Jacksonville Nephrology
  • Home
  • Your Team
  • How We Help
    • Dialysis
    • Hyperkalemia
    • Hypertension
    • Hyponatremia
    • Kidney Disease
    • Nutrition
    • Proteinuria
    • Remote Patient Monitoring
    • Transplant Managment
    • Community Connections
  • Dialysis
  • Resources
    • Patient Forms
    • Book List
  • Online Access
    • Connect Health Tracker
    • Healow App
    • Patient Portal
  • Contact Us
  • The Bean
Picture

THE BEAN:
Kidney Empowerment

The Patient Portal: Access at Your Fingertips

10/27/2022

 
Picture
Our patient portal gives our patients easy, secure, and instant access to their medical information. It has a wide variety of features to make all aspects of the patient’s experience with our office smooth, efficient, and convenient while conserving resources.

What is available on the portal?
  • Lab Results
  • Lab Orders
  • Updated Medication lists
  • Medical History Questionnaires
  • Visit Summaries
  • Patient demographics and insurance information
  • Messaging feature to ask your care team questions
  • Link Health Trackers
  • View and pay billing statements

How to access the portal:
Once you have provided an email to our office, we activate your patient portal. You should receive an email to finish registration and the set-up process. 
  • Go to jaxnephrology.com
  • On the home page, select the button that says “Patient Portal”
  • Scroll down and select “Log In”
  • Select “View Your Health Record” 
  • Select "User Credentials" if you are on a computer or "Using Mobile Phone" if you are on a mobile device
  • Enter your email address as the username
  • Enter your password
    • Passwords are case sensitive.
    • If you forgot your password, simply use the ‘Trouble Logging In’ button and follow the steps or call our office to have it reset. 
    • If you get locked out for failed attempts, call our office to have the account unlocked. 

If the email linked to the patient’s account does not belong to the patient, we require a Proxy Access form to be filled out and signed by the patient. 

The App:
The Healow app gives limited mobile access to the patient portal for patients on the go. You can find our office by using the code ACHFAA when prompted. The Healow app can be downloaded from the Apple App Store (for iPhones) or the Google Play Store (for Androids). 

Our team is here to help should you have any questions, concerns, or need assistance accessing your portal. If you haven’t done so already, see our previous post, The Power of the Patient Portal, for additional information here.

Kidney Korner: Introduction to Blood Pressure

10/20/2022

 
Picture
In this segment of the Kidney Korner, we will begin to touch on blood pressure, its causes, and how Dr. Munjal can help. This introduction will branch off to include more specific topics regarding blood pressure, its causes, contributing factors, treatments, and more.


What is Blood Pressure?
Blood Pressure is the measurement of the circulating blood against the walls of the blood vessels. This is a measurement of the amount of force the body is using to get blood through the arteries.

What can contribute to blood pressure raising and lowering?
  • Changing body position: standing up, sitting down, bending over
  • Exercise: Lack of exercise can lead to weight gain and cause higher blood pressure. Exercise can also temporarily raise the blood pressure.
  • Hydration: being dehydrated can cause your blood pressure to lower and being over-hydrated can cause your blood pressure to increase
  • Nutrition: High sodium and/or low potassium can lead to high blood pressure as they balance one another out in the body. 
  • Hormones: Hormones like aldosterone, cortisol, and catecholamines can affect the blood pressure due to their influence on fluid and electrolyte balance. 
  • Stress: Changes in blood pressure due to stress are generally temporary due to changes in lifestyle and eating habits to assist with coping to high stress levels.
  • Certain chronic conditions: Kidney disease and diabetes are two of the most common contributing factors to hypertension.
  • Smoking/Vaping: The nicotine and chemicals in cigarettes and vapes can cause the blood vessels to narrow, causing the heart to beat faster, subsequently raising blood pressure. 
  • Alcohol: Alcohol can increase blood pressure temporarily, but over time, it can lead to long term increases. Additionally, alcohol includes calories that can lead to weight gain that will potentially lead to an increase in blood pressure as well. 

How Dr. Munjal helps:
  • Evaluates readings over time to try and determine the cause of high or low blood pressure
  • Asks a series of questions in a consultation to decide the best course of action
  • Prescribe a variety of medications based on symptoms and individual needs 
  • Makes dietary and lifestyle suggestions
  • Orders specialized labs to test for other contributing conditions or causes
  • Qualified patients can be enrolled in a Remote Patient Monitoring (RPM) program to monitor readings continuously for faster intervention and more precise care plan adjustments.

Munjal’s Musings:
“A small subset of patients may have high blood pressure for a specific cause. Testing can be undertaken to identify and pinpoint the cause to treat it more effectively. We like to do a better job with fewer medications.”


Changes in blood pressure can come with a myriad of symptoms. If you are concerned with your blood pressure, please contact our office to schedule a consultation with Dr. Munjal or speak with your care team.


Resources:
https://my.clevelandclinic.org/health/diseases/17649-blood-pressure
https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/diagnosis-treatment/drc-20373417.
https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.120.15006
https://www.aafp.org/pubs/afp/issues/2004/1015/p1542.html
https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/blood-pressure/faq-20058254

​This website is for informational and educational purposes ONLY. While we strive for accurate, general medical information, this does not replace professional medical advice. Do not rely solely on this information. Please consult with your provider for more information regarding your specific needs. If you are experiencing a medical emergency, please call 9-1-1.

Tricks or Treats?: What Halloween Candy is Renal-Friendly?

10/13/2022

 
Picture
If you have any kidney diseases, it is important to be mindful of your food and fluid intake. While it may be small, candy can have a large impact on the renal diet. Halloween candy can contain phosphorus and potassium which play an integral role in your kidney function. Additionally, if you have diabetes, it is important to consult with your endocrinologist, dietician, and/or primary care physician to determine what is best for your personal health goals. Below are some general tips and guidelines as well as which candies are tricks and which candies are treats. 

Guidelines to Halloween Candy:
  • Moderation is key! The ‘fun size’ portions are approximately 1 ounce which is just right. 
  • Sugar free versions of candies are a good substitute. 
  • Opt for renal-friendly fruit instead of candy. 

Treats:
  • Hard Candies: sour balls, Life Savers, lollipops, candy canes, lemon drops, butterscotch, Werther’s Originals, cinnamon balls, Jolly Ranchers, and Starlight mints
  • Gummy Candies: Gummi bears/worms, sour apples, Jujyfruit, jellybeans, and Dots.
  • Marshmallow candies: Halloween pumpkins, Rice Krispies treats, and Peeps
  • Chewy Candies: Candy corn, Tootsie Rolls, chewing gum, Starburst, and Skittles.
  • Chocolate-covered candies: The Three Musketeers, chocolate coffee fondant, York Peppermint Patty, Junior Mints, Skor Toffee bars

Tricks:
Candy can contain higher levels of phosphorus and potassium due to being made with solid chocolate, nuts, dried fruit, coconut, peanut butter, and caramel. 
  • Chocolate-covered: nuts, cookies, raisins, pretzels, caramels
  • Heath Bars
  • Snickers bars
  • Almond Joy and Mounds
  • Baby Ruth
  • Reese’s Peanut Butter Cups
  • Twix
  • Butterfingers
  • MilkyWay
  • Rolo’s Caramels
  • Cadbury Chocolate
  • Hershey’s Kisses and chocolate bars
  • Kit-Kat
  • All M&M’s
  • Peanut brittle and pralines


Resources:
https://www.kidney.org/content/halloween-fun-kids-kidney-disease
Penny Miclat, RN, Director of Nursing, DialySuites Bartram Park

​Happy Halloween! 

BoTM: The Gifts of Imperfection

10/7/2022

 
Picture
October's Book of The Month is The Gifts of Imperfection by Brene Brown.

The Gifts of Imperfection by Brene Brown is a guide to wholehearted living and provides guideposts to assist in changing your mindset. These ten guideposts include actionable advice on cultivating joy, gratitude, resilience, authenticity, compassion, creativity, and more. These are all vital components of living a healthy, happy, fulfilling life. 


DIG Deep:
DIG Deep is a tool Brene Brown uses to follow up each guide post to help make her stories, guidance, and wisdom actionable and applicable to our lives. She uses this to give examples and advice for taking action and starting the change we wish to see. 
Get Deliberate
Get Inspired
Get Going

Guideposts we love:
Guidepost #3: Cultivating a Resilient Spirit
  • This guidepost discusses what makes up resilience, hope and powerlessness, practicing critical awareness, and numbing and taking the edge off.
Guidepost #4: Cultivating Gratitude and Joy
  • This guidepost discusses and defines both gratitude and joy and the concepts of scarcity and fear of the dark.
Guidepost #5: Cultivating Intuition and Trusting Faith
  • This guidepost discusses the need for certainty and how faith and intuition work hand-in-hand. 
Guidepost #8: Cultivating Calm and Stillness
  • This guidepost teaches how to let go of anxiety as a lifestyle. 

How it applies to our patients:
Living with chronic illnesses can potentially have a terrible effect on one’s mindset. Feelings of dread, impending doom, and loss of control can begin to numb emotions, both good and bad. The Gifts of Imperfection can begin to guide our patients toward finding happiness and cultivating joy, regardless of what they may face. It can also help our patients to accept and love their authentic selves and begin reversing the numbness to emotion that they may be experiencing. 

How it has helped our office:
The Gifts of Imperfection has had a great impact on mindset within the office. We have been able to recognize the impact of being brave and vulnerable. Being our true, authentic selves has allowed us to gain trust and respect for one another, thus creating a stronger team bond and environment. It has also aided us in gaining compassion for one another and our patients. 

Our Favorite Quotes:
“We cannot selectively numb, when we numb the painful emotions, we also numb the positive ones.”
“Faith is a place of mystery, where we find the courage to believe in what we cannot see and the strength to let go of our fear of uncertainty.”
“...our imperfections are not inadequacies; they are reminders that we’re all in this together.”
“The dark does not destroy the light; it defines it. It's our fear of the dark that casts our joy into the shadows.”

Check in next month to read and grow along with our office! Happy reading!

Healthcare Administration Internship Opportunities

10/5/2022

 
Picture
   Our philosophy of empowering through education does not stop with our patients and staff. We work with the University of North Florida to take on Healthcare Administration students seeking internship opportunities for their degree program. We offer a unique opportunity to observe the inner workings of a small, specialty practice. Each of our interns is given the chance to explore every facet of our office and potentially focus on an expressed area of interest.

​   We encourage our interns to embrace their curiosity and try a variety of projects and tasks to find their passion within their chosen career. This can include front desk operations, office workflow, attending meetings, social media and marketing, research, billing, data analysis, and referral processes and procedures. Our interns also go through HIPAA training to comply with and maintain federal and office privacy policies to protect our patients’ health information. 

   
   Our Patient Educator, Kayla, was among our first healthcare administration interns during the Spring semester of 2021. “It was the most incredible experience to see how my degree knowledge applied to real-world situations and how it differed. The unique projects allowed me to learn more about my true passions and helped me grow into new positions. My preceptor was patient, inspiring, and pushed me to be the best I could be.” 


If you are interested in becoming an intern with our practice, please contact your professor for instructions on how to apply. We hope to see our interns excel in their future endeavors!

​

    About The Bean 

    The Bean is a blog on a mission to share valuable information in the world of Nephrology.  We believe in empowering through education and The Bean is a great place to find resources and information on topics related to high blood pressure, kidney disease, dialysis, and topics that enhance the kidney minded lifestyle.    Enjoy and be sure to subscribe!

    ​

      Subscribe to The
      ​Bean Blog!
      Get empowering updates right in your inbox.

    Subscribe

    Archives

    March 2023
    February 2023
    January 2023
    December 2022
    November 2022
    October 2022
    September 2022
    August 2022
    July 2022
    June 2022
    March 2021
    February 2021
    January 2021

    Categories

    All

Contact Us

Careers

Connect With Us

13241 Bartram Park Blvd., Suite 305
Jacksonville, FL  32258
Open Map

​
Tel: (904) 260-9898
​Fax: (904) 260-9891
Interested in joining our team?  Jacksonville Nephrology is dedicated to compassionate patient care through teaching and giving our team the tools needed to go above and beyond.  Learn more about current openings.  Learn More​
Picture

Empowering Through Education.

  • Home
  • Your Team
  • How We Help
    • Dialysis
    • Hyperkalemia
    • Hypertension
    • Hyponatremia
    • Kidney Disease
    • Nutrition
    • Proteinuria
    • Remote Patient Monitoring
    • Transplant Managment
    • Community Connections
  • Dialysis
  • Resources
    • Patient Forms
    • Book List
  • Online Access
    • Connect Health Tracker
    • Healow App
    • Patient Portal
  • Contact Us
  • The Bean