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Nephrology for Primary Care physician
Nephrology plays a vital role in primary care, as kidney health is integral to overall well-being. Primary care physicians routinely monitor kidney function by assessing serum creatinine levels and estimating glomerular filtration rate (eGFR). Nephrologists often address common kidney-related issues encountered in primary care, such as hypertension, chronic kidney disease (CKD), and kidney stones. Primary care providers are essential in detecting early stages of CKD, which can progress silently without symptoms. Controlling high blood pressure is crucial, as it is a leading cause of kidney disease. Primary care physicians prescribe antihypertensive medications and lifestyle modifications to protect kidney health. Maintaining proper fluid and electrolyte balance is crucial in various medical conditions, and primary care doctors are the first line of defense in addressing these issues. Primary care physicians are responsible for managing medications that may affect kidney function, ensuring proper dosing to prevent adverse effects.
About the Speaker
Dr. Atit Dharia
Consultant Nephrologist and Kidney transplant physician, Jaslok Hospital, Bhatia Hospital & Saifee Hospital
Dr. Atit Dharia is a Consultant Nephrologist and Transplant Physician with empanelments at Multiple Tertiary Health Care and Charitable Hospitals in Mumbai. He has more than 9 years of experience practicing Nephrology with 4 years of International Experience at the prestigious University of Toronto, where he worked at Toronto General Hospital, which is ranked 4th Best Hospital in the World.
Upcoming Case Discussions
Treatment of Renal Disease in ANCA Vasculitis
The treatment of renal disease in ANCA-associated vasculitis (AAV) typically involves a combination of immunosuppressive therapies to control inflammation and prevent further kidney damage. First-line treatment often includes high-dose corticosteroids and cyclophosphamide or rituximab, both of which help to induce remission by targeting the underlying immune system dysfunction. In cases of kidney failure or rapidly progressive glomerulonephritis, plasmapheresis may be used to remove circulating autoantibodies. Once remission is achieved, maintenance therapy with lower doses of immunosuppressants, such as azathioprine or mycophenolate mofetil, is used to prevent relapses and preserve kidney function.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.
Rising Cardiac Arrests in Young Entrepreneurs
The increasing cases of cardiac arrests among young entrepreneurs are becoming a serious health concern. Intense stress, long working hours, unhealthy eating habits, and lack of physical activity are major contributors to heart-related issues in this group. This often leads to neglecting personal health, resulting in irregular sleep patterns and chronic fatigue. Additionally, skipping regular medical check-ups can leave underlying heart conditions undetected. Emphasizing stress management, healthy lifestyle choices, and routine health screenings is crucial to reducing this growing risk
Analytical Skills in Problem Solving
Today’s session on analytical tools and techniques in healthcare can provide valuable insights into how data-driven approaches enhance decision-making and problem-solving. Sharing personal or professional experiences where analytical skills were effectively used to address challenges can offer practical understanding and inspire learners. These skills are crucial in healthcare for accurate patient diagnosis, effective treatment planning, and efficient resource allocation. By applying analytical methods, healthcare professionals can improve patient outcomes, streamline operations, and make informed, evidence-based decisions that contribute to overall healthcare efficiency and quality.
Building Strong Interpersonal Relationships
A case discussion can highlight real-life situations where strong interpersonal relationships are essential, such as handling challenging patients or working effectively with colleagues. Sharing personal or professional experiences, or observations of successful interactions, can provide valuable insights. Emphasizing the key factors that contributed to building trust, mutual respect, and effective communication can help illustrate how strong relationships improve collaboration and patient care. This approach encourages participants to reflect on their own interactions and apply these strategies in their professional environments.