Kidney disease remains one of modern medicine's inconspicuous public health challenges. In the United States, 37 million adults are living with chronic kidney disease (CKD), yet 90% don't realize they have it. Many who do receive a diagnosis may encounter the healthcare system only after irreversible nephron loss has already occurred.
Dr. Andrew Kowalski, MD, MPH, FASN, believes this longstanding reactive model doesn't reflect what current evidence makes possible. His work as a nephrologist increasingly focuses on a question he believes medicine should have asked much earlier: How can clinicians prevent kidney failure instead of preparing patients for it?