The DASH Eating Diet

One of the toughest issues facing patients with high blood pressure/ hypertension are questions regarding what types of foods to eat. Patients are frequently told to avoid “salt” by their physician, but beyond that they receive little guidance in terms of how to achieve this. The DASH diet, which stands for Dietary Approaches to Stop […]

Clinical Renal Kidney Transplant

Kidney Transplant: What to Expect Throughout the Entire Process

Why Would I want to Get a Kidney Transplant? When your Chronic Kidney Disease (CKD) gets severe enough, waste products and extra fluids build up in your body. Eventually, this gets so bad that your activities are limited and ultimately your kidney failure results in hospitalizations and death. Fortunately, dialysis is available to markedly improve […]

Blood pressure pulse rate meter

24 hour Ambulatory Blood Pressure Measurement (ABPM)

24 hour Ambulatory Blood Pressure Monitoring or ABPM is a valuable tool for the management of the patient with hypertension (HTN). For the ABPM test, the patient is fitted with a specialized, blood pressure measuring device that records the blood pressure over a full 24 hour period. The BP measuring intervals are every 20 minutes […]

Dialysis Options: Making the Right Choice

Nephrologists (Kidney Medical Doctors) and patients with kidney disease work hard together to prevent kidney disease progressing to the point where dialysis is needed. Unfortunately, despite everybody’s best efforts kidney disease may progress to the point where dialysis is a serious possibility.  Once kidney function is below GFR of 20 mL/minute which is usually referred […]

Phosphorus Control

Do Yourself a Big Favor and Control Your Phosphorus. Phosphorus is not removed by dialysis well. The phosphorus control in your body comes from the food you eat and drink. We measure the phosphorus in your blood and the level should be less than 5.5. If your phosphorus is higher than this, you should be […]

Diabetes Care in Dialysis Patients

A lot of dialysis patients have diabetes. If you do not have diabetes then you can skip this letter. Diabetic kidney disease is often the reason that a person needs dialysis. Once you are on dialysis, diabetes can still damage other parts of your body. You need to keep your diabetes well controlled to protect […]

Importance of Dialysis Temperature?

You may have noticed that there is a temperature dial on the dialysis machine. I want you to understand what this is for. Dialysis Temperature Reasons Many patients want us to increase the temperature if they feel cold. While this helps you feel warmer, this is not safe. Using a cooler temperature helps prevent heart […]

Why Taking Your Medications is Important for Your Health

This week’s letter is about the importance of taking the medications your doctor orders for you. Why is this medication important? Patients who take all the pills that their doctor orders are healthier, hospitalized less and live longer. Not taking pills as ordered can make you feel iller, spend more time in the hospital and […]

The Length of Hemodialysis Effects your Health

One of my recent letters talked about options to in-center hemodialysis lasting about 4 hours. This message is for those of you continuing on this type of dialysis. I want to discuss the amount of time that you spend on dialysis. Proper Hemodialysis Time Length We know that a minimum of 4 hours of on […]

Choosing the Best Type of Dialysis

I am writing this Medical Director Letter to talk about the type of dialysis options that patients have to try to improve their health. First of all, what do I mean when I say “to improve your health”? This can mean to generally feel better. This can mean to be able to go back to […]