Category Archives for "Uncategorized"

Dialysis and Vacation.

Let’s take a vacation! South Florida has

beautiful places to visit.

Enjoy the day on the beach with clear water and sunshine, or visit other attractions around West Palm Beach and Boca Raton.

West Palm Beach has beautiful Downtown’s Clematis Street and City Place, where you can find restaurants, bars, shops, movie theater, and live music, Perfect atmosphere to a vacation.


For those appreciates the natural environment, Palm Beach Zoo or Gumbo Limbo Nature Center in Boca Raton is a great option to be close to nature. The Gumbo Limbo N. Center count with 20 acres coastal preserve area designated to preserve the nature, with Sea Turtle Rehabilitation facility, Butterfly Garden, native fish, sharks, and other natural marine animals.         


     Among many perfect beaches, the Spanish River Park            

display beautiful beaches and picnic area with access to the playground.


To support Dialysis Patients taking a vacation with family and friends,

Crown dialysis is committed to helping patients offering high-class dialysis, flexible schedule, transportation,  individuals rooms in the center for hemodialysis,

peritoneal dialysis support, assisted Home hemodialysis and much more to make your vacation unforgettable.

Crown Dialysis can make part of your vacation, call today 561-372-3700.


We accept most health insurances and private.


References:THE 10 BEST Parks & Nature Attractions in Boca Raton. (n.d.). Retrieved May 16, 2019, from

Chronic Kidney Disease (CKD) and Nutrition

Learning about the CKD (Chronic Kidney Disease) and Nutrition

Chronic Kidney disease(also called renal disease) is when the kidney don’t filter enough waste from the blood.The most common causes of CKD are diabetes, high blood pressure, genetics, drug side effects, and blockage caused by kidney stones.

Some people don’t have any signs or symptoms or CKD but others may notice :

  • Nausea
  • Tiredness
  • Vomiting
  • Loss of appetite

When the kidneys can’t work on their own, dialysis – a treatment that removes the excess waste out of your body-is usually needed (CaglarK,2002).

Why does it matter what you eat?

When kidneys can’t remove wastes out of your body, they build up and act like toxins. To keep wastes from building up, you have to watch what you eat between dialysis treatments.

Choosing healthy foods, with the help of your dietitian, helps lower these wastes and may make you feel better between treatments.

CALORIES: Make sure you are getting enough calories every day because they are important to keep your energy level up.

PROTEIN: Your body needs protein to build muscle and lower your risk for infection. Now that you are on dialysis, you will need more high-quality proteins, such as lean meat.

Vitamins/Minerals: The kidneys are important in processing several vitamins and minerals. Some vitamins and minerals may need to be limited.

Fluids: Fluids can build up quickly between dialysis treatments and cause bloating and discomfort.The right amount of fluid intake can help you feel your best.

Blood Sugar: If you have diabetes, the carbohydrates you eat should be balanced with your medicines and activity level to keep your blood sugar under control

Caglar K, et al. Kidney int. 2002;62(3):1054-1059
Abbott, L. (2010, December). Retrieved July, 2018, from /76585/December 2010 LITHO IN USA



Kidney Transplant.

Crown Dialysis patients have 3 successful Kidney Transplants this year !

Lean more about Kidney Transplant below.

What is a kidney transplant?

 A kidney transplant allows a person whose own kidneys have failed to receive a new kidney from another person. A successful kidney transplant can improve many of the complications of kidney failure.

 A kidney may come from living donors or from individuals who have died (deceased donors). A living donor may be someone in your immediate or extended family, or it may be your spouse or a close friend. In some cases, a living donor may even be a stranger who wishes to donate a kidney to someone in need of a transplant. A deceased donor is someone who has consented to donate his or her organs upon death.  In situations where the wishes of the deceased donor are not known,  family members may consent to organ donation (N.K.Foundation,2009).


How do I start the process of getting a kidney transplant?

You Can find a transplant program by state or region using the website of The Organ Procurement and Transplantation Network   ( You may also ask your doctor about the transplant process. He or She can refer you to a transplant center for evaluation (N.K.Foundation,2009).


What are the chances that a transplanted kidney will continue to function normally?

A number of factors affect the success of kidney transplantation. Generally, the chances that a transplanted kidney will continue to work correctly are between 89-95 percent one year after the operation (N.K.Foundation,2009)


If I have diabetes, can I have a pancreas transplant?

Sometimes. It may be possible for a patient with type 1 diabetes to receive a pancreas transplant along with a kidney transplant. Your doctor can advise you about this possibility (N.K.Foundation,2009).


How can I pay for my transplant?

Medicare Part B will cover 80 percent of the cost of your antirejection medication. You will need to apply for Medicare Part B and also need a supplemental or secondary insurance policy. For medicines, Medicare Part D (prescriptions and Drug Plan benefits) can help. The financial counselor or social worker at your transplant center will be available to answer questions about coverage options(N.K.Foundation,2009).

Private or commercial health insurance policy, please contact your insurance company customer service or transplant coordinator, to obtain more information.


What is the financial cost to the living donor?

              The living donor should have no financial responsibility for the surgical cost of kidney donation. The living donor evaluation and surgery are covered by Medicare or recipient’s insurance. However, he or she is not covered for time off from work, travel, lodging expenses, and incidental expenses. Travel and lodging cost may be covered by the recipient, or the National Living Donor Assistance Program(,(N.K.Foundation,2009).

Cite/ National Kidney Foundation (2009). Kidney Transplant. Love Your Kidneys, 11-1-0304_JAJ


                Crown Dialysis patients have 3 successful Kidney Transplants this year already.

       Our team of Nephrologist, RN’s, Dietitian and Social Worker, maintain the dialysis facility -level referral for kidney transplant evaluation priority for our patients.


Morning French Toast

Portions: 9 Serving size



  • 3/4 cup brown sugar
  • 1/2 cup unsalted butter, melted
  • 3 teaspoons cinnamon, reserve half
  • 3 large tart apples, peeled, cored and thinly sliced
  • 1/2 cup dried sweetened cranberries
  • 1 loaf Italian bread, cut into 3/4″ slice
  • 6 eggs
  • 1-1/2 cups rice milk, unenriched
  • 1 tablespoon vanilla


Using a baking dish, combine brown sugar, butter and one teaspoon of cinnamon. Add apples and the cranberries; toss well to coat. Spread apple mixture evenly over bottom of the baking dish. Arrange the bread on the top. Mix the eggs, rice milk, vanilla and the remaining cinnamon into a blend well. Pour mixture over bread, soaking bread completely. Cover and refrigerate 4-24 hours. Preheat oven to 375ºF. Bake covered with foil for 30 minutes. Uncover dish and bake 15 minutes or into starts to brown. Remove dish from oven and let stand for 5 minutes before cutting.

This recipe contains/per serving: calories 428g, protein:19g, carbohydrates: 60g, fat:16g, Cholesterol: 170g, Sodium:363mg, calcium:81mg, fiber:2.8g and potassium 200mg. 


Recipe from ESRD Network13, Edition 4, November2013/

New Medicare Card

Medicare Card

Medicare Cards have a new face and unique ID numbers. The main idea is having new numbers for each member, removing Social Security Numbers from Medicare cards to prevent fraud, fight identity theft, and keep taxpayer dollars safe, said CMS at

The government has great intentions to protect member's information and is providing full support to who need help at and can sign up for emails about the status of card mailings in your area.

Let's look at Medicare Schedule to the card mailings:

All - Nationwide April 2018 - ongoing

                                                 Delaware, District of Columbia, Maryland, Pennsylvania, Virginia,                                                      West Virginia..................................................Beginning May 2018

Alaska, American Samoa, California, Guam, Hawaii, Northern Mariana Islands, Oregon..................................................Beginning May 2018
Arkansas, Illinois, Indiana, Iowa, Kansas, Minnesota, Nebraska, North Dakota, Oklahoma,

South Dakota, Wisconsin....After June 2018

Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York,

 Rhode Island, Vermont ........After June 2018

Alabama, Florida, Georgia, North Carolina, South Carolina............................After June 2018

Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Texas, Utah, 
Washington, Wyoming .......................After June 2018

Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Puerto Rico, 

Tennessee, Virgin Islands ...........After June 2018

References: U.S. Centers for Medicare & Medicaid Services,

Please if need assistance visit one of CMS and HHS Websites

References: U.S. Centers for Medicare & Medicaid Services,

Top 25 Dialysis Blogs Winners

Dialysis Blogs

Crown Dialysis Center of Palm Beach received an award for being in the top 25 dialysis blogs.

These blogs are ranked based on following criteria

Google reputation and Google search ranking
Influence and popularity on Facebook, twitter and other social media sites
Quality and consistency of posts.
Feedspot’s editorial team and expert review

Is a pleasure continue with our blog to inform all the dialysis community!
Thank you for all the supporters that make this possible .

Patricia Stremel

Home Hemodialysis

'Have you thought about Dialysis at Home ?

” Getting Involved really Matters”.

You’ll feel more in charge if you take an active role in the decision.

Your kidney team should tell you about all treatment options and the pros and cons of each. But you make the choice based on your needs, lifestyle, medical conditions, and current level of kidney function. In order to make this decision, you need to learn about all the treatments.

  • Talk to the professionals who are treating you
  • Ask questions: What treatments are done at home? Am I eligible for home treatment? How will my choice of treatment affect my health and lifestyle? At this point in my kidney disease, is one choice better than another? Will one treatment better than another? Will one treatment better protect my remaining kidney function? Which one?
  • Think about how this decision will affect your life.
  • Talk to your family, friends and other people who care about you.
  • Visit the National Kidney Foundation website for helpful resources.

Reference: Have your thought about Dialysis at Home? – National Kidney Foundation /  material from publication Number 12-10-0337_KBA

Crown Dialysis Center is a Medicare Certified State-of-the-art facility offering all modalities of dialysis treatments.

A team of qualified health professionals manage the dialysis center under the leadership of Board Certified Nephrologist, Bharat K. Gupta MD.

Crown Dialysis is a leading-edge facility specialize in Staff Assisted Hemo-Dialysis at your home on your schedule.

Dialysis Patient Dining Out

"Important Facts Before you go to have a dinner out"  

•Plan Ahead and choose a restaurant where will be easiest to select foods for your diet
•Cut back on serving sizes and food high in " SODIUM and "POTASSIUM
•Call and learn about the menu, how the dishes are prepared
•Ask to the server for more information about the way your food choice is prepared and served
•Protein Restriction Diet: Can be requested half portions of the main dishes that contain meat, fish, cheese, and poultry
* Remember: Protein is found in cheese and cream sauces, foods prepared and mixed with milk, nuts, eggs, and a vegetarian dishes contain dried beans or lentils

"Beverages at your dinner"

•Plan the amount of Fluid you may have during the meal
•Plan when you want the beverage: before, during, or after the meals.

•Choose beverages low in potassium and phosphorus.( ask your dietitian for specific guidelines)
•Order beverages by the glass instead of ordering a pitcher of drinks
•Squeeze lemon wedges into your water to help quench your thirst
•Turn cups or glasses upside down before they are felled or ask to have them removed
•Push your glass or cup away from your plate when you are finished to avoid refills.

Reference: "National Kidney Foundation, inc _GBD -RV1-V1 : NKF 2013 published More

"Lets us know about your experience dining out !"

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What is your stage of Kidney Disease?

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There are 5 stages of kidney disease. Your doctor determines your stage of kidney disease based on the presence of kidney damage and your glomerular filtration rate (GFR), which is a measure of your level of kidney function.Your treatment is based on your stage of kidney disease. Speak to your doctor if have any question about your stage of kidney disease or your treatment.
Stage of kidney Disease

1: Kidney damage (e.g.,protein in the urine) with normal GFR ……………………….GFR rate : 90 or above
2: Kidney damage with mild decrease in GFR ……………………………………….GFR rate : 60 to 89
3: Moderate decrease in GFR …………………………………………………….GFR rate : 30 to 59
4: Severe reduction in GFR ……………………………………………………..GFR rate : 15 to 29
5: Kidney failure ……………………………………………………………..GFR rate : less than 15
* Your GFR number tells your doctor how much kidney function you have.As chronic kidney disease progress, your GFR number decreases.

“National Kidney Foundation.Home Hemodialysis. A Guide for patients and their families.2009-2Print”

Do you know about your stage if Kidney disease ? Leave you comment below.



Nutrition 101



Sodium is a mineral found in many foods. The primary function of sodium in the body is to maintain the fluid balance, normally food contains more sodium than the body needs, and the elevate quantity of sodium can be harmful for patients with “Chronic Kidney Disease” .



*Sodium generate fluid to accumulate in your body and promote many problems like :Swelling, Raising blood pressure promoting Heart and kidneys complications.

The “Good choices ” can be made reducing the sodium from your daily diet and making good protein choices lower in sodium, potassium and phosphorus like eggs or egg substitutes, pork, poultry, fish, lean beef, unsalted crackers, canned vegetables,soup without added salt and fresh herbs to give the final taste.


“Control the sodium intake” .