Tag Archives: dialysis

What are the five stages of kidney disease?


There are five stages in kidney disease and in the fifth stage dialysis may be suggested by a health care provider. The five stages are described here and are determined from a blood test which measures creatinine levels. The alternative to dialysis is to wait for a kidney transplant. Some people have a second choice – to face the rest of the life knowing that their kidneys are no longer functioning properly. Which is alright too because it is the cycle of life. If life has been generally good, then it may be time to prepare to say goodbye with dignity and with a smile. It may be fabulous to check out the movie, “The Bucket list” and enjoy the last few years (in some cases it maybe months) doing all you have always wanted to do and eat all you have always wanted to eat.

What if you choose not to have dialysis? You die naturally with a build up of toxins.

What if you choose to have dialysis? You die from a heart attack or from an infection.

Life expectancy is extended with dialysis in 1 out of 4 people in the oldest age group, with a dialysis program of 5 hours a day, every other day and restricted diet (Author: Comfort Care Choices). A much younger, healthier person may be offered a kidney transplant option and then dialysis is ended.

 

What is life? Life is about looking around you with amazement and wondering how every one of us lives, breathes and exists in the same space, with the same atmospheric elements and yet, each one is so unique. Well, that unique life has a beginning, a middle and an end. When others depend on us, it is valuable to take good care of our health. When, we begin to depend on others to continue living, then the real questions begin. When does one draw the line on extending existence with artificial living features, such as dialysis? Is it life? When does one say good bye with dignity? Would it not be more fun to choose a ‘do it all’ attitude instead of a fearful, prolonged extension of life with an artificial heart pumping, steel replacing are hinges, stem cells replacing our organs, etc. When do we say enough is enough?

I would advise to frankly ask your doctor questions that are important to you. Do you want to live forever and finances is not an issue? Then, say that. If you want to have least number of artificial factory built structures keeping you alive and sometimes, keeping you alive but bedridden, then say that. Be honest with yourself. Do you have money to spend on simply breathing, even if bedridden or do you have money to spend the last few years of your ‘walking’ life seeing new places or simply watching your neighbors children playing on the riverside (if your own live far away). Once you know how you want your own life to look like for the rest few years, then approach your doctor to ask about the dialysis program. The truth will set you free!

Anyway, I will continue to update you about kidney disease, dialysis and diet (to prolong life). Your comments are appreciated to let me know if I should continue on certain topics. Would you choose life with or without dialysis?

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Kidney care and okra


Okra (or ladysfinger) has some reputation as a kidney cleanser. I shall look for peer-reviewed journal publications on this subject and post them here. Once kidneys fail, dialysis assistance is begun. If prevention of kidney failure is a goal then it may be prudent to include in one’s diet vegetables such as okra, which have a reputation for maintaining kidney health, until proven otherwise. Kidney care may be essential for the generous donors who are left with a single kidney to ensure renal function (Click here to read a story about one such donor, written by the donor).

Some may find okra cumbersome to handle, and you too may be intimidated, if you handle okra for the first time. Please, trust me. Do not be turned – off. Continue to explore this little, green, ribbed pod, full of these magnificent protein packed seeds. Together, they deliver a major dose of a beautiful, mixture of vitamins, proteins, carbohydrates, fats, minerals, iron and iodine. On top of all this it includes crude fiber bringing with it a totally separate set of benefits. If the little okra did not deliver a serious benefit why else would ancient people on two separate continents be so devoted to the cultivation of fresh okra until current times? Click here for more than 400 photos of okra and okra recipes. A mucilaginous exudate appears when one chops the okra. Does this exudate have preventive properties? I shall look into it and post it here. Also, should I find a collection of tested recipes using okra, I shall post them here. Please, feel free to share your favorite okra recipes here too. Many kitchens have successfully conquered the art of cooking okra to include it as part of a renal – care menu, while celebrating the joy of a good meal. Please, visit by clicking on the international recipes featured here by different authors. You may be delightfully surprised by how flavorfully you can add okra to your own table through some of these following recipes:

1) Some, like their okras stuffed with masala, as in this Indian recipe.

2) Others like their okra fried, as in this Southern USA recipe.

3) While still others like it delicately spiced as in this Persian recipe.

4) The young fruit is eaten fresh in Nigeria, which perhaps is the only country that has two equally popular varieties of okra; one which is popular in the other countries and the second native to a restricted part of Nigeria. Although, there are several delicious African recipes to cook okra.

5) Chicago Tribune features this Indian style  okra with tomatillos recipe along with a weight loss cartoon!

It is evident that okra has long been revered from these ancient recipes. Some more recipes sites are mentioned in the Bon Appetit magazine.

Okras are difficult in find in stores but you may want to look out for them. Also, they are easy to grow from seed in the summer. Exploring both options may prove rewarding.

Research on the cultivation and utilization of Abelmoschus esculentus or okra has mainly focused on several aspects, including its cultivation as a vegetable, as a medicine and for health care, as a beverage, and in gardening. The vegetable it produces contains many nutritious ingredients: 100 g of dry, tender okra pods includes 2.11 g of deoxidized sugar, 1.06 g of cellulose, 2.44 g of CP, 0.682 g of carotene, 26.5 mg of vitamin C, 1.25 mg of vitamin A, 10.2 mg of vitamin B, and many minerals, having slightly more than common vegetables and fruits. In addition to being a good source of vitamins A, B, C it is also provides protein, carbohydrates, fats, minerals, iron and iodine (Diaz and Ortegon, 1997). Consuming 100g of fresh okra pods provides 20, 15 and 50% of the daily recommended requirement of calcium, iron and ascorbic acid, respectively (Hamon, 1988; Schippers, 2002). It is advisable to eat the whole seeds. The seeds and their kernels are rich in protein as well as fat. Most of the protein and fat of the seed is found in the kernel while the seed coat is composed of crude fiber. It is a good source of essential amino acids but its levels are lower than that of whole egg protein.

References:

ISBN 90 – 5782 – 147 – 8

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