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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
New Approach of treatment of Diabetic Neuropathy
Emerging treatments for diabetic neuropathy focus on addressing the root causes and providing symptomatic relief. Novel therapies include advanced pain management drugs, nerve regeneration techniques, and the use of antioxidants like alpha-lipoic acid. Regenerative medicine approaches, such as stem cell therapy, aim to repair damaged nerves. Personalized treatment plans incorporating lifestyle changes, glycemic control, and physical therapy are gaining importance. These innovative strategies improve quality of life and target long-term nerve health in diabetic patients.
Alpha Lipoic Acid in Oxidative Stress
Alpha-lipoic acid (ALA) is a potent antioxidant that helps combat oxidative stress by neutralizing free radicals. It regenerates other antioxidants like vitamin C and E, enhancing overall antioxidant defense. ALA plays a crucial role in reducing cellular damage caused by conditions like diabetes, neuropathy, and aging. Its ability to function in both water- and fat-soluble environments makes it versatile in protecting various tissues. Regular supplementation of ALA may improve mitochondrial function and reduce inflammation associated with oxidative stress.
Evaluating Cardiac Function in Sepsis and Septic Shock
Cardiac dysfunction is common in sepsis and septic shock, requiring careful evaluation for optimal management. Echocardiography is the cornerstone for assessing myocardial function, including ejection fraction and cardiac output. It detects ventricular dilation, reduced contractility, or other abnormalities. Biomarkers like troponins and B-type natriuretic peptide (BNP) help identify myocardial injury and stress. Hemodynamic monitoring, using tools like pulmonary artery catheters or pulse contour analysis, provides insights into cardiac output and systemic vascular resistance. Early identification of cardiac dysfunction enables tailored interventions.
Clinician’s Approach to Acute Respiratory Distress Syndrome
A clinician’s approach to respiratory infections involves a thorough assessment of symptoms, patient history, and risk factors, followed by diagnostic testing such as sputum cultures, chest X-rays, or PCR tests to identify the causative pathogen. Based on the diagnosis, appropriate antimicrobial therapy, supportive care, and close monitoring for complications are initiated, with attention to managing comorbid conditions and preventing the spread of infection.
Cancer and Air Pollution: The Delhi Dilemma
Cancer and air pollution are deeply intertwined in Delhi, where pollution levels rank among the highest globally. Prolonged exposure to particulate matter and carcinogenic toxins in the air increases the risk of respiratory and lung cancers. The city's residents face a significant health burden, particularly vulnerable groups like children and the elderly. Addressing this challenge requires stringent pollution control measures, public health awareness, and policy interventions. The Delhi dilemma underscores the urgent need for sustainable urban planning and environmental regulations to protect public health.