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THE BEAN:
Kidney Empowerment

Travel Tips for Your Next Adventure

10/24/2024

 
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Calling all jet-setters, road-trippers, and stay-cationers! Do you know how to stay safe this holiday season while traveling? We’ve laid out some helpful tips and tricks to make traveling this holiday season a breeze. 

Travel
    There are so many things that can go wrong when we travel, like lost luggage, delayed flights, flat tires, and unexpected detours. It is important to be prepared for sudden, unexpected changes in plans. Preparations for these situations can include bringing your entire bottle of emergency relief medication and monitoring devices, like scales and blood pressure monitors, with you. We always encourage monitoring yourself while traveling as you may see changes in readings and symptoms due to changes in eating, drinking, and stress that may require emergency relief medications, like diuretics or antihypertensive drugs. If you are on our Remote Patient Monitoring (RPM) program, our devices are travel friendly and will transmit from all over the world. 

General Health and Safety
    Staying safe is a no-brainer when traveling. Listed below are some general travel and safety tips:
  • Be sure to check the projected weather so you can pack appropriate clothing and footwear.
  • Keep a small notebook or paper with you that details your itinerary, emergency contact information, any medical issues/diagnoses, medications, and other pertinent information. Make copies of your travel documents as well in the event something is lost or stolen.
  • Pack at least two (2) day’s worth of clothing, medications, and toiletries in your carry on bag in case your checked luggage is lost or delayed. Be mindful of any cultural or religious modesty expectations and norms. 
  • Wash and/or sanitize your hands regularly and wear a mask if you have a compromised immune system.
  • Try to incorporate light exercise into your daily routine. This can include walking, stretching, indoor cycling, or water aerobics. For more information on gentle exercises, you can click the link here to be taken to our blog post.


We wish you a happy holiday season and a happy New Year! As always, stay safe and healthy! 

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Kidney Korner: Comorbidities

10/17/2024

 
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A comorbidity is defined as a medical condition that coexists alongside a primary diagnosis. These conditions can develop over time and potentially worsen your pre-existing diagnosis. Properly managing your health conditions can help reduce the risk of developing comorbidities or reduce the impact they may have. Let’s explore a few common comorbidities that impact kidney health.

  1. Diabetes: Diabetes is a disease that affects the body’s ability to control the glucose (sugar) in the bloodstream. Excess sugar in the bloodstream can damage small blood vessels and ultimately lead to hypertension and kidney damage. Diabetes is one of the leading causes of chronic kidney disease.
  2. Hypertension: Hypertension, or high blood pressure, can lead to the hardening of the arteries, which inhibits proper blood flow to the kidneys. Hypertension is also one of  the leading causes of chronic kidney disease.
  3. Heart Diseases: Cardiovascular diseases affect the heart and vascular system. The heart and vascular system play a vital role in blood pressure management and kidney health.
  4. Obesity: Obesity can be defined as a Body Mass Index (BMI) of greater than 30. Obesity can affect the kidney’s ability to function properly in that they are forced to work harder and to filter waste above the normal level. This additional work and strain can lead to an increased risk for kidney disease. Being overweight can also lead to an increased risk for diabetes, hypertension, and cardiovascular disease, which are all kidney disease comorbidities as well. 
  5. Chronic Lung Diseases: Lung and kidney diseases can be a surprising combination for some. Lung conditions can affect the blood flow to the kidneys and the fluid/mineral balance that the kidneys work toward. Additionally, smoking is strongly correlated with both lung and kidney damage. Furthermore, some irritants and treatments for lung disease, like steroids, may irritate and worsen kidney function.
  6. NSAID use: Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are part of a medication class that works to reduce inflammation, redness, swelling, pain, and fever. NSAIDs can narrow the blood vessels, thus increasing the blood pressure, which risks damaging the kidneys. You can learn more about NSAIDs and the kidneys here. 
  7. Gout: Gout is a type of arthritis caused by excess buildup of uric acid. When the kidneys are filtering the blood, the excess uric acid can develop into crystals, or kidney stones, that can pass through the kidney and ureter and cause damage, scarring, and lead to reduced kidney function. 
  8. Auto-immune disorders: While it is less common than some of the other listed conditions, some auto-immune disorders can have an effect on the function of your kidneys. One of these conditions is called Lupus. Lupus is a condition that causes your immune system to attack healthy tissues and organs in your body. If Lupus attacks the kidneys, there can be a serious need for intervention by a nephrologist, leading to dialysis and/or transplantation.


This is by no means a comprehensive list of contributing factors and influences on kidney diseases. Each person is unique and requires individualized attention based on their needs and pre-existing conditions. If you have concerns about your kidney function and comorbidities, reach out to our office to schedule an appointment with Dr. Munjal. As always, stay safe and healthy!

Resources:
https://my.clevelandclinic.org/health/articles/comorbidities
https://journals.physiology.org/doi/full/10.1152/ajplung.00152.2021

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Preparing for Open Enrollment

10/9/2024

 
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Health insurance is a vital part of getting the care that you need to stay healthy and happy. Open enrollment for health insurance plans typically starts November 1st and runs into December. However it is important to do your research beforehand so you are prepared when it comes time to choose a new plan. Listed below are our top three points to consider and remember when researching health insurance plans. 

  • Check network status of your current doctors and hospitals
    • Some doctors or practices may be in network with an insurance company as a whole, but out of network with a specific plan within that network. Be sure to write down all of the doctors that you see so you can ensure they are in-network with the new plan. The insurance companies will have the plan-specific information for you.
    • Be sure to know what hospitals near you are in the network of your chosen plan in the event of an emergency or necessity for a procedure. 
  • Your budget and healthcare needs
    • Insurances are providing more plan options to meet the needs of the population. Keep in mind that some lower-cost plans may include restrictions with in-network doctors, authorization requirements, and out-of-pocket expenses. 
    • Be sure to verify coverage and estimated cost for any upcoming procedures and appointments. 
  • Research in advance- know your options
    • By researching in advance, you will be more well informed and prepared when it comes time for open enrollment. Call prospective insurance companies and collect information about each plan you may be interested in. Without the pressure and stress of last-minute split decisions, the already stressful process may go a lot smoother. 

Resources:
Florida Medicaid: https://www.flmedicaidmanagedcare.com/
Medicare: https://www.medicare.gov/
National Insurance Resources: https://www.healthcare.gov/

If you have any questions or concerns about your insurance coverage with our office, please call your insurance provider for plan-specific information. 

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Spooky Sweets: Identifying Tricks from Treats

10/3/2024

 
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Halloween kicks off our season of holiday sweet treats and indulgences. It’s important to know what sweets are tricks and treats, as well as how to satisfy a craving in a more kidney-conscious way. 

Sweet Treats:
When searching for a sweet treat this holiday season, the candies listed below are safer options for those who have kidney diseases. Remember, everything in moderation!
  • 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

Spooky Sweets:
These sweets may give you a spook! The options listed below are not the best choice and should be avoided when possible. For patients with kidney diseases, these candies can pose potential problems as they 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
  • Common Chocolate Bars: Snickers, Baby Ruth, Twix, Butterfinger, Heath Bars, MilkyWay, Almond Joy/Mounds, Kit-Kat, Hershey’s kisses and bars
  • Reese’s Peanut Butter Cups
  • Rolo’s Caramels
  • Cadbury Chocolate
  • All M&M’s
  • Peanut brittle and pralines

DIY: Healthier options
The National Kidney Foundation has some fantastic seasonal recipes that are kidney-friendly to satisfy cravings and keep you on track. 
  • Rice Cereal Treats
  • Pumpkin Maple Custard
  • Pumpkin Cream Cheese Muffins
  • Apple Puffs
  • Apple Caramel Crisp

Moderation is key! The ‘fun size’ portions are approximately 1 ounce which is just right. When you can, opt for sugar-free options or renal-friendly fruits based on recommendations from your nephrologist or dietitian. As always, stay safe and healthy! 

Resources: 
https://www.kidney.org/nutrition/recipes

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    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!

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13241 Bartram Park Blvd., Suite 1001
Jacksonville, FL  32258
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Tel: (904) 260-9898
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Empowering Through Education.

  • Home
  • Your Team
  • How We Help
    • Kidney Diseases
    • Hypertension
    • Nutrition
    • Remote Patient Monitoring
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    • Patient Info
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  • Online Access
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  • The Bean