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Monday, December 15, 2014

The Kidney And Hypertension Group of South Florida's Rapid Response Clinic Is A Huge Success

We asked for our patient feedback and one thing we heard frequently is that patients don't want to wait for an appointment when they are sick, or having a medical issue. So a year ago, we began our "Rapid Response" Clinic or same day office visits when you don't feel you can wait for an appointment. Our patients have let us know, overwhelmingly, how much they love having this option. And it has reduced our patients hospital admissions and Emergency Room visits! If you need a Rapid Response appointment, please tell the receptionist when you call, and one of our board certified nephrologists will see you that day. (954)771-3929.

The Link Between Male Infertility And Hypertension

Poor semen quality can pose a problem for couples trying to conceive, but it appears that infertility also serves as a health warning sign for men. Findings of a new study reveal an association between a man's low-quality semen and his increased probability of having other unwanted health conditions. For the study published in Fertility and Sterility on Dec. 10, Michael Eisenberg from Stanford University School of Medicine's Department of Urology and colleagues looked at the medical data of over 9,000 men who were 38 years old on average and have infertility problems. The subjects routinely provided samples of their semen, which were assessed for volume, concentration and motility, or the ability of the sperm to move correctly to reach and fertilize an egg. About half of whom were found to have abnormal semen and the remaining half had reproduction problems caused by something else. By assessing the overall health of the men, the researchers found that 44 percent of the subjects had other health problems besides infertility. Eisenberg and colleagues, in particular, observed an association between poor semen quality and certain diseases that were not previously linked with fertility problems such as those that affect the circulatory system, including vascular disease, high blood pressure and heart disease. Eisenberg's team likewise observed that with the increasing number of semen defects, the probability of men having a skin disease or endocrine disorder rises. The relationship also appears to work the other way around. The researchers observed that the men with worse health had increased likelihood to have poor semen quality and low semen measures. The researchers said that while genetics play an important role in a man's sperm production, the findings of the study suggest that a man's health condition can also be a crucial factor in his reproductive abilities. "The current report identified a relationship between medical comorbidites and male semen production. Although genetics help guide a man's sperm production, his current condition and health play an important role," the researchers wrote. Although the study does not show a causal relationship, the researchers said that there are a number of ways circulatory problems can be linked with poor semen quality such that these conditions are all tied to smoking and obesity. "Infertility is a warning: problems with reproduction may mean problems with overall health," Eisenberg said. "As we treat men's infertility, we should also assess their overall health."
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Friday, December 5, 2014

Juliette Valle is "Young Bonnie" in Slow Burn's Bonnie and Clyde

Congratulations to Dr. Gabriel Valle's daughter, Juliette Valle, age 13, who will portray "Young Bonnie" in the musical "Bonnie and Clyde". It will be produced by the Slow Burn Theatre Company and directed by Carbonell award winner for Best Director, Patrick Fitzwater. The musical will run January 22- February 8, 2015 in Boca Raton followed by an engagement in Miami, February 12th to 15th, 2015 at the Aventura Arts & Cultural Center. Hope to see you there! Tickets are selling fast and are available: Boca- http://slowburntheatre.org/ Aventura- Visit Aventura Arts and Cultural Center website

Saturday, November 15, 2014

The Importance of Preserving Residual Renal Function on Dialysis

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Dialysis patients of The Kidney & Hypertension Group know we are big on preserving your residual renal function. (urine output) We choose PD when we can, and work in other ways to protect the kidney function that remains. That topic was covered at the ASN meeting this week. In this recap, it does not mention (but hopefully covered) the importance of continued vigilance in protecting the kidney from nephrotoxic substances-either medication or from diagnostic tests when you are on dialysis. In particular, we have found extreme vigilance is needed in guiding our patients through the rigors of transplant workup (ie radio-contrast studies), and guarding against loss of RRF there. Like the article says, every drop of urine promotes your well being on dialysis, particularly as you wait for a kidney transplant. As for medication, if you had to avoid it pre-dialysis, chances are you need to avoid it on dialysis. One example is anti-inflammatory medication, either over the counter, or prescribed. When taking antibiotics, your nephrologist will consider the proper dose for you, often in conjunction with the prescribing physician. Because today's medicine means your own doctor may not be treating you in the hospital, we find education of the patient on preserving his or her renal function from day one goes a long way to making sure the patient is their own advocate in situations where guarding renal function may not be given full consideration by the medical team. http://ajkdblog.org/2014/11/14/kidney-week-2014-preserving-residual-kidney-function-in-esrd/

Friday, November 14, 2014

Young Adults Are Not Hearing About Hypertension During Doctor's Visits

HealthDay News) — Only about one in two young American adults with hypertension receive advice from a doctor on lifestyle changes, according to a study published online November 6 in the Journal of General Internal Medicine. For the study, the investigators looked at lifestyle counseling rates among 500 young adults with hypertension being treated at a large Midwestern academic practice. The researchers found that only 55% of the patients received lifestyle education within one year of being diagnosed with hypertension. The most common topic was exercise, followed by advice on quitting smoking. Only 25% were counseled on how to lower their blood pressure by changing their diet. Those most likely to receive lifestyle counseling included women, patients who made regular visits to the doctor to manage long-term health problems, those previously diagnosed with hyperlipidemia, and people with a family history of hypertension or heart disease. The findings show that doctors are missing far too many "teachable moments" to advise young adults with hypertension about lifestyle changes, study author Heather Johnson, MD, of the University of Wisconsin School of Medicine and Public Health in Madison, said in a journal news release.

Kidney & Hypertension Group Facebook Hits 3500 LIKES

Follow us on Facebook for all of your updates on kidney medicine, diabetes, hypertension, lupus and much more, with commentary by your 6 favorite nephrologists! https://www.facebook.com/KidneyDocs

Thursday, November 13, 2014

A Model Patient Gets A Kidney Transplant

Every kidney transplant here is wonderful, but this one is especially wonderful! The patient of Dr. Jorge Ajuria got a kidney at Tampa General Hospital. He had been our Peritoneal Dialysis patient for over 8 years, and was ambivalent about receiving a transplant, even after he was listed. He did so well on PD that he put the idea of transplant on hold. Every month, we nudged him until one day he said "It's time" and he quickly got THE call. We were so excited, each of us messaging the other with the happy news!! Dan-you were a model PD patient, and the Kidney & Hypertension Group team are over the moon with this happy news-all of us-Dr. Ajuria, Barbara, Vern, Liz, Josie, Paola, Christine, and all the doctors of the KHG! WE DID IT!!!!!

Black Americans Are At High Risk of Kidney Disease. Click Picture To Learn What Can Be Done

Black Americans Are At High Risk of Kidney Disease. Click Picture To Learn What Can Be Done
A Black Kidney Transplant Patient Warns Other Members of the Black Community of the Need To Be Aware of Their Increase Risk of Kidney Disease and What They Can Do About It

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CONGRATULATIONS TO THE KIDNEY GROUP'S NEW TRANSPLANT PATIENTS

CONGRATULATIONS TO THE KIDNEY GROUP'S NEW TRANSPLANT PATIENTS
Van C. (Dr. Gabriel Valle's patient-kidney-University of Miami, Cathy O. (Dr. Carlos Bejar-Kidney at University of Miami),Will E. (Dr. Ajuria-kidney-Miami Transplant Institute;Bob I. (Dr. Valle's patient, University of Miami-Kidney), Orlando T. (Dr. Valle's patient, University of Miami, kidney), Sara A. (Dr. Valle's patient, kidney, University of Miami),Steve I. (Dr. Jorge Ajuria's patient, kidney, University of Miami),Sandy L. (Dr. Carlos Bejar's patient, kidney, University of Miami),KATHY C. (kidney-University of Miami, patient of Dr. Valle,MARTIN O. (Dr. Valle patient-Heart/Kidney -University of Miami), ROBERT I. (Dr. Valle's patient Kidney at University of Massachusetts), DREW P.(kidney-University of Florida),BILL L. (University of Florida-kidney), BARBARA L. (University of Miami-kidney), FRANCIS L. (kidney at U. of F.), JONATHAN I. (kidney-at U of F), THERESA L. (kidney-pancreas at University of Miami),JEFF T. (kidney at University of Florida), TERESA R. (kidney-University of Miami), JEANNIE O. (kidney-University of Florida), ELOISE O. (Univ of Florida), JOHN E. (kidney-University of Florida), GENE J. (Kidney-University of South Florida), CAL. M. (kidney- Florida Transplant Hospital in Orlando), TERRY A. (Perfect Match! University of Florida-kidney), TIM A.(kidney-University of Miami), GLORIA R. (kidney -University of Miami), BRAD R. (Kidney (and never on dialysis!!)-at University of Miami),(*both Brad and Gloria got kidneys on the same day!!!), BELINDA (kidney-University of Miami), TOM (kidney-University of Miami), JIM E. (Kidney-University of Miami), HERBERT A., (Kidney-University of Miami), Belinda R. (University of Miami-kidney),

PATRICK LOVES THE KIDNEY GROUP

PATRICK LOVES THE KIDNEY GROUP

THE DOCTORS OF THE KIDNEY GROUP

THE DOCTORS OF THE KIDNEY GROUP
South Florida's Top Nephrologists-(Left to Right) Drs. Ajuria, Hernandez, Bejar, and Valle

Living longer by living smarter.

Living longer by living smarter.
find 20 minutes a day to meditate. It reduces stress, lowers blood pressure, and reduces signs of aging.

LEARN ABOUT PERITONEAL DIALYSIS (P.D.)

LEARN ABOUT PERITONEAL DIALYSIS (P.D.)
Click picture to learn what PD is all about from a Nurse Clinical Educator

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CLIPS ON KIDNEY DISEASE

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