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Published on October 22nd, 2019 | by Michaelw

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What Your Doctor’s Not Telling You About Kidney Disease

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transcript

Hello, this is Katherine, welcome to 00Kidney
Even if your doctor isn’t intentionally out to mislead you, I’m betting a new stethoscope that he is keeping you in the dark about at least some things.
Yes, a whole top 10 of things.
There are some dark aspects of the medical world that doctors don’t want patients to know about.
These are secrets that can save your kidney health, your wallet and even your life.
This is what I’m going to talk about today.

Some examples:
Patients are often prescribed unnecessary tests, and these tests could be dangerous for their kidneys.
Kidney toxic pain relievers are prescribed every day, and people don’t know that these drugs are doing more harm than good.
The world health epidemic of high blood pressure, cholesterol, Type 2 diabetes and kidney disease is on the rise and nobody knows what to do.

Yes, with their medical knowledge doctors play an important role in society by helping the sick, but there are still things that they prefer you not to know.
So today I will be talking about all those things doctors don’t want to let patients know.

Here’s what you’ll never hear from a doctor.

Number 10 “You Don’t Need This Test”
Recent statistics found out that up to 50 percent of surveillance colonoscopies ordered by doctors were unnecessary or even inappropriate.
We’re talking about an invasive procedure here.
These colonoscopies are follow-up procedures done after polyps are removed.
Now, a Colonoscopy is the “gold standard” screening for colorectal cancer, but some doctors may pressure patients to get the test even though they don’t need it, the researchers said in explaining their findings.
This is what doctors call defensive medicine, and it’s becoming always more common. The fear of being sued by patients for not ordering a test is often a reason for doctors to order… too many tests.
It almost seems like that to cover their own butts, doctors sometimes take a needless trip up yours.
And this is not true just for colonoscopies.
This better-safe-than-sorry mindset keeps docs safe against lawsuits, but can be especially dangerous for people suffering from chronic kidney disease.
The problem with unnecessary tests is that they are not as harmless as some people may think.
Some of the most overused procedures and tests have been shown to cause kidney damage.
Now, your doctor should know about this and shouldn’t be prescribing you any unnecessary tests and procedures, but this is not always the case.
The best thing you can do to protect your kidneys health is to know very well what procedures and tests you can and what you cannot do.
This bring us to our number 9
Number 9 Some Tests Are Actually Dangerous for Your Kidneys
Diagnostic tests such as MRIs (magnetic resonance imaging), CT scans and angiograms are routinely used because they provide information about symptoms, diseases and injuries.
This can be helpful for a correct diagnosis.
But, in many cases, they use a contrast dye to enhance these tests and get the results needed.
These contrast agents are injected into a vein in your hand or arm.
But there’s a problem here: these dyes can both lead to kidney problems and cause problems in patients with kidney disease.
They can cause two rare but serious disorders associated with contrast dyes and the kidneys: contrast induced nephropathy (CIN) and nephrogenic systemic fibrosis (NSF).
And these tests are being done every day on millions of people.
MRI with contrast can be dangerous for people with kidney disease because of the contrast agents, including gadolinium (gad-oh-LIN-e-um) that are used to enhance the MRI, magnetic resonance imaging, scans.
So what should you do if you have kidney disease and your doctor prescribes you an MRI or CT scan?
Know your GFR and if you have CKD. Telling your doctor what your GFR and creatinine numbers are will help him understanding if the MRI or CT scan can be dangerous for you.
So talk to the doctor ordering the diagnostic test and make sure your doctor knows about your kidney problems.
If you do not know your GFR, you can ask your doctor or healthcare professional. Your kidney function is estimated by the glomerular filtration rate, or in short, GFR.
Even just knowing the creatinine levels can tell a lot about your kidney function.

Number 8 You Don’t Need This Pill
If you’ve been reading the news lately, seems like doctors are overprescribing and misprescribing always more.
Patients have been prescribed wrong medications, medications were prescribed to the wrong patients.
Doctors were convicted for the unnecessary use of pain drugs or even for forging prescriptions.
This was all in the news.
And when more cases of frauds done by doctors are hitting the news, the patients are those who are being damaged.
And the confidence of the patients is decreasing.
And this kind of malpractice has become so common that in some circles is not even considered unusual anymore.
Some doctors have been overprescribing antibiotics, leading to more resistant bacteria.
And there have even been alarming reports for doctors prescribing a huge amount of pain medications – even opioids.
According to a federal study, in 2015 more than one out of three Americans took a prescription opioid painkiller.
Prescription opioid like OxyContin or Percocet were taken by nearly 92 million of US adults.
Now, opioids can be very dangerous, since they lead to addiction. These medicines are promoting widespread addiction and overdose deaths
But despite these growing concerns, the number of opioid prescribed don’t seem to go down.
It almost looks like some doctors get money for prescribing more, but is it possible?
Number 7 Your Doctor Might Not Have Been Technically Bribed, but…
There are huge sums of money at stake here and you may wonder why some doctors are especially pushy when it comes to prescribing brand-name drugs.
If your doctor is being really pushy when it comes to a particular brand, chances are that he’s being influenced by pharmaceutical companies.
Your doctor might not have been technically bribed.
What pharmaceutical companies are doing is “educating” doctors about a vendor’s products in hopes that the physician will prescribe the company’s products more often.
This marketing technique is called detailing, and it is not illegal.
Doctors need to be informed on the pills they’re prescribing, right?
Now, a research conducted in 2016 show that for every payment that physicians received from pharmaceutical companies, the companies could expect that doctor to prescribe their marketed medications for the next three month period.
And we’re not just talking about monetary payments, here… gifts such as free trips abroad and or other material things yield even better results as doctors tend to then prescribe their medications for over a year.
So there’s a chance that your doctor received a visit by some sales rep from a pharmaceutical company and that, maybe, he received a gift, or some kind of incentive.
And it seems that always more doctors are taking gifts from this or that pharmaceutical company.
This is what the study, published by the Journal of the American Medical Association, show.
Another study, even more alarming if you ask me, revealed that one out of every 12 doctors in the US has been receiving money from pharmaceutical companies making opioids.
This one was published in the American Journal of Public Health.
The big question: is all this overprescribing of medications going to damage your kidneys and your health?
Number 6 Everything You Put in Your Body Goes Through Your Kidneys
If you are suffering from chronic kidney disease, you are more at risk than others, since every single drug you put in your body goes through your kidneys.
Taking the wrong drugs, or taking more medications than needed, will cause damages to your kidneys.
Both prescription and over-the-counter medications are filtered by the kidneys.
This means that your kidneys have to go through any drug or pill you put into your body.
Some of these medications are more harmful than others.
The medications that can cause harm to your kidneys are:
– Cholesterol medications known as “statins”.
Statins have been linked to acute kidney damage by a large study.
Even in healthy people, taking high doses of statins may increase the chance of developing kidney problems
– Pain medications and NSAIDs. some over-the-counter and prescription pain medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), should be avoided because they reduce blood flow to the kidneys. Narcotic pain medications are even more dangerous, since they can build up in the body and cause serious problems for patients with chronic kidney disease.
– Antibiotics. People with chronic kidney disease should be very careful with Aminoglycoside antibiotics.
These are a type of broad-spectrum, bactericidal antibiotics that are commonly prescribed.
And they are known for causing kidney injury—even at low doses.
People suffering from chronic kidney disease or those who have been taking these antibiotics for a long time are at particularly high risk.
The most toxic is neomycin, followed by gentamicin, tobramycin, and amikacin
– Proton pump inhibitor. These antacid medications can disrupt the body’s electrolyte balance if you have chronic kidney disease. And can even cause kidney damage in healthy people, according to a large population-based study
Number 5 There’s No Profit in Healthy People
Let’s talk about the world health epidemic for a second. The number of people with high blood pressure, cholesterol, Type 2 diabetes and kidney disease is growing at an alarming rate. And there is no sign of a decrease in sight.
And a lot of people suffer from chronic kidney disease without knowing it.
According to the statistics I have here, 96% of people with kidney disease reached the advanced stages without even knowing they had a problem.
These are statistics published by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health.
What these numbers say is that, one in seven North Americans have chronic kidney disease but only 4% of those with early kidney disease know they have a serious condition.

A lot of people suffering from diabetes or high blood pressure have kidney disease without knowing it.
And we are starting to think that these illnesses are ‘common’, now.
This may make them look less dangerous. But they aren’t.
If I’m saying these things, if I’m showing you these statistics is to raise the awareness about the hidden danger of chronic kidney disease.
People need to know.
So don’t forget to share this video with anyone you know that suffers from diabetes or high blood pressure, so they may start to take better care of themselves BEFORE things get rough.

The point here is that, there’s not a pill to cure kidney disease.
People seem to be convinced that the final aim of the medicine is to heal them.
And it always surprises me the eternal faith in pills I see in all the people.
Today there’s a pill for everything, a pill that you must take… forever.
You have a cold? Take a pill. Your head is aching? A pill. You have type 2 diabetes? Nothing that a pill can’t solve, right?
But in countless cases the drugs and pills people are prescribed are just palliative care.
They are only able to alleviate the symptoms a little bit, until the next, very expensive, pill.
Unfortunately, there’s no profit in healthy people and the pharmaceutical companies seem to know this very well.

Ok, I’m not saying that there aren’t researchers and scientists trying to find a cure to diseases like Type 2 diabetes or kidney disease.
Yes, there are people working to cure these diseases.
Unfortunately, the medical establishment is working even faster on new ways to make money from patients.

number 4 Doctors Make Mistakes
A lot of patients think that doctors are perfect and incapable of making mistakes but what the statistics say is completely different.
Doctors misdiagnose a lot.
According to a study done by the u.s. Institute of Medicine, almost 12 million Americans will receive an incorrect diagnosis once in their lifetime.
A pretty frightening number, considering that human lives are at stake here.
Even worse, according to a recent study, 20% of people with life-threatening conditions were diagnosed incorrectly.
And while these numbers may look scary, it’s understandable why is it so hard for doctors to get the right answer and the right diagnosis every single time.
There’s hundreds of symptoms to analyze and tens of thousands of diseases, often with very similar symptoms.
So correctly assessing people’s medical conditions is not always easy, but despite the numbers, they are getting better at it.
Still, if you feel that you’ve been misdiagnosed, get a second opinion.
Even doctors get a second opinion from their colleagues if they’re not sure about a diagnosis.
What you shouldn’t do is to self-diagnose on Google. Here’s why.
Number 3 Patients Make Mistakes Too
A lot of patients misdiagnose themselves on Google
In this day and age of limited time with doctors and ample opportunity to Google anything, the temptation for patients to get their own diagnosis about their illness is strong.
Now, we’ve already seen how many mistakes doctors make, but do you really think the average patient with a limited knowledge of the medical science would be doing better?
When you self-diagnose on Google, you are essentially assuming that you know the nuances that your condition presents better than your doctor. Or that Google does.
Now, when you google your symptoms, most of the results come from a website called WebMD.
It’s a symptoms checker.
This website lets you put your symptoms in a form and comes out with a series of diseases and ailments you could actually have.
And while this could be a very powerful instrument in the right hands, for a lot of people it’s just a cause for nightmares.
So, if you want to start to google about your symptoms and find a diagnosis online, stop for a second and listen to this.
Half of the people searching for a diagnosis online will end up thinking they have cancer and that they will die soon.
I’m not joking here, the number of people getting an online diagnosis for cancer today is alarmingly high.
There have even been some investigations about the trustworthiness of websites like WebMD and the potential conflicts of interest.
The problem is the source of revenue. Which primarily comes from health insurance providers, medical device companies, pharmaceutical companies… you see where I’m going here?
So, the truth is that Self-diagnosis can lead to misdiagnosis, overdiagnosis, missed diagnosis and even a disrupted doctor-patient relationship.
And these self-diagnosis are even more dangerous than they look. How?
Number 2 Mistakes Can Be Dangerous
The human mind is incredibly powerful. It can influence the body, it can even convince it that the symptoms that it’s only imagining are actually real.

So when a patient get a bogus diagnosis for cancer from the internet, he can become so anxious about a symptom that he can actually somatize it.
Yes, some people will actually start to feel the symptoms they read about.
So, yes, patients can actually make themselves sick even if there’s nothing wrong with them.
Hypochondria and the nocebo effect are no joke.
The nocebo effect is the opposite of the placebo effect.
When patients are administered a pill of sugar and get told that’s a medicine, in some case they start to actually feel better. That’s the placebo effect.
In the same way, if people convince themselves that they are ill, in some cases they can start to actually have the symptoms.

Number 1 You Must Take Care of Yourself by Being Informed
If your health fails, it can overshadow everything else that’s going on in your life.
Daily tasks become more challenging, health expenses can pile up, and your ability to earn a living can even be in jeopardy.
This is why you must learn to take care of yourselves the best you can.
And I’m not just talking about eating better or doing some physical exercise here.
Learn to understand who to trust and who not to trust can be a huge factor.
And having a better understanding of your illness and how to treat it can have a big impact on your health too.
This is especially true for people suffering from a chronic illness like kidney disease.
Even if the picture of today’s healthcare system may look scary, you should never lose hope.
There are still good doctors and people putting the health of the patients above the economic growth and greed of the companies.
Still, you must learn to take care of yourselves the best you can.
And if you have been watching this video till know, I’m pretty sure you’re doing your best to learn more about your condition.
Want to keep learning about kidney disease? Watch this video now.
This is all for today, thank you for watching.

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About the Author

Hi, my name is Michael and in this blog I'm gonna share the story of how I got off kidney dialysis for good. Getting off dialysis isn't easy at all, and that's why I'm trying to help people as much as I can.



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