm remaining overall optimistic about everything. Good vibes, high fives & lots of love would be super appreciated!! Thank you for reading. 💜💜💜 #lupuswarrior #lupus #systemiclupuserythematosus #lupusnephritis #fibromyalgia #spoonie
COLPOSCOPY FTW • Tomorrow is stock full of specialists, biopsies, and lab work. First on the list is worst on the list though, and that would be the #colposcopy  also known as a cervix biopsy! Then in the evening I get to go see my #nephrologist  to see how these kidneys are holding up, and see when I can schedule my kidney biopsy. Fall is gonna be busy AF, I can already feel it in my bones... and joints, ligaments, tendons, and every other part of this faulty lil body of mine! But I'm remaining overall optimistic about everything. Good vibes, high fives & lots of love would be super appreciated!! Thank you for reading. 💜💜💜 #lupuswarrior  #lupus  #systemiclupuserythematosus  #lupusnephritis  #fibromyalgia  #spoonie 
Colleagues for a while; friends forever #nephrologist #nephrology #veteransgeneralhospital #VGH = #verygoodhospital
La bonita sensación de volver al trabajo 😌😀🙌🏼💓#backtowork #doctorlife #physicians #physiciansformula #medico #medicolife #nephrologist
Medical specialist and what they do...!
Nephrologist
#HarvinAcademy #Medical #Specialist #Nephrologist #Coaching #FutureDoctors #kidney #kidneydisease #disease #likeforlike
Nephrotic syndrome vs nephritic syndrome
#nephrology 
#nephrologist
It's nephrology nurses week. Most of you probably didn't even realize that was a thing, or possibly even what a nephrologist was prior to hearing me talk about it. I see my nurses and techs 3 times a week, they see me when I stumble into the center at 5:30 every Monday/Wednesday/Friday. Usually I'm half awake as they take my blood pressure, check heart rates, weigh me and hook me up to the dialysis machine. They have usually been there since 3:30am and still greet me with a smile, knowing they will be there until 5pm, while I leave after just 3.5 hours. They have cleaned up my vomit when get sick when my blood pressure drops, a lovely side effect of dialysis that happens on a weekly basis. They have called 911 when my heart was giving me issues and held my hand when I was terrified as the EMTs worked on me. They have cried right alongside me when a new tech or nurse is hired and I have to tell my story and about losing Tomas. They notice the smallest details, like when I forget my bandaid I always wear over my port. These are amazing men and women who I spend almost 11 hours with each week, who never complain, who always have a kind word. I'm just so thankful every other day that when I walk into a truly miserable experience, when I don't want to go another day, when the thought of dialysis sends me into such depression it's all I can think about the day prior, I have such an amazing support system. These are the nurses who do the daily jobs, they don't get the recognition of the emergency nurses, but every single day, they save my life. 💙 #kidneyfailure #kidneytransplant #kidneyfailuresucks #dialysis #dialysislife #dialysissucks #nurses #nursesweek #nephrology #nephrologist
It's nephrology nurses week. Most of you probably didn't even realize that was a thing, or possibly even what a nephrologist was prior to hearing me talk about it. I see my nurses and techs 3 times a week, they see me when I stumble into the center at 5:30 every Monday/Wednesday/Friday. Usually I'm half awake as they take my blood pressure, check heart rates, weigh me and hook me up to the dialysis machine. They have usually been there since 3:30am and still greet me with a smile, knowing they will be there until 5pm, while I leave after just 3.5 hours. They have cleaned up my vomit when get sick when my blood pressure drops, a lovely side effect of dialysis that happens on a weekly basis. They have called 911 when my heart was giving me issues and held my hand when I was terrified as the EMTs worked on me. They have cried right alongside me when a new tech or nurse is hired and I have to tell my story and about losing Tomas. They notice the smallest details, like when I forget my bandaid I always wear over my port. These are amazing men and women who I spend almost 11 hours with each week, who never complain, who always have a kind word. I'm just so thankful every other day that when I walk into a truly miserable experience, when I don't want to go another day, when the thought of dialysis sends me into such depression it's all I can think about the day prior, I have such an amazing support system. These are the nurses who do the daily jobs, they don't get the recognition of the emergency nurses, but every single day, they save my life. 💙 #kidneyfailure  #kidneytransplant  #kidneyfailuresucks  #dialysis  #dialysislife  #dialysissucks  #nurses  #nursesweek  #nephrology  #nephrologist 
Kidney disease part 2
If you believe you have any of these symptoms, talk to our doctor about your concerns. This is especially important if you have a close family member who has kidney disease or if you have diabetes or high blood pressure, which are the main causes of kidney failure.
Click the link in bio for more information about Dr. Enrica
Contact us+971 (0)2 613 3999

Harley Street Medical Centre – we save your health.
#HSMC #MedicalCentre #AbuDhabi #healthcare #nephrologist #kidneydisease #kidneystones
Kidney disease part 2 If you believe you have any of these symptoms, talk to our doctor about your concerns. This is especially important if you have a close family member who has kidney disease or if you have diabetes or high blood pressure, which are the main causes of kidney failure. Click the link in bio for more information about Dr. Enrica Contact us+971 (0)2 613 3999 Harley Street Medical Centre – we save your health. #HSMC  #MedicalCentre  #AbuDhabi  #healthcare  #nephrologist  #kidneydisease  #kidneystones 
Kidney disease part 1
If you believe you have any of these symptoms, talk to our doctor about your concerns. This is especially important if you have a close family member who has kidney disease or if you have diabetes or high blood pressure, which are the main causes of kidney failure.
Click the link in bio for more information about Dr. Enrica
Contact us+971 (0)2 613 3999

Harley Street Medical Centre – we save your health.
#HSMC #MedicalCentre #AbuDhabi #healthcare #nephrologist #kidneydisease #kidneystones
Kidney disease part 1 If you believe you have any of these symptoms, talk to our doctor about your concerns. This is especially important if you have a close family member who has kidney disease or if you have diabetes or high blood pressure, which are the main causes of kidney failure. Click the link in bio for more information about Dr. Enrica Contact us+971 (0)2 613 3999 Harley Street Medical Centre – we save your health. #HSMC  #MedicalCentre  #AbuDhabi  #healthcare  #nephrologist  #kidneydisease  #kidneystones