Exploring Treatment Options for Hemodialysis or Peritoneal Dialysis | CKD to ESRD | Dr. Rifai 

I hope and pray equality for humanity will become the theme for the years to come.. www.thevirtualnephrologist.com/specialties/dialysis/esrd-choices/

أنا آسف لكونه ليس هناك فيديو عن الأميلويدوز، حيث أنها نادرة إلى حد ما، وأحب أن أركز على المسائل الأكبر. بمجرد أن نصبح أكثر وضوحًا، سأكون لدي المزيد من الوقت والموارد للتركيز على العديد من أمراض الكلى المحددة... مثل الأميلويدوز.. في الوقت الحالي، التركيز يكون على المرض الأكثر شيوعًا. جزاك الله خيرًا وحفظك الله ومنحك الصحة والعافية. ru-vid.com/group/PL9RR1jWLY4CK5ubG1QcD5LlhNzeVsfXvJ

@@TheVirtualNephrologist للاسف انا مصاب به وكنت اريد معرفة معلومات عنه لاستطيع السيطرة على المرض ..هل حضرتك ممكن مساعدتى فى ذلك؟

This is very hard to explain with the "norms" we know today. I can not tell with not knowing the history in details. I also believe in divine interventions as well. rather than explain it, enjoy it, and if you believe, give gratitude to thanks to God, The almighty... www.thevirtualnephrologist.com/

@TheVirtualNephrologist The patient was born with only 1 functioning kidney, which operated at around 25% until he turned 24 years old, when it went down to less than 10% and he started hemodialysis. He still has urine output, and that output has actually INCREASED over the last year. For the last 10 years, his diet has remained largely unchanged, though beginning this past February he has dramatically increased the amounts of garlic and mushrooms that he eats daily. His potassium has very rarely been high(maybe 4 times in 21 years, and was due to very specific foods that he immediately stopped eating, which immediately brought his potassium back down), and has more frequently been low(requiring him to increase his intake of more potassium-rich foods), and his calcium/phosphorus can wildly fluctuate, but is always brought back within parameters by immediate increases or decreases of milk or cheese. Because of how vigilant and knowledgeable he is, he has NO dietary restrictions(and has not been on any binders for over 10 years) other than what he chooses himself to avoid, and he keeps a mindful track of his fluids intake. He drinks between a quart to a half gallon of hot white tea with sugar and cream every day(which he hypothesized could contribute to his improving functionality, but there are no studies in the planning to prove or disprove this). His dry weight fluctuates over the course of each year between 50kg to 55kg depending on the seasonal climate(tends to gain weight in the warmer months and lose it during the colder months). His heart rate has always been high(100 to 120 bpm) due to his size(5 feet 4 inches and skinny) and metabolism, yet his blood pressure remains on the lower end of normal(with systolic dipping into the 80s when he sleeps). He has dealt with depression, chronic insomnia and chronic pain(due to a congenital malformation of the cervical vertebrae, which he had 2 separate surgeries to prevent further spinal cord damage), but is no longer on ANY medications for these problems(other than 500mg of acetaminophen twice a day). He received a kidney transplant from his mother in 2003(4 out of 6 antigen match), but it had to be removed after only 2 months due to irreversible rejection. And he has removed himself from the transplant list, as he does not want to risk wasting another kidney that could save someone else's life. When he began hemodialysis in July of 2002, he was at 4 hours of treatment every Monday, Wednesday and Friday, and felt very good, but then as the years went on, he felt more drained and lethargic. Due to weather circumstances and transportation difficulties in 2010, there were multiple times when he was forced to miss his Wednesday treatments, and he noticed that he actually felt better during those weeks when he only had treatments on Mondays and Fridays. So after a trial period of 3 months doing treatments only 2 days a week, it was decided that this was a better course of action, as his bloodwork was remaining within parameters, and the patient was feeling much better. This had been ongoing for 12 years(eventually decreasing his treatment time from 4 hours to 3½ hours). Then last year, due to the patient again feeling more drained and lethargic after each treatment, he suggested decreasing his time to only 3 hours, to which the patient then reported to again feeling much better after the shortened treatment time. In July 2022, when daily life complications caused him to be unable to come in for treatments on Monday and Friday one week, he was only available for a treatment on Wednesday, he again reported feeling MUCH better. He decided to test this by continuing to do a Wednesday only treatment week once every 4 weeks to see how he felt, and his physical and emotional well being continued to improve over that time. So, beginning in June, a new 3 month trial was implemented where he will receive 3 hours of dialysis on Monday and Friday one week, and 3 hours of dialysis on only Wednesday the following week. And it will go on like this until September when the situation, his bloodwork, and how he feels, will be reevaluated. And since he has gone down to only 9 hours of treatment over every 2 weeks, his fluid gains between treatments has actually decreased, averaging between NO gain, to only 0.5kg gain. This patient is boggling the minds of every nephrologist and dialysis expert that hears about him. If there are any other details that you're curious about, I'll be more than happy to fill in any additional blanks.

@@FreddyKurganNimmo scientifically yes.. mind boggling. as a human and a believer, God, the almighty. is the almighty.. miracles can happen.. I dont question what I see, I see and acknowlegde. If I can explain with scioence.. I know all the science. If I can not explainwith science.. I attribute to Miracles..I have seen few of those in my 30 years of practice of Medicine..

😞😢sometimes, the disease especially when creatinine is 3.4 may not respond to therapy...

😢😢 Please tell me what can I do???

Thank you so much for reply 😊

@@shaymz ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-dP-kx83d9Rc.html

فيما يتعلق بالتغيير من غسيل الكلى البريتوني إلى غسيل الكلى ... طالما كانت الأوردة على ما يرام ... فإن التغيير سهل للغاية وبسيط إذا كان المريض لديه إمكانية الوصو لفستول او وصلةا

يستغرق أنبوب الغسيل البريتوني 6 أسابيع حتى ينضج

الحذر الشديد واتباع المبادئ التوجيهية للتبادلات

شكرا جدا يا دكتور جزاك الله خيرا...و الذى يغسل دموى يمكنه التحويل لبريتونى ؟

@@pinkyrose2116 ممكن اذا البطن ممكن ينزرع فيها قسطرة بريتوان