#as well as diabetic care- dialysis care- etc.

[kitkatcabbit]

The level of frustration I’m experiencing…

My insurance will cover the silver ring splints I need, with a 20% co-insurance. Fine, cool, I’m ok with that, because paying $134 and change is better than paying $672 (cause I need like, six of them).

But-

They said I need to get them from an in-network DME provider.

Except Silver Ring Splints is a DME provider; they make the damned things. Nobody is going to order them from there to then hand to me…it’s like my insurance is telling me to go into McD’s and ask them to buy me a whopper.

So yeah, my insurance will cover it, but seems like they’ve made it effectively impossible to accomplish. I feel like it would be easier to just save the money and buy them myself.

Edit to add: they sent me a two-page list of DME providers within 10 miles of my home. I went through the whole list. None of them will work.

[thalassarche]

This is kind of long and it's me getting things out. Scroll past if you don't want to read about medical stuff, or declining health of aging parents, or failures of the medical system, or the feeling of personal failures in the face of all of this.

My mom isn't doing well.

I've been living with her for three years now, after losing my job during the pandemic. She had recently been diagnosed with end stage renal failure and needed dialysis three days a week, which really tired her out, so she needed help, and I didn't have a job. So I've been her caregiver for that time. Helping with shopping and meals and appointments and so on. August 1st, she had a stroke, primarily affecting the language centers of her brain, and making speech difficult. She seemed okay when I got up that day but by the time I did my morning routine (teeth brushing etc) she wasn't talking properly and we went to the nearest ER. Since then she's been in neuro ICU, post-stroke rehab, and a short-term care center, for therapy and recovery. Except she was fighting some terrible lower back pain that was making it very difficult for her to do her PT, then getting to the point she was bedridden.

Myself, and her brother and sister-in-law (who are our neighbors), agitated for diagnostics of what was going on with her back pain. They did an xray with "no significant findings" and prescribed oxycodone for pain management. We tried to get a CT scan or MRI or something like that for her and nothing happened, as she was transferred from rehabilitation to short-term care, and short-term care just kept up the narcotics. Well. Now she's in ICU again. CT scan, MRI, and bloodwork revealed that she has osteomyelitis of the lumbar vertebrae -- an infection in the bone/bone marrow of her lower back. There's actually an abcess there in her spine. That's what was causing the hideous pain. Osteomyelitis in the spine has a roughly 20% mortality rate. And Mom just isn't very healthy to begin with. She's a breast cancer survivor with osteoporosis as a result of her treatment. She has diabetes, with that effect on wound healing. She has the aforementioned end stage renal failure, so her kidneys don't work and her blood has to be filtered artificially three times a week. She has atherosclerosis (which may have caused the stroke) and has a stent in her heart, plus an artificial heart valve.

The doctors have said they don't like the look of the infection, and they don't feel she's a candidate for surgery to remove it, so it's going to be treated via antibiotics delivered via PICC for the next 6 weeks. But, it's sort of hanging there, that there's a solid chance she doesn't make it through this. And I just can't stop feeling as if I failed her, by not following through with the additional diagnostics, by not making myself such a pain in the ass that they did it to get me to shut up, and maybe found it sooner. Or that maybe I didn't even catch the stroke soon enough. Or who knows, maybe insurance denied the CT scan, or something like that. Just, that I'm supposed to be her caregiver, and yet, look. I don't know what I'm saying here other than just getting all of this out somewhere. But it sucks. The healthcare system sucks, insurance sucks, all of this sucks, and I just want my Mom.

[indiamedicaltourism]

Kidney Transplant in India at Affordable Cost

Human beings have one pair of kidneys and it is located right below the rib cage. The kidney serves a major function in removing the waste. Apart from excreting waste, the kidney also takes care of blood pressure, balances the chemical elements present in our body, secretes essential nutrients, and refines the blood.

In some cases, both kidneys stop functioning due to Injuries in an accident, or individuals suffering from diabetes and high blood pressure often suffer from Kidney failure. Patients suffering from kidney failure usually suffer from swelling in feet and hands, weakness, and much more. When the kidney stops its functionality doctors either refer it for dialysis or a kidney transplant. It's preferred to opt for a kidney transplant which can inhibit the growth of toxic elements in the body.

A kidney transplant is a medical procedure where a patient who is suffering from kidney failure can undergo the replacement of his damaged kidney with a healthy kidney. The Kidney transplant cost in India varies with the availability of the kidney donors and the patient current condition. Here is a small detail regarding the Price of kidney transplants in India.

Kidney transplant cost in India

The Kidney transplant price in India ranges from 6, 00, 000 Rupees to 14, 00, 000 Rupees. Other charges like consultation fees, x-rays, lab tests, Hospital costs, medicines, and much more, can cost you extra. The Cost of kidney transplants in India can vary with the hospital treatment procedure, patient condition, donor availability, cost of injections, and surgery cost.  Also, if the patient is in critical or emergency condition the treatment cost may again vary.

Top Kidney Transplant Hospitals in India

Fortis Hospital in Bangalore is one of the Top Kidney transplant hospitals in India. The hospital is situated in the Bannerghatta road.

Medanta- the Medicity Hospital in Gurgaon is a Top hospital for Kidney transplants in India. The hospital has a huge infrastructure and well-qualified specialists.

Apollo Hospitals situated in Greams Road, Chennai is a well-known reputed hospital and has been treating patients for more than four decades

Top Kidney Transplant Doctors in India

Dr. Saritha Vinod is one of the Top kidney transplant doctors in India with more than twenty years of experience and also she has accomplished several kidney transplant surgeries. Currently, she is serving at Apollo Spectra Hospital in Chennai.

Dr. Sandeep Guleria is also a Top Doctor for kidney transplant in India with more than thirty years of experience. Presently he is practicing at Indraprastha Apollo Hospital in New Delhi.

Dr. Sharad Sheth from Mumbai is serving at Kokilaben Dhirubhai Ambani Hospital in Mumbai. He has been treating patients suffering from kidney for more than 38 years.

 Al Afiya Medi Tour is a top medical tourism company in India. It offers medical tours from all the countries of the world to India. Some of the main countries are Bangladesh, Zambia, Namibia, Iraq, Kenya, Nigeria and so on. We provide free assistance for TURP surgery, lung cancer treatment, best kidney hospital in India, stomach cancer treatment in India, liver transplant, best hospital for heart valve replacement, bone marrow transplant, arthroscopic surgery, best liver transplant hospital in India, brain tumor surgery cost in India, top bone marrow hospital in India etc.  If you are looking for free medical and healthcare consulting to find the best hospital and top specialist doctor for any treatment in India then to alafiyameditour.com.

Source: https://bestmedicaltourismcompanyinindia.blogspot.com/2023/09/kidney-transplant-in-india.html

[idigitizellp21]

Stress Is Affecting Your Kidneys

It is estimated that around 15% and around 17% of the Indian population of the adult US population suffer from chronic kidney disease with it being more common among women and elderly people. (CDC,2021; Varma, 2015).

This is showing an upward trend and is likely to become a common cause of global morbidity. Traditionally, there has been a focus on cardiovascular disease, diabetes mellitus and hypertension as antecedents for kidney disease. However, in more recent times there have been studies exploring the link between mental health, stress disorders and kidney disease.

Psychological stress, be it caused due to positive events such as marriage or challenging events such as loss, left unchecked can have detrimental effects on your health and body. The National Kidney Foundation (n.d.) suggests that the normal flight or fight stress response which activates the sympathetic system and triggers various bodily reactions including increased heartbeat, blood pressure, spikes in fat and glucose levels can in the long-run damage your kidney function. As the kidneys play a vital role in filtering the blood and monitoring excess glucose, such prolonged stress reactions can be dangerous. This link has been confirmed in a study by Su and his colleagues (2021).

Another factor that can add to the stress is the treatment (dialysis). Several aspects such as diet restrictions, caregiving, financial burden, time commitment etc. can make it seem overwhelming. There is research evidence of the comorbidity of neuropsychological disorders such as depression and anxiety with kidney disease. Statistics suggest that the probability of an anxiety or depressive episode doubles post a kidney transplant. The feeling of being physically unwell can be associated with a deterioration in mental health and in turn, can lead to an individual being worse off. The symptoms of anxiety such as restlessness, excessive worry, and depression, changes in sleep, appetite can exacerbate the original condition. Moreover, such mental health disorders can lower the treatment compliance and add to the underlying problem (American Kidney Fund, n.d.; Simoes et al., 2019).

There have been suggestions to lessen this impact:

a. Pay attention to your diet and nutrition: Limiting your salt, caffeine and sugar intake and the use of substances can stave off some of the physical and mental symptoms such as restlessness etc. Moreover, consuming a balanced diet of fruit, vegetables, lean proteins, low-fat dairy and whole grains can help your body and brain.

b. Exercise and relaxation: Small bytes like climbing the stairs or a brisk walk can release chemicals that boost mood and offer protective benefits of preserving your physical health. In addition, relaxation techniques – be it muscle relaxation, meditation or taking a vacation can do wonders.

c. Self-care: Engaging in activities such as reading, cooking, grooming etc. can go a long way in energising your mood.

d. Returning to work: This can help establish a routine, social connect and lead to better mental health outcomes.

e. Seeking resources: Seeking advice and support from online resources, doctors, psychologists, social workers etc. can help chart a treatment plan that works for you.

One of the key strengths of Serenity - Your Wellbeing Studio is its patient-centered approach. The institute recognizes that each patient is unique and requires individualized care that addresses their specific needs and concerns. As such, Serenity works closely with clients to develop personalized treatment plans that are tailored to their individual needs and goals. By prioritizing patient-centered care, Serenity - Your Wellbeing Studio is able to provide them with the support and resources they need to achieve optimal mental health and wellness.

[ayurvedakidneytreatment]

What is Chronic Kidney Disease Stage 3?

Chronic kidney disease is lasting damage to the kidneys that develops over time. CKD persists in stages, starting from stage 1 to stage 5, progressing with changes in kidney function. The differentiation between different stages of CKD is done on the basis of GFR. The glomerular filtration rate is an indication of kidney function left.

Stage 3 CKD is a condition of kidneys when your estimated glomerular filtration rate falls between 30–59, showing up moderate kidney damage. It falls in the middle of the spectrum. This stage is further subdivided into two sub-stages: stages 3a and 3b with an eGFR of 45–59 and 30–44, respectively.

If you have stage 3 CKD, it should be immediately dealt with. Your goal at this time should be to slow down the progression of CKD with the help of CKD kidney disease treatment in Ayurveda.

Signs and symptoms at stage 3 CKD

As kidney function deteriorates, exorbitant levels of waste may build up in the blood, causing dysfunction in the body. It is called uremia. In stage 3, a person is likely to be susceptible to complications such as anaemia, hypertension, bone disease, etc.

Symptoms of stage 3 CKD

Fatigue

Fluid retention

Swelling (oedema) in the extremities such as ankles, legs or around the face and eyes

Shortness of breath

Urination changes such as foamy, dark orange, brown, tea-coloured as it contains blood

Urinating more or less than normal

Pain felt in the areas around the kidneys

Sleep problems due to muscle cramps or restless legs

What can you do to prevent CKD?

The goal with stage 3 CKD is to prevent further kidney function loss. This means preventing eGFR from further declining, which indicates stage 4 CKD.

Choices to prevent CKD

1. Make healthy lifestyle choices: Taking a diet that is kidney-friendly will do most of the part of the treatment. Alongside, make sure that you do not stay active in smoking, maintain a healthy weight, lead an active lifestyle, and exercise well. If you are one of the people who love to enjoy Yoga, go for it. Yoga can actually help strengthen the body and boost your kidney function.

2. Monitor your health: Certain conditions like high blood pressure, diabetes, recurrent kidney functions can actually contribute to the advancement of further stages of CKD. Talk to your doctor about the health issues that seek an immediate response. Always ask your doctor about the medications you are already taking if they can pose a threat to your declining kidney function.

3. Consult a renal dietitian: Following a diet that can boost your kidney function should be your go-to option. There are various aspects of a renal diet that can only a renal dietician can tell you about. Your renal dietician will address your concern and help you curate a diet, keeping in mind the subjects concerning your health.

4. Learn everything you can about CKD: CKD can be managed well if you look for the right options at the right time. There is a lot you can learn about CKD and take care of your health, such as understanding the complications that may persist along, progression rate, glossary of the terms used in the diagnostic tests, etc. For instance, if you know how too much salt in your diet can contribute to high blood pressure, which may worsen your kidney function even more, you would be picky about your choices of food.

Chronic kidney disease treatment in Ayurveda

Ayurveda is one way to help most of the complications subside naturally. It is an old remedial science that has been a part of health recovery reforms. With the emergence of ayurvedic ways and treatments, the treatment of kidney disease has been possible now.

The ayurvedic viewpoint of any disease is different from allopathic standards and says that by paying close attention to your body and its requirements, you can actually paving the way to healthy living. Once you have discovered your dosha and Gunas well, you would abstain from any food that can be contagious to your health.

Such is the way of Ayurveda- stimulate your self-healing.

When it comes to kidney disease, the main focus is on cleansing the body’s channels and releasing the toxins or Ama out. The clearance of channels of the kidneys, which is Mootravaha Srotas contributes to the smooth flow of urine in and out. And when the urine passes out naturally, it indicates that kidneys are working well enough.

So, Ayurveda is one of the best measures to revitalised and strengthen kidney function while eliminating the need for dialysis in the long run. Even if you are in stage 3 CKD, Chronic kidney disease treatment in Ayurveda works well in slowing down the progression of disease into ESRD.

Source of Content: What is Chronic Kidney Disease Stage 3?

[ayurvedickidneycare]

Best Ayurvedic Kidney Care Hospital

Kidney problems have become a major concern for the whole world for the last few years. The reason is, more and more people are getting affected with kidney problems. Chronic kidney disease is a common kidney problem that is affecting a large chunk of the population. The number of kidney patients is increasing every year. That's why it has emerged as a matter of concern for the entire humanity. Even the countries having a good availability of conventional treatment methods like dialysis and kidney transplant are not able to put a halt to the increasing number. The previous statistics related to kidney problems are changing too rapidly and therefore, the world needs to focus on the treatment of the problem. In the same context, the best kidney treatment in Ayurveda hospital can offer the best cure. The reason is, the conventional treatment method has limitations therefore it can’t provide lasting relief to kidney problems. Here in this post, we’ll talk about the effectiveness of Ayurveda in kidney disease cure and why one should prefer this treatment above all. Let’s start with some fundamentals of kidney problems.

Kidneys are two bean-shaped organs in the human body that filter wastes and other unnecessary substances from the blood to ensure that your body can get clean blood. Kidneys do not perform only filtration functions but they do many other essential functions for the body as well. These organs are capable of doing several functions on their own if they are healthy. However, they may stop functioning if they get damaged. In such cases, kidney problems may cause some signs and symptoms. But most cases of kidney diseases are asymptomatic because kidneys can carry out their functions until they are severely damaged. Signs and symptoms that are associated with kidney diseases are nausea, vomiting, low urine output, change in urine color and appearance, muscle cramping, breath shortness, pain in the abdomen or sides, swelling in the body, loss of appetite, and trouble in concentration, etc.

What causes kidney problems to occur?

Many factors can be responsible for kidney problems. Diabetes and high blood pressure when go unmanaged may cause kidney problems. These are the two most common causes of kidney problems so kidney diseases are spreading their wings with the increasing prevalence of these medical conditions. Aside from them, many other factors can affect your kidney health and cause them to get damaged. Some major causes of kidney diseases are

Low blood supply to your kidneys

Urinary tract infection

Heart-related problems

Obesity

Birth defect

Drinking or smoking habits

Certain medicines

Dehydration

When kidney diseases go unmanaged or untreated, they may progress to kidney failure. We all know that kidney failure is a life-threatening health problem and therefore its prevention is the key to overcome kidney-related odds.

Diagnosis of kidney problem

Kidney problems can be diagnosed with regular blood and urine tests. But these tests can't help determine the kidney problem or their damage accurately. In order to determine kidney health and functionality accurately, kidney functionality tests mainly glomerular filtration rate are conducted. In such conditions, some Imaging tests and Renal Biopsy may also figure out your kidneys' functionality and their problem.

When your kidney functioning test reports indicate any kidney problem, your doctor may ask you to go for the best treatment. Best Ayurvedic kidney care hospital is the best way to manage kidney problems.

What Makes Ayurveda Better Than Conventional Healing Methods?

Where conventional treatment has medicines, dialysis, and surgical procedures to manage kidney diseases, Ayurveda follows an entirely holistic approach to fight kidney problems. This treatment system is a complete healing system in itself but these days it is used as an alternative treatment method. It's because of a lack of awareness about this ancient Indian treatment system. But let us tell you, it’s the most effective treatment system that has the potential to provide a permanent cure. It has restorative property as it can repair wear and tear in the body naturally to ensure its natural functionality again. Above all, it makes the affected organ healthy again so that it can carry out its functions on its own. Consequently, Ayurveda's main goal is to provide a permanent cure.

In kidney problems, Ayurveda applies its ancient healing methodology thus it can offer lasting relief. Primarily, Ayurvedic treatment aims to figure out the underlying factor responsible for kidney problems and then suggests the best cure accordingly.

Kidney care in Ayurveda hospital encompasses some herbal medicines and ancient treatment therapies. Additionally, this treatment also indicates a patient to follow some lifestyle changes, mainly some eating changes. Using these treatment procedures in a personalized manner, the best kidney treatment in Ayurveda hospital helps a patient get rid of all his kidney complications naturally. This treatment can revive kidney health by regenerating new tissues in kidneys and thus enables them to function well. Consequently, the best kidney treatment in Ayurveda hospital can revive kidney health naturally and thus helps a patient get this normal kidney health naturally.

Find and go for the best kidney treatment in Ayurveda hospital to get rid of all kidney problems naturally.

[chasing-rabbits]

Another life update that no one asked for nor wanted...so in todays episode of what else could go wrong. I feel like I’m in some kind of really bad dream right now as if I’m on a real life hell and the devil is just toying with me right now. First my Granddad in Spain gets sick has a major heart attack survives but told if he has another one he will die. Then he gets Sepsis from the nurse mishandling him after his dialysis and not following procedure this then nearly kills him literally. He just gets over all that and is some what regaining control again he has physio he’s more able to do things like wash and bathe himself he can cook for himself etc he’s in a wheelchair but he can do these things where as he was needed nurses to come in to their house to help with his care before. So ultimately an improvement then my Granddad over here in England gets sick turns out he’s had a heart attack & had one’s prior to this before without realising. He has permanent heart damage, AF & diabetes. He was in hospital for two weeks then due to a miscommunication error from the heart specialist at the hospital and his GP they fucked up his Warfarin dose to the point when they were measuring w/e they were at his GP’s surgery their machine didn’t measure his levels he was literally off the chart so he had to go to hospital they’d made his blood far too thin. Joy more fuck ups then finally my dad manages to sort it out get the doctors on the same page & in line. The side effects are being treated with at home/over the counter remedies as some of the side effects of meds you know not too great plus his body was adjusting he went from 0 medications to 6 plus medications a day. His body is adjusting and he’s slowly improving.  But no then I get told last week my Grandma in Spain has fucking Cancer in her mouth, lymphnodes and lung. So they are going to do a full scan to see if it’s spread else where too. But its looking as though this isn’t treatable/curable and she said something about being told she’d have up to 2yrs to live but I’m not sure if that was a definite or a worst case scenario if it has spread thing as she’s not always the best at communicating things.  Oh and then I find out she’d gone to the doctors last year complaining about the pain in her mouth/jaw and they dismissed her and sent her away the cancer started/originated from her mouth. Now this very same doctor well my Grandma’s regular GP had recently retired so upon seeing her GP for an appointment she ended up seeing the same doctor who had dismissed her a year ago. Now I wouldn’t think anything other than maybe it was too early for them to notice it or something like that but given this doctors behaviour in the most recent appointment I think she’s just a negligent bitch. So for the scan my Grandma has to get to the hospital. Now in Spain it’s not uncommon for them to pick you up via an ambulance/bus service thing my Granddad gets picked up along w/ some others he knows via this service you just have your doctor sign off on it. She asked the GP if she could get a ride to the hospital she also has sciatica and other issues that make it hard for her to get around. The GP asks her why she needs this pick up service and my Grandma goes well I’ve got cancer and the GP is like you have two legs don’t you, you can walk or you can get a taxi. She said it abruptly and rudely my Grandma’s just found out she’s got cancer and then gets treated like that it was a massive smack in the face & really upset her this doctor clearly has not a sympathetic bone in her body. Makes me mad they are going to report her anyways and my Granddads dialysis doctor at the hospital made some calls and got my Grandma signed off so she could get a ride there. He’s a really nice doctor apparently.

So yeah this just feels like it can’t really be happening last week I reached out to my CMHT on duty team which was hard to do but it did help. I’m feeling a little better atm about it all right now at first I was numb then I broke down and cried and cried and cried then I was angry and now I’m just sort of coming to that point of acceptance which is never easy but I’m just trying to keep going and focused and busy on things so I don’t dwell on it too much until we hear back more news about the scan.

[mybeloved73]

My name is Chelsea and I’m a ITU Nurse.

I’m also a newly qualified nurse - I literally left Uni last year and began my job in the September.

My background - I didn’t always want to be a nurse. I wasn’t cut out for that sort of compassion or care. I dreamt of being a PT, an athlete, anything that was sports driven.

Until my boyfriend had a bike accident, that then left him in ITU. He later succumb to his injuries and passed away. The nurses looking after him, changed my life. Shining light kind of moment - I want to be just like them kind of thing.

Granted it took me 4 years to build up the courage, battling my PTSD, severe depression and anxiety to even apply to uni. But I did it - and Sept 2019 I got my Pin as a registered nurse.

Now, if you 1) think covid19 was made up, a conspiracy or the numbers have been made up as a scare tactic or 2) you actually believe wearing a face covering will cause ‘respiratory arrests’ ‘acidosis’ blah... stop reading. Because this isn’t for you. Or even 3) you have the view of ‘its their job’ - back away from your screen.

You’ve seen in the news about the public sector pay rise? That nurses aren’t included, nor the junior doctors, physio’s etc (I use etc as there are so many people being forgotten in all this and it is used lovingly and not to cause offence)? Honestly, Im so glad that others are being recognised for their input and help during this - the teachers who put in extra work for children of key workers, who sacrificed their home life to entertain little ones every day and try give them the education they need and deserve, to the police, military - anyone receiving this recognition. Honestly you deserve it. And the NHS will not shadow that or take it away from you.

We agree’d to a 3 year pay deal, that had the options of being reconsidered earlier than the final date if there was a change in circumstances. Covid19 should really be considered as a change in circumstances. I mean being told that you’re already ‘unskilled’ and watching people clap to STOP pay rises... was hard enough. But to have everyone else recognised for their vital contributions and lay something that was agreed in 2018 - is inexcusable.

You realise that most nurses didn’t get to see your claps on a Thursday? That’s handover time. And due to covid19 if their handover time was earlier - they were usually late because of how busy it was and still missed it.

I saw one. Because it so happened I had come off of nights the night prior.

So! My life during covid19 starts off with the busiest winter that my hospital has seen in ITU. We have 10 beds. We are funded for 7/8? We had to open an escalation centre that we stole from our day surgery unit to give us a further 3 beds.

Which in itself is hard - looking after seriously sick patients away from your actual designated and designed ward and without the continuous presence of doctors.

That wasn’t enough.

We had to then stole half of the recovery room, which usually houses patients post surgery whilst they wake up.

Going up to 16 patients. Remember - at this point. I’m THREE MONTHS qualified.

Learning is hard, steep, and in-depth. You’re suppose to be trained over the course of a year as a newly qualified, with study days and help from mentors etc. I couldn’t attend some of those days because we didn’t have the staff to look after the most patients our ITU had ever seen.

Now I know ITU is hard. I picked it.

I knew what it entailed, well partly.

I have to maintain my patients artificial airway. They either have a tube in their mouth or in their throat.

They’re then connected to a ventilator.

Every single setting on that machine, every button - changes something drastically.

From the fio2, PEEP, PS, PC, TV, MVE, PEAK, RR, PF ratio, ... one button, one alteration or mistake... literally can stop this person breathing. Cause respiratory distress, arrest.. trauma? anything.

Did you know I have to move that tube in their mouth every hour to stop pressure sores developing in their mouth? And I still have to brush their teeth and give oral care?

I have to suction down their throat and clear their lungs? Or suction their actual mouth for extra secretions?

And record all this data hourly.

To ensure that this patient is comfortable with this tube... I have to medicate this patient.

I have to keep them in an artificial coma.

Titrating the drugs to their optimum levels.

Some are measured mg/hr, mcg/hr, mcg/kg/min..

some have limits on maximum dose per hour you can use.

Some have really severe side effects.

Such as noradrenaline. Which can literally cause your fingers and toes to become necrotic.

I have to monitor someone’s glucose - whether you’re diabetic or not, and correct it if needed with insulin or dextrose.

I have to give diuretics but not allow your body to become too negative, I have to give fluid challenges to ensure you’re not vascular depleted.

I can help your kidneys with the use of a dialysis machine. Literally filter your blood of toxins your body can no longer remove without help of a machine. This requires constant blood tests to ensure that you aren’t collecting dangerous toxins or you need additional support from the machine.

I can use a machine to check your cardiac output and interpret it to make sure that you have enough fluid vs a drug that’ll help squeeze your heart instead.

I can read an ECG and tell if you need additional supplements such as potassium. Do further tests for magnesium, phosphates etc. And deliver those.

I can feed you through a tube down your nose, and ensure you absorb it. But it’s okay I can give you medication to also help that - these require me to do daily ECGs though, and interpret the data of your QTC to make sure it’s not affecting your heart.

Now. If that’s not enough. Covid happens.

Now remember our record was 16 patients?

Try doubling that.

We worked in our ITU,

Escalation centre

Recovery - we took the whole thing.

Next - we took over operating theatres.

3 patients in theatre 6

3 in 5

3 in 4

2 in 3

We stole theatre staff, recovery nurses, ODPS, ward nurses, retired nurses, health visitor nurses, anyone we could relocate to help us.

March - I’m 6 months qualified.

I’m now the most qualified ITU nurse in my theatre.

I have people who have never looked after a ventilated patients before asking me for help. Please don’t silence my alarm if you don’t know why it’s alarming. I know it’s loud and annoying but it’s telling me everything I need to know with enough time before I need to panic.

Now - covid patients weren’t just sick. Weren’t just needing help to breathe. These patients were all sorts of ‘new’. Nothing made sense!

These patients COULDNT be ventilated. We needed to paralyse them to literally be able to take over their breathing properly! No amount of sedation worked! Their lungs were fibrous and acting like elastic under tension.

Side note - if your patient wasn’t sedated enough compared to paralysis - they could be silently awake, but completely paralysed. Knowing everything happening to them. But unable to do anything - not even breathe. Every time you start rocuronium you need to remember that. If you’re withdrawing treatment - TURN THE ROC OFF FIRST. And wait before you do anything else.

Back to it. They were so unstable that you try roll them, which we usually do 4 hourly to prevent pressure sores - they desaturated to numbers so low that you would usually see some hypoxia brain injury after.

We couldn’t roll these patients without risking that. So you know what. You don’t roll.

So we couldn’t protect their skin integrity. You just watch them, and feel guilty.

Nursing school 101 - pressure sores are PREVENTABLE. Roll your patient. Skin care and hygiene is your best friend.

Now covid went against everything a nurse knows and holds dear.

Our ITU never had pressure sores. Until covid. Some had grade 4’s.

Maggot therapy.

Vacuum dressings.

These patients were also clotting, and sending off clots to their kidneys, liver, heart, brain. Covid made your blood super sticky!!!!

People were having strokes whilst being sedated, going from fit to multi organ failure in days. I’m trying to save these people, knowing they could possibly wake up with complete left side paralysis? Never talk again? Never be them again?

Now you know about these past medical histories etc?

You realise what that is?

that it could be Type 2 diabetes?

Hypertension?

That was it for some.

None of this thinking they were super sick, with lists longer than my arm, and that’s why they didn’t make it. No.

Literally things that happen with age. Poor diet? That 120/80 you’re happy you got - THATS PREHYPERTENSION.

I was probably hypertensive the entire time with anxiety.

Did you know We had to use the old anaesthetic ventilators. None of us had used those before. Those big bellows you see in films going up and down rhythmically. Those.

That was scary.

I’m use to a single touch screen button (hello modern technology) to deliver 100% o2 if my patient needs it. This has a switch to a bag, a button, dials to titrate o2 with normal air. And if I didn’t monitor the crystals in the bottom my patient would retain their own co2 and I wouldn’t know why.

New found love for anaesthetists and ODPS - these machines are NOT designed for prolonged use. But they helped us keep our patients alive. By literally guiding us and helping us look after the machines so we could do our job.

Now. All of this is made worse by PPE.

I’m hot.

It’s hot.

And intense and I’m working hard because tonight, I have 3 ventilated patients. By myself.

I have a gown on.

2 sets of gloves

An apron

An FFP3 mask

A hat

A visor

And no air con.

But I’ve got this. I can’t do my hourly checks because I am one person.

My super sick patients now have 2 hourly because it is physically impossible.

Where are the other staff?

Sick.

You’re watching these people struggle to breathe on machines and then being told your close friends at work, your mentors, your seniors are spiking temperatures. Some being admitted to hospital. Some not being able to come back to work for weeks.

Some ending up on your ventilators. It’s okay. I’ve got this.

I’m an ITU nurse right?

CPR wearing that get up. Is TOUGH. 27mins. I cried that day.

We lost 3 patients in 12 hours.

I held the hand of so many people as I turned off their ventilators because their families couldn’t be with them and no one should die alone. No one. I tried my best.. and then once my day had finished, I had to come home to my dad who is immunosuppressed. Who doesn’t understand boundaries. “Kevin stay in the other part of the house!”

*knocks on bedroom door with dinner*.

Proning. What an experience that is. And doing it Daily. The complications of that were scary before you even approach the patient.

So I’m going to flip my patient - who has a tube down their mouth to help breath, who is on medication for sedation, paralysis, to keep their blood pressure up.. from laying on their back - to laying on their front.

Seems easy?

Well it’s not. And requires like 8 people.

8 people.

We don’t have enough people as it is. So we now develop a proning team made up of everyone.

There are consultants, there are experts in their fields, there are physios and then I don’t know who else.

Honestly I couldn’t thank these people enough. More people would have died if we didn’t have a proning team. But now, people spent 23 hours laying on their front. Pressure sores on their faces. Potential of going blind? New complications of not being able to breathe we never expected.

We are finally back into one unit now. I’m still less than a year qualified. And I’m still running on adrenaline expecting this second wave. Those still reading, I know you’re thinking that she picked this job.

She knew what it meant.

And you’re right! Give me those complex drug calculations and ventilators. Oh and the scrubs!

But a pandemic? I didn’t pick that. The world didn’t pick that.

Honestly thank you, to the ward nurses - your lives got flipped upside down.

The physios who became best friends.

Consultants who literally got down and dirty with us.

To the domestics who cleaned furiously for us.

OT’s To literally orientate our patients when they’re waking up like 70 days later.

Every

Single

Person

Who

Helped.

Oh communication team made up of medical students, who updated the families because... I couldn’t. I couldn’t leave my patient. Not like this!

Matron who literally had to facilitate all this, with people who knew nothing about ITU. Being in ITU. Looking after ITU patients. Whilst her own ITU staff were sick, in hospital, or newly qualified, or working to the point they broke.

To the countless companies sending food, goodies, moral support !! Oh my god that was incredible to come to after not having a break for 6+ hours ... mmm... food!!

Did you know they’re offering support for the nurses to stop PTSD, or anxiety or just to help up digest what we saw? Psychological support for just doing your job?

But it’s okay.

We got a deal in 2018 for the pay.

We got clapped thursdays.

We all know that’s not enough, but we will still turn up for work.

We can’t leave our patients.

We can’t strike.

They’ll always mean more to us than pay. And the government knows that. Abuses that.

540 NHS staff lost their life doing ‘just their job’ - today the NHS staff walked through London protesting, to be heard. To be listened to. To be acknowledged. To be paid fair.

Sign the petition for us. Because we aren’t just here for covid. We’re here for life.

https://petition.parliament.uk/petitions/316307

And just put your mask on - please - for that hour you go shopping.

I’ve been wearing mine since March 6th. 13+ hour days. Developed a nice grade one on my nose, my friends faces bleeding from using a rubber respirator....

And We’ll be like this for the foreseeable future.

Now that we have the stocks to do so anyways.

Oh and I’m pissed my graduation was cancelled! All that and I don’t get to wear the hat and gown. Bastard virus. (I understand there was more lost but humour me).

Signed, your registered ITU nurse. We will always continue to monitor.

[fostermarketarch]

Important Thing Need To Know About Upcoming Glucose Sensor Market In 2027

Glucose monitoring is a way to measure glucose levels in real-time throughout the day and night. Glucose monitoring devices use a tiny glucose sensor inserted under the skin to check glucose levels in tissue fluid. The device can detect and notify a patient if glucose is reaching a high or low limit. All these advantages have resulted in wide adoption of glucose-sensor based devices by patients having treatment of intensive insulin therapy, and or suffering from hypoglycemia unawareness or are suffering from high/low blood sugar levels among others. The rising number of these cases across the globe is expected to benefit the industry growth over the forecast period.

Key Insights:

Latest Updates

Analyst Views

Future Otlook of the Market

Get Free PDF Brochure of this Report @https://www.fostermarketresearch.com/product/industry/7/154/Pdf%20Brochure/

Key Region Covered in Irrigation Syringes Market are

North America (USA, Canada, and Mexico)

Europe (Germany, France, the United Kingdom, Netherlands, Russia, Italy, and Rest of Europe)

Asia-Pacific (China, Japan, Australia, New Zealand, South Korea, India, and Southeast Asia)

South America (Brazil, Argentina, Colombia, rest of countries, etc.)

The Middle East and Africa (Saudi Arabia, United Arab Emirates, Israel, Egypt, Nigeria, and South Africa)

Competitive Landscape:

Key players in the global Glucose Sensor market include Senseonics Holdings, Inc., Insulet Corporation, Bayer AG, Ypsomed Holding AG, LifeScan, Novo Nordisk, Medtronic PLC, Dexcom Inc., Abbott Diagnostics Inc., and Roche Diagnostics, among others.

Key players in the market are adopting several strategies to strengthen their presence in the competitive landscape. They are focusing on product development as well as acquisition to retain the market share. For instance, in October 2018, Julphar partnered with Dexcom and BD (Becton, Dickinson and Company) to launch and supply its continuous glucose monitoring systems (CGMs) and insulin pens in the U.A.E.

Market Taxonomy:

By Product Type

Non- InvasiveOptical Sensors Trans Dermal Sensors

Minimally InvasiveMicro Pore/ Micro Needles

InvasiveIntravenous Implantable Micro Dialysis Subcutaneous Sensor

By Application

Polarimetry

Raman Spectroscopy

(Near) Infrared Spectroscopy

MIR Spectroscopy

Impedance Spectroscopy

Fluorescence

Photo-Acoustic Spectroscopy

Optical Coherence Tomography

Skin Suction Blister Technique

Sonophoresis

Reverse Iontophoresis

Others

By End User

Hospitals

Diagnostic Centres

Home Care

Others

For more Information of this Report @https://www.fostermarketresearch.com/product/industry/7/154/

Market Dynamics:

The increase in incidence of diabetic cases is expected to provide high glucose sensor market growth and opportunities, which in turn will attract and compel numerous market players to develop innovative products or product line extensions. For instance, in March 2017, a report in the Diabetes research and clinical practice mentioned that one out of every ten adults is expected to develop diabetes by 2040, which reveals the graveness of this pandemic. Therefore, the treatment and he management of diabetes are expected to be the prime focus areas among healthcare departments and stakeholders, globally. However, the lack of adequate reimbursement for devices is the key barrier to the adoption of the devices.

For instance, in March 2016, a report published in Diabetes technology & therapeutics, quoted that only selected citizens were reimbursed if they opted for glucose sensor-based therapy called continuous glucose monitoring (CGM) therapy. On the contrary, high growth opportunities in the untapped markets, like highly skilled and cost-effective labor as well as growing economy of developing countries, are expected to provide significant profitable opportunities for manufacturers in the near future.

Benefits You Gain With Our Research Methodology:

Develop your Business strategies to refine the profits in near team.

Grow your Business profit ratio through our analytics report.

Acquire the valuable insights on different products, services and technology along with their obsolescence nature in the foreseen period.

Gain and upper hand on competition by having competitive financial, growth and economic data.

Identity future threats by our accurate forecasting strategies.

Obtain Go-To market strategy to increase your chances in the existing market.

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About Foster Market Research:

Foster Market Research is a global market intelligence and advisory firm engaged in providing data-driven research extract from rigorous analysis, to the clients to make critical business decisions and execute them successfully. Foster connects over various distribution channels and numerous markets for great understanding of the trends and market to deliver our clients with accurate data.

Our focus is on providing market research that delivers a positive impact on your business. We work continuously to provide our clients with the most accurate analytics data and research reports without any delay so as to improve their business strategies and provide them with rich customer experience.

Contact Us:

1701 Royal Lane, #1306, Dallas Tx-75229 Phone: +1 469 4981929 Email: support@fostermarketresearch.com

[techmomma]

Being Prepared

In uncertain times, now, perhaps more than ever, is an important time to discuss a difficult subject: 

Advance Directives, aka “What if I or a loved one are in the hospital and cannot make decisions for myself or them?” 

Talking about such matters, especially our philosophies, beliefs, and what we want to happen in the event we cannot make decisions for ourselves, is a topic that more often comes up in the midst of emergency. For most, it’s a surprise. And for most, they heap on themselves a stressful situation that can absolutely be avoided with some heart-to-heart discussions beforehand. Below, I will outline some important topics you can discuss with someone you trust, so that they know what to do, in case the unexpected happens.

CW: death, death mention

From personal experience, being willing to discuss such things was one of the few things that saved us during the sudden, unexpected emergency of my late fiance falling into a coma due to diabetic complications. We had a limited time window; hesitating too late, and the doctors would have been legally prohibited from removing his life support no matter what we chose. Luckily, he and I, both believers in the death positive movement, understood the importance of this kind of discussion, and had talked about figures such as Terry Pratchett and dignity of dying. Knowing that my fiance would not want to end up like him helped steer us in the right direction, regarding what quality of life would have been acceptable, and what would not.

Which brings us to the subject: just what do you talk about? How do you phrase it? Who do you discuss this with?

For most of us, the person we discuss this with will be a trusted family member. Perhaps a spouse, or domestic partner, perhaps your significant other. For others, this may be a trusted friend. Regardless, this needs to be someone you trust will honor your wishes, rather than instating their own. Or, if they did, someone you trust to make the right decisions. This is the person you can designate as your Health Care Agent. In addition, as a safety measure, you can designate others as Alternate Health Care Agents in the event your Primary is unable to for whatever reason, and have this discussion with them. Having two or three individuals who know your wishes and can be contacted is a pretty safe bet. This is especially important for those in long distance relationships or persons who live away from home; have your trusted person, but also have someone who is physically close to you who can travel to the hospital. Have people who can contact others on your behalf, or can be contacted if you cannot.

What you want to happen, in the event you cannot make decisions, is called an Advance Directive. For the state of Washington, you can fill and print out this form, if you do not have an attorney. I highly recommend looking it over whether you live in Washington or not; it has a lot of examples of the kinds of things you can make decisions on and what to talk about!

So how do you breech an admittedly difficult and possibly painful subject? That will depend on you, but the person you trust to fulfill your wishes should, ultimately, be someone who is at least willing to discuss this subject with you, regardless of the difficulty. 

If need be though, or in need of a reasonable segue into the subject, this is my permission to you to use the example of my late fiance, who suffered an unexpected diabetic coma in the middle of the night when alone and could not make decisions for himself, eventually culminating in a termination of life support as per his wishes. If it can happen to him, a healthy man in his early 30s, it could certainly happen during a COVID-19 outbreak, which seems to be a russian roulette in regards to whose case is mild and whose is lethal. If it can help you make decisions that benefit yourself and the emotional well-being of your loved ones, I am more than confident he would give his blessings.

So, what do you talk about? Anything and everything. Again, try checking out example Advance Directive forms, and some Financial Power of Attorney forms (you may need witnesses for these forms to be legalized, but in reality, any form you fill out is still technically legal and admissible in a court of law). But I have some subjects that both my late fiance and current significant other have discussed that will, at the very least, give any Health Care Agents you designate a good idea of what you would like done. Also check out your medical provider’s website, if they have online access. Mine actually has a page where I can outright fill out Health Care Agents, so I actually just filled that out today and it’s right there in their records to access in an emergency! Again, make sure the person you designate is informed and willing! Check with family members or friends too, they may be able to provide you with legal forms to formalize your wishes.

Some topics you can discuss:

Your personal beliefs regarding treatment. Do you have a spiritual leader you want contacted? Do you have religious, spiritual, or personal beliefs that might interfere with treatment? In some religions, some medical treatments may not be acceptable! If you do not have any exceptions or clauses, how far do you want medical treatment to go? If your condition is terminal, do you want treatment prolonged even if the end result is still death? Do you want hospice? Do you want to be given life-sustaining treatment (life support), even if it is known that this will only worsen or prolong a terminal condition? Do you want to be resuscitated, even if your quality of life may suffer or will be negligible? (For example, being resuscitated while in a Permanent Vegetative State?) If your condition is terminal, do you wish to pass away at home, or in the hospital? What if you are pregnant while unable to make decisions; do you want to put the survival of yourself or the baby first? If you are unsure, and know that the choices may depend on context, do you want to allow your Health Care Agent to decide? Are they comfortable and willing to make decisions like those on your behalf? Do you want your Health Care Agents to have these powers only during an emergency or in specific ways (springing) or effective and general once agreed to (durable)?

If you are alive and yourself but will need assisted living, such as wheelchairs, help with feeding, changing, bathing, dialysis, etc., who is willing to help you with this? Is your SO willing? Do you want your SO to do so? Do you want nurses and providers to do so? What are your feasible options?

Do you want to be an organ donor? Are you willing to be a full donor, which may mean your family will be unable to have an open casket? Only a partial donor? Do you only want to be able to donate specific things, if able? Where do you want those donations to go? Medical schools, other patients? 

Do you have pets? Who do you want to take care of them if you cannot? Are they able to take care of those pets? 

What do you want to happen to your material possessions? Who do you want to wipe your laptop of those seedy sites you visit? Do you want specific things to go to specific people? Do you want it all to go to your Health Care Agent, who can then decide what to do with those items? Who do you want your money and assets to go to? (Remember, your loved ones cannot be billed for the dead’s debts, no matter what companies claim!) 

If you die, what do you want to happen with your body? How much money are you comfortable with loved ones spending? Is there a specific ritual you want performed or cultural practice observed, is there a specific place you would like to be buried? Do you want to be embalmed? Do you want to be cremated? Where would you want your ashes scattered? Do you ultimately not care, even if you have preferences, and want your loved ones to do what is best for them in regards to their own grieving process? 

These are obviously difficult subjects and for some people, these may be hard to discuss. Death is a hard subject! Especially death of ourselves or loved ones. I can tell you from experience though, how grateful we were that these things were discussed beforehand--and how grateful I was to my late fiance for taking so much heartache and stress off of our shoulders. Talking about these things can, in some cases, be an ultimate act of love to unburden the people you care about. (You may also be surprised at how easy it is to talk about the subject, once you just get started!)

For some of us, talking about these things can feel like paranoia, or obsession over death--or even, if we have a history of suicidal ideation, that we may worry about worrying others. Just state beforehand that you do not have thoughts of self-harm in talking about this; only that you want to be prepared. Your trusted ones will understand--and may thank you, for making your wishes known. 

It is not paranoia or obsession with death to care about the stress your loved ones may be under in a trying time. Remember: we make these to prepare for the unexpected, but make them in the hope and likelihood they will only gather dust.

For more info on the death positive movement, understanding your rights regarding Advance Directives, practical advice on the handling of your body, and greener funeral options, check out Caitlin Doughty’s youtube, aka Ask A Mortician.

[indiamedicaltourism]

Kidney Transplant in India

Human beings have one pair of kidneys and it is located right below the rib cage. The kidney serves a major function in removing the waste. Apart from excreting waste, the kidney also takes care of blood pressure, balances the chemical elements present in our body, secretes essential nutrients, and refines the blood.

In some cases, both kidneys stop functioning due to Injuries in an accident, or individuals suffering from diabetes and high blood pressure often suffer from Kidney failure. Patients suffering from kidney failure usually suffer from swelling in feet and hands, weakness, and much more. When the kidney stops its functionality doctors either refer it for dialysis or a kidney transplant. It's preferred to opt for a kidney transplant which can inhibit the growth of toxic elements in the body.

A kidney transplant is a medical procedure where a patient who is suffering from kidney failure can undergo the replacement of his damaged kidney with a healthy kidney. The Kidney transplant cost in India varies with the availability of the kidney donors and the patient current condition. Here is a small detail regarding the Price of kidney transplants in India.

Kidney transplant cost in India

The Kidney transplant price in India ranges from 6, 00, 000 Rupees to 14, 00, 000 Rupees. Other charges like consultation fees, x-rays, lab tests, Hospital costs, medicines, and much more, can cost you extra. The Cost of kidney transplants in India can vary with the hospital treatment procedure, patient condition, donor availability, cost of injections, and surgery cost.  Also, if the patient is in critical or emergency condition the treatment cost may again vary.

Top Kidney Transplant Hospitals in India

Fortis Hospital in Bangalore is one of the Top Kidney transplant hospitals in India. The hospital is situated in the Bannerghatta road.

Medanta- the Medicity Hospital in Gurgaon is a Top hospital for Kidney transplants in India. The hospital has a huge infrastructure and well-qualified specialists.

Apollo Hospitals situated in Greams Road, Chennai is a well-known reputed hospital and has been treating patients for more than four decades

Top Kidney Transplant Doctors in India

Dr. Saritha Vinod is one of the Top kidney transplant doctors in India with more than twenty years of experience and also she has accomplished several kidney transplant surgeries. Currently, she is serving at Apollo Spectra Hospital in Chennai.

Dr. Sandeep Guleria is also a Top Doctor for kidney transplant in India with more than thirty years of experience. Presently he is practicing at Indraprastha Apollo Hospital in New Delhi.

Dr. Sharad Sheth from Mumbai is serving at Kokilaben Dhirubhai Ambani Hospital in Mumbai. He has been treating patients suffering from kidney for more than 38 years.

 Al Afiya Medi Tour is a top medical tourism company in India. It offers medical tours from all the countries of the world to India. Some of the main countries are Bangladesh, Zambia, Namibia, Iraq, Kenya, Nigeria and so on. We provide free assistance for TURP surgery in India, lung cancer treatment, best kidney hospital in India, stomach cancer treatment in India, liver transplant in India, best hospital for heart valve replacement, bone marrow transplant in India, arthroscopic surgery, best liver transplant hospital in India, brain tumor surgery cost in India, top bone marrow hospital in India etc.  If you are looking for free medical and healthcare consulting to find the best hospital and top specialist doctor for any treatment in India then to alafiyameditour.com.

Source: https://bestmedicaltourismcompanyinindia.blogspot.com/2023/09/kidney-transplant-in-india.html

[embodylovemovement]

Thank you and yes! Diets go by many names these days-cleanses, detoxes, lifestyles. It’s all the same harmful diet culture with a new package. Repost @thenutritiontea ・・・ Nope it’s not a “lifestyle”. And I don’t care how long the list is of food you’re allowed to eat. And the fact that one would feel the need to go off a list is telling in itself. There are some eating habits that we do have to shift for. Diabetes, kidney disease (especially if you need dialysis), Crohn’s, food allergies, etc. These aren’t the restrictive diet culture fads out there for losing weight though. These are actual lifestyle changes and can be sustained. Especially when you work with a DIETITIAN 😉. See what I did there? There’s a BIG difference. Not to mention even if you have to change it up with how you eat due to a disease or allergy, the food freedom mentality can still be applied. Not to mention there is no guilt or food shame for simply eating. Remember that saying the word diet is very uncool now. The industry has caught on. So now they use the word lifestyle. Or wellness program. The Noom ads actually throw in the term “self care” 🤦🏽‍♀️. Listen, anytime you have to restrict what you’re eating for the end goal to be weight loss it’s a diet. And if it’s done in a harmful way, that’s way worse and proven not to last. No one should be eating 1200 calories. That’s not a lifestyle nor is it sustainable. No one should cut out entire food groups. That’s also not sustainable. No one should feel ashamed of eating foods that they like. Period. ✌🏽 . . . . . . . . . . . . . . . . #selfcaresunday #foodfreedomforever #foodfreedom #allfoodsfit #healthyeah #dietitiansofinstagram #rdsofinstagram #ditchthediet #stopdieting #eatwellbewell #iamwellandgood #eatsmart #guiltfree https://ift.tt/2CcTCT0

[treyburnrehabil-blog]

Finding the Best Nursing Home

Whether you're trying to find your self or you're a member of the family assisting out, finding the quality nursing domestic close to you may be a tough process. For all involved it's a brand new emotional and financial challenge. But the greater prepared you are the higher decision you'll make.

What Is a Nursing Home?

Nursing houses provide their citizens with 24-hour protection monitoring, each day dwelling assistance, and advanced on-site clinical care. They also sponsor social activities along with art classes, cooking classes, birthday parties, and film nights. A nursing domestic is an area for a person who can't be cared for at home however doesn't want a health center. Nursing houses usually have a nursing team of workers on-website online, 24 hours a day. Some are installation like hospitals with physical, speech, and occupational therapy. Some have special devices for Alzheimer's and dementia patients. Nursing houses are not handiest for the elderly. They are there for all and sundry who desires 24-hour care.

Up until recently, nursing homes were rigid and institutionalized. There had been policies and a time table for everything (waking, sleeping, eating, bathing, etc.). Now the culture is changing to considered one of resident-centered care. They need their citizens to sense like they're at home. Many durham nursing home are households—small companies of citizens dwelling beneath the identical roof with the same body of workers sharing meals and sports. Some houses are on campuses with multiple households. Resident puppies and cats can frequently be located in the homes. And some homes let citizens convey in their very own pets.

What to Expect

Traditional nursing homes are wonderful from assisted dwelling centers, which are supposed for humans with extra independence. Nursing domestic citizens commonly are getting better from contamination or injury, or want assist managing chronic health issues including cardiovascular disease, diabetes or dementia. Many of the houses are prepared with oxygen tanks, dialysis machines and other medical gadget that isn't generally located at assisted residing centers.

Examples of fashionable nursing domestic benefits are:

Private and semi-non-public rooms

Three cooked food every day

Help with every day dwelling sports together with bathing and dressing

Medication management

Various therapies (memory therapy, physical therapy, speech therapy)

Laundry and house responsibilities services

A social interest calendar

Despite their common points, nursing homes show plenty of variation. Also, a few have adopted characteristics of assisted dwelling centers. This guide permit you to apprehend the opportunities and make the excellent move.

Initial Searching

Before you do a whole lot of leg work, ask around.

Ask your doctor, family, friends, acquaintances and clergy what experiences they have got with nursing houses.

Ask a medical institution's discharge planner or social worker for recommendations, especially if you're within the health center or have been recently.

Contact a social service organisation and speak to case manager about nursing domestic choices.

Contact your neighborhood Agency on Aging for recommendations.

Ask the question, “Are there nursing homes close to me?“

Selecting the Right Nursing Home

After you've asked around (see above) and have a few homes that sound promising, go for a visit. And reflect onconsideration on those questions even as you're there. These questions will most probable result in different questions.

Quality of Life

Is the workforce respectful and friendly?

Is the nursing domestic clean?

Do they provide social, recreational, spiritual and cultural sports that hobby you?

Can you select your waking, mattress time, and bathing time?

Can you get food and drink anytime? Is the meals good? Ask to strive it.

Can you have got site visitors anytime?

Can you have got a pet?

Is transportation provided?

How lots privacy is there?

Can you enhance your room the way you like?

Is the temperature comfortable?

Is there good natural lighting?

Do you have got a phone and TV in the room?

Quality of Care

To be a licensed Medicare/Medicaid provider, a nursing home should meet 150 requirements ranging from safe garage of food to protecting residents from bodily and intellectual abuse. The State Survey Agency plays an inspection to fee the nursing home on those necessities. Ask to see a copy of this inspection report.

Will you get a copy of your care plan? Your care plan is based totally for your health records and should be assessed in the first 14 days and at the least every 90 days thereafter.

Who are your doctors? Can you notice your private doctor?

What improvement goals is the nursing domestic running on?

Staffing

Federal regulation states there must be sufficient group of workers to care for the citizens. What is sufficient? There should be at least one RN for at the least 8 directly hours, 7 days a week.And there should be both an RN or LPN (Licensed Practical Nurse) on responsibility 24 hours a day.

Does the body of workers wear call tags?

Does the workforce recognise the residents with the aid of name?

Do they knock on residents' doors earlier than entering?

Is there a licensed doctor on body of workers daily?

Nursing Home Compare Tool

We have a database of nursing houses that we've reviewed. We provide modern-day customer critiques and complaints with a purpose to study into to assist with studies. Our search characteristic can be used to compare nursing homes in your region and help you come back to a extra knowledgeable decision whilst it comes to selecting a nursing domestic.

Medicare.Gov has a useful tool that allows you to compare nursing houses in your place so you can do research on the various nursing homes in your area. You can select up to a few nursing homes to compare and you are provided with special results. You will learn approximately the overall score of the facilities, fitness inspection results, workforce ratings, and nice measures ratings. It is easy to enter a zip code and choose three place nursing homes to examine and contrast.

When it comes to selecting a nursing home, it's crucial to do your homework. When you use our search function or the Medicare nursing domestic examine tool, you'll have access to an abundance of statistics to examine over about nursing homes in your region.

If you are concerned approximately value, recognize that in case you don't have the assets to cover a stay in a nursing domestic, you will be in a position to stay within the nursing domestic as a Medicaid resident, so long as the nursing home accepts Medicaid. When you don't have non-public money to pay high nursing domestic costs, you'll be included by means of Medicaid once you've got been ordinary into the program.

Nursing home care expenses will vary, but you could anticipate to pay anywhere between $6,000-$10,000 a month to live in a nursing facility.

Nursing Homes vs Assisted Living Communities

Is a nursing home your high-quality choice for senior care? It's critical to understand that nursing homes and assisted dwelling centers are becoming extra alike. Often those who initially search for a nursing home determine that assisted living is a better fit. Here we take a look at developments in offerings and costs for each kinds of dwelling arrangements.

The phrases nursing domestic and assisted residing middle have distinctive connotations. Although the two styles of senior houses are becoming greater alike, their class names still matter. Facilities that offer “progressive care” can fall into each groups.

Assisted Living Centers

Assisted dwelling centers fit many people's needs, often providing extra services than people assume.

With assisted living (as with nursing domestic care) residents can get private care assistance inside the regions of bathing and dressing, meals, medicine management, transportation, stepping into bed, and more.

Residents can get help with laundry, housecleaning, paperwork and different chores.

Compared with nursing homes, assisted dwelling centers cost much less and allow extra freedom. Planned sports are probable to be extra enormous and lively. However, as compared with nursing homes they aren't as well equipped for clinical care.

Generally the federal government regulates nursing houses, and states alter assisted living centers. Federal regulation stipulates that nursing houses need to have RNs on responsibility at all times. This isn't continually a requirement in state-permitted assisted dwelling centers.

Nursing Homes

Nursing homes value extra due to the fact the care is extra intensive. For example, residents in nursing houses are more likely to apply wheelchairs or be bedridden. And even though humans in assisted care might have dementia, people in nursing houses who have dementia generally tend to have greater superior symptoms. Overall a nursing home is ideal whilst someone can advantage from consistent tracking and care from registered nurses and different scientific staff. As defined below, nursing houses have become greater like assisted living communities. A trend called “culture trade” is making nursing home atmospheres greater domestic-like.

Progressive Care

Progressive Care: Sometimes people choose nursing homes due to the fact they count on wanting reminiscence care or different superior care soon, and they'd rather not relocate twice. A better solution could be deciding on an assisted living facility that offers “innovative care” or “a continuum of care.” A resident can start out inside the assisted dwelling place of a domestic, then move simply a quick distance if extra extreme care is wanted later on.

Culture Change Nursing Homes: A stereotype of nursing homes is that they sense institutional, or impersonal and bleak. The concept has a organization foundation in reality — yet in recent times many nursing houses are warm, personalised and high quality environments for citizens and staff. An enterprise aim called “culture exchange” enables provide an explanation for the transformation. Compared with traditional nursing homes, culture alternate nursing homes give residents greater freedoms. For example:

Residents can pick their very own bedtimes although end-of-day private care assistance is needed; bedtime doesn't observe a strict schedule.

Other examples are multiple choices for sports and mealtimes.

Residents would possibly additionally have the ability to decorate their rooms with furniture and art work from home.

Culture change nursing houses also assign the same employees to the identical residents for consistency and comfort. Sometimes this is called “character-centered care” due to the fact it's targeted on what's nice for individuals, not what's easiest for managers. Residents have a greater feel of manipulate and independence, and this may impact their general well-being. Population size also can powerfully affect great of life, as it shapes a man or woman's sense of network. Many culture exchange nursing houses therefore institution their citizens into communities of 20 humans or less. Each micro-community has its very own refrigerator for snacks, and probable meals are organized with the institution's workforce for a homelike atmosphere. Also for a experience of network, each day bulletins are brought in man or woman with the aid of a acquainted workforce member, now not impersonally over a PA system. Besides taking a individual-focused technique with residents, culture trade nursing homes take care to sell personnel empowerment. This can result in decrease turnover quotes and happier workers, similarly improving citizens' experiences.

Nursing Home Costs

Compared with an assisted dwelling network, a nursing domestic expenses approximately double. This is due to the fact the everyday resident needs a better level of care. The charge is calculated at a day by day rate, then elevated for month-to-month billing. In 2016, a GenWorth observe located that the median month-to-month costs at Medicare-licensed nursing houses have been approximately:

$6,850 with a semi-non-public room

$7,seven-hundred with a personal room

Rates may be a whole lot better too… and looking beforehand ten years, GenWorth expects that the typical resident will in all likelihood be charged more than $10,000/month. Obviously, dwelling in a nursing domestic charges more in keeping with month than what the average American spends on rent or a mortgage price. Fortunately each person has a charge solution the usage of non-public or public funds. You can jump beforehand to learn extra approximately deciding to buy nursing home care.

The fee of a nursing domestic live is generally covered via coverage whilst the stay is for rehabilitation. Medicare pays for a nursing home live if the resident is anticipated to return home within a three month period. Once an person needs long term or custodial care, health insurance no longer pays for the person to live in a nursing domestic.

It fees more to stay in a nursing home over an assisted living facility due to the fact extra care is provided. In an assisted dwelling facility, meals are provided, medicine reminders are given and people have the help they need near via. The workforce to resident ratio can be pretty low, as residents frequently don't want a whole lot assistance at all.

In a nursing home, the extent of care is lots higher. Residents of a nursing home want clinical care, medicinal drug control and hands on assistance with the sports of day by day living. The personnel to resident ratio in a nursing domestic is more than in an assisted living facility. This increases the value dramatically, as the staffing wishes are pricey for the facility.

When you want a higher level of care whilst staying in a nursing home, which include dementia care, the price of staying within the a nursing home can growth significantly. If you will be paying privately for nursing domestic care, locating the maximum cheap nursing domestic in your location will be vital to your budget.

Nursing Home Payment Solutions

Staying at a nursing home within the US costs roughly $7,000 consistent with month however we see masses of nearby variation. For examples of extremes, in 2017 the standard fee was about $150 in keeping with day in Oklahoma and about $800 consistent with day in parts of Alaska. Nursing domestic prices are also shaped by using the resident's room setup, the facility's amenities and the extent of care required… but in any case, the lifestyle isn't cheap! How do people pay for nursing houses? Ideally meeting with a monetary guide first, individuals and families locate answers with personal and/or public funds. Especially while a spouse's living expenses need to be considered too, it's very clever to get expert guidance. Here's an introductory manual to fee answers.

Private Pay

Nursing domestic care is expensive. Therefore it's commonplace to pay privately at first, then flow to Medicare or another funding supply. The main gain of paying privately is flexibility. With Medicare and other taxpayer-subsidized packages, seniors have fewer picks due to the fact nursing houses can restrict their numbers of publicly-funded enrollees. For this reason it's important to recognize the accepted payment setups before deciding to move into a given facility. Sources of personal price range could be financial savings or cash from cashing out IRAs and different investments. People additionally borrow from lifestyles insurance rules, sell their houses, and get opposite mortgages as explained below.

Annuity (Savings)

Planning ahead for long-time period care, someone with financial savings should buy an annuity. The underwriter receives a lump sum of coins and then issues everyday monthly bills to the person following retirement. The individual can use these payments for a nursing home, a vehicle payment or whatever else. The main gain of having an annuity is financial discipline. The annuity forces savings to be stretched out over time, and ordinary payments are guaranteed. Additional blessings of annuities are:

Savings placed into an annuity are shielded from attention on packages for authorities aid

a person who lives long should draw more from the account than they placed in

The main downside of annuities is that cost is misplaced in commission and annual charges. Also, penalties are charged if funds are withdrawn early.

Life Insurance

A complete lifestyles coverage coverage (but now not a term lifestyles insurance coverage) can be tapped for long-term care bills. However, this of direction reduces the financial gain for heirs. Three techniques are:

surrendering a coverage

selling a policy

converting life coverage to “lifestyles guarantee”

First, an entire existence coverage policy may be surrendered to the provider. This way that the company buys the coverage returned from the policyholder. However, commonly they'll pay just 50 to seventy five percent of the face price. Similar terms are provided for the second approach: promoting the policy to a “life settlements” enterprise. Again the typical offer is set 50 to seventy five percentage of the policy's price. The lifestyles settlements organisation keeps to pay the coverage's premiums until the policyholder passes away. The business enterprise then receives the economic payout. Life insurance conversion to “existence warranty” is a 3rd choice designed especially to pay for long-term senior care. Like life insurance, life assurance includes a savings assure plus an investment portfolio. Life coverage conversion accounts might give much less for senior care but hold a death advantage (inheritance). The advantages and disadvantages vary from character to man or woman. Meeting with a economic advisor might be worthwhile.

Long Term Care Insurance

When a person is planning well earlier to pay for senior care, buying long term care coverage can be a smart circulate. It lets in extra freedom of desire compared with using Medicare and different public packages for nursing domestic payment. People buy policies that pay anywhere from about $2,000 to $10,000 per month. To protect against dramatic market changes, inflation protection can be protected with month-to-month premium payments. It's essential to recognize that long time care coverage guidelines range in phrases of whilst they'll pay benefits. Generally to receive payments for nursing domestic care or assisted dwelling, a person must want help in at the least two ADLs or sports of day by day dwelling. A doctor's announcement of this need is needed as a part of the claim.

Renting Out a Property

When a senior leaves their old living area empty, then renting it out with careful management might be a treasured supply of profits. Turning a domestic right into a condominium would possibly turn out to be a permanent supply of earnings for the family, or just a transient supply of earnings until the house is sold. Ideally any condominium arrangement will be made whilst the home owner is still a able decision-maker. For a loved one to take over, that individual will want legal guardianship or power of legal professional over the owner of a house.

Bridge Loan

Bridge loans can cowl people's living costs as they await a property sale, pension payout, or other truly guaranteed supply of earnings. A bridge loan is a short-term loan but often the first payment isn't due until 90 days after signing. Common loan lengths are from three months to two years.

Reverse Mortgage Loan

While a bridge mortgage can assist at some point of a pending domestic sale, a opposite mortgage mortgage facilitates maintain the home till the second one spouse actions out or passes away. The loaned cash can help pay for nursing domestic care. The maximum loan amount available is based on domestic equity. The gain of the usage of a reverse mortgage loan for nursing domestic payment is covering housing costs at once. However, when the second one character no longer lives within the domestic, mortgage payments turn out to be due. Often heirs opt to sell the belongings alternatively than maintain payments.

Medicare & Medicaid

Medicare and Medicaid are taxpayer-funded programs that assist seniors pay for nursing home care. Both packages are constrained to human beings with considerable economic want. Medicare is typically confined to medical care for shorter time periods. Medicaid helps cover custodial care. It's feasible to be eligible for both applications at once. Medicare nursing home coverage applies to financially eligible people aged 65 and up who meet all three of those criteria:

to begin with require a hospital stay of three nights or longer

require professional nursing or rehabilitative care as judged through a physician

move to a nursing domestic within 30 days of hospitalization

Without hospitalization, the individual may be eligible for Medicare domestic nursing visits instead. When a patient is eligible for Medicare nursing domestic care, the program may additionally pay the full price of nursing domestic take care of up to twenty days.

Medicare will also supplement a live for a further 80 days (for a complete of 100), but the affected person has a co-pay of more than $150/day.

If psychiatric care is needed, the period of care with Medicare supplements may be further extended.

Medicaid, on the alternative hand, helps pay for long-term personal care (such as help with bathing and eating) in nursing houses and different settings. Because Medicaid is in part nation-run, eligibility and advantages vary by using location. You can see the state-of-the-art country government policies at benefits.Gov. Tip: Shifting one's economic belongings ought to carry Medicare/Medicaid eligibility. For example, when planning for senior care extra than five years in advance, someone should lessen their assets in a “Medicare-friendly” manner by means of shifting a belongings deed to a relative. A man or woman could also set cash aside for funeral costs and it won't count number as an asset, not like if the cash had been kept in savings.

Veterans Benefits

The Veterans Administration or VA has 3 nationwide programs for assisting veterans with nursing domestic care:

Community Living Centers (CLCs)

State Veterans' Homes

Community nursing domestic program

Priority is given to veterans who want nursing domestic take care of service-related disabilities. Some packages are paid for absolutely by using the VA. Others require co-payments.

VA Community Living Centers

Community Living Centers or CLCs have been formerly called VA nursing homes. They're in particular home-like facilities for veterans of all ages. Social activities are planned, and citizens are unfastened to personalize their rooms and can keeps pets. Usually a CLC housing arrangement is temporary however some veterans live lifelong. Services variety from non-public care to skilled nursing and palliative care. The VA operates extra than 130 CLCs across the country, and most are located close to VA hospitals. Benefits in any respect Community Living Centers include:

24-hour skilled nursing care

Rehabilitative care

Access to social work services

Geriatric care

Additionally some CLCs provide those services:

Mental fitness care

Memory care

Respite care

Hospice care

In a few instances a co-pay is needed for VA CLC housing. Coverage relies upon on financial want and the veteran's incapacity status as it relates to service.

State Veterans' Homes

More than 1500 kingdom-run nursing houses are approved through the Veterans Administration. When an eligible vet chooses care at any of these homes, the VA will pay a part of the daily charge. Although all nation veterans' houses meet sure VA standards, plenty of variation results from states putting their own eligibility criteria and lists of services. In a few states non-veteran spouses and Gold Star military dad and mom are eligible for house as well. You can find state veterans' homes in your area with the long-term care locator at va.Gov.

Community Nursing Home Program

The VA Community Nursing Home program companions with nursing homes in vets' personal communities. This expands options for vets who don't stay close to CLCs or kingdom veterans' houses, and need to live near their households at the same time as in a nursing home. VA-approved community nursing domestic care includes:

24-hour skilled nursing care

Occupational remedy and physical remedy

Access to social paintings services

Additionally some community nursing houses offer:

Short time period rehab services

Hospice and palliative take care of the end of life

Special take care of dementia

The Veterans Administration determines its payment subsidies based on army service, degree of disability and economic need.

Uestions to Ask Nursing Homes

Before selecting a nursing home for a cherished one, visiting greater than as soon as is recommended. For example, one day you may study afternoon sports. Another day you could visit for dinner and then see how the community winds down for the night. Sharing a meal with residents and team of workers may be an particularly valuable way to get insights about the facility. Touring a nursing domestic, you'll notice generalities along with the cleanliness of the rooms and hallways, and the way kindly or not-so-kindly human beings have interaction with one any other. You might also locate that one facility is more fitting than every other in methods that count number to your loved one — for example, it'd have gardens, a remedy dog, or bilingual caregivers. Here are unique inquiries to ask administrators at nursing homes and comparable facilities:

How many residents stay on the nursing home? If the populace is large, are residents separated into smaller communities?

What is the ratio of caregivers to citizens? Are specific caregivers assigned to particular citizens?

What is the workforce turnover rate? If worker pride is low, often this shapes the citizens' exceptional of life.

Does the facility provide 3 balanced food daily? Do residents have choices at each meal?

Can citizens customize their rooms with art and other belongings? What fixtures is provided?

When can citizens spend time outdoors? Is the nursing domestic close to different matters that I want to do?

What safety precautions are in vicinity for citizens with Alzheimer's disorder or different dementia? Nursing houses might have stable perimeters, for example, or require certain patients to wear electronic bracelets.

Does the nursing home provide transportation for scientific appointments and to assist residents with errands?

What social sports are sponsored through the home? Can citizens pick out from a couple of hobby calendar? Generally the bigger the nursing home community, the extra diverse the offerings.

What special services are available? Examples are tailored memory care, sensory therapy rooms, and hairdressing.

What sources of payment are accepted? Some facilities restriction their numbers of Medicare and Medicaid sufferers because they're permitted to charge greater when billing privately.

What are the move-out criteria? When might a senior be asked to leave against his or her will? Knowing the answer to this query is mainly important if dementia turns into as issue, as a few dementia sufferers tend to disrupt community life.

Where Can I Find Nursing Homes Near Me?

We offer an in depth database of nursing houses across the nation. Search our nursing domestic listing or provide us a call on our senior helpline to speak to a representative directly. We assist you to to find the right nursing domestic to serve your specific care needs. We can also help you to discover a nursing home that is positioned close to you or close to your loved one, so that making the transition right into a nursing domestic is as seamless as possible.

[wisdomrays]

TAFAKKUR: Part 16

Your kidney

In the earlier issues my friends heart and stomach spoke with you and I patiently waited for my turn. I am located at the waist level to the right of the spine and my twin left kidney on the left, on whose behalf I’m also speaking now. We are truly vital organs to you. Before you say “each one of you claims that it’s vital,” let me talk a bit first, and then you decide.

In your body, which is built like a well-functioning factory, I am the most essential sanitary device. As the heart pumps blood to take food and oxygen to all your organs, you obtain the energy you need. But do you ever think about the disposal after so splendid activities are carried out in your body? If you burn a stove, you need to dispose of the smoke and the ashes if you want to keep it working. Likewise, as you burn your calorie intake, you dispose of the smoke (carbon dioxide) with your lungs and the waste with nitrate-poisonous after a certain level of intensity-thanks to my quietly and perfectly working filters. That is, I am an organ which saves your life by removing the poisonous substances in your blood. I do not only filter your blood, but also play a role at controlling the balances of the sensitive levels of water, sugar, amino acids and different minerals in your body. In short, I am a tiny but strategic laboratory.

The acid-base balance in your body and the amount of water and different salts are significant values which concern all of your bodily activities. When their balance is upset, different troubles arise in different units of your bodily mechanism. I am such a blessing, which works so sensitively to adjust the levels of water and mineral salts in your body while you don’t even realize it.

A watery environment is needed for the thousands of biochemical activities taking place in your body. In addition, activities like the contracting of the muscles and transmission of electrical stimuli between your neurons are realized with the presence of a pinch of mineral salt you don’t even give a thought about. Sometimes you sweat due to running or hot weather. The white stains on your shirt are the salts you lose after the water evaporates. When you suffer from diarrhea, you lose salt again, for the salt in the nutrients are thrown out without being absorbed. Especially when little children are concerned, this loss is of vital importance. The transfer between the blood and the liquid in the tissues is mainly realized through the concentration differences which are kept in a certain balance. If your body holds too much water, your tissues swell. You particularly feel it when you press your finger over the flesh near your shins.

I will not list all of my duties in detail in order not to confuse you. However, let me tell you one more. Since not everyone knows this duty of mine, they just see me as an organ of liquid disposal. But I also take part in controlling the blood production! Surprised? Well, I also have the duty of secreting the hormone which stimulates blood production in the bones. I must always stay alert and maintain this balance in the best way; if you start losing blood, for instance, I must increase the hormone and accelerate blood production.

Yes, I’ve told you about a few of my basic duties, but haven’t told you about how wonderfully designed I am. I am a bean-shaped organ and a single kidney like me weighs 130-160 grams on average. We are approximately 10 grams lighter in female bodies. I am surrounded by a soft but protective membrane. I need 35 grams of daily oxygen supply to survive and I use 13 % of your total body energy.

As an army is made up of individual soldiers, I am like a complex army, and a single soldier of mine is called a “nephron,” which does the real job. Thus, you can see me as a body of nephrons. Millions of these nephrons are brought together to make up one kidney.

A single nephron is a thin tubular structure with closed ends, and its length is about 3-4 cm. So the total length of my nephrons is about 50 km. The cup-like sac at the beginning of a nephron is named the “Bowman’s capsule.” The main artery bringing blood to the kidneys branch into smaller units, and one road leads to every nephron. The knot of capillaries (glomerulus) inside this double-walled capsule is more complicated than any road map you might have seen. The total length of the capillaries is nearly 25 km. The unwelcome substances in the blood are passed to the capsule thanks to blood pressure, and they proceed through the tubule. The total surface area of my tubules is about 20 m2. Within five minutes the whole of your blood passes through us. That is to say, an average of 1.2 liters of blood per minute, and 1800 liters a day are filtered by my nephrons, leaving the toxic substances in me. As this amount of blood (nearly 400 times the normal amount in your body) pass through my tubules and return to the veins they leave behind an average of 180 liters of liquid in me. In this case, you could be supposed to throw out 180 liters of urine a day. However, if you really did that, you would neither be able to find a sufficient supply of water nor salt. Fortunately, Providence granted you the mechanism to absorb back nearly 178.5 liters of this filtered substance. This way, the thickened urine throws out the toxic nitrogen-containing byproducts together with a little amount of water. Therefore, I give you back the substances you need with an amount of 1.5 liters of liquid disposal a day. This reabsorbing is realized in what you call the Henle loop. The cells in the walls of my tubules have neither intellect, nor consciousness, nor any knowledge of physiology; in spite of this, they work as if they were perfectly aware of their duty to adjust the amounts and types the substances to be kept or released. To give you an idea, you can think about the huge dialysis machines your engineers design to fulfill the job my tiny tubules do. You decide which one of us is the perfect work of engineering.

A rich network of veins surround the Heinle loop and the reabsorbed substances are released into the bloodstream. The drops to be disposed of are collected and then passed to your bladder. When the liquid in your bladder amounts to a certain value it tightens the bladder walls. The muscles blocking the way out give way and the urine is disposed of. However, know that the bladder has the capacity to expand as large as 1.5 liters when you cannot find the proper time and place.

Most people take for granted the blessings they enjoy. If you visit the nephrology service in a hospital and talk to the patients waiting to be dialyzed, you understand what I mean better. Do not forget that many people who suffer from kidney failure need that huge machine to filter the whole of their blood and they pray for a kidney suitable for transplantation to be found at once.

Incidentally, thinking of chronic kidney failure recalled various reasons which ruin me: long lasting infections, long-term use of certain medicine, different chemicals like ethylene and mercury, heavy loss of blood, high blood pressure, serious burns, and wrong blood transfers etc. In such cases I can receive irreparable damage.

Another issue which troubles me is the formation of kidney stones. The stones which form owing to failures in different metabolic processes really hurt. When excessive decrease of liquids or increases of salts in the body upset my sensitive balance, some dissolved substances remain, begin to collect, and form stones. These stones hinder urine flow and might cause infections. You may drink water abundantly to prevent these stones. Most importantly do not wait too much before going to the toilet. If you excuse me, I also strongly recommend you to urinate in sitting position; this helps emptying your bladder completely and reduces the risk of kidney stones.

I do my job properly until I lose 90 % of my working capacity. When a considerable part of me loses its capacity, the remaining good part boosts its activity to make up for the loss. When one of our twins are taken out with an operation, the other one does not complain at all; it grows a bit bigger and keeps working.

As the nature of honey depends on the nectars bees collect, the ingredients of the urine I produce depend on what’s in your body. Therefore, a urine analysis tells much in the case of illness. For example, I normally do not release valuable substances like glucose and protein in your blood into the urine, but return them to the bloodstream. As my friends cannot fulfill this function in diabetic patients, their urine analyses reveal glucose. As for medicines, I throw them out right away since they are alien substances to me.

You are young and healthy but be careful and do not get cold around the waist, otherwise I might trouble you. There’s a lot to tell you, but I do not want to confuse you. Like any other organ, I do not like being taken for granted and I just wish for you to appreciate what a blessing I am. Let me note that my perfect cooperation with the rest of your body is another wonder in itself. Anyway, the urea in your blood is increasing, so I must go help my twin now.

[bhurkeclinic-blog]

Reasons to Visit Affordable Kidney Care Clinic in India

Who are Nephrologists? Why is it important to see an affordable kidney care clinic in India? Get all the answers to your queries below.

Nephrologists are physicians, who majorly deal with kidney diseases however, they also cope with the conditions that affect the kidneys. They perform diagnostic tests as well as treat conditions that are related to the kidneys. Nephrology concerns the treatment and diagnosis of kidney diseases including hypertension, electrolyte disturbances and the heed of those requiring dialysis, renal replacement therapy, and renal transplant patients.

Before referring to Nephrologists the patients are examined appropriately by the general physicians. After having a proper examination if the general physicians find abnormalities with the kidney, they immediately refer the patients to the Nephrologists to get confirmed whether the patients have any such disease. The nephrologists often work in concurrence with Urologists; Urologists are the physicians who deal with the entire surgical aspects of kidney diseases and diseases of the urethra, ureters and bladder.

Some of the reasons for referral to nephrologists are:

Uncontrolled high blood pressure

Presence of crystals, proteins or blood in the urine

Long term kidney infections including Pyelonphritis and cystitis.

Electrolyte disorders or Acid-base imbalance

Renal blood vessel disease

Nephrotic syndrome

Nephrotic syndrome

Acute tubular necrosis

Diabetic kidney disease

Cystic diseases including polycystic kidney disease

Autoimmune diseases like lupus, vasculitis, etc.

There are plenty of other serious reasons to see nephrologists. Kidney diseases are usually silent killers and thus it is not easy to figure out what a patient is going through unless the symptoms are visible. Therefore, kidney diseases can actually lead to disaster and it is to be said that consultation with an expert or nephrologist is somehow related to survival. So, if you experience any issue and feel that something’s not right then go ahead and visit a doctor as soon as possible before everything goes haywire.

[nationalmediacommunique]

Jupiter Foundation introduces a unique, affordable Kidney Transplant Program for patients across the region

·        Cost of a kidney transplant surgery: Rs 2.75 lakhs

·        Patients needing a kidney transplant to benefit through Jupiter Foundation

 The kidneys' function is to filter blood to remove wastes, control the body's fluid balance, and regulate the balance of electrolytes. Kidney function can fail due to ailments like diabetes, high blood pressure and infection. However, the nature of the organ is so unique that it is possible to lose as much as 80% of kidney function without experiencing any symptoms or problems. When a patient loses 85 to 90 percent of his or her kidney function, they are considered to have End Stage Renal Disease (ESRD).

 It is possible to partially replicate the functions of the kidney using a blood filtering procedure known as dialysis. However, this can be inconvenient and time-consuming for the patient as well as the family, so a kidney transplant is the treatment of choice for kidney failure whenever possible.

The challenges faced by ailing families for kidney transplants are two-pronged – 1. getting a cadaver donor and 2. the cost of transplant surgery. Thus, several patients either continue putting up with dialysis or succumb to it due to unaffordability of transplants. Hence, Jupiter Foundation has taken the lead to take over the financial challenge for live-related transplants for end-stage renal disease patients.

 Speaking about the initiative, Dr. Ajay Thakker, Chairman and Managing Director of Jupiter Hospital said, "Jupiter Foundation has taken the responsibility to financially assist those in need for a kidney transplant by bearing more than half the cost of the surgery. The patient’s family will only have to pay INR 2.75 lakh for the entire procedure - from day of surgery till discharge - irrespective of any extended stay or treatment due to unforeseen complications. We want to ensure that this facility reaches every patient who is at the last stage of kidney failure with the hope that they live a healthy and long life after kidney transplant”. 

 Speaking about live-related donor transplants, renowned multi-organ transplant surgeon Dr. Gaurav Chaubal said, “We have done several successful kidney transplants and always strive to ensure that neither the donor nor the patient face any major problems during or after the surgery. For live-related transplants, we undertake laparoscopic nephrectomy (kidney removal procedure) for the donor - which has several advantages over the conventional open nephrectomy. This enables a shorter hospital stay for the donor with less pain, minimal scars and an enhanced recovery post the surgery.”

 Speaking on the occasion, Nephrologist Dr. Shailesh Kakde said, "When a patient suffers from permanent kidney failure, and the functioning of the kidney stops to the extent of 85 to 90 percent, the patient either needs permanent dialysis or a kidney transplant. Transplant frees the patient from the need for dialysis after surgery, dietary restriction is also reduced, the physical and mental health of the patient improves, the cost of treatment gets reduced as compared to dialysis. If a kidney transplant is done before he/she needs dialysis, it can save the patient from Hepatitis B or C while the newly transplanted kidney continues to function well."

 Jupiter Hospital is well-equipped with the best available facility to conduct successful transplant surgeries and has been successful in transplanting more than 330 kidneys so far. The hospital is equipped with necessary medical facilities and equipment including a high-quality operation theatre, transplant intensive care unit, beds with dialysis facility etc. In addition, a comprehensive team of full time experts is also available for all kinds of transplants.

 Jupiter Foundation provides financial aid through to pediatric patients requiring cardiac surgery under the program 'Hriday-sparsh'. Till date, 65 children have undergone heart surgeries under this program. Jupiter Hospital also runs a Jupiter Charitable Institute in Thane, which is a 51 bedded facility where patients can avail same medical facilities at subsidized costs. The hospital undertakes several such initiatives to ensure that quality healthcare is accessed by maximum number of people in need.

 Media contact: Aspire PR & Strategies Pvt. Ltd