Category Archives: Transplantation

My husband has been undergoing dialysis since 2017. So far: 3 surgeries for peritoneal catheters, a fistula that was ruptured during the 3rd dialysis, a temporary catheter while waiting for the graft and for it to “cure”, a first and second thrombectomy, and now another temporary catheter. Something is very wrong here. 1. Are there other treatments? 2. Is there a special center-hospital that specializes in kidney disease?

Yes. Dialysis is a complicated process and complications are known to occur. I would suggest that you discuss your concerns with the nephrologist who is caring for your husband. I would hope that your husband is on a transplant list. … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Transplantation

Hello Dr., Thank you for reviewing my question. I am asking if there is a comprehensive checklist of diagnostics and other pre-surgery checks for patients getting ready to undergo a vascular access surgery? Are there different iterations based upon the type of access being created? I can only find ones that the creators want thousands of dollars for and I can’t pay that to say the least. I did review the guidelines which were very helpful. Thank you.

I am not a surgeon. I see many patients who need vascular access. The first thing to do is to develop a plan of what type of treatment you are expecting. Questions that need to be asked have to do … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Transplantation

My father is a kidney patient, he was transplanted on 2015. Now on 6.5.2020, we got a urine report that says protein is released in his urine. Why is that? And what is his condition now? Can you please explain?

The normal amount of protein in the urine is less than 150 to 200 milligrams per day or less than 0.15 to 0.20 milligrams of protein per milligram of creatinine. The loss of excessive protein in the urine suggests that … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Biopsy, Kidney-Related Health Questions, Serum Creatinine, Transplantation

Are there treatments available (dietary or otherwise) before a person needs to go on dialysis?

With advanced kidney disease, dietary restriction of protein to about 0.8 grams per kilogram per day and a low salt diet are generally advocated. It may also be important to limit potassium and phosphorus in the diet. You may have … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Transplantation

Hello Dr., our doctor recommended we do hemodialysis, but it’s not affordable to do it twice every week. Any other solutions please?

The options available for patients with advanced kidney disease include either hemodialysis or peritoneal dialysis. Kidney transplantation can be offered if there is a kidney donor available. Otherwise, conservative management can be offered so that someone can live as long … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Living Donation, Transplantation

My sister’s kidney failed due to birth delivery complications and couldn’t be reversed due to dialysis. Now she is on dialysis two times a week with creatinine 5+ pre-dialysis. She is continuously having hemoglobin at range of 7+ or 8+ and RBC around 3. My question is how to determine if blood transfusion is required? Is it that new blood formation is completely stopped with people who have CKD? Is it the kidney that makes blood?

Anemia is very common in chronic kidney disease (CKD) and in patients with End Stage Kidney Disease (ESKD). The kidney is responsible for making a blood hormone known as erythropoietin (EPO). This hormone is produced in normal kidneys and the … Continue reading

Posted in Anemia, Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Transplantation

Most of the patients are prescribed Tacrolimus as immunosuppressive drug post transplant. When is Ciclosporine prescribed over Tacrolimus in transplant patients? Are there any advantages or disadvantages by using Ciclosporine over Tacrolimus? Are non-diabetic transplant patients preferred to be given Ciclosporine over tac? What is the overall graft survival result over long term when using Ciclosporine and tac? Is it possible to switch from Ciclosporine to Tacrolimus if needed?

There are only two calcineurin inhibitors on the market today. They are Cyclosporine and Tacrolimus. Cyclosporine was the first drug on the market and Tacrolimus came along later. It is true that Tacrolimus is the most common of these agents … Continue reading

Posted in Ask the Doctor, Diabetes, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Medication and Kidney Function, Transplantation

Hello Dr., I am a kidney donor and a 67 year old white male. What should my GFR be? Thank you!

If you donated a kidney to someone for transplantation, your estimated glomerular filtration rate (eGFR) should be around 50% of normal. A normal eGFR is between 100 and 120 milliliters per minute per 1.73 meters squared. However, everyone loses kidney … Continue reading

Posted in Ask the Doctor, Donation, GFR, Kidney-Related Health Questions, Living Donation, Nephrectomy / One kidney, Transplantation

Hello, I am going through the process of being tested to be an organ donor for my brother. I have epilepsy that is well controlled and I haven’t had any seizures in years. Could my epilepsy prevent me from being a kidney donor?

Epilepsy that is well controlled should not be a problem with being a kidney donor but each individual transplant center determines who they will and who they will not permit to be a kidney donor. You should discuss this with … Continue reading

Posted in Ask the Doctor, Kidney-Related Health Questions, Living Donation, Transplantation

Hello, actually my father is the patient. His kidney point is 4. He is not feeling well and he’s also more irritated by a smell that comes from his nose. He cannot tolerate that smell which causes him not to sleep. He also has diabetes. I think the smell may be kidney disease. Can you suggest a good tablet for this smell or anything to make it better; any cure for it? Please let me know.

I am unable to make a specific diagnosis based on the information that you present. Chronic kidney disease (CKD) and kidney failure can cause abnormal tastes and smells, but this is usually present in very advanced forms of CKD. There … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Nephrologist, Transplantation