Obama’s Political eGFR…Calling Dr. Dean…

As most people know (or should know), there are all sorts of numbers that are indicators of a person’s health status. For example, as an indicator of cardiac health, if you have a cholesterol reading of 200-239 you are “borderline high” and may need treatment. Blood pressure has equally clear numbers in terms of what’s normal or what needs treatment.

But when it comes to the kidneys, things get murky, especially for general practitioners who look at the numbers and miss what’s really going on. In fact, kidney organizations have now raised a warning about how certain numbers which appear normal in routine blood tests, specifically serum creatinine levels, can mask a loss of 50% of kidney function!

In the last few years, a new number has appeared on basic blood test reports. It’s a computed figure based on other test results which turns out to give a very good estimate of kidney function. It’s called the eGFR (estimated Glomular Filtration Rate).

It turns out that many general and internal medicine practitioners don’t understand eGFR numbers. A level of 50 mL/min, which is only 10 units below the low end of the normal range level of 60 mL/min, is NOT OK. It’s not a “slight” difference, as one of my doctors commented to me. A level of 50 mL/min means that one’s kidneys are working at 50%…which translates into moderate kidney failure and needs watching and measures to be taken to preserve the function that is still left. Without proper care and diet modifications, a person with this level of function could wind up on dialysis or waiting for a kidney transplant as the percentage of kidney function drops.

How does this relate to Obama? Well, on the surface he looks in fine shape in terms of delegates pledged. He’s got the DNC helping him out by refusing to count the votes in FL and MI. He’s got lots of big names coming out to endorse him every time he loses a primary or flubs a debate. He certainly has the Mainstream Media pushing him along since they are loaded with pundits speaking out against Clinton and, and the same time, refusing to delve into Obama’s experience and relationships with any real seriousness. On the surface, it looks like his political serum creatinine is safely in the healthy range.

But all this masks what is really going on. Under the surface there is damage.

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