CKD Stage 3 today. Dialysis in 18 months if nobody tracks the decline.
Kidney disease is slow and silent. Creatinine 1.8 in January. 2.1 in April. 2.4 in July. By the time it's 4.0, you're planning dialysis access. The trajectory was visible a year ago. if someone was watching. Most nephrology practices track this manually. Badly. Creatinine trends should alert you the moment the slope changes. Not at the next appointment.
Kidney function declines slowly. Your tracking shouldn't be slower.
eGFR trajectory tracking
Every creatinine result plotted. eGFR calculated. Trend visible across months and years. "Declining at 8ml/min/year, will reach Stage 5 in approximately 24 months." Early AV fistula planning trigger.
Dialysis schedule management
MWF or TTS. 4-hour sessions. Shift A, B, or C. 30 patients per shift. One absence cascades: the AI manages rescheduling, waitlist backfill, and machine allocation without your coordinator losing sleep.
Pre-dialysis planning pathway
eGFR hits 20: Start AV fistula discussion. eGFR 15: Fistula creation referral. eGFR 10: Dialysis initiation planning. Each stage triggers the right conversation at the right time.
Lab panels simplified
CKD patients need: creatinine, urea, potassium, phosphate, calcium, PTH, hemoglobin, iron studies: every 3 months. One click generates the entire panel order. Not 8 separate test requests.
Medication safety in CKD
Patient on metformin with eGFR 28? Flag. NSAID prescribed by another doctor? Alert. Contrast MRI planned? Warning. Nephrotoxic drug detection across all prescribers. Not just yours.
Transplant workup tracking
Transplant evaluation: cardiac clearance, dental clearance, HLA typing, crossmatch, social work assessment, funding approval. 12 steps. Average completion time: 8 months. Track every step.
Track the trajectory, not just the snapshot.
Patient creatinine: 1.8, 2.1, 2.4, 2.8. Each result reviewed in isolation at each visit. "Slightly worse." But the trajectory, reaching dialysis in 2 years, isn't discussed until too late.
eGFR trend graph shows the slope. System flags: "At current rate, Stage 5 in ~22 months. Consider AV fistula discussion." You have the conversation at the right time, not after.
Dialysis patient misses Tuesday session. Coordinator scrambles to fit them in Thursday. Another patient's slot gets bumped. Cascade of 3 reschedulings.
Missed session → automatic offer of next available slot. Waitlist patient offered the vacant Tuesday. No cascade. Coordinator doesn't even need to know unless it's recurring.
CKD patient's GP prescribes an NSAID for knee pain. You discover it at the next visit, 3 months later. Creatinine jumped 0.5 in those 3 months.
Medication reconciliation at every touchpoint. NSAID detected → alert to you + message to GP: "This patient has CKD Stage 3b. NSAIDs may accelerate decline. Consider alternatives."
Transplant workup patient: cardiac clearance done, dental pending, HLA typing sent 2 months ago. where are the results? Nobody knows the current status without calling 4 departments.
Transplant checklist: 8 of 12 steps complete. Pending: dental clearance (reminder sent), HLA crossmatch (results due this week). Full visibility. No phone tag.
Catching CKD progression 6 months earlier can delay dialysis by years. Worth ₹1,999/month?
Free practice management. Voice AI from ₹1,999/month.
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