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Finding Genius Podcast

Kidney Disease Cure and Prevention for Every Community with Vivek Jha

Finding Genius Podcast

Richard Jacobs

Medicine, Health & Fitness

4.41K Ratings

🗓️ 25 August 2020

⏱️ 46 minutes

🧾️ Download transcript

Summary

A nephrologist for over 35 years, Vivek Jha discusses kidney function and disease treatments like dialysis and kidney transplantation.

He helps listeners understand

  • Ties between kidney function and most other organ systems,
  • Differences between acute and chronic kidney disease, and
  • Efforts towards bringing disadvantaged communities the best in kidney disease treatments.

Vivekanand Jha is Executive Director at The George Institute for Global Health, India; Chair of Global Kidney Health, Faculty of Medicine, Imperial College of London; and President of the International Society of Nephrology. In this podcast he covers the basics of kidney function, kidney disease, and late-stage efforts like dialysis treatment.

He accompanies all these issues with an eye to the global inequalities in effective treatment and discusses ways to educate populations and bring better medicine to all. In fact, he tells listeners that he became a nephrologist partly because of these inequalities. He also describes why the biology intrigued him: kidney function presents a "microcosm of internalized medicine." In other words, the kidney affects all other organs and, as a doctor, one utilizes every element of internalized medicine to address kidney issues. 

He describes the complex and essential nature of kidney functions, from filtration, adaptability to different solutes, hormone production, and the biology behind these jobs such as nephrons function. He teaches listeners about the back and forth between kidneys and blood pressure control and talks about how early stage kidney disease is usually symptomless.

He advises listeners on which tests to seek out regularly for those at risk and touches on the goal of dialysis treatment. Finally, he talks more about the necessity for policy changes by governments in addressing health disparities in a holistic manner.

For more about global kidney health, see the International Society of Nephrology website, theisn.org, and for more about his team's research, see his page at The George Institute for Global Health: georgeinstitute.org/people/vivekanand-jha.

Available on Apple Podcasts: apple.co/2Os0myK

Transcript

Click on a timestamp to play from that location

0:00.0

Forget frequently asked questions common sense common knowledge or Google how about advice from a real genius

0:06.8

95% of people in any profession are good enough to be qualified and licensed 5% go and beyond. They become very good at what they do.

0:15.1

But only 0.1% are real Jesus.

0:18.3

Richard Jacobs has made it his life's mission to find them for you.

0:22.4

He hunts down and interviews geniuses in every field, sleep science, cancer, stem cells,

0:27.2

ketogenic diets, and more.

0:28.8

Here come the geniuses.

0:30.4

This is the Finding Genius Podcast.

0:33.0

That is Richard Jacobs.

0:35.0

Hello, this is Richard Jacobs with the Finding Genius Podcast.

0:41.0

I have a Vivick Jaa, he's a professor of nephrology and a James Martin fellow at

0:46.8

University of Oxford.

0:48.0

We're going to be talking about the societal impact of kidney disease and you know what kidney disease is and all that so yeah

0:56.3

you're right thanks for coming how you doing I'm very well thank you rich for inviting me

1:00.7

yeah well tell me about your work, what got you interested in kidney disease in the first place?

1:06.0

That's an interesting question. It takes me back a long, long time.

1:11.0

So I've been a nephroologist for more than 35 years now. I guess what got me interested in

1:18.8

kidney disease is because it really is a microcosm of internal medicine in that the people who have

1:27.1

kidney diseases suffer some consequence on almost all organ systems and your full training as a physician is utilized in taking care of patients with kidney disease.

1:40.0

The second thing that I noted was that there was a deep connection between kidney diseases and the various social and economic conditions of the populations who got these diseases, both in terms of how they present and also in terms of how they access treatment and what is their long-term outcomes.

2:01.0

That was quite fascinating to me.

2:03.0

So what are, so what is kidney disease for people that don't know what happens?

...

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