#keeping ahead of dialysis and diabetes

[chronickidneydiseas-blog]

The Chronic Kidney Disease Solution Review

According to Blue Heron Health News, the expression “constant kidney sickness” signifies enduring harm to the kidneys that can deteriorate after some time. On the off chance that the damage is exceptionally awful, your kidneys may quit working; it is called kidney disappointment, or end-stage renal illness (ESRD). On the off chance that your kidneys fall flat, you will require dialysis or a kidney transplant to live. But it can be resolved by using the chronic kidney disease solution.

Anybody can get CKD. A few people are more in danger than others. A few things that expansion your hazards for CKD include:

-Diabetes (Hypertension)

-Coronary illness

-Having a relative with kidney malady

-Being more than 60 years of age

Symptoms of Chronic Kidney disease

You may see at least one of the accompanying indications if your kidneys are starting to come up short:

-Tingling

-Muscle cramps

-Queasiness and spewing

-Not feeling hungry

-Growing in your feet and lower legs

-An excessive amount of (pee) or insufficient pee

-Inconvenience recovering

-Inconvenience resting

On the off chance that your kidneys quit working out of nowhere (intense kidney disappointment), you may see at least one of the accompanying side effects:

-Stomach (tummy) torment

-Back torment

-The runs

-Fever

-Nosebleeds

-Rash

-Retching

Having at least one of any of the indications above might be an indication of genuine kidney issues. If you notice any of these side effects, you should contact your primary care physician immediately.

How do you get to know that you have Chronic Kidney disease?

CKD, for the most part, doesn’t have any side effects until your kidneys are seriously harmed. The best way to know how well your kidneys are functioning is to get tried. Being tried for kidney infection is basic. Approach your primary care physician about these tests for kidney wellbeing:

-eGFR (evaluated glomerular filtration rate)

It is an indication of how well your kidneys are cleaning your blood. Your body makes burn through continually, and the waste goes into your blood. Healthy kidneys remove the loss from your blood. One kind of waste is called creatinine. If you have an excessive amount of creatinine in your blood, it may be an indication that your kidneys are experiencing difficulty sifting your blood.

You will have a blood test to discover how much creatinine is in your blood. Your primary care physician will utilize this data to make sense of your eGFR. On the off chance that your eGFR is under 60 for a quarter of a year or more, you may have kidney illness.

-Pee test

Your kidneys make your pee. On the off chance that you have blood or protein in your pee, it might be an indication that your kidneys are not functioning admirably. Your primary care physician may approach you for an example of your pee in the facility or request that you gather your pee at home and carry it to your arrangement.

-Circulatory strain

This test is done to perceive how hard your heart is attempting to siphon your blood. Hypertension can cause a kidney infection, yet kidney illness can likewise cause hypertension. Once in a while, hypertension is an indication that your kidneys are not functioning admirably. For a great many people, a typical circulatory strain is under 120/80 (120 more than 80). Ask your primary care physician what your circulatory strain ought to be.

How to prevent Chronic Kidney Disease

Diabetes and hypertension are the most widely recognized reasons for CKD. On the off chance that you have diabetes or hypertension, working with your PCP to keep your glucose and circulatory strain levelled out is the ideal approach to forestall kidney sickness. Carrying on with a sound way of life can help prevent diabetes, hypertension, and kidney sickness, or help monitor them. Follow these tips to bring down your hazard for a kidney ailment and the issues that cause it:

-Follow a low-salt, low-fat eating routine

-Exercise in any event 30 minutes on most days of the week

-Have ordinary registration with your primary care physician

-Breaking point liquor

What is Shelly Manning The Chronic Kidney Disease Solution PDF?

The Chronic Kidney Disease Solution PDF is a simple to-peruse program imbued with the most popular strategies for overseeing and rewarding kidney ailment. The substance is isolated into five sections that cover points, for example:

-What is Chronic Kidney Disease is

-How it is caused

-Instructions to analyze

-Interminable aggravation and tissue harm

-How gut biome influences your condition

-A fantastic way of life decisions

-Regular apparatuses you can use to treat Chronic Kidney Disease

-Furthermore, substantially more

The last part takes all that you learn all through the program and places it into a handy three-phase treatment plan that guides you precisely to mend. It incorporates things, for example, nourishments to maintain a strategic distance from, food sources to eat, supplement suggestions, practice direction, stress the board, 7-day dinner plan model, and considerably more. I’ll dive into the subtleties in a second; however, all that you learn is down to earth and simple to do. You aren’t required to follow a too prohibitive eating regimen or tally calories or dispense with everything you love. This Chronic Kidney Disease Solution By Shelly Manning program was made for genuine individuals. It’s 100% protected and regular as well!

The Chronic Kidney Disease Solution is advanced too, so you get quick access when you buy and can begin learning unusual approaches to oversee and regard your kidney ailment as ahead of schedule as today. To begin, you simply download the guide onto your cell phone, tablet, PC, or personal computer. You can likewise get to it on the web and bookmark it for snappy references. Notwithstanding, downloading the substance guarantees you have the recuperating plan with you any place you go, which is incredible for comfort and responsibility.

The Chronic Kidney Disease Solution is advanced too, so you get prompt access when you buy and can begin learning ground-breaking approaches to oversee and regard your kidney malady as right on time as today. To begin, you simply download the guide onto your cell phone, tablet, PC, or personal computer. You can likewise get to it on the web and bookmark it for quick references. Nonetheless, downloading the substance guarantees you have the recuperating plan with you any place you go, which is extraordinary for accommodation and responsibility.

In case you’re new to diagnostic instruments and mending or aren’t sure how this framework will line up with your way of life, you can give it a shot hazard-free for two months with the 60 Day Money Back Guarantee. It furnishes you with a fair chance to perceive how compelling and straightforward this treatment convention is.

What you will learn in the Chronic Kidney Disease Solution By Shelly Manning

The Chronic Kidney Disease Solution is a three-stage recuperating convention that shows you the most popular strategies for overseeing and rewarding kidney malady. It’s a linear system that works you back to wellbeing through three explicit stages.

All through Shelly manning Kidney disease program, you become familiar with a wealth of essential data. At that point, you get a bit by bit control that gives you the instruments expected to put what you’ve realized vigorously. It incorporates food records, supper plan tests; dietary suggestions, supplement guides, practice direction, and the sky are the limit from there. It additionally accompanies 12 index segments that furnish you with snappy reference to all that you have to adequately and effectively execute the convention into your life.

Review for The Chronic Disease Solution

The Chronic Kidney Disease Solution Reviews is a direct arrangement that shows you the most popular strategies for diminishing incessant kidney infection side effects and turning around the ailment with a straightforward and standard three-stage convention. Studies show that roughly 1 out of 7 grown-ups in America have Chronic Kidney Disease and of those with it, 1 out of 2 individuals have no clue. With this program, you become familiar with this sickness, how it’s caused, how it’s analyzed, and regular devices you can use to treat your side effects and converse the harm.

It is not typical for proper techniques that are frequently intended to cover the indications rather than get down to the root issue to dispose of them. That is also that many have a not insignificant rundown of potential reactions that are in some cases, more regrettable than what you’re utilizing them to treat. Along these lines, in case you’re searching for a sheltered, dependable, reasonable, and viable treatment plan, here is all that you can anticipate from The Chronic Kidney Disease Solution.

[chronickidneydiseases]

The Chronic Kidney Disease Solution Review

According to Blue Heron Health News, the expression “constant kidney sickness” signifies enduring harm to the kidneys that can deteriorate after some time. On the off chance that the damage is exceptionally awful, your kidneys may quit working; it is called kidney disappointment, or end-stage renal illness (ESRD). On the off chance that your kidneys fall flat, you will require dialysis or a kidney transplant to live. But it can be resolved by using the chronic kidney disease solution.

Anybody can get CKD. A few people are more in danger than others. A few things that expansion your hazards for CKD include:  

-Diabetes (Hypertension)

-Coronary illness

-Having a relative with kidney malady

-Being more than 60 years of age

Symptoms of Chronic Kidney disease

You may see at least one of the accompanying indications if your kidneys are starting to come up short:

-Tingling

-Muscle cramps

-Queasiness and spewing

-Not feeling hungry

-Growing in your feet and lower legs

-An excessive amount of (pee) or insufficient pee

-Inconvenience recovering

-Inconvenience resting

On the off chance that your kidneys quit working out of nowhere (intense kidney disappointment), you may see at least one of the accompanying side effects:

-Stomach (tummy) torment

-Back torment

-The runs

-Fever

-Nosebleeds

-Rash

-Retching

Having at least one of any of the indications above might be an indication of genuine kidney issues. If you notice any of these side effects, you should contact your primary care physician immediately.

How do you get to know that you have Chronic Kidney disease?

CKD, for the most part, doesn’t have any side effects until your kidneys are seriously harmed. The best way to know how well your kidneys are functioning is to get tried. Being tried for kidney infection is basic. Approach your primary care physician about these tests for kidney wellbeing:

-eGFR (evaluated glomerular filtration rate)  

It is an indication of how well your kidneys are cleaning your blood. Your body makes burn through continually, and the waste goes into your blood. Healthy kidneys remove the loss from your blood. One kind of waste is called creatinine. If you have an excessive amount of creatinine in your blood, it may be an indication that your kidneys are experiencing difficulty sifting your blood.

You will have a blood test to discover how much creatinine is in your blood. Your primary care physician will utilize this data to make sense of your eGFR. On the off chance that your eGFR is under 60 for a quarter of a year or more, you may have kidney illness.

-Pee test  

Your kidneys make your pee. On the off chance that you have blood or protein in your pee, it might be an indication that your kidneys are not functioning admirably. Your primary care physician may approach you for an example of your pee in the facility or request that you gather your pee at home and carry it to your arrangement.

-Circulatory strain

This test is done to perceive how hard your heart is attempting to siphon your blood. Hypertension can cause a kidney infection, yet kidney illness can likewise cause hypertension. Once in a while, hypertension is an indication that your kidneys are not functioning admirably. For a great many people, a typical circulatory strain is under 120/80 (120 more than 80). Ask your primary care physician what your circulatory strain ought to be.

How to prevent Chronic Kidney Disease

Diabetes and hypertension are the most widely recognized reasons for CKD. On the off chance that you have diabetes or hypertension, working with your PCP to keep your glucose and circulatory strain levelled out is the ideal approach to forestall kidney sickness. Carrying on with a sound way of life can help prevent diabetes, hypertension, and kidney sickness, or help monitor them. Follow these tips to bring down your hazard for a kidney ailment and the issues that cause it:  

-Follow a low-salt, low-fat eating routine

-Exercise in any event 30 minutes on most days of the week

-Have ordinary registration with your primary care physician

-Breaking point liquor

What is Shelly Manning The Chronic Kidney Disease Solution PDF?

The Chronic Kidney Disease Solution PDF is a simple to-peruse program imbued with the most popular strategies for overseeing and rewarding kidney ailment. The substance is isolated into five sections that cover points, for example:

-What is Chronic Kidney Disease is

-How it is caused

-Instructions to analyze

-Interminable aggravation and tissue harm

-How gut biome influences your condition

-A fantastic way of life decisions

-Regular apparatuses you can use to treat Chronic Kidney Disease

-Furthermore, substantially more  

The last part takes all that you learn all through the program and places it into a handy three-phase treatment plan that guides you precisely to mend. It incorporates things, for example, nourishments to maintain a strategic distance from, food sources to eat, supplement suggestions, practice direction, stress the board, 7-day dinner plan model, and considerably more. I’ll dive into the subtleties in a second; however, all that you learn is down to earth and simple to do. You aren’t required to follow a too prohibitive eating regimen or tally calories or dispense with everything you love. This Chronic Kidney Disease Solution By Shelly Manning program was made for genuine individuals. It’s 100% protected and regular as well!  

The Chronic Kidney Disease Solution is advanced too, so you get quick access when you buy and can begin learning unusual approaches to oversee and regard your kidney ailment as ahead of schedule as today. To begin, you simply download the guide onto your cell phone, tablet, PC, or personal computer. You can likewise get to it on the web and bookmark it for snappy references. Notwithstanding, downloading the substance guarantees you have the recuperating plan with you any place you go, which is incredible for comfort and responsibility.

The Chronic Kidney Disease Solution is advanced too, so you get prompt access when you buy and can begin learning ground-breaking approaches to oversee and regard your kidney malady as right on time as today. To begin, you simply download the guide onto your cell phone, tablet, PC, or personal computer. You can likewise get to it on the web and bookmark it for quick references. Nonetheless, downloading the substance guarantees you have the recuperating plan with you any place you go, which is extraordinary for accommodation and responsibility.  

In case you’re new to diagnostic instruments and mending or aren’t sure how this framework will line up with your way of life, you can give it a shot hazard-free for two months with the 60 Day Money Back Guarantee. It furnishes you with a fair chance to perceive how compelling and straightforward this treatment convention is.

What you will learn in the Chronic Kidney Disease Solution By Shelly Manning

The Chronic Kidney Disease Solution is a three-stage recuperating convention that shows you the most popular strategies for overseeing and rewarding kidney malady. It’s a linear system that works you back to wellbeing through three explicit stages.  

All through Shelly manning Kidney disease program, you become familiar with a wealth of essential data. At that point, you get a bit by bit control that gives you the instruments expected to put what you’ve realized vigorously. It incorporates food records, supper plan tests; dietary suggestions, supplement guides, practice direction, and the sky are the limit from there. It additionally accompanies 12 index segments that furnish you with snappy reference to all that you have to adequately and effectively execute the convention into your life.  

Review for The Chronic Disease Solution

The Chronic Kidney Disease Solution Reviews is a direct arrangement that shows you the most popular strategies for diminishing incessant kidney infection side effects and turning around the ailment with a straightforward and standard three-stage convention. Studies show that roughly 1 out of 7 grown-ups in America have Chronic Kidney Disease and of those with it, 1 out of 2 individuals have no clue. With this program, you become familiar with this sickness, how it’s caused, how it’s analyzed, and regular devices you can use to treat your side effects and converse the harm.

It is not typical for proper techniques that are frequently intended to cover the indications rather than get down to the root issue to dispose of them. That is also that many have a not insignificant rundown of potential reactions that are in some cases, more regrettable than what you’re utilizing them to treat. Along these lines, in case you’re searching for a sheltered, dependable, reasonable, and viable treatment plan, here is all that you can anticipate from The Chronic Kidney Disease Solution.

[sciencesmart]

Type 2 Diabetes and Insulin Resistance

By Swati Mishra, Ph.D.

5 minutes read

Type 2 diabetes (T2D) is the most common form of diabetes and the most common long-term illness around the world. According to various sources, about 95% of all cases of diabetes are type 2. The way, number of T2Diabetics has risen over the past two decades around the world, currently makes it a global epidemic. In 1980 the number of people living with T2D was 108 million, this number has risen to 422 million in 2014. Amusingly at that time, researchers had estimated that there will be 400 million cases of T2D by the year 2015, well we have surpassed that target way ahead of time.  

Unlike type 1 diabetes, in T2D, cells in our body become resistant to the effects of insulin — which means cells don’t open their doors for glucose to enter for its metabolism even if insulin is around — and the beta cells in pancreas fail to meet the demand to overcome this insulin-resistance by producing and secreting more insulin. Though, insulin-resistant is the most prevalent cause of the clinical presentation of hyperglycemia in T2D, yet it is not the only cause. It is also possible to have T2D with out being insulin resistant; in that case which is less common — our beta cells are simply not making required insulin efficiently. Researchers have not yet come up with a cure for type 2 diabetes, but this condition if mild can be easily managed by making modifications in our daily life-style; for example — by carefully choosing our daily diet and planning meals in advance as well as by religiously sticking to a workout routine to maintain healthy weight. In more advance cases of diabetes, standard care medicines or insulin therapy can be recommended along with other life-style changes.

Photo Courtesy: http://diabetes-cure.me/

Therefore, by controlling our blood glucose levels through proper meal planning, exercise, and medical intervention, T2D associated long-term complications can be easily avoided or delayed. Yet, as the insulin resistance is believed to get worse overtime in the individuals diagnosed with type 2 diabetes, the condition eventually leads to the diagnosis of other medical complications in the long-term for example atherosclerosis (plaque builds up overtime leading to a heart attack, stroke or vessel blockage), coronary artery disease (major blood vessels that supply blood, oxygen and nutrients to our heart become damaged or diseased), hypertension (high blood-pressure), retinopathy (progressive damage to the retina leading to serious sight-threatening complication), nephropathy (kidney dysfunction leads to dialysis and/or kidney transplant) and neuropathy (nerve damage in hand and feet leading to lost sensation, pain, weakness, or tingling). Therefore the best practice in type 2 diabetes care is not just controlling the blood glucose levels but also keeping blood pressure, cholesterol and triglyceride levels in check.

There are several factors that place certain individuals at higher risk for T2D. Most important of them are their genetic predisposition, life-style choices and environmental factors. T2D has been strongly linked to our genes. However, exactly what gene or genes are responsible for it is still a topic of research. In addition, unlike other genetic disorders diabetes is not inherited in a simple pattern, which means it is not necessary that if you are a diabetic your children will develop it too. Researchers have put a great deal of effort in identifying the genes associated with diabetes with little success, further progress in this direction will enable it’s earlier detection or diagnosis before clinical presentation of hyperglycemia, implementation of early interventions and preventive measures in individuals at highest risk and development of more effective drug molecules and therapies.

If you are interested in learning ways to reduce your risk or motivation to manage your type 2 diabetes, please see the following links —

Choose More than 50 Ways to Prevent Type 2 Diabetes

Type 2 Diabetes and the Circle of Life

Diabetes Patients Need Guidance, Not Just Warnings

Six Ways to Stay Motivated to Manage Your Diabetes Well

Connect with me on LinkedIn, Facebook and Follow me on Twitter

#type2diabetes #type 2 diabetic #insulin #insulin resistance #coronary artery disease #neuropathy #nephropathy #diabetic retinopathy #hypertension #diabetes #t2d #diabetes mellitus

[sujitverma]

Everything You Should Know About Diabetes and its Effects on body.

What is Diabetes?

Diabetes Mellitus primarily known as Diabetes is a chronic disease where the pancreas can't make sufficient insulin to handle the glucose in the blood. which brings about the condition called Hyperglycemia (high glucose).

TYPES OF DIABETES:

Type 1 diabetes -  Type 1 diabetes is likewise named insulin-subordinate diabetes. This kind of diabetes is viewed as an immune system ailment. The invulnerable framework strikes and ends the cells in the pancreas, where insulin is ready. It's not satisfactory what causes this breakdown.

Almost 12% of people with diabetes have this sort. There are various clinical dangers that are related to Type 1 diabetes. It can harm the veins in your eyes, nerves, and kidneys. It turns out to be significantly more genuine when there is a danger of coronary illness and stroke included.

Type 2 diabetes–The exceptionally normal type of diabetes is type 2 diabetes, ascertaining for essentially 96% of diabetic cases in grown-ups. It happens when the body begins to oppose the insulin, and sugar tends to increase in your blood. Type 2 diabetes was called grown-up beginning diabetes previously, yet with the far-reaching of stout children and young people even they are creating Type 2 diabetes. Type 2 diabetes is additionally named non-insulin-subordinate diabetes. Type 2 diabetes is commonly milder than Type 1 diabetes. In any case, Type 2 diabetes can be the critical justification difficulties appearing to the kidneys, nerves, and eyes. Type 2 diabetes in a like manner grows your peril of coronary ailment and stroke.

What happens to your body when you have diabetes?

Cardiovascular disease– Diabetes significantly increases the possibility of several cardiovascular complications, including coronary artery disease with chest ache, heart attack, and contraction of arteries. You are more likely to have heart disease or heart attack.

Nerve damage– Additional sugar can rupture the walls of the tiny blood vessels that nourish your nerves, especially in your legs. This can cause prickling, numbness, burning sensation or pain that typically instigates at the tips of the toes or fingers thereby spreading progressively. If this is left untreated, you could lose all sensation in the affected limbs. Loss to the nerves related to digestion can cause problems with nausea, vomiting, diarrhea or constipation.

Kidney damage– The kidneys include a lot of tiny blood vessel clusters that filter waste from your blood. Diabetes can damage this delicate filtering system. Serious harm can lead to kidney failure or permanent end-stage kidney disease, which may involve dialysis or a kidney transplant.

Eye damage– Diabetes can harm the blood vessels of the retina possibly leading to blindness. Diabetes also raises the risk of other serious vision conditions, like cataract or glaucoma.

Foot damage– Nerve damage due to poor blood circulation to the feet results in the risk of several foot complications. When left untreated, any cuts or sores can progress severe infections, which often do not heal. Eventually if not taken care well, due to the infections you will be required to get your toe, foot or leg amputated.

Skin ailments– Diabetes may leave you more vulnerable to skin problems, mostly bacterial and fungal infections.

DIABETES AYURVEDIC TREATMENT:

Controlling diet– The food we eat assumes a vital part in controlling Diabetes. A nutritious eating regimen helps in accomplishing a sound way of life. Great food assists us with lessening the indications of the illness. Ayurveda does not just work on the state of the body it likewise helps in keeping Diabetes in control. Incorporate food sources that are hostile to bacterial in nature like turmeric, ginger; vegetables like a bitter gourd, alma, and so on. It is in every case better to accept a specialist's recommendation before you roll out any improvements in your eating regimen. Go ahead and talk with our Doctors at Agni Ayurvedic Village.

Making lifestyle changes– Ayurveda accepts that persistent exercise helps diabetes. It let go of the manifestations of diabetes. Ayurveda expresses that the absence of activity is one of the fundamental purposes behind diabetes. Exercise assumes a significant part in diminishing blood glucose levels and furthermore keeping up with digestion. Regular cures and proactive tasks consolidated will give you preferable outcomes over medicine. Straightforward yoga and contemplation additionally help in calming pressure.

Taking proper medications and treatment– It is very important to take proper medicines for this sort of ailment. As worried about the treatment of the illness, ayurvedic meds are arranged to utilize a blend of spices and different plants. Ayurveda is totally fit for beating different medical conditions. Treatments like Panchakarma help in eliminating every one of the toxins from the body thereby purifying and detoxifying the body.

Tailored authentic Kerala Ayurveda treatments will be prescribed by our doctors, regular yoga and physical exercise; individually customized low carbohydrate diet will go a long way in maintaining normal blood level sugar.

#diabetes treatment #diabetes #type 1 diabetes #type 2 diabetes #type 1 diabetic #type 2 diabetic #ayurvedic treatment #ayurvedic therapy #blood sugar level #glucose level #cardiovascular disease #nerve damage #kidney damage #eye damage #foot damage #skin ailments #panchakarma treatment #insulin

[allenmendezsr]

Chronic Kidney Disease Solution Ckd

New Post has been published on http://autotraffixpro.app/allenmendezsr/chronic-kidney-disease-solution-ckd/

Chronic Kidney Disease Solution Ckd

 Buy Now

    I used to believe that once you had chronic kidney disease then that was it… you were pretty much stuck for life.

I thought there was not much you could do – except tweak it as best you can and hope to goodness that it didn’t get worse.

Maybe you’ve heard the same.

I really believed it too.

But I don’t any more. 

Because of something my doctor showed me I now know there’s an awful lot you can do to manage CKD – and what you can do turned out to be literally life-changing.

CKD isn’t a life-sentence

I was diagnosed with chronic kidney disease – CKD – just over 2 years ago.

My doctor explained that there is a number of reasons why we get CKD. But it was always caused by something else that was already going wrong in the body.

Diabetes, heart disease, various cardiovascular diseases, being very overweight and so on. They can all cause CKD.

High blood pressure was the cause of my CKD.

Your CKD may have a different cause. But the result is the same.

My doctor told me that chronic kidney disease can’t be tackled directly. Instead, doctors address the diseases that cause it in the first place.

Which, for me, meant tackling my blood pressure problem.

It might be a different fight for you depending on what’s causing your own CKD.

But whatever the cause, the strategy is the same: alleviate the problems of the CKD itself while addressing the underlying disease that is causing the CKD in the first place.

Unfortunately, using standard methods CKD can – and often does – get progressively worse. As it gets worse it becomes a significantly more threatening disease.

There was no way I could just accept that. No way.

Fortunately, I didn’t have to accept it. I did something else instead.

Which has meant that these days I can’t remember what CKD even feels like anymore.

But before I jump ahead of myself, let me make this important point.

Chronic Kidney Disease – the 5 stages

My doctor taught me something very worrying about CKD.

The disease has 5 stages. Stage 1 is the mildest.

Stage 5 is as serious as it gets.

Stage 5 can shorten a person’s life by many, many years.

You do not want to reach stage 5. 

A slippery slope to stage 5

My CKD was at stage 3 when it was discovered. Most of us only discover our CKD when it’s already well underway.

The danger here is that CKD gets progressively worse. Doctors find it very difficult to halt CKD’s progress into stages 4 and then 5.

At stage 5 you are plugged into a dialysis machine. You hope and pray for a suitable kidney donor so that you can squeeze some more years out of life… before finally succumbing. 

Well, no thanks.

Dialysis machines and kidney transplants were not for me. 

I didn’t care that other people coped with being strapped to a dialysis machine for hours on end four or five times a week.

That’s them. It’s not me.

And I didn’t care that, for people lucky enough to find kidney donors, better transplant techniques meant that they weren’t dying so quickly afterwards. 

As far as I was concerned… once you reach the kidney dialysis machines and transplant stage your days are numbered.

Again: no thanks.

I had – and still have – many years of life ahead of me.

And I wanted those years to be healthy, happy, enjoyable.

Not ill, diseased… watching my clock run down.

This wasn’t the life I wanted

I felt very low, to be honest.

My doctor gave me the standard spiel: we can handle the symptoms, we can try to address underlying causes… with the right meds you could lead a fairly normal life. And so on.

I told him this wasn’t good enough. I didn’t want my life cut short with a disease that – at least officially – had no way of being reversed.

I didn’t want to watch myself deteriorate week by week. I didn’t want to be plugged into a dialysis machine. I didn’t want a transplant.

And I didn’t want to die early.

I was very upset. I didn’t know what to do next.

But I didn’t want to just do nothing.

There is an alternative – and it’s proven

I’ve known my doctor since college. He’s a trusted friend. He told me to come back at the end of the day and we could go for a coffee and a chat.

He had something important to tell me.

Well, what my doctor told me that afternoon was jaw-dropping.

He described how he’d witnessed five of his own patients treat their chronic kidney disease to the point that they now experienced none of its symptoms.

Here’s the thing: they had first treated the underlying cause – the condition that gave rise to their CKD in the first place. That had led to the melting away of both that condition’s symptoms and their CKD symptoms.

Which was staggering. We’re talking about diabetes, cardiovascular disease, high blood pressure, obesity here…

He wouldn’t claim they no longer had the disease – professionally he’s not allowed to say that yet. Tests are still taking place, official verification is required – that takes years to complete.

But when one of his own patients attempted an alternative health approach to his chronic kidney disease…. and by all measures, succeeded… my doctor couldn’t ignore that.

The effects weren’t temporary – they lasted.

My doctor explained that conventional medicine was still testing these new remedies. But ordinary people had jumped straight in and had been applying them for some years.

No drugs, no hospitals… and the results were fantastic.

I was excited and nervous when I heard this. But everything we discussed that day I went on to prove to myself.

Chronic Kidney Disease: the inside story

But before I jump ahead of myself let me tell you what else my doctor told me.

We’ve always known that CKD is caused by other conditions: diabetes, high blood pressure, heart conditions, too much excess weight and so on.

So it makes sense to tackle those conditions if we’re to address CKD.

Doctors tackle those conditions either by significantly reducing their effect on our bodies… or by successfully reversing them completely.

This much has been well understood for a long time.

We also know another vital element of the story: that the conditions I listed above – diabetes, high blood pressure and so on – are often the result of low-level, ongoing inflammation in the body.

Those conditions are either made worse by this ongoing inflammation – or, more often, are directly caused by it. 

Finally, we’re well aware that the inflammation itself is mostly caused by a faulty immune system.

In other words, our immune system is being triggered way too often.

Which leads to ongoing inflammation… which in turn overwhelms our bodies and creates damage throughout.

The pathway to disease

So… a faulty immune system… leads to widespread inflammation… which leads to one or more of the diseases mentioned. Which leads to CKD.

This is the pathway to disease.

But what causes the faulty, malfunctioning immune system in the first place?

What’s that initial trigger that sets off the whole thing?

That has always been a mystery. Yet if doctors could find out how to stop the immune system from malfunctioning then the inflammation, the disease and the CKD… all goes away.

And now we know…

In the last few years scientists finally found out.

The immune system malfunction that causes your chronic kidney disease comes from problems in the gut.

Yes, the gut.

We now realize that, incredibly, most of the western world’s major killer diseases begin in our guts.

This one insight has changed forever how scientists now tackle disease.

And this isn’t theory, by the way. It’s not guesswork.

It’s heavily researched, scientific knowledge.

The details are straightforward

When we’re talking about your gut we’re not talking about bloating or stomach ache or anything like that.

We’re talking about the fascinating environment within your intestinal tract.

That environment – also called the microbiome – contains trillions of fantastically useful bacteria.

We’re used to thinking of bacteria as being harmful. But over 90% of the bacteria in a healthy gut perform functions that keep you alive. 

They do things for you that your body itself simply cannot do.

When healthy gut bacteria dominate our guts – and unhealthy gut bacteria are kept to a minimum – we are at our healthiest and happiest.

When this balance is disturbed we get ill. If it’s disturbed for long enough, we get very ill.

Here are just a few functions gut bacteria carry out for us:

They directly affect on our moods and emotions

They manage our growth from childhood, to adulthood, to old age

They strongly regulate our weight (food cravings come from bad gut bacteria, not greed!)

They eliminate toxins that our body cannot handle, preventing an overwhelm of blood poisons

They extract essential, life-preserving vitamins from food that our body simply cannot access – and which we can’t survive without

Good bacteria literally keeps us alive. So we need it to be in the best shape possible.

Why? What does poor gut health mean?

If the number of good bacteria are reducing then bad bacteria gain an upper-hand in your gut.

Given enough time the damage they cause to your body can be bad, then severe – then fatal.

Conditions that are directly linked to poor gut health include:

diabetes

liver disease

cardiovascular disease

some cancers

gout

high blood pressure

celiac disease

heart disease

kidney disease

arthritis

thyroiditis

psoriasis

irritable bowel disease

Recognize anything on this list?

If you have even one of these then your gut health either has a major hand in it or – in most cases – your gut health is the actual cause of it.

Remember the pathway to disease we mentioned a moment ago? We understand that pathway now:

Poor gut health leads to immune system malfunction… which leads to low-level inflammation… which leads to one or more of the above diseases. Which then leads to CKD.

By the way, if you’re a Type 1 Diabetes (T1D) sufferer who has been told that your diabetes is for life because its cause is unknown… that story is currently being rewritten.

Consider this from a 2018 white paper:

Recent evidence shows that altered gut bacterial composition is highly associated with T1D and, thus, targeting gut microbiota may serve as a therapeutic potential for T1D patients.

‘Pathogenesis’ simply means ‘the development of the disease’. The scientists here are suggesting that the therapy for Type 1 Diabetes is to target the state of the sufferer’s gut health.

Or this from a 2019 white paper:

Among the included studies, 24 articles confirmed the association between gut microbiota dysbiosis and T1D.

‘Gut microbiota dysbiosis’ refers to imbalances in the environment of the gut. Here, the researchers have confirmed that the state of the gut is associated with Type 1 Diabetes.

Dozens of heavyweight scientific research papers are reaching the same incredible conclusion.

Researchers aren’t allowed yet to claim that repairing gut health successfully eliminates T1D – even though the evidence points convincingly in that direction.

But gut health is heavily implicated in T1D – in the same way that gut health is now known to often be the only cause of all the other conditions I just mentioned.

It’s this insight that is now leading us into startling – yet very simple – remedies for western society’s most deadly diseases.

The chance to turn it all around

Get those gut bacteria healthy and everything that was going wrong – including CKD – starts going right again.

But what causes our guts to become unhealthy?

There’s no doubt at all about the causes: it’s our lifestyle choices.

‘Lifestyle’ simply refers to the usual suspects: stress, sleep, fitness and diet.

Which, at first sight, all seems pretty bland and dull. We’ve heard all this before.

But now it’s very different. Because now scientists understand the direct link between what we do… and how we get disease.

Poor lifestyle habits slowly ruin our gut health. They decimate good bacteria – allowing bad bacteria to thrive and expand their deadly effects.

Our gut environment becomes less helpful to us… and steadily more deadly.

Which makes it inevitable that, in time, we will end up either very ill or fatally ill.

The damage that bad habits do to our gut bacteria is almost the entire reason we are tired, ill, overweight, suffer low moods and struggle as we get older.

We say it’s ‘age’ that causes disease. That’s absolute nonsense.

It’s the slow and steady neglect of our gut health that causes disease. We do it to ourselves. We don’t mean to. But it’s what we do.

Poor lifestyle habits are the primary reason (for millions of us, they’re the only reason) we contract western society’s worst diseases – heart, blood, liver, kidney…

Your basic lifestyle habits directly and dramatically determine whether you’ll be ill at all.

And if you will be ill those habits determine which illnesses you’ll get – and how they will play out over the long-term.

The good news is…

Take heart though. This knowledge is, literally, life-saving.

We’ve now discovered at the deepest level why we get ill.

Which means we can get well again.

Simple, specific changes to some daily habits are now ridding people of a whole array of horrible conditions.

There is a right way of doing this, of course. It’s not simply a matter of ��eating healthily’ (whatever that means) or ‘getting more exercise’ (which not all CKD sufferers are able to do).

When someone is so ill that their kidneys are starting to fail then correcting specific lifestyle habits can change their life.

Done properly, it can save their life.

Beware though that the standard advice we see in magazines or on popular websites isn’t right for CKD sufferers.

We have a specific condition and that requires new and very specific action. It’s easier than most people believe – but it has to be right.

More powerful than medicine

Correcting these lifestyle factors properly can be literally transforming – more powerful than medications and even more life-improving than surgery.

But diet – what we eat and what we drink – is the kingpin of disease.

It’s the supreme dictator of how we’re going to suffer as we grow older – or even if we’re going to suffer at all.

You can eat your way back to healthy gut bacteria – and, therefore, full vibrant health.

There are many, many foods that you can eat unlimited amounts of.

Including – happily – a number of foods that  ‘fad diets’ tell you not to touch.

Everything you need to eat can be bought at a local supermarket. Half of it is possibly already in your kitchen.

Essentially though you must eat enough of the right things in the right quantities. Do that and everything else falls beautifully into place.

Back to the future

I thought sleep and stress and fitness and diet were just things that other people paid attention to. I was sensible enough to not eat like a pig.

And I didn’t think I was suffering stress any more than the average person was. All life has some stress, doesn’t it?

But, really, I didn’t give my food – or anything else about my lifestyle habits –  much attention.

In truth, I didn’t really know how to.

I enjoyed life, worked hard… but behind the scenes things were steadily going wrong with my health.

Today, I thank my lucky stars that I found out how to undo what was going wrong.

My health today is like it was 25 years ago. It’s like I’ve not aged a single minute.

Because now we know how to heal ourselves

Today, we know accurately what we can do to make all the nasty stuff go away.

If we address our health problems today in ways shown to actually work…. then we can reverse the diseases that plague us.

And as we do this, the symptoms of chronic kidney disease melt away to nothing.

That’s an opportunity we’ve not had before. Because only now have scientists finally worked out the full path – all the steps – from good health to disease.

Remember the path: gut health… malfunctioning immune system… widespread inflammation… disease… CKD

And understanding that, we have a simple way of going backwards – of reversing from CKD back to health.

Cutting to the chase: what do I do next?

So my doctor is explaining all this over coffee – well, three coffees to be accurate.

It was a heck of a lot to take in.

It all led to one obvious question though: how do I go about applying all this to myself?

How does an ordinary person like me make use of all this powerful stuff?

My doctor told me he knew of a health practitioner who had turned these new insights into a series of steps for CKD sufferers to follow.

The program showed them a way out of their suffering – all described in plain English.

He had already recommended the program to other CKD patients. And those who followed it enjoyed life-changing results.

That’s exactly what I wanted.

I wanted something I could do – something that I knew others had successfully completed.

Something that had successfully addressed their CKD.

The Chronic Kidney Disease Solution

The program that does it is called The Chronic Kidney Disease Solution.

It was created by Shelly Manning, a natural health practitioner who already had stunning results in other areas of health.

The patient who had first told my doctor about this program had himself suffered diabetes. If he could successfully address that and his CKD… then I wanted to be doing what he had done.

I ordered it as soon as I got home and it arrived in my inbox a few minutes later.

I started reading it there and then. And that was the moment my life changed forever.

Am I still ill?

Today I don’t know if I still have chronic kidney disease or not.

Even though he had seen it before, my doctor was delighted by my transformation.

A transformation I was able to feel and he was able to measure…

Today I eat very well, sleep soundly and am super relaxed.

I’m slim, happy, healthy and on top of the world.

I no longer experience any CKD symptoms. Not one. My blood pressure has been normal for over a year now.

I still have routine tests to ensure all is okay. It always is.

Whether I’m officially still a CKD sufferer or not, I doubt I’ve been this healthy since my twenties.

So how does it work?

Shelly Manning’s The Chronic Kidney Disease Solution is a straightforward plan for the complete relief of CKD symptoms.

All I had to do was follow Shelly’s instructions. My body naturally took care of the rest.

It was easy work. And some of the pay-offs came quickly – I felt different after just 4 days.

Some of her instructions were so ordinary that I couldn’t see how they would have much effect. But they did.

And given that I’ve swapped high blood pressure, diseased kidneys, tiredness, fatigue and low mood for vibrant health and a very big smile…

…I can safely say that doing what she advised was one of my smarter life decisions.

Three phases: from disease to health

Let me be bluntly honest with you here. Going from healthy to ill didn’t happen in an instant. Years of unhelpful lifestyle habits led gradually to chronic kidney disease.

We get ill step by step.

We address illness in the same way: step by step.

So Shelly’s program works us back to health through three very specific phases:

Phase 1: Protect from kidney damage

First we stop damaging our kidneys any further and give them the space they need to heal.

It takes some simple alterations to our daily habits to achieve this.

We begin addressing gut health too. Those good bacteria respond quickly and as they recover so does our health.

I felt positive effects of this within days: a little less tired, a little more focused, more cheerful.

Phase 1 also directly focuses on balancing blood glucose levels.

Note this isn’t a portion-control or calorie-control diet. Shelly encourages more eating, not less. It’s knowing what to eat that makes such a profound difference.

Phase 2: Restore kidney function

We continue to establish stable blood sugar levels for life.

Gut health has significantly improved – I was feeling noticeably more energetic, focused and upbeat. And despite eating as much food as I liked I was 12 pounds lighter.

Having released the stresses they were under my damaged kidneys were now slowly regaining their original functioning.

I was sleeping better than I had in years – even though I’ve never had a real sleep problem.

Phase 3: Repair and renew kidney tissue

At Stage 3 blood sugars are naturally stabilized – and they stay that way.

My blood pressure was now comfortably back in the healthy range – which was both a delight and a relief.

Using specific foods and natural supplements I generated new stem cells to repair kidney and heart tissue. The supplements were cheap and I got them from my local supermarket. I only had to use them for a short period – but the benefit was enormous: I was literally creating a new, healthy body.

So much about my health was completely turned around. CKD symptoms were completely gone. Life-threatening blood pressure was normalized.

From diseased to outstanding health in 3 phases

Shelly’s program is natural, simple and easy to follow. No doctor visits, no drugs, no complications. No bills, no expenses.

And it works.

Which is why thousands of people are now taking the decision to transform their lives like this – and bring to an end their disease once and for all.

Staying healthy… forever?

Okay, I’m teasing a little bit.

But I eat plenty yet remain slim. Mentally and emotionally I’m on top of the world.

I’ve not just finally addressed my chronic kidney disease – and the associated conditions that caused it.

I’ve also extended my lifespan. I will live longer.

And I’ll enjoy those extra years in good health – without the endless illnesses, medications and hospital visits that we’re conditioned to expect as we age.

The health effects of doing the right things has a profound effect on every aspect of my wellbeing – even at the smallest details.

I don’t even catch colds anymore!

It’s like I swapped a tired out body for a brand new one.

It’s not the miracle you might believe it is

These aren’t miracle outcomes. Shelly isn’t claiming to be some sort of health genius who discovered something that nobody else noticed.

These life-enhancing changes come from researched, verified, documented science from the US, Europe and across the world.

Outstanding health is simply the inevitable result of making the exact choices that the body needs you to make.

We’re so used to getting ill we forget that your body isn’t meant to be diseased. It’s meant to be healthy.

Illness is caused. And it’s our lifestyle behaviors that cause it.

By undoing lifestyle damage you’re simply restoring yourself to the good health that your body always tries to reach anyway. You’re returning yourself to normal.

Shelly’s lifestyle plan shows us exactly how to do that.

So long, CKD

Three years ago I decided not to suffer the deeply unpleasant effects of chronic kidney disease a moment longer.

I didn’t want to end up strapped to a kidney dialysis machine. And I didn’t want to have a transplant.

Today I am completely free of all chronic kidney disease symptoms. My blood pressure is now consistently spot-on. My weight is down, my sugars are stable. My energy is high, my mindset is optimistic and relaxed.

I’ve never felt like this before.

It feels like a miracle. But it isn’t. This is nature at work. This is cause and effect.

Like millions of Americans I’d unknowingly made myself unwell. Now I have knowingly made myself super well.

You deserve this too. I’m guessing that, for you, enough is enough. You want your health back.

Well, you can have it back – just like thousands of us already have. Get Shelly Manning’s The Chronic Kidney Disease Solution right now and you can join us in great health…

Her program works – but in case you’re the cautious type she has a full 60-day money-back guarantee. No questions.

Thousands of us are now fully healthy and happy. Join is now…

The logical decision for CKD

Remember: your body strives to be healthy. It does its best.

Lifestyle mistakes – the kind that millions of us make – work against it.

Undo those lifestyle mistakes and your body starts working its way back to its preferred state – which is vibrant health.

Do exactly the right things the right way and it’s impossible to avoid being healthy, energetic and happy.

Shelly Manning shows you exactly what those right things are.

Protect, restore, renew… not just your kidneys but your entire body.

Thousands of us did it – you can too. Start today.

Click here to receive the program…

Doing nothing is not an option

What you address gets better. What you ignore gets worse.

This is especially true with chronic kidney disease.

Imagine being attached to a kidney machine 3 or 4 hours a day… for 4 or 5 days a week.

No more holidays. No independence. And a life expectancy reduced by 10, 20 or even 30 years.

And if you’re lucky enough to get a kidney transplant? Then the doctors can give you an estimate for your date of death. Because they know the transplant is temporary. It’ll keep you alive for only so long.

Your life is basically on a countdown timer.

Who on earth wants all that?

Not me. Not you. Don’t put yourself through all this.

Act now and make everything right again. Get The Chronic Kidney Disease Solution here…

[therealdiligent]

Chapter 1: “Lost Ones”

There is no other way to say all this but to just do it in chapters cause like many of us it really feels like things have been just pouring down on us, blow after blow these days. There has been so much going on that I feel it will also be easier to end each story or use a “to be continue”  when moving forward with sharing, as things did run into each other, piled on, and some are not done yet.

The end of 2019 and first few of months of 2020 have been rather bumpy to say the least.

I do want to let you know that it’s all seasons though, and as they come, they also go. And throughout it our faith has been tested and forged. But know that the light is always real and there- at the end of the tunnel and each chapter, and that light,  if i’ve not made it clear with my living and sharing is........ Jesus.

Let’s call this first Chapter:

“Lost Ones”

November 2019 I go in to see my kidney doctor for a routine appointment to go over my blood pressure and kidney health. This is the doctor that over the past 2 years had been helping me with the effects of my bad management of my type one diabetes. Was assigned to him cause of some swelling in my feet and legs back in January 2017.

He had been mentioning dialysis from the beginning and for a while but during these almost 3 years, Harelyn and I had changed up our nutrition so much so that I was feeling better and the symptoms that brought us to Him in the first place weren’t there. So here we are thinking everything is gucci! And we were in one way reversing things. 

See when we would come see Him he would share numbers concerning my kidney function and let me know that I had to do better but to me they where just numbers. Plus I was feeling 100% compared to when i first saw Him and not symptomatic. But this visit was different....

He shares: “Jeancarlo your creatinine level is at 4.0″, so my reaction to this info was pretty much the same, “Again with the numbers!”, but it didn't register until he used the words “ STAGE 4 KIDNEY FAILURE & END STAGE KIDNEY FAILURE.”

We finally arrived and were on the same page. The seriousness and weight of it all finally landed and hit home. It wasn’t that we were ignoring it, cause we were eating kidney friendly, low sodium meals, on top of our low carb diet to continue with my diabetes care.

See the damage was done, the past 5 years of great management did not hold up against 13 years of bad choices and bad management, this is what got the best of them.

“Lost Ones” 

So here He comes again with the dialysis talk, and i'm like there’s gotta be something else doc, cause i am feeling fine and i am working with no issues, i was not at the symptomatic point of the need to go on dialysis. He went on as to why I should, I honestly was just getting lost in His words, blurred concepts, as His voice muffled and continued to fade i snapped and was like “Doc, WAIT! Is there nothing we can do to preemptively fix this!?” He pauses for a moment and then says, “Well, there is also a Kidney  Transplant.” I thought to myself after and as i've shared this with people, like “MY GUY!!!! Why in the world would you not start with that instead of Dialysis!”

So, boom! Harelyn and I start doing our research, the Dr. sets up my appointments with the Transplant Team to get Hip and start into what this process looks like. 

March is Kidney month and if you are not aware 1 in 3 Adults thats approx. 80 Million people are at risk of CKD (Chronic Kidney Disease). 93K people are on the Kidney transplant waiting list. It takes between 5-7 Years if you are waiting on the list and don’t have a living donor. Those stats are for a deceased kidney. A living kidney donor’s wait time is drastically shorter and is dependant on different variables, but we are talking months compared to years.

So we are in prayer and trusting for miracle in whichever way God chooses to bring this Organ cause the odds had stacked up against us once again. 

We share the info with our parents and sibs and consider the risks and all the factors that come with a living donor and recipient scenario.

Its now January 2020 and some Living donors had stepped forward but no blood match had been found yet. Im still working and im feeling alright, until i start getting some back pain and swelling in my legs again.

 I go in to the ER and get admitted as they consider my blood work, numbers, and options to treat.  I am still trying to avoid dialysis like the plague, because i've seen the toll it takes on people and how withered away they seem after. 

(See Chapter 1.5 “God Move” for details of those humbling crazy nights at the hospital)

After a few days in there and prayers we’ve come to the understanding that its best to start dialysis while not symptomatic rather than in an emergency situation. To start it I would need to go through a small procedure and get these ports put in near my neck for the dialysis treatments. 

This is all temporary in our minds cause we have several living donors that are willing to gift us such an amazing gift, and some of them were pretty far ahead in their evaluation process. Also, we hadn’t gone public with the need either, so we had all these plans to start a campaign to extend the search for a Kidney. So we felt ok with starting, its been just over a month now since ive been on it. (but wait... keep reading)

So just so we are all caught up: Pause

November we Hit some critical numbers with the kidney failure and January we start the search for a living donor, and also are now considering starting dialysis temporarily given that we know for sure that there are Living Donors, and will potentially have more once we go public with things.

 OK let’s continue: Play

Ports are installed for dialysis and i am getting prepped to go in to my first session. Leading up to this there have been so many conversations of faith, words of encouragement shared, tears shed, doubts crushed, sight refocused, and we were ready, I was ready. 

The nurse finishes up connecting me to the most scary looking machine i've ever seen, she leans in and turns it on. 

At this point all i see is my blood pumping and flowing down one tube, entering the machine and returning on the other tube back into me.  I just closed my eyes and took a breath, remembered the peace that only God can provide and  exhaled. Then this happened!:

  5 MINUTES INTO MY FIRST SESSION 

I look over to my left and there is my wife with this look on her face and she says to me:

WE FOUND A DONOR WHO IS A MATCH!

I dont think ill ever know how to express with words the flood of emotion that took over me and the feeling of gratitude in that moment. 

It felt like a cheesy hallmark/lifetime movie. Super dramatic, but clutch. God was moving pieces around without us knowing and in a matter of months i found a donor. We still asked those who started the process to finish just in case, and if you are willing and would like to potentially join us in our health journey in this manner, we would love to talk and would be grateful as well.

Now things have gotten complicated because of this COVID19 business. Scheduling the transplant and any other procedures right now is tough. But we’re trusting and confident that all will work its way as we get closer.

We are floored and honored that God would use our family to show off His power, love, care, goodness, control, and best for us and all those that will know, hear, and read of our journey.

Stay tuned....

#medicine #kidney transplant #living donor #dialysis #temporary #faith #jesus #jesusisking

[toldnews-blog]

New Post has been published on https://toldnews.com/world/united-states-of-america/guantanamo-bay-as-nursing-home-military-envisions-hospice-care-as-terrorism-suspects-age/

Guantánamo Bay as Nursing Home: Military Envisions Hospice Care as Terrorism Suspects Age

This article was produced in partnership with the Pulitzer Center on Crisis Reporting.

GUANTÁNAMO BAY, Cuba — Nobody has a dementia diagnosis yet, but the first hip and knee replacements are on the horizon. So are wheelchair ramps, sleep apnea breathing masks, grab bars on cell walls and, perhaps, dialysis. Hospice care is on the agenda.

More than 17 years after choosing the American military base in Cuba as “the least worst place” to incarcerate prisoners from the battlefield in Afghanistan, after years of impassioned debates over the rights of the detainees and whether the prison could close, the Pentagon is now planning for terrorism suspects still held in the facility to grow old and die at Guantánamo Bay.

With the Obama administration’s effort to close the prison having been blocked by Congress and the Trump administration committed to keeping it open, and with military trials inching ahead at a glacial pace, commanders were told last year to draw up plans to keep the detention center going for another 25 years, through 2043.

At that point, the oldest prisoner, if he lives that long, would be 96. Another of the 40 people still held here — the Palestinian known as Abu Zubaydah, who was confined to a box the size of a coffin while held at a secret C.I.A. site and waterboarded 83 times to break him — would be 72. Like him, a number of the detainees are already living with what their lawyers say are the physical and psychological aftereffects of torture, making their health especially precarious as they head toward old age.

“Unless America’s policy changes, at some point we’ll be doing some sort of end of life care here,” the commander of the detention center, Rear Adm. John C. Ring, said during a discussion with reporters that highlighted the kinds of questions the prison is asking Pentagon policymakers to decide.

“A lot of my guys are prediabetic,” Admiral Ring said. “Am I going to need dialysis down here? I don’t know. Someone’s got to tell me that. Are we going to do complex cancer care down here? I don’t know. Someone’s got to tell me that.”

The prison is envisioning communal nursing home-style and hospice care confinement of detainees. Already, military commanders say, the detainees now suffer typical middle-age conditions: high blood pressure and cholesterol, joint pain, diabetes and, lately, sleep apnea.

But the military is grappling with an array of questions about how much medical care the prisoners should receive, how it should be delivered and how much Congress will provide to pay for it.

The closest major United States military hospital is in Jacksonville, Fla., 822 miles north. That is where Admiral Ring’s troops go for medical needs that the small base hospital cannot provide, like an M.R.I. But, by law, the military is forbidden to take Guantánamo’s Law of War detainees to the United States.

So most nonroutine medical care has always had to come to the prisoners. Cardiologists have for more than a decade come to consult on some prisoners’ cases. Other specialists have made regular visits to do colonoscopies and examine orthopedic injuries. A prosthetist comes for those with long-healed battlefield amputations.

For now, the military says, no prisoner has cancer and anybody using a wheelchair can get himself in and out of it. But, senior staff members are puzzling through how many cells they will need with grab bars and ramps, and bigger spaces for gurneys, wheelchairs and showers.

“You know, a lot of these folks had hard lives before they came here to Guantánamo Bay,” said the senior medical officer, a Navy commander whose name cannot be disclosed under the military’s rules for visits by journalists to the prison. “We are starting to see the use of canes and walkers and braces and so forth.”

Admiral Ring said the military had no geriatric or palliative care physicians. So he is sending a team to see how the federal Bureau of Prisons handles sick and dying convicts.

The Guantánamo Bay prison has a revolving medical staff of 140 doctors, nurses, medics and mental health care providers. They care for the detainees but also provide some services to the 1,500 troops assigned to the prison, who can go to the base hospital or to the United States for more complex medical care.

Now, the Pentagon is seeking $88.5 million to build a small prison with communal hospice care capacity for the 15 detainees brought here from C.I.A. black sites — six of whom await death penalty trials as alleged conspirators in the attacks of Sept. 11, 2001, and the American destroyer Cole in which nearly 3,000 people died.

The initial cost estimate for the project in 2013 was $49 million. Last year, Admiral Ring estimated it at $69 million. Congress declined to fund it, citing more urgent Defense Department infrastructure needs.

The former black site prisoners are suspected masterminds, deputies or foot soldiers linked to Al Qaeda, and their defense lawyers and medical experts they consult call them Guantánamo’s sickest. Some of the ailments the military attributes to aging, they say, are actually the aftermath of C.I.A. torture.

One prisoner, known as Hambali, 55, an Indonesian who is being held as a former leader of the Southeast Asian extremist group Jemaah Islamiyah, is due for a knee replacement, said his defense lawyer, Maj. James Valentine of the Marines. Major Valentine said the damage to Mr. Hambali’s knee directly resulted from his first year of C.I.A. captivity, when he was always shackled at the ankles.

Mustafa al-Hawsawi, 50, a Saudi man accused of helping the Sept. 11 hijackers with travel and expenses, has for years suffered such chronic rectal pain from being sodomized in the C.I.A. prisons that he sits gingerly on a pillow in court, returns to his cell to recline at the first opportunity and fasts frequently to try to limit bowel movements, said his capital defense lawyer, Walter Ruiz. He has become dependent on a narcotic painkiller called tramadol to make it through the day, Mr. Ruiz said.

It may strike some people as odd that the military is discussing complicated, expensive medical care for the detainees, especially those the Pentagon prosecutor wants sentenced to death.

“It is paradoxical,” said Dr. Stephen N. Xenakis, a psychiatrist and retired Army brigadier general, who has consulted on Guantánamo cases since 2008. “But we don’t let people just die in this country. It violates all of our ethics, our medical ethics.”

Even before most of the detainees reach old age, the prison has confronted the challenges of providing sophisticated medical care under the constraints imposed on it.

In summer 2017, guards found an accused war criminal, Abd al Hadi al Iraqi, incontinent in his cell. He had complained for years about debilitating back pain from degenerative disc disease. A hurricane was headed to the Caribbean, and the Pentagon rushed a Navy neurosurgical team to the base to do an emergency spine surgery.

Recently released court documents in Mr. Hadi’s case challenge the assertion of commanders who say they provide detainees with excellent health care on par with American service members.

He underwent three spine surgeries in September 2017, the first on his lower back, another on his neck and a third to drain a postoperative hematoma. Then, that October, a senior officer at Guantánamo’s community hospital declared in an email that the patient’s “cervical fusion has failed.”

The officer, whose name was redacted in the court record, offered three possible options: giving Mr. Hadi a neck brace and hoping for the best; bringing in a special screwdriver from a Navy hospital in Portsmouth, Va., to remove hardware inserted in the patient’s neck in an earlier operation, or transporting him to the Portsmouth hospital for complex surgery.

In a rare admission of the limits of medicine at Guantánamo, the naval officer added that “the prospect of attempting” that complicated operation at the base hospital here “scares the hell out of me.”

What happened next is not in the court records. But Col. Amanda Azubuike of the Army, a spokeswoman for the Southern Command, which oversees the prison, said by email that the idea of airlifting the prisoner “was obviously not pursued nor explored further given the legal restrictions.”

Two more operations on Mr. Hadi would follow at Guantánamo.

Court filings show Mr. Hadi has chronic pain and back spasms, for which he is prescribed a variety of painkillers and muscle relaxants. His surgeon has testified that Mr. Hadi may not improve. At a hearing on his case in March, guards brought him to court in a wheelchair; he used a walker to transfer to a cushioned rehabilitation chair. The hearing abruptly recessed when one of his lawyers said Mr. Hadi’s answers were not tracking with questions his legal team was putting to him.

Mr. Hadi, now 58, has a February 2020 trial date. To ensure his attendance, the Pentagon fast-tracked bringing a wheelchair-accessible holding cell to the court compound where legal proceedings take place. It was already on order in anticipation of a population of aging detainees.

It is triple the size of the court’s other five holding cells, large enough to hold a hospital bed and, according to a case prosecutor, will have a video monitor so Mr. Hadi can watch a feed of his trial from the bed. It will also have a phone to let him or a lawyer call the courtroom next door, if he has something to say.

The military has already figured out what to do when a detainee dies because that has happened nine times since 2006.

Muslim employees on base offered the deceased their traditional rites until a Muslim chaplain arrived to take over. The State Department then arranged to repatriate the prisoners’ remains.

For those who cannot be repatriated, there is a chain-linked-fence ringed plot of land marked “Entrance Islamic Cemetery” on an off-limits portion of Guantánamo. The last time a reporter was able to visit it, in 2016, it was empty.

#b b c news us #tesla model 3 us news #usa news government #usa news mueller #usa news wells fargo #usa news zte

[gsraut2137-blog]

Medical Fluid Bags Market: Global Product Intelligence, Industry Analysis, Size, Share, Growth, Trends and Forecast - 2026

Medical Fluid Bags Market are the latest technology to design and produce polymer bags for fluid containment in a wide range of medical applications. Medical fluid bags are used in body fluid replacement therapy to provide proper fluid collection, electrolyte imbalance, transfusion and to maintain patient nutritional status through the oral or enteral route. Intravenous injection is the fastest way to replace drugs and fluids. Along with water replenishment, this bag is used for blood storage facilities, dialysis, transfusion and biological hazard treatment.

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Key Players: B. Braun,Terumo, Baxter, Fresenius Kabi, Hospira, Kawasumi Laboratories, Kraton, Maco Pharma, Pall Corporation,Vonco, Westfield Medical,Amsino,Coloplast, Renolit, C.R.Bard, , Wipak, Eagle, Thermo Fisher,Sippex, Smiths Medical, Technoflex, ConvaTec among other.

The Global Medical Fluid Bags Market Research Report Forecast 2019-2026 is a valuable source of insightful data for business strategists. It provides the Medical fluid bags industry overview with growth analysis and historical & futuristic cost, revenue, demand and supply data (as applicable). The research analysts provide an elaborate description of the value chain and its distributor analysis. This Medical fluid bags Market study provides comprehensive data which enhances the understanding, scope and application of this report. According to the report, the global medical fluid bags market is projected to grow at a CAGR of +5% over the forecast period of 2018-2024.

 By Product Type

·         Blood Bags

·         Dialysis Bags

·         Intravenous Bags

·         Drain Bags

·         Others

 By Material

·         Polyolefin (PP)

·         Polyvinyl chloride (PVC)

·         Thermoplastic Polyurethane (TPU)

·         Others

  Global Medical Fluid Bags Market: End-user Segment Analysis

·         Diagnostic Centers

·         Blood Banks

·         Hospital and Clinics

·         Homecare Settings

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Growing trend of chronic diseases globally, growth of medical fluid bag market. Chronic diseases such as liver disease, diabetes, heart, kidney and cancer require long term admission, which accelerates drug administration, vein treatment and drug administration. Various liquid surgical procedures required for the treatment of chronic diseases that will promote the growth of the medical liquid bag market. The increase in the elderly population due to the increase in the elderly population and the diverse incidence of gastrointestinal disease require hospitalization to promote drug delivery that promotes the growth of the medical fluid bag market.

 In developed countries, favorable repayment policies for expensive treatments also promote the growth of the medical fluid bag market. In addition, an increase in the number of medical centers and surgical procedures for the treatment of various diseases is driving the growth of the medical fluid bag market. However, the negative impact of synthetic polymers on the environment hinders the growth of the medical fluid bag market. In addition, manufacturing materials for fluid bags are harmful to humans as well as environments that impede the growth of the medical fluid bag market. Technical advances and needs for fluid bags in hospitals, blood banks and diagnostic laboratories are expected to provide beneficial opportunities for the medical fluid bag market.

 This report provides comprehensive analysis of:

Key market segments and sub-segments

Evolving market trends and dynamics

Changing supply and demand scenarios

Quantifying market opportunities through market sizing and market forecasting

Tracking current trends/opportunities/challenges

Competitive insights

Opportunity mapping in terms of technological breakthroughs

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 Geographically, North America is dominating the medical fluid bag market. Favorable reimbursement policies for expensive treatments in North America and Europe will encourage patients to receive costly treatment, which promotes growth in the region's medical fluid bag market. Moreover, in the Asia-Pacific region, increased disposable income from increased chronic diseases and the development of medical facilities promote regional growth.

 The research report also records the present market and its growth potentials in the given period of forecast. An exhaustive and professional outlook of the Global Medical fluid bags Market research study report has been completed by industry professionals and presented in the most particular manner to present only the details that matter the most. The report puts explicit emphasis on the most dynamic information of the global market, gained with the assistance of industry-best analytical methods.

 Reasons for Buying this Report

This Medical fluid bags Market report provides pin-point analysis for changing competitive dynamics

It provides a forward-looking perspective on different factors driving or restraining market growth

It provides a six-year forecast assessed on the basis of how the market is predicted to grow

It helps in understanding the key product segments and their future

It provides pin point analysis of changing competition dynamics and keeps you ahead of competitors

It helps in making informed business decisions by having complete insights of market and by making in-depth analysis of market segments

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Table of Contents:

Global Medical Fluid Bags Market Research Report 2019-2026

Chapter 1 Global Medical Fluid Bags Market Overview

Chapter 2 Global Economic Impact on Industry

Chapter 3 Global Market Competition by Manufacturers

Chapter 4 Global Production, Revenue (Value) by Region

Chapter 5 Global Supply (Production), Consumption, Export, Import by Regions

Chapter 6 Global Production, Revenue (Value), Price Trend by Type

Chapter 7 Global Medical Fluid Bags Market Analysis by Application

Chapter 8 Manufacturing Cost Analysis

Chapter 9 Industrial Chain, Sourcing Strategy and Downstream Buyers

Chapter 10 Marketing Strategy Analysis, Distributors/Traders

Chapter 11 Market Effect Factors Analysis

Chapter 12 Global Medical Fluid Bags Market Forecast

#Research Report Medical Fluid Bags Market #Medical Fluid Bags Market Size #Medical Fluid Bags Market Trends #Medical Fluid Bags Market Analysis #Medical Fluid Bags Market Share #Medical Fluid Bags Market Forecast #Medical Fluid Bags Market Estimate

[gordonwilliamsweb]

Kidney Experts Say It’s Time to Remove Race From Medical Algorithms. Doing So Is Complicated.

Alphonso Harried recently came across a newspaper clipping about his grandfather receiving his 1,000th dialysis treatment. His grandfather later died — at a dialysis center — as did his uncle, both from kidney disease.

“And that comes in my mind, on my weak days: ‘Are you going to pass away just like they did?’” said Harried, 46, who also has the disease.

He doesn’t like to dwell on that. He has gigs to play as a musician, a ministry to run with his wife and kids to protect as a school security guard.

Yet he must juggle all that around three trips each week to a dialysis center in Alton, Illinois, about 20 miles from his home in St. Louis, to clean his blood of the impurities his kidneys can no longer flush out. He’s waiting for a transplant, just as his uncle did before him.

“It’s just frustrating,” Harried said. “I’m stuck in the same pattern.”

Thousands of other Americans with failing kidneys are also stuck, going to dialysis as they await new kidneys that may never come. That’s especially true of Black patients, like Harried, who are about four times as likely to have kidney failure as white Americans, and who make up more than 35% of people on dialysis but just 13% of the U.S. population. They’re also less likely to get on the waitlist for a kidney transplant, and less likely to receive a transplant once on the list.

An algorithm doctors use may help perpetuate such disparities. It uses race as a factor in evaluating all stages of kidney disease care: diagnosis, dialysis and transplantation.

It’s a simple metric that uses a blood test, plus the patient’s age and sex and whether they’re Black. It makes Black patients appear to have healthier kidneys than non-Black patients, even when their blood measurements are identical.

“It is as close to stereotyping a particular group of people as it can be,” said Dr. Rajnish Mehrotra, a nephrologist with the University of Washington School of Medicine.

This race coefficient has recently come under fire for being imprecise, leading to potentially worse outcomes for Black patients and less chance of receiving a new kidney. A national task force of kidney experts and patients is studying how to replace it. Some institutions have already stopped using it.

But how best to assess a patient’s kidney function remains uncertain, and some medical experts say fixing this equation is only one step in creating more equitable care, a process complicated by factors far deeper than a math problem.

“There are so many inequities in kidney disease that stem from broader structural racism,” said Dr. Deidra Crews, a nephrologist and the associate director for research development at the Johns Hopkins Center for Health Equity. “It is just a sliver of what the broader set of issues are when it comes to both disparities and inequities in who gets kidney disease in the first place, and then in the care processes.”

Why Race Has Been Part of the Equation

Kidneys filter about 40 gallons of blood a day, like a Brita filter for the body. They keep in the good stuff and send out the bad through urine. But unlike other organs, kidneys don’t easily repair themselves.

“There’s a point of no return,” said Dr. Cynthia Delgado, a University of California-San Francisco nephrologist who is leading the task force working on the national recommendation to ditch the racial part of the equation.

Furthermore, it’s hard to gauge whether kidneys are working properly. Gold-standard tests involve a chemical infusion and hours of collecting blood and urine to see how quickly the kidneys flush the chemical out. An algorithm is much more efficient.

Buoyed by activism around structural racism, those seeking equity in health care have recently been calling out the algorithm as an example of the racism baked into American medicine. Researchers writing in the New England Journal of Medicine last year included kidney equations in a laundry list of race-adjusted algorithms used to evaluate parts of the body — from heart and lungs to bones and breasts. Such equations, they wrote, can “perpetuate or even amplify race-based health inequities.”

In March, ahead of the national task force’s upcoming formal recommendation, leaders in kidney care said race modifiers should be removed. And Fresenius Medical Care, one of the two largest U.S. dialysis companies, said the race component is “problematic.”

Until the late 1990s, doctors primarily used the Cockcroft-Gault equation. It didn’t ask for race, but used age, weight and the blood level of creatinine — a chemical that’s basically the trash left after muscles move. A high level of creatinine in the blood signals that kidneys are not doing their job of disposing of it. But the equation was based on a study of just 249 white men.

Then, researchers wrapping up a study on how to slow down kidney disease realized they were sitting on a mother lode of data that could rewrite that equation: gold-standard kidney function measurements from about 1,600 patients, 12% of whom were Black. They evaluated 16 variables, including age, sex, diabetes diagnosis and blood pressure.

They landed on something that accurately predicted the kidney function of patients better than the old equation. Except it made the kidneys of Black participants appear to be sicker than the gold-standard test showed they were.

The authors reasoned it might be caused by muscle mass. Participants with more muscle mass would likely have more creatinine in their blood, not because their kidneys were failing to remove it, but because they just had more muscles producing more waste. So they “corrected” Black patients’ results for that difference.

Dr. Andrew S. Levey, a professor at Tufts University School of Medicine who led the study, said it doesn’t make intuitive sense to include race — now widely considered a social construct — in an equation about biology.

Still, in 1999, he and others published the race equation, then updated it a decade later. Though other equations exist that don’t involve race, Levey’s latest version, often referred to as the “CKD-EPI” equation, is recommended for clinical use. It shows a Black patient’s kidneys functioning 16% better than those of a non-Black patient with the same blood work.

Removing the Race Number

Many patients don’t know about this equation and how their race has factored into their care.

“I really wish someone would have mentioned it,” Harried said.

He said it burned him up “knowing that this one little test that I didn’t know anything about could keep me from — or prolong me — getting a kidney.”

Glenda V. Roberts curbed her kidney disease with a vegan diet and by conducting meetings as an IT executive while walking. But after more than 40 years of slow decline, her kidney function finally reached the cutoff required to get on the transplant waitlist. When it did, the decline was swift — a pattern researchers have noted in Black patients. “It really makes you wonder what the benefit is of having an equation that will cause people who look like me — Black people — to get referrals later, to have to wait longer before you can get on the transplant list, but then have your disease progress more rapidly,” she said.

Roberts, who is now the director of external relations at the University of Washington’s Kidney Research Institute in Seattle and on the national task force, said a genetic test added to her feeling that a “Black/non-Black” option in an equation was a charade.

“In fact, I am not predominantly of African ancestry. I’m 25% Native American. I’m Swedish and English and French,” said Roberts. “But I am also 48% from countries that are on the continent of Africa.”

The Black/non-Black question also doesn’t make sense to Delgado, the University of California nephrologist. “I would probably for some people qualify as being non-Black,” said Delgado, who is Puerto Rican. “But for others, I would qualify as Black.”

So, theoretically, if Delgado were to visit two doctors on the same day, and they guessed her race instead of asking, she could come away with two different readings of how well her kidneys are working.

Researchers found that the race factor doesn’t work for Black Europeans or patients in West Africa. Australian researchers found using the race coefficient led them to overestimate the kidney function of Indigenous Australians.

But in the U.S., Levey and other researchers seeking to replace the race option with physical measurements, such as height and weight, hit a dead end.

To Crews, the Johns Hopkins nephrologist who is also on the national taskforce, the focus on one equation is myopic. The algorithm suggests that something about Black people’s bodies affects their kidneys. Crews thinks that’s the wrong approach to addressing disparities: The issue is not what’s unique about the inner workings of Black bodies, but instead what’s going on around them.

“I really wish we could measure that instead of using race as a variable in the estimating equations,” she said on the “Freely Filtered” podcast. “I don’t think it’s ancestry. I don’t think it’s muscle mass.”

It might not be that Black bodies are more likely to have more creatinine in the blood, but that Americans who experience housing insecurity and barriers to healthy food, quality medical care and timely referrals are more likely to have creatinine in their blood — and that many of them happen to be Black.

Systemic health disparities help explain why Black patients have unusually high rates of kidney failure, since communities of color have less access to regular primary care. One of the most serious consequences of poorly controlled diabetes and hypertension is failure of the organ.

Direct discrimination — intentional or not — from providers may also affect outcomes, said Roberts. She recalled a social worker categorizing her as unable to afford the post-transplant drugs required to keep a transplanted organ healthy, which could have delayed her getting a new organ. Roberts has held executive roles at several multimillion-dollar companies.

Delgado and Levey agree that removing race from the formula might feel better on the surface, but it isn’t clear the move would actually help people.

Studies recently published in the Journal of the American Medical Association and the Journal of the American Society of Nephrology noted that removing the race factor could lead to some Black patients being disqualified from using beneficial medications because their kidneys might appear unable to handle them. It could also disqualify some Black people from donating a kidney.

“Fiddling with the algorithms is an imperfect way to achieve equity,” Levey said.

As researchers debate the math problem and broader societal ones, patients such as Harried, the St. Louis minister and security guard, are still stuck navigating dialysis.

“One of things that keeps me going is knowing that soon they may call me for a kidney,” Harried said.

He doesn’t know how long his name will be on the transplant waitlist — or whether the race coefficient has prolonged the wait — but he keeps a hospital bag under his bed to be ready.

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

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Kidney Experts Say It’s Time to Remove Race From Medical Algorithms. Doing So Is Complicated. published first on https://nootropicspowdersupplier.tumblr.com/

[lindafrancois]

New Year’s Day Recipes for Kidney Diets

New Year’s Day is much more than the first day of the New Year. It is a day of celebration! A day to reflect on the year that was. It is a time to gather with friends and family. It is a time to think about our New Year’s resolutions and our dreams for the New Year! Let us not forget it is a time to eat really yummy food!

For people with chronic kidney disease (CKD), there are many kidney-friendly recipes that can be part of your New Year’s Day celebration. Simply go to Diet & Nutrition on DaVita.com and you will have access to many kidney-friendly recipes and even cookbooks. Whether you are looking for appetizers, snacks, beverages, or a main course, DaVita.com can help you find the right recipe. Recipes can also be filtered based on if a person is on dialysis or CKD non-dialysis. For people with diabetes, DaVita.com also has diabetes-friendly recipes as well.

Recipes for New Year’s Day

If you are staying home and relaxing on New Year’s Day or having a big celebration, enjoy some of these kidney friendly recipes.Some favorite New Year’s Day recipes are:

Black-Eyed Pea Hash–This black-eyed pea recipe might bring you luck! Try it  with Spicy Corn Bread and Southern-Style Collard Greens. Remember to be mindful of serving sizes for these recipes to keep good control of sodium, potassium and phosphorus levels. 

Winter Holiday Cranberry Pork Roast –This pork recipe can be the main course for your New Year’s Day meal Pork is a good source of protein and iron. Please check with your dietitian for the correct portion size to eat for your stage of CKD.

 Angelina’s Gingerbread Muffins –These holiday muffins will be great for New Year’s Day breakfast or brunch!

 Chewy Peppermint Cookies or Cream Cheese Thumbprint Cookies –Try one of  these delicious cookies instead for a sweet treat on your New Year’s Day.

 Snack Mix –This snack mix will provide a satisfying crunchy snack for your New Year’s Day celebration.

 Hot Holiday Cider Low Sugar –Try this warm holiday drink and have a cozy New Year’s Day! Or for a chilled drink try Ginger-Apple Sparkler.

Enjoy, celebrate, and eat this New Year’s Eve! Cheers to new beginnings and a bright future ahead for the New Year! I wish you all a very Happy New Year!

Additional Kidney Diet Resources

Visit DaVita.com and explore these diet and nutrition resources:

 DaVita Diet Helper online meal planner and tracker

 DaVita Kidney-Friendly recipes

 Today’s Kidney Diet cookbooks

 Diet and Nutrition articles

 Kidney Diet and Nutrition Hub

 Kidney Smart® Classes taught by kidney experts in your area

This article is for informational purposes only and is not a substitute for medical advice or treatment. Consult your physician and dietitian regarding your specific diagnosis, treatment, diet and health questions.

New Year’s Day Recipes for Kidney Diets published first on https://dietariouspage.tumblr.com/

[thegoodthebadtheugly1-blog]

before getting section 8, we moved into a two bedroom apartment in Fairfield California. Rachel and I shared one bedroom and my boys share the other one. Alex was going into the first grade and I wanted to make sure that he went to the best school in Fairfield. I found to school if you miles away in The richest part of Fairfield, called Rancho Salano. at that time, we were able to enroll our children into any school in the district as long as there was room. after a few years, Maxwell and Rachel went there also. Our apartment wasn’t really in the best part of town but we had nice neighbors. There were other kids live in the apartment building that were about the same age as my children so there was always kids for them to play with. Floyd was paying me $500 per month in child support and that didn’t even cover the cost of my babysitter. It seem like I just couldn’t get ahead. I was working more and more but also had to pay more and more for their daycare. It was very hard to make ends meet. I also felt guilty and hated leaving my kids for so long. My grandmother was put in a nursing home because of her advancing Alzheimer’s disease she was needing more and more care. My father started dialysis and can it work. My mother was stretched her limit. The kids and I and my mom and dad all moved into a large house that was also in Fairfield. I was able to keep my kids in the same schools. We decided this was the best idea because I could help my dad when my mother was at work and she would help me watch the kids while I was at work. this worked out well until my father got a bad infection in his leg and I had to get it amputated below his knee. This was a complication of his diabetes. My sister lived close by with her girlfriend at the time whom she is now married to. They were great.g Edye and Mary would come over all the time and do as much as they could to help. They would take my kids I little trips. They babysat when it was necessary. They even helped me with money. my mother was working full-time so they will also come over to help with my dad and give my mother a little break. gradually my father started stronger but still had to do dialysis three times a week and that took a lot out of him. after a little over a year of living together, my mother got a great job in San Francisco which she loved. San Francisco was over an hour commute from where we’re living so my parents moved into an apartment in the bay area. The kids and I stayed in the house and I rented out two bedrooms to a single mother with two sons. this lasted for a little less than a year when we realized we had very different. Hang styles and we weren’t getting along. That’s when she moved out. my sister and Mary are still helping me out as much as possible but I needed to find a way to afford to stay in the house. Edye was working with a woman that had a young daughter with a two year old child and they needed a place to live. She was 18 years old and a single mom. her name was Corey and I told her she could live in the house with us for free in exchange for her providing child care. this was great in the beginning. My kids loved her and she was a great babysitter. I also could go to work without feeling guilty, knowing that they were well taken care of. I thought this is great because our life was finally getting settled. But after a few months of living this way, her boyfriend started coming around while I was at work. I didn’t like him at all. He’s very abusive to her and was using drugs. I told her I didn’t want him around my children and this lasted for a while then I found out that he came over one night while I was at work. He and Cory got into a big argument. He put my kids in his car and started to drive away. The kids were terrified but luckily he brought them back to the house a few minutes later. when I came from work, my kids told me what happen and I immediately kicked her out of the house. here I was again, stuck without a babysitter and not knowing how I was going to pay my rent. we applied for section 8 I was on a very long waiting list. Al

[picardonhealth]

On choices around death, Quebec offers a cautionary tale

Advance medical directives around end-of-life wishes should reflect patients’ values and beliefs. And that can’t happen with a simple, legally binding checklist

André Picard, The Globe and Mail

March 18, 2019

Advance medical directives around end-of-life wishes should reflect patients’ values and beliefs. And that can’t happen with a simple, legally binding checklist

Most everyone would like to have some say about how they die. And there’s a legal tool that allows that to be theoretically possible.

Advance medical directives (AMDs) are documents that allow individuals to state, ahead of time, whether they would accept or refuse specific “lifesaving” medical interventions if they become incapacitated. These documents have many benefits: They can help avoid unwanted, unnecessary procedures near end-of-life; they can stave off ugly family fights; and they help health-care providers avoid a lot of stress and second-guessing.

But what should AMDs look like? How can we ensure that people’s wishes are respected but also that the directives are flexible enough to cope with the unexpected?

Those questions are tackled in a fascinating new paper from the Institute for Research on Public Policy, entitled Improving Advance Medical Directives: Lessons from Quebec.

The authors, Louise Bernier and Catherine Régis – law professors from Université de Sherbrooke and Université de Montréal, respectively – note that when Quebec legalized medically assisted dying in 2015, the move was part of a sweeping reform of end-of-life legislation that also included new rules on AMDs.

To prepare an advance medical directive in Quebec, you simply go online and fill out a form that allows you to say if, in case of incapacitation, you will accept or refuse five specific medical interventions: cardiopulmonary resuscitation, ventilator-assisted respiration, dialysis, artificial feeding and hydration.

The checklist is legally binding. And while the authors say that’s a good thing, it can also be problematic.

Consider this scenario: A 70-year-old suffers a stroke and is left in a permanent vegetative state. Her AMD makes it clear that she doesn’t want any intervention – not even artificial feeding and hydration. But her son, who lives abroad, asks medical staff to keep her alive for a week so he can come back and say goodbye. What happens?

The answer, as with many things in Canadian health care: it depends on where you live.

Ontario’s law does not specifically mention AMDs, but allows you to give someone a “power-of-attorney for personal care.” In Alberta, you can appoint a proxy to act as your decision-maker in the case of incapacity. Alberta also has a toolkit that helps patients and their proxies engage in a dialogue to suss out their values and wishes. And British Columbia goes one better, urging patients to have both AMDs as well as a representation agreement with a proxy. B.C. also has excellent planning guides to facilitate conversations, including cultural considerations. For example, Indigenous patients are urged to provide specific instructions for traditional ceremonies such as smudging and spiritual bathing.

But in Quebec, where the laws are much more rigid, physicians’ hands are tied. They must respect the patient’s wishes, and the hypothetical patient would likely die in a couple of days. (In hospital, this is how most chronically ill patients die, in a process known as “voluntary stopping of eating and drinking,” or VSED.)

What is clear from the research done by Ms. Bernier and Ms. Régis is that preparing advance medical directives should not merely be a form-filling task exercise. Rather, AMDs have to be living, breathing documents that are interpreted by trusted people, including medical practitioners and loved ones. Collaboration is key so that fears, priorities and values are considered.

Practically, AMDs will not always be necessary. Most people in Canada die of chronic health conditions – cancer, cardiovascular disease, diabetes, COPD and dementia account for 70 per cent of all deaths – that evolve in a fairly predictable manner. And 80 per cent of deaths happen in an institutional setting. But they will always be useful if needed.

There is tremendous pressure, both legal and social, to allow people to use AMDs for medically assisted death – for example, for patients with dementia to say that, when they reach a certain stage of illness, they want a hastened death.

The new paper reminds us that if that is ever going to happen, the process matters a lot.

You can’t plan for everything. But you can decide who you trust to make life-and-death decisions on your behalf, and you can help them with those hard choices if you convey your values and wishes clearly.

And that’s the best possible argument for productive AMD laws. When a proxy decision-maker says, “Mom wouldn’t want that,” it shouldn’t be a question that will haunt them, and it shouldn’t come from reading a checklist. It should be a firm, respectful statement based on intimate knowledge – a loving gesture from the heart.

#AMDs MAiD

[returnofthenat]

México lindo y querido

My life became a novela in April. I have been open about the fact that I let my father back in my life in the summer of 2016 and went to meet his new family in the summer of 2017.  My motive behind reconnecting was because I did not want to wonder how I would feel if my father died and I never talked to him again.

I’m going to preface this with the fact that I don’t know if my father is alive anymore. So I suppose I’ll use past tense as I write because that is how I feel. As soon as the man left my life again last week, he became dead to me.

My father was a user and a manipulator. This was the reason I didn’t want him in my life when I became an adult and had the option to no longer have contact with him.  He didn’t help my mom at all when it came to raising us, and when he did come to visit us, the visits were unpleasant. He was a miserable person that complained about how hard his life was, talking very badly about my mother (when we were kids who were being raised by her), and didn’t show an interest in what we were doing with our lives at all.  He didn’t show up to things we invited him to because he didn’t want to see my mom or her family. The one event he showed up to of mine was uninvited, and it was my high school graduation. He insisted that we go out to dinner with him, leaving my mother and grandmother behind (WHO BOTH RAISED ME!) and informed my siblings that he had another baby with a new woman a few months prior. It was the worst news. Shortly after that, he started to pester me about helping him get citizenship for his new woman to this country. I was barely 18, fresh out of high school, and scared. This was the most involved he was in my life since I was 12. It was only to pester me about asking for more hours at work so I could be the legal affidavit of support for this person. Yeah, me. The daughter he ignored for years he suddenly needed a huge favor from for a woman I didn’t even know.  He guilted me about loyalty, how my new half-brother was my blood, and how this was the right thing to do. I had enough sense to say “fuck that noise” and didn’t talk to him again for almost 10 years.

My father took horrible care of himself. He had multiple health issues that I knew about and when 2016 hit, I had several things happen around me that made my spirit feel like I needed closure with him. Several of my friends’ father’s died that year and a class I was taking in my final semester in undergrad had a lot to do with the philosophy behind choices, and my professor shared his personal pain with his daughter no longer talking to him. So, I reached out. He immediately called me after I sent a letter to his PO Box and we started to talk a little.

I went to see him twice. Once over the summer and once before Christmas. I met my half brother who was now 8 years old and a person. He was fun and sweet. His existence due to my father’s fucked up choices is not his fault.  I met my father’s “wife” (I don’t even know if they’re really married) and she was nice. After those visits, he got really sick and I became the primary contact for him to start asking for favors, again. Can I blame him? I guess not. He had no one other than those two. Everyone else in his family he burned bridges with or they were dead. As a matter of fact, two weeks after I rekindled the relationship he called me from the hospital asking for a ride from San Diego to Mexico (where he lived) because he had to have an emergency amputation surgery due to complications from diabetes. Two. Weeks. I said no, but this was just the beginning.

My father had end-stage renal disease. He only let me know what he wanted me to know and I found things out from actually taking him to the doctor and asking questions. He’s an American citizen and received health care here, but still didn’t adhere to the medical recommendations which led to his health getting so bad. He called me and asked for the favor of taking him to get his fistula surgery (I live 4 hours away) and his wife called me again when he was emergency admitted into the hospital for going into kidney failure a month later. She was unable to handle any of this shit because she can’t cross the border. I am resentful. I told the case manager at the hospital that I felt like I was being dumped on and she said, “well, you’re not. He’s your family.” Okay. So I took the plunge.

Eventually, my mom felt mercy for my father and let him come to stay with us where we live so his three kids could help him. It turned sour very quickly, he was ungrateful because no matter what we did it wasn’t enough because it wasn’t his way, and he made the decision to go back to Mexico with his wife and son. My dad was a narcissistic machismo who would rather die with pride than anything else.  He said a lot of awful things that I want to keep to myself, but one being “you will probably never see me again.” It was the truth though. I probably won’t. And I am at peace with that, I think. I have regained a huge sense of spirituality because I have to have something to lean on in the amount of pain I have experienced throughout these last three months, and I feel as if this was meant to happen. He came to spend some of his last moments with his kids but we weren’t given a fake show of what we missed. It was who he truly is. He also got to go back with his wife when we were originally thinking he was never going to see them again because he was going to find a place to live out here so he could be near us and receive the health care he needs. He said he wanted to keep in contact with us and he’d call when his plane landed. He never called. Honestly, it is probably better this way. I said my goodbye to him already.

The unexpected emotions and feelings I have endured throughout this have been overwhelming. I feel like I am celebrating the release of pain while feeling an incredible amount of grief for the fun father I had before he spiraled out of control all of those years ago. He once was a fun person.  He was a talented cook that was creative with his fruit plate designs, made sure I had fun birthday parties when I was a kid with pinatas, played mariachi music so loud it embarrassed the hell out of me and gave me permission to punch this girl on the bus that called me a “puta.” That’s about all I remember.

I am back in the unknown that I was in for years of not knowing whether he is dead or alive. Logically, I know he will die without dialysis. Logically, I know he will probably not have the same health care where he is in Mexico (and he is no longer near the border so he can’t just cross. He also signed over his pink slip to his truck to me before he left because he can no longer drive, so there’s that.) I think he reached a point where he gave up but there is a denial and fear in me that he is going to show up again and ask for his truck back because he’s going to be able to care for himself. Logically, I know that won’t happen but grief makes you feel weird things I guess. He called my tio before he left and my tio was honest with him… “Si vas a Mexico, vas a morir! Seguro.” But he left anyway. This was probably the first time he actually made an adult decision for himself in this entire process without looking at me to jump in and handle it for him.

I feel shocked by the need that I have for support from family and friends with dealing with this. There have been nights where I’ve called my brother crying and just asked him to sit with me. I’ve had some great friends talk me through stuff and remind me that I need to take care of myself too, even if it is just making sure I take a shower for the day.

I want to encourage people to provide support to others that go through things like this. Providing a listening ear and a non-judgmental attitude is the most helpful thing for healing. Every day I am experiencing new emotions, but having the few people that listen to what I’m going through makes me feel strong enough to get out of bed and face the day head-on.  I have a full, healthy life ahead of me. I have goals to become a speech pathologist and make differences in others lives. This situation affirmed that I am compassionate to a fault and will advocate for people until their death.

Thanks for reading.

-N

#grief #death of estranged parent

[amnexicon]

Ghosts

Part I. The Dove’s Death Hymn

Part II. An epitaph for the Wisteria

Part III. Black Sand Wonderland

- - -

    CHRONIC KIDNEY DISEASE—

    Causes: Diabetes, high blood pressure, glomerulonephritis, polycystic kidney disease, genetically transmitted.

    Diagnosis: Blood tests measuring glomerular filtration rate, urine tests measuring albumin, ultrasound, biopsy.

    Treatment: Pills managing blood pressure, active lifestyle, dietary changes, hemodialysis, peritoneal dialysis, kidney transplant.

    Symptoms: Swelling of the legs, feeling tired, vomiting, loss of appetite, confusion.

    Status: Incurable, at 323 million affected and 1.2 million dead.

    COMMON COLD, THE—

    Causes: Virus, transmission via airborne droplets, direct contact with infected objects or persons.

    Diagnosis: Self-diagnosis.

    Treatment: Fever medication, nasal decongestant, rest, maintaining hydration.

    Symptoms: Cough, sore throat, runny nose, fever.

    Status: Incurable, with 2-4 and 6-8 cases per year for adults and children respectively.

    FIBRODYSPLASIA OSSIFICANS PROGRESSIVA—

    Causes: Autosomal dominant allele on chromosome 2q23-24, genetically transmitted.

    Diagnosis: Elevated levels of alkaline phosphatase, bone-specific alkaline phosphatase, deformed big toes, missing joint, notable lump.

    Treatment: N/A

    Symptoms: Ossification of fibrous tissues either spontaneously or when damaged.

    Status: Incurable, at 0.5 million affected.

    GLIOBLASTOMA—

    Causes: N/A

    Diagnosis: CT scan, MRI scan, stereotactic biopsy, craniotomy with tumor resection and pathologic confirmation.

    Treatment: Anticonvulsant treatment, corticosteroids, surgery, radiotherapy, chemotherapy.

    Symptoms: Seizures, headaches, nausea, vomiting, memory loss, personality changes, localized neurological problems.

    Status: Three new cases per 100,00 people per year.

    INSOMNIA—

    Causes: Psychoactive drugs, use and/or withdrawal of sedatives and pain-relievers, heart disease, pain, hormone shifts, fear, stress, anxiety, emotional tension, gastrointestinal issues, mental disorders, disturbances to the circadian rhythm, genetically transmitted, elevated nighttime levels of circulating cortisol and adrenocorticotropic hormones.

    Diagnosis: Athens insomnia scale, sleep history and habits, overnight sleep study.

    Treatment: Sleep hygiene, stimulus control, keeping a journal, regular sleep and wake cycle, music, medication, melatonin, antidepressants.

    Symptoms: Trouble sleeping, sleepiness, low energy, irritability, depression.

    Status: Between 10% and 30% of adults may have insomnia at any given time, while in 6% it may last for longer than a month.

    TOXOPLASMOSIS—

    Causes: Toxoplasma gondii, eating poorly cooked foods, exposure to cat feces, genetically transmitted (if contracted during pregnancy), blood transfusion.

    Diagnosis: Blood tests, amniotic fluid tests.

    Treatment: Medication.

    Symptoms: N/A unless the patient has a weakened immune system or is immunosuppressed which can result in headaches, confusion, poor coordination, seizures, lung problems, encephalitis, necrotizing retinochoroiditis.

    Status: About 50% of the population affected.

- - -

Part I. The Dove’s Death Hymn

    Se Uita sat hunched in the corner of the dark room scribbling notes and throwing them to the ground when he was satisfied with his work, only to immediately replace the page with another. The mortician had fallen behind on his paperwork, and his assistant would sort through the mess on the floor in the morning. For now, his goal was to get down as much information onto paper as he could. Names, ranks, ages, and the district and time of birth and death if available. After hours of filling forms, he stood from his compact seat, stretched his legs and back, and headed out. The light shut off behind him, shrouding Se Uita in the dark of the night.

    Initium Vitae Columbae opened early to ensure that preparations could be made before the mourning. Se arrived before the sun had risen, the metal door handle still cold. He worked his way across stacks of papers, ensuring none of them would be kicked up by the force of his heavy morning trudge as he made his way over to the pastel blue wall painted to give a calming presence to the families making their way through his door. There were no mournings to conduct today. A buzzing came from within his skull, and he put his index finger over his temple.

    His gravelly voice, still tired with the early sun, sighed and answered.

    “Se Uita, yes?”

    The vision of a masked figure appeared in the left corner of his eye and spoke to him, the voice modulated so as to avoid identification.

    “We’ve arranged a truck to transport a body over. Don’t need to know who it is. Cremate them. You’ll be paid fully in advance.”

    “When should I expect it? When do you want the ashes? I’ve got a clear schedule today. If it stays that way, I can have the job done by nightfall.”

    “Should be here now. We don’t. Do what you want with them, so long as there isn’t a body by the end.”

    “That’s it? Who do I call when I’m do—” The other end cut out before the mortician had the time to finish his question.

    Se Uita returned his hand to his temple and shut the blank display. As he turned around to face the front window, men dressed in white, Cleaners, lowered a dark bag from the back of a large truck on to the sidewalk in front of Initium Vitae Columbae. They were gone before Se had even reached the door. A team of runners, they weren’t usually so secretive with their requests. He’d get a truck like that every few months, but they’d always booked ahead of time. He always got a name, and he always knew where the money was coming from.

    The sun had started to rise by the time he’d retrieved a bariatric stretcher from the back and managed to roll the bagged body on to it as cleanly as he could, given the unusual delivery method. With a solemn respect to the unknown person he was wheeling into his front door, he held his head low and kept quiet. While he didn’t know who, or what kind of person he was dealing with, after death they were all the same to him anyway. His procedure wasn’t going to change. They could still be watching him, and he was going to play by the rules.

    He transferred the body from the stretcher onto a steel bed near the back of the building, hidden away from any potential customers. He kept his head clear in case any buzzing were to alert him of anybody entering, he found a pair of scissors, and proceeded to open the bag. He was disarmed by the smell. Nothing. The body, a woman, had been cleaned before she was placed in the bag. A plastic case was strung around her neck with a zip tie. He cut it loose. The payment.

\\\ \\\ ||| /// ///

    The steel bed was surrounded by seven canopic jars that held the remains of a Blimp-Whale corpse the mortician had found once while on a trip to the edge of the Ocean. Most of the jars held small sections of rib. On his trip, Se had also managed to find fragments of teeth, the sand having shifted enough during the night to reveal them before the party returned to the city. He’d cut the ribs into pieces as the sun rose and fit as many into his coat and bags as he could before everyone else had awoken.

    After cutting the bag away from the body, he turned to one of the jars and filled it with water. He let it sit, doing this with each jar. After they’d all been filled, he waited for ten minutes for the bones to absorb the water. In the meantime, he opened a hatch on the side of the metal slab and replaced the fire-paper that lay underneath the cover of the metal table.

    Once the clock had run its course, he removed the small sections of rib from each of the jars and placed them at each of her extremities. One at the head, two at the hands, and two more at the feet. The last two bones he held for himself, and again he waited as the cleaned bones transferred the Blimp-Water into their new host. Se could feel both of his hands weakening but there was no one else here for the woman in her death, and so he was left dealing with her final rites alone. He could hear the shuffling of papers in the other room as his assistant began the cleanup.

    Soon, a grey smoke began to rise from her body. It was funnelled through a vent and sent to the roof of the building where it could find its way back to the Ocean. Usually, the mortician would close any openings and ensure to catch as much of the Ghost as he could, but there was no one here to collect any of the essence on her behalf, and he had no need to pry into her memories, thoughts, or feelings.

    “May your Ghost reach the Ocean,” Se muttered, “and provide harmony.”

    When the smoke cleared, he returned the bones to their respective jars and began the final phase of operations. Hands still weak, Se shuffled through drawers until he found a lighter and bent down under the steel bed. He felt around the metal bottom of the table until his fingers felt a small hole where the fire-paper could be reached by the lighter’s flame, and ignited it. Instantly, the table began to glow red until it was completely engulfed in flame. He watched in silence as she burned.

    When there was nothing left but ash on the metal sheet, Se Uita beckoned for his assistant who’d been rummaging through the stacks of paper in the room outside. He came in with a small black bag, while the mortician lifted the table at an angle, sending all of the ash into the bag. Searching through his drawers once again, he pulled out a tag, labelled it A. #3323 and used it to tie the bag. He then turned to his assistant.

    “Is the schedule still clean?”

    “It is, sir.”

    “Then you’ll be joining me on a trip to the Breach this afternoon.”

\\\ \\\ ||| /// ///

    Se Uita and his assistant, who held the black bag, departed once the schedule was confirmed clean. Initium Vitae Columbae was near enough the Breach that they could walk to the nearest Versenwatch in minutes. A Crimson Guard Watchman sat behind a thick wall of glass and stood up as the pair approached him. He saluted them and sat back down.

    “Me and the boy need Breach permits.”

    The Watchman looked over his desk to identify the names, occupations, and ages of the travelers before him that the computer had gathered from it’s scan and entered into the terminal in front of him. He asked them the same questions for confirmation.

    “Names?”

    “Se Uita. The boy is my—”

    “He’ll tell me.” Interrupted the Watchman. “What is your name, and what are your relations to this man?” he questioned, focusing intensely on the assistant.

    “I’m his assistant, Kohsahr An.” The reply was much more confident than the Watchman had anticipated.

    “Uita, your occupation?”

    “Mortician.”

    “And what brings you both down to the Breach?”

    Se grabbed the bag from Kohsahr’s hands and brought it up to the glass. “The Transisting. No one to see her off but us.”

    “Alright,” the Crimson Guard pushed a button on the console in front of him, opening a small square in the glass. “Pass it through.”

    Se pushed the bag through the hole. The Guard placed it into a black box for scanning. Once confirmed clear, he pushed the bag back through to Se, who in turn handed it back to his assistant.

    “Can’t be too careful,” the Watchman told them. “Two Breach permits. That comes to one-hundred CC each.”

    Se reached into his pocket and placed 200 CCs through a second slit that had opened up before him. The Guard reached through, took the Capitol Currency, and replaced it with two Breach passes. A gate ahead of the two travelers opened, and they walked through.

    The inside of the Breach that was available to the public was filled with souvenir shops and flashing lights. Groups of tourists wandered around, hopping from one destination to another. On the far end, windows peered out the the vast Ocean, only briefly interrupted by the forest directly below. The Breach was the only thing that protected the citizens of Novissimus Flos from nomad raids and the storms outside. To be this close made Se anxious, but the Ocean fascinated him just as much as it did everyone else. They made their way to an elevator and hit the top floor.

    The roof of the Breach was barren and smooth from all of the sandstorms that had passed overhead. The few tourists who dared venture this high shielded their eyes from the harsh sun and debris that flew through the sky toward them. Most quickly returned to the elevator and back down into the primary tourist areas. Se and Kohsahr walked toward the railing, the only thing preventing either of them from falling off of the massive structure and into the sand-covered forest below.

    “Kohsahr,” the mortician used his name. “The Transisting, if you would.”

    The request startled him. He’d never been given this permission before. “Right, yes.”

    He reached into the bag and threw the ashes into the wind. Behind him, Se Uita had begun chanting.

    “May your Ghost reach the Ocean and provide harmony. May the harmony brought forth satisfy the Whale, Irisidiom. May Irisidiom, provided for and satisfied, return a harmony of her own.”

||| ||| ||| ||| |||

Part II. An epitaph for the Wisteria

    The apartment was built on an axis, allowing the building to follow the sun as it moved through sky. From the Flos mountains, it looked like a sunflower in constant motion against the still outline of a city. It generated power for those living within who’d come to call the building Follower, or Flower. Inside, mirrors directed light from one end of the building to the other. It was a constant bright that bombarded the halls. Only the drawing of shades would drive it out.

    Lillian sat, her arms folded on the table and huddled under a blanket, as she looked at Walker preparing breakfast. He’d pulled two red pills from two orange containers labelled separately for the both of them and held them in his hands. Suppression Pills. In a drawer just under them, he grabbed a black box, opened the top and placed both pills inside, checking quickly out the window first. He closed the lid and waited. The air around the 31st floor of the building was cold.

    Lillian Lewis eyed the box. “You know they make better Skips now, right, that don’t take as long?”

    “I’m waiting for a pink model before I upgrade.”

    She smiled, laughing at the answer that had caught her off guard. “Dumbass.”

    Walker turned back towards her, lifting his shoulders. “It’d look so much better with the decor.”

    “Then why don’t you make one yourself?” She said as she got up, moving toward him.

    “Oh, they’ve long surpassed my original design. Plus, I can’t paint f—”

    Both of their skulls vibrated, and the corner of their vision was met with a view from the outside of their door.

    “Should only be a few more seconds the pills are done. I’ll let them in,” he said as he pushed his way past her and out of the cramped kitchen.

    The woman’s face was beaming as the door opened. “Walker Lewis! What took you so long? You think they’d teach you about punctuality in all that Guard training. How’ve you been?”

    “We’re just about ready to execute th—”

    A ringing from the kitchen. Lillian pulled the top off of the black box and put the now blue pills into their cups.

    “—the plan. We were just waiting on you both to get here.”

    Lillian walked in and welcomed Anoice and Scott Dourque, passing a purple cup to Walker. “All out of pink, sorry.”

    “Oh, how will I ever get by.” He said dramatically before taking a big sip and pulling the pill in.

    Anoice stared. “You still bother with that old Skip?”

    “There’s no pink model, so obviously we can’t upgrade yet.” Chimed Lillian.

    She led the group through a closet into a hidden room away from any of the large windows that covered the full lengths of the wall to the outside. She pulled a key from her long coat and opened a door leading to a black room filled to the brim with maps and pieces of equipment. A Crimson Guard uniform sat in the back corner, still shining from the recent polish Walker had given it. The four sat on opposing couches, cleaning the equipment and making small talk.

\\\ \\\ ||| /// ///

    The four converged individually upon the Central Novissimus Flos Suppression Office. It was broad daylight. A queue formed long within the building as people went in to confirm that they had been taking the pills and to ensure that their daily Suppression was working as intended. The outside of the building was lined with the Crimson Guard. Arms in hand, they stood on watch, unmoving, as people entered and exited the building. Only the guard at the entrance would move, inspecting everybody that entered.

    Lillian, ID in her shirt pocket, pulled it out as she approached the guard. After a brief scan and a few questions, he waved her through. The inside of the building was sterile. The white walls had stripes of red pointing in various directions to lead the unfamiliar around. She made her way to the back of the line and waited for the commotion. Very few were unfamiliar with the layout. Most of the Offices were built as images of the first.

    Walker had positioned himself, adorned in his Crimson Guard set, at the entrance of the Office and allowed Lillian in after putting up an act of inspection. He refused entrance to enough people so as not to draw suspicion to himself, wary of being watched by the other guards. The C-NF-SO was a squat, rectangular piece of concrete with massive windows and pillars looming out of the front. It was built on a tough foundation, and the outside was nearly indestructible.

    Anoice and Scott were geared in a black suit of body armour meant for absorbing shock. It would be suitable enough for protection as long as the situation didn’t escalate any more than they expected. They stood around the block from the C-NF-SO and unpacked their large mud-green bags, pulling out arms large enough to get the attention of the Crimson Guard in order to draw them away from the building. Scott looked her in the eye.

    “You ready?”

    She replied as she placed the helmet over her head, her voice coming in through each of the four radios in a static haze.

    “A3 and A4 in position, A1?”

    Lillian looked to the ground, trying to avoid eye contact with the people in the building. “A1 ready, A2?”

    Walker looked in the direction that the two were hiding.

    “A2 set. Go.”

    Scott and Anoice ran around the corner of the building and fired blindly at the guards, ensuring to miss Walker who instantly ran in their direction and called the other Guards over to his position, ordering capture rather than extreme use of force. The Crimson Guard had been wanting to question the Anti-Suppression Cell since they’d first caught wind of their activities. The group used this to their advantage. Civilians within the Office fell to the floor.

    Lillian took the opportunity to run behind the counter, grab one of the receptionists, and force him to a door at the back of the building. She scanned his ID to the door, opening it. He dropped as she stepped through the door leading to the database and servers that contained all of the information on the people who lived in the central sector. She pulled open her jacket, taking out small, flat objects and placed them around the room. She attempted to run back out of the building, only for one of the civilians to grab hold of her ankle and pull her down with them.

    Outside, Walker’s no kill order had been voided when they saw the explosion that Lillian had triggered when she fell. Anoice and Scott were shot on the spot, and the Guards returned to the Office to look for survivors and whoever had set off the explosion. The sounds of shouting surrounded the guards, but the man who’d grabbed Lillian stood up. He shouted, luring them towards her.

    Walker was confronted with a helicopter that drew nearer to the ground ahead of him as he looked for signs of life in Anoice and Scott. He caught a glimpse of the Captain of the Crimson Guard, Eris Vermillion, as she and her entourage jumped out of the helicopter which then returned to the building to airlift the survivors to the nearest hospital.

\\\ \\\ ||| /// ///

    One of the Crimson Guard broke from the squad and moved toward the survivor who had shouted to them, holding his hostage who squirmed in a fruitless attempt at escape. He picked her up over his shoulder and directed the survivor to the helicopter along with the rest of the people in the building, and called in to Captain Vermillion.

    “Sir, I’ve captured one of the Anti-Suppression Cell’s members. What should I do with her?”

    “We’ve got complications. Get rid of her, make it an accident.”

    The Guard threw her off of his shoulder and she hit the ground, cracking emanating from various places throughout her body. He unholstered his pistol, quickly fired between the eyes, and called the Cleaners in to his position as he continued looking for survivors. When the group, dressed head to toe in white and looking out of a blank mask arrived at the scene, they already had Anoice and Scott laid out between them on a stretcher. One of the group picked Lillian up and placed her on the pile. The Cleaners then returned to their van.

    Vermillion held the radio to Walker’s ear so he could hear his wife’s final screams.

    “Walker Lewis,” she stated coldly.

    She threw down a small cube, and a large gray box formed around the two of them until they were both completely enveloped within, alone in the darkness, until a small light descended from the ceiling.

    The Captain found her way behind Walker, tying his gloved hands to the chair that had appeared under him, until she sat comfortably behind a table opposite him. “You will tell me what you know.”

    “Goddamn nothing,” he said, “Just arrived at the wrong moment, is all.”

    She slammed her fist into his shoulder, dislocating it.

    “One of my former Guards just happened to suit up as a Suppression Office was attacked. You think I’m that stupid?”

    “Should I have left the suit behind when I disappeared?” He said, laughing at her anger.

    “Now’s not the time, Lewis. The casualties are over two-hundred at the last count. More are still coming in. What have you got against the Office?”

    He spit in her direction. “A system of pills so regulated. Our immune systems are shot. We’ve been trying to wean off the pills for years, and we can still only dilute them so much without serious consequences. Doesn’t help when we’re tracked to ensure we take them.”

    “We weren’t around before the Suppression System, Walker. You know the stories. Death for even the smallest things. We’re eliminating that threat. Without people like you, sickness would be gone completely. It would have nowhere left to go.”

    “So until then we just risk complete extinction?”

    “We’ve got all of these systems in place to fight that from happening, you know that. You were that. Soon, we won’t need to worry about anything. Killing innocents isn’t going to help.”

    The Portable Cell-Block walls retracted, and Captain Ze Vermillion ordered one of the Guard to restrain Lewis, who caught a view of the destruction that surrounded them. The C-NF-SO had become a pile of rubble. Unidentifiable bodies lay strewn about the wreckage.

    “You’re not going to face trial, Lewis. We can’t have the public knowing it was a  Crimson Guard who caused this.”

    She lifted her pistol.

||| ||| ||| ||| |||

Part III. Black Sand Wonderland

Twelve Hours Prior to the C-NF-SO Bombing

    “C076, confirm presence.”

    “C076, confirm.”

    “C077, confirm presence.”

    “C077, confirm.”

    The figures dressed entirely in white stood in line and acknowledged their presence for the days work. The floor resembled fallen ash, but their steps made no marks. Ahead of the lined figures was one other, this one dressed in a similar uniform but marked by the distinct red features underlying various sections of the gettup. He stood, unmoving, and barked directives at the group.

    “C078, confirm presence.”

    “C078, confirm.”

    “C081, confirm presence.”

    “C081, confirm.”

    He looked over the pad in his left hand, a section of names crossed out.

    “Unfortunate accident. C082, confirm presence.”

    “C082, confirm.”

    “C083, confirm presence.”

    “C083, confirm.”

    The leader placed the pad on the podium beside him, which retracted into the ground.

    “All confirmations acquired. Stand for orders.”

\\\ \\\ ||| /// ///

Thirteen Minutes After the C-NF-SO Bombing

    The figures loaded the last body into the back of the white van and all seven stepped in to the vehicle after them. The leader, sitting at the wheel, received a message just as he began to pull the van away from the site.

    “Captain Vermillion,” the static voice reported. “This drop is to be discreet. Three separate locations, no official statements.”

    “Confirmed.”

    He began driving and relayed the information to C082 in the seat next to him, who called three separate morticians.

    “Se Uita, yes?” responded the voice of the first.

    The old, bearded man was tired. It was still early.

    “We’ve arranged a truck to transport a body over. Don’t need to know who it is. Cremate them. You’ll be paid fully in advance.”

    One of the hooded figures in the back loaded three tags with the appropriate amount of Capitol Currency and placed them around the three necks.

    “When should I expect it? When do you want the ashes? I’ve got a clear schedule today. If it stays that way, I can have the job done by nightfall.”

    “Should be here now. We don’t. Do what you want with them, so long as there isn’t a body by the end.”

    “That’s it? Who do I call when I’m do—”

    He’d already moved on to a call with the next mortician before he had the time to hear Uita’s response.

#short story #fiction #scifi #science fiction

[baldandfatandondialysis]

Sugars !!!

The dialysate has sugar in it...food has sugar in it...and Dan is a diabetic....

Therefore he has been experiencing ridiculous highs and struggling to keep them down. He doesn’t always win...and that makes for some nasty consequences...

When running high sugars, other unexpected results were apathy and memory loss. One feeds into the other and a vicious unrelenting cycle can happen....That’s how Dan spent most of this past summer and fall. What he can remember is little and tinged with doubt.

After three days in ICU on intravenous insulin he was stabilized...and for the last number of weeks we have been fighting to keep ahead of the possibility that this could happen again...test...test...test!! 

He’s a human pincusion

But he’s here again and living life again instead of wandering through it in a dream state. 

He asks questions about the summer and cringes when I give an honest answer about how I’ve been struggling to keep him alive and healthy. About how i’ve had to do all my work and then come home to do everything he never got done during the day, plus nursemaid him until it is bedtime. 

Every repeated question, every high test is a prick in my subconscious mind that he may have to be watched for continued high sugars, memory issues and the onset of apathy....  

This is our life...this is my choice to love and care for a fellow human who has brought me love and joy and has shown me that I can be loved just as I am. When he is not suffering from the effects of high sugar, he is a co-hort in silly adventures, a caregiver who cooks for me and makes our home, home. The man that makes me breakfast and has supper waiting for me after work. Who gathers firewood to keep us warm and works on the vehicles that always need repair. 

He’s looking for more test strips right now...and it is time to go set up Gizmo the dialysis machine...and he is drawing me a bath...

#peritoneal dialysis #Diabetes

[agneskeenum455-blog]

Cardio Training And A Healthy Coronary Heart

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