Podcasts about Dialysis

“I was pumping in the NICU, feeling completely disconnected—and my husband looked at me and said, ‘Can you invite her in?' That moment changed everything. A nurse handed me a swab, I gave my baby colostrum for the first time, and I thought, ‘I'm a mommy.'” – Tanisha NICU mom and advocate Tanisha shares her deeply moving journey through an unexpected fetal diagnosis, a 157-day NICU stay, and the powerful moments that helped her reconnect with motherhood. Diagnosed at 20 weeks with Lower Urinary Tract Obstruction (LUTO)—a rare, life-threatening condition—Tanisha's son Jaleel faced impossible odds. From transferring care to Cincinnati Children's Hospital, navigating in-utero surgery, to forming a life-saving care team that included her husband and child life specialists, Tanisha's voice is a beacon of strength, love, and resilience.

Kent Bressler talks with Josie Maier, co-director of Project Donor—a nonprofit offering free support to living organ donor candidates. Kent reflects on his journey as a living donor kidney transplant recipient and his recent triumph over cancer. Josie sheds light on key challenges in organ donation, especially how BMI restrictions can prevent otherwise willing individuals from donating. Project Donor works to shift the conversation by helping potential donors overcome reversible barriers through free weight loss programs, smoking cessation resources, and therapy. Together, Kent and Josie highlight the urgent need for more living kidney donors and the importance of awareness. Listen in and discover how you can make a difference in this life-saving mission. For more information about Project Donor, visit projectdonor.org and to connect with Kidney Solutions, go to kidneysolutions.org. Host: Kent Bressler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!  

Join us for an inspiring episode of the Diary of a Kidney Warrior Podcast as we sit down with Ravi—a fellow Kidney Warrior whose story is one of courage, connection, and unshakeable will. From his unexpected diagnosis of Chronic Kidney Disease (CKD) to life on dialysis, Ravi opens up about the challenges and triumphs that have shaped his journey.   What began as a routine post-holiday health concern quickly became a life-altering revelation. Ravi walks us through the early warning signs, the shock of diagnosis, and the complexities of seeking care amid a global pandemic. As dialysis buddies turned friends, Ravi and our host share a powerful camaraderie that highlights the strength found in community.   In this candid conversation, Ravi speaks openly about the physical, mental, and emotional toll of CKD—detailing side effects, collapsing from poor health, and the resilience needed to push through. Balancing a demanding career in IT, he reveals how he copes with the daily realities of dialysis and the hope of an eventual transplant.   Whether you're newly diagnosed or supporting someone with CKD, Ravi's insights offer encouragement, practical advice, and heartfelt wisdom. He champions the importance of early detection, mental well-being, and finding purpose amidst the struggle.  

Meet Tracy Halladay, a nature and wildlife photographer based in British Columbia, whose breathtaking images are rooted in resilience, recovery, and a deep love for the natural world.After surviving four years on dialysis and receiving a life-saving kidney transplant, Tracey returned to the outdoors with a fresh vision, capturing everything from sweeping mountain landscapes to intimate details of feathers, frost, and flowing water. Her photography is a visual meditation, inspiring viewers to slow down, reconnect with nature, and embrace the beauty in the quiet moments.With features in international photo competitions, solo gallery shows, and recognition from the Kootenay Art Prize, Tracey's story is as compelling as her images.In this episode, we delve into her creative process, personal transformation, and how adversity has shaped her as an artist.Don't miss this powerful and inspiring conversation with one of Canada's most soulful landscape and wildlife photographers.TRACEY HALLADAY SHOW LINKS• Tracey Halladay Photography Website | www.traceyhalladayphotography.com• Tracey Halladay Mentorship | https://traceyhalladayphotography.com/mentorship• Mindful-Lens Photography Retreat | https://mindful-lens.my.canva.site• Tracey Halladay Facebook Instagram | https://www.instagram.com/traceyhalladay_photography• Tracey Halliday Photography Facebook | https://www.facebook.com/TraceyHalladayPhotography/Don't forget to like, share, and subscribe, and hit the bell to see more content from 'The Nature Photo Guys!'Thanks for watching!

Calls for more regional health services after a retired farmer loses access to local dialysis care, the commercial fishing industry ramps up calls for government support for fishers affected by the algae bloom, and a breeding value for footrot expected to be introduced into Australia soon.

Do you know someone on dialysis? If you do, you know how time intensive it can be. Did you know that there are options to do this treatment at home? In this episode outreach coordinator Dana Hentschel speaks with Mary Teising, an independent consultant with over 25 years of experience in dialysis about how to navigate this journey.

A new medical facility in Ennis is being welcomed as a vote of confidence in the town which will drastically cut journey times for patients. Fresenius Medical Care Limited, which is the operator of the Limerick Dialysis Centre on the Dock Road, has secured planning permission for a renal dialysis facility in the Clare Technology Park. It's understood the unit will be operational between April and June of next year and will feature 20 stations capable of catering for up to 20 patients at any one time. Chairperson Irish Kidney Association's Clare branch, Dermot Hayes, has been telling Clare FM's Seán Lyons it's a gamechanger for many in the county.

The Shared Decision-Making-Renal Supportive Care intervention elicited dialysis patient preferences for end-of-life care. The HIGHWay project updated this intervention to scale it for broader implementation of advance care planning.

Kent Bressler welcomes Glenna Frey, MSN, APRN-CNS. She has dedicated over 40 years to nephrology nursing, specializing in hemodialysis, peritoneal dialysis, and kidney transplantation. In 2017, she donated a kidney to a stranger at the Cleveland Clinic. The following year, she co-founded Kidney Donor Conversations (KDC), a nonprofit providing education and support for living kidney donation with her daughter, Amanda. Glenna serves as executive director of KDC and frequently presents programs on living kidney donation. She is a member of the American Nephrology Nurses Association and the National Kidney Donation Organization. She volunteers with the National Kidney Foundation and other kidney-focused groups. Her connection to kidney disease and transplantation is deeply personal. Many of her relatives, including her husband Bob, have Polycystic Kidney Disease (PKD). Bob has undergone dialysis and is now living with his second kidney transplant from a living donor. Her children, Amanda and Sawyer, also have PKD but currently maintain normal kidney function. Glenna is a published author and contributor to several works on kidney donation and nephrology nursing, including In Pursuit of a Better Life: The Ultimate Guide for Finding Living Kidney Donors, Thriving Post Kidney Transplant, and the Nephrology Nursing Journal. Additionally, she served as a reviewer for the 4th edition of Contemporary Nephrology Nursing. She is the author of the book Understanding Living Kidney Donation: The Best Treatment for Kidney Disease, now available on Amazon. Glenna also specializes in holistic therapies, holds a Black Belt in Tae Kwon Do, and is a Hula Hoop instructor. She resides in Northwest Ohio with her husband and enjoys time with her cat, chocolate lab, as well as crocheting, and native plant gardening. Glenna's pride and joy are her children, Amanda and Sawyer, and her granddaughter, Zora. For inquiries, contact: https://www.linkedin.com/in/glennafreyrnkidneydonor/ or visit https://www.facebook.com/LivingKidneyDonationBook For more information on Kidney Solutions and to join our supportive community, visit kidneysolutions.org Host: Kent Bressler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!  

Dr. Scott Harris, ASTHO President and State Health Officer with the Alabama Department of Public Health, discusses takeaways from the most recent ASTHO Board of Directors meeting; Alex Kurutz, dialysis epidemiologist for the Healthcare Associated Infections and Antimicrobial Resistance Program at the Tennessee Department of Health, shares how the state created an educational program to help dialysis facilities strengthen infection prevention; Dr. Manisha Juthani, ASTHO's President-Elect, and Anne Zink, ASTHO's Past President, served on a panel at the Yale Innovation Summit to discuss how state and local leaders can advance public health and health innovation in today's political landscape; and stay up to date on all things public health by subscribing to this newscast.  ASTHO Web Page: Board of Directors ASTHO Blog: Tennessee Partners with Dialysis Facilities to Strengthen Infection Prevention Yale School of Public Health: Public health needs to find its way through “the in-between” ASTHO Web Page: Subscribe to Public Health Review Morning Edition  

Hosted by Jane Pauley. In our cover story, Erin Moriarty reports on a CBS News investigation into serious concerns about the kidney dialysis industry. Also: Lee Cowan interviews actor Patrick Schwarzenegger, star of HBO's “The White Lotus”; Anthony Mason looks back at the origin of the rock group The Doors; Norah O'Donnell sits down with GOP Sen. Lisa Murkowski; Gayle King tours the recently renovated Waldorf Astoria hotel in New York; and Mo Rocca attends a New York City school for children who divide time between the classroom and the stage. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Brian from Lakewood, CA calls in, sounding very torn. His 80-year-old mom has been going through it: on dialysis, suffering, cirrhosis of the liver... just totally worn out. She’s telling him she’s done, but Brian’s heart is aching and he’s scared. Would letting her stop dialysis be a sin? Patrick Madrid assures him: "No... it’s not a sin." Here’s why: Dialysis is extraordinary care, not ordinary care. That means it's morally permissible to stop it if it's burdensome, especially when it’s only prolonging suffering. At 80 years old, in declining health, your mom has a right to say, "I’m ready to go home to God." Patrick gently reminds Brian: This could be a time to trust God and let go even if it's hard. Brian’s love for his mom is beautiful and totally understandable. Wanting to hold on isn’t wrong. But as Patrick said, clinging too tightly can get in the way of letting God do His will. So, if you're in a similar boat? Here’s the takeaway: -It’s okay to say “enough” when treatment becomes more pain than peace. -It’s not giving up. It’s letting go into God’s mercy. And hey... hug your mom today, if you can. Or call her. Or say a Hail Mary for her soul. Moms are priceless.

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Actor Steve Guttenberg (Diner, Three Men and a Baby, Cocoon) discusses his Christopher Award-winning memoir “Time to Thank: Caregiving for My Hero,” which he wrote about the care that he provided for his dad during the final years of his life—and the ways that his father shaped the man he became.

In this episode of the Kidney Commute: Pitstop* series, host, Raphy Rosen is joined by Christine Corbett and Alvin Moss to discuss active medical care without dialysis. Host: Raphy Rosen, MD, FNKF Guests: Christine Corbett, DNP, APRN, FNP-BC, CNN-NP, ACHPN, FNKF & Alvin Moss, MD, FACP, FAAHPM Please visit https://www.kidney.org/podcasts/kidney-commute to view additional resources. *The Kidney Commute: Pitstop series was previously known as the NKF Life as a Nephrology Professional podcast.

Your daily news in under three minutes. At Al Jazeera Podcasts, we want to hear from you, our listeners. So, please head to https://www.aljazeera.com/survey and tell us your thoughts about this show and other Al Jazeera podcasts. It only takes a few minutes! Connect with us: @AJEPodcasts on Twitter, Instagram, Facebook, Threads and YouTube.

060225 Russia Ukraine Prisoner Swap, Dialysis Deaths in Gaza, Fasting Against War by The News with Paul DeRienzo

This episode discusses a study that measured objective nocturnal sleep duration of patients on hemodialysis and characterized natural and dialysis-imposed patterns of sleep duration using a commercially available wearable activity tracker.

What if your life changed overnight—and you had to start all over again? Salvador Bermudez went from law enforcement and life-threatening health issues to flipping houses and building real estate syndications in just two years. Episode Summary: In this powerful and inspiring episode of The Property Profits Podcast, Dave Dubeau chats with Salvador Bermudez, a former police officer turned real estate syndicator. After experiencing kidney failure and spending hours on dialysis, Salvador had a wake-up call about the fragility of financial security. While recovering and undergoing treatments, he began studying real estate, eventually flipping homes and diving into multifamily syndications. Salvador explains how his engineering background and obsession with learning helped him create a strategy called "Predictive Value Add," a rigorous underwriting method that minimizes investor risk. Today, he manages a fund of funds that allows investors to diversify across syndications, and he's also built a thriving community called Predictive Wealth Alliance. Salvador shares the importance of helping others, building legacy, and redefining wealth beyond money. What You'll Learn in This Episode: How a life-altering health scare inspired Salvador's real estate journey The path from flipping houses to launching syndications The “Predictive Value Add” strategy and why it matters Why he believes risk mitigation is key to investor success How community, purpose, and giving back guide his business approach   - Get Interviewed on the Show! - ================================== Are you a real estate investor with some 'tales from the trenches' you'd like to share with our audience? Want to get great exposure and be seen as a bonafide real estate pro by your friends? Would you like to inspire other people to take action with real estate investing? Then we'd love to interview you! Find out more and pick the date here: http://daveinterviewsyou.com/

Welcome to Episode 4 of our Patient Stories of Hope series!After a sudden trip to the ER, Ibeth was diagnosed with severe lupus and kidney failure—told she might need dialysis for life. But her story didn't end there. In this heartfelt episode, Ibeth shares how she found hope, support, and a path to healing with Dr. Amigues and the UnabridgedMD team. Discover how a personalized, holistic approach helped her regain kidney function, reduce medications, and believe in remission again.If you or a loved one is facing a serious autoimmune diagnosis, Ibeth's story is proof: there is always hope, and healing is possible.

William's day starts at 6am for treatment. His sister Noreen knows what it's like to come out the other side. They talk to PJ Coogan. For more information on Organ Donor Awareness Week and how to get an organ donor card visit www.ika.ie Hosted on Acast. See acast.com/privacy for more information.

In this episode of Kidney Talk, Lori welcomes Dr. Richard Johnson - renowned nephrologist, author of Comprehensive Clinical Nephrology, and a pioneer in kidney disease research. Together, they dive into the fascinating connection between gut health and chronic kidney disease, exploring how good bacteria can support kidney function. Dr. Johnson shares insights on probiotics like Renadyl, leaky gut syndrome, and how gut imbalances might impact people who are on dialysis or have elevated creatinine levels. This enlightening conversation uncovers why gut health matters more than we ever imagined.

It's hoped a proposed healthcare facility in Clare's county town will put an end to years of hardship for many people. It comes as a planning application has been submitted for a renal dialysis facility in the Clare Technology Park which is located off the Gort Road in Ennis. As many as 80 members of the Irish Kidney Association's Clare branch currently travel to Limerick or Galway each month for dialysis. The facility is expected to be up and running by June of next year, and Ennis Fianna Fáil Councillor Pat Daly has been telling Clare FM's Seán Lyons it's been a long time coming.

Join us on this week's Cybersecurity Podcast for an in‑depth, ad‑free exploration of the latest ransomware blitz and emerging defense strategies. I'm Bryan Hornung, alongside Randy Bryan and Reginald Andre three industry veterans with decades of hands‑on experience ready to unpack every twist and turn. In our opening deep dive, we'll walk you through two headline‑grabbing attacks: a CBS affiliate in Chattanooga that fell victim to the Lynx ransomware gang, and Hitachi Vantara's flagship data center, crippled for days by the Akira group. What drove these adversaries to target media outlets and global enterprises, and how did each organization scramble to contain the damage? We'll analyze critical containment tactics, rapid recovery plans, and key lessons for shoring up defenses before the next breach strikes. Next, we shift from real‑world incidents to cutting‑edge trends shaping tomorrow's battlefield. Discover why live ransomware simulations are becoming essential “war games” for security teams, and learn how agentic AI could empower attackers to move at machine speed outpacing human defenders. We'll also demystify Microsoft's bold move to make every new account passwordless by default, weighing the promise of passkeys and biometrics against privacy and compliance concerns. And don't miss our examination of the startling insider‑threat case, where a cybersecurity CEO allegedly turned hospital systems into his own surveillance testbed. In our follow‑up segment, we revisit two major UK retail hacks Marks & Spencer's admitted lack of a coherent cyber‑response plan and the Co‑op's mass data theft—plus the alarming rise of “vishing” through fake IT help‑desk calls. Then, we cover the Cobb County leak and its fallout for citizen privacy, before closing with a critical look at DaVita's recent ransomware event, where 1.5 TB of patient data was exfiltrated yet life‑saving dialysis treatments continued under emergency protocols. Whether you're a security leader, IT professional, or simply curious about how today's most dangerous cyber threats unfold and get contained, this episode delivers actionable insights and expert analysis. Listen now, subscribe for the latest updates, and share if you find value your support keeps our show free of ads and full of expertise!

Send us a textJoin us as we chat with Veronica, Chief Operating Officer of Herewith Inc, as she shares how their innovative health tech platform connects patients with caregivers through a user-friendly app that resembles Uber and Bumble for caregiving that helps people come home - even for dialysis!• San Francisco-based company using technology to help seniors and others stay in their homes• App connects patients with fully vetted "helpers" who provide non-medical care, including dialysis support• Helpers include retired RNs, seniors capable of providing companionship, and trained dialysis care partners• All helpers undergo national, state, and county background checks• Company holds workers comp and liability insurance for both families and caregivers• Families set their budget and Here With only takes 20% of whatever price is agreed upon• No contracts required, allowing flexibility in choosing caregivers and scheduling• Caregivers come from the same communities as patients, making connections more meaningful• Services extend beyond dialysis to include companionship, errands, meal preparation, and household tasks• Platform available nationwide, with ability to quickly build caregiver networks in any zip code• Engineering team can customize solutions based on specific needsVisit herewith.com to learn more about connecting with caregivers who can help with dialysis and other care needs.

In this episode, Lori talks with nephrologist Dr. Arun Malhotra about what inspired him to pursue nephrology and dives into an important discussion about the connection between chronic kidney disease (CKD) and high potassium, also known as hyperkalemia. They cover symptoms to watch for, the role of diet, how to manage potassium levels, and the importance of working closely with healthcare providers.

The Cybercrime Wire, hosted by Scott Schober, provides boardroom and C-suite executives, CIOs, CSOs, CISOs, IT executives and cybersecurity professionals with a breaking news story we're following. If there's a cyberattack, hack, or data breach you should know about, then we're on it. Listen to the podcast daily and hear it every hour on WCYB. The Cybercrime Wire is brought to you Cybercrime Magazine, Page ONE for Cybersecurity at https://cybercrimemagazine.com. • For more breaking news, visit https://cybercrimewire.com

A shortage of dialysis centers in Kenya means patients with kidney failure often have to travel long distances to be treated. Now, an organization is starting to ease that burden with an innovative mobile dialysis unit. The 12-wheeled truck hauls a modern clinic around Murang'a County, offering dialysis to patients who live far from traditional treatment centers. Eliud Mwangi is a 63-year-old farmer from Murang'a County who has been undergoing dialysis treatment since 2021. For much of that time, he faced the challenge of traveling long distances to access dialysis services. The journey, which he had to make twice a week, was both exhausting and costly. On top of that, he often felt nauseous after treatment and endured an uncomfortable ride home. "Let me say that the distance that I had been traveling has been reduced to less than three-quarters. Now the dialysis is near me, less than 20 minutes from my home," Mwangi says. The project has been spearheaded by an organization called Benacare. "We identified critical gaps in access to healthcare for these patients, especially patients who are having to travel like an average of 250 kilometers one way to receive dialysis and then they have to do it twice a week for the rest of their lives," explains Naom Monari, the founder and CEO of Benacare. "We came up with a model of having mobile dialysis and that is mobile hemodiafiltration moving from community to community and offering this service to the patients. And this is the first mobile truck we have launched," she adds. The truck can treat three patients at a time. Although it is small compared to other clinics, it still means scores of people receiving essential care over the course of a week. The mobile unit is also fitted with the latest hemodiafiltration machines, which, Naom says, perform better than traditional dialysis machines. Dr. Jonathan Wala, a nephrologist and the president of the Kenya Renal Association, agrees that the mobile units do have some clear advantages, including reducing the strain on overstretched hospitals. He cautions, however, that they also have their limitations. This article was provided by The Associated Press.

Cody Kubiak's story is one of extraordinary resilience, faith, and hope. In this episode, we dive into his powerful journey—from childhood surgeries to receiving a kidney transplant and battling cancer. Through every trial, Cody has shown what it means to persevere and live with purpose. Hear firsthand how he turned hardship into hope, and discover why raising awareness for kidney donation is more important than ever. Dive deeper into Cody's story at kidneysquitwedont.com For more information on Kidney Solutions and to join our supportive community, visit kidneysolutions.org Host: Kent Bressler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!

A pilot in central Australia says he's never seen anything like this week's massive flooding at Lake Eyre. 

Dr. Ziv Harel discusses findings from his study, "Anticoagulation for Patients with Atrial Fibrillation Receiving Dialysis: A Pilot Randomized Controlled Trial," with JASN Deputy Editor Manjula Kurella Tamura.

This episode shares a personal experience with dialysis and emphasizes infection prevention. Speakers discuss challenges in avoiding infection, its impact on routines, steps to protect during dialysis, and the role of staff in reducing infection risk.

This episode shares a personal experience with dialysis and emphasizes infection prevention. Speakers discuss challenges in avoiding infection, its impact on routines, steps to protect during dialysis, and the role of staff in reducing infection risk.

Kidney Health New Zealand says a simple, $12 test could prevent hundreds of people languishing on waitlists for a kidney donor.

This episode covers maintaining water quality for infection control in hemodialysis. Topics include AAMI standards, monitoring water quality for safety, training staff on infection control for water systems, and addressing water treatment system issues.

This episode covers maintaining water quality for infection control in hemodialysis. Topics include AAMI standards, monitoring water quality for safety, training staff on infection control for water systems, and addressing water treatment system issues.

In this second episode, experts standardize evidence-based policies to improve care, review CDC's nine Core Interventions to reduce BSI, address patient challenges in reducing BSI, and explore NHSN Dialysis Event training for better infection control.

Most people who go to in center hemodialysis require lifestyle adjustments to help them get the most out of their treatment while enjoying life. In this episode of Hot Topics in Kidney Health, we visit a hemodialysis center to hear from patients and professionals about what it's like to live on dialysis. In today's episode we heard from:  Michelle Massey, PCT Cassandra Watkins, Hemodialysis patient Reginald Gramling, Hemodialysis patient Gurley Benson, Charge Nurse at dialysis center Ebony McKinley, Dialysis social worker Belinda Benbow, Dialysis Facility Administrator William Henderson, Regional Vice President of Operations for the Capital Division for U.S. Renal Care Additional Resources: Hemodialysis Information Find Support with NKF Peers   Do you have comments, questions, or suggestions? Email us at NKFpodcast@kidney.org. Also, make sure to rate and review us wherever you listen to podcasts.  

The FiltrateJoel TopfJordy CohenNayan AroraSpecial Guest Katie Kwon @katiekwonmd.bsky.socialMariana Murea @MarianaMureaEditing bySimon Topf and Joel TopfShow NotesNephMadness at AJKDblog.orgThe Hemodialysis RegionVote for your favorites

The Clare branch of the Irish Kidney Assocation says it's "lobbying very hard" for a dialysis unit in Clare this World Kidney Day. In conjunction with the annual awareness day which has rolled around again, the Irish Kidney Association, or IKA, has launched its '1 in 10 People' campaign to shine a light on kidney health awareness. The campaign, according to the IKA, is intended to make people more aware of kidney-related health conditions. It's estimated that one in 10 people in Ireland and one in seven over the age of 50 are living with Chronic Kidney Disease or CKD. Of these, a startling 98% don't know they have the condition which is on track to be the fifth leading cause of death here by 2040. Clare people in need of renal care currently have to go either to University Hospital Limerick or its satellite centre on the Dock Road in Limerick. While the HSE had at one point said Ennis Hospital would have a dialysis unit by the end of this year, this has now been pushed back to November 2026. Chairperson of the Clare branch of the IKA Dermot Hayes people here are travelling an exceptional distance to access the care they need. At this week's meeting of Clare County Council, Clarecastle Sinn Féín Councillor Tommy Guilfoyle tabled a motion seeking clarity on the delivery of the Ennis dialysis unit. Specifically, he's requested a precise timeline on the commencement of services, confirmation of its location, details of the contractor and confirmation of the project's current status. He says many in this county are confused and need answers as a matter of urgency.

Kent Bresler shares his personal journey through kidney disease, including his experiences with a kidney transplant, dialysis, and the challenges he faced with a recent health scare. With a focus on resilience and the importance of regular medical check-ups, Kent offers insights into navigating life after a transplant and the significance of community support. Join us for an inspiring discussion that emphasizes the power of faith, advocacy, and the human spirit in overcoming life's hurdles. For more information on Kidney Solutions and to join their supportive community, visit https://kidneysolutions.org/ Host: Kent Bresler Producer: Jason Nunez Remember to keep breathing, and don't miss the next amazing episodes of Kent's Kidney Stories!

How can you tell if your sniffles are just allergies or something worse? Should men be living in colder climates? The medical field is helping to increase access to clean water. Your smart watch may not be as great for your health as you thought. Learn More: https://radiohealthjournal.org/medical-notes-why-hopeful-fathers-should-live-in-cold-weather-how-dialysis-is-improving-access-to-clean-water-and-the-dangers-of-using-a-smartwatch Learn more about your ad choices. Visit megaphone.fm/adchoices

Ireland's first pet blood dialysis machine is currently being set up, but now the vets behind the project are looking for dogs and cats to donate blood.Joining guest host Tom Dunne to discuss is Laura Cuddy, Director of Veterinary Specialists Ireland, based in Meath…

Contributor: Aaron Lessen, MD Educational Pearls: Colchicine is most commonly used for the prevention and treatment of gout There is research investigating the anti-inflammatory and cardioprotective effects of colchicine  This drug has a narrow therapeutic index: a small margin between effective dose and toxic dose Colchicine overdoses can be unintentional or intentional and are associated with poor outcomes Phase 1: 10 - 24 hours after ingestion Patient looks well but may have mild symptoms mimicking gastroenteritis Phase 2: 24 hours - 7 days after ingestion Multiple organ dysfunction syndrome (MODS) Phase 3: recovery is usually within a few weeks of ingestion Treatment for colchicine overdose Treat early and aggressively Gastrointestinal decontamination with activated charcoal and orogastric lavage  Dialysis and ECMO for MODS treatment References Finkelstein Y, Aks SE, Hutson JR, Juurlink DN, Nguyen P, Dubnov-Raz G, Pollak U, Koren G, Bentur Y. Colchicine poisoning: the dark side of an ancient drug. Clin Toxicol (Phila). 2010 Jun;48(5):407-14. doi: 10.3109/15563650.2010.495348. PMID: 20586571. Gasparyan AY, Ayvazyan L, Yessirkepov M, Kitas GD. Colchicine as an anti-inflammatory and cardioprotective agent. Expert Opin Drug Metab Toxicol. 2015;11(11):1781-94. doi: 10.1517/17425255.2015.1076391. Epub 2015 Aug 4. PMID: 26239119. Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

Given the challenges that our dialysis patients face, how can we as providers stay sharp with the latest access techniques to help ensure the best possible outcomes? Dr. Omar Davis (interventional nephrologist) and Dr. Ari Kramer (general surgeon) join host Dr. Chris Beck to discuss advanced approaches to AV access and share their experiences with the FLEX Vessel Prep device. --- This podcast is supported by: VentureMed FLEX Vessel Prep https://www.venturemedgroup.com/ --- SYNPOSIS The doctors begin by describing how they create dialysis access and what they account for during the procedure. They then focus on the role of the FLEX VP system, its benefits, and how they use it in practice, touching on the latest clinical data. Dr. Kramer and Dr. Davis also stress the importance of mental health in dialysis care and share ways that we can better support our patients through difficult diagnoses and treatments. In fact, one of their patients, Fred Hill, authored the book “Dialysis Is Not Your Life,” which offers a unique perspective for patients feeling overburdened by dialysis, and the healthcare providers who treat them. The episode concludes with case presentations and practical guidance on when to use the FLEX Vessel Prep system. --- TIMESTAMPS 00:00 - Introduction 07:00 - AV Access and Procedures 10:58 - Case Walkthrough 14:19 - Balloon Angioplasty and IVUS 24:43 - Flex VP Device and Vessel Prep 35:03 - Algorithm and Reimbursement Challenges 39:51 - Device Usage and Techniques 46:58 - Clinical Data and Outcomes 01:01:59 - Case Studies --- RESOURCES Fred Hill, “Dialysis Is Not Your Life” Founder and Author: https://www.dialysisisnotyourlife.com/meet-founder.php “Dialysis Is Not Your Life” Book: https://www.amazon.com/DIALYSIS-NOT-YOUR-LIFE-Redefine/dp/B09L4XGGNX Novel Device Prior to Balloon Angioplasty for Dysfunctional Arteriovenous Access: Analysis of a Real-World Registry by Race and Sex Cohorts: https://www.openaccessjournals.com/articles/novel-device-prior-to-balloon-angioplasty-for-dysfunctional-arteriovenousaccess-analysis-of-a-realworld-registry-by-race-and-sex-16852.html FLEX Vessel Prep 12 Month AV Registry Data and 12 Month Belong PAD Data Shows Benefit to Micro-incisions Before Balloon or DCB Treatment: https://www.venturemedgroup.com/wp-content/uploads/2022/12/VEITH-Data-FINAL.pdf Angioplasty with novel, easy-to-use, bladed Flex Vessel Prep system “could replace standard of care”: https://www.youtube.com/watch?v=iRpkrURx1mc Surgical AVF Articles Atlas Condensed - sAVF Overview - Creation Maturation and Difficulties: https://docs.google.com/document/d/1f26FT65s03oZjjeZhBVy8auz0h8PTNvX3CWU5Xi_H5c/edit?usp=share_link Surgical AVF Articles Asif A, Early Arteriovenous fistula failure: https://drive.google.com/file/d/1zZEWgxsdBM4MKCQFjw0U04ra_hB9Ey_N/view?usp=share_link Surgical AVF Articles Asif A - Best Vascular Access in the Elderly - Time for Innovation: https://drive.google.com/file/d/1IpH-KnZyfN5Rqm_kxLnERnEJD6vcjAO8/view?usp=sharing Surgical AVF Articles EV Today - Managing Cephalic Arch Stenosis: https://drive.google.com/file/d/17yVd2M706YCtX-xTK6teesgZqzVIgUoN/view?usp=share_link VentureMed 2024 FLEX Vessel Prep System Reimbursement Guide: https://www.venturemedgroup.com/wp-content/uploads/2024/04/MMA-CTO-15690_FlexVesselPrepSystem-BillingGuide_Lv6-003.pdf BackTable VI Podcast Episode #139 - AV Fistula & Graft Maintenance with Dr. Ari Kramer: https://www.backtable.com/shows/vi/podcasts/139/av-fistula-graft-maintenance BackTable VI Podcast Episode #292 - Dialysis Interventions with Drug-Coated Balloons, Covered Stents and More with Dr. Ari Kramer: https://www.backtable.com/shows/vi/podcasts/292/dialysis-interventions-with-drug-coated-balloons-covered-stents-more

Austin Lees journey with kidney disease began before he was even born. Lori first met Austin when he traveled from DC as a teenager to attend the Renal Teen Prom. Overcoming anxiety and depression, Austin has transformed into a powerful advocate for others facing similar challenges. Tune in to discover how he turned adversity into empowerment and continues to inspire his peers.

This week on the Hunt Lift Eat Podcast, Carter and Kerri are back in the recording dungeon with a guest who defines perseverance—Scott Jernigan. From battling kidney disease since birth to carrying his dialysis machine into the woods just to chase whitetails, Scott's journey is nothing short of incredible.We talk about the power of hunting as a healing force, the importance of mindset, and the drive to help others—whether it's youth hunters, special needs hunts, or fellow outdoorsmen finding purpose through the pursuit. Scott shares how his passion for the outdoors helped him push through some of life's toughest moments and why he's now focused on giving back.We also get into bow setups, arrow builds, and a shared dream of chasing elk in the western backcountry. If you need a dose of motivation and a reminder to get after it—no excuses—this episode is for you.

Show notes at pharmacyjoe.com/episode995. In this episode, I’ll discuss when dialysis is recommended to be used to treat ethylene glycol poisoning. The post 995: Expert Recommendations For Using Dialysis to Treat Ethylene Glycol Poisoning appeared first on Pharmacy Joe.

Guest: Dr. Christian de Virgilio is the Chair of the Department of Surgery at Harbor-UCLA Medical Center. He is also Co-Chair of the College of Applied Anatomy and a Professor of Surgery at UCLA's David Geffen School of Medicine. He completed his undergraduate degree in Biology at Loyola Marymount University and earned his medical degree from UCLA. He then completed his residency in General Surgery at UCLA-Harbor Medical Center followed by a fellowship in Vascular Surgery at the Mayo Clinic.   Resources:  Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext  KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/    Outline: Steal Syndrome Definition & Etiology Steal syndrome is an important complication of AV access creation, since access creation diverts arterial blood flow from the hand. Steal can be caused by multiple factors—arterial occlusive disease proximal or distal to the AV anastomosis, high flow through the fistula at the expense of distal arterial perfusion, and failure of the distal arterial networks to adapt to this decreased blood flow.  Incidence and Risk Factors The frequency of steal syndrome is 1.6-9%1,2, depending on the vessels and conduit choice Steal syndrome is more common with brachial and axillary artery-based accesses and nonautogenous conduits. Other risk factors for steal syndrome are peripheral vascular disease, coronary artery disease, diabetes, advanced age, female sex, larger outflow conduit, multiple prior permanent access procedures, and prior episodes of steal.3,4  Long-standing insulin-dependent diabetes causes both medial calcinosis and peripheral neuropathy, which limits arteries' ability to vasodilate and adjust to decreased blood flow. Patient Presentation, Symptoms, Grading Steal syndrome is diagnosed clinically.  Symptoms after AVG creation occurs within the first few days, since flow in prosthetic grafts tend to reach a maximum value very early after creation. Native AVFs take time to mature and flow will slowly increase overtime, leading to more insidious onset of symptoms that can take months or years. The patient should have a unilateral complaint in the extremity with the AV access. Symptoms of steal syndrome, in order of increasing severity, include nail changes, occasional tingling, extremity coolness, numbness in fingertips and hands, muscle weakness, rest pain, sensory and motor deficits, fingertip ulcerations, and tissue loss.  There could be a weakened radial pulse or weak Doppler signal on the affected side, and these will become stronger after compression of the AV outflow. Symptoms are graded on a scale specified by Society of Vascular Surgery (SVS) reporting standards:5  Workup Duplex ultrasound can be used to analyze flow volumes. A high flow volume (in autogenous accesses greater than 800 mL/min, in nonautogenous accesses greater than 1200 mL/min) signifies an outflow issue. The vein or graft is acting as a pressure sink and stealing blood from the distal artery. A low flow volume signifies an inflow issue, meaning that there is a proximal arterial lesion preventing blood from reaching the distal artery. Upper extremity angiogram can identify proximal arterial lesions. Prevention Create the AV access as distal as possible, in order to preserve arterial inflow to the hand and reduce the anastomosis size and outflow diameter.  SVS guidelines recommend a 4-6mm arteriotomy diameter to balance the need for sufficient access flow with the risk of steal. If a graft is necessary, tapered prosthetic grafts are sometimes used in patients with steal risk factors, using the smaller end of the graft placed at the arterial anastomosis, although this has not yet been proven to reduce the incidence of steal.  Indications for Treatment Intervention is recommended in lifestyle-limiting cases of Grade II and all Grade III steal cases. If left untreated, the natural history of steal syndrome can result in chronic limb ischemia, causing gangrene with loss of digits or limbs. Treatment Options Conservative management relies on observation and monitoring, as mild cases of steal syndrome may resolve spontaneously. Inflow stenosis can be treated with endovascular intervention (angioplasty with or without stent) Ligation is the simplest surgical treatment, and it results in loss of the AV access. This is preferred in patients with repetitive failed salvage attempts, venous hypertension, and poor prognoses. Flow limiting procedures can address high volumes through the AV access. Banding can be performed with surgical cutdown and placement of polypropylene sutures or a Dacron patch around the vein or graft. The Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER) technique employs a percutaneous endoluminal balloon inflated at the AVF to ensure consistency in diameter while banding Plication is when a side-biting running stitch is used to narrow lumen of the vein near the anastomosis. A downside of flow-limiting procedures is that it is often difficult to determine how much to narrow the AV access, as these procedures carry a risk of outflow thrombosis. There are also surgical treatments focused on reroute arterial inflow. The distal revascularization and interval ligation (DRIL) procedure involves creation of a new bypass connecting arterial segments proximal and distal to the AV anastomosis, with ligation of the native artery between the AV anastomosis and the distal anastomosis of the bypass. Reversed saphenous vein with a diameter greater than 3mm is the preferred conduit. Arm vein or prosthetic grafts can be used if needed, but prosthetic material carries higher risk of thrombosis. The new arterial bypass creates a low resistance pathway that increases flow to distal arterial beds, and interval arterial ligation eliminates retrograde flow through the distal artery.  The major risk of this procedure is bypass thrombosis, which results in loss of native arterial flow and hand ischemia. Other drawbacks of DRIL include procedural difficulty with smaller arterial anastomoses, sacrifice of saphenous or arm veins, and decreased fistula flow. Another possible revision surgery is revision using distal inflow (RUDI). This procedure involves ligation of the fistula at the anastomosis and use of a conduit to connect the outflow vein to a distal artery. The selected distal artery can be the proximal radial or ulnar artery, depending on the preoperative duplex. The more dominant vessel should be spared, allowing for distal arterial beds to have uninterrupted antegrade perfusion. The nondominant vessel is used as distal inflow for the AV access. RUDI increases access length and decreases access diameter, resulting in increased resistance and lower flow volume through the fistula. Unlike DRIL, RUDI preserves native arterial flow.  Thrombosis of the conduit would put the fistula at risk, rather than the native artery.  The last surgical revision procedure for steal is proximalization of arterial inflow (PAI). In this procedure, the vein is ligated distal to the original anastomosis site and flow is re-established through the fistula with a PTFE interposition graft anastomosed end-to-side with the more proximal axillary artery and end-to-end with the distal vein. Similar to RUDI, PAI increases the length and decreases the diameter of the outflow conduit. Since the axillary artery has a larger diameter than the brachial artery, there is a less significant pressure drop across the arterial anastomosis site and less steal. PAI allows for preservation of native artery's continuity and does not require vein harvest.  Difficulties with PAI arise when deciding the length of the interposition graft to balance AV flow with distal arterial flow. 2. Ischemic Monomelic Neuropathy Definition Ischemic monomelic neuropathy (IMN) is a rare but serious form of steal that involves nerve ischemia. Severe sensorimotor dysfunction is experienced immediately after AV access creation. Etiology IMN affects blood flow to the nerves, but not the skin or muscles because peripheral nerve fibers are more vulnerable to ischemia. Incidence and Risk Factors IMN is very rare; it has an estimated incidence of 0.1-0.5% of AV access creations.6 IMN has only been reported in brachial artery-based accesses, since the brachial artery is the sole arterial inflow for distal arteries feeding all forearm nerves. IMN is associated with diabetes, peripheral vascular disease, and preexisting peripheral neuropathy that is associated with either of the conditions. Patient Presentation Symptoms usually present rapidly, within minutes to hours after AV access creation. The most common presenting symptom is severe, constant, and deep burning pain of the distal forearm and hand. Patients also report impairment of all sensation, weakness, and hand paralysis. Diagnosis of IMN can be delayed due to misattribution of symptoms to anesthetic blockade, postoperative pain, preexisting neuropathy, a heavily bandaged arm precluding neurologic examination. Treatment Treatment is immediate ligation of the AV access. Delay in treatment will quickly result in permanent sensorimotor loss.   3. Perigraft Seroma Definition A perigraft seroma is a sterile fluid collection surrounding a vascular prosthesis and is enclosed within a pseudomembrane. Etiology and Incidence Possible etiologies include: transudative movement of fluid through the graft material, serous fluid collection from traumatized connective tissues (especially the from higher adipose tissue content in the upper arm), inhibition of fibroblast growth with associated failure of the tissue to incorporate the graft, graft “wetting” or kinking during initial operation, increased flow rates, decreased hematocrit causing oncotic pressure difference, or allergy to graft material. Seromas most commonly form at anastomosis sites in the early postoperative period. Overall seroma incidence rates after AV graft placement range from 1.7–4% and are more common in grafts placed in the upper arm (compared to the forearm) and Dacron grafts (compared to PTFE grafts).7-9 Patient Presentation and Workup Physical exam can show a subcutaneous raised palpable fluid mass Seromas can be seen with ultrasound, but it is difficult to differentiate between the types of fluid around the graft (seroma vs. hematoma vs. abscess) Indications for Treatment Seromas can lead to wound dehiscence, pressure necrosis and erosion through skin, and loss of available puncture area for hemodialysis Persistent seromas can also serve as a nidus for infection. The Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines10 recommend a tailored approach to seroma management, with more aggressive surgical interventions being necessary for persistent, infected-appearing, or late-developing seromas.   Treatment The majority of early postoperative seromas are self-limited and tend to resolve on their own Persistent seromas have been treated using a variety of  methods-- incision and evacuation of seroma, complete excision and replacement of the entire graft, and primary bypass of the involved graft segment only. Graft replacement with new material and rerouting through a different tissue plane has a higher reported cure rate and lower rate of infection than aspiration alone.9     4. Infection Incidence and Etiology The reported incidence of infection ranges 4-20% in AVG, which is significantly higher than the rate of infection of 0.56-5% in AVF.11  Infection can occur at the time of access creation (earliest presentation), after cannulation for dialysis (later infection), or secondary to another infectious source. Infection can also further complicate a pre-existing access site issue such as infection of a hematoma, thrombosed pseudoaneurysm, or seroma. Skin flora from frequent dialysis cannulations result in common pathogens being Staphylococcus, Pseudomonas, or polymicrobial species. Staphylococcus and Pseudomonas are highly virulent and likely to cause anastomotic disruption. Patient Presentation and Workup Physical exam will reveal warmth, pain, swelling, erythema, induration, drainage, or pus. Occasionally, patients have nonspecific manifestations of fever or leukocytosis. Ultrasound can be used to screen for and determine the extent of graft involvement by the infection.   Treatments In AV fistulas: Localized infection can usually be managed with broad spectrum antibiotics.  If there are bleeding concerns or infection is seen near the anastomosis site, the fistula should be ligated and re-created in a clean field. In AV grafts: If infection is localized, partial graft excision is acceptable. Total graft excision is recommended if the infection is present throughout the entire graft, involves the anastomoses, occludes the access, or contains particularly virulent organisms Total graft excision may also be indicated if a patient develops recurrent bacteremia with no other infectious source identified. For graft excision, the venous end of the graft is removed and the vein is oversewn or ligated. If the arterial anastomosis is intact, a small cuff of the graft can be left behind and oversewn. If the arterial anastomosis is involved, the arterial wall must be debrided and ligation, reconstruction with autogenous patch angioplasty, or arterial bypass can be pursued. References   1. Morsy AH, Kulbaski M, Chen C, Isiklar H, Lumsden AB. Incidence and Characteristics of Patients with Hand Ischemia after a Hemodialysis Access Procedure. J Surg Res. 1998;74(1):8-10. doi:10.1006/jsre.1997.5206 2. Ballard JL, Bunt TJ, Malone JM. Major complications of angioaccess surgery. Am J Surg. 1992;164(3):229-232. doi:10.1016/S0002-9610(05)81076-1 3. Valentine RJ, Bouch CW, Scott DJ, et al. Do preoperative finger pressures predict early arterial steal in hemodialysis access patients? A prospective analysis. J Vasc Surg. 2002;36(2):351-356. doi:10.1067/mva.2002.125848 4. Malik J, Tuka V, Kasalova Z, et al. Understanding the Dialysis access Steal Syndrome. A Review of the Etiologies, Diagnosis, Prevention and Treatment Strategies. J Vasc Access. 2008;9(3):155-166. doi:10.1177/112972980800900301 5. Sidawy AN, Gray R, Besarab A, et al. Recommended standards for reports dealing with arteriovenous hemodialysis accesses. J Vasc Surg. 2002;35(3):603-610. doi:10.1067/mva.2002.122025 6. Thermann F, Kornhuber M. Ischemic Monomelic Neuropathy: A Rare but Important Complication after Hemodialysis Access Placement - a Review. J Vasc Access. 2011;12(2):113-119. doi:10.5301/JVA.2011.6365 7. Dauria DM, Dyk P, Garvin P. Incidence and Management of Seroma after Arteriovenous Graft Placement. J Am Coll Surg. 2006;203(4):506-511. doi:10.1016/j.jamcollsurg.2006.06.002 8. Gargiulo NJ, Veith FJ, Scher LA, Lipsitz EC, Suggs WD, Benros RM. Experience with covered stents for the management of hemodialysis polytetrafluoroethylene graft seromas. J Vasc Surg. 2008;48(1):216-217. doi:10.1016/j.jvs.2008.01.046 9. Blumenberg RM, Gelfand ML, Dale WA. Perigraft seromas complicating arterial grafts. Surgery. 1985;97(2):194-204. 10. Lok CE, Huber TS, Lee T, et al. KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update. Am J Kidney Dis. 2020;75(4):S1-S164. doi:10.1053/j.ajkd.2019.12.001 11. Padberg FT, Calligaro KD, Sidawy AN. Complications of arteriovenous hemodialysis access: Recognition and management. J Vasc Surg. 2008;48(5):S55-S80. doi:10.1016/j.jvs.2008.08.067

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