For 13 years, the professionals at Agnesian HealthCare’s Dialysis Services in Beaver Dam have helped countless individuals experiencing kidney failure to receive quality, ongoing treatment at its Monroe Street facility.

Agnesian Dialysis Services offers two methods of treatment to people with end-stage kidney disease. Hemodialysis is a procedure, which uses a machine to rid the blood of waste buildup and remove excess water.

The second method, peritoneal dialysis, places fluid into the abdominal cavity to flush out the waste and excess water, which a functioning kidney would normally remove.

In addition, staff works with patients on renal (kidney) transplant options, including getting them on transplant waiting lists.

Patients and their families benefit from a multi-disciplinary team, including doctors Bret Pasiuk and Rafal Ciecierski, both board-certified nephrologists. Dr. Pasiuk cares for patients in Beaver Dam and Fond du Lac, while Dr. Ciecierski sees patients in Fond du Lac and Waupun. They are joined by Aleshia Cole, APNP, nurse practitioner.

Working closely with these providers are Diane Posthuma and Sue VanHouten, dialysis supervisors and a full complement of certified nurses and technicians. In addition, Agnesian Dialysis Services offers patients comprehensive support services from dietitians, social workers and chaplains who understand the special needs of patients on dialysis.

The dialysis center has added a new dimension to its care in Beaver Dam – volunteers.

In May, William Nanney became the first volunteer, working mornings three days a week. He spends his morning greeting each of the patients coming for dialysis, weighing them before and after treatment, serving them coffee or ice chips and visiting with them and their family members.

Patients have taken note of his care and compassion.

“He’s a cheerful face to welcome each of us,” Ann Marie Dufrasne said. “He always has something positive or nice to say when he greets us. He has lots of empathy for the patients that he helps. He’s always got a cup of coffee waiting for me and knows just what I like in it. He helps me get into my car and puts my walker in for me. He’s a doll and is a big help to staff and patients.”

Carrie Vande Zande, a registered nurse at the Beaver Dam Dialysis Center, says having a volunteer to assist the staff and patients has been wonderful.

“In addition to helping the patients, Bill also assists staff by making up patient packets and other tasks," Vande Zande said. "Most important is the relationships that Bill has built with the patients. They look forward to seeing him and the interactions that they have.”

Nanney enjoys volunteering because it allows him to give back to his community.

“The people I work with at the dialysis center are wonderful,” Nanney said. “I’ve gotten to know many of the patients and hear their stories. It makes you appreciate how blessed you are.”

Volunteers are needed at the dialysis center on Tuesdays, Thursdays and Saturdays from 9:30 a.m. to noon. The ideal volunteer enjoys being around people, is a good listener and is detail oriented to record patients’ weights. Interested individuals can choose to work one day per week or more.

For more information contact Karen Gross at 920-324-6559 or complete an online application at agnesian.com.

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The Indira Gandhi Government Medical College (IGGMC) has just a single machine only for emergency patients. GMCH and the Super Specialty Hospital (SSH) do have few machines in working condition but are rarely functioning due to lack of professional manpower to run them.

A team headed by the CM Devendra Fadnavis's personal secretary Pravin Darade including the district collector Sachin Kurve, the NIT Chairman Shyam Wardhane, additional collector Asha Pathan visited the two colleges to decide on the site as per the requirement of at least 300 sq ft to accommodate at least five beds.

Team leader Darade told TOI two dialysis centres would start in the government set-up under the project. The team identified a place in SSH (the urology ward) and one site at IGGMC. But the entire project will be funded by some industry under the corporate social responsibility (CSR) which the government is yet to identify. "This project will serve two purposes. First it will bring dialysis machines to the two medical colleges free of cost. Second, it will also bring trained manpower to run it. Under the CM initiative XII pass students will be trained in conducting dialysis and they will be given specialized training under a certificate course. So it will generate skilled manpower as well and thus create employment as well," said Darade.

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SALT LAKE CITY — Utah prison officials fired two workers on Thursday and disciplined three others after investigating the death of an inmate who went without dialysis for days when providers failed to show up for treatment,

A physician assistant and supervising nurse at the Utah State Prison in the Salt Lake City suburb of Draper were fired, according to Department of Corrections spokeswoman Brooke Adams. Another supervising nurse was demoted, as was the prison's clinical services director, who will serve as just a doctor at the prison.

Another nurse was given a 40-hour suspension.

Adams declined to name any of the employees but said they all had some responsibility for seven inmates who were waiting for missed dialysis appointments in April.

One of those inmates, 62-year-old Ramon C. Estrada, died after two days from an apparent heart attack related to kidney failure.

The state medical examiner has not completed an autopsy report on Estrada, but Adams said a preliminary investigation shows the lack of treatment may have contributed to his death.

Technicians with Sandy-based South Valley Dialysis, a University of Utah medical clinic, were scheduled to arrive at the prison for appointments on April 3 and the next day but did not show up.

Estrada died April 5, less than three weeks before he was set to be paroled.

He had been in prison since August 2005 on a rape conviction and was believed to have been living in the U.S. illegally, Adams said. He would have been turned over to the U.S. Marshals Service when his sentence was complete, she added.

The University of Utah's health care system has said two of its dialysis technicians had switched shifts that weekend and one of them forgot about the schedule change and the appointments.

The two technicians have been disciplined, but they remain employees, according to University of Utah Health Care system spokeswoman Kathy Wilets.

The prison has not released details about what actions its own employees took after the missed appointments, including if they tried to contact anyone at South Valley Dialysis.

The Department of Corrections hired a Utah health care consulting firm to review Estrada's death and the prison's medical program. That report and an investigation by the prison's law enforcement bureau are expected to be finished within about three months, Adams said Thursday.

Estrada's son, Jose Estrada, who lives in Edcouch, Texas, has filed a wrongful death lawsuit against officials at the prison and dialysis clinic, accusing them of violating his father's civil rights by failing to give him treatment. Prison and dialysis officials have not responded to the complaint and no court hearings have been held yet in the case

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the ONA take:

Patients with unilateral Wilms tumor who underwent unilateral radical nephrectomy without nephrotoxic chemotherapy or ionizing radiotherapy appear to have a low risk for developing significant long-term renal dysfunction, according to a study published last month in the journal Cancer.

Wilms tumor is a malignant tumor of the kidney and is the most common type of kidney cancer in children. The American Cancer Society estimates that there are about 500 new cases of Wilms tumor diagnosed in the United States each year.

For the study, researchers sought to evaluate the impact of partial nephrectomy on long-term renal dysfunction in children with unilateral Wilms tumor who were not treated with nephrotoxic chemotherapy or ionizing radiation.

Results showed that during the 19.6 years of median follow-up, 21.3% of the 75 patients had an estimated glomerular filtration rate (eGFR) <90 mL/minute/1.73m2 and 12.5% had proteinuria. Researchers found that no patients had an eGFR <60 mL/minute/1.73m2 and 6.7% of patients had hypertension.

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