I Have CKD But No Insurance!

Today is day 2 of National Kidney Month. Maybe you are at risk of getting CKD or were just diagnosed, and you do not have any health insurance. This can be a daunting feeling as you will need regular medical monitoring moving forward. There are some options, that may be helpful, and I am going to go through them. The #1 thing you can do, in my opinion, is to make the lifestyle changes necessary to help you either prevent getting CKD or prevent the progression of CKD for as long as possible.

As you know, I have CKD. You can read my history all the way back to the beginning of this blog. I was underinsured for many years of my adult life, some by choice, and some not. I truly feel my kidney disease could have been diagnosed many years earlier than it was had I been under proper medical supervision. I am very fortunate now, and for the last 10 years or so to have very good insurance. Before Obamacare, or the ACA as its technical name, pre-existing conditions, and many other limitations were put onto the American people via the health care industry. It made lower income families much harder to afford needed medical care, even just basic prevention. I feel like a yearly urine test falls under prevention for CKD.

Here are some options to consider if you are underinsured, or uninsured, but may be at risk for CKD, or already have it.

  1. You could buy urine dipstick test strips and monitor protein in your urine. These are available online and at drug stores. Just be sure to follow the directions to get accurate results.
  2. Many clinics and labs offer a sliding scale fee for those eligible.
  3. Care Credit is a credit card for medical care. Of course, you have to apply and be approved, and pay it back with interest. We actually have used this for pet care, and when my son needed very expensive dental surgery.
  4. Health Savings Plans. I don’t feel like these would work well for someone who is only making minimum wage, but I also don’t know much about them. My husband had one and after a year it had 150 dollars in it and he bought new glasses. So, maybe more of a supplemental thing.
  5. KEEP Healthy from the National Kidney Foundation. This is a free screening done for the public. You have to visit the screening site. If you are at risk for CKD you can get the urine screening for free. The other items in the screening are available to everyone who visits.
  6. Since pre-existing conditions can no longer be excluded if you are uninsured and find out you have CKD you could sign up for your employer-based health insurance. Of course, this most likely will not be free. There used to be a time when employers would offer health insurance to single adults for free, I remember, but I am pretty sure not many do anymore. Yes, I am old, lol.
  7. Florida actually has a pretty extensive Medicaid Insurance Plan. There are 3 options for adults, and one for children call CHIP. If you are not a senior, disabled, or a child the requirements to be approved are pretty stiff. You can read more here, and here.
  8. You can visit a Community Health Center. I am in a rural area, but when I looked up my zip code, down at the bottom of this page, there are actually several near enough to me should I even need this option. These health centers are in rural areas and underserved areas.
  9. Another option is your local Public Health Center. They may not be able to manage your CKD, but you may be able to get some prevention tests for free and counseling as to where to get affordable health care.
  10. The last option and I find this kind of depressing is Medicare. It doesn’t feel like there is a lot of hope for underinsured, and uninsured people at risk and with CKD. Once you reach stage 5 you can sign up for Medicare despite your age. Stage 5 is considered End Stage Renal Disease. Medicare covers 80% of medical costs. So, you would still have to pay the other 20%. I found this webinar from AKF on Youtube. I encourage you to watch it.

My disclaimer is short and sweet. Nothing on this blog is intended to be medical advice. It is for informational purposes only and to spark a conversation.

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Valentine’s Day for CKD Patients

Updated 2/15/2023 I am continuing to delete and update old posts.

Well, really, Happy Valentine’s Day to everyone, but this post will be geared toward people with CKD. 

First, let me say I could give rats behind about Valentine’s Day.  Never have, and probably never will.  So, for me the very best gift I can receive is a plant, namely, that will bloom, to put in my garden.  I love roses the best, just saying!  But, if you are not like me and you would really love a sweet gift, and you have CKD, you know this can be a challenge.  So, I will share some options you can try as long as you take it slow.  For example, don’t eat the whole bag, just eat a serving, maybe two.  You will see two images below of my favorite treats.  I only eat a serving size, so for the pretzels 5 pretzels, and the candy, 3 candies.

If you are a chocolate lover, my research shows that white chocolate is the best option for phosphorus and potassium amounts.  If I am baking with chocolate, I choose white chocolate and half the amount.  So, if the recipe says 1 cup, I use a 1/2 cup, and of course, 1/4 cup would be even better.  Dark chocolate is healthy, but it does have a good deal of Phosphorus.  Use it in small amounts, only.  Today, I made homemade banana bread with white chocolate chips in it, yum.  I use this banana bread as a breakfast replacement, or lunch, when I am working, or outside the home.  This reduces the chance of me eating fast food, or from a vending machine. White flour is the lowest in phosphorus, but if you stick to one slice, you could use the healthier all-around flour.  Dipping fresh strawberries in chocolate is also a better option.  You could use white chocolate.

Hard candies are always a good option.  I particularly love Cinnamon candies.  They sell out very fast and often have to settle for Peppermint.  I carry hard candy with me everywhere, because I have a chronic dry mouth, and they come in handy.  If you are diabetic, of course, you need to choose a sugar-free option.

If you are going out to eat try to stick to the healthiest options you can find.  Low sodium, lower protein, etc.  A grilled chicken salad or salad and pasta is always a good option.  If you absolutely must have something more special, then only eat half of it, and bring the other half home to enjoy the day after Valentine’s Day. Plus, if you could find organic options for your favorite meal and then cook it at home, that would be even better. Organic sauces and condiments generally don’t have added phosphorus, sugars, and additives. Be sure to always read the label for ingredients with phos in them. That means there are added phosphorus additives and preservatives.

There are not a ton of options, I know, but you can still celebrate, and not feel neglected.  I say go for a beautiful rose bush you can enjoy all year!

My disclaimer is short and sweet. Nothing on this blog is intended to be medical or nutritional advise. It is for informational purposes only and to spark a conversation.

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AKF Kidney Class Week #3

Happy Humpday! Today is week 3 of the AKF Kidney Class. I am a Kidney Coach, and each week I share another slide from the program that I would have done in person if Covid hadn’t come around. The slides are the property of AKF and I have permission to share them here on this blog. The ultimate goal is to raise awareness about Kidney Disease prevention and treatment. The writing that is on the slide is the AKF information. My thoughts, and experiences, are after the slide. I have done a lot of blog posts on the topic of CKD, so be sure and browse through the blog if you are interested.

The slide today covers the topic of what the kidneys do. They really do a lot more than you think, keep reading.

The kidneys are extraordinary organs! Two tiny bean-shaped organs do so much to maintain Homeostasis in the body. What is Homeostasis? Simply put Homeostasis means the body is in balance.

Here are some blog posts on the topics in this slide.

  1. https://healthbuddymelissa.coach/2019/03/06/how-does-salt-effect-kidneys/
  2. https://healthbuddymelissa.coach/2021/02/16/potassium-and-kidney-disease/
  3. https://healthbuddymelissa.coach/2021/03/09/does-blood-pressure-cause-kidney-disease-or-does-kidney-disease-cause-high-blood-pressure/
  4. https://healthbuddymelissa.coach/2019/02/22/foodie-friday-calcium/ I have not covered the bone disease issue as much as I could have on this blog. It is complicated, and something I need to look into.
  5. https://healthbuddymelissa.coach/?s=anemia&submit= There are several good posts on the topic of Anemia and CKD on this blog, so I just shared the results page.

Let me know what you think. Please ask questions in the comments or you can email them to me at melissa@healthybuddymelissa.coach

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do not eat Star fruit if you have kidney issues!

Hello, and Happy Sunday! I don’t think I have ever even seen a Star Fruit in my grocery store. I had read before that Star Fruit was a no go for people with Kidney Disease, but I never really knew why. You could guess that maybe it was too high in Potassium, or Phosphorus. Actually, it is much worse than that. Keep reading to learn more, and where I will be going with this topic this week. You still have time to get in this week’s Social Share event. You can add your info until midnight tonight Eastern Time. I am going to try to do different variations of this each weekend.

In researching the Star Fruit I learned quite a bit about Oxalates. Now I already knew that Oxalates can cause issues for people with Kidney Disease. But, what I failed to recognize is that Oxalates do not just cause kidney stones, but can cause other issues in the kidneys. If you read here a lot, then you know that I switched from a Low Carb Diet to a Plant-Based Diet with very low consumption of animal meats, or dairy, and also that I am stable Stage 3 CKD. It is a lower in fat way of eating and it really makes me feel better. But, I did not take into account that I may be getting too much Vitamin C, yes that is a bad thing, and an abundance of Oxalates. I knew leafy greens were high in Oxalates, but I did not know so many other foods were. But, that is for another day. I have been noticing some strange recurring symptoms since going fully plant-based. I am curious to discover if it is due to the Oxalates in these foods, one of which I eat almost every day.

Today, I am discussing just Star Fruit. Apparently it is quite delicious and has a lot of good nutrition qualities. However, it also has some very bad qualities. In certain parts of the world where this fruit grows, and is very popular governments have put limits on consumption of Star Fruit. Now that says something.

The problem with Star Fruit if you have Kidney Disease, and even if you don’t, is that it is very high in Oxalates. Oxalates can cause kidney stones, but it can also possibly cause Neurological issues. When the kidneys can not remove excess Vitamin C, and or Oxalates, then they build up in the bloodstream and can cause Neurotoxicity and even seizures, or brain damage. You will see a video below, and two studies to read on this topic. The one study showed that even people without kidney disease, or prone to kidney stones, can have kidney damage caused by these Oxalates from Star Fruit. A 1/2 cup of Star Fruit contains 246 mg of Oxalates. People with Kidney Disease are often recommended to have up to only 100 mg per day of Oxalates. I don’t know about you, but my kidney doctor has never offered me any nutritional advice except to limit Sodium intake. He also warned me against consuming dairy of which I hardly ever have anymore. But, if eating foods high in Oxalates you might want to have dairy with it as the calcium binds with the Oxalates. Vitamin C is broken down into Oxalates in the body. If you do decide you can’t live without Star Fruit you may wish to eat it with a source of Calcium and drink plenty of water. What plenty of water means to me may not be the amount of water you need, especially if you are on fluid restrictions. Be wise when interpreting food topics.

Of particular interest to me was the fact that Star Fruit, or it’s plant name Carambola, or Kamaranka are sometimes used in herbal remedies, or dietary supplements. It is very important to read ingredient labels to see if this is in a product you may wish to purchase. Take a few minutes to check ingredient lists when you purchase items. Also, if there are any cautions, or warnings, on a label be sure to note them. If you would like to learn more about my Health Coaching services, and how I can help you reach your health goals, please use the contact form at the end of this post to message me.

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Study 1

Study 2

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5 Reasons why you should care about your blood Pressure!

What are they? Your brain, heart, eyes, kidneys, and penis. Yep, you read that right! Those are 5 perfect reasons to care about your Blood Pressure. This post may contain affiliate links.

May is Blood Pressure Awareness month here on Health Buddy Melissa. All month I am sharing posts on the topic of Blood Pressure. Most people don’t even know they have high Blood Pressure because they never have it checked, or don’t see a doctor to have it checked.

How does Blood Pressure affect these 5 organs. Below is a short description, then you will find several videos that explain it in visual form.

The brain: High Blood Pressure is a risk factor for Vascular Dementia, and Stroke. Trust me you don’t want either of these if you can avoid it.

The heart: Not only can High Blood Pressure lead to Heart Disease, but also Heart Attack. Heart disease can be a very debilitating disorder, and Heart Attack is the most likely end result of Heart Disease if it is left untreated. Blood pressure is not the only risk factor for Heart Disease.

The eyes: Did you know you can have a Stroke in your eyes? Yep, it is true. Eye doctors may be able to detect High Blood Pressure early if you see an eye doctor regularly. Retinal damage, eye stroke, vision loss, plus other diseases of the eye can be related to High Blood Pressure.

The kidneys: As someone with CKD I have done a whole host of posts on Blood Pressure and the kidneys. Here are some for you to review. https://healthbuddymelissa.coach/2021/03/09/does-blood-pressure-cause-kidney-disease-or-does-kidney-disease-cause-high-blood-pressure/, https://healthbuddymelissa.coach/2021/04/17/are-you-stressing-your-kidneys-out/,

The Penis: For all you men out there your plumbing won’t work right if you have High Blood Pressure. As a matter of fact for men Erectile Dysfunction is an early sign that you might have a blood pressure issue. So see your doctor asap!

For all of these reasons everyone should have their blood pressure checked at least monthly. It doesn’t matter if you are old or young, either. Statistics show that younger people are getting High Blood Pressure much earlier.

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hypertension, high blood pressure, Hbp! What is it?

Hello, hello! I am so happy you are here. May is Blood Pressure Awareness Month here on Health Buddy Melissa. In March I focused on Kidney Disease, and in April Stress. You can read all of those posts in my archives. There is some great information there.

So, what exactly is blood pressure anyways? Blood pressure simply put is a measurement of force put on your arteries when your heart beats. There are three things that affect your blood pressure Cardiac Output, Volume, and Resistance.

What is a normal Blood Pressure? In 2017 the guidelines changed which increased the number of people diagnosed with High Blood Pressure. While normal is still considered 120/80, the new guidelines suggest that a number over 130 warrants treatment with medication. Now of course there is some controversy, because now 45% of the USA population can have a diagnosis of Hypertension. Apparently this made a lot of people angry. But, there is good evidence to show that a blood pressure greater than 130/80 increases the risk of several health issues like Stroke, Heart Attack, Enlarged Heart, Kidney Disease, Male Sexuality Issues, and even Eye issues. Anyone who has read this blog knows that I am not a jump on the medication wagon kind of girl. There are other ways to lower blood pressure that does not include medications. That does not mean I am anti medication. If you need medication take it! All through the month of May I will be discussing High Blood Pressure and ways to lower it and prevent it. As we age Blood Pressure naturally rises due to the aging effects on the body.

Maybe you are young and you don’t think this is an issue for you. Think again! According to stats collected by the CDC in 2016 people in the age group 18-39 had a prevalence of HBP of 7.5%, 40-59 was 33%, and age 60 and over 63%. Age 40 is not that old and 1/3 of the population had HBP. Statistically more men than women had HBP. It varies between races and economic statuses as well.

When you go to the doctor your blood pressure may be higher than it normally is. A lot of times it is just because of general nervousness. But, it can be a reason for concern. A simple electronic blood pressure machine can be purchased to check your blood pressure daily and keep a log. In your log note the arm you took the blood pressure in, and time of day. Try to take your blood pressure the same time each day for consistent readings. Do not take your blood pressure right after exercising, after eating, if you are excited or scared until you can be calm. Also make sure you are sitting with your feet flat on the floor, and legs or ankles not crossed. Your arm should be relaxed and at or below heart level. Make sure you have a proper fitting cuff. If you have a big arm be sure and buy a machine with a larger cuff. A Pharmacist can help you pick the right size cuff for your arm.

Always be honest with your doctor, and yourself, of any symptoms or high blood pressure readings you may have. Denying, or ignoring a problem will not prevent any of the health issues I mentioned above.

If you would like to work with a Health Coach to set SMART goals for lifestyle changes, and exercise to help lower or prevent HBP, check out my 30 day coaching plan.

If you join my Mailchimp mailing list below you can sign up for a free coaching session related to HBP. Check out my Mother’s Day special as well, only available to my mailing list.

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are you stressing your kidneys out?

Happy Self Care Saturday! I am trying to stream line topics so they are more direct to certain topics. I will continue with some of the fun ones too. Since April is all about Stress I decided to do some posts on how Stress affects certain parts of the body. Some of this is pretty complicated so I will share some more complicated article links, and articles that are easier to read. I tried to locate a Youtube video but none of them were exactly what I wanted. If you follow this blog, or read it enough, then you know I have CKD and I focus a lot of attention to bring awareness to the issue. So, of course I will start with how Stress effects the kidneys.

Remember that Stress is a feeling of tension and is also a response to various stressors. All body parts can have their own specific reactions to acute and chronic stress. Chronic Stress is the type that can cause harm to the body in various ways. For CKD, Chronic Stress can be a risk factor for getting Kidney Disease, but also Kidney Disease can be a risk factor for Chronic Stress. One of the most common way that stress can harm the kidneys is by increasing blood pressure, and heart rate. Likewise, already having CKD can cause blood pressure to rise which also can stress the body. Also a poor diet consisting of too much salt, fat, sugar, high protein intake, or too little nutrition causing Anemia and malnutrition can also cause stress that can damage the kidneys or worsen already existing kidney disease. When the heart rate and blood pressure rise this puts a heavier work load on the kidneys adding workload stress. This type of stress can damage the tiny blood vessels in the kidneys, or the filtering system. This can cause a progression in existing kidney disease or can be a cause of newly diagnosed kidney disease. Increasing blood pressure in the kidneys can also cause more sugar and fat in the bloodstream of the body which can worsen heart disease or Diabetes.

Stress is a complicated topic with all people having varying ways of coping, avoiding, or dealing with stress. What stresses one person out may not effect another. This makes it complicated to study stress in studies.

According the NKF there are 10 ways to help your kidneys and reduce stress:

  1. Eat healthier foods. I had mentioned this in a previous post. When we are stressed we may find comfort in food especially foods high in salt, fat, and sugars. My particular weakness is potato chips. Potato chips are extremely unhealthy for anyone, but especially for CKD, Diabetes, HTN, or Heart Disease. Eating a healthier diet and trying not to snack at all is the best option for keeping your kidneys healthy. If you have Diabetes you may need to snack. Not to mention all of the phosphorus additives used in packaged foods to keep them fresh. These can be very dangerous for CKD. Be sure to try and pick healthier snack options if you must snack. Avoiding take out, fast food, processed foods, pre made meals, etc. are all ways to eat healthier. When your body is not consuming good quality Nutrition it may be in a chronic state of stress.
  2. Limit salt and caffeine. Caffeine will increase your heart rate and too much salt will increase your blood pressure and cause water retention. This obviously will put more stress on your kidneys causing them to have to work much harder.
  3. Make me time. Relax, have fun, do something for yourself. Make sure you don’t let your job kill you. I tell my coworkers all the time any job will let you kill yourself with overtime and demands if you let them. Learning to say no, or I need a break is not a bad thing. Learning to not feel guilty because you need to de-stress should never be a bad thing. Take up a hobby is also a great way to ensure you are getting me time.
  4. Exercise at least 3 days a week. If you have a job where you are on your feet a lot, this is not exercise. Exercise is planned and something you do intentionally outside of work to improve your well-being. It can be something as simple as a walk in nature which can also add to your me time.
  5. Limit fat and sugar in your diet. This goes along with the other items I stated above. Higher amounts of fats and sugars in your body will lead to more stress on your body and the responses that come with it.
  6. Be positive! This one can be very hard if every day seems like a struggle or you are just slogging through your day. Try to always find something good in your day, find one thing you can be positive about every day, learn positive affirmations, start a journal, meditate, practice mindfulness and so many others to try.
  7. Talk it out! Don’t keep your feelings inside talk them out. You can hire a Health Coach, have a trusted friend, a pet, yourself, a journal, or whatever means you have to talk out your feelings and frustrations. Paint your feelings, or drawing them is another great way to relieve stress. Keeping your feelings bottled up is just another way to increase heart rate and blood pressure, and leading to increased stress on the kidneys.
  8. Sleep. Do you get enough sleep? You will be amazed at how fixing sleep issues can bring stress levels down. Ask me about my Guided Imagery or Distance Reiki sessions for better sleep.
  9. Set goals that are attainable. For example stating I never want to eat salt again is not a reasonable goal and probably will not be attainable. For one the human body needs some salt to function properly. Cutting out all salt could do more damage than good. However, setting a goal such as I want to learn to consume a 2 gram per day sodium diet is definitely attainable and reasonable. A Health Coach can help you.
  10. Listen to music. It doesn’t matter what kind of music as long as you enjoy it and it relaxes you. For bottled up tensions some good high energy music and singing at the top of your lungs can be great therapy. I love it!

If you would like a free coaching session related to reducing stress, click to read how to get one.

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cooking methods for ckd to help reduce phosphorus, potassium, sodium and fat

Happy World Kidney Day! I hope you are celebrating this day by loving your kidneys just a little bit more. I have talked in previous posts about soaking vegetables to leach potassium, and boiling meats to decrease phosphorus. Today, I am going to discuss some actual studies that show that different cooking methods can help reduce phosphorus, potassium, sodium and fat. Namely soaking, boiling, using a pressure cooker, and stewing. The three main things I took away from these articles are: 1- a pressure cooker is the best method to use, 2- slicing your meat, rather than leaving it one solid piece works best, and 3- be sure and discard any of the water, juices, gravies, etc that the meat will produce. Do not consume it.

Below are the articles that I found that are the easiest to read, and the easiest to understand. There is also a video you can watch. 2 of the articles I read were from one website, and I can not upload them here. But, if you are interested in reading them leave me a note in the comments and I will try to get them to you.

Always remember to discuss any dietary changes you wish to make with your doctor, so you can be properly monitored to be sure the changes do not have any negative effects on your health.

Always remember, whole, unprocessed foods are going to give you the healthiest options of food choices.

https://www.kidneybuzz.com/dialysis-cooking-methods-to-cut-phosphorus-levels-help-reduce-death-rates-in-ckd-patients

https://healthyeating.sfgate.com/boiling-meat-rid-fat-11546.html

https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/how-to-reduce-sodium#:~:text=Foods%20that%20are%20steamed%2C%20baked,usually%20cut%20the%20sodium%20too.

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my experience with the covid vaccine #2

Happy Friday! I did not get much done since Wednesday, because I got the second dose of my Moderna Covid vaccine. They actually wanted to schedule me to have it today, but I requested to do it Wednesday, because I have to work tomorrow. Boy am I glad I did it Wednesday. I am totally relieved to have it done and over with. I get nervous about vaccines because my Immune System seems to go into hyper drive. I have no idea if it is because I have CKD, but I expected a rough 24 hours, at least.

I got the shot at 230 PM on Wednesday. Within 30 minutes I could tell I was going to have a super sore arm, I way more sore than the first one. By bedtime I could barely lift my arm the pain was so bad. If you have ever had a Tetanus booster shot the pain is similar. I also became extremely tired within a few hours to the point where I thought I was going to have to take a nap. I just kind of chilled and stared at the TV, lol. So not me. I was able to finish binge watching Wentworth on Netflix. I so can’t wait for season 9. I went to bed very early and slept in. Again, so not me. Thursday, my arm was not as sore, and I was not as tired, but still no desire to do much of anything. I also got a fever of around 100 degrees that did not go away with Tylenol. By about 10 PM the fever broke. So, about 36 hours of feeling kind of crappy and lazy. I can’t really complain. It was kind of nice to just do nothing for a bit. Today, I am all better and could kick myself for not doing much for 2 days, lol.

Have you had the Covid Vaccine yet? How did you do with it?

I think it takes 36 days to have full efficacy of the second vaccine.

This weekend I have to work so I probably won’t add any new content. I am working on a new logo, and some other things. Next week I will be blogging about the DASH Diet and maybe some St Patty’s rcipes.

Have a great weekend!

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potassium and kidney disease

Below is a webinar from the AKF on the topic of Potassium and Kidney Disease. Not all kidney patients have issues with potassium, but a lot do. Knowing how to monitor your diet for Potassium intake is vitally important.

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