Professional Documents
Culture Documents
Winter 2006
Reducing Your Risk Of Chronic Kidney
Disease Is Easier Than You Might Think
If you have high blood pressure, diabetes or a family history of
kidney disease, you're at risk for chronic kidney disease (CKD).
But the news isn't all bad. Preventing CKD is not as difficult as
you might think. A Message from the Executive Director,
Lisa Allgood
March is National Kidney Month and here are some prevention As 2006 comes to an end, it is customary to reflect
tips from the National Kidney Foundation: on the accomplishments of the year and consider
those areas which still need attention. The last
year for the NKFK has been one of growth and
• Find out your family’s health history if you don’t already
stability. Much of our efforts have focused on kid-
know it. Research whether or not anyone in your family has ney disease prevention and promotion of organ
CKD, diabetes, high blood pressure (hypertension), coro- donation. Hosting the US Transplant Games was
nary heart disease or protein or blood in the urine, and let the highlight of 2006. I recently attended an event
your physician know. that reiterated to me the vital need to continue in
• Visit your doctor for regular checkups for the above dis- 2007 our efforts in prevention and organ donation.
eases and request blood and urine tests to check for CKD. I had the pleasure to attend a tribute for a trans-
One vital CKD blood test is a check for your glomerular plant recipient who recently died. He lived with
filtration rate (GFR), a test that can see how well your kid- kidney disease and was a kidney recipient, but that
neys are filtering wastes. did not define his life. Many times people are
• Follow your doctor’s instructions to keep hypertension and identified by a disease. It can become easy to treat
diabetes in control. the disease and forget to honor the person. His life
• Keep your weight in check. Being overweight can increase was cut short, a life of accomplishment personally
your chances of developing diabetes, heart disease and other and professionally. As I listened to person after
person praise him and his life, I became acutely
problems and is also associated with CKD. Follow a bal-
aware that kidney disease had cut his life short and
anced diet recommended by your doctor. prevention should be a priority always. I am glad I
• Start exercising by walking for 30 minutes at least three took the time to get to know him. I met him at one
times a week. Exercise helps control weight and can allevi- of his most difficult times and I still recognized his
ate hypertension. Check with your doctor before beginning strength and determination. Organ donation made
any exercise program. (cont. on pg. 3) a kidney transplant possible for him. As a result,
he like so many others was given a second chance,
Coping with Depression: another opportunity to live life and touch the lives
of others.
Take Action to Feel Better
The work of the National Kidney Foundation of
Emotional well-being can be a challenge for people who have to Kentucky is necessary and an obligation. We owe
cope with physical illness. How an illness effects independence, it to those who are building a legacy no matter the
family life, ability to work and finances becomes nearly as impor- magnitude. We owe it to families who deserve to
tant as the physical symptoms or treatment of the illness. Poor see their loved ones live and laugh. While we
physical health and the worries that go with having chronic kidney work to prevent kidney disease and identify the
disease (CKD) can cause depression. Depression is not just feeling disease early, we must also never forget that each
down in the dumps or blue now and again. It is a real medical dis- person affected by kidney disease is a person first.
order that affects not only mood but thoughts, feelings, physical It makes working toward our mission so much
health and behavior. It is common for people who have a chronic more meaningful.
illness, such as CKD, to also experience depression. (cont. on pg. 4)
Kentucky Medical Association Resolution:
“Measurement of Glomerular Filtration Rate in Chronic Kidney Disease”
WHEREAS, twenty million Americans have chronic kidney disease today and twenty million more are unknowingly
at risk; and
WHEREAS, the number of Kentuckians requiring dialysis is likely to double by the year 2010, creating a strain on
current health care resources in the Commonwealth; and
WHEREAS, chronic kidney disease has been identified as a focus area by the United States Surgeon in the Healthy
People 2010 Initiative; and
WHEREAS, early identification of chronic kidney disease and treatment of associated co-morbidities in early stages
can delay the onset of end stage kidney failure, dramatically reduce the number of patients that require dialysis, reduce
health care costs, and improve overall patient quality of life; and
WHEREAS, calculation of the glomerular filtration rate is an inexpensive method of determining kidney health and of
staging kidney disease in populations at risk (especially in patients with diabetes mellitus, hypertension, advanced age,
malnutrition, or patients with family members with kidney disease), allowing for identification of patients with
chronic kidney disease; now, therefore, be it
RESOLVED, that the Kentucky Medical Association urges physicians to consider ordering a glomerular filtration rate
calculation when a serum creatinine is ordered on patients at highest risk for kidney disease; and be it further
RESOLVED, that physicians in the Commonwealth be urged to become familiar with the five stages of chronic kid-
ney disease to promote detection and treatment.
♦ Lexington
The NKFK is proud to announce that the Lexington area held its first chapter kick-off meeting in November.
Twenty-five nephrologists, social workers, and others in the medical community attended to learn about the
exciting programs and services that will be coming into the area.
♦ Paducah/Mayfield
The NKFK is also proud to announce that Western Kentucky will also begin a NKFK chapter. The first
meeting will be scheduled for the 1st quarter of 2007.
If you are interested in attending a chapter meeting, please contact the NKFK at 502-585-5433.
2
Reducing the Risk of Kidney Disease Celebrate Family
(cont. from pg. 1)
on
• Limit salt intake to control high blood pressure. World Kidney Day
• If you smoke, quit. Smoking can contribute to a host of health
problems including lung cancer, heart disease and hyperten-
It doesn't quite have the heart-tugging
sion, as well as contribute to kidney deterioration.
appeal of Mother's or Father’s Day yet,
• Avoid taking large amounts of painkillers, especially drugs but on World Kidney Day, you may just
containing a combination of caffeine, acetaminophen and find yourself closer to your family than
aspirin. Combination agents such as these are associated with ever.
an increased risk of kidney disease. It has been observed that
a daily dose of eight to ten tablets or capsules of acetamino- The second World Kidney Day, coming
phen alone can damage the kidneys over a five-year period. on March 8, 2007, has been designed to
Studies in humans and animals suggest that combination raise international awareness about one
agents can cause damage in even less time. Non-steroidal of the body's most vital organs and to let
anti-inflammatory drugs containing ibuprofen as well as people know who’s at risk for chronic
those containing naproxen sodium can also harm the kidneys, kidney disease (CKD) and what to do.
but only if the kidneys are already under stress. Dehydration While no one expects World Kidney Day
from, for example, overexertion, can stress the kidneys. If to be celebrated with parades and picnics
you stay hydrated, these drugs generally are safe for the kid- (hold the kidney pie!), the National Kid-
neys. ney Foundation suggests using it as a
• Limit your intake of alcoholic beverages. Alcohol can both time to celebrate family and share health
cause and worsen hypertension. history. Why? Because many, if not
most, people who are considered “at-
African Americans, Hispanics, Asian and Pacific Islanders are at risk” for chronic kidney disease have
increased risk for chronic kidney disease. To learn more about been placed in that group because of
risk factors, prevention and treatment contact the National Kidney health problems inherited from family
Foundation of Kentucky at 502-585-5433 or 800-737-5433 or log members. So finding out your health his-
on to www.nkfk.org. tory is the first step to preventing chronic
kidney disease.
"We hope people will embrace March 8 as a day devoted to talking to, or learning
more about, one's parents, grandparents, brothers and sisters; in fact, any blood rela-
tives,” says Lisa Allgood, Executive Director. "You may find out fascinating things
about the people close to you, and in the process, you may also find out that some-
one in your family suffers from high blood pressure, diabetes or even chronic kid-
ney disease itself."
If you or a family member has diabetes or high blood pressure (hypertension), you
are at significant risk for CKD. Also, people who belong to minority groups, includ-
ing African-Americans, Hispanics, Asians or Pacific Islanders, are at higher risk for
CKD.
The National Kidney Foundation of Kentucky is joining forces with Kidney Foundations around the globe to
highlight World Kidney Day and its theme of early detection and prevention. The foundation reminds us that
chronic kidney disease is a potentially fatal one, often called a "silent" killer.
The foundation hopes family discussion on World Kidney Day will encourage people to delve into the health of
their entire family, and then to get their kidneys checked out through simple blood and urine tests. To find out the
foundation’s schedule of free kidney screenings around the country through its KEEP or Kidney Early Evaluation
Program, visit www.nkfk.org.
So, while World Kidney Day may not get you a vacation day off from work, it could end up adding years to your
life!
3
Mark your Calendar! 2007 Events HOW TO HELP
YOURSELF
IF YOU ARE
Program Events Special Events DEPRESSED
NKFK Gala Depressive disorders may make
Support Group Louisville, Hyatt Hotel one feel exhausted, worthless,
helpless, and hopeless. Such
2nd Thursday every month March 10, 2007 negative thoughts and feelings
Call for information make some people feel like giv-
NKFK Bike Event
ing up. It is important to realize
Bowling Green that these negative views are
KEEP Screening
April 28, 2007 part of the depression and typi-
January 27 cally do not accurately reflect
Dean Kutz 5K Race for Organ & Tissue the actual circumstances. Nega-
Lexington
Donation Awareness, Louisville tive thinking fades as treatment
St. John Missionary
June 16, 2007 begins to take effect. Some
Baptist Church things you can do include:
March 24 NKFK Golf Classic • Set realistic goals in light of
Louisville Louisville the depression and assume a
reasonable amount of respon-
Metro Louisville Health June, 2007 sibility
Department NKFK Golf Classic • Break large tasks into small
ones, setting priorities and
March 31 Lexington doing what you can as you
Paducah July 16, 2007 can.
Washington Street Baptist • Try to be with other people
Kidney Walk and to confide in someone; it
Church Louisville, Waterfront Park is usually better than being
September 15, 2007 alone and isolated.
• Participate in activities that
make you feel better.
•
Coping With Depression (cont. from pg. 1)
Exercise, go to a movie, a
ballgame, or participate in
religious, social or other ac-
It is not a sign of weakness, nor is it some- depression may be a good first step. Here tivites.
thing to snap out of through will power. are some things to look for, especially if • Expect your mood to im-
they have occurred nearly every day for at prove gradually, not immedi-
Understanding more about depression may
least two weeks: ately. Feeling better takes
be helpful in overcoming it. Here are some
♦ Feeling sad or empty most of the day time.
facts and figures that show how common
depression is: ♦ Loss of interest or pleasure in life
♦ Depression is the leading cause of dis- ♦ Difficulty concentrating or inability to
benefit from treatment for
ability in the United States. make decisions
depression. Treatment op-
♦ Depression is now the leading cause of ♦ Feeling worthless
tions may include prescrip-
disability in the world. ♦ Thoughts of suicide
tion antidepressant medica-
♦ Chronic illness increases one’s chance It can be useful to talk to family members or tion and counseling with a
for depression. friends to see if they have noticed mood or mental health professional in
♦ Depression is treatable and most people behavior changes that you may not have your community.
who are treated show improvement. been aware of. Mental health professionals You can regain feelings of
When untreated, depression can cause un- can help you find ways to better cope with emotional well-being. Tak-
necessary pain and suffering for the individ- the challenges you may be facing. There ing action is a necessary first
ual and his or her family. Symptoms can are important things you can do to help step toward feeling better.
yourself when facing depression. (See side-
last for weeks, months, or even years. Article from Kidney Care News-
Among its many effects, depression can bar: How to Help Yourself If You Are De-
pressed.) letter, Vol. 1, No. 2, page 6.
impact one’s ability or desire to follow
treatment recommendations, such as a If you think you may be depressed, under- If you are struggling with de-
proper diet, getting enough exercise and pression, please come to the
stand that depression is treatable. Talk to
NKFK support group held the
taking part in your overall plan of care. your doctor or a mental health professional 2nd Thursday of every month.
Learning about the signs and symptoms of about your concerns to see if you could Please call 502-585-5433 for
more information.
4
Gift of Life Gala Kidney Early Evaluation Program
High Five!
urine analysis. In addition, participants consult with an
on-site health professional, are provided with physician
Volunteer Appreciation Breakfast
referrals for follow-up care and a variety of educational
materials.
In 2006, the National Kidney Foundation of Kentucky
screened 908 people for kidney disease. The screening
Attention all Volunteers! You deserve a high five for your sites are as follows: Owensboro (49 participants), New
dedication in the fight against kidney disease! The NKFK Albany (32 participants), Paducah (81 participants), Lou-
would like to show our appreciation for you at our High isville (104 participants), Bowling Green (92 partici-
Five Volunteer Appreciation Breakfast. pants), Madisonville (44 participants), Louisville (61 par-
ticipants), Danville (51 participants), Louisville (34 par-
If you have volunteered for the NKFK, ticipants), Henderson (82 participants); Maysville (66
please join us on February 14, 2007, participants); Richmond (61 participants), Paris (151 par-
ticipants).
8:30am at the Galt House. For more in-
formation or to RSVP please contact
♦ 60% learned they may have kidney disease
Laura Temple at 502-585-5433 or ltem- ♦ 10% learned they may have hypertension
ple@nkfk.org. ♦ 8% learned they may have diabetes
♦ 83% had at least one value outside the normal range
(values tested include hypertension, microalbumin-
ura, hematuria, pyuria, albumin to creatinine ratio,
If you are interested in volunteering creatinine, glucose, hemoglobin, eGFR, PTH, cal-
cium, phosphorus, cholesterol, and triglycerides).
for the NKFK, please contact
Laura Temple at If you would like more information on KEEP or to
502-585-5433 or ltemple@nkfk.org. schedule an appointment, please contact Laura Temple at
502-585-5433 or ltemple@nkfk.org
5
“KEEP Saved My Life”
Grace Green knows the importance of healthy living. Grace, a diabetic, walks 3 miles a
day, six days a week. When she started to feel short of breath and extremely fatigued
during her routine walks, she knew something was wrong. She went to a diabetes meet-
ing and learned of a KEEP screening in her area. Grace knew she needed to participate
since she was at-risk for the disease. When she received her KEEP test results in the
mail, Grace learned that her blood count was extremely low. She took her results to her
doctor, who ran additional tests and determined Grace was anemic. Her doctor immedi-
ately canceled a surgery she was to undergo three days later and gave her two pints of
blood. Grace was soon seeing a blood specialist and discovered that her kidneys were
not sustaining a healthy blood level. She was administered shots every week for her kid-
neys and now has control over anemia. Grace is feeling great and continuing her daily
Grace & her husband Carl walks with no problems.
live in Richmond, KY
Ingredients:
1 box elbow macaroni 2 Tbs. Flour
1 box Velveeta 3-4 Cups Milk
2 Beaten eggs
Abby, 8 Natalie, 10
Butter casserole dish, set aside. Cook box of elbow macaroni until done. Drain. Place in
casserole dish. Cut 1 box of Velveeta cheese into cubes. Place on top of macaroni. Mix
together eggs, flour, milk. Pour on top of macaroni, dot with butter and bake for 1 hour
at 350°
6
In Loving Memory…
The following individuals donated to the National Kidney Foundation of Kentucky in memory of loved ones
from September 21, 2006 through November 21, 2006. We are very grateful for these thoughtful contributions
and wish to express our sympathy to the family and friends of the deceased.
Name _______________________________
Address _____________________________
____________________________________
City ________________________________
State _______________ Zip _____________
Email ______________________________
Please complete and send to:
National Kidney Foundation of KY
250 East Liberty Street, Ste. 710
Louisville, KY 40202
Or email Johanna Clapp at jclapp@nkfk.org