If you’ve been diagnosed with IgAN or suspect that you may have the disease, finding a knowledgeable and experienced nephrologist or IgAN specialist is crucial to managing your symptoms and receiving appropriate treatment. But where do you start?
First, consider talking to your primary care provider about your concerns and asking for a referral to a nephrologist or IgAN specialist in your area. They may also provide you with a list of specialists who accept your insurance.
When looking for a specialist, it’s important to know what to look for. You’ll want to find someone who has experience treating patients with IgAN and who stays up-to-date on the latest research and treatment options.
In the following sections, we’ll detail what to look for in a specialist, how to find a nephrologist, and what you need to know about your treatment options. By doing so, you can be sure that you’re receiving the best possible care for your IgAN.
Finding a Nephrologist
If you have been diagnosed with IgAN or suspect that you may have the disease and are looking to undergo IgA Nephropathy genetic testing, it's important to see a nephrologist, a doctor who specializes in kidney diseases. Here are some steps you can take to find the specialist that’s right for you:
Ask your primary care physician: Your primary care physician may be able to refer you to a nephrologist in your area. They may also provide you with a list of nephrologists who accept your insurance.
Check with your insurance provider: One of the most important considerations when finding a nephrologist is cost. If you have health insurance, check with your insurance provider to find out which nephrologists are covered under your plan. This will help you avoid any unexpected out-of-pocket expenses.
Ask for recommendations: Ask family members, friends, or support groups for recommendations on nephrologists they have worked with or know.
Use online directories: There are several online directories available that allow you to search for nephrologists in your area. You can use sites like Healthgrades and Zocdoc to find a nephrologist near you.
Contact a local hospital: Many hospitals have nephrology departments with qualified nephrologists on staff. Contact the hospital's patient services department for a referral.
Knowing What to Look For
Finding the right specialist for your IgAN care can make all the difference in your overall health and quality of life. When seeking a specialist, it’s important to consider the following factors:
Experience and Knowledge: Look for a specialist who has experience treating IgAN specifically or who is knowledgeable in the field. This may involve researching the specialist’s education, training, and certifications. Additionally, consider asking the specialist about their experience with similar cases and what approaches they recommend.
Communication and Support: Your specialist should make you feel heard, respected, and informed. This means being open to your questions and concerns and taking the time to explain your condition and treatment options clearly. A good specialist should also be accessible and responsive to your needs and questions, both in-person and through electronic means.
Collaboration and Coordination: A specialist should work collaboratively with other healthcare providers to ensure seamless and integrated care. This may involve communicating with your primary care physician, other specialists, and your care team to ensure everyone is on the same page regarding your care. Additionally, your specialist should be up-to-date with the latest research and treatment options and be willing to discuss them with you.
Access to Tools and Resources: Your specialist should have access to the latest tools and resources to help manage your IgAN effectively. This may include advanced diagnostic tools, treatment options, or access to clinical trials. Additionally, tools like PicnicHealth’s timeline can help streamline communication and sharing of your medical history with your entire care team.
By considering these factors when finding a specialist, you can ensure that you receive the best possible care for your IgAN.
Understanding Treatment Options
Becoming familiar with IgA Nephropathy treatment guidelines is important when deciding between specialists and treatment plans. For example, you will likely want to leverage several different approaches. Here are some options to consider when seeking treatment:
Blood pressure control: High blood pressure can further damage the kidneys in people with IgAN. Medications like angiotensin-converting enzyme inhibitors (ACE inhibitors) or angiotensin receptor blockers (ARBs) are commonly used to control blood pressure and slow down the progression of IgAN.
Immunosuppressive therapy: These drugs, such as corticosteroids, cyclophosphamide, and azathioprine, may be used to reduce inflammation and slow down the progression of the disease. These medications may be recommended for people with moderate to severe IgAN who have a high risk of progressing to kidney failure.
Treatment of infections: People with IgAN are at increased risk of infections, which can worsen kidney function. Treating underlying infections such as strep throat or sinusitis can help prevent further damage to the kidneys.
Dietary changes: Dietary changes may be recommended to reduce the workload on the kidneys and prevent further damage. A low-salt, low-protein diet may be recommended in some cases.
Regular monitoring: Regular monitoring of kidney function through blood and urine tests is important to detect any changes in kidney function and adjust treatment as necessary.
Kidney biopsy: In some cases, a kidney biopsy may be necessary to confirm the diagnosis of IgAN and guide treatment decisions.
Dialysis or kidney transplant: In severe cases of IgAN where kidney function has declined significantly, dialysis or kidney transplant may be necessary.
In late 2021, the FDA approved Tarpeyo (budesonide) for IgA Nephropathy. It has shown promising results in clinical trials and may help to reduce protein levels in the urine, preventing inflammation that can cause declined kidney function or even failure. More recently, in February of 2023, the FDA approved Filspari, a once-daily oral medication designed to target two pathways capable of slowing the disease progression of IgAN. However, it’s important to speak with an IgAN specialist before starting Tarpeyo, Filspari, or related drugs or treatments. They can run tests and assessments to determine which course of action may be best for you.
You might also consider partnering with Picnic Health to change the future of IgAN. By signing up and contributing to research, you can aid in the development of new treatment options and help researchers to better understand the disease. Best of all, you can participate from home and receive updates as they become available.
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List the names of all the doctors, hospitals, and other facilities your loved one visits regularly, along with those they have visited in the past. Try to go back as far as you can, striving for at least the last 5-10 years, but do your best. Even if you can’t remember them all, having a strong baseline can help you quickly identify gaps in records.
Ensure You Have the Appropriate Legal Status
It is important to make sure that you are fully empowered to make decisions on behalf of your loved one with Alzheimer’s. Your relationship status with the patient may not be enough to legally give you access to your loved one's medical information. It is a good idea to talk to an expert about securing special legal status, such as Power of Attorney (POA), a legal document that allows an individual to name someone as their decision maker should they no longer be able to make decisions on their own.
Gather and Organize the Medical Records in One Place
It’s important to have all of your loved one’s medical records together in one spot. This makes it much easier for you and your loved one’s physicians to accurately map the patient’s medical journey and more easily share information between doctors. Fortunately, tools exist to make record management and access simple. A free resource like PicnicHealth helps you collect and organize all of this information. PicnicHealth’s intuitive timeline allows you to pinpoint data across the medical history, eliminating your need for keeping heavy binders filled with paper records or keeping track of multiple software portal logins.
Review the Medical Records to be an Informed Advocate
The better you understand your loved one's medical history, the better you can advocate on their behalf. Access and understanding of this information will help you to ask informed questions with physicians. Through regular communication backed by the data in the medical records, you can help your loved one’s care team develop a more successful care plan.
Learn more about PicnicHealth’s commitment to the Alzheimer’s community and the Alzheimer’s Association
When you’re juggling appointment times and insurance claims, putting a robust support system together might not strike you as the most urgent task. Investing the time to cultivate relationships with people can turn to in times of need will pay dividends. The next time you need a last-minute ride or just someone to listen, you won’t be on your own. There are many condition-specific support groups and support groups for caregivers generally in person or online. In addition to the encouragement and empathy they provide, support groups can be a helpful source of tips, resources, and recommendations for navigating caregiving.
2. Stay organized.
The backbone of effective caregiving is organization. Keep medical information, appointment schedules, and medication lists in order. Use a planner or a digital service like PicnicHealth to stay on top of your responsibilities. This attention to detail can prevent future complications and reduce day-to-day stress.
3. Explore treatments and clinical trials.
We’ve seen incredible breakthroughs in treatment over the past couple of years, powered by patients and their caregivers participating in research. Stay in the loop about the latest in medical advancements and available resources that could benefit your loved one. Whether it’s a new therapy option or a community service that aids independence, being informed can make a world of difference in the quality of care you provide.
4. Make time for self-care.
It may seem self-centered to focus on self-care—but when you feel good, you can be a better caregiver. Whether it’s exercise, a mindfulness practice, a soak in the bath, or just time to rest when you need it, carve out those moments in the day when you can unwind, reset, and stay healthy mentally and physically. Think of it as building up your reserves of kindness, patience, and understanding—which can only benefit your loved one. No one can pour from an empty cup.
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Tip: Download or print the poster at the end of this article to review before your next appointment!
However, it's important to consult with a healthcare provider or registered dietitian to determine the appropriate amount of protein for your individual needs. In general, a diet with moderate protein intake (about 0.8 grams per kilogram of body weight per day) is recommended for people with kidney diseases.
Learn more about contributing to IgAN research with PicnicHealth.
A tablet, phone, or laptop with a working camera, microphone, and stable internet connection.
A quiet, distraction-free area with enough space to walk a few steps if applicable.
A chair that you can use during any movements or tasks you’ll be asked to perform.
The tripod mailed to you via Amazon.
What to Expect
Before your video call:
Book Your Assessment
Visit your to-do list on your PicnicHealth Research Dashboard or click the scheduling link sent to your email. Note: Search for “New task for the ORBIT-CIDP Study" to find the video call scheduling link.
Receive Confirmation
Check your email for a confirmation with your scheduled video call time and instructions.
On the day of your video call:
Click on Video Link
Join your personal video call using the link we sent by email, or text message, or find it on your research dashboard.
Meet your nurse
A Registered Nurse (RN) will guide your virtual assessment, which will last about 30 minutes.
Complete the Physical Activity Assessment (INCAT)
The nurse will guide you through questions and, if needed, physical tasks to help researchers gain a deeper understanding of CIDP.
Complete the Movement Assessment (Optional)
If you participate, a nurse will guide you through three short recorded movement activities to complete as best you can:
Chair Task
While seated with your arms crossed over your chest and hands on oppositeshoulders, you’ll be asked to stand up, remain standing for 20 seconds, and then sit back down.
Arm Movement Task
While seated with your arms resting at your sides, you’ll be asked to raise both arms out to the sides until they meet above your head, then lower them back to your lap.
Finger Dexterity Task
While seated, raise your right hand with fingers extended. Touch your thumb to each fingertip in order, then reverse. Repeat with your left hand. This will then be repeated with your left hand.
Earn Compensation
Receive up to $55 for your participation:
$25 for completing the Physical Activity Assessment (INCAT).
$30 for the Optional Movement Assessment.
Recording: Your research assessment may be recorded to ensure accurate data collection. If you participate in the optional Movement Assessment, it will also be recorded. These recordings may capture your voice and responses, but identifiable information like your face, name, or background will be removed to protect your privacy.
Opt Into the Smart Insole Study Activity
Complete the opt-in survey to confirm your participation.
Receive Your Smart Insoles
Your smart insoles will be shipped to your home via FedEx and should arrive within 1 week.
Create Your Account
You’ll receive an email from Celestra Health with your account details. Follow those steps to set up your account.
If you don’t see an email from Celestra Health in your inbox, please check your spam or junk folder.
Download the App
After creating your account, you’ll be directed to a landing page with links to the App Store or Google Play. Use the link to download the correct version of the app for your device.
For illustrative purposes only, your insoles may look different
Log In
Open the app and log in using the email address and password you used when creating your account.
Enable Permissions
For iOS users: Enable Motion & Fitness and allow access to Apple Health.
For Android users: Enable Activity Recognition permissions.
Connect Your Insoles
Turn on Bluetooth, and follow the app's instructions to connect your smart insoles.
Enable Notifications
Enable push notifications to stay updated on reminders and activity progress.
For illustrative purposes only, your insoles may look different
Start Walking Sessions
When you’re ready to perform a walking session, tap ‘Start’ on the Ad Hoc Walking task card in the app.
Smart insoles are designed to fit comfortably into any pair of closed shoes
Need Help?
Should you need to contact Celestra Health support for any reason, you can submit a ticket through the Help section of the app by tapping the Submit A Ticket card and filling out the form. A Celestra Health representative will typically respond within one business day.
A fully charged device (smartphone, tablet, or laptop) with a working camera, microphone, and stable internet connection.
A quiet, well-lit space that is free from distractions.
Good lighting so your face is clearly visible; having a small flashlight or your phone’s flashlight nearby can help with skin, scalp, or joint checks.
Flexible device positioning so you can easily adjust or prop up your device hands-free if the research staff asks to view specific areas (such as your face, hands, or scalp).
Space to move in case you are briefly asked to stand or walk a few steps.
Your medication information, including your current steroid(s) and BENLYSTA® (belimumab) — either the medication bottles or a list with doses and schedule.
Time to focus without interruptions so the visit can be completed comfortably.
Before Your Video Call:
Schedule your visit
Use the scheduling link on your PicnicHealth Research Dashboard or the link sent to your email. Tip: Search your inbox for “New task for the BEACON-SLE Study - schedule your remote visit” to find the scheduling email.
Check your confirmation
You’ll receive an email with your appointment time and instructions for joining the video call.
On the Day of Your Video Call:
Join the call
Click the Zoom link sent to you by email or text message, or use the link available on your research dashboard.
Meet with the research staff member
They will ask you structured questions about your health and any lupus symptoms you’ve experienced over the past 30 days.
If needed, they may guide you through a few simple visual checks (such as looking at your skin, hair, joints, or mouth). You can always tell them if you’re not comfortable with anything.
Receive Compensation
You’ll receive up to $60 for completing your visit.
As we celebrate Black History Month, we recognize that Black history and the wellness of Black communities must be top of mind every day of the year. Despite the many contributions Black people have made to medicine and wellness, alarming health disparities due to structural and interpersonal racism, still exist for Black people.
CAHtalog: The Power of Medical Records in Research is a brief presentation that highlights the CAHtalog registry – an effort sponsored by Neurocrine and supported by CARES and PicnicHealth.
Early detection of breast cancer can make all the difference in terms of treatment options and outcomes. In addition to regular self-exams and OBGYN appointments, having a complete picture of your family history is one of the best tools you have at your disposal.