Monday, July 7, 2014

6 Tips To Reduce Your Blood Pressure Naturally

"Before opting for drugs, here are some safe ways to lower your blood pressure- If you want to keep your blood pressure in check, first talk to your doctor, and try these natural approaches: Lose weight It’s established that blood pressure can rise with weight, so maintaining a healthy weight range is one of the best ways to protect yourself. Losing weight has also been shown to lower blood pressure and lessen the strain on the heart. According to the Mayo Clinic: Men are at risk if their waist measurement is greater than 40 inches (102 centimeters, or cm). Women are at risk if their waist measurement is greater than 35 inches (89 cm). Eat healthy Consuming a diet that’s rich in fruits and vegetables is a good idea to keep blood pressure in check. Studies looking at the Mediterranean diet—which is high in plant-based foods, grains, and healthy fats like nuts and olive oil—show it may have heart protective benefits. Why? It’s thought that compounds in these foods can lower inflammation, which allows for stronger and clearer blood vessels. And experts agree that whatever you do, avoid processed foods as much as possible. Exercise Breaking a sweat can keep you protected from hypertension. Getting at least 30 to 60 minutes of exercise many days a week can lower blood pressure, according to the Mayo Clinic. Even exercise like walking can be good for your heart. Cut back on caffeine Even if you do not have high blood pressure, caffeine has been shown to spike heart rate and blood pressure. It’s unclear why, but it’s possible that the adrenaline gets blood pressure to rise, or caffeine interferes with how wide our arteries are. Some people are more sensitive to the effects of caffeine than others, so know your limit. Most public health agencies say that four cups of coffee per day should be your limit. Chill out Too much stress is known to get your blood boiling, at least temporarily. It’s not confirmed that stress causes high blood pressure, but the American Heart Association notes that the hormones involved with the body’s “flight or fight” response can make the heart beat faster and constrict blood vessels–that can cause blood pressure to rise for a short period. Taking care of your stress and mental health is important for your overall wellbeing, so don’t ignore signs you are feeling overwhelmed. Avoid smoking and cut back on drinking Nicotine raises blood pressure even after you’ve put the cigarette out, so people who smoke throughout the day are keeping their blood pressure elevated. Drinking too much alcohol can also temporarily raise blood pressure, and consuming a lot of alcohol similarly keeps these levels up. Not to mention, heavy drinking can lead to weight gain, which is another risk factor for blood pressure. Cutting back can lower your risk. (Source-Time magazine)

Tuesday, July 1, 2014

Famous People Who Have Battled Kidney Disease

Well-know people who have battled Kidney Disease Kidney Disease can strike anyone from any walk of life. Here are just a few well-known people who have battled Kidney Disease: Buffalo Bill – American soldier, bison hunter and showman in the 1880s. Emma Bombeck – columnist, writer and humourist died of complications following a kidney transplant. She had polycystic kidney disease. Many people think she died of breast cancer, but this is not true, even though she did battle cancer and was in remission at the time of her transplant. Sir Jack Brabham – Australian former racing driver who was Formula One champion in 1959, 1960 and 1966. He is a Patron and Ambassador for the Kidney Support Network. Peter Burns – singer for the band, Dead or Alive – had acute kidney failure caused by several kidney stones. Nick Cannon – singer, actor and husband of Mariah Carey – has from Lupus Nephritis. Grizzwald Chapman – actor in 30 Rock – kidney failure due to hypertension, received a transplant. Julia Child – chef, writer, author Steven Cojacaru – presenter on TV show Entertainment Tonight – had Polycystic Kidney Disease since childhood. Has had two kidney transplants. His first transplant from his best friend failed and the second from his mother was successful. Natalie Cole – daughter of the late singer, Nat King Cole – is a singer and entertainer. She had Hepatitis C, received chemotherapy for the Hepatitis and it destroyed her kidneys. Was on dialysis and has had a transplant. Gary Coleman – actor who played Arnold in TV series Diff’rent Strokes Lucy Davis – actor in TV show The Office – had kidney failure due to diabetes and received a transplant. Sandra Dee – actor Dom DeLuise – actor, comedian Marlene Dietrich – actor Aron Eisenberg – actor in Star Trek: Deep Space Nine – was born with one partially functioning kidney, received a transplant. Bobby Fischer – chess player Jean Harlow – actor Alfred Hitchcock – film director Ken Howard – actor in TV show 30 Rock – his kidney failure was caused by a misdiagnosed blockage, received a transplant. Howard Hughes – US businessman, film producer and director. Veronica Lake – actor Peter Lawford – actor C.S. Lewis – writer, novelist, philosopher Jimmy Little – Australian country singer Jonah Lomu – New Zealand rugby player – his kidney failure was due to Nephrotic Syndrome, he received a transplant but is now in need of a new transplant. George Lopez – comedian and actor – he received a kidney from his wife. Started the Lopez Foundation. Douglas MacArthur – US Army General Norman Mailer – novelist, screenwriter Louis B Mayer – film producer James Michener – author Tracy Morgan – actor in TV show 30 Rock, kidney failure due to Diabetes, received a transplant. Wolfgang Amadeus Mozart – Austrian music composer Sir Laurence Olivier – actor Kerry Packer – Australian businessman Liam Payne – singer for the band, One Direction, born with partially functioning kidney. Charles Perkins – Australian soccer player, aboriginal activist and government minister. Cole Porter – song composer, film score writer. Billy Preston – American soul musician Prince Rainier III of Monaco George Bernard Shaw – playwright, author Neil Simon – USA playwright, had Polycystic Kidney Disease, received a transplant. Jack Warden – actor Barry White – soul singer Mary Wickes – actor Share

Thursday, June 19, 2014

The Kidney and Hypertension Group is Florida's Top Home Dialysis Program

The Home Dialysis Program for the Kidney & Hypertension Group receives highest honors from Davita for both growth and quality!

Saturday, May 24, 2014

The Kidney And Hypertension Group Transplants Six Patients in May 2014-What's Our Secret

That's right. We have transplanted 6 patients so far this May. 3 were PD patients, one was a hemodialysis patient, and 2 never had dialysis at all. One was 77. One was 24. One got a Kidney/Pancreas transplant, the other 5 got just a kidney. 4 were done at University of Miami, one at University of Florida, and 1 at Johns Hopkins. 4 were men, 2 were woman. 3 were black, and 3 were Caucasian. 4 were employed currently and 2 were not. All did well. In fact, except for being CKD6, they had little in common EXCEPT they were well prepared, on the list, and KEPT UP-TO-DATE on the list while they waited. So that's the secret. We get them ready and make sure they stay ready to get the call. Teamwork.We have our own Transplant Nephrologist to help toubleshoot problems, and we work well with all area and major national transplant centers. If you would like us to help you prepare and get a transplant call for an appt (954)771-3929. Ask for Jessica. Oh, one more thing. This IS NOT our best month ever. In March of 2012, we transplanted 7 patients in a month. But, heh, the month's not over yet! :)

Tuesday, April 29, 2014

What We Wish All Primary Doctors Understood About Peritoneal Dialysis

Some times, the biggest obstacle we face in encouraging a patient to choose Peritoneal Dialysis as a renal replacement therapy is not the patient or family. Often it is the well meaning PCP who tells the patient "Oh, you don't want that. You'll get infections." Now, not all PCP's say this, but enough that we offer lectures several times a year to educate doctors in other specialties about PD. As the largest provider of PD services in South Florida for many years, we have an outstanding reputation for success with Peritoneal Dialysis and a Transplant rate MANY times the national average. How are they related? PD encourages the patient-in fact MANDATES-that the patient be a part of their own care. It empowers a patient. We encourage them to work, and engage in their activities as before. They keep their insurance, and feel energetic and are encouraged at every turn by our team who ASSISTS their efforts to receive a transplant every step of the way. We have our own Transplant Nephrologist who follows the patient from the pre-transplant state all the way through post transplant and beyond. The patient feels a vital member of this very real TEAM. It combats the isolation being on dialsysi brings with it.
We choose, when we can, PD as a first option. Some advantages of PD over hemodialysis include: "Preservation of the vasculature. Those of us who are PD advocates recognize that it is a modality with a finite time. Going with PD from the start preserves the patient’s vasculature for hemodialysis in the future. Preserving residual renal function. PD is superior to HD for doing this for patients who still have some kidney function left. Lower cost. Dialysis providers acknowledge that PD is a more cost-effective modality because of lower overhead and fewer hospitalizations for patients. Patient satisfaction. This is usually higher among PD patients because of the freedom and flexibility offered by home therapy and a more liberal diet. Transplant outcomes. These are better for PD patients vs. HD patients." (Taken from Nephrology News and Issues) We have,at The Kidney & Hypertension Group, patients on PD for greater than 10 years who have chosen NOT to pursue transplant (or medically could not). Patients with zero urine output. These particular patients do well, exceed adequacy standards, and enjoy life. We avoid generalizations, and work hard to battle medical misconceptions regarding Peritoneal Dialysis. The national average for an infection is 1 per patient per 48 months. Our own rate of infection, even with this very large population of patients, is 1 infection per patient in 60 months. That is-1 infection every 5 years, on average. Since 1990, we have had 14 physicians as PD patients, and many nurses, and many, many spouses and parents of physicians. When it comes down to understanding the facts on making the choice, and it is explained clearly and directly, we find a physician almost always chooses Peritoneal Dialysis for himself or a close family member when it is an option. In fact, do this. Ask YOUR nephrologist what they would choose if they need dialysis. We already know the answer.

Sunday, April 20, 2014

Tracking Your Blood Pressure At Home

A great article from USA Today on how to track your blood pressure at home, and why it is so important to know what your blood pressure is at home during your daily activities and NOT just at the doctor's office. Your blood-pressure checks at the doctor's office may read normal, but that doesn't necessarily mean you're in the clear: Up to 20% of adults have "masked hypertension," according to some estimates. That's when blood pressure measurements are lower at the physician's office than they are at home. Experts aren't completely certain why it happens, but scientists have recently discovered that people with this form of hidden hypertension have a 55% increased risk for heart attack or stroke, compared with those with normal blood pressure, according to a research review. The same analysis found that home blood-pressure monitoring helps identify masked hypertension. Doctors may recommend home monitoring (in addition to regular check-ins at that office) for people diagnosed with high blood pressure, those with pre-hypertension, or even people who just have risk factors for the condition, including family history, advanced age or obesity. Left untreated, hypertension can damage your heart, arteries and kidneys and lead to stroke and vision loss, among other complications. Keep tabs on your pressure at home; that can help doctors make an earlier diagnosis, as well as track your treatment and encourage better blood-pressure control. Talk to your physician; if home blood-pressure monitoring is suggested for you, here are some tips to help you get started:
Choose an arm monitor. It's more accurate and reliable than the devices that take readings from your wrist or finger. The American Heart Association (AHA) recommends this type of monitor. Measure around your bicep, and choose a monitor that comes with the correct cuff size. Digital devices are more expensive than manual ones, but they're easier to use — they automatically inflate and deflate the cuff (instead of you having to pump), and they provide digital readings, as well as pulse rate; certain manual monitors require the use of a stethoscope. Measure at the same time every day. Either in the morning or at night, according to the AHA. Don't smoke, drink caffeinated beverages or exercise 30 minutes before taking a reading. Sit in a chair, with your back straight and both feet flat on the floor and make sure your arm is supported on a flat surface at heart level. Take two or three measurements each time, one minute apart. Track your results. Record every reading, including the date and time; the AHA offers online and printable trackers at You can also download apps to note your pressure, as well as your weight and other lifestyle factors. Some monitors can store your numbers; others allow you to upload readings to a website. One high reading is not a cause for concern, but if your numbers are consistently elevated, consult your doctor. If your pressure reaches a systolic (top number) of 180 mm Hg or higher or a diastolic (bottom number) of 110 mm Hg or higher, wait a few minutes and take it again, the AHA says; if it's still at or above that level, seek emergency treatment. _______________________________________

Tuesday, April 8, 2014

Your End Stage Renal Disease Options

At The Kidney & Hypertesnion Group, we begin education about your options long before you need to make a choice. Education can slow the progression of Kidney Disease by adherence to lifestyle changes and theraputic choices your nephrolgist prescribes. If ESRD approaches, we will have explained your options well in advance, and helped you to find the most suitable method of renal replacement for YOU. We consider most everyone a transplant candidate until proven otherwise, and our goal when possible is a transplant prior to dialysis. If dialysis is necessary we help you consider your 3 options- Home Peritoneal Dialysis, Home Hemodialysis, or In-Center Hemodialysis. We also do In-Center Peritoneal Dialysis while you train for Home PD. And if the method you chose does not suit you after a trial, or in time you need to make a change, we will help you find the method that will work best. Teamwork. You and us. It is what makes our program so successful. If you would like more information on your options, call us for an appointment to discuss them in person. (954)771-3929

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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),




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.


Click picture to learn what PD is all about from a Nurse Clinical Educator