Dr.Shi-Nephrologist, No. 5 Feiyi Road, Shijiazhuang Shi (2025)

03/09/2025

【10 Daily Habits to Quietly Improve Your GFR and Lower Creatinine! (Doctor Approved)】

For anyone managing kidney disease, the desire to see that creatinine number drop is always there. But it's crucial to remember that creatinine is a symptom of reduced kidney function. The real goal is to protect your remaining nephrons and improve your kidneys' overall filtering capacity.

True kidney recovery comes from consistent daily care. Alongside your medical treatment, these daily "kidney-protecting habits" can create the perfect environment for your kidneys to heal and potentially see your numbers improve!

Here are 10 key habits:

1. Control Blood Pressure: Keep it below 130/80 mmHg. Limit salt (

23/08/2025

[Creatinine 700 But No Dialysis? A Nephrologist Explains the 4 REAL Reasons for Dialysis]

Many kidney disease patients live in fear of their creatinine number, seeing it as a countdown clock. But here's a reality check: Creatinine is NOT the sole deciding factor for dialysis.

I've seen patients with creatinine over 700 who are stable without dialysis, while others with creatinine at 300 need immediate treatment. The key isn't just the number, but whether you've crossed certain critical "red lines."

Creatinine tells us toxins are building up, but it doesn't show the whole picture. A better measure is your Glomerular Filtration Rate (GFR) – your kidneys' actual filtering capacity. While a GFR below 10 indicates severe loss of function, even that doesn't automatically mean dialysis if you avoid these complications:

The 4 "Red Lines" That Truly Decide Dialysis Need:

1. High Potassium (Hyperkalemia): Kidneys manage potassium. If levels spike above 6.5 mmol/L (normal: 3.5-5.5), it can cause slow heart rate, arrhythmia, or even cardiac arrest. Dialysis is urgent to lower potassium, regardless of creatinine.

2. Metabolic Acidosis: Kidneys balance blood pH. If pH drops below ~7.15 and doesn't respond to medication, severe acidosis occurs. This can lead to breathing difficulties, coma, and organ failure. Dialysis quickly corrects this.

3. Fluid Overload & Heart Failure: When kidneys can't remove fluid, it causes swelling and can fill the lungs, leading to severe shortness of breath (especially when lying down) and heart failure. If diuretics fail, dialysis is needed to remove the excess fluid.

4. Uremic Symptoms: When toxins severely accumulate, they cause debilitating symptoms like constant nausea/vomiting, severe itching, insomnia, confusion, or worsening anemia. Dialysis becomes necessary for survival and quality of life.

What if your creatinine is high but you haven't crossed these lines? If your GFR isn't critically low, you have good urine output (>1000ml/day), and no severe symptoms, you might not need dialysis yet! The focus should be on preserving remaining kidney function through strict blood pressure/blood sugar control, diet, and avoiding nephrotoxic drugs. This can delay dialysis for years.

Remember: Dialysis is a life-saving tool, not a failure. Protecting your current kidney function is investing in your future quality of life.

07/08/2025

【3 Critical Warning Signs from Your Glomeruli! Miss the First Two & You Could Lose 70% Kidney Function!】

Your kidneys are your body’s silent heroes, working tirelessly to filter blood, remove toxins, and maintain balance. Yet Chronic Kidney Disease (CKD) is a "silent killer" – often showing no early symptoms. The glomeruli, the kidneys' core filtering units, are vital. If damaged and untreated, you could lose up to 70% of kidney function within just a few years!

Learn to recognize the glomeruli's three urgent cries for help and seize the golden window for treatment!

1st Cry for Help: Urine Changes – The First Alarm

Signs: Frothy urine (fine bubbles that don't disappear), Blood in urine (pink, cola-colored, or bloody), Cloudy urine (positive protein test).

Why?: Damage to the glomerular filter lets protein and red blood cells leak into urine.

Act Now!: See a doctor immediately (urinalysis, 24-hr protein test, possible biopsy). Control diabetes/hypertension (BP target

30/07/2025

【20 Lifesaving Kidney Care Tips Every Patient MUST Know! (Trusted by Renal Specialists)】

Your kidneys are silent heroes – often showing damage only after 70% loss! As a nephrology director caring for 2M+ patients, I’ve compiled 20 critical but overlooked tips that have helped thousands delay dialysis. SAVE & SHARE to protect yourself or loved ones!

🔥 Core Insights 🔥
🧂 1. Salt Control Revolution
→ Daily salt ≤5g (1 level beer cap!)
→ Beware hidden salt in sauces/pickles/processed foods
→ Use 2g measuring spoons – max 2 spoons/meal for 3-person families

💧 2. Smart Hydration
→ Drink = Urine output + 500ml (if heart healthy)
→ Swelling/low urine? Strict "output-matched" intake!

🥚 3. Protein Priority
✅ Top picks: Egg whites > Freshwater fish > Milk > Chicken breast
🚫 Limit tofu: 50g tofu ≈ 50g lean meat protein

💊 4. Medication Red Flags
→ NSAIDs (e.g., Ibuprofen), cold meds, herbal mixes REQUIRE doctor approval
→ Carry a "banned meds" card!

🩸 5. Blood Pressure Targets
→ Urine protein

25/07/2025

【Creatinine 200-500: Your Golden Window to Fight Kidney Decline! Avoid the "Miracle Drug" Trap & Focus on What Works.】

“My creatinine was 280. After 3 months of a 'creatinine-lowering miracle drug,' it dropped... but less than 6 months later, it skyrocketed to 513! What happened?" This 58-year-old diabetic kidney patient's regret is common. Let me be clear: There is NO true "miracle drug" that just lowers creatinine. Real drops only happen with genuine kidney function improvement. Quick-fix drugs often create dangerous false numbers.

The Deadly Mistake at Creatinine 200-500 (CKD Stage 3-4): Focusing ONLY on the creatinine number. Drugs like charcoal tablets, laxative-based "detox" pills, or oxystarch offer minimal, temporary drops at best. Worse, stopping them often causes a worse rebound because the real damage continues unchecked.

Behind Rising Creatinine: The Triple Crisis:

1. Mass Nephron Loss: Over 50% of filters can be dead by 265 µmol/L – irreversible.

2. Kidney "Starvation" (REVERSIBLE - Last Chance!): Dehydration, low BP, artery narrowing can slash blood flow. Fix this (fluids, med adjustment, stents) and creatinine can drop 30%!

3. Toxic Swamp: Buildup poisons remaining filters – a deadly cycle.

REAL Reversal Strategy: Attack the Root (Not Just the Number):
GOAL: Improve actual kidney function & filtration power by boosting blood flow.

Strategy 1: Western Medicine - The "3 Protectors":

-BP Control (CRITICAL): Use ARBs/ACEis even if BP is normal. They protect filters.
-Metabolic Relief: Strict low-protein diet + keto analogs. Reduce kidney workload & toxins.
-Anemia Correction: EPO shots to raise hemoglobin ≥110g/L. Give kidneys oxygen!

Strategy 2: Chinese Medicine - Activate Healing:

-Detoxify: Herbs (Rhubarb, Smilax glabra) clear toxins – shown to lower urea 23%.
-Repair Tubules: Cordyceps boosts cell energy (mitochondria).
-Boost Blood Flow: Moxibustion (GV4/GV23 points), herbal steaming (Cinnamon twig, Alisma) warm & clear pathways.

This is YOUR GOLDEN WINDOW! Below ~500 µmol/L, significant potential for slowing decline, partial reversal, or avoiding dialysis exists through combined Western & Chinese medicine. Action NOW is crucial – hope diminishes significantly above 500.

Don't chase false numbers. Protect your function!

16/07/2025

【After Starting Dialysis & Want Freedom? Protect Kidney Function - This Strategy Works!】

When kidney disease reaches the end-stage (uremia), patients usually face three paths:

-Dialysis (Hemodialysis, Peritoneal Dialysis, Plasmapheresis)

-Kidney Transplant (Long waiting times)

-Conservative Management (Active medication to improve kidney function, delay dialysis)

Dialysis, due to its relatively "quick results," is often the first choice. Starting ~3 months after fistula creation, it rapidly helps remove toxins in patients with high creatinine, reducing acute complication risks.

However, a harsh reality exists: one major long-term risk of dialysis is the irreversible reduction in urine output, even leading to complete anuria (no urine)!

More worryingly, many patients fall into a dangerous misconception: once dialysis starts, they think they're "set," even stopping medications. The truth is: your body and kidneys are never "off the hook"! Dialysis dependence and reduced urine output are themselves complications. If neglected, your remaining kidney function declines faster, and the chance to ever escape dialysis is lost forever!

Dialysis patients who want to avoid "no urine" and keep hope alive for potentially stopping dialysis MUST prioritize this: 👉 Actively using medication to improve blood circulation within the kidneys and boost their natural detox power! This is KEY to reducing dialysis frequency, extending intervals, and potentially becoming dialysis-free!

How to Improve Kidney Circulation & Natural Detox?

1. Integrate Chinese & Western Medicine: Source Treatment (Activate Blood, Remove Toxins): Use primarily TCM-based "blood-activating and toxin-removing" approaches to unblock detox pathways. Focus on improving the internal kidney environment, correcting the root issue of inadequate blood/oxygen supply. Enhance filtration, activate remaining healthy nephrons, and gradually reduce dialysis dependence.

2. Scientifically Combine Kidney-Protective & Vascular Meds: Under medical guidance, use kidney-protective drugs and vasodilators. Strictly manage underlying conditions (high BP, high blood sugar) with necessary meds to protect remaining function.

3. Prevent Complications, Protect the "Lifeline": Actively correct anemia, acidosis, calcium-phosphorus imbalance. Prevent dialysis-related low BP to maintain kidney blood flow. Avoid fluid overload and heart failure. Stick to a strict kidney-friendly diet & lifestyle to reduce burden.

A Surprising Fact: ~90% of uremia patients have potentially reversible factors! Not all high creatinine is untreatable. Poor results often stem from incorrect medications, imprecise treatment plans, or abandoning medication hope after starting dialysis. The power of medical therapy never disappears – the keys are: Accurate diagnosis, scientific treatment, and persistence!

Dialysis isn't the only path for uremia, nor does it mean the end of treatment. Scientific medication, meticulous management, and actively improving the internal environment to protect every bit of remaining kidney function can extend dialysis intervals, improve quality of life, and even offer hope for freedom from dialysis. This path requires wisdom, patience, and the right actions, but every step is worth the effort!

15/07/2025

【Dean Shi Wei Appointed Standing Committee Member of Hebei TCM Association’s Internal Medicine Committee】

We are proud to announce that Dean Shi Wei of our hospital has been elected as a Standing Committee Member of the Fourth Internal Medicine Professional Committee of the Hebei Traditional Chinese Medicine Association! His three-year term (July 5, 2025 – July 4, 2028) recognizes his outstanding contributions to TCM and internal medicine.

This prestigious appointment reflects the growing recognition of our medical team’s expertise by provincial and national professional bodies. Dean Shi’s leadership continues to elevate our hospital’s reputation in advancing Traditional Chinese Medicine.

Join us in congratulating Dean Shi on this well-deserved honor! We look forward to his impactful work in shaping the future of TCM internal medicine across Hebei.

09/07/2025

【Creatinine Over 450? Don't Panic! 2 Keys to Potentially Avoid Dialysis】
"Doctor, my creatinine hit 439! Is dialysis inevitable?" - messages like this flood our inbox daily. When creatinine surpasses 450 μmol/L, it feels like a death sentence. But as a nephrologist with 20+ years' experience, I urge you: This number isn't your fate!
📌 The Hidden Opportunity: A brief Reversal Window exists after rapid creatinine spikes. Seize it, and you could delay or avoid dialysis. Miss it, and options narrow.
🔑 2 CRITICAL CONDITIONS FOR RECOVERY:
1️⃣ Remaining Kidney "Factory Capacity"
eGFR >15 ml/min/1.73m²
24h urine output >1000ml
Normal kidney size/structure (via ultrasound)
2️⃣ Active Damage Control
Halt immune attacks (e.g., lupus nephritis)
Reverse acute injuries (infections/dehydration/toxins)
Correct metabolic chaos (blood sugar/BP/uric acid)
✅ PROOF IT WORKS: Mr. Zhang, 58, creatinine 486 → 312 μmol/L in 3 months by:
Stopping kidney-toxic drugs
Precision BP/sugar control
Custom nutrition therapy
⏳ ACT NOW: This window SLAMS SHUT when eGFR drops

02/07/2025

【Unexpected Hope in Kidney Failure: Could HIGHER Urine Protein Mean MORE Chance of Recovery?】

Doctors always say "Lower urine protein is better," right? For early kidney disease, that's true! But here's a surprising shift emerging for LATE-stage kidney failure patients:

Research and real cases suggest that very HIGH levels of protein in the urine (proteinuria) might actually signal a better chance of improving kidney function and potentially reducing dialysis dependence compared to very LOW levels.

Wait, How? 🤔
It's all about what stage your kidneys are in:

Early Disease: Keep protein LOW to protect kidneys.

Mid-Stage: Protein levels matter less predictably.

Late-Stage (Creatinine > 300 µmol/L): HIGH proteinuria (like > 3.5g/day) often means your kidneys are still inflamed and actively trying to function, not completely dead/scarred. Think of it as a "distress signal" showing there's still life and potential to fight back!

Real-Life Miracle:
Mr. Wen faced lifelong dialysis (Creatinine >1000). But his sky-high urine protein (16g/24hrs!) gave doctors hope. With intensive treatment targeting inflammation and support, he remarkably came OFF dialysis, and his kidney function significantly improved (Creat 241).

The Key Insight:

High Proteinuria? It might mean your kidneys are damaged but still "battling." This inflammation can sometimes be treated aggressively.

Very Low Proteinuria? In late stages, it could sadly mean the kidneys are too scarred to respond.

Important: High protein needs careful management, but its presence in late failure is a potential sign to explore all treatment options with your nephrologist. It's a signal of potential life within the kidney!

Share this with anyone affected by kidney disease! Knowledge is power. 💪

30/06/2025

🚨 Kidney Patients: The #1 Mistake You Might Be Making!
"Doctor, my creatinine is 500+ - why won't it drop?"
➔ Truth: Creatinine isn’t your real enemy. It’s a distraction from what REALLY matters: your kidney’s FILTRATION POWER (eGFR)!

❌ Why "creatinine-lowering tricks" fail:
Adsorbent drugs / Over-hydration / Extreme diets only offer temporary numbers relief. They don’t fix the broken "filter system" inside your kidneys!

✅ 2 SCIENCE-BACKED WAYS TO PROTECT YOUR KIDNEYS:

1. HEAL THE FILTERS
Damaged kidney cells CAN recover if we:
• Restore blood flow 🩸 ("revive the drought-stricken soil")
• Address oxygen starvation

2. PRESSURE CONTROL
Kidneys suffer from:
• Toxic sludge overload ☠️
• Blood traffic jams 🚧
Fix: Crush BP/sugar/fat/uric acid + dodge kidney-harming meds/infections!

🌟 When combined:
• Filtration IMPROVES → toxins clear naturally
• Swelling/electrolyte chaos ↓
• Dialysis risk PLUMMETS!

Remember:
Creatinine is just the smoke. eGFR is the fire. Fight the right battle!

26/06/2025

【Your Kidney Recovery Potential? It Hinges on These 2 Key Factors!】

Feeling overwhelmed by scary terms like "kidney failure risk" or grim statistics? Many kidney patients do. But here's crucial hope: those broad statistics aren't your personal destiny! They serve research and policy, not your unique potential for improvement.

As doctors, we focus on something far more powerful: Your "Window of Opportunity" – the real chance to slow, stabilize, or even partially reverse damage and reclaim kidney health.

What Determines Your "Window of Opportunity"? Two Vital Indicators:

1. Current Kidney Damage (How much function is lost?): Measured by CKD stages (1-5). Higher stages mean more function lost so far.

2. Rate of Kidney Damage (How fast is it progressing?): Tracked by yearly changes in eGFR or creatinine levels. Faster progression often signals MORE potentially reversible damage!

Your "Window of Opportunity" = Damage Level x Damage Speed

What's Your Potential? A Look Across Kidney Conditions:

-Early Nephritis: Smaller window? Maybe. But stability is HUGE! Young patients can often maintain function long-term with care.

-Mid-Stage CKD (Stage 3): THIS IS THE CRITICAL TURNING POINT! Aggressive intervention can potentially reverse stages, drastically lowering dialysis risk. Your effort here is priceless.

-Kidney Failure (Stage 5/ESRD): Don't give up! Newly diagnosed patients often have significant potential to slow progression and delay dialysis start.

-Nephrotic Syndrome: Rapid progression? This can be GOOD news! Fast damage often means it's "fresher" and more responsive to treatment. High potential!

-Rapidly Progressing Kidney Failure: Surprisingly, the HIGHEST potential! Severe + Fast = Massive room for intervention. Studies show ~70% can avoid imminent dialysis with strong treatment!

The Surprising Truth: Patients facing the most severe, fastest progressing disease (like aggressive Nephrotic Syndrome or new ESRD) often have the LARGEST "Window of Opportunity" for meaningful improvement. Don't let fear overshadow hope.

Cold statistics paint a group picture. Your life is a unique, unfolding story. Your "Window of Opportunity" is the key you hold through proactive treatment and partnership with your care team. Your kidneys are more resilient than statistics suggest. Every positive step moves you closer to better health. Hope and action are powerful medicine.

23/06/2025

【Don’t Panic! 4 Kidney Conditions That Won’t Steal Your Golden Years 🌟】

Hearing "kidney disease" often feels like a life sentence. But here’s reassuring news: some types are highly manageable! Meet 4 kidney conditions that, with proper care, can peacefully coexist with you through a fulfilling life:

🔹 Minimal Change Disease (MCD): The "Paper Tiger"
Most common in children, MCD causes sudden swelling and heavy proteinuria. Good news: >80% respond rapidly to steroids! With regular check-ups and infection prevention, most live normal lives into adulthood.

🔹 IgA Nephropathy: Your "Slow-Moving Companion"
China’s #1 glomerular disease progresses very slowly. Many only show trace blood/protein in urine. Key to stability: control blood pressure + keep proteinuria 40, it often presents with subtle swelling or foamy urine. Though treatment takes time, most achieve remission with tailored therapy (steroids, immunosuppressants, or newer drugs). Stay active—dance, travel, garden!

🔹 Asymptomatic Hematuria/Proteinuria: Just a "Friendly Reminder"
Minor urine abnormalities WITHOUT symptoms or kidney function decline? Breathe easy. Most need no treatment—just healthy habits and annual checks. Research shows many never progress.

Your 4-Key Strategy:
✅ Screen Early: Urine/creatinine tests are non-negotiable.
✅ Treat Wisely: Medicate consistently; never self-adjust.
✅ Nurture Daily:

Dr.Shi-Nephrologist

03/09/2025

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