Follow-up:
Dr. Ndugu consulting with nephrologist
Dr. Krause 15 minutes 17 seconds into
the episode (see below):
On Wednesday, October 13, 2021 at 3:27:08 PM UTC-5, _ wrote:
.> Excerpt from that episode beginning 5 minutes
.> 26 seconds into the episode:
.>
.> Nurse: "Rashida Flowers, 34, chronic kidney
.> disease secondary to diabetes, admitted for
.> dialysis access insertion after a thrombosed
.> AV fistula."
.>
.> Rashida (talking to her phone): "After 2 failed
.> grafts, I'm back in the hospital, y'all. Have to
.> have another procedure. But guess what? My
.> new doctor is a brother. Mm! And he fly. [she
.> laughs] Say hi, Dr. Ndugu!"
.>
.> Dr. Ndugu: "Hey. Do you mind not recording
.> so I can examine you?"
.>
.> Rashida: "Oh right, of course. Gotta go, y'all.
.> Kisses [smooches]. Sorry. Gotta keep my
.> followers happy. I used to be a travel influ-
.> encer, ventured around the world, but now
.> I'm DiabeticBae, which is way less exciting,
.> so I gotta get content where I can."
.>
.> Dr. Ndugu: "Well, today won't be too exciting,
.> I'm afraid. I'll be inserting a catheter into your
.> chest to help you start dialysis. How long have
.> you been diabetic?"
.>
.> Rashida: "Years now. But I was able to manage
.> it until I was visiting Thailand, living my best
.> life, and I get real sick. Hit my kidneys hard.
.> And every time my doctors tried to get access
.> for dialysis, my body wouldn't cooperate be-
.> cause -- plot twist -- I have a clotting disorder."
.>
.> But none of this is a shock. Both my mother
.> and brother were diabetic, and they both died
.> from kidney failure."
.>
.> Dr. Ndugu: "Sorry to hear that."
.>
.> Nurse: "Were they able to get kidney transplants?"
.>
.> Rashida: "They weren't even able to get on the
.> list. And neither am I."
.>
.> Dr. Ndugu: "You're not on the transplant list?"
.>
.> Rashida: "Nope."
.>
.> Dr. Ndugu: "Ortiz [the nurse's name], set me up
.> a consult with Rashida's nephrologist, Dr. Krause."
Consult starting 15 minutes 17 seconds into
the episode, still no mention of which DHGCs
Rashida, her mom, & her brother has/had, just
a discussion regarding Rashida qualifying for
or not qualifying for a kidney transplant:
Dr. Krause says Rashida doesn't qualify for a
kidney transplant because her "eGFR is high.
It's over 20 ..." The following article tell us we
don't know what stage Rashida's kidney is at
as eGFR over 20 doesn't tell us what it is:
https://www.kidney.org/sites/default/files/01-10-7278_HBG_CKD_Stages_Flyer_GFR.gif
Dr. Ndugu: "Dr. Krause, hi. Winston Ndugu, cardio-
throracic surgery. Do you have a minute?"
Dr. Krause: "Barely. I've been drowning in cases.
My patients put off seeing me for months, and
now I'm dealing with the backlog. What can I do
for you?"
Dr. Ndugu: "Yeah, I'm consulting on your patient
Rashida Flowers. She mentioned that she's not
on the transplant list."
Dr. Krause: "Yeah. Rashida, she's been through a
lot. Unfortunately, she doesn't fit the transplant
criteria."
Dr. Ndugu: "But Rashida's renal function tests
seem to make her a prime candidate."
Dr. Krause: "Well, you would think, but Rashida's
eGFR is high. It's over 20, disqualifying her from
the list."
Dr. Ndugu: "Estimated."
Dr. Krause: "I'm sorry?"
Dr. Ndugu: "It's an estimated number of what her
kidney function should be, not what it really is."
Dr. Krause: "Dr. Ndugu, the eGFR is the standard
clinical formula, used in the field for the past 20
years. It's what we use to determine care and
qualification of kidney transplant."
Dr. Ndugu: "A transplant could save her from
having to need dialysis in the first place, which
we both know has high mortality rates, espe-
cially in the first three months."
Dr. Krause: "I'm aware, but Rashida just doesn't
qualify. And believe me, I hate that, at least as
much as you do."
.>
.> Rashida: "Look, I know it's bad. But it's okay. That's
.> really why I record everything. I want the world to
.> know who I am before this disease ends me."
.>
.> - - - end scene - - -
.>
.> Rashida has an unrevealed Disparate High Glucose
.> Condition (DHGC), unknown what medication (if any)
.> she uses to deal with. When asked how long she has
.> had it, she replied "Years now", so since she's 34, one
.> can only guess how long she's had it.
.>
.> Her, her mother, and her brother got unspecified DHGCs,
.> her mother & brother dying from kidney failure. Rashida
.> also has kidney failure.
.>
.> Whatever DHGCs all 3 of her family members has/had,
.> impossible to tell 'cause there was no mention of any
.> medication, & the words used to describe their condi-
.> tions were
.>
.> -diabetes
.> -diabeticBae (some custom word Rashida used)
.> -diabetic
.> -diabetic
.> -this disease (may have been referring to kidney failure
.> or to the DHGC which was not clarified in that scene
.> which lasted almost a minute and a half)
.>
.> As I continue watching this episode, I'll clarify the spe-
.> cific type of Disparate High Glucose Conditions that
.> Rashida, her mother, & her brother have/had -if- any
.> clarifying comments are made as the episode contin-
.> ues.
.>
.> Sidenote: I suspect that the overwhelming majority of
.> individuals with any of the 7 DHGCs knows how old
.> they were when each of them got it, but hey, since
.> Cellosis (new superior clarifying word for type 2 dia-
.> betes) is typically slow onset over many years, that ...
.>
.> ... may be why Rashida didn't say when she got her
.> DHGC which the writers of this particular episode
.> decided to keep secret, ignoring all of the unique
.> characteristics of each of each of the 7 Disparate
.> High Glucose Conditions. See links in sig for com-
.> plete details on those.
.>
.> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
.> Diabetes Bubble / Diabetes Bubble Burst
.>
https://prohuman.net/diabetesbubblediabetesbubbleburst.htm
.>
.> C.ure I.nsulinitis A.ssociation
.>
https://prohuman.net/cureinsulinitisassociation.htm
.>
.> Glucose Anomalies Research regarding
.> Potential Cures / Improvements in Treatments
.>
https://prohuman.net/glucoseanomaliesresearch.htm
.> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -