Dr. Stanford’s Follow Up Questions and Answers

Obesity: Understanding the Disease in the Context of Patients with Kidney Disease

Dr. Fatima Cody Stanford, M.D.

Obesity: Understanding the Disease in the Context of Patients with Kidney Disease

In response to the questions asked on Thursday, November 15, 2018 at the 2018 Renal Care Symposium. 

1. How to manage weight going into menopause.

This question requires a long response. 

I would take a look at this lecture that I gave on this topic:

https://www.massgeneral.org/about/news/multimedia.aspx?id=1061

 *Please note-the response to the question asked begins at the 15:00 mark. 

2. Are there studies of weight loss medications for patients with kidney disease. What is the impact on residual kidney function?

Many of the weight loss medications do not have any negative impact on the kidney and could be utilized long term. However, drugs like topiramate and zonisamide may predispose to nephrolithiasis. As a result, we may have to stop these medications if that becomes an issue.

 

3. What are your opinions / thoughts on ketogenic diet, and how ketosis affects the hormonal metabolism/ metabolic changes?

The only medical condition in which the long term impact of the ketogenic diet has been evaluated is refractory seizure disorder. As a result, I do not recommend this for weight regulation as there are no long term studies which point to it utility for long term weight regulation. 

 

4. For swing shift and night shift workers who cannot change jobs, what options do patients have if lack of sleep interferes with managing a healthy weight?

I would minimize other factors that may affect weight regulation such as the amount of screen time (aim for less than 2 hours) and maximize diet quality (lean protein, whole grains, vegetables, and fruits), ensure at least 150 minutes of moderate intensity physical activity, and minimize stress.

 

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2018 Renal Care Symposium

This year’s Symposium, “Taking the Next Steps”, took place on November 14th and 15th at the beautiful Inn at St. Johns in Plymouth. We had the honor of welcoming many remarkable speakers up to the  podium. Interesting topics and stories were shared, which included medication management, telehealth, obesity, and trends in hepatitis C. Holley Holloway and Jeffery Bryant conducted 3rd and 7th inning stretches to get the crowd to their feet. The laughter from the photo booth was contagious and the day was a beautiful display of GHS and the renal community as a whole. GHS is very pleased to hold this event to provide a unique educational and enjoyable experience to all that attend. We hope that everyone who partook in this event has gained something from it. A big thank you to everyone who helped make this year’s Symposium a memorable one! Next year’s is already in the works.

 

 

 

 

 

  

 

 

 

 

 

 

 

 

  

2018 CKD Classes

The “Let’s Talk” CKD class is an introduction to Chronic Kidney Disease (CKD).  You will learn about the kidneys and Chronic Kidney Disease. The class covers the kidney’s “jobs”, the stages of kidney disease, how to understand your lab reports; anemia, phosphorous, potassium and calcium; and how they impact the health of your kidneys. The class reviews ways to slow down the progression of Chronic Kidney Disease, including medication and diet. You will also be introduced to all the treatment options for Stage 5 Chronic Kidney Disease including transplant, home dialysis and in-center dialysis. The class is two hours long, meets one time, and is available to patients and their significant others.  The class is free and you do not have to be a Henry Ford patient to attend. Please call Victoria at 248.642.5038 for class times and to register.


2018 NKFM Kidney Walk

This year’s Kidney Walk took place on May 20th. The Zoo was bursting with fun activities, smiling team members, and a community coming together to support a cause that is dear to all of us. The picnic grove area was certainly a site to see. Children were getting their faces painted, team members were dancing the cool morning away, and the zoo animals were waiting to make their grand appearances after the Walk began. Greenfield was out in numbers and for those of you who made it out that day, thank you and we hope you enjoyed yourself. For everyone who has donated, participated, and took charge and held a fundraiser, thank you. This day was a success because of you, your talents, and generosity. We are patiently waiting for grand totals to come in and will share those once we receive them. From what we know now, the numbers are not going to disappoint.  Here is a brief glimpse at what took place this year at the Zoo…

 

 

2018 World Kidney Day

 

World Kidney Day was on March 8th and this year’s theme was “Kidneys and Women’s Health”. It was chosen because it shared the day with International Women’s Day. To celebrate this important day, we hosted a week of kidney health education and awareness tables throughout Henry Ford Hospitals. Our friends from NKFM, Transplant/Gift of Life, and HAP took part in our event at HF-Detroit Campus and Dr. Snigdha Reddy gave a talk on the topic of Kidneys and Women’s Health in the Buerki Auditorium. Many people in the community are not aware of the severity of Chronic Kidney Disease and the health problems that it can bring on. We enjoyed meeting lots of new faces and hope that we made and impact on many. We thank everyone who played a part in making this week such a success.