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June 30, 2025 • 4 mins

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Cardiologist Michael Koren joins Kevin Geddings to discuss how kidney disease can offect other body systems, including the heart. The doctor explains that people with kidney dysfunction have significantly higher risks for cardiovascular problems including heart attacks, heart failure, and strokes. Dr. Koren differentiates between typical, insurance-driven care and the attentive clinical research experience, noting that the clnical research model may be better for many kidney disease patients.

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Have a question for Dr. Koren? Email him at askDrKoren@MedEvidence.com

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Episode Transcript

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Announcer (00:00):
Welcome to the MedEvidence Monday Minute Radio
Show hosted by Kevin Geddings ofWSOS St Augustine Radio and
powered by Encore Research Group.
Each Monday morning, Dr.
Michael Koren calls in to bringyou the latest medical updates
with insightful discussions.
Medevidence is where we helpyou navigate the real truth
behind medical research, withboth a clinical and research

(00:20):
perspective.
So sit back, relax and getready to learn about the truth
behind the data in medicine andhealthcare.
This is MedEvidence!

Kevin Geddings (00:31):
Dr.
Koren, we have folks that arelistening to us, or they have
friends or family members orco-workers who have been
diagnosed with kidney diseaseand you have a special message
for them this morning.

Dr. Michael Koren (00:42):
Yeah, so thank you for bringing that up
and in fact I want to let peopleknow that if they've been
diagnosed with some sort ofkidney problem, particularly if
they've been told they havequote kidney failure or renal
insufficiency, things of thatnature, we are actually very
interested in you from aresearch perspective, and the
reason for that is becausepeople that have some degree of

(01:04):
kidney dysfunction are peoplethat have a higher risk for a
lot of problems, includingcardiovascular problems.
So in my world of cardiovascularresearch we know that if you
take two people who areidentical except one has a 50%
impairment in their kidneyfunction, that person with
kidney function impairment ismuch more likely to have a heart

(01:25):
attack or develop congestiveheart failure or have a stroke.
So for that reason we'reparticularly interested in ways
that we can help those people byidentifying their problem as
early as possible andintervening in a way that
reduces their risk and improvestheir prognosis.
So I would say that if you havebeen diagnosed with some degree
of kidney problem, give us acall and we'd like to look to

(01:46):
see if we can help you in anumber of different ways.

Kevin Geddings (01:48):
Yeah, yeah, and indeed you're going to get, as
someone dealing with chronickidney issues, some of the best
you know, most attentive healthcare you maybe have ever
received right.

Dr. Michael Koren (01:58):
You bet Absolutely.
One of the things thateverybody agrees on
nephrologists and cardiologistsis that when people get involved
in research, they get a levelof care that's very difficult to
reproduce in clinical practice.
Everybody's just so busy inclinical practice and when you
have an insurance-driven modelit really becomes a bit of a
treadmill pun intended as acardiologist Whereas in the

(02:18):
research setting it's actuallymuch more relaxed.
There's more time spent and weget into greater detail with our
patients.
So that is a real benefit forpeople who participate in the
research process.

Kevin Geddings (02:31):
Well, once again , if you are someone who has a
diagnosis of kidney disease, orthere's someone in your family,
your circle of friends,neighbors, we would encourage
you to have them get in touchwith Dr.
Koren and his team at ENCOREResearch Group.
That's spelled E-N-C-O-R-E,encoredocs.
com, encoredocs.
com, and their telephone numberlocally here in Northeast

(02:51):
Florida 904-730-0166.
Punch that number into yourcell phone, if you can, or jot
it down somewhere 904-730-0166.
And, of course, if you justhave general medical questions
you know you're just on the weball the time looking up
different things we wouldencourage you to check out
MedEvidence.
com, right, Dr.

(03:11):
Koren?

Dr. Michael Koren (03:13):
Absolutely, absolutely.
In fact, that gets into theconversation we just had about
kidney disease, because I did afascinating interview with a
Mayo Clinic researcher talkingabout polycystic kidney disease
and polycystic kidney disease isa genetic disease by and large
that affects millions ofAmericans, and people that have

(03:34):
that disease often know about it, but the general public may
know less about it, and it's adisease where your kidneys have
a lot of these small littlecysts that are fluid-filled that
over time affect kidneyfunction and in many cases
result in people needingdialysis in their 50s and 60s.
So we're about to start a studyfor people that have polycystic

(03:56):
kidney disease.
So again, that's an example ofchronic kidney disease that we
can help in the research settingplus a podcast that should drop
in MedEvidence over the courseof the next week.
So we ask people that knowabout polycystic kidney disease
or are worried about it to giveus a call and to check out
MedEvidence! to learn more aboutit.

Kevin Geddings (04:15):
Well, once again , MedEvidence! is a good
resource and lots of goodinformation that's available to
you in different ways.
Like we just talked about thepodcast, there's ways to watch
things on video and just goodgeneral information.
So please help us spread theword.
That's one of our goals here isto get more people to use
MedEvidence.
com.
That's medevidence.
com the truth behind the data.
Dr.

(04:35):
Koren, we appreciate you.
Be safe out there in all therain and traffic, okay you?

Announcer (04:40):
You too, Kevin, have a great week.
Thanks for joining theMedEvidence! podcast To learn
more head over.
You too, kevin, have a greatweek.
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