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Letter: Cuts imperiling dialysis care - The State Journal-Register

As a dialysis facility administrator at Springfield Montvale Dialysis Center, I am responsible for the life-sustaining care of 80 people with kidney failure, also known as end stage renal disease.  Our caregiving team recently had the opportunity to give Congressman Aaron Schock a tour of our facility and a firsthand look at the difference we are making in the lives of people who rely on dialysis to survive.

Individuals with kidney failure require a kidney transplant or dialysis treatments three times per week — up to four hours per treatment — in order to clean their blood of deadly toxins.  Because receiving a kidney transplant is very difficult, dialysis is the treatment course for most ESRD patients.
 
Last year, when Congress was unable to reach an agreement on how to reduce future budget deficits, plans for automatic across-the-board spending cuts were put in place, including more than $100 billion in cuts to Medicare.

The Medicare ESRD benefit is a unique program providing coverage regardless of age or income due to the distinct challenges faced by this patient population. Therefore, the majority of our patients are Medicare beneficiaries, which means across-the-board cuts to Medicare disproportionately impact patients with kidney failure.

Despite the challenges of these funding reductions, our front-line caregivers continue to work tirelessly to provide high-quality care for our patients. Adding these pending cuts to an already-strained system and still other possible cuts on the horizon could dramatically hurt patient access to quality dialysis care.   

While I understand the importance of reducing the deficit to achieve economic stability for our country, I hope Schock will join other lawmakers in Congress in recognizing we must steer clear of any additional cuts that may further impact our kidney-care community.

— Vickie Lewis, group facility administrator, Springfield Montvale Dialysis Center
 

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Social Responsibility: GB to get its first dialysis centre - The Express Tribune

The Express Tribune

Social Responsibility: GB to get its first dialysis centre
The Express Tribune
Camps will also be established in Sharote, Shukjot and Barog areas, said the officials.

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Leia Lorica, Peter Yongvanich - New York Times

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Dialysis machine revolutionizes Homewood woman's treatment - nwitimes.com

In many respects, Ashley Looney is your typical 25–year–old. She's studying cosmetology, looking forward to her wedding and making plans for her future.

But unlike many 25–year–olds, Looney suffers from kidney failure and has to undergo regular dialysis.

Instead of going into a treatment center for dialysis, however, she is using a relatively new machine that allows her to do her own dialysis at home.

Looney, of Homewood, was one of the first people in the area to begin using the NxStage System One, a machine that lets her do her own dialysis at home instead of going into a treatment center.

Previously, in–center dialysis treatments required Looney to go three times a week, for up to six hours at a time.

After receiving training, Looney can now do her dialysis treatments herself. She does them five nights a week, in less than half the time it would take if she were going into a center to have them done.

She has been doing her at–home treatments for about a year.

Lynn Brzykcy, a registered nurse who is the clinical coordinator for the home hemo program with DaVita Hammond Group, said despite her young age, Looney was a perfect candidate for the home dialysis machine.

"She is a strong individual, and you have to be able to put needles in your arm and set up the machine," Brzykcy said. "She has just excelled in doing this." Brzykcy said the machine functions more like natural kidneys than traditional dialysis does because you receive dialysis more frequently. That means not as many toxins and fluids are building up in the body.

"When we see patients every other day, the toxins and fluids build up during off days," she said. "They get bloated, feel sick. We have to do more of an extreme dialysis. This machine is a fourth of the size, is portable and acts more like a normal kidney."

The difference is incredible, Brzykcy said.

"She can continue on with her life, and do dialysis on her own schedule," she said. Looney, who has had kidney problems for years, is waiting for a kidney transplant and is on the list in Indiana and Illinois. In the meantime, however, she will continue to do her own dialysis.

She can take the machine to Paul Mitchell cosmetology school, if she has to. She even took the machine with her to Florida when she went to a concert. "Hopefully, I won't have to be on this too much longer. Hopefully I'll get my transplant soon," she said. "But I'm getting used to doing my dialysis. It is less stressful, and I can plan things. I can go downtown if I want to, I can hang out with my friends."

She is planning for a future. "I have freedom now," she said. "I have more energy. I can have a life."

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Kidneys for life - Times of India
Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years.

To fully investigate the underlying cause of kidney damage, various forms of medical imaging, blood tests and often renal biopsy (removing a small sample of kidney tissue) are employed to find out if there is a reversible cause for the kidney malfunction.

What is a kidney health check?

Any health system in the world usually includes simple methods for early detection of kidney disease. When indications are that you are at 'increased risk' of developing CKD, one simple method to measure your kidney function is to measure albumin in the urine by dipstick that detects protein in urine.

What can a health professional do?

-Inform patients about the important role of the kidneys

-Monitor and educate patients who are at particular risk for kidney diseases

-Get in contact with local or national nephrology society or local or national kidney foundation to find out how you can participate in initiatives, help disseminate information and become otherwise involved.

What can you do for your kidneys?

-Keeping fit and active

-Keep regular control of your blood sugar level

-Monitor your blood pressure

-Eat healthy and keep your weight in check

-Maintain a healthy fluid intake

-Do not smoke

-Do not take over-the-counter pills on regular basis

-Check your kidney function if you have one or more of the 'high risk' factors

Dr D S Chafekar (The writer is MD Med, DM Nephro, DNB Med, DNB Nephro)

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