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Chronic Kidney Disease - CRASH! Medical Review Series 

Paul Bolin, M.D.
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(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)

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21 июл 2024

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Комментарии : 96   
@yvonnephillips3888
@yvonnephillips3888 4 года назад
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.
@elvirascox
@elvirascox 3 года назад
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).
@JohnSmith-hl8zy
@JohnSmith-hl8zy 7 лет назад
Thank you so much Paul. Made me ready for my final exam! Huge impact on students out there
@milosarsic9075
@milosarsic9075 4 года назад
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 .
@natel4347
@natel4347 3 года назад
Studying for my PANCE. Renal is the subject I am struggling with the most. Your video was great!
@princessz5087
@princessz5087 3 года назад
One of the best USMLE Channels.
@getbuffer
@getbuffer 5 лет назад
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
@xDomglmao 5 лет назад
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
@milosarsic9075 4 года назад
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 .
@DrDinooshDeLivera
@DrDinooshDeLivera 5 лет назад
Thank you Dr Bolin, these lectures are really great!
@bomhayhay
@bomhayhay 8 лет назад
Really nice video, and thank you so much!
@brianjackson4177
@brianjackson4177 7 лет назад
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?
@jerylyu8003
@jerylyu8003 8 лет назад
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?
@aysha-simonebrown2170
@aysha-simonebrown2170 3 года назад
Thanks a bunch for your clear and concise explanations
@rosearmstrong3612
@rosearmstrong3612 3 года назад
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.
@mnayak9348
@mnayak9348 4 года назад
Good info , why u did not mention protein restriction or problem with protein in ckd.
@katherine00000
@katherine00000 8 лет назад
Thank you very much. Such a great lecture
@brendanswemmer
@brendanswemmer 2 года назад
Before Covid I was stage 2. Six months after Covid I'm stage 3.
@sheepseven7588
@sheepseven7588 4 года назад
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
@sulabhamane7535
@sulabhamane7535 4 года назад
I would like to know is their any cure on Medullary Nephrocalcinosis.
@paulastafford1642
@paulastafford1642 3 года назад
And that was excellent! Thank you!
@tiffanyhyman5227
@tiffanyhyman5227 4 года назад
Thanks for a very informative video
@samamso2155
@samamso2155 5 лет назад
thank you very much and God bless you.
@00kidney
@00kidney 5 лет назад
Hello, how are you sir?
@nellyhoffman6194
@nellyhoffman6194 8 лет назад
Great lecture :)
@HafizahHoshni
@HafizahHoshni 4 года назад
Thank you so much! 😊😊 17/9/2019
@mrfesoj
@mrfesoj 8 лет назад
thank you !
@AliMohammed-ie1uz
@AliMohammed-ie1uz 3 года назад
Very nice
@abdulrehmanhassan9423
@abdulrehmanhassan9423 6 лет назад
Thankyou
@pratyushchada2730
@pratyushchada2730 8 лет назад
How do you get hyperphosphatemia in CKD?? PTH causes phosphate excretion?
@HELPMEREACHKSUBSWITHOUTA-ph5me
@HELPMEREACHKSUBSWITHOUTA-ph5me 4 года назад
Yeah that's right but in ckd phosphate gets constantly accumulated due to failure to exercise.
@lifewithfood5820
@lifewithfood5820 2 года назад
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 😁
@Rvlyra67
@Rvlyra67 7 лет назад
Isn't TIBC decreased in CKD?
@mikkelbakjensen2350
@mikkelbakjensen2350 5 лет назад
Iron levels isn't affected therefore you will see no changes in TIBC.
@kazbaz8645
@kazbaz8645 4 года назад
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
@fallback8314 4 года назад
i wonder if your mom did the dialysis???
@kazbaz8645
@kazbaz8645 4 года назад
@@fallback8314 nio, she hasn't been referred to anyone.... She just sees gp.
@fallback8314
@fallback8314 4 года назад
@@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
@kazbaz8645 4 года назад
@@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
@fallback8314 4 года назад
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
@HieuNguyen-cl3oe
@HieuNguyen-cl3oe 8 лет назад
that's great
@mpgz92
@mpgz92 8 лет назад
thought PTH Increased phosphate excretion..
@pwbmd
@pwbmd 8 лет назад
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
@mpgz92 8 лет назад
oh okay makes sense. Thanks a lot for the videos, big fan :) keep them coming!
@mandron
@mandron 8 лет назад
+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
@pwbmd 8 лет назад
+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
@mandron 8 лет назад
+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?
@sabrinamcneill5639
@sabrinamcneill5639 5 лет назад
Stage 3 has an A and B
@00kidney
@00kidney 5 лет назад
Right. Stage 3 is divided in 3A and 3B. I love this channel. I was inspired also creating my own RU-vid channel talking about kidney stones, kidney infections, kidney disease.
@saramonast2338
@saramonast2338 5 лет назад
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
@spark_6710 5 лет назад
Hi. Why has your mom never seen a nephrologist!? Your mom definitely should !
@00kidney
@00kidney 5 лет назад
Hello, how's your mom?
@fallback8314
@fallback8314 4 года назад
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
@saber_Gr
@saber_Gr 8 лет назад
how can i get the slides presentation .?
@HUYTRAN-sc9ge
@HUYTRAN-sc9ge 8 лет назад
take a picture of your full screen and print it.:)
@davidrose555
@davidrose555 6 лет назад
How you can pay Dr. Paul's Patrion account? thank you.
@drswetaruparel
@drswetaruparel 5 лет назад
@@davidrose555 The patron link is available in recently released videos.
@olajiderasaq8147
@olajiderasaq8147 2 года назад
All thanks to Dr Itepu on RU-vid for helping me to get rid of my HSV1 &2, may God strength you sir
@SalmanKhan-uf8tl
@SalmanKhan-uf8tl 2 года назад
I started taking the medication I bought from DOCTOR OKUNABA channel on RU-vid 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
@patriciabingham4378
@patriciabingham4378 6 лет назад
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
@xDomglmao 5 лет назад
I feel sorry for you but please STOP SHOUTING MEDICINE IS MOSTLY RULE OF THUMB YO
@fallback8314
@fallback8314 4 года назад
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
@robertacaldwell6484 8 лет назад
That is not true I was in stage 4 renal disease and now I'm in stage 2 get the facts.
@johnb2558
@johnb2558 5 лет назад
How did you do it?
@nitishkhetmar2299
@nitishkhetmar2299 5 лет назад
yes, how you did it?
@carmenmachuca5267
@carmenmachuca5267 4 года назад
Hi Roberta I was reading your comment now on November2019..how are you doing with your CKD..Hope well!💜
@fallback8314
@fallback8314 4 года назад
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
@jeb1273 5 лет назад
And while you're going downhill, between dialysis treatments, take time to buy s new honda.》:{○
@00kidney
@00kidney 5 лет назад
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
@vanirampersad794 3 года назад
Really nice video, and thank you so much!
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