Thursday, May 16, 2013

Is Avoiding Kidney Transplantation Possible?

Yes, even chronic kidney disease (CKD) can go into remission, or be reversed, according to some personal stories I have come across here and there, if caught early enough. Based on those stories (and I cannot back them up or verify them), I want to share something with you, my faithful readers.

According to the article below, you should get your kidney health checked every YEAR. And by ‘you’ I mean the average Joe, not people like me, with CKD, or chronic kidney disease.

Kidney disease creeps up on you like a spider quietly coming down its web from above. This disease is scarier, though, because it attacks from the inside where you can’t see it coming. So you must do your part to try to look for the tiny hints that might appear – if you are lucky enough to have any hints – and to do your part to try to stay healthy despite the environmental, biological, physical, psychological and emotional hazards we face daily.

Read on to discover what types of supplements can help, and if I remember correctly, what may hinder (keeping the article to refer back to for future reference!). I have some excerpts below, for you, but for detailed information, please take some time to peruse the entire article. It mentions CoQ10 and others you may have heard of before.

*Keep in mind that if you already have CKD check with your doctor before even considering taking any of these supplements!!*

Thank you to Carl Bullen from the Kidney Transplant Donors and Recipients Facebook page for sharing this with us!


Innovative Strategies to Combat Kidney Disease

Key points in the article:
What You Need to Know: Strategies to Combat Kidney Disease
  • It is imperative that aging individuals receive regular blood tests to monitor kidney health. In addition to standard creatinine, albumin, and BUN/creatinine ratio testing, cystatin-C levels should also be measured, as this constitutes a far more accurate biomarker of renal function.
  • The high-pressure and toxin-rich environment involved in renal function renders these delicate, highly complex organs especially vulnerable to damage, dysfunction, and disease.
  • High blood pressure, elevated blood sugar¸ NSAIDs, certain medications, and high-protein diets are the most common threats to kidney health.
  • Nutrients such as pyridoxal-5-phosphate (P5P) fight AGEs and ALEs.
  • CoQ10, silymarin, resveratrol, and lipoic acid are also clinically supported, potent interventions.
  • Omega-3 fatty acids help quell inflammation, contributing to enhanced kidney health.
  • A host of additional nutrients complement these actions, including folic acid (folate) and vitamins C and E.
Understanding Kidney Disease
The kidney ranks among the most complex and delicately evolved of all the major organs, making it particularly vulnerable to damage and dysfunction. As the body’s primary filtration system, it must “process” roughly 200 quarts of blood per day, rendering about 2 quarts of waste products and water.29

The fundamental structural unit of the kidney is the nephron. These high-pressure filtering mechanisms govern the removal of waste products and toxins, control blood pressure and volume, and regulate levels of electrolytes and metabolites in the blood. A healthy kidney contains approximately 800,000 to 1 million nephrons.
Housed within each nephron is a front-line filtration element called the glomerulus, a miniscule capillary coil. (The two together resemble an incandescent light bulb containing a convoluted filament.) The endothelial cells of the glomerulic capillaries act as the direct physical exchange between the kidney and the bloodstream. Waste products and water are combined to form urine, while blood cells and protein remain in the circulatory system.
The kidney’s tight control of water and mineral flow, and its role in maintaining healthy blood pressure and mineral balance, rely on the optimal functioning of nephrons and glomeruli. For this reason, one of the primary markers of kidney function is the glomerular filtration rate (GFR), a measure of the volume of fluid the kidney is able to process at any given time.
The glomerular filtration rate; plasma concentrations of the waste substances creatinine, urea, and nitrogen (blood urea nitrogen or BUN); and levels of protein in the blood and urine are the most commonly used measures to determine the presence of CKD. Rapidly rising creatinine usually signals imminent kidney failure. There should be no protein in the urine if your kidneys are functioning optimally.
It should be noted that BUN and creatinine may not increase above the normal range until 60% of total kidney function is lost. This is why certain aging individuals should ask their doctors to test for cystatin-C in the blood. Cystatin-C is a protein produced by virtually all cells and tissues in the body. Because it is formed freely and at a near-constant rate—as opposed to albumin, which may fluctuate with dietary protein intake—plasma cystatin-C serves as a more accurate biomarker of renal function.30
CKD may be categorized in one of 5 stages. Stage 1, the mildest, is defined only by the persistent presence of protein in urine (GFR may be normal); in each successively higher stage, GFR declines, until Stage 5 is reached, defining end-stage renal disease (ESRD), or kidney failure.31 ESRD is irreversible and results in death without dialysis or kidney transplant.32
Risks to Kidney Health
Given the toxic, high-pressure conditions involved in renal function and the delicacy of the kidney’s structural components, it comes as no surprise that an array of near-constant internal and external insults may take a severe toll on the glomeruli and other parts of the kidney. Their incremental damage and destruction leads to the progressive decline in renal function seen in aging humans.
These internal and external insults include:
  • Hypertension. Over time, chronic high blood pressure inflicts damage to the endothelial cells lining the kidney’s blood vessels, including those within the glomeruli. The result is a familiar cascade of events that leads to the thickening of blood vessel walls and reduction in blood flow seen in atherosclerosis. Reduced blood flow is in turn directly translated into lower GFR. Pressure damage to the glomeruli also diminishes their filtration capacity, permitting large protein molecules such as albumin to pass into urine instead of remaining in circulation. (This is why urine albumin levels are used to detect kidney disease.)
  • Elevated serum glucose. Diabetes is now the leading cause of CKD.61 Experts predict even greater increases in CKD if rates of diabetes incidence continue to rise steeply.62 It should be noted, however, that high blood sugar poses a threat to kidney health even in non-diabetic individuals. Chronic exposure to glucose degrades and destroys kidney cells through the formation of advanced glycation end products (AGEs)—molecules generated through the pathologic binding of glucose to proteins in the body. AGEs cause primary structural proteins in the cells to cross-link and become non-functional, increasing oxidative stress, inflammation, and directly damaging kidney tissue.63-66 It has been established that even early-stage insulin resistance is associated with CKD.67
  • Excess fatty tissue. Body fat contributes to the development of CKD through production of inflammatory cytokines specific to adipose (fatty) tissue called adipokines. Along with AGEs and oxidative stress, adipokines exacerbate the inflammation commonly found in people with CKD.67 For this reason, metabolic syndrome—co-occurring insulin resistance, hypertension, and abdominal obesity—represents a perfect storm for the development of CKD. A 2007 study found that metabolic syndrome occurs in 30.5% of individuals with stage 4 or stage 5 chronic kidney disease.68 Metabolic syndrome increases the risk of chronic kidney disease, even before diabetes manifests.69
  • Protein over-consumption. Ingesting an excessive amount of protein, particularly meat, may tax the kidneys to the point of distress. The extraordinary increase in individuals adhering misguidedly to high-protein diets in order to lose weight has had the unintended consequence of boosting rates of kidney damage and disease. Meat consumption also results in high AGE production and the consequent inflammatory injury to kidney tissue.69 A prudent approach to dietary protein is thus encouraged by most experts, particularly in people who already have some degree of CKD.
  • Drugs. The nephrotoxic side effects of many commonly used medications comprise another significant causative factor in CKD. Chief among the mechanisms by which drugs cause kidney damage are oxidative stress and adverse alterations in cellular energy management. So-called “analgesic nephropathy” involves destruction of the active regions of the kidney by overuse of pain relievers, usually used in combinations of two or more, including the common over-the-counter medication acetaminophen (Tylenol®) as well as non-steroidal anti-inflammatory medications (NSAIDs) including high-dose aspirin, and ibuprofen (Advil®, Motrin®).70-73 Chemotherapy agents have also been shown to significantly impair renal function.74,75 Please note that acetaminophen inflicts kidney damage via a different mechanism than pain relieving drugs like ibuprofen.

Sunday, April 14, 2013

When Sci-Fi Becomes Reality

Just a heads-up: This is a paste from my You are a Treasure because it technically belongs over here and I wrote it in the wrong place. So if you happen to follow both blogs, well, lucky you! You get the info twice! ;)

When Sci-Fi Becomes Reality

English: Still from Sci-Fi short film "Th...
English: Still from Sci-Fi short film “The Scanner”. (Photo credit: Wikipedia)

Science fiction. What is it, really? One person’s wild imagination? A couple of authors bent on imposing their wild viewpoints on aliens and monsters and end-of-earth stories?

Ray Bradbury was a leading Sci-Fi author. Personally, I enjoyed Fahrenheit 451, about book banning (which leads to another post entirely!). But what about Star Trek‘s communicator that Captain Kirk always used? Would you see it like today’s cell phones? Listosaur.com does. Check out their neat list (and yes, they mention Ray Bradbury)! I remember when there were no computers. I remember hearing about the very first computer, and how it was so large it took up an entire (large) room. It seems that technology plays a very large part in sci-fi venues – or at least if not official sci-fi venues, then what some naysayers might consider that – and it seems that some of that has actually come to pass.

For example, do you remember anyone that was skeptical about the idea of the human race shooting up to the moon, much less walking on it? The moon was made of cheese, right? And, uhm, wasn’t the earth flat, at some point, too? Sci-fi. Too hard to believe. Ridiculous.

And who takes an organ out of a human body and puts into another human body, for goodness’ sake? And on top of that, expects that person to live?? Or, even more fantastically, expects BOTH of them to live??? Well, that’s exactly what science is doing today, thanks to the “Father of Transplantation,” Dr. Thomas Starzl. How do I know this? My father donated his kidney to me in 1993. He is still alive and well. Also, I have talked to Dr. Starzl via email. My nephrologist used to work with him.

Kidney
Kidney (Photo credit: Joshua Schwimmer)

The following article is dear to me because since that transplant I have needed 2 more, and they have had to come from cadaver donors. I count myself among the extra fortunate to have been able to acquire these in lieu of dying while on dialysis, as so many have, and continue to do. I have read other articles about science experimenting with creating kidneys from cell tissue, which I think is also amazing.
Science can sound far-fetched, and even like science fiction. I experienced it first-hand with each of my transplants. But since I was ‘out’ during the surgeries, of course, it didn’t have as much of an impact as it could have! What really impacted me as a Sci-Fi moment was feeling my baby grow within, and then watching him ‘pop’ out. Totally freaky. And I can hardly wrap my head around how that type of thing is not
science fiction!! lol

Thanks for reading. Thank you for considering, again, being an organ donor. And for discussing it with your friends and family. I don’t mean to harp. But it truly could be you or yours one day. No one knew I was on the road to the grave until I had one week “till death do us part.”

Doctors can’t always catch things like this without you doing your part and telling him/her any unusual symptoms like fatigue, swelling, unusual weight gain/loss that you can’t explain… taking your blood pressure only on doctor’s visits is not an accurate representation of what is going on with your body. When you go to the pharmacy, use their blood pressure machine there (typically there is one nearby, where you pick up) and keep track of it. Eat healthy and try to splurge only 1-2x/week. Be a good role model for your kids. Drink lots of water. Don’t worry, I’m preaching to myself as I write – it’s not like I do all these things regularly. Well, I do take my vitals twice a day everyday.

Rat Kidneys Made in Lab Seen as Step to Human Transplants – NYTimes.com.

Thursday, April 4, 2013

HONORING, REMEMBERING, ENCOURGING

http://donatelife.net/wp-content/uploads/2013/02/2013-BlueGreen_Web_300x250.jpgApril 19 is National Blue & Green Day. What does this mean, you ask? It's your opportunity to "give HOPE to the more than 117,000 people on the organ transplant waiting list; HONOR organ, eye and tissue donors;
REMEMBER those that died waiting for their second chance at life; and CELEBRATE the
patients who received the gift of life through transplantation
."

You might not realize it at first thought, but chance are good that you know someone first or second or third hand that has had a transplant or is need of one. And there may come a day that you - yes, you - may be in need of one yourself. 

According to the Donate Life America site:

Statistics

Currently, nearly 120,000 men, women and children are awaiting organ transplants in the United States. For specific numbers visit unos.org
65,991 Multicultural Patients*
1,760 Pediatric Patients*
28,052 Organ Transplants Performed in 2011
14,013 Organ Donors in 2012
More than 46,000 corneas were transplanted in 2012
More than 1 million tissue transplants are done each year and the surgical need for tissue has been steadily rising
*as of March 2013

 Even if you keep your body healthy and keep the toxins out, life has a way of changing your circumstances.

Please think about those wonderful, selfless people who have donated in either life or death as well as those people who have so gratefully received those needed transplants to save or greatly improve their lives and have fun on April 19th: Have a blue & green party! Make a blue & green cake! Wear blue & green!

Thank you, organ donors and families who have made it possible for myself and others like me to live our lives fully.

http://donatelife.net/wp-content/uploads/2013/02/2013-BlueGreen_Web3_728x90_2.jpg