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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Renal Failure

Yes, thank you My daughter has a friend, female, age 50 and GFR is 14% and Creatinine levels are 3 or 4. I do not know her BUN. She is having a shunt placed on the 17th of this month and should begin dialysis within six weeks. She is on a high mg of HCTZ or lasix because she is very swollen but, will not say if she has CHF or not. I do not get much information on her labs and she has been removed from the transplant list, from, Tulane, in Louisiana. I am an R.N. and it is very frustrating to not get any answers from someone who doesn t have medical knowledge as you probably well know. Could you please tell me what a prognosis is based on what I have told you? I know she is in Renal Failure and only God knows the hour and the time of our death but, any advice would be appreciated. Thanks, Christine
Tue, 8 Sep 2015
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Urologist 's  Response
Hello Christine and welcome to HCM.
As an Urologist, i can fully understand your concern.
Your daughters' friend has CKD( chronic kidney disease), that needs HD(hemo-dialysis).
To be able to advise expert medical treatment, I would want the kidney biopsy report, ultrasound scan report, and the last electrolyte levels.
Lasix will never be given to such patients. HLA mismatch/ HIV,or some cause, must be the reason for taking her off the transplant list. If you can send me the reports, as a direct question to me, i can give expert advice.
Dr.Matthew J. Mangat.
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Suggest Treatment For Renal Failure

Hello Christine and welcome to HCM. As an Urologist, i can fully understand your concern. Your daughters friend has CKD( chronic kidney disease), that needs HD(hemo-dialysis). To be able to advise expert medical treatment, I would want the kidney biopsy report, ultrasound scan report, and the last electrolyte levels. Lasix will never be given to such patients. HLA mismatch/ HIV,or some cause, must be the reason for taking her off the transplant list. If you can send me the reports, as a direct question to me, i can give expert advice. Dr.Matthew J. Mangat.