#nephrologist dr near me

[giftstour]

Explore Our Multi-Specialty Approach to Nephrology & kidney Care - PRINE Health

PRINE Health specializes in Nephrology & kidney specialist care, teaming up with diverse specialists for holistic, patient-centered care with advanced management & IT.

[jtsmedicalcentre]

In this blog, we'll delve into the profiles of some of the most popular nephrologists in Dubai, who is well-known for their expertise, compassion, and unwavering commitment to patient care.

If you’re interested then Book an appointment with Dr. Anil Saxena then call us +971562913634 or can email us at info@jtsmedicalcentre.com

[starhospitalseo]

Expert Neurological and Kidney Care in Hyderabad: Your Guide to Top Specialists and Hospitals

Hyderabad, a city known for its excellent medical infrastructure, has emerged as a hub for world-class healthcare services. Whether you’re looking for a kidney specialist in Hyderabad or the best neurology hospital in Hyderabad, you’ll find top-notch facilities and specialists ready to provide comprehensive care. Among the prominent healthcare institutions in the city, Star Hospitals stands out for its exceptional services in neurology and nephrology.

Kidney Specialists in Hyderabad

Kidney-related health issues require immediate and specialized attention. Hyderabad is home to some of the most experienced nephrologists who offer treatments for chronic kidney disease, kidney stones, and other urological disorders. Hospitals like Star Hospitals and KIMS are well-equipped to handle complex cases with a multidisciplinary approach.

Top Kidney Specialists in Hyderabad

Dr. Malakondaiah is a distinguished urologist in Hyderabad with vast experience in managing complex urological conditions. As a consultant in urology, he is known for his expertise and patient-focused care.

Dr. Jyothsna is a senior consultant nephrologist and transplant physician and serves as the Head of the Department of Nephrology and Transplant. She is recognized for her expertise in managing chronic kidney diseases and her dedication to delivering exceptional care.

Dr. Sridhar is a senior consultant nephrologist and transplant physician, as well as the Director of Nephrology and Transplant at a leading hospital in Hyderabad. With extensive experience, he is highly regarded for his proficiency in kidney transplants and renal care.

Best Neurology Hospitals in Hyderabad

Hyderabad boasts some of the best neuro hospital in Hyderabad, offering advanced treatments for neurological disorders. These hospitals are equipped with state-of-the-art technology and staffed by experienced specialists.

Star Hospitals: A Leader in Neurology

Star Hospitals, located in Banjara Hills, is a leading name in neurology care. The hospital’s neurology department is renowned for its expertise in diagnosing and treating a wide range of neurological disorders, including strokes, epilepsy, and movement disorders. Their team of top neurologists in Hyderabad ensures personalized and effective treatment plans for every patient.

Other Leading Neurology Hospitals in Hyderabad

Apollo Hospitals, Jubilee Hills Apollo is synonymous with excellence in healthcare. Its neurology department specializes in advanced treatments for conditions like multiple sclerosis, Parkinson’s disease, and brain tumors.

Yashoda Hospitals, Somajiguda Yashoda Hospitals is known for its comprehensive neurology care, offering services like neurocritical care and advanced neurosurgery. It’s a preferred choice for those searching for a neurology hospital near me.

KIMS Hospital, Secunderabad KIMS is among the best neurology hospitals in Hyderabad, providing specialized care for neurodegenerative diseases, spinal disorders, and more.

Continental Hospitals, Gachibowli Located in the heart of Hyderabad’s tech district, Continental Hospitals offers cutting-edge neurology services, including neurorehabilitation and stroke management.

Top Neurologists in Hyderabad

Hyderabad is home to some of the best neurosurgeons, offering expertise in treating complex brain and spinal conditions. Renowned neurosurgeon Dr. Manas Panigrahi, practicing at leading hospitals, provides world-class care. For those searching for the best neurosurgeon in Hyderabad, options like Apollo and Star Hospitals stand out for advanced neurosurgical procedures. With cutting-edge technology and skilled specialists, Hyderabad remains a hub for top-tier neurosurgery.

Best Neurologists in Hyderabad

Dr. Anitha Kotha With extensive experience, Dr. Kotha is one of the leading neurologists in Hyderabad. She is highly regarded for her expertise in managing complex neurological conditions, including stroke and epilepsy.

Dr. Neeharika L Mathukumalli Dr. Mathukumalli is a renowned neurologist in Hyderabad, known for her dedication to treating patients with neurological disorders. Her specializations include headache management and neurodegenerative diseases.

Dr. Dushyanth Jasti Dr. Jasti is a distinguished neurologist in Hyderabad with years of experience in diagnosing and treating neurological conditions. He is particularly skilled in stroke management and neurocritical care.

Dr. B. Santhosh Kumar Dr. Kumar is a highly experienced neurologist in Hyderabad, specializing in treating movement disorders and neuromuscular conditions. He is widely recognized for his patient-centered approach and expertise.

Dr. Syed Osman Dr. Osman is a well-known neurologist in Hyderabad, celebrated for his proficiency in managing stroke rehabilitation and chronic neurological disorders. His compassionate care has earned him great trust among his patients.

Neurology Services at Star Hospitals

Star Hospitals, Neuro Hospital Banjara Hills is a beacon of hope for patients with complex neurological conditions. Services offered include:

Advanced neurodiagnostic testing

Treatment for epilepsy and seizure disorders

Comprehensive stroke management

Specialized care for Parkinson’s and other movement disorders

Neurorehabilitation for recovery and therapy

With its patient-centric approach and cutting-edge technology, Star Hospitals continues to set benchmarks in neurology care.

How to Choose the Right Neurologist in Hyderabad

When searching for the best neurologist in Hyderabad, consider the following factors:

Experience and Expertise Opt for a neurologist with extensive experience in treating your specific condition. Renowned specialists like Dr. Sudhir Kumar and Dr. P. N. Renjen have decades of expertise.

Hospital Affiliation Choose a neurologist affiliated with a top neurology hospital like Star Hospitals or Apollo. These hospitals have the infrastructure and support systems to handle complex cases.

Accessibility Consider the location of the hospital or clinic. If you are in Banjara Hills, Star Hospitals is a convenient option.

Patient Reviews Online reviews and testimonials can provide insights into a neurologist’s approach to care and patient satisfaction.

Specialization If you have a specific condition, look for a neurologist specializing in that area. For example, Dr. Chandrashekar is known for treating movement disorders, while Dr. Raghavendra specializes in neuromuscular conditions.

24-Hour Emergency Services

Medical emergencies can strike at any time, and having access to 24-hour emergency services is crucial. Hospitals like Star Hospitals, Apollo, and Yashoda provide round-the-clock emergency care, ensuring timely treatment for critical conditions.

Conclusion

Hyderabad’s healthcare ecosystem is among the best in India, offering top-tier neurology and nephrology services. Whether you’re searching for a kidney specialist in Hyderabad or the best neurology doctor in Hyderabad, the city’s hospitals and specialists are equipped to provide unparalleled care. Star Hospitals, with its exceptional neurology and nephrology departments, stands out as a trusted name for comprehensive healthcare.

For those dealing with neurological or kidney-related conditions, timely intervention and expert care are vital. Use this guide to navigate your options and take a step toward better health and well-being.

[avionkidneyhospital]

Best Nephrologists Doctor In Ahmedabad - Avion Kidney Hospital

Seeking expert kidney care in Ahmedabad? Avion Kidney Hospital offers comprehensive diagnosis & treatment by experienced Nephrologists. 24/7 Dialysis, Child specialists & advanced facilities. Schedule an appointment today!

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[davidpwilson2564]

Bloglet

Monday, January 8, 2024

More time on the phone lining up doctor appointments. Jeez.

Note: Tomorrow morning Trump's lawyers are going to attempt to make the case that the Boss is immune from any wrongdoing. He doesn't have to be there but will show up to rant. It's great for his fund-raising. More talk of witch hunt and that sort of thing...

He adds that he hopes the economy crashes.

A Black man near Columbus Circle shouting, over and over, "Fuck everybody!!"

Tuesday, January 9, 2024

Trump shows up for trial. No camera in the courtroom. His lawyer, a Mr. Sauer (this name new to me) has a raspy voice. Says Trump should be granted presidential immunity. Even if, he is asked, Trump directed that a political opponent be assassinated? The answer: a qualified yes. We remember Trump's saying General Milley should be executed. We remember Nixon's saying (in that interview with David Frost): if the president does it, it's not illegal.

Bus to East Side. Appointment with Dr. Harmon. I have been going to Dr. Harmon for many years and this is only the second time I have seen someone in the waiting room I recognize. A while back I saw (the late) Philip Roth. This time I see a music colleague, Lowell. Trumpet legend. He's the guy I wrote about some time ago who played the entire run of "Phantom of the Opera." We talk for a while. He too is semi-retired. He tells me he played forty Broadway shows. (No need to be hesitant about such things but...did I really need to know this?) My tests at Dr. Harmon's go well and I am told to come back in six months.

In a celebratory mood, I treat myself to take-out sushi.

Wednesday, January 10, 2024

Early a m...Hunter Biden shows up in D C. Much excitement and shouting. Nancy Mace of S. Carolina says he "has no balls." He is ready to testify but the Republicans want it to be behind closed doors, for fact-spinning purposes. Hunter wants to testify publicly. More shouting and, as Marjorie Taylor Greene is getting her two cents in (that voice!) Hunter and entourage get up and leave.

I take the train downtown. Go see the nephrologist. Dr. Moses, an Indian chap, very nice. An explosion of black curly hair atop his head. He runs some tests and prods me. I tell I him I remember when a kidney stone was found. (Cluched tight by internal tendrils making it unpassable.) After further prodding he tells me I have two (!) kidney stones. Well, damn. He says he will contact me in a few days. Oy, all of this doctor stuff.

He said: hydrate. He said drink two liters of water a day. I can't imagine such a thing.

Walk out in a bracing wind. Dry leaves scuttling end over end along the pavement. More stops and then home.

Evening. Christie drops out of the race. DeSantis and Haley trade barbs.

[drasheeshmalhotra]

There are 3 main types of DIALYSIS

IN-CENTER HEMODIALYSIS

HOME HEMODIALYSIS,

PERITONEAL DIALYSIS

When it comes to kidney care, Dr. Asheesh Malhotra emerges as a beacon of expertise, offering a comprehensive spectrum of dialysis solutions tailored to patients' unique needs. As the best nephrologist in Delhi and Faridabad, Dr. Malhotra specializes in three primary types of dialysis, ensuring top-tier care for every individual. For those seeking expert supervision and treatment, in-center hemodialysis stands as a cornerstone of Dr. Malhotra's practice. As a kidney doctor near me, Dr. Malhotra ensures meticulous monitoring and personalized care for chronic kidney diseases.

For those in pursuit of the best kidney doctor in Faridabad , Dr. Asheesh Malhotra provides unparalleled expertise in in-center hemodialysis, home hemodialysis, and peritoneal dialysis. With unwavering commitment and a patient-centric approach, Dr. Malhotra ensures that every individual's journey toward optimal kidney health is met with exceptional care.

[kidneyspecialists]

You’re not alone. More than one in eight men and one in 16 women in the U.S. are estimated to have Chronic Kidney Disease (CKD). If you have CKD, you may have reduced kidney function, which could be a serious problem if left untreated,"

SAN DIMAS OFFICE: (909) 542-2777

PASADENA OFFICE: (626)-357-9805

COVINA OFFICE: (626) 332-2777

UPLAND OFFICE: (909) 542-2779

Visit us: California Kidney Specialists | Best Nephrologist in California

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#kidneypain #kidneydisease #kidneystones #kidneyhealthawareness #kidneyhealthmonth #kidneyawarenessmonth

[asianhospials]

Best Neurosurgery Hospital in Ahmedabad

Asian Hospitals is the best Neurosurgery hospital in Ahmedabad with an experienced team of neurologist. visit best neurosurgeons in Ahmedabad.

[thesaigadu]

Evya Hospitals are Regarded as Best Nephrology Hospital in LB Nagar, Hyderabad. it has the Best Kidney Specialist in LB Nagar

[bradycardicbum]

Internship Diary

I was the only and last intern to have had an extended internship duty, actually an extra month due. I had to deal with it alone. For sure it was depressing and regretful, but at the same time I got to entirely enjoy the journey than that of the last six months. I was still grateful for it, nevertheless.

From witnessing codes and seizures, warding was my favorite. Tiring yet rewarding; I took my time to think and remember the diseases of the patients whom I’ve extracted blood from and had small but meaningful conversations. The ones without any further information are those I couldn’t remember. These were each of the patient’s diseases I’ve listed:

Community acquired pneumonia - 75-year old male patient who was very thin lying on his left side at the ER Pulmonary tuberculosis - 40-year old male patient in the isolation room, he was having hemoptysis aka he was coughing blood lying on the bed and oh he had big antecubital median vein on his right arm Autoimmune hemolytic anemia - This late 40′s female patient seemed healthy and bubbly until I saw her diagnosis. Kawasaki disease - 5-year old male patient in the pediatric ER Henoch schonlein purpura - 6-year old male patient at the pedia ward. I got the chance to converse with the patient’s mother since we both share the same dialect. They were from a town near our place, so they decided to let the patient be admitted to the hospital. But as per the doctor’s request the patient needs to be transferred to a bigger public hospital where nephrologists are in the area. Polycythemia vera Hodgkins lymphoma - This was my last patient from a 16-hour shift on my second to the last day of my extension duty. Non-hodgkins lymphoma - His place was an hour drive away from our town. He was admitted to the ER that night. He was in tears because he was getting tired of his condition and of transferring hospitals; we also share the same dialect. Dengue severe - This patient was eventually admitted from the pediatric ER to PICU. A 9-year old girl who is very giddy and afraid to have another prick; she had oral lesions/manifestations. Chronic kidney disease [Stage 5] - My most unforgettable patient. I couldn’t disclose any information on this one. Right brain infarct - When 2-3am in the morning strikes, vehicular accident victims come rushing in the ER. This time we got this man in restraint since he was moving aggressively all the while being unconscious as we were trying to extract blood from him for further tests. Hours later, he was pronounced dead. Ovarian cancer Obstructive Jaundice - 50-year old female patient admitted in the ER. It got me rushing to the stockroom and get some gloves because of her condition. Even the tiniest prick of HBV-infected blood on a person causes more disease transmission than that of an HIV-infected one. Measles - Due to the limited capacity of the pediatric ER, this 3-year old female patient was admitted outside a tent isolation area since she had measles and it was very communicable. I was able to extract blood from her once, luckily. Pleural effusion; Left chest Post-status thyroidectomy Thyroid cancer Oropharyngeal cancer - This patient is one for the books. He is a 50-year old male patient who had his mouth down to his neck surgically stapled from surgery; had collapsed veins. So we got to extract four times due to the number of tests being requested. Breast cancer Hypothyroidism Hyperthyroidism -  Actually my blockmate who had her monthly check on her thyroid hormone status. Disseminated intravascular coagulation/coagulopathy Chronic myelogenous leukemia - We were trained to be junior pathologists as a punishment for making a fuss during duty hours. We were given slides to be examined and diagnose its disease presented by the microscopic features of the blood smear. Pulmonary embolism Ischemic heart disease Tonic clonic & Absence seizure - Lastly, my most memorable patient. Little did I know she was the patient of Dr. Crush. She was aggressively moving while unconscious so he had to restrain her right arm for me to extract blood from the patient.

This is a very wholesome and memorable experience I have had in my life. I have now appreciated what it’s like to be working in a clinical setting, where we’re not just stuck in a four-walled room with books to read on. We got to interact to patients and their conditions. Looking forward to be able to fulfill my purpose of serving other people soon.

To God be the Glory!

[avionkidneyhospital]

Best Nephrologists In Ahmedabad | Best Nephrologist Surgeon Doctor In Ahmedabad - Avion Kidney Hospital

Best Nephrologists In Ahmedabad - Dr. Tejas J. Patel (Nephrologist) No1 Best Kidney Doctor in Ahmedabad, Kidney Specialist Doctor near me Ahmedabad, Best Nephrologist Surgeon Doctor In Ahmedabad. Best nephro kidney disease treatment doctor in Ahmedabad. Avion Kidney Hospital has the best kidney doctor and nephrologist in Ahmedabad, providing expert care and treatment for patients with kidney disease.

Best Nephrologist In Ahmedabad, Best Nephrologist Doctor In Ahmedabad, Best Nephrologist Surgeon In Ahmedabad, Best Nephrologist Surgeon Doctor In Ahmedabad, Dr. Tejas Patel, Avion Kidney Hospital

[gordonwilliamsweb]

‘My Time to Live’: Through Novel Program, Kidney Patients Get Palliative Care, Dialysis ’Til the End

After a decade of living with chronic kidney disease, Vonita McGee knows her body is wearing out.

At 63, McGee undergoes dialysis sessions three times each week at a Northwest Kidney Centers site near her Burien, Washington, home to rid her blood of waste and water. She has endured the placement of more than a dozen ports, or access sites, in her arms and chest as sites became scarred and unusable. Late last month, doctors performed surgery to install yet another port near her left elbow, but no one is certain it will hold.

“Because of scar tissue, I was told this is my last viable access,” she said.

Without ongoing dialysis, McGee knows she could face death within days or weeks. But, unlike many of the nearly 500,000 U.S. patients who require dialysis, McGee said she’s had help making peace with the process.

“I know that things are coming,” she said. “I’m in awe of death, but I’m not afraid of it anymore.”

That’s largely attributed to a novel effort in Washington state that embeds palliative care within a kidney center whose clinics treat patients living with kidney disease; and then later pair dying patients with hospice care without forcing them to forgo the comfort that dialysis may still provide.

Traditional hospice services require kidney patients to abandon dialysis, a decision that hastens death, and almost inevitably comes with acute symptoms, including muscle spasms and nausea.

McGee is one of 400 patients enrolled since 2019 in a first-in-the-nation palliative care program housed at Northwest Kidney Centers, a Seattle-based operation with clinics throughout the region. The organization founded the first dialysis center in the U.S. — and the world — nearly 50 years ago.

Chronic kidney disease, or CKD, encompasses five stages, from mild damage in the organs’ functioning in stage 1 to complete kidney failure in stage 5. Most patients start preparing for dialysis — and kidney failure — in stage 4. Dialysis does not cure kidney failure. The only other option for treatment is an organ transplant.

Dialysis patients typically face distressing physical, emotional and spiritual symptoms throughout their treatment, ranging from pain, shortness of breath and intense itching to depression and panic. The symptoms can grow dire as years pass.

But only a fraction of those patients, 4% or fewer, ever receive specialized palliative care that can effectively target those issues, said Dr. Daniel Lam, the University of Washington nephrologist and palliative care expert who launched the program with the help of a two-year, $180,000 grant from the Cambia Health Foundation. Attention to palliative care in nephrology has lagged behind its use for advanced cancer, for instance.

That’s especially true for Black patients and other minorities, who are disproportionately more likely than white patients to require dialysis, but far less likely to receive quality palliative or end-of-life care.

“We’re trying to address this current and projected gap,” Lam said. “What we are doing is asking people how do they want to live their lives and what’s most important to them.”

If McGee’s condition deteriorates to the point that she has a prognosis of six months or less to live, she will then be a candidate for a related partnership between the kidney center and the nonprofit Providence Hospice of Seattle, which would allow her to continue to receive dialysis even after hospice care begins.

While the goal of both hospice and palliative care is pain and symptom relief, hospice has traditionally been regarded as comfort care without the intent to treat or cure the primary disease. The nuance with dialysis is that it is central to keeping a kidney patient’s body functioning; discontinuing it abruptly results in death within days.

“The goal of this program is to provide kind of a smooth off-ramp from curative dialysis to the end of their lives,” said Mackenzie “Mack” Daniek, who co-directs the hospice.

Most dialysis patients face a harrowing choice between continuing dialysis or receiving hospice services. That’s because the Medicare hospice benefit, which took effect in 1983, provides palliative care and support for terminally ill patients who have six months or less to live — and who agree to forgo curative or life-prolonging care.

That rigid requirement could change in the future. The Centers for Medicare & Medicaid Services has approved an experimental model that will allow concurrent care for some patients starting next year. But, for now, Medicare will not simultaneously pay for dialysis and hospice care for patients with a terminal diagnosis of kidney failure.

Hospices receive a daily per-patient rate from Medicare, typically $200 or less, and must use it to cover all services related to the terminal diagnosis. Dialysis can easily cost $250 a session, which means only the largest hospices, those with 500 or more patients, can absorb the costs of providing concurrent care. Only about 1% of the more than 4,500 hospices in the U.S. meet that mark.

The result? About a quarter of dialysis patients receive hospice care, compared with about half of the general Medicare population. And their median time spent in hospice care is about five days compared with more than 17 days for the general population. This means that dialysis patients often receive aggressive medical treatment until the very end of life, missing out on the comfort of targeted end-of-life care.

“What’s happened through the years is when a dialysis patient is ready to stop treatment, that’s when they come to hospice,” said Dr. Keith Lagnese, chief medical officer of the University of Pittsburgh Medical Center Family Hospice. “They’re forced to draw that line in the sand. Like many things in life, it’s not easy to do.”

Lagnese said the Seattle program is among the first in the U.S. to address palliative and hospice care among dialysis patients. His UPMC program, which has experimented with concurrent care, allows patients up to 10 dialysis treatments after they enter hospice care.

In the Washington state program, there’s no limit on the number of sessions a patient can receive. That helps ease the patient into the new arrangement, instead of abruptly halting the treatment they’ve been receiving, often for years.

“If they’re faced with immediately stopping, they feel like they’re falling off of a cliff,” said Lam, the program’s founder.

In McGee’s case, she’s had the benefit of palliative care for three years to help negotiate the daily struggles that come with dialysis. The care focuses on relieving the physical side effects, and emotional symptoms such as depression and anxiety. It also addresses spiritual needs, which McGee said has helped augment the comfort she finds as a member of the Baha’i religious faith.

“They provide mental support, and they inform you what you need to do to do things properly, and they’re your liaisons,” McGee said. “Basically, I was just living before without knowing the information.”

When she considers her degenerating medical condition and the possibility that it will become too difficult, even impossible, to continue dialysis long term, she said she welcomes the option to ease into the final stage of her life.

“Do I feel scared? At one point, I did,” McGee said. “But they are assuring me that my rights will be honored, they will be advocates for me when it happens. By having that support, it gives me my time to live.”

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

USE OUR CONTENT

This story can be republished for free (details).

‘My Time to Live’: Through Novel Program, Kidney Patients Get Palliative Care, Dialysis ’Til the End published first on https://nootropicspowdersupplier.tumblr.com/

[stephenmccull]

‘My Time to Live’: Through Novel Program, Kidney Patients Get Palliative Care, Dialysis ’Til the End

After a decade of living with chronic kidney disease, Vonita McGee knows her body is wearing out.

At 63, McGee undergoes dialysis sessions three times each week at a Northwest Kidney Centers site near her Burien, Washington, home to rid her blood of waste and water. She has endured the placement of more than a dozen ports, or access sites, in her arms and chest as sites became scarred and unusable. Late last month, doctors performed surgery to install yet another port near her left elbow, but no one is certain it will hold.

“Because of scar tissue, I was told this is my last viable access,” she said.

Without ongoing dialysis, McGee knows she could face death within days or weeks. But, unlike many of the nearly 500,000 U.S. patients who require dialysis, McGee said she’s had help making peace with the process.

“I know that things are coming,” she said. “I’m in awe of death, but I’m not afraid of it anymore.”

That’s largely attributed to a novel effort in Washington state that embeds palliative care within a kidney center whose clinics treat patients living with kidney disease; and then later pair dying patients with hospice care without forcing them to forgo the comfort that dialysis may still provide.

Traditional hospice services require kidney patients to abandon dialysis, a decision that hastens death, and almost inevitably comes with acute symptoms, including muscle spasms and nausea.

McGee is one of 400 patients enrolled since 2019 in a first-in-the-nation palliative care program housed at Northwest Kidney Centers, a Seattle-based operation with clinics throughout the region. The organization founded the first dialysis center in the U.S. — and the world — nearly 50 years ago.

Chronic kidney disease, or CKD, encompasses five stages, from mild damage in the organs’ functioning in stage 1 to complete kidney failure in stage 5. Most patients start preparing for dialysis — and kidney failure — in stage 4. Dialysis does not cure kidney failure. The only other option for treatment is an organ transplant.

Dialysis patients typically face distressing physical, emotional and spiritual symptoms throughout their treatment, ranging from pain, shortness of breath and intense itching to depression and panic. The symptoms can grow dire as years pass.

But only a fraction of those patients, 4% or fewer, ever receive specialized palliative care that can effectively target those issues, said Dr. Daniel Lam, the University of Washington nephrologist and palliative care expert who launched the program with the help of a two-year, $180,000 grant from the Cambia Health Foundation. Attention to palliative care in nephrology has lagged behind its use for advanced cancer, for instance.

That’s especially true for Black patients and other minorities, who are disproportionately more likely than white patients to require dialysis, but far less likely to receive quality palliative or end-of-life care.

“We’re trying to address this current and projected gap,” Lam said. “What we are doing is asking people how do they want to live their lives and what’s most important to them.”

If McGee’s condition deteriorates to the point that she has a prognosis of six months or less to live, she will then be a candidate for a related partnership between the kidney center and the nonprofit Providence Hospice of Seattle, which would allow her to continue to receive dialysis even after hospice care begins.

While the goal of both hospice and palliative care is pain and symptom relief, hospice has traditionally been regarded as comfort care without the intent to treat or cure the primary disease. The nuance with dialysis is that it is central to keeping a kidney patient’s body functioning; discontinuing it abruptly results in death within days.

“The goal of this program is to provide kind of a smooth off-ramp from curative dialysis to the end of their lives,” said Mackenzie “Mack” Daniek, who co-directs the hospice.

Most dialysis patients face a harrowing choice between continuing dialysis or receiving hospice services. That’s because the Medicare hospice benefit, which took effect in 1983, provides palliative care and support for terminally ill patients who have six months or less to live — and who agree to forgo curative or life-prolonging care.

That rigid requirement could change in the future. The Centers for Medicare & Medicaid Services has approved an experimental model that will allow concurrent care for some patients starting next year. But, for now, Medicare will not simultaneously pay for dialysis and hospice care for patients with a terminal diagnosis of kidney failure.

Hospices receive a daily per-patient rate from Medicare, typically $200 or less, and must use it to cover all services related to the terminal diagnosis. Dialysis can easily cost $250 a session, which means only the largest hospices, those with 500 or more patients, can absorb the costs of providing concurrent care. Only about 1% of the more than 4,500 hospices in the U.S. meet that mark.

The result? About a quarter of dialysis patients receive hospice care, compared with about half of the general Medicare population. And their median time spent in hospice care is about five days compared with more than 17 days for the general population. This means that dialysis patients often receive aggressive medical treatment until the very end of life, missing out on the comfort of targeted end-of-life care.

“What’s happened through the years is when a dialysis patient is ready to stop treatment, that’s when they come to hospice,” said Dr. Keith Lagnese, chief medical officer of the University of Pittsburgh Medical Center Family Hospice. “They’re forced to draw that line in the sand. Like many things in life, it’s not easy to do.”

Lagnese said the Seattle program is among the first in the U.S. to address palliative and hospice care among dialysis patients. His UPMC program, which has experimented with concurrent care, allows patients up to 10 dialysis treatments after they enter hospice care.

In the Washington state program, there’s no limit on the number of sessions a patient can receive. That helps ease the patient into the new arrangement, instead of abruptly halting the treatment they’ve been receiving, often for years.

“If they’re faced with immediately stopping, they feel like they’re falling off of a cliff,” said Lam, the program’s founder.

In McGee’s case, she’s had the benefit of palliative care for three years to help negotiate the daily struggles that come with dialysis. The care focuses on relieving the physical side effects, and emotional symptoms such as depression and anxiety. It also addresses spiritual needs, which McGee said has helped augment the comfort she finds as a member of the Baha’i religious faith.

“They provide mental support, and they inform you what you need to do to do things properly, and they’re your liaisons,” McGee said. “Basically, I was just living before without knowing the information.”

When she considers her degenerating medical condition and the possibility that it will become too difficult, even impossible, to continue dialysis long term, she said she welcomes the option to ease into the final stage of her life.

“Do I feel scared? At one point, I did,” McGee said. “But they are assuring me that my rights will be honored, they will be advocates for me when it happens. By having that support, it gives me my time to live.”

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

USE OUR CONTENT

This story can be republished for free (details).

‘My Time to Live’: Through Novel Program, Kidney Patients Get Palliative Care, Dialysis ’Til the End published first on https://smartdrinkingweb.weebly.com/

[kidneyspecialists]

Finding a Nephrology Specialist

We specialize in the diagnosis and treatment of kidney diseases.

Our Services:

✅Chronic Kidney Disease

✅Dialysis

✅Renal Transplant

✅Glomerulonephritis

✅Hypertension Management

✅Other Conditions We Treat

Contact us:

SAN DIMAS OFFICE: (909) 542-2777

PASADENA OFFICE: (626)-357-9805

COVINA OFFICE: (626) 332-2777

UPLAND OFFICE: (909) 542-2779

Visit us: https://californiakidneyspecialists.com/

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Top Hospital In Delhi - Provide Top-Class Medical Care At Affordable Charges!!!

In today's time, several types of common disorders are spreading among people due to many reasons such as Bacteria, Viruses, Fungi, Parasites. General disorders include Diabetes, Back pain, Anxiety, Obesity, Allergic rhinitis, Reflux esophagitis, Respiratory problems, Hypertension that are making an individual's condition severe. A person goes through with any diseases while he/she does take care of his/her health. Due to hectic schedule, people are not able to focus on their health that's why they have to face different types of ailments. If a person is going through with any disease then the person must consult with a doctor and get treatment to cure the diseases. But, because of laziness, lack of money, busy schedule, individuals don't go for treatment then, as a result, they face bad conditions for their health which occur due to many common causes that are becoming the reason for increasing various types of diseases in a human body. As the medical field developed, people can get the treatment of any kind of illness from the hospital. It is an establishment that provides treatment to all the patients to cure the ailment within a certain time frame. If you one of those who is sicking and your health condition is getting worse day by day and looking Best hospital near me then visit our well-recognized and reliable Nestiva Hospital where you can obtain the best and result-driven treatment. We offer the cost-effective treatment at a price that would be light on your pocket so do not need to worry about anything as we are here only to serve you the best within your budget. 

Have A Look Towards Our Specialists And Treatment Services:-

Nephrologist - Our Nephrologist will help you to improve your kidney disorders (both chronic and acute), high blood pressure disorders, fluid, electrolyte, and mineral balance, and manages kidney failure complications (that requiring dialysis) by proving  

Treatments - medications, blood products, surgical interventions (urology, vascular or surgical procedures), renal replacement therapy (dialysis or kidney transplantation), and plasma replacement. 

Orthopedic - Our orthopedic offers the best treatment of problems regarding the bones and muscles at our best known orthopedic hospital. Our state-of-art techniques and equipment, operating rooms, recovery areas, and facilities of physical therapies will give you effective results.

Dermatology - Our Dermatology offers treatment for skin, nails, and hair associated issues. Our best state-of-the-art technology and well qualified competent team keep up with our commitment to giving excellent quality services.

Gynecology/Obstetrics - Our gynecology offers the treatment for issues concerning the female reproductive system. As our team gives extra focus on the wellness of females, our female patients get the specialized care that fulfills all needs of their body.

Dietician/Nutritionist - Our dietician offers an effective diet or treatment as per the individual’s body, weight, BMI, and other needs. A good diet is a crucial part of treating and preventing several disorders. Our excellent journey of taking care of patients with a healthy and hygienic diet is the reason for patient's well being.

General Medicine - this department provides comprehensive primary care to hospitalized patients who are facing a wide range of ailments. Our general medicine department is equipped to improve all kinds of chronic health conditions, like diabetes and coronary illness, treat chronic disorders such as respiratory infections and joint pain. 

Pathology - Our Pathology offers world-class diagnostics services to our valuable patients with the help of a very well-organized system of labs and set points. Being, the Best hospital in Delhi, we pledge to give the clinical testing and wellness solution of the top quality at an economical value.

 Why Choose Nestiva Hospital?

We have state-of-the-art technology

We provide the excellent quality services

Economical costs

We have well qualified and veteran specialists

Our offered services give the fastest results

Our modern edge cutting infrastructure provides the     best

We have a team of strong and dedicated employees

Our provided services are available 24/7 hours

About Nestiva Hospital

We have started our Top hospital in Delhi 5 years ago where we pledged to save the life of a number of patients. Our Nestiva hospital helps our esteemed community with commitment and passion and, giving medical care of National standards. We give the throughout the Delhi: Munirka, Govindpuri, Mahipalpur, and in Bihar at Patna. We have commenced our healthcare operations with full dedication. Our Nestiva Hospital primarily was established in Munirka. A distinguished General Physician of the area, Dr. Amit Chaudhary is the director of the Hospital. You can be certain that you will get hospital-quality healthcare in ease as your home with Nestiva. Our devoted team of highly adequate specialists always available 24/7 hours to give medical coverage. 

 Our best emergency clinic gives all kinds of help include Ultrasound, Laboratory Test, X-beam, ECG, TMT, and Echo. A Complete Healthcare Plan is another theory highlighted for offering Preventive, Diagnostic & Curative Health Care at Nestiva Hospital that is Convenient, result driven, and of High Quality for our precious Patients. 

Our team of dedicated and caring doctors boosts the Standard of Health Care Services at Every Level. As quality is viewed and improved in all aspects of Patient Care, our Hospital gives quality care with kindness. Our aim is to save one’s life with responsibility. Moreover, we want to bring more and more excellent class technology and broaden our embrace of care. We are highly recognized by our valuable patients who have experienced our services. We are a highly demanded hospital in the city as our services never disappoint the patients. We not only give services of health care but also we take care of every patient with high-class facilities. As we are well equipped with our modern and top class machines, we are able to provide reliable health services so that our patients can have a lasting life. We always take care of our every patient's happiness that's why we offer services at a price that would be light on the patient's pocket.

Contact us today as we are available to serve 24hr.