# MMF Rewind | Inside the World's Busiest Kidney Transplant Center

Page: https://stenobird.com/podcast/moving-medicine-forward-6832193/mmf-rewind-inside-the-world-s-busiest-kidney-transplant-center
Text version: https://stenobird.com/podcast/moving-medicine-forward-6832193/mmf-rewind-inside-the-world-s-busiest-kidney-transplant-center.md
Podcast: [Moving Medicine Forward](https://stenobird.com/podcast/moving-medicine-forward-6832193)
Published: 2026-03-12T15:11:34+00:00
Episode link: https://podcasters.spotify.com/pod/show/moving-medicine-forward/episodes/MMF-Rewind--Inside-the-Worlds-Busiest-Kidney-Transplant-Center-e3gbej9
Audio file: https://anchor.fm/s/eb715a20/podcast/play/116815913/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2026-2-12%2Fc473d01b-0fdb-e0f0-d34d-24964fff630a.mp3
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JSON: https://stenobird.com/v1/public/podcasts/moving-medicine-forward-6832193/episodes/mmf-rewind-inside-the-world-s-busiest-kidney-transplant-center
Duration seconds: 2301

## Resource

In honor of World Kidney Day , we’re rereleasing this timely and insightful episode of Moving Medicine Forward . In this conversation, we sit down with Dr. Helio Tedesco , a globally recognized transplant nephrologist from São Paulo, Brazil, who leads one of the world’s largest kidney transplant programs and is now part of the CTI team . Joined by Dr. Christopher Boshkos , Senior Medical Director at CTI, and clinical scientist Erika Aldag , the discussion explores the challenges and innovations behind managing more than 15,000 transplant patients—from telehealth expansion and donor matching to cutting-edge immunosuppressive strategies and the future of surveillance tools such as cell-free DNA and the iBox model. This episode offers a rare look into the science, systems, and human dedication driving transplant care forward. 00:35 Dr. Helio Tedesco (São Paulo), Dr. Christopher Boshkos, and Clinical Scientist Erika Aldag join to discuss global kidney transplant practices. 01:13 Dr. Tedesco shares his background, highlighting nearly 40 years in nephrology, performing over 1,000 kidney transplants annually, and a strong foundation in research. 03:17 Managing large transplant populations involves strategic follow-up care, decentralized nephrology networks, and an expanding role for telehealth. 06:30 How patients are matched to regimens, minimizing rejection and addressing regional challenges. 11:49 Dr. Tedesco explains their one-dose thymoglobulin approach and its benefits over traditional multi-dose methods. 18:34 New tools for monitoring graft health include donor-derived cell-free DNA, advanced biopsy techniques, and an examination of barriers to widespread adoption. 24:25 Discussion on the potential of the iBox model as a predictive tool for clinical trials and long-term…

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