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Category Archives: COVID-19
My father who is 72 has been in the ICU for Covid related complications since August 2. He has been sedated most of the time but is now more lucid. During the time in ICU, he became a dialysis patient as well. Prior to becoming ill, he was a very strong and physically healthy person who walk/jogged 50 miles per week and lifted weights. He was on seroquel and Welbutrin for his mental health challenges (bi-polar and anxiety). His doctors do not want to put him back on the Wellbutrin, they say for kidney reasons. Now that he is more lucid, he is crying all the time. He cannot speak because he has a trach now. He will be transferred to an LTAC setting next week. I want to know your recommendations for his mental health meds now that he is on dialysis. The ICU doctors don’t seem to worry too much about it because it isn’t “emergent” but he has a long way to go in rehab and being mentally prepared, or at least not crying continually, will be important. For now, they are giving him Valium to keep him calm.
I am not a mental health professional and I am not able to recommend medical therapy without first seeing the individual for a complete history and physical examination. I have taken care of many patients coming out of the Intensive Care … Continue reading →
I’m on my second transplant, 2001 and 2017. I’ve had so many years on transplant meds. I suffer with severe anxiety and depression pretty regularly. I’m wondering if my transplant meds, particularly tacrolimus, are contributing to this? If so are there other viable options that are as effective?
Tacrolimus is associated with a fine hand tremor that can make you think you are anxious but I am not aware that these drugs precipitate anxiety or depression. Many of my patients with transplant have been very anxious and depressed … Continue reading →
I am a Stage 3B kidney patient. Latest blood creatinine was 2.14 with GFR 31 respectively. I would like to know how many patients that you know with stage 3 or 4 CDK that have received the Pfizer Covid-19 vaccine and if their kidney function was monitored before and after the vaccination? Was there any significant change in their GFR?
I have seen several patients with normal kidney function who developed acute kidney injury from COVID-19 infection and required dialysis after an acute infection. I had patients with chronic kidney disease (CKD) require dialysis after an acute COVID-19 infection. … Continue reading →
Nice to greet you Doctor. I would like to ask you a question. I have chronic kidney disease in stage 4 almost 5, Secondary hyperthyroidism, a lichen planus. I am not on dialysis, my glomerular filtration is <17. I am not vaccinated; I was infected with the COVID-19 virus, on the 21st of June of this year 2021. I did not have a fever; my oxygenation was always 98 and 100, blood pressure in a normal level 115/75. I thank God for this miracle. Studies say that immunity can last 1 year, is this true? Doctor, thank God I can urinate 1,500 milliliters in 24 hours. I am afraid to get vaccinated and that my kidney function will damage faster and stop urinating. What opinion can you give me Doctor? Thank you God bless you and all kidney patients.
The immunity or resistance to infection after a natural COVID-19 infection is felt to last about 90 days. We have seen and I have seen patients infected twice within 3 to 4 months after a prior infection. The immunity after … Continue reading →
Hoping that you can help me with a question regarding COVID-19 and chronic kidney disease. My husband is bordering between stage three and stage 4 (GFR 29). He is fully vaccinated and so am I. I read through a lot of materials that indicate that he is at higher risk for more severe COVID-19 disease presentation and mortality. https://cjasn.asnjournals.org/content/16/5/785. Is this true and should we be taking additional precautions given the contagiousness of the Delta variant? I have a lot of public exposure in my job as does my daughter who is a college student commuting from campus to home on a daily basis.
The vaccinations that you all have received is the most important thing you can do to protect your husband. It is true that studies in dialysis patients and patients with chronic kidney disease (CKD) have shown that the COVID-19 infection … Continue reading →
If I have Nephrotic Syndrome and am at stage 3b CKD, can I still take the meds needed to try and put the Nephrotic Syndrome into remission or does that happen at all? Or is it too late? My Doctor didn’t want to do so due to COVID-19 being so high at the time but would it be possible to start now? I am in New Mexico and have been vaccinated. Any suggestions would greatly be appreciated as I don’t know everything about CKD that I should. My son is helping as much as he is able to. Thank you.
The Nephrotic Syndrome is defined as the loss of more than 3.5 grams of protein in the urine daily, low serum albumin, elevated blood cholesterol and swelling. The treatment of Nephrotic Syndrome usually involves a kidney biopsy in order to … Continue reading →
The COVID vaccines have been extraordinarily safe for almost all individuals including patients with kidney disease and protein in the urine (proteinuria). I am not aware of any increased risk with kidney patients taking any of the COVID-19 vaccines.
My son is 13 years old, locked down in Sydney. At 2 y/o he was hospitalized with a UTI due to enterococcus. He showed significant reflux (left grade 3, right grade 4) and subsequent DMSA scan showed differential function left 37%, right 63% with the left kidney measuring 6cm, right 7cm with no evidence of discrete renal cortical scarring on either. He was medicated on low dose antibiotics from 2010-2014 as a preventative. He had 4 UTIs in that time, which were treated with antibiotics; there were no more scans. He was released from care in 2014 after excess of 6 months without infection, given his age at the time was 6 y/o. I am concerned by the risk of further scarring should he contract Covid-19, but I do not know if he would be considered eligible for early Pfizer injections in the 12-18 y/o category under the immunocompromised/underlying conditions. Our GP does not know if he is eligible and I am unsure who I would contact at SCH hospital. Could you please advise me as to whether I should pursue the possibility of getting my son on the eligibilty list considering he is already at risk of kidney disease or hypertension?
Your son would be considered as having chronic kidney disease (CKD) and he should have annual testing of blood and urine for screening of his CKD. As such, at age 13, he should be eligible for the Pfizer m-RNA vaccine. … Continue reading →
I’ve had a successful kidney transplant for almost 10 years. Is there any way I can get a Covid booster or a 3rd or 4th vaccine? Any trials I can participate in about transplant patients and Covid? I tested negative for anti-bodies. I understand this is not an accurate measure for effectiveness. Is there some other test? I live near UCSF where I got my kidney. Thank you!
A third or booster dose of the COVID-19 vaccine is currently not available in the United States other than by research study by one of the vaccine manufacturers. In the prior studies, patients who are immune suppressed (such as kidney … Continue reading →
Hello. I suffer from glomerulonephritis (probably IgA but I haven’t done a biopsy) with normal blood pressure, no protein in urine but some blood. I also have Hashimoto and hypothyroidism, eczema and in my family has a history with auotoimmune diseases (my father has Reumatoid Arthritis, my mother Hashimoto etc). Should I go for the vaccine against Covid? Or will my glomerulonephritis get worse? Will I get another autoimmune disease? I am really scared and I don’t know what is the right thing to do because I hear all the time that these vaccines against Covid can exacerbate or cause autoimmune diseases to those that have a tendency to them. What is your opinion? Thank you very much for your time.
I do not have any information that the COVID-19 vaccines that are available in the United States cause any form of auto-immune disease. The Johnson & Johnson (Janssen) vaccine may induce an antibody against one of the platelet antigens, but … Continue reading →