Kamal Shah

Kamal Shah

Hello, I'm Kamal from Hyderabad, India. I have been on dialysis for the last 13 years, six of them on PD, the rest on hemo. I have been on daily nocturnal home hemodialysis for the last four and half years. I can do pretty much everything myself. I love to travel and do short weekend trips or longer trips to places which have dialysis centers. Goa in India is a personal favorite. It is a great holiday destination and has two very good dialysis centers.

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People lucky enough to be on dialysis must watch their Potassium intake. Just imagine. Life becomes so interesting with these kinds of rules, right? And it can be an edge-of -the-seat thriller if you go above the normal limit of Potassium in the blood. You can become breathless, your heartbeat can become irregular and in extreme cases you may also no longer need to do dialysis! (Yes that was a mean joke, forgive me for this bad attempt at humor on a Sunday morning!)

So, what must we do to limit our Potassium intake. First of all, the simple stuff - don't touch bananas (raw and ripe), chikoo, mangoes and such similar high Potassium fruit. Don't even look at coconuts - they have that much Potassium that it can actually travel over air into your system (hehehe!). Most fruits are high potassium. So, while we may be able to have a little low-potassium fruit (half an apple, a small pear, a small guava, a slice of papaya etc.) - you should check with your doctor or dietician about this - provided we are getting regular, thrice a week (at least) dialysis, we should never binge on fruit.

Most vegetables also have moderate to high potassium in them. However, there is a great way to remove most of the potassium from vegetables without actually impacting their taste. It is called leeching. Now, how many times have you heard that you can actually do something like that - get rid of most of the bad stuff (potassium) while retaining the good stuff (taste)? Not very often since you first saw that high creatinine report, huh? Same here!

So, basically, you dice the vegetables into small pieces. Wash thoroughly under water. Take enough water in a bowl and put the vegetables into it. Boil for about 15-20 minutes. Discard the water. Now you can use the vegetables as you would normally. Most of the Potassium is leeched out of the vegetables. In most of the vegetables, the taste is retained almost wholly.

This technique will not work for vegetables like bhindi, brinjal and some other vegetables but it works wonderfully well for things like beans, cauliflower, cabbage, ridge gourd (toora), bottle gourd (lauki) and most other vegetables.

Yes, it is an additional hassle for the cook! But I would say it is worth it. All the extra potassium is really not good. So, if there is a way to remove it without losing the taste, why not?

... http://www.kamaldshah.com/2011/09/leeching-of-vegetables-great-way-to.html

Sunday, 11 September 2011 20:58

Billing at hospitals

As I mentioned in this post, I had to consult the hepatologist at Asian Institute of Gastroenterology a few days back. His OP room (the room where he saw his patients) was on the mezzanine floor of the hospital where the lift did not go. So, you basically had to take the stairs to go there. Or so I was told by the staff at the hospital.

By the time I had figured that he was indeed in the hospital and seeing patients at that time, I had already made one trip up and down by stairs. Though I am not sick enough to not be able to do that at all, I am not well enough to do that without becoming short of breath. Anyway, I gave my file to the hep's secretary and it was put under the files of patients who reached there before me. Suddenly, the secretary asked me for the bill for the consultation fee. I asked him where I could pay. He said I would have to go to the main reception and pay.

Crap! I would have to climb down to the Ground Floor, pay and then climb the stairs again!

I have never understood why most hospitals have billing centralized at the main reception. Yes, it is convenient for the hospital management. But it can be a nightmare for patients. Only when you become a regular do you realize this and pay on your way up. For the hapless newcomer, it is always at least a few visits before this is figured out. Even if there is a lift, hospital lifts are almost always busy and you waste a lot of time making the unnecessary trips.

Some hospitals have billing at the respective counters. This is so much better. You simply need to add this to the job responsibilities of the secretary. It is so important for hospitals to think about these little things from the point of view of the patient.

... http://www.kamaldshah.com/2011/09/billing-at-hospitals.html

Thursday, 08 September 2011 20:15

Callous hospitals

Yesterday I had to go to the reputed Asian Institute of Gastroenterology in Hyderabad. I have been going there for the last few years to consult a gastroenterologist for some stuff. Yesterday I had to consult a hepatologist as well (on the advice of the gastro) to take some important decisions.

So, I went to the reception where they do the billing to ask what were the consultation timings of the hepatologist. The lady at the reception said that the concerned hepatologist does not see patients in the morning. He comes only in the evening between 6 pm. and 8 p.m. So I went back to the gastro's OP room and waited for him thinking that I would first consult the gastro and then return that evening or the next for the hep.

About half an hour into waiting, the gastro's secretary, with whom I had established a good rapport during the past so many visits there asked me about the hep consult. I said the hep did not see patients then apparently and came only in the evening. He told me that was wrong and the hep was actually seeing patients in his room right then!

I was shocked. Here I was waiting like a fool assuming that the hep wasn't available and was planning to make another trip that evening or the next day and all this while the hep was actually seeing patients! I rushed to the hep's room and found that he was, indeed, seeing patients! I quickly gave the hep's secretary my file. There were about ten patient before me. If I had come half an hour before, my turn would probably have come and I would have been done by then!

For the bitch at the reception, it was one careless, capricious remark. For me, it not only wasted so much time, but it almost made me make another whole trip.

Why can't hospitals pay a little more attention to such basic stuff?

... http://www.kamaldshah.com/2011/09/callous-hospitals.html

My mother lost her cell phone recently. So, she needed a new phone. I thought she should get something that gave her instant access to email since many of her friends were on email and it would be nice for her to get hooked to email too. She has an email address but you know how it is with some people, right? Send them an email and then call them and tell them you've sent an email! Heck, you might as well tell them the content as well on the phone! My mother is like that. She rarely checks her email but she proudly goes about giving her email address to everyone.

So, I thought we should get her a phone that will give her instant email access. That narrowed the choice to two phones - an iPhone and a Blackberry. Now, under normal circumstances, I wouldn't have thought twice about this and straightaway gone for the iPhone which is a far superior product than anything out there (BB, Android, Nokia, Galaxy something). But it was far beyond our budget at this point. Even the iPhone 3GS at Rs. 20,000 seemed too high.

At this point, one fine day, my mother got an SMS from an unknown number saying that they were selling the Blackberry Storm 9530 for Rs. 9,999 and that the phone was actually worth more than Rs. 26,000. My mother forwarded the SMS to me. If I was interested I was supposed to send an SMS to some number. I did that. No harm in checking what it was all about!

A little later I got a call from someone asking if I was interested in the phone. I had looked up the features and it had what we needed. It may not be the best Blackberry model available. But it had what we needed. The guy on the call was a typical call center sales executive. Heavily accented voice. Full of enthusiasm. Making promises like nobody's business.

The model that they had messaged about did not have a physical keyboard. I asked for a model that did. He suggested the Tour 9630 which had all the features of the 9530 but had a physical keyboard. I asked him if it was locked to any provider. He said no. I asked him about warranty and service. He said we just had to call a number and someone would come and collect the phone in 48 hours and then have it repaired or whatever was needed. I then said I needed some time to think. He asked me to place the order. When the order was ready, I would get a call and I could say I did not want it. Fair enough. I confirmed the order.

After ten days I got a call asking about the order. I asked them to deliver it. The next day the parcel came. I paid the cash and took the phone. I opened the box and everything seemed all right. It was a sealed box. I opened the covers and then put the battery in. the display said 'Insert sim". I took my mother's sim and then opened the back and tried to figure out where and how I could insert the sim. Believe me, inserting a sim and removing it is such a difficult thing in this model (may be other models too?), that I rued the minute I ordered this phone. The worst however was yet to come.

Even after managing to insert the sim, the phone continued to say "Insert sim". I removed the sim and put it back again. Restarted the phone. Still the same. I put in my sim thinking may be the sim has a probably. Same thing.

I called the number I had for customer care. Some weirdo answered and gave me the typical bull shit that call center executives are trained to give. Try this. Try that. Restart. Sit on it. Throw it up in the air and try catching it. Then they say they will make a request for replacement. And how will they replace it, I asked. They asked me to courier the instrument to their address. Yeah right! They send me a defective piece and I have to courier it to them?

I looked up the internet for this problem and now think that they have sent me a locked phone. I get the Verizon logo while shutting and starting it up. So, it is either a locked phone or a defective one.

I now feel I should have gone for the iPhone 3GS. There are no free lunches in this world. If you pay less, you get less. It is as simple as that!

... http://www.kamaldshah.com/2011/09/beware-of-reliance-big-adda-theyre-huge.html

Thursday, 25 August 2011 11:44

Anna's three conditions must be met

So, the government has finally given in. Or have they?

The three conditions that Anna Hazare has set for him to give up his fast - that discussions must start on the State Lok Ayuktas, on the Citizens' Charter and that the lower bureaucracy must be included in the Lok Pal - are the absolute crux of this whole movement that has galvanized the entire nation!

Team Anna has hit the nail on the head. These are the most important parts of the Lok Pal. Honestly, if the Prime Minister is corrupt or if the Higher Judiciary is corrupt, it does not affect the common citizen directly. We may seethe with anger. We may discuss it and post statuses on Facebook and Twitter. But it will not affect our day to day actions.

However the lower bureaucracy is what you and I have to deal with in our daily lives! It is the citizen's charter that will help us get our things done. For example, that a ration card must be given in three days or that a passport must be issued in fifteen days are revolutionary steps that will make the life of the common man so much less frustrating.

So, at the risk of sounding cruel towards Anna's health, I am hoping that the fast is broken only if absolutely fool-proof assurances are given by the government on these three issues.

... http://www.kamaldshah.com/2011/08/annas-three-conditions-must-be-met.html

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