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I have spent eight years promoting the importance of early diagnosis and treatment of dementia and am certain that misinformation, denial, and untrained GP’s are still the biggest factors preventing families from getting elderly loved ones properly evaluated. The mild and intermittently odd behaviors that gradually increase year after year continue to get chalked up to advancing age and nothing more. And even when it becomes very apparent that something is wrong, families delay dealing with it, because it is scary for them to think about end of life issues. And then when something major happens and the GP finally sees the senior about it for ten minutes (“What day is it? What time is it? Who is the governor?”), that day the elder is often sharp as a tack.
I spent a year taking my elderly father to doctors who weren’t trained on how to uncover early-stage dementia, namely Alzheimer’s. Once I finally got to the right doctors (a team of ne...
End-stage renal disease (ESRD) is that stage of kidney impairment which is irreversible, cannot be controlled by conservative management alone, and requires dialysis or kidney transplantation to maintain life. There are two types of kidney failure: acute and chronic . Acute kidney failure is a temporary decline in kidney function that can most often be corrected. Chronic kidney failure, on the other hand, is a permanent condition, meaning that once it occurs, the kidneys cannot be made to function again. Chronic kidney failure may be the result of heredity, as with polycystic kidney disease , or may be caused by prolonged medical conditions, such as high blood pressure or diabetes . Persons with chronic renal failure are referred to as having end-stage renal disease. The term indicates that the patient must rely on some type of medical treatment to help replace the loss of kidney function. The treatment alternatives for ESRD include hemodialysis, peritoneal dialysis, and kidney transplantatio...
Definition End-stage kidney disease is the complete, or almost complete failure of the kidneys to function. The main function of the kidneys is to remove wastes and excess water from the body. Alternative Names Renal failure - end stage; Kidney failure - end stage; ESRD Causes, incidence, and risk factors End-stage kidney disease (ESRD) occurs when the kidneys are no longer able to function at a level needed for day-to-day life. It usually occurs when chronic kidney disease has worsened to the point at which kidney function is less than 10% of normal. ESRD almost always follows chronic kidney disease. A person may have gradual worsening of kidney function for 10 - 20 years or more before progressing to ESRD. Patients who have reached this stage need dialysis or a kidney transplant . The most common causes of ESRD in the U.S. are diabetes and high blood pressure . See Chronic kidney disease for a complete list of causes.
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