Tag: kidney health

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From Level 5 to Thriving: My Kidney Recovery Journey

Written March 6, 2025

Hello Dear Readers,

Ah, the quarterly nephrologist appointment—an event marked on my calendar like a mini health report card. Today was the day.

Once upon a time (and not in a fairytale way), my kidneys decided to stage a dramatic exit, dropping to level 5. For those unfamiliar with the kidney hierarchy, level 5 means you’re not just playing the waiting game—you’re officially in line for a transplant. That’s when my recovery story began.

While waiting for a kidney that might never come, the doctors handed me a to-do list. First up: peritoneal dialysis. That meant getting a catheter—a thin, flexible tube—implanted in my abdomen. My wife, ever the rockstar, took on the role of my personal dialysis technician, administering treatments four times a day. Since dialysis waits for no one, she had to put her job on hold. Meanwhile, I was also dealing with double vision thanks to a stroke, just to keep life extra interesting.

Next on the list? A complete dietary overhaul. Protein—limited. Dairy—cautioned. Even seemingly harmless greens—monitored. And salt? Not a big loss, since we’ve never been big fans anyway. But the adjustments weren’t easy. Every meal felt like a science experiment in portion control and kidney-friendly nutrition.

Then, one day, my doctor hit me with a plot twist: “Well, your kidneys are somehow recovering.” Just like that, dialysis was out, the catheter came off, and my wife could return to work. We stuck to the diet, kept up with regular check-ups, and—miraculously—my kidneys climbed back up to level 3. No more waiting lists. Just a whole lot of monitoring.

That’s why I wear a special watch that tracks everything from my blood pressure to my heart rate. I also keep an eye on my weight because, with my kidneys, even small fluctuations can mean trouble. And speaking of health habits—my wife had the brilliant idea of introducing exercise. At first, even walking with a walker felt like an uphill battle. But we stuck with it. Over the years, the walker turned into casual strolls, which turned into steady jogging. Now, I run. A lot. And somewhere along the way, I traded in excess fat for a leaner, healthier body.

Of course, I still have to be extra cautious. A simple flu or cold can throw my whole system into chaos. But for the most part, I’m in control.

As for today’s appointment? Smooth sailing. My nephrologist gave me the green light—no major concerns, no urgent changes. I did bring up a small worry about my blood pressure occasionally dipping too low, but since my averages are stable, it’s a ‘wait and see’ situation.

The only hiccup? The waiting room. Nearly an hour before I got called in. But hey, patience is a virtue, right? Plus, I got my quarterly visit checked off without any surprises.

Next appointment? Another Wednesday—aka my running day. No problem, I’ll adjust my schedule accordingly.

For now, I’ll keep doing what I’ve been doing. Because somehow, against the odds, it’s working.

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A Comedy of Errors: My Morning Adventure in Forgetfulness

Written February 25, 2025

Hello Dear Readers,

This morning was a disaster of my own making—an entirely avoidable one, at that. It all started with a simple yet catastrophic decision: going back to sleep.

My wife had to leave early for work, so I woke up with her, saw her off, and then—because I am, at times, my own worst enemy—I crawled back into bed. When my alarm rang at its usual time, I reasoned that there was no immediate need to rise and shine. Why rush? The world could wait. I could bask in the warmth of my blankets for just a little while longer.

Ah, but then—the horror! Like a bolt of lightning, it struck me. I had an appointment at the phlebotomy lab. This morning. In a moment, I went from blissful comfort to full-blown panic mode.

Suddenly, I was a man on a mission. Breakfast was a frantic affair—more a feeding frenzy than a meal. I barely finished swallowing before summoning an Uber to whisk me across town. Somehow, by sheer force of will (and the generosity of traffic lights), I arrived roughly on time. My reward? A needle in my arm and the satisfaction of knowing I had narrowly avoided disaster.

The Saga of the Quarterly Lab Visit

This whole lab ordeal isn’t a weekly thing, thank goodness. It happens once every three months—a fun little prelude to my nephrologist appointments. The lab used to be conveniently located within walking distance, but those were the good old days. Now, thanks to the ever-evolving world of healthcare logistics, both my doctor’s office and the lab have migrated to opposite ends of the city. Since my wife was at work, Uber was my chariot of choice.

A Kidney’s Hard-Won Victory

Once upon a time, my kidneys were in such dire shape that a transplant was on the horizon—stage five of kidney disease, the final boss level. But through some miracle of discipline (and possibly sheer stubbornness), I clawed my way back to stage three. Even my doctors were impressed. Kidneys don’t just bounce back like that. It’s been an uphill battle—strict diet, exercise, a truckload of medication—but I intend to keep it that way. If my kidneys have fought this hard, the least I can do is not sabotage them.

The Curious Case of the Urgency-Driven Wife

Speaking of discipline, my wife operates on a completely different level. She thrives on urgency. More time? Not helpful. More deadlines? That’s where she shines. She has goals stacked like dominos—lifelong ones, yearly ones, monthly ones, and even daily ones. Meanwhile, I apparently struggle with remembering a single appointment that’s been on my calendar for months.

A Morning Lost in Translation

In my defense, I used to have a built-in scheduling assistant—my wife. For years, she managed my appointments with an efficiency that I now recognize I took for granted. But since 2017, I’ve been the proud (if slightly forgetful) owner of my own calendar. And today, that system failed spectacularly. I’m fairly certain I ignored every phone alarm. Maybe I was half-asleep. Maybe I was just being me.

The Aftermath of Chaos

Once I got back home—blood drawn, dignity slightly bruised—I tried to restore order to my day. I worked out, did my language practice, and checked off my morning to-do list. By some miracle, I still had time before dinner prep to catch my breath and, of course, write about my self-inflicted chaos. What is the moral of the story? Maybe don’t ignore your alarms. Or better yet, don’t trust a half-asleep brain to make scheduling decisions. It does not have your best interests at heart.

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 Snow Day Struggles: Running Plans Thwarted, but Perspective Gained

Written February 19, 2025

reviewed 3/2

Hello Dear Readers,

Well, there goes my run—canceled, thanks to a generous overnight delivery from Mother Nature. Snow blanketed everything, and with temperatures stubbornly hanging below freezing, it’s not melting anytime soon. Schools across Nashville have shut their doors, throwing parents into chaos. Do they brave the roads and head to work, or do they scramble to find last-minute childcare? The great snow day debate. It’s a logistical nightmare for many, but keeping kids safe comes first.

For us, though? Not exactly a crisis. My wife works from home now, a far cry from her former 80-hour-a-week, always-on-the-move lifestyle. She used to thrive on that pace—until I nearly died from a brain stroke. That changed everything. She still brings it up sometimes, but I know there’s a lot she doesn’t say. She doesn’t need to. The shift in her priorities says it all. These days, she avoids crowded spaces, dodges anyone who so much as sniffles, and keeps a close eye on me. To most people, I probably look fine—no obvious signs of past medical issues. But my kidneys are still compromised, and something as minor as a cold could spiral into something serious. My wife knows that. And she never forgets.

Truthfully, I don’t blame her. I worked hard—really hard—to regain as much function as possible. The last thing I want is to put my family through that kind of fear again. Once was more than enough.

Remote work has been a game-changer for her. Some people hate it—too many distractions, not enough structure. But for her? It’s perfect. She thrives on creating processes, developing automation, and solving complex problems that most people wouldn’t even know where to begin. Nothing really breaks her focus. Well, almost nothing. The fear of my near-death experience still lingers in the background, even if she doesn’t always talk about it. Instead of letting it paralyze her, she adapted. If she can’t erase the fear, she can at least manage it—and working from home is part of that strategy.

As for me, I have mixed feelings about today’s forced break. On one hand, I wasn’t exactly excited about an hour-long run in below-freezing temperatures. On the other hand, I don’t like missing scheduled runs. Skipping throws off my rhythm, and I know how easily one missed workout can turn into two, then three. But if I can’t run, I can at least make myself useful.

Shoveling it is. Not the full driveway—that’s asking too much—but enough to clear a path for any brave delivery drivers attempting to make their rounds. Amazon doesn’t care about the weather, and I’d rather not have packages stranded in a snowbank. It’s not the workout I planned, but it’s still movement, and at least it gives me an excuse to step outside.

So, no run today. But I’ll survive. And hopefully, so will my perfectly timed book order.

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A Walk to the Doctor’s Office (and a Well-Earned Cupcake)

Written February 4, 2025

Hello Dear Readers,

It’s that time of year again—my annual checkup with my general practitioner. Not my nephrologist this time, just the standard “let’s make sure nothing unexpected is brewing” kind of visit. Although, if I’m being honest, “annual” checkups feel almost quaint in my world. Thanks to my kidneys, I’m on a much more frequent schedule.

When we bought this house, my wife and I made sure we had all the essentials within walking distance—our dentist, doctor, and a few favorite spots for coffee. It makes life easier, and today, it means my appointment is just a short stroll away. The weather isn’t as pleasant as yesterday, but it’s decent enough. Besides, I won’t be outside long, so why complain?

There’s something oddly comforting about these little hubs of life—places where errands mix seamlessly with leisure. My doctor’s office is nestled in a small mall, surrounded by restaurants, coffee shops, and even a cupcake store. My wife isn’t big on cupcakes, but I certainly am. And today, I just might reward myself with one.

Before my brain stroke, I never imagined I’d be visiting doctors so regularly. Back then, checkups felt optional—something you did when absolutely necessary, not something you scheduled like clockwork. Now? Every few months, I’m back in an exam room, getting my blood pressure, heart rate, and kidney function scrutinized. It’s not my favorite pastime, but I’ve learned to accept it. There’s no use questioning how important these visits are. They keep me informed, and more importantly, they keep me alive.

A lot of it comes down to choices—small, daily decisions that keep my health in balance. My wife and I eat in a way that supports my kidneys: more fresh produce, fewer processed foods, and carefully measured protein. I can’t just mindlessly grab a steak or overindulge in anything salty. Even something as minor as a cold or a slight miscalculation in my water intake can send my numbers in the wrong direction. It’s a delicate system, and I have to respect it.

That’s why I no longer mind these doctor’s visits like I used to. They aren’t just about checking boxes; they’re about staying ahead of problems before they spiral. I listen to my doctors, take their advice seriously, and adjust accordingly. It’s a partnership, not a battle.

Still, a little reward never hurts. After my checkup, I plan to take a detour to the cupcake shop nearby—nothing excessive, just a small indulgence to mark another successful visit. Because if there’s one thing I’ve learned, it’s that balance is everything. Taking care of my health is non-negotiable, but finding joy in the little things? That’s just as important.

So, here’s to another routine checkup, another step in the right direction, and maybe—just maybe—a well-earned cupcake at the end of it all.

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Running, Weather, and the Fine Art of Not Wrecking My Kidneys

Written January 30, 2025

Hello Dear Readers,

Yesterday’s run? Surprisingly pleasant. The weather was in that sweet spot—chilly enough to make standing around feel like a questionable life choice but with just enough sun to turn things comfortable once I got moving. It’s that perfect running paradox: too cold to stand still, too warm to bundle up. And best of all? I managed to beat my target pace for the first 5K again, which means I’m still holding onto my ever-diminishing speed goals. A small but satisfying victory.

Now, let’s talk about my body’s complicated relationship with temperature. Ever since my brain stroke, my autonomic nervous system has been a bit of a diva—it no longer regulates heat or cold properly. If the weather swings too far in either direction, my endurance takes a nosedive. Some runners struggle with pacing, others with motivation. I struggle with the fundamental issue of my body, deciding it simply does not approve of temperature extremes. It’s like a toddler refusing to eat anything but macaroni and cheese.

Because of this, I’ve been forced to become a part runner and part-amateur meteorologist. I check the forecast religiously, sometimes more than I check my emails. My weather app claims it can predict the weather up to 10 days in advance, though let’s be honest—it’s basically fortune-telling after a week. Still, it gives me a decent heads-up on what’s coming. And when you have a body that treats temperature changes like a personal betrayal, planning ahead is crucial.

Take tomorrow, for example. Warmer weather is on the way, which means hydration is about to become my new best friend. That also means my pace might start to slow because staying hydrated and pushing for speed don’t always go hand in hand. And here’s where things get tricky. I love progress. I love seeing the numbers on my running app improve. But I also love having functioning kidneys, and unfortunately, one comes at the expense of the other.

Dehydration is bad for anyone, but for me, it’s particularly risky. My kidneys already function at less than full capacity, so letting them get parched isn’t just a bad idea—it’s a potentially dangerous one. Pushing my limits is one thing; actively sabotaging my health is another.

So, if I have to choose between breaking a personal record and keeping my body happy, I’ll choose my health every time. Okay, maybe not happily, but let’s call it a mature decision. It’s the kind of choice I’ll have to keep reminding myself of mid-run, especially when the competitive part of my brain whispers, just a little faster, you can still beat it.

But in the end, running is about longevity, not just speed. And if slowing down a little means I get to keep running for years to come? That’s a trade I’m willing to make even if my inner speed demon protests the entire way.

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Building Strength: A Journey of Patience, Progress, and Support

Written October 15, 2024

Hello Dear Readers,

I woke this morning to confirmation that I had put enough effort into my pullups. My subscapular muscles and my biceps were sore. Even last winter, the pull-ups gave me muscle aches, although the aches were much less intense than today. 

I wear gloves my sister gave me last winter to protect my skin. My wife gifted me the pullup platform over a decade ago before I had a brain stroke. Due to the brain stroke, I could not use the machine for several years. My wife did not get rid of it. She adamantly told me that she would use it if I could not use it in the future. She usually gets rid of things we don’t use without hesitation, so this was abnormal behavior for my wife. I thanked her for not getting rid of the machine, regardless.

Because I have been working on muscle exercises, my wife wants to gradually add muscle exercises to her workout curriculum. She is more of a cardio person but says that is not good enough. She runs to keep her body, especially her energy, high. Still, she would get hurt without a proper body to handle her energy. She’s started stretching to be more flexible. Now, she wants to have more muscles. She has so many things she wants to do, and she wants to have a healthy brain to do them at a later age. I know she does not like muscle training as much. So, I want to help and support her in her muscle training.

Despite this soreness, I did another set of exercises before breakfast. I wanted to see how well I would do today. Completing a push-up set was more manageable than yesterday. I could complete more before needing to drop off for a moment.  So, I expect to be at least as sore tomorrow. 

I have loved training my muscles since I was young and did gymnastics. My training is about something other than bulking up muscles, though. You would need strong core muscles to complete some gymnastics routines. 

As we age, our bodies act a little differently. For example, retaining muscles while maintaining them will be easier. I also understand that I have restrictions since my kidneys are compromised. For one, I consume protein like I used to, which hurts me to gain muscles. But I also understand it is not impossible to gain muscles even if I am aged or have compromised kidneys. I need more patience with my body. 

Eventually, my muscles will catch up to what I’m forcing them to do, and the soreness will fade.  It might take a week or two to reach that point, but I’m in no rush.

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It Is So Important To Find Balance Exercise and Health

Written August 24, 2024

Hello Dear Readers,

I woke up to a familiar but unwelcome sensation—muscle pain. My glutes were exceptionally sore, and I quickly connected the discomfort to yesterday’s yard work. Squatting down repeatedly to pull weeds around the front yard was more of a workout than anticipated. While yard work isn’t typically considered exercise, it was enough to challenge my muscles, and the soreness is a clear sign. However, I like to think of it as a two-for-one deal—I got rid of the weeds and gained some strength along the way.

One of the challenges I face due to my kidney condition is managing my protein intake. Unlike the average healthy male, who can consume about 10% of their weight in protein, I’m restricted to a much lower amount. Protein plays a crucial role in muscle repair, and this limitation can make my recovery slower than I’d prefer. Given my active lifestyle, I know my muscles won’t heal as quickly as they would. Still, I try to strike a balance between staying fit and managing my health restrictions.

Saturdays are typically my day for a 10k run. It’s become a personal ritual I look forward to each week. I especially enjoy seeing my neighbors working on their lawns in the early hours, trying to beat the summer heat. Something is calming about watching them tend to their yards while I’m out for a run. However, today’s run was far from relaxing. The soreness in my muscles made running more difficult. After a few kilometers, I decided to cut the run short. Instead of my usual 10k, I settled for 5k. While it’s not my ideal distance, I felt it was the right decision given the circumstances.

My wife, who also runs, takes a more flexible approach to her training. She adjusts her pace and distance based on how she feels but ensures she gets at least 20 minutes of running, even when she feels off. Her struggles are the opposite of mine—she deals with low heart rate and blood pressure, which can leave her feeling sluggish if she doesn’t get her morning exercise. Though she doesn’t have the same dietary restrictions I do, she’s diligent about counting her calories. I guess everyone has their health challenges to manage.

I’m reasonably satisfied as long as I can get one solid 10k run each month. These runs are essential for building my speed, and I don’t want to miss too many. With some rest, I hope my muscles will heal soon to return to my usual routine.

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A Delicate Balance of Health and Habit – Staying Hydrated

Written July 6, 2024

Hello Dear Readers,

I’ve meticulously monitored my water intake to ensure my kidneys function more efficiently. I’ve integrated this routine into my daily schedule using my smartphone, as waiting until I feel thirsty usually indicates that I’m already too dehydrated.

Occasionally, my busy schedule leads me to miss these drinking reminders. Just last night, I was behind on my water quota, necessitating a late-evening rush to meet my goals. The result was less than ideal, as I had to wake up several times throughout the night to use the bathroom.

On one hand, it’s reassuring to know that my kidneys are functioning well enough to produce urine actively. I take some comfort in achieving my hydration goals, yet the disruption to my sleep is a trade-off I’m keen to avoid. It would be beneficial to complete my water intake earlier in the evening to minimize nighttime interruptions.

Managing my daily essentials—eating, drinking, exercising, working, and sleeping—sometimes feels overwhelming. Each element is crucial to my health, and maintaining a disciplined schedule seems to be the key to staying on track.

By closely monitoring my progress throughout the day, I aim to consistently meet or exceed my modest goal of 2 liters of water well before it’s time to wind down for bed. This proactive approach helps me stay hydrated and enhances my overall well-being by allowing for uninterrupted rest.

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I Learned Something From My Bad Lab Result Last Week

Written July 5, 2024

Hello Dear Readers,

I recently received the second set of results from my latest kidney function tests, and it turns out that the previous decline in my kidney function was likely due to dehydration. This revelation came after days of insufficient water intake before the tests. My doctor had already suspected as much during my last visit, as there were no indicators of kidney failure in my health logs.

Monitoring key biometrics is essential for monitoring my kidney health. In 2015, we were still using a blood pressure machine. We were told to take my blood pressure several times a day. With my left hand not moving well from stroke, I switched to using a smartwatch to track various metrics such as blood pressure, heart rate, sleep patterns, and daily steps. I also keep tabs on my weight and body composition. Although the readings for body composition are estimates, they are still helpful in monitoring my overall health.

Speaking of which, our weight machine can calculate the percentage of water in my body, so I should also pay attention to the log and ensure that I am not dehydrated in the future.

Getting bad lab results was sucked, but this experience underscored the critical importance of hydration, particularly during warmer weather. Since then, I’ve made a concerted effort to increase my water consumption. 

The positive impact of staying well-hydrated was evident in my most recent lab results, which relieved my wife immensely. She had been quite concerned about the potential deterioration of my kidney health. Her relief was palpable, and it even sparked a discussion about making dietary adjustments. She’s considering incorporating more plant-based proteins into our meals a few times a week, a change aimed at supporting my kidney health.

The good news is that my kidneys are still functioning all right. The key takeaway for me is the importance of maintaining proper hydration. I’ve set a personal goal to ensure I consume at least two liters of water daily, not counting other beverages. This commitment to hydration is not just about improving my kidney function—it’s about enhancing my overall health and well-being.

Staying vigilant about hydration and closely monitoring my health metrics has been instrumental in managing my kidney health. It’s a reminder of how interconnected our body systems are and how lifestyle choices can significantly influence our health outcomes. Moving forward, I’ll continue to track my biometrics and adjust my habits as needed to support my kidney function and overall health.

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How To Deal With Summer Run

Written 6/30/2024

reviewed 7/21

Hello Dear Readers,

I’ve adjusted my daily routine, particularly regarding my running schedule. After the last lab results, this was more of a necessary course of action. Typically, I hit the pavement in the afternoons. Still, with the steaming summer heat in Nashville proving both humid and intense, I’ve shifted my runs to the early mornings. I plan to maintain this change until the next time change on November 3, 2024.

The necessity to modify my routine stems primarily from my health. I manage a challenging kidney condition that frequently leaves me fatigued and makes physical activity more strenuous than it used to be. Staying well-hydrated is crucial for my condition, and last week, we concluded that I need to significantly increase my water intake to sustain my kidney functions. 

You can no longer compromise when you have very few kidney functions. I have to be totally committed to improving my kidneys. I’ve worked on this for nearly a decade and improved my kidney to level 3 from level 5. I know it is working. 

Suppose the hotter environment requires me to drink more to be adequately hydrated. I need to change the external environment in which I run. As we know, I am not a weather wizard who can magically change the actual weather; I just need to work around my schedule. Running in the cooler morning temperatures helps me meet these hydration needs more effectively, as I tend to sweat less than I would in the sweltering heat of the day.

My experience yesterday morning confirmed the wisdom of this adjustment. Running early in the cooler weather was markedly more pleasant. My wife prefers to complete most of her chores in the morning, including her own runs. She has often mentioned shifting her schedule to dodge the oppressive heat, which significantly impacts her running pace.

Having cooler rest days is an added benefit. At least, the weather will continue to trend towards more bearable temperatures next week. It’s been an exceptionally hot summer here in Nashville. Although it’s still June, and today marks the month’s end, we have two – three more months of heat to anticipate.

Adjusting my routine aligns better with the seasonal conditions. It supports my health needs, making each step on my morning runs easier on my body. It’s a reminder of the small, daily choices we can make to significantly improve our quality of life, even amid challenging health conditions.