What could have been different? by Denisse Porter https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c en-us 2023-02-08 07:58:43 UTC 2023-02-08 19:25:14 UTC hello@padlet.com having a Black provider https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473994955 2023-02-08 19:22:03 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473994955 https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995188 More nuanced discussion about what was happening - where when how, what else was going on]]> 2023-02-08 19:22:14 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995188 patient centered descion making https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995192 2023-02-08 19:22:14 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995192 Intervention based on low eGFR that could have prevented morbidity. https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995309 2023-02-08 19:22:19 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995309 Having a person of color provider https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995348 2023-02-08 19:22:21 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995348 Provider being black https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995434 2023-02-08 19:22:25 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995434 not utilizing race in the calculation. patient centered care https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995511 2023-02-08 19:22:29 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995511 close follow up and workup https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995525 2023-02-08 19:22:30 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995525 They could have used the more conservative GFR level. luciabrosgart https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995531 2023-02-08 19:22:30 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995531 Consider individualized risk-enhancing factors and a non-race-based eGFR and detailed symptom assessment and history. https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995556 2023-02-08 19:22:31 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995556 https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995563 The provider could have recognized the abnormal value and referred to nephrology earlier.

]]> 2023-02-08 19:22:31 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995563 Just look at the values, ask about sx, and Refer immediately! https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995604 2023-02-08 19:22:33 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995604 they should have gotten better treatment/provider https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995652 2023-02-08 19:22:35 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995652 Not using race-based medicine or using the guidelines for white people https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995723 2023-02-08 19:22:38 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995723 take a more personalized approach to BP management, take race out of the equation. be more thorough with follow up and care jessicaobrien7 https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995738 2023-02-08 19:22:39 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995738 listening to the patient https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995769 2023-02-08 19:22:41 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995769 patient centered decision, treatment without the guideline following race https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995906 2023-02-08 19:22:47 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473995906 https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996074 holistically seeing patient for who they are, what strengths they bring, and most importantly listening to their concerns/questions]]> 2023-02-08 19:22:54 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996074 follow up for this patient https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996082 2023-02-08 19:22:54 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996082 https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996267 Using eGFR without race would have gotten them the care they needed sooner. ]]> 2023-02-08 19:23:02 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996267 starting consultation with nephrology soon (PREVENTATIVE measures) vs. watch and wait https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996323 2023-02-08 19:23:04 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996323 More active management of upstream issues https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996328 2023-02-08 19:23:04 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996328 They could have had a sooner repeat visit to ensure that this was normal for this patient luciabrosgart https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996376 2023-02-08 19:23:06 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996376 without using race based medicine, could have avoided outcome of renal failure https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996474 2023-02-08 19:23:11 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996474 listen to the patient's concerns https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996583 2023-02-08 19:23:14 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996583 https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996603 if you have to use race-based algorithms, pick "white" for everyone]]> 2023-02-08 19:23:15 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996603 consult nephrology, treat HTN https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996959 2023-02-08 19:23:30 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473996959 better follow up and improved access to care. preventative health emphasis!!! https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473997255 2023-02-08 19:23:43 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473997255 Have labs STOP including race-based differences on reports. luciabrosgart https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473997283 2023-02-08 19:23:45 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473997283 De-emphasizing the race based tool by instead setting a priority on patient centered care https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473998044 2023-02-08 19:24:19 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473998044 I wonder how his illness is related to multiple failures in the medical system leading to his chronic illness, how at many steps along the way he wasn't listened to https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473998159 2023-02-08 19:24:24 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473998159 consulting with colleagues, even if for whatever reason you did not know to not use race based calculators, we should remember that guidelines & calculators are only there to guide but that at the end of the day we have to trust our patient and our clinical judgement https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473998651 2023-02-08 19:24:48 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473998651 having a provider that understands that the GFR alteration for Black Americans was created out of beliefes that Black people have more muscle and are "stronger" https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473999311 2023-02-08 19:25:14 UTC https://padlet.com/unpleasantbasketunited/4xn3284e2rumwe6c/wish/2473999311