Hot Topics in Kidney Health

Holidays can be difficult for individuals with CKD. Tune in to gain insight into the patient holiday experience and how professional teams can provide education for patients to ensure the best holiday outcomes.

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Getting a kidney transplant before starting dialysis or with little time spent on dialysis is a preferred form of kidney failure treatment. Despite that, preemptive kidney transplants are under-utilized. In today’s episode Daniella Duke, a preemptive transplant recipient, and Bethany Cruz, an Outreach Coordinator discuss this and more.

Bethany Cruz has over a decade of experience in kidney transplant education and is a dedicated outreach coordinator at the Houston Methodist J.C. Walter Jr. Transplant Center in Houston, Texas. Specializing in preemptive and living donor kidney transplant education, Bethany is passionate about improving access to living donation for all patients in need of a kidney transplant. Through her work, Bethany strives to raise awareness to make a meaningful impact in the lives of those affected by kidney disease.

Daniella Duke is a chronic kidney disease patient, since childhood. Her disease became more active in her 20s, and she received a living-donor kidney transplant in 2000. In 2021, she received her second kidney transplant from a deceased donor.  Both of these transplants were pre-emptive, and Daniella has never been on dialysis. She is grateful for having been the recipient of two kidney transplants and advocates for chronic kidney disease patients to receive the care they need. In addition, Daniella is a physician, specializing in medical and surgical dermatology, has a master’s in public health, and is the proud mother of twins, Andy and Juli. Dr. Duke has navigated both her professional and personal life, blending the experiences, knowledge, and perspectives of both a physician and a chronic kidney disease/transplant patient. She deeply empathizes with the issues, concerns, and medical challenges that kidney disease patients face on a day-to-day basis.

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Voting is a powerful way to influence the policies that impact your life. By participating in elections and advocating for change, you can help shape the future. Dr. Jesse Roach, NKF’s Senior Vice President of Government Relations, and Lauren Drew, NKF's Congressional Relations Director, explain why your vote matters and how to get involved.

Dr. Jesse Roach is a strategist and clinician whose work focuses on improving access to kidney health by removing barriers to care through policy, partnerships, and research. He is currently the Senior Vice President for Government Relations at the National Kidney Foundation (NKF), where he leads the NKF’s advocacy efforts. Dr. Roach received his medical degree and completed a residency in Internal Medicine and Pediatrics at the Medical University of South Carolina. He completed a combined fellowship in pediatric and adult nephrology at the University of Michigan Medical School. He resides in Washington, DC.

Lauren Drew is the Director of Congressional Relations at NKF, and formerly worked at the National Hospice and Palliative Care Organization and on Capitol Hill. She's original from New Jersey and an alumna of the George Washington University and the Villanova School of Law. 

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Natural disasters like earthquakes, floods, or electrical power blackouts can disrupt crucial healthcare services, like dialysis treatment. The good news? You can prepare for emergencies. Kidney Community Emergency Response Project Director Keely Lenoir is here to tell you how.

Keely Lenoir, BS, currently serves as the Kidney Community Emergency Response (KCER) Program Manager, providing technical assistance and support related to emergency management to ESRD Networks, providers, patients, and other stakeholders. Keely has over 15 years of experience in the field of healthcare emergency management, including over eight years with the Florida Department of Health, Hillsborough County, Office of Public Health Preparedness, where she served as the Special Needs Shelter Program Coordinator.

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Today, those with kidney failure have multiple treatment options like dialysis and kidney transplants; however, many aren't aware of treatments like home hemodialysis. What is home hemodialysis, and who could benefit from it? Learn all that and more on today's episode.

Jennie Wilson, MSN, RN has been working in Home Dialysis for over a decade and currently oversees several centers in the New York Metro Area that provide training and care to home dialysis patients. Her interest in population health and healthy equity has led to her passion for educating patients on their dialysis modality options. She has partnered with the National Kidney Foundation on various projects to share the clinical and lifestyle benefits of home dialysis.

Bell Maddux was first diagnosed with MPGN when she was fifteen years old. She went through college, got married and started her career before she became eligible for transplant. She was fortunate to receive a living donation from her father without having to be on dialysis. Then, after 10 years with her father’s kidney, Bell started in-center dialysis, and switched to home-hemodialysis in 2021. Bell is optimistically awaiting “the call” for a deceased donor, but in the meantime, she stays busy with her husband raising their two children, 7 and 12. She is a Peer Mentor and Patient Advocate with the National Kidney Foundation and has an 18-year career as a digital producer for a NY advertising agency.

Additional Resources:

Compare Medicare Providers 

Home Dialysis Information

Home Hemo Information

NKF Peers

Health Unlocked

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Living with chronic kidney disease can feel like learning a new language. There are many tests, and the results may leave you scratching your head. Today, Andrew Thompson, a physician's assistant specializing in nephrology, is here to help you decode your lab values and navigate your kidney health.

Andy Thompson is a nephrology physician assistant. He earned his bachelor’s degree at Olivet Nazarene University in Bourbonnais, Illinois, and master’s degree in physician assistant sciences at the University of Saint Francis in Fort Wayne, Indiana. He has been practicing nephrology for about 7 years in south-central Indiana. In his spare time, he enjoys reading/listening to audio books, going for walks, and spending time with his wife and children and dog.

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On today's special episode of Hot Topics and Kidney Health we're sharing audio from a recent webinar hosted by National Kidney Foundation on kidney xenotransplantation. Stay tuned to hear from the experts and learn about the latest updates on animal-to-human transplantation.

Dr. Tatsuo Kawai is a professor of surgery at Harvard Medical School and the A. Benedict Cosimi Chair in Transplant Surgery at Massachusetts General Hospital. He is also director of the Legorreta Center for Clinical Transplantation Tolerance. He was awarded the Martin Research Prize at MGH in 2009 and the New Key Opinion Leader Award by the Transplantation Society in 2010 for this work. In the field of xenotransplantation, he has collaborated extensively with eGenesis over the past five years, achieving over two years of survival for genetically edited kidney xenografts in nonhuman primates, which was published in Nature in 2023. In March 2024, he successfully performed the world first kidney xenotransplantation from the pig with 69 genomic edits in a living patient with end stage renal disease. 

Vineeta Kumar MD, FAST, FASN  is the lead nephrologist for the Living Kidney Donor and Incompatible Kidney Transplant programs at the University of Alabama in Birmingham. She is an expert in kidney transplantation, living kidney donation, incompatible kidney transplant, kidney paired donation and cardiovascular outcomes after kidney transplantation.

Peter Reese, MD, PhD, is an NIH-funded transplant nephrologist and epidemiologist. His research focuses on: a) developing effective strategies to increase access to solid organ transplantation; b) improving the process of selecting and caring for living kidney donors; c) determining outcomes of health policies on vulnerable populations with renal disease, including the elderly; d) testing strategies to improve important health behaviors such as medication adherence; and e) transplant ethics. He was a recipient of a Presidential Early Career Award for Scientists and Engineers, was elected member of the American Society of Clinical Investigation, and was a Greenwall Faculty Scholar in bioethics. He is a past chair of the Ethics Committee for the United Network for Organ Sharing (UNOS), which oversees organ allocation and transplant regulation in the US, and is an Associate Editor for the American Journal of Kidney Diseases. He co-led the THINKER, USHER, MYTHIC, and SHELTER trials involving transplanting HCV-infected donor organs into uninfected recipients. His work has been generously funded by foundations and the NIH, including a K-24 to support mentoring.

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For people with kidney failure, hemodialysis is a life saving treatment. On average, people can live for 5 to 10 years on dialysis, but many have lived 20 to 30 years. Hemodialysis also comes with some distressing symptoms like muscle cramps, itching, and fatigue. Doctor Jennifer Flythe and Precious McCowan, a dialysis patient and kidney advocate, are here to talk about a new study that aims to better monitor and help manage the symptoms of hemodialysis.

Dr. Jenny Flythe, MD -is a nephrologist and clinical investigator at the University of North Carolina (UNC) Kidney Center, Associate Professor and Vice Chief of Nephrology and Hypertension at the UNC School of Medicine, and Director of Dialysis Services at UNC Hospitals in Chapel Hill, NC. She conducts patient-oriented qualitative, epidemiologic, and prospective research aimed at improving outcomes and experiences among individuals with kidney disease.

Precious McCowan, BS, MS, ESRD- At the age of nine, I was diagnosed with type 1 diabetes; living with this condition for over 25 years progress my kidney failure.  By the age of twenty-seven, I was placed on in-center hemodialysis. In 2010 I received both a kidney and pancreas transplant; unfortunately, I had to return to dialysis and insulin shortly after transplantation.  In 2019 I received my second kidney transplant. Before my second kidney transplantation, I did dialysis for nine years. I have served as a Facility Patient Representative (FPR) for my dialysis facility throughout this challenging yet rewarding journey. I heartily work to advance patient health engagement and renal education to better care while on dialysis. Acquiring the passion for assisting those affected by End-Stage Renal Disease (ESRD) promoted my affiliation with the ESRD Medical Review Board (MRB) and the ESRD Patient Advisory Council (PAC) of Texas. Also, I am a member of the Kidney Patient Advisory Council; as an advocate partnering with ESRD caregivers and medical professionals to effectively meet the needs of those living with kidney disease.

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The most commonly used equation that determines someone’s kidney function includes a binary male-female sex coefficient. But what does this mean for the care of transgender, gender-diverse, and nonbinary people? Cameron Whitley, an associate professor with kidney failure experience, and researchers Keila Turino Miranda, a PhD student, and Dr. David Collister, a nephrologist, shed light on this important topic.

Dr. David Collister (he/him) is a Kidney Doctor, Clinician-Scientist and Assistant Professor at the University of Alberta. He has a PhD in Health Research Methodology from McMaster University. His research program is funded by the Canadian Institutes of Health Research and the Kidney Foundation of Canada and focuses on randomized controlled trials of interventions for uremic symptoms, cannabinoids, the responsiveness of uremic symptoms to the initiation of dialysis, metabolomics, proteomics and the intersection of gender diversity and kidney disease.

Keila Turino Miranda (she/her) is a first year PhD Student in the Cardiovascular Health and Autonomic Regulation Laboratory at McGill University. Ms. Turino Miranda’s work focuses on understanding and addressing the unique healthcare needs and disparities faced by transgender, gender-diverse, and non-binary (TGD) individuals in the realms of nephrology and cardiology using a patient-oriented approach.

Cameron T. Whitley, Ph.D. (he/they) is an Associate Professor in the Department of Sociology at Western Washington University. He studies issues concerning the environment, human-animal relationships, and transgender-affirming medicine. He got involved with studying transgender-affirming medicine when he was diagnosed with kidney failure and received a kidney transplant while writing his dissertation. Through this process, he coauthored one of the first articles addressing the discrepancies in evaluating kidney function for transgender people. He has over five dozen publications featured in places like Proceedings of the National Academy of Sciences, Academic Emergency Medicine, Clinical Chemistry, and Annual Review of Sociology.

Additional resources:

Kidney Function in a Gender Diverse Landscape

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Empowering the LGBTQIA+ community is important during Pride Month and beyond. Today we're speaking with Brian Sims, Living donor and former PA State Representative, and Josh Wilder, DPM, transplant recipient, podiatrist and former Survivor contestant, about how to empower the LGBTQIA+ community in kidney health and how to create an inclusive and affirming environment for all. 

Dr. Joshua J. Wilder- My name is Joshua Wilder and I am a 35 year old foot and ankle surgeon. I identify as a cis, gay, black, man who currently lives in Atlanta, GA. I am a native of Pittsburgh, PA with an upbringing in Cincinnati, OH. I was born with Prune Belly syndrome which required me to have a kidney transplant at 9 years old. I was on season 44 of the grammy-nominated, reality tv show Survivor 44. My favorite pastime is living life to the fullest.

Brian Sims served as one of the most visible out elected officials in the United States and is one of the premier policy experts in the current landscape, serving as the Managing Director of Government Affairs & Public Policy at Out Leadership. His tenure at this renowned global advisory organization is marked by his leadership in founding and steering a pivotal division dedicated to advocating for LGBTQ+ equality and inclusion within the business sector. Sims brings a wealth of experience from his distinguished career in public service and policy advocacy, leveraging his deep expertise to shape and guide strategies that champion LGBTQ+ rights on a global scale.

Additional resources:

https://www.outcarehealth.org/

https://www.kidney.org/newsletter/impact-unequal-care-lgbtq-kidney-patients

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