← Return to Kidney disease: Figuring out minimal change disease (MCD)

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@codered032

Hello I am new to social media so please bear with me while I learn to navigate the internet. I am now 69yo. Approximately 2yrs ago during my annual physical I was dx with minimal change disease. I am a retired RN, but had never heard of MCD. I have always been healthy and other vitamin supplement was on no medications. I immediately started to research MCD but to date not much information related to adult onset. I was evacuated by a neurologist and dx via a rental biopsy. I was treated per protocol with high doses of prednisone and told everything would be ok. Unfortunately after almost a year of prednisone my condition has not changed. The side effects of prednisone were unbearable. Six months ago I was started on Tacrolimus. I question if my condition is being properly managed. I learned through research that I needed to have random Tacrolimus levels done. I became my advocate having to request blood levels and follow-up medical appointments as well as medication adjustments. I am at a lost as to where to go for proper treatment. I am other wise healthy. I am open to suggestions as adult onset MCD has limited internet information. Thank you for any support.

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Replies to "Hello I am new to social media so please bear with me while I learn to..."

@codered032 Welcome to Mayo Clinic Connect! We are fellow patients, caregivers, and family members, who share our experiences and strength with others on their own health journeys.

I had not heard of minimal change disease before, so had to look it up, It appears to fall into the same categories as other glomeruli kidney diseases, most notably FSGS. Here is an article from nephpcure.org to give you information: https://nephcure.org/livingwithkidneydisease/understanding-glomerular-disease/understanding-minimal-change-disease/. Also, here is an article from Medline Plus https://medlineplus.gov/ency/article/000496.htm

As a fellow kidney disease patient, I know it can be quite the challenge to find out information about a specific condition. I also have a glomeruli involved situation, caused by an ultra-rare autoimmune disease. While I am not able to do a transplant, my treatment seems to follow the normal guidelines of reducing stress, getting exercise, following a kidney friendly diet, no NSAIDS except acetaminophen, no smoking.

Have you looked at past lifestyle choices to figure out if any of them may have been a contributing factor to your current diagnosis? If you are questioning the management of your case, have you considered looking into a large teaching hospital or one the the Mayo Clinic campuses?
Ginger