For all teenagers, trying to study properly for exams and being totally prepared for them can be hard work, given how many distractions teenagers have. Especially if you just happen to be on dialysis. Sixteen year old Welsh teenager Sahibaa Ali is in the middle of sitting her GCSE exams but she has a special timetable to fit around the dialysis she has three times a week (she's been on dialysis for two years). It's lucky the exam board can adjust things to help her. Many students with medical problems are unaware that they can get some help for exams. But getting your own special timetable to fit around dialysis treatments is not a common occurrence. Link to news item.
When I broke my back while at university, the Uni generously allowed me more time for each exam, to help with the pain from sitting in one position for several hours, so it is always worth enquiring is help is available.
Wednesday, 2 June 2010
Wednesday, 12 May 2010
Keeping it in the Family
There are several well-known causes of kidney failure. Diabetics, for example, are likely to suffer from renal failure. High blood pressure is another problem likely to lead to kidney damage. But recent research came to a surprising conclusion - who you are married to (or live with, I suppose) can result in an increased chance of you having kidney problems.
Yes, I was somewhat surprised when I saw this reported as well!
Research published in the American Journal of Kidney Diseases reports that the spouses (partners) of patients on dialysis are likely to suffer from chronic kidney disease themselves, and are advised to be tested.
The research looked at 196 first- and second-degree relatives and 95 spouses of 178 hemodialysis (HD) patients, and found that a significantly higher prevalence of CKD was found in relatives (the genetic link mentioned in the previous post), but an even higher prevalence was found in spouses / partners, who were more likely to suffer from CKD than the general population. Overall four out of ten spouses suffered from CKD, compared to less than one in ten of the general population.
The Taiwanese research scientists suggest that health habits, often similar for husbands and wives, were probably an important factor. Are both smokers? Are both inactive? Are both obese? Couples often adopt each other's lifestyle to some extent and if their lifestyle includes a factor that may lead to kidney problems, then they can both be at risk.
So, if you or your partner have CKD, then it's time for both of you to make a visit to the doctor.
Yes, I was somewhat surprised when I saw this reported as well!
Research published in the American Journal of Kidney Diseases reports that the spouses (partners) of patients on dialysis are likely to suffer from chronic kidney disease themselves, and are advised to be tested.
The research looked at 196 first- and second-degree relatives and 95 spouses of 178 hemodialysis (HD) patients, and found that a significantly higher prevalence of CKD was found in relatives (the genetic link mentioned in the previous post), but an even higher prevalence was found in spouses / partners, who were more likely to suffer from CKD than the general population. Overall four out of ten spouses suffered from CKD, compared to less than one in ten of the general population.
The Taiwanese research scientists suggest that health habits, often similar for husbands and wives, were probably an important factor. Are both smokers? Are both inactive? Are both obese? Couples often adopt each other's lifestyle to some extent and if their lifestyle includes a factor that may lead to kidney problems, then they can both be at risk.
So, if you or your partner have CKD, then it's time for both of you to make a visit to the doctor.
Wednesday, 14 April 2010
Genes Linked to Kidney Disease Identified
It's been described as break-though research. And it could lead to new treatments in the future.
An international team, including scientists from Edinburgh University (the place I got my Ph.D from), have found 13 new genes that influence renal function, and another seven that affect the production and secretion of creatinine.
Creatinine has been found to be a fairly reliable indicator of kidney function. If the kidney function is impaired, the creatinine level in the blood rises due to poor removal from the body by the kidneys. An abnormal high level is a warning of the possible impending failure of the kidneys.
Although chronic kidney disease is linked to age, and other conditions such as diabetes and high blood pressure, it has been known that there is a genetic component as well.
Two research articles were published on different aspects of the work. The first study involved 67,093 individuals of European ancestry, and collaborative work by 95 scientists all over the world. The second study involved another a further 23,000 individuals.
Dr Jim Wilson, a geneticist at the University of Edinburgh who worked on the study, said, "This work could revolutionize the treatment of kidney disease in the future – but this will take some time."
Obviously we shouldn't expect to hear of new treatments in the immediate future, but fundamental research such as this can't fail to lead to a better understanding of how the kidneys function and how they begin to fail.
See the BBC News Service for a longer report.
Or read the first article abstract at Nature and a second article's abstract, also at Nature
An international team, including scientists from Edinburgh University (the place I got my Ph.D from), have found 13 new genes that influence renal function, and another seven that affect the production and secretion of creatinine.
Creatinine has been found to be a fairly reliable indicator of kidney function. If the kidney function is impaired, the creatinine level in the blood rises due to poor removal from the body by the kidneys. An abnormal high level is a warning of the possible impending failure of the kidneys.
Although chronic kidney disease is linked to age, and other conditions such as diabetes and high blood pressure, it has been known that there is a genetic component as well.
Two research articles were published on different aspects of the work. The first study involved 67,093 individuals of European ancestry, and collaborative work by 95 scientists all over the world. The second study involved another a further 23,000 individuals.
Dr Jim Wilson, a geneticist at the University of Edinburgh who worked on the study, said, "This work could revolutionize the treatment of kidney disease in the future – but this will take some time."
Obviously we shouldn't expect to hear of new treatments in the immediate future, but fundamental research such as this can't fail to lead to a better understanding of how the kidneys function and how they begin to fail.
See the BBC News Service for a longer report.
Or read the first article abstract at Nature and a second article's abstract, also at Nature
Monday, 15 March 2010
UK BBC Program about Kidney Transplant
The BBC on 15th March 2010 at 10:35pm has a documentary entitled "Diet or My Husband Dies".
It sounds like one of those strange "human interest" stories you read in those real-life story magazines.
But...
Andy Lamb was dying of kidney failure, he'd had a transplant before. He now has dialysis three times a week. His wife Samantha could save him by donating one of her kidneys. But she was overweight and had to loose 22kg (almost 50lbs) before the doctors would consider operating on her. She gave herself four months to loose the weight - 2kg a week. For the ladies, that's from a UK size 24 to a size 16.
As well as following her trying to shed so much weight, it includes part of Andy's treatment being filmed.
We also get treated to watching her kidney being removed, and then part of the transplant. Andy now has FOUR kidneys - his original two, still in the usual place, plus the first one transplanted and then his wife's, both in the front of his pelvic region. Most interesting part I found was just how quickly the new kidney sprung into action - as the surgeon completed the last stitches to join the blood supply to the new kidney, he said watch this, squeezed it and some blood-stained urine was expelled before he moved on to connecting it to the bladder.
If you have access to the BBC iPlayer and missed this, do have a look. (Yes, the transplant was a success.)
PS Samantha didn't use any magic diet pills, or special herbs, or special tea, or secret formula drink, she reduced her food intake and increased the amount of exercise she took.
It sounds like one of those strange "human interest" stories you read in those real-life story magazines.
But...
Andy Lamb was dying of kidney failure, he'd had a transplant before. He now has dialysis three times a week. His wife Samantha could save him by donating one of her kidneys. But she was overweight and had to loose 22kg (almost 50lbs) before the doctors would consider operating on her. She gave herself four months to loose the weight - 2kg a week. For the ladies, that's from a UK size 24 to a size 16.
As well as following her trying to shed so much weight, it includes part of Andy's treatment being filmed.
We also get treated to watching her kidney being removed, and then part of the transplant. Andy now has FOUR kidneys - his original two, still in the usual place, plus the first one transplanted and then his wife's, both in the front of his pelvic region. Most interesting part I found was just how quickly the new kidney sprung into action - as the surgeon completed the last stitches to join the blood supply to the new kidney, he said watch this, squeezed it and some blood-stained urine was expelled before he moved on to connecting it to the bladder.
If you have access to the BBC iPlayer and missed this, do have a look. (Yes, the transplant was a success.)
PS Samantha didn't use any magic diet pills, or special herbs, or special tea, or secret formula drink, she reduced her food intake and increased the amount of exercise she took.
Friday, 5 March 2010
Baxter recall faulty dialysis machines
We have read on several news sites today, including the FDA site that Baxter are urgently recalling a number of peritoneal dialysis machines manufactured by them. A full list of models affected is given on the FDA site, and on Baxter's press release section of their web site.
Obviously it is important that users of these machines check immediately the status of their machine, so we are reproducing the machine details here.
Affected model numbers are:
Home Choice - 5C4471, 5C4471R, 5C4474, 5C4474R, T5C4441, T5C4441R, 5C4474D, 5C4474DR
Home Choice Pro - 5C8310, 5C8310R, R5C8320, R5C8320R, T5C8300, T5C8300R
All systems with these model numbers are affected.
This is because of reports of serious injuries and at least one death associated with Increased Intraperitoneal Volume (IIPV), also known as overfill of the abdominal cavity. IIPV can cause serious breathing and heart problems that can result in serious injury or death.
Children and non-verbal patients may be at increased risk because of their smaller size or inability to communicate. Increased monitoring of these patients is recommended.
Other vulnerable populations include critically ill patients and patients with pulmonary and hemodynamic instability.
Public Contact: If you need assistance with your HomeChoice or HomeChoice PRO, call the Baxter Customer Service line, available 24 hours and day, 7 days a week at 1-800-553-6898.
We suggest you have a read of both the web pages linked to above, in case we have missed out anything vital in our summary of the press release.
Obviously it is important that users of these machines check immediately the status of their machine, so we are reproducing the machine details here.
Affected model numbers are:
Home Choice - 5C4471, 5C4471R, 5C4474, 5C4474R, T5C4441, T5C4441R, 5C4474D, 5C4474DR
Home Choice Pro - 5C8310, 5C8310R, R5C8320, R5C8320R, T5C8300, T5C8300R
All systems with these model numbers are affected.
This is because of reports of serious injuries and at least one death associated with Increased Intraperitoneal Volume (IIPV), also known as overfill of the abdominal cavity. IIPV can cause serious breathing and heart problems that can result in serious injury or death.
Children and non-verbal patients may be at increased risk because of their smaller size or inability to communicate. Increased monitoring of these patients is recommended.
Other vulnerable populations include critically ill patients and patients with pulmonary and hemodynamic instability.
Public Contact: If you need assistance with your HomeChoice or HomeChoice PRO, call the Baxter Customer Service line, available 24 hours and day, 7 days a week at 1-800-553-6898.
We suggest you have a read of both the web pages linked to above, in case we have missed out anything vital in our summary of the press release.
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