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giftstour · 5 months ago
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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.
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jtsmedicalcentre · 9 months ago
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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 [email protected]
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vaporize-employers · 1 year ago
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[ID 1 of 9:
"In the 1948 Nakba, at least 15,000 Palestinians were killed and over 750,000 forcibly displaced. In the current assault on Gaza we know the official death count of 11,000+ is an undercount; it's plausible that it exceeds 15K. Meanwhile 1.7 million Palestinians are now displaced" — tweet via @/babadookspinoza, Nov 16, 2023.
2 of 9:
"this is the doctor who - when asked why he didn't evacuate south - said "who will treat my patients? you think i went to medical school to only think about my life?" in the last 11 years he became an esteemed nephrologist & a father, only to be slaughtered by isr*el last week" — quote tweet via @/saritalacolocha
"finishing med school is one of the nicest things that ever happened to me :)" — original tweet via Hammam Mahmc @/drham Mar 5, 2012.
3 of 9:
Gaza. 25 KG Flour's price is 60$ after the war and 15$ before. 1 KG of Salt's price was 0.1$, and now 3$. 1 KG of milk's price was 3$, and now 6$. More and more. All things in #Gaza became double the price. — tweet via @/ahmedshameyas
4 of 9: chart from Visualizing Palestine, Nov 2023. source
People in Gaza lost 97% of their average daily water consumption for basic needs: hydration, cooking & hygiene.
per person per day:
Israel: 230 liters
WHO minimum: 100 liters
Gaza before the war: 88 liters
WHO emergency minimum: 7.5 liters
Gaza today: 3 liters
5 of 9: poster on a collection box, splattered with red.
DO YOU CONDEMN THE MURDER OF CHILDREN? OR IS IT COMPLICATED WHEN IT'S MIDDLE EASTERN CHILDREN?
6 of 9:
"On her wedding day, Hadeel and most of her family were murdered by the Israeli occupation. 16.10.2023" — tweet via Quds News Network @/QudsNen, Oct 16, 2023.
Mirror selfie of a smiling Palestinian woman in a hijab and a watermelon-print blouse. Her fiance is standing behind her grinning, holding up two fingers behind her head.
7 of 9:
"Israel bombed my favourite place in Gaza today. The ancient Great Mosque of Gaza, Mesjid Omar built in 1344. This photo taken last year. I can't imagine the ruins that exist there now. How many murdered here because of the air strikes. Will we ever find out for sure?" — tweet via @hebh_jamal, Nov 16 2023
Interior of a nearly 700 year-old mosque with high ceilings, carved columns and arches in stone, and a rich turquoise tile mosaic on the floor. A toddler is playing on the tile near the photographer's feet.
8 of 9:
"I was born in Shifa. I've learned medicine there. We have memories there; the first time to take history & examine patients. It has a great library that is full of valuable medical textbooks. It has a cafeteria where we met friends and spent nice times. Shifa is under invasion." — tweet via Dr. Ebraheem in Gaza @/abrahammatar, Nov 16, 2023.
9 of 9:
"It's the same testimonies coming out of Gaza again and again, and yet no one is believing us!" — quote tweet via @/ShaimaZiara
"Al-Shifa Hospital: Some of the refugees were blindfolded, stripped of their clothes, and kidnapped by the Israeli forces | Gaza" — original tweet via @/MuhammadSmiry, Nov 15 2023
/end IDs.]
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avionkidneyhospital · 9 months ago
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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 · 11 months ago
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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.
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drasheeshmalhotra · 1 year ago
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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.
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kidneyspecialists · 2 years ago
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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
#californiakidneyspecialists #california #sandimas #pasadena #covina #uplandca #kidneytransplantation #diabetic #diabetics #californiakidneyspecialists #california #nephrologistsandimas #nephrologistpasadena #nephrologistcovina #nephrologistuplandca #kidneytransplantation
#kidneypain #kidneydisease #kidneystones #kidneyhealthawareness #kidneyhealthmonth #kidneyawarenessmonth
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dranujaporwalnephrologist · 4 years ago
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asianhospials · 3 years ago
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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.
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thesaigadu · 4 years ago
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Evya Hospitals are Regarded as Best Nephrology Hospital in LB Nagar, Hyderabad. it has the Best Kidney Specialist in LB Nagar
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nephrologistpatna · 4 years ago
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Best Nephrologist in Patna: Dr. Kumar Rajesh Ranjan
Are you searching for best nephrologist in Patna? Dr. Kumar Rajesh Ranjan is one of the experienced and best nephrologist doctor in Patna. Just because of his vast experience in the field of nephrology, he has successfully treated chronic renal and urology related diseases. 
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He is available for consultation at Satyadev Super Specialty Hospital which is also counted as one of the leading urology hospital in Patna. If you or your close one is suffering from renal diseases and looking for experienced nephrologist near me, contact Dr. Kumar Rajesh Ranjan now.
http://satyadevurology.com/best-nephrologist-patna.php
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bradycardicbum · 5 years ago
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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!
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avionkidneyhospital · 11 months ago
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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
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gordonwilliamsweb · 3 years ago
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‘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.
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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/
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stephenmccull · 3 years ago
Text
‘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.
Tumblr media
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/
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kidneyspecialists · 2 years ago
Text
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/
#californiakidneyspecialists #california #nephrologistsandimas #nephrologistpasadena #nephrologistcovina #nephrologistuplandca #kidneytransplantation #diabetic #diabetics #kidneypain #kidneydisease #kidneystones #kidneyinfection #kidneyhealth #kidneytransplantation #postkidneytransplant #dialysis #nephrologist #nephrology #nephrologynursepractitioner #nephrologistnearme #nephrologistdoctor #kidneytransplantationcenter
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