03
Jul

Glomerular Filtration Rate (GFR) Explained

If you’ve recently been diagnosed with Chronic Kidney Disease (CKD), you may be feeling overwhelmed by the amount of information being thrown at you. One term you will hear frequently is GFR, or glomerular filtration rate.

Your glomerular filtration rate is an indication of how well your kidneys are working, and is used to determine your stage of kidney disease.

The test itself requires a blood sample that is sent to a lab for analysis. Your blood sample will be tested for creatinine, which is the chemical waste product of creatine. Creatine supplies energy to your muscles. You may also provide a urine sample to test for protein in your urine – an indication of kidney disease.

Your GFR will be determined using a formula that includes a combination of factors such as your creatinine levels, age, gender, height, weight, and ethnicity. A high GFR indicates a higher percentage of kidney function. The stages of chronic kidney disease are approximated to the following GFRs:

Stage 1 – 90-100% kidney function

Stage 2 – 60-89% kidney function

Stage 3a – 45-59% kidney function

Stage 3b – 30-44% kidney function

Stage 4 – 15-29% kidney function

Stage 5 – 15% or less kidney function

When your GFR is low, it indicates that your kidneys are not working as they should. Detecting kidney disease early will allow you to start treatment sooner and may help keep the disease from progressing.

After being diagnosed with chronic kidney disease, your nephrologist may order this test at regular intervals to assess the disease’s progression and plan the appropriate treatment. At Cincinnati Home Dialysis, we provide early stage treatment for chronic kidney disease. Your care team can help determine which treatment option best aligns with your lifestyle and needs.

13
May

Join Us for the 2018 Cincinnati Kidney Walk!

Cincinnati Kidney Walk 2017

From all of us at Cincinnati Home Dialysis – our team, our patients, and our community – we hope you join us at Fountain Square on Sunday, May 20th for the 2018 Cincinnati Kidney Walk!

The Kidney Walk is a rain or shine event organized by the National Kidney Foundation. Your participation in the event allows this organization to continue supporting those affected by kidney disease, from kidney donors, recipients, and families. Participants can earn prizes for raising money like a t-shirt, beach tote, fleece jacket, and personalized support from the Kidney Walk staff. The Cincinnati Kidney Walk’s fundraising goal is $130,000.

This year’s walk is expected to bring over 3,000 participants to downtown Cincinnati. There will be two routes from Fountain Square for walkers, one short (about 30 minutes) and one long (about an hour and 15 minutes). Registration for the event begins at 8:30 a.m., kickoff programming at 9:20 a.m., and walking at 10 a.m. You’ll find our Cincinnati Home Dialysis team at an exhibitor booth on the Square.

For more information about the walking routes, parking, and registration, visit the Cincinnati Kidney Walk event page. Follow along with other nationwide Kidney Walks on social media with #kidneywalk.

We hope to see you there!

04
May

Kidney Transplant: Living Donor Versus Deceased Donor

kidney-donation

There are two types of kidney transplants available, living donation and deceased donation.

Living Kidney Donation

A living donor is donating their kidney while they are still alive. One major advantage of living donation is that the transplanted kidney starts functioning in your body immediately after the surgery. This type of kidney transplant also allows you, your care team, and your donor to plan for the transplant and arrange the surgery when you and the donor are healthiest. The living donor is often an immediate family member, but could also be an extended family member or stranger as long as you have matching blood types.

If you and your family member do not have matching blood types, a paired donation may be possible. This is where two pairs of interested donors and transplant candidates “swap” kidneys. For example, Jane wants to donate a kidney to her sister Allie, but they are not compatible. Michael wants to donate a kidney to his wife Carol, but they are not compatible. However, Michael’s kidney is compatible with Allie, and Jane’s kidney is compatible with Carol. In this case, a swap can be performed between the four so a compatible kidney exchange can take place.

Deceased Kidney Donation

A deceased donor has chosen to donate their kidneys when they die. This is the most common type of kidney transplant in the US. When the donor has died, their kidneys can last up to 72 hours before transplant, so when a match is found, it is important to be ready to undergo surgery at short notice.

The wait time for a deceased kidney donation is about three to five years, but may be shorter or longer. Once the kidney is transplanted, it may take a few days or weeks to function properly, and you may need to remain on dialysis until your body and the kidney are in sync.

Talk to your care team at Cincinnati Home Dialysis about whether kidney transplant is the right option for you. We’re here to support you every step of the way.

 

17
Feb

Starting Home Hemodialysis: Ease Your Needle Fears

Doing dialysis on your own terms can be liberating, but often comes with a little unease at first. If the thought of using needles yourself for home dialysis treatments makes you nervous, you are definitely not alone. But with proper instruction, practice, and coping strategies, inserting needles can become just another part of your routine.

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Work with Your Care Technician

An experienced dialysis professional will train you on how to use all of your home dialysis equipment properly, including needles. This individual will teach you tips and tricks to be gentle with the needle and how to get an effective stick on the first try to minimize or eliminate pain. Your care technician can also help you with strategies to reduce your needle anxiety and connect you to local and online communities where other patients are sharing their best practices for reducing their fear of needles.

Distract Yourself

It may take some time to find what best calms your fears, but try playing your favorite music in the background, putting on a TV show you enjoy, or repeating a calming mantra while working with the needle. Remind yourself that starting dialysis only takes a few minutes, and after that you have the whole day ahead of you.

Have a Reward

When you’ve finished your home dialysis treatment and are done with needles for the day, indulge in a small snack you enjoy or do a fun, relaxing activity. Having something to look forward to after your home treatments can help ease your anxiety during dialysis.

Be Patient

When you’re just starting home dialysis, there’s a lot of new technology and processes to manage, and getting a comfortable routine down takes time. Try to be patient with yourself as you learn what practices are most relaxing for you during treatment.

Our care team at Cincinnati Home Dialysis is here to guide you through home dialysis and all the comes with it. Contact us anytime at info@cincinnatihomedialysis.com.

17
Feb

Dr. Tindni Featured in Cincinnati Magazine’s 2018 Top Doctors List

Cincinnati Home Dialysis nephrologist Dr. Arshdeep Tindni has once again been named one of the top doctors in the tristate by Cincinnati Magazine.

This coveted designation is earned by gaining at least seven votes from other licensed Cincinnati-area physicians, who nominate the winners by determining what medical professional they would refer to a friend or family member or go to for their own healthcare needs. The 2018 Top Doctors in Cincinnati list honors 768 physicians.

To learn more about Dr. Tindni, visit our care team page.

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17
Feb

Home Dialysis Care Partners: Your Role and Wellbeing

Kidney disease is life-changing for your loved one ­– and you. It’s completely normal to feel overwhelmed by the idea of becoming a home dialysis care partner. This is a big commitment, and one that should not be taken on without awareness of the responsibilities.

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You probably have a lot of questions about the role of a care partner. What’s the “right” way to provide care? How will I balance my loved one’s wellbeing with my own? What if I can’t manage the stress? It’s important to give yourself the time to learn and find these answers as you go. To get you started, here are a few key things you should know about being a home dialysis care partner and taking care of yourself.

30
Jun

8 Tips for Traveling on Dialysis

Map Location Direction Location Remote Relax Concept

Holidays are a great time to hit the road, visit friends and family, and get away for the long weekend. One of the best benefits of home dialysis treatment for many patients is the ability to travel. At Cincinnati Home Dialysis, we encourage you to live the life you want, but it’s important to plan accordingly and stay safe while you travel.

  1. Let your care team know in advance when and where you intend to travel. Your care team will be able to evaluate whether traveling is in the best interest of your health and can provide advice specific to your condition.
  2. Locate a dialysis center where you’ll be staying in the event of an emergency. Write down the name, address, and phone number of this center and keep this in an easily accessible place when you travel.
  3. Bring your medical info. If you do need to visit a dialysis center while traveling, they’ll likely need information about your dialysis access type, insurance, special needs or requirements, medical history and medications, any recent lab results, and contact information.
  4. Staying with family? Let them know your needs. Have them prepare a space for you to perform dialysis so your stay can go smoothly and comfortably.
  5. Pack enough supplies for your entire trip. And maybe even a little extra. It doesn’t hurt to have more than enough dialysis supplies on hand for your trip in case you end up staying longer than planned.
  6. Traveling by plane? Make arrangements ahead of time. When you book your flight, you can request dialysis-friendly meals and boarding priority to maximize comfort during your trip.
  7. Talk to your insurer about expenses. Some providers will actually cover a portion of your travel costs.
  8. Think ahead. Plan as many meals as you can in advance. Research the menus of restaurants you want to check out and pack or pick up dialysis-friendly snacks along the way.

Have questions about preparing for your trip? We’re here to help. Call us at 513-791-2137.

 

20
May

Summer Safety for Dialysis Patients

Pools are opening, the peonies are blooming, and sleeves are getting shorter – warm weather is on its way! Here at Cincinnati Home Dialysis, we love getting outside to enjoy the summer months.

April blog photo

But some days, those hot and humid afternoons when temperatures are stretching into the upper 90s can be a lot for anyone to handle. Dialysis patients are especially susceptible to the stresses of high temperatures and poor air quality. Staying hydrated is important, but drinking too many fluids can also be harmful. That’s why it is important for dialysis patients to be in the know about summer weather forecasts and how to stay safe during the warmer months.

25
Apr

Dr. Tindni Named to Cincinnati Top Doctors List

Our very own Dr. Arshdeep Tindni has been named one of the top nephrologists in Cincinnati. The annual Cincinnati Top Doctors List was published this month by Cincinnati Magazine.

To be honored as a top doctor in Cincinnati, each awardee must receive at least 6 votes from their peers. Over 5,000 physicians, both M.D.s and D.Os, were asked whom they would look to if they, a family member, or friend needed medical attention. 892 physicians in 50 specialties were represented in this year’s list.

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Dr. Tindni is board certified in both nephrology and internal medicine and holds medical licenses in Ohio and Indiana. His research on chronic kidney disease, hypertension, ESRD, and preventative medicine has been published in leading medical journals. Most of all, he enjoys helping patients do dialysis on their own terms at Cincinnati Home Dialysis.

The Top Doctors List is well-regarded by Cincinnati residents as an authoritative source for finding and choosing new healthcare providers. Congratulations, Dr. Tindni, on this incredible accomplishment!

To learn more about Dr. Tindni, visit our care team page.