Long-Term Care After Kidney Transplant: Infections, Vaccines, Bone & Pregnancy

The series finale. The unglamorous, faithful maintenance that turns a successful operation into decades of healthy life — and the whole series, pulled together. ⏱ CHAPTERS 0:00 Cold open — a decade of normal life 1:40 The maintenance & the whole arc 1:58 Timing tells you the type 2:38 The infection timeline 3:25 The four maintenance pillars 3:58 Checkpoint 1 4:21 1–6 months · prevented by Bactrim 5:09 Vaccines — one firm rule 6:20 Bone health 7:14 Pregnancy — fertility returns 7:50 Pregnancy & the drugs 8:52 Checkpoint 2 9:19 Switch mycophenolate → azathioprine 10:18 The whole series, one arc 11:08 Everything serves two jobs 11:57 Final checkpoint 12:24 The thread: adherence 13:17 Closing principles 📚 IN THIS EPISODE • The post-transplant infection timeline (month 1, months 1–6, beyond 6) and PJP prophylaxis • The four pillars of long-term maintenance • Vaccines: inactivated yes, live no after transplant — and vaccinate the household • Transplant bone disease and how to protect the skeleton • Pregnancy after transplant: timing, and switching mycophenolate to azathioprine • The whole series in one arc — foundations, the graft in trouble, the long game • The two jobs of transplant care — and adherence as the thread through it all 👍 If this helped, subscribe and share it with someone learning transplant. Tell me in the comments what you'd like covered next. #nephrology #transplant #kidneytransplant #medicaleducation #nephrologyfellowship ⚕️ For medical education only. This content is aimed at clinicians and trainees and is not medical advice. Always follow your local protocols and current guidelines; transplant practice varies by region and changes over time.