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Home / Health / Minn. Doctors welcome Trump's challenge with kidney disease

Minn. Doctors welcome Trump's challenge with kidney disease



Jennifer Cramer-Miller was 22 and graduated from college when she went to a doctor for puffiness in her eyes and got away with life-changing news. Her kidneys failed and she needed dialysis, an exhausting blood filtering procedure, to survive until she could get an organ transplant.

"It came from nowhere," said Cramer-Miller, who is now 52. Let's call it the silent murderer, because people do not know that they have it until they reach a very advanced stage.

The Wayzata woman today proves the effectiveness of kidney care – which included four transplants in her case ̵

1; but also the challenge of achieving a goal that the Trump administration had announced this month: Reducing Number of Americans suffering from kidney failure or end stage renal disease from saving people from time-consuming dialysis and the desperately scarce supply of donor organs that keeps transplant patients waiting for years. It would also save lives and account for $ 35 billion in federal spending for this population, which represents 1% of Medicare beneficiaries but 7% of the program budget.

Doctors and lawyers from Minnesota praised the challenge of President Donald Trump over the past week of improving treatment – noting that a president since the 1972 decision to extend the Medicare benefits to all kidney patients who have dialysis or Transplant needed, for the first time again focused on kidney disease.

"There was not much innovation in this area," Dr. Mark Rosenberg, a kidney specialist at the University of Minnesota and president of the American Society of Nephrology. "It was ready for a transformation, so to speak."

Better care for kidney disease will help reduce deaths and dialysis, but the nation also needs more research to capture more cases before they reach desperate levels, "Rosenberg said.

Often we get into The emergency room was called because a kidney failure patient came up with no idea that something was wrong with his kidneys, "he said," and suddenly we have to start dialysis, it's more like a crash landing, and we do not have time to train and prepare them. "

The White House announcement is also based on predictions that renal failure will rise from 29% to 68% in the next decade – on the one hand, because medical improvements help make more On the other hand, because the national diabetes and obesity crisis will result in more cases, the system proves that it is the cost reduce kidney failure while improving patient health. As part of a federally funded demonstration project, Park Nicollet reported annual savings of more than $ 1 million by providing care co-ordinators, pharmaceutical consultations, and home visits to 100 patients with kidney failure, reducing complications and related emergency and hospital admissions.

Sometimes coordinators find that patients have simple obstacles, such as Jesse Wheeler, a kidney care specialist from Park Nicollet.

The approach can also prevent patients with mild kidney disease from wandering off and causing kidney failure by ensuring that "every patient, whether dialysis-dependent or not, has many problems in his or her life," said Wheeler. "It's not just a medical problem."

One persistent question is how to catch more cases early. Simple blood and urine tests can detect protein levels that should be filtered out by healthy kidneys. However, the US Preventive Task Force does not generally recommend it for all patients.

Cases like Cramer-Miller may not be prevented in people who are young and have no symptoms. Her problems were ultimately linked to an autoimmune disease affecting her kidneys.

However, other links to kidney disease are more common and easier to identify. High blood pressure and diabetes, for example, are chronic diseases that present a high risk of kidney disease.

High consumption of certain medications, including common analgesics such as Advil, can damage kidney function and increase the risk of disease.

Duke Steenson The 85-year-old spent the winter of 2009 in California and postponed medical treatment, although his ankles swelled and his lips turned blue. When he returned to his doctor in Minnesota, he learned that the treatment of prostate cancer had destroyed his kidneys several years earlier, which filtered his blood with only 7% efficiency.

said the Wayzata man who received dialysis from one of his sons and then a donor kidney transplant. "I was not ready, I did not know the problem existed at all."

Screening Assistance

According to a 2018 US Renal Data System report, a recently relocated national data collection system, the screening Rates in risk groups slightly lower after Minneapolis: A sample of non-elderly adults with diabetes has studied less than half for kidney disease.

Minnesota Department of Health data are more encouraging and show a screening rate of 83% for people with diabetes Medicare had managed care insurance.

However, the rates have room for improvement, said Mallory Olson, executive director of the local Chapter of the National Kidney Foundation, especially considering that nearly half of all new kidney failure diagnoses involve someone with diabetes

The Foundation responded with a number of free fils on the 10th of August at the Fiesta Latina in St. Paul.

Part of the challenge is simply to communicate or even explain the dangers of one of the most misunderstood organs in the body:

"If you do not know what your kidneys are doing," he said Olson, "you do not even know what to look for."

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