---
title: "\"It takes two to make a thing go right!\""
description: How is your practice doing on screening patients for Chronic Kidney Disease?
image: https://go.northwestahec.wakehealth.edu/hubfs/Two%20hands%20trying%20to%20connect%20puzzle%20pieces%20with%20sunset%20background.jpeg
---

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# Practice Support Update Blog

## ["It takes two to make a thing go right!"](https://go.northwestahec.wakehealth.edu/practicesupport/it-takes-two-to-make-a-thing-go-right)

 Mar 19, 2025 10:45:00 AM / by [Leslie D McDowell, DNP, ANP-BC, RN](https://go.northwestahec.wakehealth.edu/practicesupport/author/leslie-d-mcdowell-dnp-anp-bc-rn)

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![Two hands trying to connect puzzle pieces with sunset background](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Two%20hands%20trying%20to%20connect%20puzzle%20pieces%20with%20sunset%20background.jpeg?width=300&height=200&name=Two%20hands%20trying%20to%20connect%20puzzle%20pieces%20with%20sunset%20background.jpeg)

It's National Kidney Month!

Chronic kidney disease affects nearly 37 MILLION people in the country (more than 1 in 7 adults). 

Chronic kidney disease often causes no symptoms until it is more advanced.

Chronic kidney disease is progressive.

Chronic kidney disease puts people at risk for other serious health problems like heart attack, stroke and kidney failure.

One in three adults with diabetes (and one in five with hypertension) may have chronic kidney disease (CKD).

90% of people with it DO NOT KNOW THEY HAVE kidney disease!

Back to our title, "[it takes two to make a thing go right](https://www.youtube.com/watch?v=0Bedkb_FBas)": Two tests should be done to look for CKD. Fewer than half of patients at high risk for CKD are screened appropriately.

How to screen?

- Spot urine ACR (albumin-to-creatinine ratio)

AND

- eGFR (estimated Glomerular Filtration Rate)

 

Get started now to help make this thing go right!

*References:*

[Nat'l Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)](https://www.niddk.nih.gov/health-information/community-health-outreach/national-kidney-month)

[Chronic Kidney Disease (CDC)](https://www.cdc.gov/kidney-disease/testing/index.html)

Dr. Eugene Wright

 

 

 

 Tags: [Primary Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/primary-care), [Quality Improvement](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-improvement), [diabetes](https://go.northwestahec.wakehealth.edu/practicesupport/topic/diabetes), [hypertension](https://go.northwestahec.wakehealth.edu/practicesupport/topic/hypertension), [chronic kidney disease](https://go.northwestahec.wakehealth.edu/practicesupport/topic/chronic-kidney-disease)

![Leslie D McDowell, DNP, ANP-BC, RN](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Staff%20Photos/Leslie%20McDowell.png?width=100&height=100&name=Leslie%20McDowell.png)

#### Written by [Leslie D McDowell, DNP, ANP-BC, RN](https://go.northwestahec.wakehealth.edu/practicesupport/author/leslie-d-mcdowell-dnp-anp-bc-rn)

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- [Hardship Exception (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hardship-exception)
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- [ICD-10 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/icd-10)
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- [Nc Health Choice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-choice)
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- [infant formula (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infant-formula)
- [infection (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infection)
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- [internet (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/internet)
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- [lock your meds (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lock-your-meds)
- [lung cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lung-cancer)
- [maternal health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/maternal-health)
- [motivational interviewing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/motivational-interviewing)
- [nc medical journal (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-medical-journal)
- [oncology (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oncology)
- [opioid (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioid)
- [oral health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oral-health)
- [outcomes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/outcomes)
- [payer contracting (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payer-contracting)
- [phishing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/phishing)
- [physical therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physical-therapy)
- [physician assistant (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physician-assistant)
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- [regulations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/regulations)
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- [therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/therapy)
- [training (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/training)
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- [winter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winter)

See all

### In Case You Missed It... Check Out These Recent Posts

# About Us

The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina.

[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)

# Links

- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)

# Contact Us

[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)

 Medical Center Boulevard  
 Winston-Salem, North Carolina

Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com)

<https://www.youtube.com/user/NorthwestAHEC?sub_confirmation=1><https://go.northwestahec.wakehealth.edu/blog/rss.xml><https://www.linkedin.com/company/8087671><https://twitter.com/NorthwestAHEC><https://www.facebook.com/283682715601><https://www.instagram.com/northwestahec>

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