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Music Applause hey how's it going did you um I'm not too sure but I really want to go to the bar and start suturing I've been practicing on my banana but I hear the resin mr. Murrow and it is really really the banana wait we aren't suturing today the first shift starts now in last 36 hours your grunts your nobody's at the bottom of the surgical food chain you run laps right orders worth every second night until you drop and you don't complete we got around let's go people follow me I feel it's a job are you not useful oh it's not busy enough is he explain the prognosis so we have John Xavier age 40 diagnosed with end-stage the team what test we have to run to see it let's have some other tests such as sodium potassium and maybe check for phosphorus around there is more out of hi guide for this residency program what else do we have to test for cholesterol my medium complete blood count no underlings course of treatment I'm there are two possible T which is a transplant and peritoneal dialysis and in this case we're going to go with a parent see other houses Thank You interns mr. Xavier I'll send these interns in an hour delay the treatment hey hey dr. C still cheap picture it's the same hurry that's rule number two you're supposed to follow me if I'm walking fast you better keep up I'm gonna show you something yes gonna enjoy so the kidney functions to filter waste and excess fluids from the blood which are then experienced through the year chronic kidney disease is usually triggered by long-term diseases such as blood pressure and diabetes which as seen in our patient slowly degrade the kidney and reduced their function over time you don't have to put your handle but I just wanted to add the patient's of chronic kidney disease they're measured based off of different stages and this is based off their GFR and what I learned through school was that people it's greater than 90 milliliters per minute have healthy kidneys and if you're less than 15 if you're if you're stage 5 my apology it would be less than 15 no liters per minute and that's what we see in mr. it same here Christina what is GFR um GFR is the calculation of how well the blood is filtered by the kidney which is one way to measure the function of the kidney and what stages our patient now in stage 5 which is end-stage renal disease seems you have an idea what's going on I'm going to show you the two kidneys so if you since you want especially can't be so bad function okay so this is the healthy kidney and you have the aorta and the inferior vena cava and what you can tell us this is a healthy kidney based off of his.