Failing Kidneys and Different Treatment Options

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Dr. Mike Evans is founder of the Health Design Lab at the Li Ka Shing Knowledge Institute, an Associate Professor of Family Medicine and Public Health at the University of Toronto, and a staff physician at St. Michael's Hospital.
Written and Narrated by Dr. Mike Evans
Executive Producer, Dr. Mike Evans
Illustrations by Liisa Sorsa
Produced, Directed, and Photographed by Nick De Pencier
Editor, David Schmidt
Story/Graphic Facilitator, Disa Kauk
Production Assistant, Chris Niesing
Director of Operations, Mike Heinrich
©2014 Michael Evans and Reframe Health Films Inc.

[@gemc8]

I have been depressed and felt I received a death sentence when I was told I'm about 4 months away from needing kidney dialysis. I found this video and watched it 3 times and I feel so much better about my diagnosis and my decision of PD. Thank you so much for explaining in such detail!

[@nunusung9563]

Hey there same here. On March I was diagnosed with esrd. I am also training now with PD. I am very excited. I wish you the best.

[@Ayixlia]

It's not the end and you will not die unless you want to which mean not going to your treatments and fluids overloading.

[@flinthartwig4094]

Look into the carnivore diet.....I know, I know .... Can't eat protein! Only look at the testimonials and decide for yourself

[@rsamuelarthur]

I use this video to give to patients who have questions about dialysis options or who suddenly find themselves requiring dialysis. It is a superb synopsis.

[@arianmaejubane5224]

This video is quite informative and satisfying at the same time especially if you're a person who loves drawing and calligraphy stuffs.

[@princesshelenagwendolyn7189]

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[@PaulinasKitchenCanbyVioletta]

@@princesshelenagwendolyn7189 Bear in mind that Kidney Stones is one of the signs and symptons of a Chronic Kidney Disease. We are talking about Chronic Kidney Failure. Kidney Stones is of course treatable, and if you don't, you will end up to a more serious condition. This is why people should eat more veggies and less processed food which is full of salt/sodium and other chemicals.

[@beckcy1]

My nephrologist is suggesting getting set up with both a fistula and catheter, even though I only want to do PD. He said that it's common practice. What do you think?

[@veradelacruz3590]

Thank you for this enlightening explanation of dialysis! My hubby was put on dialysis without my knowledge last and I am very upset about it. It was started last week and I have not seen him because of pandemic and hospital restrictions. I feel I should have been notified so I could talk to him and asked questions of the doctor(s). My dad and his mom went through dialysis for the last years of their lives and it was always heartbreaking to see how much pain and struggle they went through. This video tells me these doctors rushed into it. He has been in and out of hospital since 2019 for CHF, but his kidneys were never a problem so I've even more concerned. Prayers for everyone who has to get this one or has a family member who going through it or needs it.

[@dianaferreira4089]

Haw is your situation naw

[@lightskinbabe36]

CHF overtime can unfortunately lead to kidney damage due to prolong ischemia of the blood not being properly perfused to the kidneys.

[@DianneCadiente]

I have stage 4 CKD and I was thinking about doing PD due to flexibility and being able to work around my work schedule. I enjoyed this video as it gave me the reassurance. Btw, can we all appreciate the drawings on this video?? I love the whiteboard drawing presentation. Amazing!!

[@ashleyreyna9100]

This is a great video! I worked as a Hemodialysis LVN for a couple years and I learned so much! It was tough on the patients and the staff, be thankful for your health ❤️

[@cadnorcwm6107]

What an amazing video.. there is so much garbage on KZbin that your presentation is a breath of fresh air. I have been with my Nephrologist today, and our discussion was almost word for word what's in your video. Well done & thank you John (Wales UK)

[@NurseEinthecut]

I just read the whole chapter based on this and I had a decent grasp of it all, but watching this video just cleared it up for me 10x better!! The amount of work it must've taken to make this goes unnoticed! Thank you (:

[@rosannadallarosa7914]

After watching 3 different videos suggested by our doctor, this one was by far the best. Not intimidating and very informative. We are facing a difficult decision helping our mom and this was very helpful as a starting point. Thank you.

[@markh3055]

I've been on hemodyalysis for 6 years. I guess I'm luckier than most that are since I just do 2 days a week for 3.5 hr. sessions. But I also did a year of PD after losing kidney function from a nasty sepsis hospitalization that nearly killed me. I got off PD because my numbers improved considerably. But after 3 years off my kidneys again were worsening. I chose the clinical approach when I was told I needed dialysis again because PD was no picnic. There's a boat load of boxes with the heavy fluid bags that you need to store in your home ( probably a closet in the bedroom near the machine like I did ) ; there's a tube that sticks out your belly; there's the nightly setup with 2 heavy fluid bags; 20 feet of tubes coming in to your body and 20 more going out to a drain bag that needs to be somewhere with a drain; you can feel the pressure of the fluid filling your cavity, which can cause sleep problems; then the morning chore of gathering all the bags and reams of cording , draining the waste bag and and disposing of all that plastic waste that takes up plenty of trash space ( all that good cord trashed every day really bugged me ), not to mention all those good boxes it all comes in you have to break down for recycling. Nope, not a picnic, and why I chose letting the clinic do the work and waste removal when I sadly had to go back on dialysis.

[@rachelsanders2314]

Thanks for your insight!

Did they tell you how you got sepsis

[@markh3055]

@ how could they know the cause? ... I think it was a holdover from a bad infection I'd had a couple months before and thought was treated, and was the result of dental work with improperly sterilized tools

[@yinkae]

This was extremely useful & honestly a joy to watch. Love the illustrations & the detailed, comprehensive audio explanations. Thank you!

[@chrichico]

I really appreciate the way it’s explained the visualization. This has been the best video to get some of these questions answered. Thanks you

[@vitalgarfield123]

Thank you Dr. Evans! As a medical professional it is more difficult when it is your love ones. Thank you for explaining such important information that will effect our family. Bless you and your practice

[@oakshelly]

Great video for visual and audio learners. Im a nursing student and wanted to see the basic of difference. This was much better than the power point hand outs. Thank you!!

[@AlsoAdrian]

When I visited my nephrologist and he saw that I was bloated because of the water retention, he called an ambulance and I was in the hospital and got dialyzed by the time it was 10 PM. Several months later, I got my graft and a couple of months ago, I celebrated my one year dialysis anniversary. Dialysis is not fun, and if I would have known I would be in this predicament, I would have done a lot more to be healthy.

[@fallback8314]

i keep telling people dialysis isn't so bad. it saved your life. i think it gets a bad rap

[@LadyVoldemort]

Thank you so much! My mom had started to feel these symptoms for almost a year and the medications didn't work so her doctor sent her to another kidney specialist to consult about getting dialysis treatment. This video made me understand and prepared me for our meeting tomorrow. I also LOVE the awesome illustrations. Much, much appreciated!!!

[@plantesetsante9736]

For more information, please contact us via whatsapp at [phone].

[@lizzieb1318]

I'm a student using this for studying, really great video! Very informative and simple! I expect this will really help people who need to chose treatment options to choose. Thank you for providing this great content.

[@chevyboy9525]

This is a superb video presentation. The clear narration with illustrative graphics is both educational and informative. My gratitude!

[@colinsmith7576]

Thank you for taking the time to make this video and help others.

[@MarissaMacMarissa]

I’m a nursing student about to start precepting on a renal floor. This video is so helpful in explaining procedures with patients! Thanks!

[@user-wt2mj6ps1y]

Je veux donner un rein. Groupe sanguin .

[@nillay]

Wow, what a great video. Comprehensive, easy to follow, and most surprisingly, optimistic! Someone below has commented "Thanks for making me feel better"..this speaks volume about this awesome video. Thank you for creating such engaging material that I seldom come across in healthcare videos.

[@trieucao2328]

Not certain about the points made but ,if anyone else wants to learn about can baking soda cure kidney disease try Franaar Healthy Kidney Formula (just google it ) ? Ive heard some incredible things about it and my work buddy got amazing results with it.

[@dmsdana4501]

Gotta love Canadians. 💜🇨🇦💜

[@brandonglenn794]

Incredible information and amazing illustrations. Thank you for creating this video!

[@yvonneyu8814]

Great video I am a a nursing student trying to concisely write a paper on renal failure. This is a great video, hitting all the high points. Keep up the good work!

[@Amalia92084]

This is a great video, I’m going to be interning at a Dialysis clinic and wanted some more information. This helped a lot, thank you!

[@rhondaclarke3220]

This was a perfect summary of dialysis! Thank you! I love these drawing videos that are used to explain complicated topics!

[@phillipfrank6463]

I have been suffering from Herpes for the past 3 years and 8 months, and ever since then i have been taking series of treatment but there was no improvement until i came across testimonies of Dr kasim on how he has been curing different people from different diseases all over the world, then i contacted him as well. After our conversation he sent me the medicine which i took according to his instructions. When i was done taking the herbal medicine i went for a medical checkup and to my greatest surprise i was cured from Herpes. My heart is so filled with joy. If you are suffering from Herpes or any other disease you can contact Dr kasim today on this Email address: [e-mail] or WhatsApp him on this Number [phone]

[@danaromano6272]

I'm a nursing student and needed clarification for my exam. Thank you this was very helpful!

[@LSJGS]

Thank you, Dr. Mike. This was a well put together and informative video. Helpful and easy to understand.

[@sharathnb]

I just can't imagine what lot of patience u have to actually draw all those illustrations and texts. Fantastic work!! truly and the explanation was 10 on 10. I keep thinking of making so many videos to help people out there, but I'm just so lazy abt it, which is what is making me think so much abt the effort that has gone behind this video. Thanks for the lovely video

[@00kidney]

A lot of work and creativity. I also really appreciate this kind of presentation. He's smart and talented!

[@mihai2860]

Excellent Video! Sorry for the intrusion, I would love your thoughts. Have you heard about - Bonackson Wandalyn Genie (search on google)? It is a smashing one off guide for avoiding dialysis and improve kidney health without the hard work. Ive heard some unbelievable things about it and my best friend Jordan at last got cool results with it.

[@lynncoffin180]

I thought your presentation was good but you were talking so fast and sometimes mumbling & I couldn't keep up & got lost.

[@debynash1]

I'm starting this journey (2022) and appreciate the tone of this very soothing prep video. Thank you.

[@garyw9571]

Well presented, high-level overview. Pictures are a good way to visualize the information. Obviously my path would depend on a frank discussion with my Nephrologist, along with a timeline. Thank-you Dr Bob! Your explanation seems clear enough.

[@mariatheresalim7946]

Very informative, excellent illustrations too...thank you Dr. Evans!!

[@00kidney]

One of the best explanation on kidney problems I've ever seen on KZbin. I wish I had these drawing skill, in my channel I use graph and charts to explain kidney disease and CKD but these drawings look a lot cuter.

[@Cheenee]

The explanation was so easy to understand because of Doctor Mike's calm and informative tone, plus the great illustrations like I was just reviewing for an exam tomorrow. Thank you so much for this video! I learned a lot, Doc! May God bless you more and your staff. Stay safe!

[@sudoku252]

Over simplified. Doesn't say one has to be 5 years cancer free to go on the transplant list . Doesn't say immune suppressants will vastly limit every aspect of your life post transplant, if you made it through all of the hoops. Doesn't say how to hook up home hemodialysis to your plumbing, and then it's only going to keep you at ??? GFR equivalent.. low, very low.

[@siecheil]

i really love the art style on this channel. very helpful.

[@ebonypegasus9864]

Wow... the art work is amazing! Great info and so visual in ways your brain can process it both with the visual and the audio and said in terms that the normal layman can fully understand, with some cute and humorous little additions in the drawings to make this whole process less scary. Congratulations to the talented artist and the narrator. (not sure if they were the same person or not)

[@samngandu9980]

you are a reliable teacher for us eager to learn, thanks Chris

[@florianmaschke269]

Very informative video. My GFR is at 22 and declining. It is really hard to maintain a daily routine due to the increased weight and the blood pressure, not to mention the medication.

[@lamininerelatedvideos8564]

Wow! Super helpful information Doc Mike Evans... THank you so much for this wonderful and very creative explanation!

[@andrewcodybounds]

Thank you for this very helpful video, hits all the good points and an overview for the healthcare field.

[@KrisRyanStallard]

This was a video suggested by KZbin, but I really enjoyed it! I learned a lot. I think this was really well made and informative.

[@teapot9498]

Love this & the drawings! Very helpful for me as a nursing student :D Thank you.

[@deborahcline1117]

Wow, what a great presentation. I hope all my teaching is as clear and well thought out.

[@themarkjohnsonmusic]

What an exceptional educational video. Thank you. Very well done.

[@yayokill501]

Thanks for making this wonderful piece of informative artwork!

[@kiyoshimo]

Thanks for the overview... Minimal experience with kidney failure but as a new nurse aide, knowledge like this is important for how to provide better care for those enduring the process of kidney failuire... but not taught to new aides in the area I'm from.

[@valeriewalsh4900]

Why have I never come across this channel before! Super well made, thanks:)

[@nahnopenopenope3406]

I really, really love your style of teaching!

[@greghicks5960]

I'm a few years away (hopefully) from dialysis and am currently weighing my future options. This was a fantastic video.

[@MountainMama1000]

Getting ready to swiitch over from hemo to PD. My center didn't offer PD until recently. Can't wait to get started.

[@Missionmbbs-bv5tf]

This is the best video so far on internet. Thanks a lot sir

[@knikwind8458]

Thank you, been on clinic dialysis 7 years but learned from your video.

[@KennyTan]

thank you so much for the clear explanations with such beautiful drawings!

[@rhineduran3321]

Omg Thank you so much! I am so excited to watch the rest of your videos!

[@sallylawther5679]

Great resource for our HSC biology unit on kidney disease. Thank you

[@nicktokman2399]

Great video! Thanks for creating this.

[@MrsJasmyn45]

Its kinda hard to do home dialysis when you're on well water and have 3 dogs. My mother started hemodialysis and she's doing good. Despite the hours, there's a difference in doing it at home and doing it in the clinic. Doing it a home has an extreme risk that this doesn't tell you about, an infection in the stomach lining that can cause the injection site to become crusted and you will need to go onto hemodialysis.

[@byronchavarria4954]

Do Peritoneal Dialysis

[@girlinchico]

Thank you! This was very informative and exactly what I needed to watch to clarify a lot of confusion and incorrect information I've been given. Thank you again. P.S. The illustrations made your video a 1000x easier to not only understand but to actually sit through the whole thing and pay attention. You have a real gift and I'm very thankful and grateful that you took the time to make this video about dialysis. Thank you again.

[@tonimb9496]

Man I can’t agree more with the previous comments. You are amazing and kudos to you for an amazing and informative video. Jeepers it is crazy awesome. Thank you!

[@juliecaruso1645]

THIS VIDEO IS SOOOO GOOD! great job!

[@kamlady2975]

i am required to watch this video for a class. The drawing makes the video so much lively and entertaining...

[@maramfahim7202]

i am going to use this amaaaaaaazing video in my presentation the day after tomorrow, thanks a lot doctor ^_^

[@MegaDfog]

Excellent video Mike; really excellent. Will get our education staff onto it asap. Keep up the good work sir.

[@KidneyTreatmentinAyurveda]

kzbin.info/www/bejne/ZmHGl6ysr8-MkJI

[@anthonycataldo1291]

Best explanation I have seen! Very clear!

[@jennmich3952]

Thank you thank you 😊 your explanation is very comprehensive

[@serenaa2760]

EXCELLENT video and the drawings are great!!

[@Lima547]

Excellent! Thank you so munch for sharing this! I ll start dialysis soon and I am digesting this new chapter of my life!

[@bethcourt9504]

Absolutely excellent!!! Very well done!!

[@dianaferreira4089]

I was suffering from similar issue in the past,but I'm glad it has been fixed

[@Mikey-jn3sq]

Thank you so much for all of your help on this topic .

[@yandrelsorto6198]

great video so clear and well put together thank you

[@razandaoud4952]

Super creative explanation..very easy to understand , Thank you for the informative video

[@stachysscott7435]

That was a great video and very clear , I hope it helps everyone out there going through this, make the right decision on your treatment. You can get your self on the transplant list way before you start Dialysis so if you can have a transplant get on it. Keep well everyone going through this and to the family members who are supporting you x

[@muminiabiola5223]

You dont need dialysis or transplant,herbal supplements from Dr emuakhe from Africa cleanse your kidney internally for weeks,I was a victim

[@thedeathtiny4928]

I like this video very much! Very beautiful and nice illustration.

[@abhijitmoyra308]

Kudos to you man... Easy and simple explanation... Even the graphics are more cute...

[@dn1969]

Excellent video. Thank you Doctor!

[@debraobinna7120]

Thank you for making this video. Although I've been a CHHA for 15 years now, I've never had the full extent of what a patient goes through and how many options are out there. I pick up a person from their treatment center and wanted to know as much as possible so I can be a shoulder to cry on, or just someone for them to vent to, and have a vague idea of what they go through. No one can fully understand what people feel or how unless it happens to them directly. Always be willing to listen to someone in pain - physical or emotional.

[@orangefanization]

Thanks for this awesome video doc!

[@Dialysistechniciansworldwide]

Excellent overview about the kidneys and the types of dialysis~ Excellent~

[@sallyann8686]

This is such a fantastic educational video. Thank you so very much. I learned so much.

[@msjonyba1234]

First video I ever saw from you and now you have a new sub, thanks man.

[@ginoariel8697]

I do field service support on just the Hemodialysis equipment portion for a living. I really enjoyed this video, than you once again for making it.

[@nancynovack1647]

My dad did it for 2 years in the hospital then 3 years at home. He was 68 when he started and 73 when he passed in 99...Now we are facing this all again with Mom. She is 83 and says she doesnt want any of it. My heart is breaking, but I have to respect her decision. I just needed to see this tonight. Thank you for this video.

[@TheAlexanderbrewer]

Hang in there. My ex was just diagnosed with kidney failure today. wish you n your mom the best.

[@rozschndr9014]

Love your video especially Liiza Sorsa's illustrations… awesome!

[@Rukyr99]

Thanks for the excellent video. My son has Alport syndrome and started with PD a couple of weeks ago. Next step is transplant and we're still in the pre-transplant stage. Things are moving very slow but that gives us the opportunity to self-study and this video helps immensely with that. Thanks again. Be well and be safe.

[@dianaferreira4089]

Listean to me there is no scientific cure for kidney deases.if you believe in herbs from Dr emuakhe you will not go for a transplant.becouse same bacterias are there for me ew kidney and later the transplant will also have problem.treat yourself naturally with herbs from Dr emuakhe for a complete eradication of bacterias for you to gain yourself.not transplant or dialysis.you don't need dialysis.his herbs will kill and floushed aut the bacterias completely

[@beebob7136]

The info. Are exactly same with Davidson principle of internal medicine. Helped me a lot thank you so much.

[@memartyf]

Excellent depiction of both modalities for assisting patients made decisions which treatment is best for them.

[@mariamgamal1977]

love the animation and very easy explaination as well thanks !!

[@sbaniehify]

Looking at this video as I’m contemplating dialysis. Thank you for this informative video.

[@brendawashington5945]

Thank You...I am in need of educating myself on my kidney dialysis

[@Aartwood]

My 18 month old son has one kidney, and one kidney with reduced function, this video cleared a lot of questions for us. Thank you so much :)

[@dianaferreira4089]

What happened to the second kidney? herbs from Dr emuakhe survived me from kidney deases

[@Aartwood]

@@dianaferreira4089 he was born with only one. He’s 10 in august! Time flys! He’s had 10 ops over the years but it’s kept him healthy and safe so touch wood all good up to now 🙏

[@dianaferreira4089]

@@Aartwood if he is not having issues no problem.

[@leslieflores4419]

I truly enjoyed this educational video💕 Much need it👌🏼 Awesome work🌸

[@lamarhasbrouck2230]

Excellent presentation!

[@oliveranti]

Beautifully explained... Thank you so much

[@00kidney]

Still one of the best videos on the topic of ESRD. By the way, if you're here because you're worried about going on dialysis, I want to give you a bit of hope: there are other, probably better options other dialysis and a transplant. Actually, this is what my KZbin channel is all about. In particular, there have been recent developments in curing kidney disease that I feel kidney patients should be aware of. So keep getting informed people!

[@CharlotteRN]

Katherine your channel is the best!

[@paulkamau1806]

Nice video content! Apologies for butting in, I would appreciate your opinion. Have you heard about - Trentvorty Perfection Kidney Theorem (probably on Google)? It is a smashing one off product for improving kidney function minus the normal expense. Ive heard some incredible things about it and my best friend Jordan got amazing results with it.

[@marlonsitoprunita7436]

Nice Video! Sorry for butting in, I am interested in your thoughts. Have you heard about - Tarbbatigan Charter Access Tip (probably on Google)? It is a good one of a kind guide for learning the secret to reversing your kidney disease minus the headache. Ive heard some incredible things about it and my friend finally got excellent success with it.

[@michaelromualdo1559]

Lovely Video! Excuse me for the intrusion, I am interested in your initial thoughts. Have you considered - Trentvorty Perfection Kidney Theorem (Sure I saw it on Google)? It is a great exclusive product for improving kidney function without the hard work. Ive heard some unbelievable things about it and my mate got amazing success with it.

[@hadassahbahtyasharal]

A lot of what was said about Home Hemo is not entirely true in this video. I did PD and it was horrible for my body. I developed 3 hernias, gained 30 pounds due to the dextrose and my menses was the heaviest. Not to mention the drain pain. I couldn’t sleep until treatment was over. On Home Hemo I do sit comfortably in my recliner at home for 3 hours. I travel with no problems. NxStage delivers to any hotel or B&B within the continental US. Ive been doing HH for 5 years.

[@wow45usr]

i was distracted by how good white board drawings can be, must rewatch

[@charlessmith263]

6:42 mark - the reason why candidates who already had peritoneal surgeries cannot get peritoneal dialysis is the biggest risk - a risk of infection called peritonitis, which, in severe cases, can be life-threatening. And when doing peritoneal dialysis at home, you need to practice sterile techniques during it, or you also end up risking being very sick from peritonitis infection.

[@naomipommerel8415]

Such brilliant animation!

[@salimdatoo4065]

thank you for a short, but very helpful informative video.

[@mariatheresalim7946]

Very informative, Dr...thank you!

[@verofeme]

i´ve been in hemodyalisis and lost my vascuar acceses, and chamged to PD. I am so happy to have my life again. I eat what i want and drink what i want and feel great, no low pressure again and no weakness post HD. PD is the better choice and better if you have a Cyclator.