Determining Kidney Disease in Young Children

One of the other questions with um the least PUV and kidney dysfunction during the first years of life or first couple of months of life are really trying to understand where the kidney function's going to fall out. Um, like I said, during the 1st 2 years of life, it's really challenging to stage kidney disease, um, or chronic kidney disease by severity. Um, because what we do know is that during those 1st 2 years of life, your kidney function can naturally kind of fall in what we call nadir or go down to its kind of baseline state, um. And so during that time, we do, again, a lot of just more, um, routine assessments, um, to really understand what the kidney function is, but also can your child grow. What I will say is in the end, your child has to grow. And so if they're not growing well, that can sometimes be the biggest predictor that maybe their kidney function is not as good. Um, and so again, we have to understand, is that a feeding problem or is that a true kidney problem? And a lot of that is, again, just really close ongoing observation by a pediatric nephrologist.