NephU Provides Resources for Dialysis Patients
Learn more about the Education Center's collaboration with NephU, a community of health care professionals and advocates collaborating to improve kidney health.
Enjoy Your Life!
Dialysis does not mean the end of your life! You are still able to perform many of the tasks that you did prior to dialysis but patience and planning are necessary. Please read the following tips provided by Fresenius Medical Care (www.freseniusmedicalcare.com). Talking to the staff at the dialysis centers. Writing down questions ahead of time and inform family members about changes in treatment. Finding out as much as possible about the illness through a National Kidney Association or Society, local or national support groups, written materials, and educational classes. Staying involved in the pleasures, activities, and responsibilities of daily living. [...]
DPC Education Center 2023 Review and 2024 Preview
GREETINGS! This past year was an exciting one for the Education Center. We ramped up our social media platforms, allowing more direct exposure and interaction with our audience, including monthly LIVEs on Instagram and Facebook. Dr. Velma Scantlebury, our medical consultant, was available on Instagram every first Wednesday and on Facebook every third Wednesday—both occurred at 12:30 pm. Our support group, the Kidney Chat, was the second Tuesday of each month by telephone. Nephrologists, nutritionists, and social workers (just to name a few) were guests on the call, and shared important information and resources with patients. We also published an informative [...]
Why do I need my Parathyroid glands removed?
By V. Scantlebury, MD, FACS Chronic kidney disease is associated with phosphate retention due to a decrease in the ability of the kidneys to filter phosphate, especially as your kidney function falls below 25 ml/min. Once you start renal replacement therapy, there is an accumulation of phosphorus that is not removed by dialysis treatments. This occurs because of both decreased filtration and decreased excretion of phosphate in various areas of the kidney. High phosphate levels are a stimulus for hyperparathyroidism: the over secretion of parathyroid hormone (PTH) from the glands. There are usually four parathyroid glands located in the neck, all [...]
A Look at Home Hemodialysis
Summary by V. Scantlebury, MD, FACS Home dialysis modalities, which include home hemodialysis (HHD) and peritoneal dialysis (PD), offer several benefits for patients with end-stage kidney disease (ESKD). Home dialysis is associated with improvements in blood pressure, less issues with mineral metabolism, better sleep quality and improvement of left heart enlargement. It also allows patients the flexibility of adjusting their own dialysis schedule with more time and less cost of traveling to the dialysis center. However, despite these advantages, only 2% of all dialysis patients in the d U. S. and 3-6% in Canada are on HHD. The authors from a [...]
ESRD and COVID-19 VACCINATION
By V. Scantlebury, MD, FACS, DPC Education Center Healthcare Consultant Patients with ESRD have a reduced response to immunizations compared to the general population. This is because the response of their immune system is suppressed, leading to the inability to adequately form an antibody response or maintain antibody titers over time. The low antibody response appears to be correlated with the degree of kidney failure. Despite the inadequate antibody response, getting vaccinated is still recommended and is most important for patients who are immunocompromised. Just as the annual influenza vaccine is updated every year to cover the most prominent strains of [...]
Dialysis Cruising
Joanne Smith, RN, Kidney Care Advocate, Fresenius Kidney Care Whether you are on in-center hemodialysis, peritoneal dialysis, or home hemodialysis taking a cruise is an option for you. It takes a bit of planning, but what vacation doesn’t? I have experienced several cruises that have offered services for dialysis patients. The treatments were performed in staterooms on the lower level of the ship, close to the infirmary. We used a portable reverse osmosis machine attached to the water from the bathroom to provide the purified water needed for the dialysis treatments. We used jugged acid and bicarbonate solutions [...]
Fighting Back Against Implicit Bias in Health Care
Tips for how to speak up and speak out against discrimination in a medical setting Kirsten Weir The receptionist requests two forms of identification from you, yet the White person in front of you required no identification to be verified. A nurse who uses a condescending tone of voice: “you people are all alike.” A doctor who doesn’t listen to you: Having just told the doctor you have knee problems, he recommended that you walk 30 minutes every day. Are they just having a bad day — or is it implicit bias? Implicit bias is an attitude or [...]
Andrew Carr Knows There’s More for Him
Andrew Carr Kidney disease has been part of Andrew’s life since he was 7 years old, when he was diagnosed with Hydronephrosis. Now 29, Andrew has had kidney disease for the majority of his life, but he’s guided by the principle that his kidney disease doesn’t control his life, he does. Andrew began dialysis treatments when he was 19. While Andrew’s exposure to kidney disease happened so early in his life, he does not remember how he felt about it at its outset, but vividly remembers the beginning of his dialysis treatments. For three-and-a-half years Andrew persevered through [...]
Four Things You Should Know About the New Medicare Dental Rule
Andrea Moore, LMSW, Health Equity Specialist, Quality Insights Renal Network 5 1. Before January 1, 2023, Medicare would pay for a dental exam only for patients who were actively seeking a kidney transplant. Now, the new Medicare dental rule will pay for a dental exam and dental treatment (e.g., dental filling, teeth removal, replacement of teeth, etc.) for patients actively seeking any organ transplant. If you are living with kidney disease--with or without dialysis--Medicare will not pay for preventative care, like teeth cleanings. What this means for you: If you have Medicare and are actively seeking transplant, meaning [...]