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About Me
Basic Information
- Age
- 36-45
- Gender
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Male
- What best describes you
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Nephrologist
- About me
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Dr. Jordan Weinstein, MD
Division of Nephrology, St. Michael's Hospital
Assistant Professor of Medicine
University of Toronto
Director, UKidney.com
Education
- College / University
- University of Toronto
- Graduation Year
- 1999
Recent activities
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Dr. Jordan Weinstein replied to a discussion Re: proteinuria VS rising crea...Statistically, this is very likely to be diabetes, particularly if glycemia was not well managed. In general, it would be reasonable to biopsy a patient with very high-grade protein (>5 g / day) and diabetes in order to ensure another disease such as Membranous Nephropathy is not coexisting, as obviously this would have important treatment impli...
10 days ago
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Dr. Jordan Weinstein voted on poll What is the role of ezetimibe in CKD patients with hyperlipidemia?
10 days ago
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Dr. Jordan Weinstein replied to a discussion Re: Donna Fitzgerald LPN...Hello, Well dialyzed patients who have been on dialysis for some time, should not get generally get confused between dialysis treatments (related to re-accumulation of toxins). To answer your questions, many dialysis patients, especially if they have not been on dialysis for long, may continue to make significant amounts of urine. Whi...
10 days ago
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Dr. Jordan Weinstein replied to a discussion Re: proteinuria VS rising crea...Regardless of your course of action here, unless the patient is very hypertensive to explain such extreme proteinuria, it will be difficult to achieve major improvements in proteinuria in my opinion. I have been quite impressed with combining aldactone and ACE OR ARB, potassium permitting. I feel aldactone-based combinations are more effective that...
10 days ago
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Dr. Jordan Weinstein submitted poll Which drug should be added to an ACE inhibitor or ARB when managing diabetic hypertension?
11 days ago
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Dr. Jordan Weinstein voted on poll Is there a survival advantage of any form of dialysis over another?
11 days ago
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Dr. Jordan Weinstein voted on poll Is there a survival advantage of any form of dialysis over another?
11 days ago
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Dr. Jordan Weinstein voted on poll What is the role of ezetimibe in CKD patients with hyperlipidemia?
11 days ago
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Dr. Jordan Weinstein submitted poll Is there a survival advantage of any form of dialysis over another?
11 days ago
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Dr. Jordan Weinstein submitted poll What is the role of ezetimibe in CKD patients with hyperlipidemia?
11 days ago
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Dr. Jordan Weinstein replied to the topic Re: Strange pattern of hypertension in the forum.Certainly not for lack of trying!
About the pheochromocytoma, I understand she didn't respond to medical management but has this been worked up any further?
Read More...
19 days ago
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Dr. Jordan Weinstein replied to a discussion Re: Ezetimibe for lipid reduct...@Malcolm: Yes, we will be promoting it to the UKidney users once available....
20 days ago
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Dr. Jordan Weinstein replied to a discussion Re: Ezetimibe for lipid reduct...Very timeley question. If you can wait a little while longer, we have a series of presentations coming up very shortly on UKidney to address this exact question. Jordan...
20 days ago
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Dr. Jordan Weinstein replied to a discussion Re: PSGN with Gross Hematuria ...There would be a differential diagnosis here that would include other things besides PSGN, say for example, IgA nephropathy. If protein excretion is normal and as renal function is normal, the role for biopsy would be to clarify the diagnoses; treatment is likely not required. So waiting for the hematuria to resolve as your pediatrician has suggest...
20 days ago
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Dr. Jordan Weinstein replied to a discussion Re: Uncontrolled hypertension...My apologies I didn't see that. If he 'generates' edema when using amlodipine, the patient has residual renal function. I might maximize my use of diuretics first, combining loop diuretics with metolazone. Failing volume control with drugs, sodium restriction and ultrafiltration, you could certainly use drugs like aldomet or alpha blockers ...
21 days ago
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Dr. Jordan Weinstein replied to a discussion Re: Uncontrolled hypertension...Hello, I'm not an avid user of aldomet unless desperate. How about any RAS medications like ACE or ARB? Jordan...
21 days ago
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Dr. Jordan Weinstein replied to a discussion Re: Uncontrolled hypertension...Hello, Despite not appearing volume overloaded, I do wonder whether volume is playing a role, particularly as he is only dialyzed twice per week. If he has residual renal function (which I suppose he does given how little dialysis he needs), then I would use loop diuretics and possibly metolazone to control volume and BP better. Jorda...
24 days ago
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Dr. Jordan Weinstein replied to a discussion Re: PSGN with Gross Hematuria ...Thanks, Did the urine color ever normalize after the initial bout? Secondly, did the change in urine color coincide with an upper respiratory tract infection (i.e. common cold)? Jordan...
28 days ago
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Dr. Jordan Weinstein replied to a discussion Re: PSGN with Gross Hematuria ...Hello, It is common for urinary abnormalities to persist after PSGN. Three clarification questions: When you say gross hematuria, do you mean frank blood or tea/cola colored urine? Is your son's kidney function normal? Did your son ever have a kidney biopsy? Regards, Jordan...
29 days ago
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Dr. Jordan Weinstein replied to a discussion Re: Adverse reaction after Ara...Hello, Usually, erythropoietin is very well tolerated. However, myalgias (muscle aches) and flu-like illnesses are reported. Do your symptoms stop when the drug is stopped? Jordan...
31 days ago
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Dr. Jordan Weinstein replied to a discussion Re: restarting peritoneal dial...Hello, In general, one could restart PD after such a short period without difficulty. One situation where a patient might need to alter their PD prescription is if s/he is adding potassium to the PD fluid and after the time off of PD, their potassium level rose to the point where s/he does not need this additive any more. Otherwise, one coul...
33 days ago
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Dr. Jordan Weinstein replied to the topic Re: Is Polycystic Kidney Disease Hereditary? in the forum.Hello,
PCKD is absolutely an inherited disease, and it is transmitted in autosomal dominant fashion, so that 50% of the offspring of an affected person will inherit the gene. Most of the time the severity of the disease in the offspring will parallel the parent. There are some variants of PCKD (PKD2) which has a more mild course in patients who have it.
While there is no guarantee that one with the gene will have the full-blown disease, it is very often the case that they will have cysts and a risk of renal failure that will parallel the parent from who they inherited the disorder.
Jordan
Read More...
33 days ago
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Dr. Jordan Weinstein replied to a discussion Re: Kidney failure shortly aft...Hello, There is a very small number of renal diseases that could recur this quickly after transplant. If he high very high levels of protein in the urine after transplant which was new in onset (meaning assuming he didn't have some from any residual kidney function related to his own kidneys), then this could indeed signal the recurrence of ...
33 days ago
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Dr. Jordan Weinstein replied to a discussion Re: Effect of severe Hypo albu...Hello, I am not aware of this relationship. Perhaps others might have some ideas. Why do you think there is a such an effect? Jordan...
35 days ago
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