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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!!!!!

Tuesday, November 11, 2014

Kidney & Hypertension Information on Facebook in Spanish

You can trust us for your Spanish language information on what is new in the world of Kidney Medicine, Diabetes, and Hypertension. Follow us at-https://www.facebook.com/GrupoDeRinon. We now have 1200 followers for our Spanish page making us the fastest growing Spanish language Kidney practice on Facebook!

Thursday, October 30, 2014

Happy Halloween From The Kidney Group

The Kidney & Hypertension Group Transplants Kidneys in Eight Patients This Month

Two more #kidney #transplants this week for two patients of Dr. Gabriel Valle!! Steve got a transplant in Tampa (University of South Florida) and Diane got a transplant at the University of Miami. Both are already home and doing well. Both were patients of our Peritoneal Dialysis program. This makes a total of 8 kidney transplants for the month of October for our group, breaking our previous record of 7 in a month in March of 2012. 3 patients came from our Peritoneal Dialysis program, 3 from our hemodialysis program, 1 was PD who transferred to hemodialysis, and 1 never needed dialysis at all. 7 of these were Dr. Gabriel Valle's patients, and 1 was a patient of Dr. Carlos Bejar. Later this week we will cover more of these stories in depth on our blog "Kidney World". If you are waiting for a kidney do not give up hope. Many of these stories were complicated, and often the patient grew discouraged. We kept them healthy, engaged, hopeful, and ON THE LIST at all times. That's the secret!! Congratulations to these patients and families and to the doctors and members of the Kidney & Hypertension Group and the team at our dialysis center especially our AMAZING nurses and GREAT social worker, Paola, for your continued excellent work!! A WONDERFUL month!! — at The Kidney & Hypertension Group.

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

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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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