#kidney care clinic

[peppermintbutch]

Does anyone else feel like a hypochondriac every time they make a drs appointment or is it just me

[mavanikidneycare]

kidney care hospital in ahmedabad

[avionkidneyhospital]

Ahmedabad's Leading Kidney Hospital: Your Guide to Exceptional Kidney Care

Kidney Hospital In Ahmedabad – This guide unveils why they stand out as the best kidney hospital in Ahmedabad, offering exceptional care at every step.

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[mission-to-dietitian]

STATE OF SHOCK AND INJURY: A release of the catecholamine epinephrine suppresses response to insulin.

Basal metabolic rate increases 7% for every degree rise in fever.

OBESITY: Obesity starts at a BMI of 30kg/m^2 (3 classes of obesity. BMI of 40kg/m^2 or > is Class III obesity). There are 3,500 calories per pound of body fat, so start with a deficit of 500cal/day for weight loss of 1 pound per week.

Initial rapid weight loss is water weight, due to glycogen stores pulled out from the liver (for every gram of carbohydrate stored, 3g of H2O are stored w/it)

You cannot spot lose fat. Plateau (can't continue to lose weight) occurs because BMR has dropped in order to match loss of weight.

DEFICIENCIES: stomatitis due to riboflavin (B2) deficiency

PREGNANCY: Pregnancy-induced hypertension begins at 20th week. But sodium restriction NOT recommended as the intervention.

TUBE FEEDS: Deadly to feed into an ileus. Elemental formulas = more expensive.

4-hour hang time for open systems (concern for pathogenic activity/growth). 24-48 hours for closed systems.

Nasogastric tube for short-term enteral access (for those with NORMAL GI function who require nutrition support for 3-4 weeks). Bolus, intermittent, or continuous infusions.

Naso-duodenal OR naso-jejunal feeds for those unable to tolerate gastric tube feed (recall it is best to do gastric if possible to mimic body's natural eating functions).

Give 1cc of H2O per calorie ingested. Formulas that are 1 calorie per cc are 80-86% water.

Peripheral parenteral nutrition (AKA total parenteral nutrition/TPN -- LAST resort due to the fact that it is like foie gras to the body, with implications of liver issues developing) is via small surface veins, which is short-term nutrition support. Includes protein and fat (a 10% solution of intravenous fat provides 1.1 calories per cc. A 20% solution provides 2.0 calories per cc. Think about propofol, delivered in a fat medium).

Solutions have dextrose, which provides 3.4 cal/g.

# of calories from a volume of dextrose = mL provided × % dextrose × 3.4

PPN/TPN is used to achieve anabolism when patients cannot eat by mouth and you cannot do an enteral tube feed.

Long-term central access occurs via cephalic, subclavian, or internal jugular vein and feed ls into superior vena cava.

PPN/TPN concerns: Bacterial translocation because you are bypassing the gut, which would normally kill bacteria that is ingested per os. Bacteria can travel through bloodstream and lead to SEPSIS.

In TPN, protein is provided for anabolism at 1g of nitrogen for every 150 calories ingested. The percent concentration tells you # of grams of protein per in 100mL of TPN solution (a 3% solution provides 3g of protein in 100mL of TPN solution).

Glucose infusion rate for dextrose in TPN should not exceed 4-5mg/kg/min for hyperglycemia prevention.

Fat is added to prevent essential fatty acid deficiency.

Begin tapering TPN for EN slowly, when enteral feeds provide 1/3 to 1/2 of nutrient requirements. When 60% of needs can be tolerated enterally, discontinue TPN.

BEWARE OF REFEEDING SYNDROME (starved cells take up nutrients, shifting K+, phos, and magnesium into the cell, causing HYPOKALEMIA, HYPOPHOSPHATEMIA, and HYPOMAGNESEMIA).

Overfeeding dextrose can lead to hyperglycemia

Dietary Reference Intake (DRI) reflects current population needs.

Recommended Dietary Allowance (RDA) is goals for healthy individuals.

Estimated Average Requiremenr (EAR) assesses group nutritional adequacy.

Upper Limit (UL) offers guidance on safe upper limits for nutrients such as vitamins.

Dietary Guidelines made to prevent chronic disease. DG written by USDA and HHS. Community nutrition programs use Dietary Guidelines to develop their plans (variety in eating, nutrient density, serving sizes, limit calories from saturated fats and added sugars, reduce sodium intake.

Healthy Eating Index (by USDA) is a measure of overall diet quality. Measures how well we follow the recommendations.

My Plate (USDA) shows essential food groups. Recommendations: balancing calories, foods to increase in the diet, foods to reduce.

Healthy People Program (HHS) identifies broad goals and specific objectives for improving health of the public. Focuses on disease prevention by changing behaviours.

The three steps in planning programs:

1) Mission Statement - describes the philosophy of the program. Need/Problem Statement describes the current situation, who says it's a problem, and what will occur if nothing is done.

2) Goals - goals are statements of broad direction and general purpose. Determine which health problems have nutritional implications. Determine what the high risk groups are. Determine what the most critical needs are.

3) Objectives - must be measurable. Objectives are more specific and defined than goals. Include specific target dates for completing specific projects. Evaluate alternative strategies available using cost effectiveness analysis.

Budget controls and coordinates activities. Indicates how and at what rate money should be expended.

Public health departments derive a portion of their income from general revenue taxes. Federal, local, and foundation grants are other sources of income.

Intervention via community nutrition programs relates to the 3 domains of learning: Cognitive, Affective, and Psychomotor.

Enabling makes it easier for people to act. Use the 4 Ps of marketing: Product, Price, Place, Promotion.

A strategy which involves psychomotor learning is helping people develop the skills needed to make and sustain new habits (e.g. how to budget, how to find the services they need.

Monitoring and Evaluation = the 4th step in the Nutrition Care Process (NCP)

Nutrition care outcomes represent results that the practitioner and nutrition care impacted individually. They can be linked to nutrition intervention goals. They're measurable and occur in a reasonable time period. They are attributed to the nutrition care provided. They're logical stepping stones to other health care outcomes.

Nutrition care outcomes are distinct from other health care outcomes b/c they represent the nutrition practitioner's specific contribution to care. They are grouped into 4 categories:

1) Food and Nutrition Related History

2) Lab Data and Medical Tests

3) Anthropometrics

4) Nutrition-Focused Physical Findings

[besturologistinbhopal]

The Latest Advances in Kidney Cancer Surgery

Kidney cancer, a formidable adversary, has witnessed remarkable advancements in surgical techniques. For patients in Bhopal, access to the best surgeons for kidney cancer is crucial, and staying informed about the latest innovations can be a game-changer. Here are some of the recent breakthroughs in kidney cancer surgery:

1. Minimally Invasive Surgery

Laparoscopic Nephrectomy: This procedure involves small incisions and specialized instruments, resulting in less post-operative pain, shorter hospital stays, and quicker recovery times.

Robotic-Assisted Surgery: Bhopal's top surgeons employ robotic systems, like the da Vinci Surgical System, to enhance precision and control during kidney cancer surgery, leading to reduced complications.

2. Nephron-Sparing Surgery

Partial Nephrectomy: Surgeons prioritize preserving as much healthy kidney tissue as possible. Advances in techniques like robotic-assisted partial nephrectomy allow precise removal of tumors while sparing healthy tissue.

3. Ablation Therapies

Cryoablation and Radiofrequency Ablation: These minimally invasive techniques use extreme cold (cryoablation) or heat (radiofrequency ablation) to destroy cancerous tissue in the kidney cancer center in Bhopal. They are suitable for smaller tumors and patients who may not be candidates for traditional surgery.

4. Immunotherapy and Targeted Therapies

Combination Therapies: In some cases, surgery is combined with newer systemic treatments like immunotherapy and targeted therapies. These therapies help prevent the spread or recurrence of kidney cancer.

Keeping up with the latest advances in kidney cancer surgery is vital for patients seeking the best possible outcomes. To benefit from these cutting-edge techniques, individuals in Bhopal should consider consulting with the best surgeons for kidney cancer in Bhopal. Access to these innovations, coupled with the expertise of top-notch medical professionals, ensures that kidney cancer patients receive the best care available.

[nefronkidneycare]

Nefron is a best post transplant care centre in Siliguri. If you looking then contact us.

[drkarankidneycareclinic]

Dr. Karan Kidney Care Clinic is a top Raipur kidney transplant surgeon. He has nearly ten years of experience treating various renal problems.

[avpoly]

BEST CHILDREN DOCTOR IN AUNDH

specialization in treating people with complications and systemic illnesses. Patients with diabetes, heart disease, kidney disease, liver disease, cancer, and skin diseases sometimes require complicated dental procedures including wisdom tooth extractions or dental implants. Best Children doctor in Aundh Additionally, we provided care for patients with particular needs or varied abilities. Modern general, periodontal, orthodontic, and family dentistry are the focus of our clinic. with the goal of giving our patients the most cutting-edge, comfortable, and technologically sophisticated dental care possible. Our holistic approach to dental care will benefit our patient’s entire health and subsequently, raise the caliber of their lives. We work hard to provide cutting-edge, painless dental care at competitive pricing.

[mghospital]

Risk Factors for Clogged Arteries in the Brain | Mahathma Gandhi Hospitals

The brain is the major organ of the human body that controls the functions of other body parts. A carotid artery is located on each side of the neck and this supplies blood to the brain. If there is a blockage in any one of the carotid arteries, the blood supply to the brain is disrupted. This is the most common cause of stroke. 

Causes of Clogged Arteries in the Brain

The main cause of clogged arteries in the brain is the building of plaque in the arteries. Plaques may be formed from proteins, fats, calcium, and waste cells. 

Plaque formation narrows down the arteries, and the arteries will become hard and less flexible. This reduces the flow of blood to the brain. Clogged arteries may also occur due to other diseases that can damage the arteries.

Risk Factors for Clogged Arteries in the Brain

Some people are at an increased risk of developing clogged arteries. The risk factors for clogged or blocked arteries in the brain include the following:

People suffering from high blood pressure are at a greater risk because high blood pressure makes the arteries weak, due to which the arteries can get damaged easily. 

High blood cholesterol is another risk factor for causing clogged arteries in the brain.

People suffering from high blood sugar are also at an increased risk. High blood sugar can cause high blood pressure and the risk of developing plaque increases.

Being overweight is also an increased risk factor for high blood pressure and diabetes which further increases the risk of atherosclerosis or clogged arteries. 

Lack of physical activity is the major cause of high blood pressure, obesity, and high blood sugar and can increase the risk of clogged arteries. 

People who smoke are also at an increased risk of clogged arteries.

Increasing age is also a risk factor because, in older people, the arteries become stiff and can damage easily.

People who have a family history of stroke are at more risk of suffering from clogged arteries. 

When the brain is damaged, it can affect many different things, including memory, sensation, and even personality. Now, Get complete recovery from all brain-related problems from Mahathma Gandhi Super Speciality Hospitals.

Expertise in neurological care with different amenities like CATH LAB with in-house CT and a 24/7 Critical Care Support Team for effective care and monitoring for emergency situations.

Book An Appointment:

Call: +91 8647230007

Visit: https://mahathmagandhihospitals.com/service/neurology/

[lexingtonrenalcare]

Lexington Renal Care is now opened in Lexington, KY Come Visit

Dr. Hazem Kakaji, MD, obtained a certification in both Internal Medicine and Nephrology from the American Board of Internal Medicine. He is located in Lexington, KY, and has over 25 years of experience in the medical field. Dr. Kakaji completed his residency in Internal Medicine at The University of Missouri-Kansas City in 2006. Prior to that he completed his Internal Medicine residency at AUH in 2000, received a Master’s degree in Internal Medicine, and completed a Nephrology and Hypertension Fellowship from the University of Kentucky in 2014. Dr. Hazem Kakaji, MD is affiliated with Baptist Health Lexington and St. Joseph Hospitals. He currently holds membership in the American Society of Nephrology, National Kidney Foundation, and International Nephrology Society.

We manage the following disorders at Lexington Renal Care: Physician in Lexington Renal Care ky

Hypertension Proteinuria and Hematuria Diabetic nephropathy (kidney disease related to diabetes) Glomerular diseases Acute and chronic renal failure Inherited renal diseases (including polycystic kidney disease) Evaluation and management of kidney transplant recipients and donors Disorders of fluid, electrolyte and acid-base Nephrolithiasis (kidney stones) disorders of calcium and parathyroid hormone Osteoporosis and metabolic bone disease Management of dialysis including: In-center dialysis, peritoneal dialysis, home hemodialysis, and nocturnal hemodialysis Managing anemia related to chronic kidney disease

[mayom---hospital]

Best nicu care in haryana | Mayom Hospital

The Best NICU Care in Haryana treats your infant with the finest care both before and after delivery, according to the belief that every kid is valuable and their duty.

Website - https://www.mayomhospital.com/

Email - info@mayomhospital.com

Phone - 9999469669

Address - Mayom Hospital, D-Block, South City 1, Gurgaon, Haryana 122001

Info - Mayom Hospital is a multispecialty centrally air-conditioned. It has been established with a mission to provide world class health facilities at affordable cost while maintaining highest standards of ethical practice and professional competency.

Facebook - https://www.facebook.com/mayomhospital.in

Instagram - https://www.instagram.com/mayomhos_24x7/

Twitter - https://twitter.com/MayomHos_24X7

LinkedIn - https://www.linkedin.com/company/mayom-hospital-super-multi-speciality/?viewAsMember=true

[bestshospital999]

Best nicu care in gurgaon | Mayom Hospital

The Best NICU Care in Gurugram treats your infant with the finest care both before and after delivery, according to the belief that every kid is valuable and their duty.

[avionkidneyhospital]

Cutting-Edge Technology Kidney Care Hospital in Ahmedabad - Avion Kidney Hospital

Avion Kidney Hospital - Your Cutting-Edge Haven in Ahmedabad. For those facing the challenges of best kidney hospital in Ahmedabad, finding the right care can feel like navigating uncharted territory.

Avion Kidney Hospital emerges as a beacon of hope, a haven where cutting-edge technology meets compassionate expertise. Here, your journey to recovery takes flight, propelled by the wings of innovation and fueled by a relentless commitment to your well-being.

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[enhancekidneyclinic]

Enhance Kidney & Women Clinic in Jaipur, gynecologist, Nephrology Doctor, gynecologist, Nephrology Clinic in Jaipur

[thingsthatmakeyouacey]

Inevitably, when bridge and highway protests happen, someone pulls up a report (original article) about an ambulance or organ transplant that couldn’t get through. These seem like, and maybe are, genuine concerns but I want to highlight three things:

1. Protestors often let ambulances through.

2. The purpose of protest is to disrupt. And I don’t just mean disrupt traffic or even civil norms, I also mean power and narratives of power.

What happens when, in our minds, we hold a kidney transplant speeding down a road in San Francisco alongside the 117 health facilities (21 hospitals, 41 ambulances, 53 clinics) that Israel has targeted as of the 15th, in addition to not only ceasing electricity but preventing the pittance of fuel let through the Rafah crossing from going to hospitals or sewage or water, while laying siege on numerous hospitals, shooting anyone who leaves those hospitals, bombing medicine stores and water lines into hospitals, deploying white phosphorus, in addition to leveling entire neighborhoods? Rendering the medical system as merely first-aid? Intentionally generating a sewage crisis to foment a public health disaster? All of this in an ongoing pandemic during which Israel denied vaccines to Palestinians?

What happens when we say: in this metropole, in this heart of empire, my life is no more valuable than a Palestinian’s? A life-saving treatment, the protection of an incubator, the expediancy with which I am served, the rare and precious donated organ is the right of all? That urgency is a luxury the West manufactures and ringfences for itself? That moralistic appeals to the disabled and the ill and those who love us should always, in the same breath, apply to Palestinians?

3. And so, rather than this meaning “it’s OK if an American dies from lack of care due to this action,” we are being asked to consider what power means, and who holds it: these disruptions, if and when they actually happen, demonstrate that the power to make it stop does not lie with protestors. Even if they throw their keys off the bridge. The power to make it stop lies with the US government. It can stop this—all of this, since we have established that an American life has an equal right to existance as a Palestinian’s—if it calls for a ceasefire. It can stop this if it divests from the murder machine that is both itself and Israel.

[practicalsolarpunk]

Do you know any herbology books that aren't. . .idk, mostly only theoretic?

I took a long time to answer this question for a couple reasons. First, I’m not fully sure what you mean by “theoretic,” but I’m assuming you mean you’re looking for herbology/herbalism books that are more practical and less “this herb heals depression because it elevates your kidney vibrations” type of stuff. Second, if that is what you’re looking for, there’s unfortunately not a ton of books that I’ve found like that.

The one herbalism book I keep on hand is Penelope Ody’s The Complete Medicinal Herbal. It does have a lot of the more “woo” stuff as well, but I like that it provides photos of the plants, lists the actual botanical and chemical compounds in each plant that does stuff, and points out when a plant might not be safe for certain people. The other book I keep on hand is Sharon M. Herr’s Herb-Drug Interaction Handbook, which tells you which herbs are safe and which are dangerous/deadly or could mess with dosages if you want to try herbal remedies while also taking other medications.

I have heard good things about Body Into Balance: An Herbal Guide to Holistic Self-Care by Maria Noel Groves, The Modern Herbal Dispensary: A Medicine-Making Guide by Thomas Easley and Steven Horne, and The Nature Cure: A Doctor’s Guide to the Science of Natural Medicine by Andreas Michalsen, MD. Since I haven’t personally read any of them, I can’t unreservedly recommend them, but they might be worth a look. I DO recommend “The Science of Integrative Medicine” from The Great Courses, which is a series of lectures from an MD with the Mayo Clinic discussing a variety of alternative medicine remedies (both herbal and other types) and the science behind them. It’s more from a patient perspective than from someone who actually wants to do some herbology, but I found it helpful. I listened to it for free through my local library.

Herbology/herbalism resources are pretty scattered and often in the realm of the less-than-scientific. Studying botany is a good foundation for herbology (and “pharmacology” is a good keyword for further information about a specific plant), and absolutely avoid anything that talks about “energetics.” An unfortunate fact of herbology is that a lot of these herbal remedies and cures just haven’t been studied. So it’s very possible that some of the remedies do actually work, but nobody has done the research to figure out how or why. It makes being interested in herbology but not interested in “clearing your liver energy” or whatnot very difficult.

I hope this helps! If I misinterpreted your question or you have additional questions, please feel free to send in another ask. (And followers, if you have any ideas/suggestions, please leave them in the notes!)

- Mod J