This week Brazil’s capital, Brasília, hosts the World Water Forum, with more than 8,000 participants. Representatives from 172 countries, including political leaders, UNESCO and United Nations members. The theme concerns nature-based solutions to improve fresh water quality and…
Ari, 35, current power-lifting champion of New Zealand, wants to donate a kidney to his father, Tamati, 61, who has Type 2 diabetes and is on dialysis. His mother, who has diet-controlled diabetes and is in the obese…
Beatriz, 62, presents as a potential kidney donor for her son Miguel. Her BP is 130/85, and BMI 26. She has no personal or family history of diabetes or cardiovascular disease. She brings some blood and urine test…
Barry, 62, is under evaluation as a kidney donor to his wife Susan. At his first appointment, you measure his blood pressure at 155/95. Which one of the following is correct? A) You should tell Barry that he…
Hayley, 30, wishes to donate a kidney to her husband Rob. They have a 3 year-old child. Hayley has no known medical problems and is a non-smoker. Her BMI is 23 kg/m2, her blood pressure is 110/70 mmHg…
I want you to put yourself in the shoes of your average nephrologist, it seems frenetic when looked at from a birds eye view. A typical day begins with rounding on first shift dialysis patients, then on to…
Rajiv, 39, wants to donate a kidney to his sister-in-law, Shen. His brother, Shen’s husband, is healthy, but unfortunately not a good match for Shen. Rajiv has no past medical history, is a non-smoker and his BMI is…
1) The presence of markers of kidney damage for greater than 3 months in blood, urine, or on imaging a) e.g proteinuria, non-urological hematuria, polycystic kidney disease, horseshoe kidney, etc. or 2) The presence of a GFR of…
Educating patients with Autosomal Dominant Polycystic Kidney Disease (ADPKD) is unique, as patients typically witness the course of the disease in their affected family members. This is often a parent, but due to the complexities of life including…
I spend a lot of time discussing patients with renal disease and monoclonal gammopathies with my haematology colleagues, trying to figure out what is of ‘renal significance’ and ‘undetermined significance’. One of those discussions recently was around a…