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Category Archives: Dialysis
ESRD Needs Different Blood Pressure Management (from normal patients)
It turns out that the relationship between blood pressure management and mortality is very different for ESRD patients than for the population as a whole. First, systolic blood pressure has a more significant correlation (than diastole) with mortality. And, the relationship is U-shaped (higher mortality at low systolic pressures for older patients and higher mortality for high systole for younger patients; 140/90 seems acceptable for all age cohorts). Continue reading
Let’s Get Moving- Exercise is critical for health AND disease therapy
We know that exercise provides both physical and emotional improvement. We can reduce our girth and aggression; but it can help treat and improve the lives of breast cancer survivors, Parkinson’s Disease sufferers, dialysis patients, and those with autoimmune diseases. Continue reading
Posted in Brain, Dialysis, Medicine
Tagged breast cancer, Dialysis, exercise, Parkinson's Disease
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Home hemodialysis may resurge…
Before Medicare began underwriting dialysis care, home dialysis treatment was a significant modality. New criteria also arose that led to shortened (4 h) treatment that was considered superior. Current research indicates that noctural, more frequent dialysis (at home) is actually superior. Continue reading
The Dialysis Bundle May Provide Clues for the Future Health Care Policy
For the first time in 40 years, dialysis will be reimbursed using a bundled approach. Moreover, quality measurements will be employed that must be met- or penalties (lower payments) will ensue. This may provide clues as to how HHS may regulate payments under the recently passed health care legislation. Continue reading
Bioartificial Kidney Proof of Concept Completed
Dialysis has always been a stepping stone in the treatment of kidney failure. The goal is to provide a kidney transplant or a true “artificial” kidney (pun intended)- one that replaces virtually all the functionality of the real kidney. A step in that direction is described herein. Continue reading
Bicarbonate Dialysis is better (Dialysis, part 3)
Just because a product was good under one set of circumstances, does not mean it does not need improvement. When dialysis was inefficient, acetate-bufered dialysate afforded an easy means to provide dialysis therapy. As treatments got more efficient (shorter), the more physiologic bicarbonate dialysate was needed. Ascorbic acid was also used (on occasion) to preclude chlorine-based hemolysis. Continue reading
Dialysis glimpses, part 2
New technology improves dialysis results so that treatment can now occur in 6, rather than 12, hours. HR-1 of 1972 is passed, which provides for Medicare payments to all dialysis patients. The need for patient selection committees (now popularized as “death panels”) for dialysis is obviated. Continue reading
