I wasn't able to beat the bot wall, but I assume story close to [1] The thing of it is I'm aware of something very much the same - heat related kidney damage - something when I got a casual job with construction back in 2005, within the first couple of weeks I was warned rather pointedly by another worker who'd spent most of his working life around concreting and construction, of the dangers of long hours spend slouched over working on the concrete slabs. He had known many who'd got very ill despite following good hydration protocols [2], and knew working in the heat out on the slab came with this real risk. I being a new chum was dressed in heavy full length clothing, he generally wore cooler clothing - light shorts and short sleeved shirt which wasn't protocol for the job.
[2] Most labouring job sites I've been at in the 00s at least always had a very prominent chart regarding urine colour and the dangers of dehydration, and heat stroke. As such most workers at various sites I've worked at being much more aware of urine colour regarding dehydration than most of the medical staff I encountered at the hospital my Mum died in.
bawolff 14 minutes ago [-]
Did these people never have a blood test/urine test prior to this? Normal Kidney disease should show up on tests long before the stage of collapsing.
I'm not a doctor, but if its sudden onset, all in a similar socio-economic-cultutal group, i would assume there was some sort of toxin they were all exposed to, perhaps at work.
trentor 8 minutes ago [-]
I get doing a blood panel once a year or so if you are not scraping by but never heard of doing a urine test without indication.
ggm 43 minutes ago [-]
A disease which targets latinx? seems more likely its field workers, inadequate hydration and bad fluid hygene overall.
Could be culturally diet influenced as well.
My urologist after I had my first oxalate kidney stone said "you can drink a litre of water a day, or you can pay for my yacht upgrade. It's your choice" -but the main thing was to limit oxalate rich foods or take adequate citric acid alongside/soon after. Obv there are many kinds of kidney disease aside from stones, but the commonality here about 'use it or lose it' with heat, fluids, work strikes me.
tptacek 27 minutes ago [-]
Hard to imagine a diet of cultural significance that would put people into lifelong dialysis, at an epidemic scale.
nine_k 15 minutes ago [-]
A diet that makes a particular infection easier to take root is very imaginable.
bawolff 12 minutes ago [-]
sure, but not if we are just suddenly seeing it now. Most cultural based diets have a long history.
phyzome 9 minutes ago [-]
For your explanation to be correct, you'd have to explain why this doesn't affect field workers of other genetic background all around the world.
card_zero 26 minutes ago [-]
What's the popular food that contains lots of oxalates? I don't see anyone binging on sorrel or star fruit or parsley.
christophilus 20 minutes ago [-]
It’s in loads of things. Peanuts, spinach, beans, chocolate, avocados, corn, soy… the list is endless. If someone is really sensitive, they can have problems with high oxalate foods. Some people seem to accumulate oxalates, meaning their problems compound, where others have no problem at all. Biology is weird.
nine_k 17 minutes ago [-]
Spinach. Many nuts, e.g. almonds. Many beans (including cocoa but excluding coffee). Well, potatoes!
thelastgallon 22 minutes ago [-]
Spinach. Maybe other leafy vegetables.
4lx87 12 minutes ago [-]
Spinach is very high per serving, but all sorts of foods can have high oxalates per serving. Sweet potato, Swiss chard, almonds, beets, chocolate. You'd have to consult the content per serving for all foods you consume if you're trying to avoid them.
jrootabega 20 minutes ago [-]
Spinach and almonds.
card_zero 5 minutes ago [-]
I'm frequenting clinics
'Cos I eats my spinach,
I've kidney the failure, man
doc_ick 10 minutes ago [-]
Don’t worry, raw milk will save the day
*they said crying
profsummergig 19 minutes ago [-]
are these the same workers who pluck vegetables while they're being sprayed with pesticides and herbicides?
The best guesses are both chronic rather than single acute injuries. High heat, dehydration, hard work, exposure to nitrites and who knows what else.
It’s mysterious because the specific etiology is unclear and therefore hard to prevent, since telling field workers not to work in the heat will be ignored by all involved.
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[1] https://www.linkedin.com/posts/davereddick_mysterious-kidney...
[2] Most labouring job sites I've been at in the 00s at least always had a very prominent chart regarding urine colour and the dangers of dehydration, and heat stroke. As such most workers at various sites I've worked at being much more aware of urine colour regarding dehydration than most of the medical staff I encountered at the hospital my Mum died in.
I'm not a doctor, but if its sudden onset, all in a similar socio-economic-cultutal group, i would assume there was some sort of toxin they were all exposed to, perhaps at work.
Could be culturally diet influenced as well.
My urologist after I had my first oxalate kidney stone said "you can drink a litre of water a day, or you can pay for my yacht upgrade. It's your choice" -but the main thing was to limit oxalate rich foods or take adequate citric acid alongside/soon after. Obv there are many kinds of kidney disease aside from stones, but the commonality here about 'use it or lose it' with heat, fluids, work strikes me.
'Cos I eats my spinach,
I've kidney the failure, man
*they said crying
The best guesses are both chronic rather than single acute injuries. High heat, dehydration, hard work, exposure to nitrites and who knows what else.
It’s mysterious because the specific etiology is unclear and therefore hard to prevent, since telling field workers not to work in the heat will be ignored by all involved.