FROM OUR EXPERTS
End-stage renal disease (ESRD) is that stage of kidney impairment which is irreversible, cannot be controlled by conservative management alone, and requires dialysis or kidney transplantation to maintain life. There are two types of kidney failure: acute and chronic . Acute kidney failure is a temporary decline in kidney function that can most often be corrected. Chronic kidney failure, on the other hand, is a permanent condition, meaning that once it occurs, the kidneys cannot be made to function again. Chronic kidney failure may be the result of heredity, as with polycystic kidney disease , or may be caused by prolonged medical conditions, such as high blood pressure or diabetes . Persons with chronic renal failure are referred to as having end-stage renal disease. The term indicates that the patient must rely on some type of medical treatment to help replace the loss of kidney function. The treatment alternatives for ESRD include hemodialysis, peritoneal dialysis, and kidney transplantatio...
For your health here is something that people who have both diabetes and another disease can push their insurance companies to provide. It’s a telemedicine device and data management system called the Commander that can save them money and might also save your life. It comes from Cardiocom LLC in Chanhassen, Minnesota. The same company offers the GlucoCom Telemonitoring System, which last November I wrote about here . That GluoCom system is similar but simpler than the Commander. The GlucoCom meter and the AutoLink telecommunications device is geared toward people who are just tracking their blood glucose levels and storing them in a secure online database. With that system you can give access to your doctor or others whom you want to see how you are doing. In November, Cardiocom’s Tom Backman came to Boulder, Colorado, where I live, to show me the GlucoCom system. He is the company’s western region sales manager working out of Highlands Ranch, south of Denver. This morning he came h...
"You have end stage COPD..." is possibly one of the most frightening - and confusing - things a person can hear.
Let's talk about the four stages of COPD and what it means for you. Here are three simple steps that anybody who has heard these dreaded words - and anybody with chronic lung disease for that matter - should follow.
1.) Get the Facts Straight.
When somebody, anybody, tells you you're at a certain stage of a disease, ask questions.
First, find out what it is that determines that stage and, next, where you fit in.
The very first question I ask when a new patient comes in to Pulmonary Rehab is: "What has the doctor told you is going on in your lungs?" The answer tells me a lot about what the patient has been told, what they understand about it and what it means to them. (It's interesting to note that one study revealed that over 26% of patients were unaware of what their COPD diagnosis meant!) Most of the time when I ask patients what t...
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