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Posted
September 30, 2005 - ANNA is administering a grant offering financial assistance to individuals who have been directly impacted by Hurricane Katrina. A simple grant application process has been developed.

NThe National Association of Nephrology Technicians/Technologists is offering similar grants for dialysis technicians.

September 29, 2005 - In the past month, the American Kidney Fund has provided emergency financial aid to more than half of the dialysis patients who were affected by Hurricane Katrina-and now the Fund is beginning to receive aid requests for patients affected by Hurricane Rita.
Press release via U.S. Newswire.

CMS has granted emergency certification to four new dialysis clinics in San Antonio and Houston to provide service to patients evacuated by the recent hurricanes according to DaVita, Inc. Press release via Yahoo.

Latest information, as of September 29, 4:00 PM, from ESRD Network #13 (Louisiana facilities) spreadsheet and web site.


Louisiana Facilities Closed by Rita - 4

LAKE CHARLES DIALYSIS CTR LAKE CHARLES
GAMBRO HEALTHCARE-LAKE CHARLES SOUTHWEST LAKE CHARLES
GAMBRO HEALTHCARE-ST PATRICK LAKE CHARLES
FMCNA - MORGAN CITY MORGAN CITY

Louisiana facilities already closed by Hurricane Katrina - 26

TULANE HOSPITAL/CLINICS-DIALYSIS NEW ORLEANS
VA MEDICAL CTR-DIALYSIS NEW ORLEANS
DAVITA-WESTBANK CHRONIC RENAL CTR NEW ORLEANS
CHALMETTE DIALYSIS CTR CHALMETTE
FMCNA- EAST NEW ORLEANS NEW ORLEANS
DAVITA-TRI-PARISH CHRONIC RENAL CTR NEW ORLEANS
BIENVILLE DIALYSIS CTR NORTH NEW ORLEANS
DAVITA-NEW ORLEANS NEW ORLEANS
GAMBRO HEALTHCARE-NAPOLEON NEW ORLEANS
GAMBRO HEALTHCARE-GRETNA GRETNA
DCI-TULANE-NEW ORLEANS NEW ORLEANS
GAMBRO HEALTHCARE-NEW ORLEANS UPTOWN NEW ORLEANS
DAVITA-CRESCENT CITY DIALYSIS CTR NEW ORLEANS
FMCNA-CENTRAL NEW ORLEANS NEW ORLEANS
DAVITA-MEMORIAL DIALYSIS NEW ORLEANS
GAMBRO HEALTHCARE-CHALMETTE CHALMETTE
GAMBRO HEALTHCARE-NOE NEW ORLEANS
DCI-NEW ORLEANS EAST NEW ORLEANS
INDEPENDENT DIALYSIS SERVICES NEW ORLEANS
FMCNA-CHALMETTE CHALMETTE
DAVITA-ORLEANS METROPOLITAN DIALYSIS NEW ORLEANS
A-PLUS DIALYSIS NEW ORLEANS
EAST ORLEANS DIALYSIS NEW ORLEANS
RCG - WESTBANK MARRERO
DAVITA - NEW ORLEANS EAST NEW ORLEANS
CHILDRENS HOSPITAL-DIALYSIS NEW ORLEANS

Latest information (Sept. 28, 6:06 pm) from the eSOURCE/SIMS Project (Texas) spreadsheet and web site.

Texas Dialysis Facilities Listed as Closed - 13

ISLAND DIALYSIS CENTER GALVESTON
GOLDEN TRIANGLE DIALYSIS CTR BEAUMONT
RCG BEAUMONT BEAUMONT
BIOTRONICS KIDNEY CENTER BEAUMONT
DAVITA - LIVINGSTON LIVINGSTON
LIBERTY DAYTON DIALYSIS FAC LIBERTY
PORT ARTHUR DIALYSIS PORT ARTHUR
SOUTHEAST TEXAS KIDNEY CENTER PORT ARTHUR
RCG ORANGE ORANGE
BIOTRONICS KIDNEY CENTER OF ORANGE ORANGE
KIDNEY CENTER OF JASPER JASPER
BEAUMONT KIDNEY CENTER BEAUMONT
RENAL CARE GROUP NEDERLAND PORT ARTHUR

Closed Mississippi and Alabama Facilities - 5

FMC - PORT CITY DIALYSIS MOBILE AL
GAMBRO HEALTHCARE - OCEAN SPRINGS OCEAN SPRINGS MS
FMC GULFPORT S. MS KIDNEY CTR GULFPORT MS
FMC BAY ST LOUIS S. MS KIDNEY CTR BAY ST. LOUIS MS
FMC D IBERVILLE S. MS KIDNEY CTR DIBERVILLE MS


September 27, 2005 - A message received yesterday from Dr. Paul Miller, a nephrologist in Opelousas, Louisiana:
We are overburdened in the state now that so many HD facilities are out of commission at least temporarily; we are seeing patients who have not dialyzed in over a week now.

I think with the grace of God, the units are slowly coming on-line; what is needed now however is:

1. stainless steel tanker trucks to provide good dialysis pre-filter water with potable water from sources like:
a. anheiser busch in Houston and other breweries
b. water purification facilities like soda, water and juice beverage bottling companies
c. also, national guard, milk companies, etc.
These tankers will allow more units to get up and running till the water can be restored; facilites are having problems with these.

Simply a request for tanker trucks with potable water and pumps would be the biggest help right now;they could contact network 13 or texas esrd network or me if they want 337.594.0675

The dialysis facilites across the state and north Texas are stretched; we need to get as many on-line ASAP


Thanks for your help

Paul Miller, MD
pna5002@bellsouth.net



Latest information, as of September 27, 4:45 PM, from ESRD Network #13 (Louisiana facilities) spreadsheet and web site.

Louisiana Facilities Closed by Rita - 5

FMCNA-FRANKLIN FRANKLIN
LAKE CHARLES DIALYSIS CTR LAKE CHARLES
GAMBRO HEALTHCARE-LAKE CHARLES SOUTHWEST LAKE CHARLES
GAMBRO HEALTHCARE-ST PATRICK LAKE CHARLES
FMCNA - MORGAN CITY MORGAN CITY


Louisiana facilities already closed by Hurricane Katrina - 27

(See updated list above.)


Latest information (Sept. 27, 1:31 pm) from the eSOURCE/SIMS Project (Texas) spreadsheet and web site.

Texas Dialysis Facilities Listed as Closed - 16

(See updated list above.)

September 26, 2005 - It was reported today during an ESRD Network teleconference that officials have been able to account for 89 percent of the approximate 5000 patients who were in dialysis facilities affected by Hurricane Katrina. There were 40 patients deaths included in the 89 percent. Officials stressed that the remaining 11 percent (550 patients) may be dialyzing in facilities that have not yet reported them to the ESRD Networks.



September 24, 2005 - Important Notice for Dialysis Patients. This web page lists phone numbers for dialysis patients in Texas and Louisiana.


September 25, 2005 - Latest information, as of September 25, 2:00 PM, from ESRD Network #13 (Louisiana facilities) spreadsheet and web site.

Closed Louisiana Dialysis Facilities from Hurricane Rita - 39

(See updated list above.)

Louisiana facilities already closed by Hurricane Katrina - 28

TULANE HOSPITAL/CLINICS-DIALYSIS NEW ORLEANS
VA MEDICAL CTR-DIALYSIS NEW ORLEANS
DAVITA-WESTBANK CHRONIC RENAL CTR NEW ORLEANS
CHALMETTE DIALYSIS CTR CHALMETTE
FMCNA- EAST NEW ORLEANS NEW ORLEANS
DAVITA-TRI-PARISH CHRONIC RENAL CTR NEW ORLEANS
RCG-OCHSNER- NEW ORLEANS NEW ORLEANS
BIENVILLE DIALYSIS CTR NORTH NEW ORLEANS
DAVITA-NEW ORLEANS NEW ORLEANS
GAMBRO HEALTHCARE-NAPOLEON NEW ORLEANS
GAMBRO HEALTHCARE-GRETNA GRETNA
DCI-TULANE-NEW ORLEANS NEW ORLEANS
GAMBRO HEALTHCARE-NEW ORLEANS UPTOWN NEW ORLEANS
DCI-WESTBANK-GRETNA GRETNA
DAVITA-CRESCENT CITY DIALYSIS CTR NEW ORLEANS
FMCNA-CENTRAL NEW ORLEANS NEW ORLEANS
DAVITA-MEMORIAL DIALYSIS NEW ORLEANS
GAMBRO HEALTHCARE-CHALMETTE CHALMETTE
GAMBRO HEALTHCARE-NOE NEW ORLEANS
DCI-NEW ORLEANS EAST NEW ORLEANS
INDEPENDENT DIALYSIS SERVICES NEW ORLEANS
FMCNA-CHALMETTE CHALMETTE
DAVITA-ORLEANS METROPOLITAN DIALYSIS NEW ORLEANS
A-PLUS DIALYSIS NEW ORLEANS
EAST ORLEANS DIALYSIS NEW ORLEANS
RCG - WESTBANK MARRERO
DAVITA - NEW ORLEANS EAST NEW ORLEANS
CHILDRENS HOSPITAL-DIALYSIS NEW ORLEANS


September 24, 2005 - Of the 144 dialysis facilities in Louisiana, 106 are currently closed. 79 facilities have been closed by today's Hurricane Rita. 28 faciliies remain closed from damage done by Hurricane Katrina over three weeks ago.

Latest information, as of September 24, 4:30 PM, from ESRD Network #13 (Louisiana facilities) spreadsheet and web site.

Louisiana faciities evacuated and/or closed by Hurricane Rita - 79

(See updated list above.)

Louisiana facilities already closed by Hurricane Katrina - 28

(See list above.)

Latest information (Sept. 23, 4:23 pm) from the eSOURCE/SIMS Project (Texas) spreadsheet and (web site).

Texas faciities evacuated and closed for Hurricane Rita - 73

(See updated list above.)


September 23, 2005 - In addition to the 28 dialysis facilities that remain closed due to damage from Hurricane Katrina, another 14 have closed in anticipation of Hurricane Rita.

Here is the 5-day forecast track for Rita and the Tropical Update from the Weather Channel.

Latest information, as of September 21, from ESRD Network #13 (Louisiana facilities) spreadsheet and web site.

Louisiana Dialysis Facilities Closed in Anticipation of Hurricane Rita

(See updated list above.)

The eSOURCE/SIMS Project web site has a spreadsheet listing of dialysis facilities in Louisiana and Texas that are projected to be in Rita's path.

American Kidney Fund Disaster Relief Program
September 22, 2005 - Just wanted to let you all know that the American Kidney Fund Disaster Relief Program will continue to provide grants to kidney patients affected by Hurricane Rita as we have for Katrina. Feel free to contact us if you need additional information.

Phylis Ermann, LCSW-C
Director, Patient Advocacy
American Kidney Fund
6110 Executive Blvd., Suite 1010
Rockville, MD 20852
Direct Dial 301.984.6660
Toll Free 1.800.638.8299, Ext. 6660
Local 301.881.3052, Ext. 6660
Espa�ol 1.866.300.2900
Fax Line 301.881.0569
Donate Your Vehicle: 1.888.638.1171
Visit the Fund at www.kidneyfund.org

The American Kidney Fund is our nation's leading source of direct financial assistance to kidney patients. The Fund has been named a Gold Star Charity by Forbes Magazine, one of America's Best Charities by Reader's Digest, and has earned top ratings from Charity Navigator and the American Institute of Philanthropy.


September 22, 2005 - Hurricane Rita's winds are now at 175 mph as it spins closer to the Texas coast. Officials said the barometric pressure near the eye of the storm was 897 millibars, making Rita the third strongest Atlantic hurricane ever recorded.

Here is the 5-day forecast track for Rita and the Tropical Update from the Weather Channel.

It is projected to make landfall early Saturday near the Galveston/Houston area. ESRD Network #14 has created a Resource Page of Texas Emergency Hurricane Resources & Documents.

"Houston hospitals prepare for Rita" - Story from CNN. (link is no longer available)

In June 2001, tropical storm Allison caused flooding in the Houston area that closed 2000 hospital beds at the Texas Medical Center, a complex of 13 hospitals and two medical schools (June 2001 story). Flooding at the hospitals also drowned 32,500 research animals (2001 story).

Sept. 22 communication from Stephen Fadem, MD, on conditions in the Houston area
"Right now, the city is already paralyzed - traffic is almost totally stopped and communication with cell phones barely works. Soon we will have no power and our streets will be flooded. Some of us will withstand this, but many of our patients will not.

Efforts to move dialysis patients today were challenging because they lack transportation or the ability to drive. Many have nowhere to go, and many are too ill to comprehend this storm as a direct threat. As mentioned on two conference calls I participated in today, several patients do not want to move.

For those that do, it is taking around twenty hours to travel 200 miles. Sadly, with respect to dialysis, some patients will continue to travel rather than stop for dialysis, and will become ill on the road. Media announcements on the radio (see above) should warn dialysis patients not to go for two days without treatment. They must have dialysis three times a week. The message below needs to be distributed. Those of you who have friends in public relations firms need to get the message above read on the radio as often as possible."

Steve Fadem

Important Information for Dialysis Patients:

If you are a dialysis patient, you need to continue to get dialysis at least three times a week. Call 1.877.886.4435 to get dialysis. Inform officials at shelters, during health assessments, and at check points that you need life saving dialysis often. Dialysis services are available! Call 1.877.886.4435 to locate a dialysis facility. Limit the amount of fluids you drink and the salt in your food if you use dialysis. Choose foods carefully and avoid fruits and vegetables high in potassium.

Call 1.877.886.4435 for help getting dialysis.

Sept. 21 communication from Stephen Fadem, MD, on expected conditions in the Houston area
Houston is a second tier region in tropical storms, and thus not to be a shelter. Houston will be on the "bad side" of the storm, receiving the sum of wind velocity plus storm speed. This can spawn tornadoes and can lead to major storm surges, depending upon the category at landfall. Storm surges in the bay will impede bayou flow, leading to flash flooding throughout Houston. (See attached map from http://www.houstontx.gov/oem )

Houston dialysis facilities and staff should prepare for high wind gusts and possible tornadoes, flooding, power outages, debris affecting transportation and communication at all levels. The renal community in the storm's path should prepare now while they have power. As many patients as possible should be dialyzed early and know in advance alternate facilities to go to in the event of sustained damage or power outage. Patients should be advised to enact the disaster plan on sheets they have been given (and also available on the web see http://links.nephron.com/nephsites/disaster_page for many resources). Emphasis to patients regarding diet and medications is crucial.

Realistically, many dialysis units will not be able to dialyze Saturday morning, but may be OK later in the day as high waters recede, if they have power. Thus, well charged cell phones will be a critical tool.

Communication is key, and patients must take the available info given to their guest centers. Patients need to make sure facilities have their cell phone numbers and alternate phone numbers, and should be encouraged to let their centers know of their whereabouts through hotlines.

Patient transportation to dialysis units remains a major problem, and we need to seek help from civic authorities.

Steve Fadem



September 21, 2005 - The city of Galveston, Texas declared a state of emergency Tuesday night and ordered mandatory evacuations of nursing homes, assisted living centers and similar facilities starting at 6 a.m. Wednesday. Story from CNN.


September 20, 2005 - Tropical Storm Rita continues to race toward the Florida Keys this morning with winds of 70 mph. The forecast calls for Rita to become a hurricane today. Story from the WeatherChannel.com.

When floods occur, municipal water treatment officials may add large doses of chlorine/chloramines to water supplies in order to prevent outbreaks of infectious diseases. This practice may present a danger to dialysis patients.

When chlorine/chloramines are present in high enough concentrations in dialysate, they can cause hemolysis (red blood cell destruction). Carbon filters in dialysis unit water treatment systems, designed to remove normal levels of chlorine/chloramines from city water, may be overwhelmed in these situations. Additional carbon filters, frequent changing of carbon filters, or frequent backwashing of the carbon beds may be required.

A major risk for dialysis patients and staff is drowning in vehicles when attempting to reach dialysis treatment centers.

Inland flooding is the leading cause of hurricane-related death in the U.S. When hurricane Floyd hit the eastern U.S. in 1999, of the 56 people who perished, 50 drowned due to inland flooding.

Flood safety information.Most flood deaths are due to FLASH FLOODS. Nearly half of all flash flood fatalities are auto related!! Never drive your automobile into moving water, especially if you cannot tell how deep the water is.

Here are some other on-line resources:


[Page reviewed on 10/20/2005.]
 
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