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    Podcast Summary

    • Extra benefits for health and wellnessUnitedHealthcare's Health ProtectorGuard plans help manage out-of-pocket costs, Pretty Litter offers superior odor control for cat owners, PlushCare provides 24/7 telehealth support for weight loss, and Pat Spurgeon shares his inspiring story of managing kidney disease while touring.

      When it comes to health care, it's beneficial to be "extra" with the help of UnitedHealthcare's Health ProtectorGuard fixed indemnity insurance plans. These plans supplement primary insurance, helping individuals manage out-of-pocket costs without usual requirements like deductibles and enrollment periods. Meanwhile, for cat owners, Pretty Litter offers a smart solution with its innovative crystal formula for superior odor control, lighter weight, and early health monitoring. For those struggling with weight loss, PlushCare's telehealth services provide day-and-night support, including FDA-approved weight loss medications and insurance plan acceptance. Lastly, Pat Spurgeon of Rogue Wave shares his inspiring story of managing kidney disease while touring, as documented in the movie "Detour." These stories remind us that taking extra steps for health and wellness can lead to significant improvements and peace of mind. For more information, visit uhone.com, prettylitter.com, and plushcare.com/weightloss.

    • Challenges of dealing with chronic kidney disease in young adultsYoung adults with chronic kidney disease face unique challenges including fear, lack of support, and societal misunderstanding, but their condition doesn't define their identity or abilities. Organizations like Music Cares offer resources and support.

      Dealing with a chronic disease like kidney failure or chronic kidney disease at a young age can be particularly challenging. While children may be more resilient and able to adapt, young adults in their twenties may feel invincible and struggle with the reality of their condition. This is compounded by the fear of side effects and the unknown, as well as the lack of support and understanding from society. Additionally, being low-income and having a preexisting condition can add to the stress and anxiety. Despite these challenges, it's important to remember that having a chronic disease doesn't define one's identity or abilities. For those in creative fields like music, it can be a source of inspiration and a way to connect with others going through similar experiences. Organizations like Music Cares exist to provide support and resources for musicians facing health challenges.

    • Personal Experience with Peritoneal Ambulatory DialysisPeritoneal Ambulatory Dialysis is a helpful solution for kidney failure, but it doesn't cover all expenses and comes with side effects from medication.

      The speaker is discussing their experience with a specific type of dialysis called Peritoneal Ambulatory Dialysis (PD). PD is a method where a person's abdomen is used as a filter to remove toxins and excess fluids from the body, as the kidneys are no longer able to do so effectively. The speaker mentions that this process was a helpful solution for them, but it is not a cure-all and does not cover expenses like surgery or doctor bills. They also share that the side effects of the medication used during and after the procedure were initially concerning. It's important to note that the speaker is not an expert on addiction or the specific organization they mentioned, but they believe it may help musicians dealing with addiction. The overall message is that while PD is a crucial medical intervention for those with kidney failure, it is just one aspect of managing the condition and comes with its own challenges.

    • Personal story of choosing between hemodialysis and peritoneal dialysisAdvocate for yourself in medical decisions, ask questions, understand risks and benefits, and build strong relationships with healthcare providers.

      Even when faced with a medical decision as significant as choosing a type of dialysis, it's crucial to advocate for yourself and explore all options. The speaker shared a personal story of how he was initially committed to hemodialysis but, after learning about peritoneal dialysis, made the deliberate choice to pursue it instead. This experience highlights the importance of asking questions, understanding the risks and benefits, and building a strong relationship with healthcare providers. The speaker's mother also played a vital role in advocating for him during this process. Despite initial resistance from healthcare professionals, the speaker's decision to switch to peritoneal dialysis demonstrates the power of being informed and confident in one's choices. This story serves as a reminder that open communication and self-advocacy are essential components of effective healthcare.

    • Peritoneal Dialysis: A Home-Based, Flexible AlternativePeritoneal dialysis, a home-based treatment used in 80-90% of global dialysis cases, offers flexibility but requires patient involvement and a stable living situation.

      Peritoneal dialysis is a type of dialysis that uses the body's own peritoneal membrane as a filter to clean toxins from the blood, instead of using a machine like in hemodialysis. This method, which accounts for about 80-90% of dialysis treatments worldwide but only 10% in the US, allows patients to perform the treatment at home and offers more flexibility in their schedules. The reasons for its less common use in the US may include a lack of awareness or training, lower reimbursements for doctors, or the preference of some patients for the more passive experience of hemodialysis. Peritoneal dialysis requires a stable living situation and more active involvement from the patient, making it a homework-like task compared to hemodialysis's scheduled visits to a dialysis center.

    • Choosing Between Peritoneal and HemodialysisIndividual values, lifestyle, and personal preferences play a crucial role in deciding between peritoneal and hemodialysis. Peritoneal dialysis may be suitable for motivated individuals, while hemodialysis may be preferred by those who value medical care and attention.

      The choice between peritoneal dialysis and hemodialysis is not a one-size-fits-all solution. Peritoneal dialysis, which involves filling the abdomen with dialysis fluid and letting it sit for a prescribed amount of time, may not be the best option for everyone, especially for those in unsanitary environments or those who require constant sterility. However, it can be a good fit for motivated, intelligent individuals who can manage the procedure well and don't want to commit to frequent hospital visits. On the other hand, hemodialysis, which involves sitting in a chair for multiple hours at a time, may be a better option for those who prefer a more hands-off approach and value the care and attention of medical professionals. Ultimately, the decision should be based on a patient's individual values, lifestyle, and personal preferences. It's important for healthcare providers to have open and humanistic conversations with patients to help them make informed decisions about their treatment options. Approximately 90% of Americans choose hemodialysis, but peritoneal dialysis may be a viable alternative for some.

    • Challenges of Maintaining Health During Touring for Kidney Dialysis PatientsPatients with kidney dialysis face unique healthcare challenges on tour due to insurance acceptance and limited healthy food options, requiring strict adherence to diet and schedule to avoid severe consequences.

      Maintaining health while touring can be a significant challenge, especially for those with complex medical needs like kidney dialysis. The American healthcare system poses unique hurdles, requiring patients to constantly locate facilities that accept their insurance. Tour life itself presents additional challenges, such as limited healthy food options and the stress of maintaining a strict diet and dialysis schedule. The consequences of not adhering to these requirements can be severe, leading to swelling and water retention rather than weight gain. These issues are compounded by the fact that some individuals with kidney failure may not exhibit noticeable symptoms, making the importance of consistent care even more crucial.

    • Living Fulfilling Lives with Health ChallengesIndividuals with health conditions like peritoneal dialysis can maintain confidence and live fulfilling lives, despite the challenges and limitations brought about by their condition. Accepting oneself and focusing on personal strengths can help overcome self-consciousness.

      Despite the challenges and limitations brought about by health conditions like peritoneal dialysis and the presence of a peritoneal catheter, individuals can still maintain confidence and live fulfilling lives. The speaker in this conversation shares his experiences of dealing with such a situation and expresses that he never felt people treated him differently because of his condition. He also mentions that long drives can be beneficial as there's not much to look at, making it easier to put one's feet up. The presence of a peritoneal catheter, while requiring procedures and being a chronic piece of foreign body in one's body, did not significantly impact his ability to be close with women or his overall confidence. He advises becoming a rock star as a solution to potential self-consciousness, but ultimately, it's essential to accept the parts of ourselves that make us unique, whether it's a tube, a mole, or a broken pinky.

    • Expressing gratitude to organ donor's familyEducating people about organ donation and addressing misconceptions can help alleviate the shortage of kidneys and save lives. Becoming a donor leaves a positive legacy and can be discussed with family and healthcare providers.

      Organ donation is a selfless act that can significantly impact the lives of others. The story shared highlights the importance of reaching out to the donor's family as a way of expressing gratitude. However, it can be challenging to know how to thank them adequately. The speaker mentioned that they keep in touch with the donor's family when they're touring, but they're still struggling. The shortage of kidneys and the long wait times for transplants are significant issues. To address this, people need to be educated about organ donation and the misconceptions surrounding it. Contrary to popular belief, becoming a donor does not affect the medical team's efforts to save your life. Instead, it can be a way to leave a positive legacy. To become a donor, individuals can visit their local DMV website or discuss their wishes with their family and healthcare providers.

    • Communicating Your Organ Donation WishesDiscuss and document your organ donation preferences, but also inform loved ones to ensure they can carry out your wishes in case of emergency.

      It's essential to communicate your wishes, particularly regarding organ donation, to those close to you. This can be done through a living will or registering as a donor, but it's crucial not to rely solely on these methods. Make sure your loved ones are aware of your decisions. A poignant example from a movie illustrates the importance of this, as a mother was unable to authorize her son's organ donation due to her lack of knowledge about his wishes. As for touring as a musician, it can be an exciting and adventurous experience, but it can also become draining if expectations aren't met and interpersonal relationships within the band become strained. It's a unique living situation that can lead to deep connections or significant conflicts.

    • The Importance of Support and Comfort in HealthcareHaving a strong support system, managing healthcare costs, and investing in comfort are essential for improved well-being in healthcare.

      Resilience and patience are valuable traits, especially when it comes to healthcare. The discussion highlighted the importance of having a supportive network, whether it's family, friends, or healthcare professionals. Matt expressed gratitude towards those who have helped him in his journey, including producers, editors, sound engineers, and the celebrations passport from 1800flowers.com for making gift-giving a delight. Healthcare was emphasized as an area where being a little extra is necessary, as evidenced by the discussion of UnitedHealthcare's Health ProtectorGuard fixed indemnity insurance plans. These plans help manage out-of-pocket costs and supplement primary insurance. Comfort was also a recurring theme, with Boll and Branch's organic cotton sheets being introduced as a way to ensure a good night's sleep. These sheets get softer with every wash, providing long-term comfort and satisfaction. In essence, the conversation underscored the importance of having a strong support system, being proactive in managing healthcare costs, and investing in comfort to improve overall well-being.

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    Related Episodes

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    In this episode, host Candice Coghlan was joined by Justin Poy, a father, entrepreneur, and businessman who has lived with multiple types of renal replacement therapy since the age of 10, including three kidney transplants, hemodialysis, peritoneal dialysis, as well as home dialysis. Justin spoke about mental health, resiliency, parenting with a chronic illness, and how to appreciate each day. Later we were joined by Dr. Samantha Anthony, the first person to hold the title of Health Clinician Scientist in Canada, Transplant and Regenerative Medicine Center, Department of Social Work, Child Health Evaluative Science Research Institute at SickKids. Together, we explored the medical journey and tools to support children, youth, and families created from the perspective of those who live with it. We also spoke about post traumatic growth and the whole family journey. 

    For more information about peer support, please visit https://kidney.ca/support 

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    EP 34: How Eating These 7 Fruits Can Strengthen Your Kidney Health!

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    I'm Dr. Frita, a board-certified nephrologist. Today, I want to highlight the critical role our kidneys play - from filtering our blood, maintaining our vitamin D levels, to controlling our blood pressure, and more. While certain aspects of kidney health may be beyond our control, what we eat significantly impacts our kidney well-being. Let me share with you seven fruits that are particularly beneficial for our kidneys.

    This podcast is intended to be informational only.  It is not a medical consultation, nor is it personalized medical advice.  For medical advice, please consult your physician.

    Click Here To Request A Concierge Comprehensive Medical Consultation Right From The Comfort Of Your Own Living Room With My Concierge Telehealth Service! 

    Be sure to download your copy of my book, Under Pressure: A Guide To Controlling High Blood Pressure!  It's packed with valuable guidelines, tips, and information that will help you lower your blood pressure and improve your health. Click here now to get your copy today.

    7 Fruits For Better Kidney Health 

    1.     Blueberries: They're not just delicious! Blueberries are packed with antioxidants that reduce inflammation and can even help lower blood pressure.

    2.     Apples: Besides their tantalizing taste, apples are high in fiber, vitamin C, and potassium. They help reduce inflammation and cholesterol, promoting healthier kidneys.

    3.     Watermelon: A hydrating delight, watermelon is full of antioxidants and compounds that aid hydration and even help in lowering blood pressure.

    4.     Cranberries: These little gems not only prevent urinary tract infections but also significantly reduce the risk of kidney stones.

    5.     Lemons: Starting my day with lemon water is a ritual because lemons contain citric acid that reduces kidney stone risk. Plus, they're high in potassium, a vital mineral for our kidneys.

    6.     Grapes: Beyond their sweetness, grapes have a high water content, are rich in antioxidants, and have a commendable potassium content.

    7.     Pineapple: This tropical fruit, aside from being irresistibly sweet, contains bromelain, an anti-inflammatory enzyme, and is teeming with vitamin C.

    Always remember, before incorporating any significant changes to your diet, especially if you have underlying health concerns or are on certain medications, do consult with your physician. Your kidney health matters, and I'm here to help you navigate through it. Stay healthy!

    Be sure to follow me on social media
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    Nephrology (KIDNEYS) with Samira Farouk

    Nephrology (KIDNEYS) with Samira Farouk

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    Follow Dr. Samira Farouk at Twitter.com/ssfarouk or @nehmadness

    Check out #NephMadness and nephmadness.com

    Interested in being a living donor? Here’s some info.

    A donation was made to the American Association of Kidney Patients, AAKP.org

    Sponsor links: www.alieward.com/ologies-sponsors

    More links at: http://alieward.com/ologies/nephology

    Become a patron of Ologies for as little as a buck a month: www.Patreon.com/ologies

    OlogiesMerch.com has hats, shirts, pins, totes!

    Follow twitter.com/ologies or instagram.com/ologies

    Follow Dr. Samira Farouk at Twitter.com/ssfarouk or @nehmadness

    Check out #NephMadness

    Interested in being a living donor? Here’s some info.

    A donation was made to the American Association of Kidney Patients, AAPK.org

    Sponsor links: www.alieward.com/ologies-sponsors

    More links at: http://alieward.com/ologies/nephology

    Become a patron of Ologies for as little as a buck a month: www.Patreon.com/ologies

    OlogiesMerch.com has hats, shirts, pins, totes!

    Follow twitter.com/ologies or instagram.com/ologies

    Support the show: http://Patreon.com/ologies

    Considering Dialysis at Home

    Considering Dialysis at Home

    In this episode of the Let’s Talk About Kidneys podcast, Dr. Lauren McDonald talks about the types of dialysis that can be done successfully in your own home including home hemodialysis and peritoneal dialysis. She puts extra emphasis on the fact that choosing the right dialysis modality is a very personal choice and should be made based on a patient’s lifestyle and what is most important to them.

     

    Overview of Home Hemodialysis

    Home hemodialysis is done in the home. Currently, the dialysis machine is about the size of a nightstand and everything is self contained. It does require 3.5 to 4 hours of time each day, but you can read, watch TV, interact with family and friends, etc. 

     

    Disadvantages of Dialysis at Home

    Privacy is one potential drawback of home dialysis. Family or friends may see the equipment or even the treatment itself if they stop by, neighbors might see delivery vans bringing supplies, etc. So for patients who prefer to keep their health and medical treatments private, home dialysis may not be the best choice.

    Patients must also be comfortable handling the equipment and other minor medical procedures like sticking themselves with needles. 

     

    Overview of Peritoneal Dialysis

    One of the primary benefits of peritoneal dialysis is how portable it is. During treatment you can leave the house, go to work, go to school, run errands, etc. This also makes it very easy to travel since you just need to take masks, gloves and your exchanges. 

     

    How to be Successful with Home Dialysis

    Dr. McDonald believes that confidence and strength are key to doing dialysis at home. It can be overwhelming in the beginning, but once you go through training and get the system down, you will get comfortable with it. 

    The Dallas Nephrology Associates dialysis care team spends focused time ensuring each patient is trained on how to perform their dialysis treatment at home. For peritoneal dialysis, there is at least a 5 to 7 day training period one-on-one with a nurse and with home hemodialysis training will be six weeks. Plus, someone is available 24 hours a day, 7 days a week to help with questions or issues that may arise.  

     

    The Role of Loved Ones

    There must be a family member or friend available to provide support and assistance when performing dialysis at home. They will also go through training to be sure they are prepared, plus Dallas Nephrology Associates care team helps to address caretaker burnout by orchestrating a break and bringing the patient to an in-center facility for a week occasionally. 

     

    Home Dialysis Timeline

    From the time they make the decision, it generally takes about six weeks for a patient to be up and running with dialysis at home. This includes arranging for their access, running labs, a week or two of in-center dialysis to make sure everything goes well, training, and a home visit. Even after dialysis begins at home, the patient will still see their doctor at least once each month for labs and an examination. 

    Your healthcare team at Dallas Nephrology Associates will be there to support you throughout the home dialysis process.