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Overnight Dialysis Offers Benefits to People with Chronic Kidney Disease

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By Gregory Mignano

 

When Derek Mattox learned in 2003 that his kidneys were failing and he’d need dialysis to stay alive he knew his life was about to change big-time.

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What the Oakland resident, who was 39 at the time, couldn’t foresee was that 12 years later he’d be healthy, happy and using an increasingly popular dialysis treatment option to live a life as close to normal as he could imagine: nocturnal dialysis.

 

More than 26 million Americans – approximately eight percent of the population – suffer from Chronic Kidney Disease and many will one day face kidney failure and need to chart a course through dialysis treatment.

 

Diabetes, high blood pressure and heart disease can put people at an increased risk for kidney disease, and African Americans, Hispanics, Pacific Islanders and American Indians also face increased risk. African-Americans like Mattox, for instance, comprise more than 32 percent of all Americans receiving dialysis, despite representing just 13% of the total population.

 

Mattox, now 51, took treatment seriously from the very start. “It was like a new job and a new life for me, so I researched it, found out what was going on,” he says. “I knew my disease would take my life if I didn’t follow the directions.”

 

The traditional and predominantly prescribed course of treatment for kidney failure, known in medical terms as End Stage Renal Disease, requires that patients go to a center several mornings or afternoons per week for four hours at a time.

 

There, a blood-filtering machine removes waste and excess fluid from their blood – a task their kidneys can no longer do. Juggling a job, family and other responsibilities and activities with dialysis during daylight hours is no easy feat.

 

While Mattox managed to go back to school and work in various special education and childhood development roles while undergoing daytime dialysis for many years, it was tough. A few years ago, he decided to try nocturnal dialysis, spending three nights each week receiving overnight treatment.

 

When Satellite Healthcare launched a nocturnal program at its Oakland Dialysis Center at Telegraph and 33rd Street in 2013, Mattox was among its first patients.

 

The not-for-profit organization, founded more than 40 years ago, has been expanding its program in response to increased demand, now offering nocturnal dialysis in many of its centers across California.

 

Patients opting for nocturnal dialysis swap three nights of at-home sleep each week for overnight treatment. Mattox lives just 25 minutes on foot from the Oakland center and he usually walks as part of his regular exercise regime, carrying a sandwich, two blankets, a small pillow and a pair of headphones in his tote bag.

 

Arriving in the early evening, he is greeted by the friendly staff, settles into a specialized treatment chair, begins dialyzing, and watches cable TV and movies on his personal television until he falls asleep. Six to eight hours after arriving, he packs up his things and walks back home, refreshed.

 

Nocturnal dialysis is not always an easy sell – perhaps explaining why the number of patients taking advantage of it, while growing, remains low.

 

A common response from patients when hearing about the treatment is, “What? I need to give up a few nights of sleep in my own bed? Why on earth would I do that?”

 

But patients who try it out tend to see positive benefits very quickly, because receiving slower, steadier dialysis over a longer period of time puts less stress on their hearts and on their bodies in general. Also, up to 30 percent more toxins are removed from patients’ blood during nocturnal dialysis than during the faster daytime treatments.

 

“One of the things patients tell us is that with shorter daytime dialysis, they have a longer recovery time afterward,” says Sheila Doss-McQuitt Director of Clinical Programs and Research at Satellite Healthcare. “Patients receiving the longer, overnight treatment report their recovery time is greatly shortened. They can often just get up and go, to do whatever they want immediately following treatment.”

 

“I tell other patients all the time: nocturnal gives me the ability to have a life. I really feel the difference in my body than when I was on daytime dialysis,” attests Mattox. “When I first began it was an adjustment with the sleep, but I was able to rest a bit when I got home in the morning and then go to work feeling rejuvenated, with extra energy. No one I’ve worked for has even known I’m on dialysis – they can’t tell, and I don’t tell them.”

 

Published studies, and the Oakland patients’ own lab results, illustrate nocturnal’s benefits. Receiving slower, steadier dialysis over a longer period of time puts less stress on the heart.

 

An additional 30 percent more toxins are removed from patients’ blood than during the faster daytime treatments.

 

As a result, many patients with heart disease and hypertension – very common ailments – can decrease or even eliminate some medications. And, like Mattox, they tend to find they have more energy.

 

Mattox plans to begin looking for a new job soon, but for now he’s enjoying a hiatus from work. He can frequently be found walking his dog around Lake Merritt, checking out movies, reading, and simply, as he puts it, “getting out” as much as he can during the day.

 

He believes one of the most important things dialysis patients can do for themselves is to maintain a sense of empowerment. “Don’t let dialysis take control of you – you take control of it. Learn as much about dialysis as you can so you can have the best treatment possible.

 

For me, that’s nocturnal. Also, don’t depend on the dialysis machine to take care of your body – you’ve got to take care of it by eating the right foods and doing the right things. The machine is just an additional tool.”

 

In his role as Area Manager at Satellite Healthcare, Gregory Mignano oversees the Satellite Healthcare’s Oakland dialysis center. For more information visit SatelliteHealth.com.

Bay Area

Get Booster Shot, Celebrate Thanksgiving Holiday Safely, State Officials Say

Officials are encouraging people who took both doses of the Pfizer or Moderna vaccine at least six months ago to get their boosters now. People who took the one-shot Johnson & Johnson primary dose at least two months ago, should also schedule their booster shot.

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According to Moderna CEO Stéphane Bancel, the booster shots are being administered under an “emergency use authorization.”
According to Moderna CEO Stéphane Bancel, the booster shots are being administered under an “emergency use authorization.”

By Aldon Thomas Stiles, California Black Media

Golden State public health officials are recommending that Californians take COVID-19 booster shots to prevent a resurgence of the disease and to celebrate the holidays safely with their loved ones.

“It’s not too late to get it,” said Dr. Mark Ghaly, secretary of the California Health and Human Services Department, referring to the COVID-19 booster shot. He was speaking at a vaccine clinic in Los Angeles County last week.

“Get that added protection for the Thanksgiving gatherings you may attend,” he said.

Last week, the Federal Drug Administration (FDA) authorized the Moderna and Pfizer vaccine boosters for all adults in the United States.

The Centers for Disease Control and Prevention (CDC) followed with an endorsement of the booster vaccine, recommending it for people over age 50, and anyone 18 and older who is at higher risk.

The CDC loosened the language for all other adults, saying anyone over age 18 “may” take the shot.

California officials say the booster shots are plenty and available throughout the state.

“If you think you will benefit from getting a booster shot, I encourage you,” said Ghaly. “Supplies are available. There are many sites across the state – thousands in fact.”

On Saturday, the Western States Scientific Safety Review Workgroup completed a separate review of the federal government’s approval process for the booster shots and also recommended that “individuals 18 or older who have completed their primary vaccination series,” take the Pfizer-BioNTech and Moderna boosters.

California, Oregon, Nevada and Washington state came together last year and created the Western States Scientific Safety Review Workgroup. The group, made up of scientists, medical professionals and public health experts, is charged with reviewing COVID-19 vaccine safety.

Over the last two weeks, COVID-19 infections across the United States have increased at a rate of nearly 33%, according to the CDC.

Officials are encouraging people who took both doses of the Pfizer or Moderna vaccine at least six months ago to get their boosters now. People who took the one-shot Johnson & Johnson primary dose at least two months ago, should also schedule their booster shot.

“COVID-19 boosters are available to all Californians 18 [and over]! Walk-in clinics are open statewide with no appointment necessary – like this mobile clinic in Avenal. Find a clinic or pharmacy near you and get yours today,” Gov. Gavin Newsom’s office chimed in on Twitter.

Newsom has pushed hard for the vaccine booster since he received his last month.

“Great news for the rest of the country. The holidays are here — make sure to keep your immunity up and protect yourself and your loved ones. Get your booster,” Newsom tweeted on November 18.

According to Moderna CEO Stéphane Bancel, the booster shots are being administered under an “emergency use authorization.”

California Black Media’s coverage of COVID-19 is supported by the California Health Care Foundation.

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Bay Area

COMMENTARY: Abuse Is Not Love

Domestic violence is the No. 1 violent crime in Marin. Women account for 85% of the victims of intimate partner violence, and men for 15%. Half of the men who assault their wives also assault their children. Adults in same-sex relationships suffer abuse at the same rate as heterosexual couples.

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photo from www.itv.com.
photo from www.itv.com.

By Godfrey Lee

The Mental Health Advocacy Team of First Missionary Baptist Church (FMBC), along with the Marin City Mental Health Services, and the Center for Domestic Peace, conducted a training called “Working Together to End Domestic Violence” on October 25.

Rev. Ronald Leggett, FMBC’s pastor, hosted the Zoom program.

Cynthia Williams, a domestic violence advocate for peace, and a friend of FMBC, introduced the presenter and facilitator, Meghan Kehoe, from the Center for Domestic Peace.

photo from left: Rev. Ronald Leggett, Meghan Kehoe

photo from left: Rev. Ronald Leggett, Meghan Kehoe

Kehoe says that domestic violence is a pattern of abusive behavior used to exert power and control over an intimate partner. The abuser may use a variety of types of abuse to make sure that they have and maintain control over their partner. These types of domestic violence include physical, emotional, economic, sexual, spiritual abuse as well as stalking and strangulation.

Domestic violence can be physical, but the greatest impact is through verbal and emotional abuse. How victims have been abused and how they feel about themselves will always be present in their mind.

Domestic violence is the No. 1 violent crime in Marin. Women account for 85% of the victims of intimate partner violence, and men for 15%. Half of the men who assault their wives also assault their children. Adults in same-sex relationships suffer abuse at the same rate as heterosexual couples.

Survivors need unconditional support from their friends. Many of those who stay in an abusive relationships have probably lost a lot of friends who love and support the victim but don’t understand the pattern of abuse, and do not understand why the survivor leaves, then returns to the abuser.

Children witness and experience the domestic violence and fear it just as much as the survivor does, if not more, and 60% of them are also victims of the physical violence as well.

The children, youth, and young adults are also being traumatized and affected by the violence. They may not know how to articulate what is happening to their family, or how to feel when their parents are hurting each another. So, talk to them and see if they want to talk to their parents or a safe person in their life.

Even if children know that they are not the cause of the violence, they still feel it in their hearts. Tell them that it is not their fault, and nothing they did caused the violence.

Young people who survive need good information, programs and services to help them find and maintain healthy relationships.

There is never a wrong time to reach out to someone who is being abused in a relationship. And you should also go with them to get help. Connect them to professionals, or a domestic violence agency. Offer them unconditional support a friend who will look out for them no matter what happens to them, what choices they make, whether or not they go back to their abuser, and be there for them in a non-judgmental way, Kehoe said.

For more information, go to centerfordomesticpeace.org. If you are in need of emergency assistance or wish to make an appointment with Center for Domestic Peace, please contact their 24-hour hotline: (English/ Spanish) 415-924-6616.

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Bay Area

COMMENTARY: Happy Thanksgiving, and Please Get Vaccinated

To all our staff who have been working so incredibly hard over the past few months to welcome our students and families back to school safely with such grace: You all inspire me and our whole community, and I deeply appreciate all that you do each and every day on behalf of our young people and families.

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Dr. Kyla Johnson-Trammell, Superintendent, Oakland Unified School District
Dr. Kyla Johnson-Trammell, Superintendent, Oakland Unified School District.

By Supt. Dr. Kyla Johnson-Trammell

Dear Oakland Unified Community,

As we now begin the Thanksgiving break, I must give thanks for being part of such a wonderful community, with brilliant and beautiful children, caring and supportive families, and amazingly dedicated staff.

It has always been clear to me that here in Oakland, we watch out for each other and take care of each other, especially in the most challenging times.

Last week, my family went to our doctor’s office to get our flu and COVID vaccines. Getting my family vaccinated has given me so much relief and hope as we plan to gather with grandparents and other family and friends over the Thanksgiving holiday.

Our staff and partners are working tirelessly to make sure all OUSD families have access to the COVID vaccine across the city. I am so proud of the amazing efforts of our staff to reach out to our most vulnerable populations and help them get vaccinated.

They have reached out to families with thousands of phone calls and letters to answer questions and provide resources and facts about the vaccine. Additionally, this (past) week alone, we co-hosted 21 vaccination pop-ups that served 35 of our schools in neighborhoods hardest hit by COVID.

We heard from Cheryl Narvaez, the parent of a second grader and a fourth grader at Think College Now and what she said was so inspiring. “Our family was eager to get vaccinated as soon as we could since we were going to spend some time with family (including grandparents) during the holiday season. I told my kids that if they got vaccinated, it would help keep everyone extra healthy and safe AND that they could potentially play with cousins and other friends indoors. Once they heard that, they said ‘yes!’”

Narvaez further shared what a positive experience she and her students had by getting vaccinated. “After it was done, I felt a huge sense of relief that my kids had an extra layer of protection from COVID. I am also proud that they were so brave and were opened to sharing their positive experience with others. They also told me that they were surprised that the shot was so quick!”

We are also working with our partners to ensure that our community has access to lots of COVID-19 testing during Thanksgiving break, so that students, staff, and family members can get tested before returning to school.

We trust that families will stay as safe as possible during Thanksgiving break, but we also know that with travel and indoor gatherings, community COVID spread is always a possibility. I urge you once again to get your family vaccinated and to test after traveling or attending large gatherings, before school resumes on Monday, November 29.

We also provided at-home rapid test kits to students attending Child Development Centers, elementary schools, and middle schools in high priority ZIP codes. Each kit contains two tests for testing on Sunday, November 28 prior to returning to school and again on Wednesday, December 1. We had hoped to provide these kits to all students and staff who want them, but the state’s supply is still limited.

To all our staff who have been working so incredibly hard over the past few months to welcome our students and families back to school safely with such grace: You all inspire me and our whole community, and I deeply appreciate all that you do each and every day on behalf of our young people and families.

To our students, families, and staff: I know the last year-and-a-half have been difficult for all of us, but we have real reason for hope as we enter this holiday season. I ask that you join me and my family in getting vaccinated, masking up when gathering, and encouraging others to do the same. I wish you and your family all the best next week: safe, loving, and joyful days together.

Dr. Kyla Johnson-Trammell, Superintendent, Oakland Unified School District.

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