Somebody tell me why CKD stage 3a or 3b is no big deal.

Posted by thenazareneshul @thenazareneshul, Aug 31, 2024

The knee-jerk prescription of every healthcare provider I see is for me to "take some Ibuprofen" even though I've been doing that consistently since 1990.

Then, surprise, I get told to not take any NSAIDs at all by my PCP. I look up his reasons, and it tells me I have stage 3b chronic kidney disease. To the best of my knowledge, the stage after 3b is stage 4, and that appears to be a big deal as far as the subject of kidney disease goes.

Not according to the Nephrologist I asked to see. She thinks it's all no big deal. She thinks I need to stop having trouble forgiving 30 years of PCP's knee-jerk just telling me to take Tylenol and/or Ibuprofen for what I now know is a whole raft of things wrong with my C and L spine, and "move forward" in my life. "Move forward into what?" Was my reply. She never answered that one. She even reminded me I am 70 years old, and just how long do I plan to live from now on? I told her I have religious issues with options such as donor kidney's and blood transfusions. It's like that wasn't a real problem that I need to consider among my options for this future I am supposed to just forgive past healthcare providers who knew my kidney's were gonna get shot, but hey, it avoids me taking opioids.

I'm seriously wondering if I've got a bad kidney specialist or what? Your thoughts on this situation would be most appreciated? Thank you.

Interested in more discussions like this? Go to the Kidney & Bladder Support Group.

I have Stage 3 CKD and physician does. not seem concerned ....No prescriptions...Will I eventually go to Stage 4 CKD and how long can one live with CKD?

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@mucho

I have Stage 3 CKD and physician does. not seem concerned ....No prescriptions...Will I eventually go to Stage 4 CKD and how long can one live with CKD?

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@mucho Welcome to Mayo Clinic Connect. In 2003 my father-in- law had a kidney transplant. I started researching kidney disease. I learned that diabetes and hypertension are the leading causes of kidney disease. I paid attention to this because I have both. In 2005 I was told that I had mild to moderate kidney function. It was not called CKD and did not have a stage or alphabet # associated with it. There were no symptoms and my primary doctor did not seem particularly concerned. I wasn’t satisfied with that and started going to a nephrologist in 2008 (the one who treated my father-in-law.) That was a really good decision. My endocrinologist and nephrologist can collaborate to give me the best treatment possible for my diabetes and my kidneys. In 2016 my nephrologist told me that I have Stage 4 CKD. I have started researching dialysis and kidney transplantation. I like to be proactive. I can tell you that you can live well and for a long time with Stage 4 CKD. Besides your physician do you have any other supports for your health?

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I was diagnosed 3aCKD. My doctor would not give me a referral. I looked at the Kidney Assoc website and they recommended a kudney diatician. There is only one with kidney certification in Maine, so I contacted her. My insurance pays unlimited visits with a dietician.She has been helpful.

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