Chronic Kidney Disease - CRASH! Medical Review Series

[@princessz5087]

One of the best USMLE Channels.

[@natel4347]

Studying for my PANCE. Renal is the subject I am struggling with the most. Your video was great!

[@elvirascox]

Mr. Bolin, your medical videos are fantastic! I am a nursing student and I feel more prepped for the exams and simulations after studying *with you* (and my grades reflect that).

[@yvonnephillips3888]

I was under the care of several doctors. I only found a new physician because of their retirement, ect. I had hypertension for 25 years and diabetes for 5 years. Never was the chance of my developing this awful stage 3 kidney disease until it was too late. Please tell your fellow physicians to inform there patients of this pogression.

[@getbuffer]

And that’s it, I guess that’s it , that’s it for now Every time I hear you say that at the end of ur videos, I say Thank You and God bless you I am learning medicine again with your videos, that’s how good they are. Thank you again 🙏🏾

[@xDomglmao]

Every time I hear it I have two things in mind: "Finally it's over, so much to digest" and "Finally it's over, one step closer to being a doc"

[@milosarsic9075]

There are a few factors in treating kidney disease naturally. One place I discovered that successfully combines these is the Jaylands Kidney Kit (google it if you're interested) it's the most useful blueprint that I have ever heard of. look at all the interesting information .

[@aysha-simonebrown2170]

Thanks a bunch for your clear and concise explanations

[@rosearmstrong3612]

I think you all should contact Doctor Salami on youtube he's the best, I just got cured from herpes virus using his herbal medicine. Contact him today for any type cure you need.

[@JohnSmith-hl8zy]

Thank you so much Paul. Made me ready for my final exam! Huge impact on students out there

[@milosarsic9075]

There are a few factors in treating kidney disease naturally. One place I discovered that successfully combines these is the Jaylands Kidney Kit (google it if you're interested) it's the most useful blueprint that I have ever heard of. look at all the interesting information .

[@sheepseven7588]

Disease does not come without a cause you never mentioned the causes like ,meat eating, and alcohol consumption thank you for the videos was helpful 👏👏👏 also many ,many medication causes kidney disease

[@DrDinooshDeLivera]

Thank you Dr Bolin, these lectures are really great!

[@AliMohammed-ie1uz]

Very nice

[@samamso2155]

thank you very much and God bless you.

[@00kidney]

Hello, how are you sir?

[@tiffanyhyman5227]

Thanks for a very informative video

[@mnayak9348]

Good info , why u did not mention protein restriction or problem with protein in ckd.

[@bomhayhay]

Really nice video, and thank you so much!

[@brendanswemmer]

Before Covid I was stage 2. Six months after Covid I'm stage 3.

[@jerylyu8003]

Sorry, I may be missing a point... PTH decreases phosphate reabsorption right? How is increased PTH (as a compensatory mechanism to hypocalcemia) supposed to cause increased phosphate levels?

[@paulastafford1642]

And that was excellent! Thank you!

[@brianjackson4177]

in regards to aminoglycosides and renal failure/CKD, could you alternatively use amikacin since it is more lipid soluble and is metabolized more by the hepatic system?

[@katherine00000]

Thank you very much. Such a great lecture

[@sulabhamane7535]

I would like to know is their any cure on Medullary Nephrocalcinosis.

[@nellyhoffman6194]

Great lecture :)

[@HafizahHoshni]

Thank you so much! 😊😊 17/9/2019

[@mpgz92]

thought PTH Increased phosphate excretion..

[@pwbmd]

Yes. You're right. I should have been clearer here. The CKD limits the ability of the kidney to excrete phosphate and reabsorb calcium, which would be a natural function of PTH. When I say the phosphate can still be absorbed, I'm referring to PTH-mediated absorption of phosphate from the bone.

[@mpgz92]

oh okay makes sense. Thanks a lot for the videos, big fan :) keep them coming!

[@mandron]

+Paul Bolin If phosphate is high because of absorption from the bone due to PTH, then why is calcium low? Doesn't PTH also cause calcium release from bone?

[@pwbmd]

+mandron With chronic kidney disease, the calcitriol levels are also low (calcitriol is made in the kidney). Calcitriol promotes calcium absorption in the GI tract. So with CKD you're not getting the same increase in calcium as you would otherwise have if the PTH went up in a healthy person.

[@mandron]

+Paul Bolin Ah so the PTH is a compensatory mechanism for the hypocalcemia caused by lack of calcitriol, but overall calcium is still low because PTH does not compensate enough?

[@abdulrehmanhassan9423]

Thankyou

[@mrfesoj]

thank you !

[@pratyushchada2730]

How do you get hyperphosphatemia in CKD?? PTH causes phosphate excretion?

[@HELPMEREACHKSUBSWITHOUTA-ph5me]

Yeah that's right but in ckd phosphate gets constantly accumulated due to failure to exercise.

[@lifewithfood5820]

Because kidney is not able to excrete out phosphate due to kidney failure and hence causes hyperphosphaetemia.. Now because of this hyperphosphatemia fibroblastgrowthfactor gets synthesised from bones which activate the parathyroid to secrete PTH.. And function of parathormone is to absorb calcium and excrete out phosphate.. So the imbalance is somewhat compensated by this mechanism but not fully as the disease progresses 😁

[@kazbaz8645]

Hi the video is interesting. So if an elderly person say 90 years has a low gfr of 22 should their gp wait and do another blood test to see what's happening? Ie symptoms of rls, headache, weight loss, sleep disturbance, lethargy. Or shod I push to see a nephroligist? It's re my mom. Or would they maybe leave her as ligasposswthout messing.

[@fallback8314]

i wonder if your mom did the dialysis???

[@kazbaz8645]

@@fallback8314 nio, she hasn't been referred to anyone.... She just sees gp.

[@fallback8314]

@@kazbaz8645 be careful/suspicious of this "gp" they are KNOWN and there are stories about them keeping secrets to themselves. heed this warning: if i were you i would take matters into my own hands and start having her drink at LEAST 1L of water a day. because i am beginning to wonder if gfr is something that can go up. DON'T trust this "gp" this person isn't acting in the best interest of the 90yr old person you know. the "gp" is withholding information!

[@kazbaz8645]

@@fallback8314 she has been told to drink lots of water and then do another blood test soon. I wonder if they don't want to panic her until she's luke gfr. She has heart problems too. I am just left wondering.

[@fallback8314]

baz don't wonder.....cut down drastically or completely on the sodium. up the water at LEAST 1L a day. the stupid "gp" ALREADY put her on the ropes by not telling her to do this sooner like a yr and a half or 2 years ago.....yet ANOTHER example/story of a USELESS "gp"........(typical shit head "gp's") smh

[@sabrinamcneill5639]

Stage 3 has an A and B

[@00kidney]

Right. Stage 3 is divided in 3A and 3B. I love this channel. I was inspired also creating my own KZbin channel talking about kidney stones, kidney infections, kidney disease.

[@olajiderasaq8147]

All thanks to Dr Itepu on KZbin for helping me to get rid of my HSV1 &2, may God strength you sir

[@SalmanKhan-uf8tl]

I started taking the medication I bought from DOCTOR OKUNABA channel on KZbin and surprisingly it was working gradually & in 9days everything changed, I'm utterly Excited because you cured my kidney disease Naturally & I pray that God Strengthens you Doctor Okunaba

[@Rvlyra67]

Isn't TIBC decreased in CKD?

[@mikkelbakjensen2350]

Iron levels isn't affected therefore you will see no changes in TIBC.

[@HieuNguyen-cl3oe]

that's great

[@saber_Gr]

how can i get the slides presentation .?

[@HUYTRAN-sc9ge]

take a picture of your full screen and print it.:)

[@davidrose555]

How you can pay Dr. Paul's Patrion account? thank you.

[@drswetaruparel]

@@davidrose555 The patron link is available in recently released videos.

[@saramonast2338]

My mother has kindey disease stage 4. CKD how long does she have until dialysis. I saw on google a year? Shes never seen a nephrologist and her GFR is 29-25

[@spark_6710]

Hi. Why has your mom never seen a nephrologist!? Your mom definitely should !

[@00kidney]

Hello, how's your mom?

[@fallback8314]

doesn't need a nephrologist all they're gonna do is push dialysis dialysis dialysis cuz they get money from that just cut back drastically on her salt and increase her water intake half her body weight in oz

[@patriciabingham4378]

NOT TRUE I WAS IN STAGE 4 WENT TO STAGE 3 MY NUMBERS HAVE BEEN GOING UP AND DOWN IN MY GF R NUMBERS ALSO MY CREATITINE LEVELS UP AND DOWN WHEN MY GF R WAS 20 MY DOCTOR WAS GOING TO SEND ME TO GET THE FISTULA IN MY ARM FOR DYALISIS BUT HE WANTED TO TEST ME AGAIN MY GF R WAS 44 MY NUMBERS ARE STILL FLOATING MY GF R, NOW IS 31 WHERE AS 2 WEEKS AGO IT WAS 38 I DON'T KNOW IF MY NUMBERS ARE GOING TO GO UP OR DOWN BUT I'M ON THE TRANSPLANT LIST I HAVE TOOK THE DYALISIS CLASS I'M SCARED BUT I'M PREPARED I BELIEVE CKD IS DIFFERENT IN DIFFERENT PATIENTS

[@xDomglmao]

I feel sorry for you but please STOP SHOUTING MEDICINE IS MOSTLY RULE OF THUMB YO

[@fallback8314]

only thing that's NOT true is all that bull snot you just said because unless you have the nephrons of a bear your gfr can't possibly be going up

[@robertacaldwell6484]

That is not true I was in stage 4 renal disease and now I'm in stage 2 get the facts.

[@johnb2558]

How did you do it?

[@nitishkhetmar2299]

yes, how you did it?

[@carmenmachuca5267]

Hi Roberta I was reading your comment now on November2019..how are you doing with your CKD..Hope well!💜

[@fallback8314]

she did it by lying i don't know what kind of nephrons SHE has so she went from stage 4 to stage 2 by lying unless she has the same nephrons as bears

[@jeb1273]

And while you're going downhill, between dialysis treatments, take time to buy s new honda.》:{○

[@00kidney]

I know the feeling. Kd is painful. :-(( I have been talking to many patients on my yt chnnel almost everyday about this topic. And they feel really... Stressed....

[@vanirampersad794]

Really nice video, and thank you so much!