An excerpt from my new book on chronic kidney disease…

Or a small victory:

My former doctor called me the other day. I was slightly shocked to get a personal call from him. I suppose it was in a professional capacity, but he called to apologize for not referring me to a nephrologist31 sooner.

I told him my GFR has been holding at 23 for a long time, and that if he had warned me when it was 53, I could have possibly stayed at 53 for a good while.

It is said that Jardiance was not then known to help with CKD, but I could have laid off the salt and watched my potassium intake, and so on.

If I was still at 53, I’d be much further out from the need for dialysis or transplant, but I thank the God of mercy that the CKD has not worsened for the past two years. Whatever the case, I can see going from 53 to “15” in a week or a year, but I’ve stayed at 23 for some time now.

The fact that my doctor was willing to call me and personally apologize meant a lot. Even if he had an ulterior motive, and was worried I’d sue, the call was helpful…

… and he might have been sincere. I said he might want to warn people sooner, and not wait until they were at Stage 3B as Kaiser’s policy dictates32; he said he was going to try and do that.

I hope he does, because that is a potential life or death decision…I think he is a good guy, but I hope he’ll be a competent physician.

Whatever the case, I’m also only human…


“Therefore, to him who knows to do good and does not do it, to him it is sin.”

James 4:17

“Be kind to one another… so grace and mercy at your most need help you…”

– Brendan Shea… and William Shakespeare-Hamlet Act I, Scene 5


31  A nephrologist is a doctor specializing in treating kidney disease

32 According to my Kaiser Nephrologist.

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