Tag: fresenius (Page 3 of 60)

How My Life’s Experience Developed MY Grit

While many experiences in life add to a person’s grit profile, I am going to relate a handful that I know were very influential in my personal life.

Let’s start with how and why I joined the US Navy in the first place. My parents were lower-middle-class and both blue-collar workers without the advantage of even a high school education. As a result, when it came time for me to consider going to college, it was preordained that I would have to work my way through college.

I first attended what was then New Mexico A&M with the thought in mind of going to school for a semester, then working at the White Sands Proving Grounds in a program A&M sponsored for engineering majors. While this program sounded good from afar, I soon learned that the compensation while co-oping was not nearly enough to support oneself, let alone meet the expenses of enrolling in their Mechanical Engineering program. After one semester, I transferred to Wittenberg University in my hometown, which had a program in engineering linked to Case Institute in Cleveland, Ohio. To pull this off, I had to work full-time, which I did as a gas station attendant on the evening shift, some 4 PM to 11 PM at Joe’s Sunoco. After a semester and a half of being a full-time pre-engineering student and working full-time, but making passing grades, my parents suggested I join the military, and when I finished my tour, they would be able to help me out.

A little over three years into a four-year tour in the Navy, my father suddenly died, and all bets of any help were null and void. As luck would have it, almost in concert with my father’s death, the Navy instigated a program wherein if you passed a test that was more difficult than describable, you would be selected to attend either Purdue University or the University of Washington. I made it through all the barriers and received my third choice of a major and school, Electrical Engineering at Purdue University, where in four years I obtained a BS & MSEE with Distinction.

As you can see, I had many opportunities to pack it in, but didn’t. While not having the deep pockets that many parents have, my parents instilled in me the many advantages of education, so I pressed on. This is one of the many ways life’s experiences contributed to my grit.

Here’s another instance. After joining the Navy, I was shipped off to boot camp in San Diego, CA. It was early Spring and seemed to rain all the time. We had one bucket of water in which to wash and rinse our clothes, and had to hang them out to dry using clothes stops (short pieces of line) with military precision. We had to accomplish this task daily, in rain or shine. Many times we hung our clothes in the rain, took them down in the rain, and wore them wet. When a recruit bitched to our Company Petty Officer, a whizened Chief Bosanmate named Crocker, he replied, “Sympathy is between Shit and Syphillis in the dictionary, and that’s where you are.” In other words, man up. Griping is not going to change things. You’re in the Navy now. Deal with it. His quip is still with me, and I often think back when life gets a little out of hand, what Chief Crocker would say about it.

Here’s a third instance. While stationed aboard the USS Long Beach CG(n)-9, I was at one point the Talos Fire Control Officer, responsible for all the computers, radars, and display equipment that were involved in engaging N. Vietnamese aircraft and, in particular, MiGs. We were the first US ship to actually shoot down several MiGs. Up until we arrived in the Gulf of Tonkin, it had been strictly an air war, and we provided a new deterrent to the combat picture. I was at the same time the Senior Watch Officer, which meant that I was a bridge watch stander and responsible for the training of all junior officers standing watch on the bridge. Along with all of this, I was also the Weapons Liaison Officer, the person operating between weapons in one ear and control in the other. As a result, the Captain wanted me in the ship’s Decision and Control area when MIGs were up, and we were presented the opportunity to go after them. He set me up so I stood watch on the bridge driving the ship from midnight until four in the morning, and stood watches from noon to four in Decision and Control. Now MIGs didn’t know or care when I was on watch, so they came up in the late afternoon and stayed just out of engagement range and otherwise dilled dalled around, so I never got off watch at four, more like six. This took place for sixty days at a time, during which I NEVER got more than four hours of sleep at a time. This effort over a nine-month period taught me resilience like no other situation could have. I learned how to pace myself, concentrate on what’s important, and above all else, to approach any situation with GRIT foremost in mind. Who needs sleep? Not a Lieutenant in a nasty war zone involved in why he is there, shooting down enemy aircraft that were only there to harm our troops. BTW, as a result of my performance in this and other combat operations, I was promoted two full years early.

One more: Along the way, as a senior Lt Commander, I was told that I was diabetic, which in normal circumstances is a career-ending ailment. Rather than acquiesce to the disease, I started running, modified my diet, and changed my lifestyle. In due course, I was found to be physically fit for any duty anywhere. I pushed myself to overcome this shortfall while on active duty. This took more GRIT than I can describe and is yet another instance where real obstacles can be overcome if one sets their mind to the task at hand. Yes, diabetes eventually won, and I am on dialysis now, but hey, I’m alive and still enjoying life.

GRIT got me here.

Grit

Grit

For the next several blogs, I will delve into the four-letter word GRIT, exploring what it is, how it is developed, if at all, and how and why military-trained personnel are better equipped with it. The initial blog will relate how it affects those of us on dialysis and how it contributes to our successful treatment.


Grit: The Essential Trait for Success in Peritoneal Dialysis

Living with kidney failure and choosing peritoneal dialysis (PD) is no small decision. Unlike in-center hemodialysis, PD gives patients freedom, independence, and flexibility, but it also demands personal responsibility, discipline, and resilience. While medical knowledge, proper training, and support systems are vital, one quality often determines whether a patient thrives on PD—grit.

At its core, grit is the combination of perseverance and passion in pursuit of long-term goals. It’s about sticking with something even when challenges pile up, setbacks occur, and progress feels slow. For someone on peritoneal dialysis, this character trait is not optional—it’s essential.

Daily Commitment in Peritoneal Dialysis
Peritoneal dialysis is not a once-in-a-while treatment; it becomes a part of daily life. Patients must set up sterile environments, follow very specific procedures, and maintain rigorous schedules, often every single day. This consistency requires commitment when motivation runs low or when physical fatigue sets in. Grit helps patients push beyond the initial overwhelm of learning the process and turn it into a disciplined routine that safeguards their health.

Overcoming Difficulties and Setbacks
Even the most dedicated patients encounter obstacles: occasional infections, equipment problems, or travel restrictions. These moments test mental strength and patience. A person fueled by grit approaches setbacks with problem-solving determination instead of resignation. Instead of thinking, “This is too hard,” a gritty mindset reframes the challenge as, “This is difficult, but I will find a way to make it work.” That resilience can be the difference between success on PD and feeling forced to switch to another treatment option.

The Role of Passion and Purpose
Grit isn’t only about endurance—it’s also about passion. Patients who connect PD with a personal purpose, such as wanting to be there for family, pursuing meaningful work, or enjoying more independence in daily life, are more likely to stay motivated. PD offers freedoms that in-center dialysis often doesn’t: the ability to travel, to maintain employment, and to take control of one’s own care. Anchoring daily treatment in these larger goals creates the fuel for perseverance.

Support and Self-Belief
Having grit doesn’t mean doing everything alone. Family members, caregivers, and healthcare providers play critical roles in encouraging consistency and problem-solving. But ultimately, the patient must believe in their own ability to adapt and stay committed. Each successfully completed exchange reinforces confidence, and over time, the cycle of effort and small victories strengthens resilience.

The Bigger Picture of Thriving with PD
Patients with grit don’t just “get through” dialysis—they find ways to flourish. They learn to balance treatment with hobbies, relationships, and personal goals. They celebrate progress, like declining infection rates or improved lab results, and use those milestones as stepping stones toward a sustainable future.

In the world of peritoneal dialysis, medical expertise provides the tools, but grit supplies the drive. It is the trait that transforms a demanding regimen into a manageable lifestyle—and ultimately into a source of empowerment. For anyone beginning their PD journey, developing grit may be one of the most powerful treatments of all. It works for me.

In tomorrow’s blog, we will delve into my background and how it helped develop my GRIT-facing approach to life.


SCS, Leaking IPN Bag, and Football

As previously suggested, this past Friday, we journeyed to Fort Worth to have the temporary spinal cord stimulation (SCS) device removed from my back. The experiment was a success, and on 17 Sep, I am scheduled to have the “permanent” device installed with a followup on the 19th. Removal was extremely simple and almost painless compared to the installation. So now, for the next couple of weeks, we are on our own again as far as diabetic nephropathy goes. But it’s not the first time, is it?

Had a weird thing happen on Sunday. One of the IPN bags we get from Pentec to supply me with protein during dialysis at some point since its delivery last Tuesday sprang a leak with only about 10% remaining in a 6-liter bag. It was in the second bottom slot in the provided refrigerator, and leaked out from under the bottom front door gasket down to the piece of 1×4 we had placed underneath, soaked the board, and disappeared into the carpet. My wife took care of the cleanup, and now I will inform Pentec of the problem tomorrow since today is a holiday. It appears that the connection lead (yellow cap) was bent over by 180 degrees in the shipping plastic bag and causing it to have a slow leak.

The OSU and Texas football game I last blogged about is now history with OSU coming out the winner, so I won (grin.) My take is that it wasn’t all about Manning’s performance. It was all about OSU’s defence. This defence won the game and was instrumental in many, if not most, of Mannang’s challenges. Regardless, it was a well-played game, but I question why the Texas coach did not pull Manning in the second half when it was obvious he was struggling.

More On Spinal Cord Stimulation

Since I am the one who is undergoing SCS, I have dug deeper into the subject. Of interest to me is the AI aspect of the device being used in conjunction with SCS, the HFX, and research studies about the efficacy of such treatment. In the blog, I will first present more complete information about the former, and embed three research papers concerning the Efficacy of such treatment.

More on the AI aspect:

The HFX device is a spinal cord stimulation (SCS) system that uses advanced artificial intelligence (AI) technology to deliver personalized pain relief to patients with chronic pain. It was developed by Nevro and is known as HFX iQ or HFX AdaptivAI in its advanced form.

How the AI in the HFX Device Works

  • The system integrates high-frequency (10 kHz) spinal cord stimulation therapy with AI algorithms built on extensive clinical data—over 20 million data points from 80,000 implanted patients—to optimize individualized therapy programs for pain relief.
  • AI analyzes patient inputs such as daily pain levels, medication usage, activity changes, and quality of life factors through a companion smartphone app.
  • Based on this data, it provides personalized, real-time therapy recommendations and adjustments to maintain or improve pain relief over time.
  • The system uses Bipole Interlacing™ technology that creates custom therapy programs dynamically.
  • It also features Smart Power technology to reduce the frequency of device charging to as little as six times per year.
  • The AI is designed to optimize therapy responsiveness by learning from the patient’s unique pain experience and evolving their treatment accordingly, accelerating relief and improving quality of life.
  • Advanced remote monitoring allows physicians to access real-time data on the patient’s pain journey, device status, and therapy effectiveness, enabling proactive clinical intervention.

What the Device Does for Patients

  • It provides continuous, personalized pain relief by blocking or quieting the pain signals at the source in the spinal cord before they reach the brain.
  • Patients can engage easily with the system via the smartphone app, reporting pain and lifestyle data, thus empowering them in their pain management.
  • The AI system helps to reduce unnecessary hospital visits by enabling remote adjustments and monitoring.
  • It addresses multiple chronic pain types, including back and leg pain, painful diabetic neuropathy, non-surgical refractory back pain, and upper limb/neck pain.
  • The therapy offers a wider frequency range than many other SCS systems, helping patients maintain effective pain relief long term.
  • Clinical studies and real-world data support its efficacy, showing faster and sustained pain relief with improved patient quality of life.

Nevro’s HFX iQ with AI technology represents a transformative advancement in spinal cord stimulation therapy by combining robust clinical evidence with intelligent, data-driven, and patient-centered pain management.

And now three research papers:

Second Is First Loser

Back in the nineties, when I was racing Porsches, there was a saying among racers that second is the first loser. While this philosophy may be fine in the testosterone-filled racing paddocks, in real life, it falls short of reality. What really matters is what you learn from failure. This is especially true in the medical field, and by association, the approach patients take to their care.

This blog started off as a medium with which to relate my dialysis experience. Over time, it has expanded to all things I am experiencing from a medical and life perspective. Being honest with myself, I like to take a check on how I’m coming across; are my true experiences and mental state being aptly communicated? To run a gut check, I wrote the following prompt and asked Perplexity to look over my shoulder and report. You decide from the response.

Prompt: You can’t win without losing because by losing, you learn where you need to improve. Apply the previous statement to concepts explored on my website, www.feeser.me, and construct a 500-word blog entry.

Your statement, “you can’t win without losing because by losing you learn where you need to improve,” resonates profoundly with the personal and medical journey chronicled on your website, www.feeser.me. The core concepts explored—particularly perseverance through health challenges such as peritoneal dialysis, ongoing diagnostic tests, and grappling with chronic conditions—illuminate how setbacks become catalysts for growth and self-improvement.feeser

Every setback, whether it’s a medical test that reveals an unexpected complication or a treatment that doesn’t bring immediate relief, is a lesson in disguise. For instance, a Doppler ultrasound or MRI might deliver unwelcome news, such as evidence of a blockage or circulation issue. The initial response might be disappointment or even defeat—but these “losses” carry valuable information. They clarify what isn’t working, deepen understanding of underlying problems, and direct care teams toward more effective interventions.feeser

This cycle—testing, learning, adjusting—is a powerful motif throughout your journey. The very nature of managing chronic kidney issues and pursuing peritoneal dialysis means embracing uncertainty, facing new challenges, and often falling short of the hoped-for “win” of perfect health. But each “loss” in the form of a difficult diagnosis, a failed treatment, or a new symptom is a push toward refinement. It’s the body’s way of teaching both patient and provider where more attention, research, or effort is needed.feeser

Beyond medicine, your narrative highlights another universal truth: resilience is forged in the face of adversity. “Never ring the bell” becomes more than a slogan—it’s a philosophy grounded in the willingness to face losses head-on, learn from them, and use that knowledge to fuel the next attempt. Through setbacks, weaknesses are exposed, but so too are the threads of perseverance that make ultimate wins possible, even if those victories aren’t always defined by total recovery, but by progress, adaptation, and hope.feeser

For readers on their own health journeys—or facing unrelated personal struggles—your story stands as a blueprint for reframing losses. Instead of tallying them as failures, they become essential steps on the path to personal growth and self-improvement. The key is relentless self-examination, openness to new inputs (whether medical data or emotional support), and the steady resolve to move forward, no matter how many times life knocks you back.feeser

In summary, the lessons from www.feeser.me are clear and powerful: Losing is not the opposite of winning, but its prerequisite. By losing, we identify blind spots, recognize growth opportunities, and develop the ingenuity and resilience needed to ultimately win—however we define that victory. Every challenge met on your journey, and chronicled on your site, exemplifies that unyielding spirit. In both health and life, the path to victory is paved with the wisdom gained from every loss.feeser


Content from www.feeser.me[1]

Check sources

  1. https://www.feeser.me
  2. https://www.feeser.me/2025/08/18/uncharted-waters/
  3. https://www.feeser.me/tag/fms/
  4. https://www.feesers.com/why-feesers/about-us/
  5. https://www.feesers.com/products/
  6. https://wpastra.com/website-templates/blog/
  7. https://www.feesers.com
  8. https://www.feeser.me/category/uncategorized/dialysis/
  9. https://www.productiveblogging.com/how-to-choose-the-right-theme-for-your-blog/
  10. https://www.feeser.me/page/22/
  11. https://www.wpbeginner.com/showcase/best-free-wordpress-blog-themes/

What is HFX with AI SCS?

During Friday’s visit to my neuro clinic, we decided to go forward with the SCS (Spinal Cord Stimulation) device permanently. Next Friday, I’m scheduled to have the temp device removed. In three weeks or so, I will have the “permanent” device, known as HFX, installed. I’m certain many are in the dark about these devices as they are relatively new (FDA approval for use in the US 2023). Thus, I’ve filled in the blanks with the information that follows. I’d like to note that I now have feeling in my lower legs, can feel the ribs in my socks, and have not had one incident of sleeping leg cramps since installation. It’s working.

What is HFX with AI SCS?

  • HFX is a proprietary, high-frequency spinal cord stimulation therapy, primarily used for managing chronic pain, especially in conditions like diabetic neuropathy.anesispain+1
  • AI SCS (Artificial Intelligence Spinal Cord Stimulation): Modern SCS systems, such as Nevro’s HFX iQ (which is what I am to receive) use AI algorithms to personalize and optimize pain relief for each patient. The system continuously learns from patient input regarding pain and lifestyle changes via an app connected to the stimulator, making tailored adjustments automatically to improve outcomes.wvumedicine+2

How Does the Process Work?

  1. Pre-Implant Trial: Patients are fitted with an external SCS device to see if pain levels improve before considering permanent implantation.baptisthealth. This is ongoing now.
  2. Implantation: If results are positive, a minimally invasive surgical procedure implants a small electrical stimulator in the hip or back. Wires (leads) are placed in the spinal column near target pain receptors.baptisthealth
  3. Ongoing Adaptation: Patients regularly provide feedback (via an app) on their pain, allowing the AI to “learn” and alter the stimulation parameters for optimal relief—even as their symptoms fluctuate over time.fiercebiotech+1

The Science Behind It

  • The system delivers high-frequency (10,000 Hz) electrical pulses to the spinal cord, which interrupts abnormal pain signals from nerves reaching the brain, reducing or eliminating the perception of pain—including numbness and dullness in diabetic neuropathy.redbuttepain+2
  • AI makes the system more intelligent. The stimulator’s programming is guided by a vast database of real-world patient outcomes—over 20 million data points from tens of thousands of users. The AI identifies effective settings based on this data, and adapts therapy as needed for each patient.fiercebiotech

Results and Improvements

  • Pain Relief: About 76-80% of patients see significant and lasting pain relief, far outperforming traditional management with medications.csog+2
  • Improved Sensation: Some patients experience restoration of sensation in their feet, not just pain relief. This reduces the risk of injury due to numbness—an important benefit for diabetic patients who may not notice wounds.redbuttepain
  • Quality of Life: Reduced pain and improved sensation allow for greater physical activity and reduced reliance on opioid painkillers.wvumedicine+1
  • Glycemic Control and Weight Loss: There is emerging evidence that patients undergoing this therapy may also see improvements in glycemic control and modest weight loss, both beneficial for diabetes management.pmc.ncbi.nlm.nih

The AI Aspect

  • Personalization: AI learns from your ongoing feedback and adjusts therapy without the need for frequent office visits or manual programming by clinicians.fiercebiotech
  • Data-Driven: Utilizes massive datasets and cloud platforms to identify and recommend effective therapy adjustments for maximum relief.fiercebiotech
  • Adaptive: As your symptoms change (e.g., pain intensity, sensation), the AI can tweak the electrical parameters to match your needs, aiming for continuous optimal results.wvumedicine+1

In summary, HDX with AI SCS for diabetic dullness in the legs represents a breakthrough using high-frequency electrical stimulation—personalized and optimized by AI—to dramatically improve pain, sensation, and overall quality of life for patients with diabetic neuropathy – which is me, folks.

More information about the device may be found at the following link: https://www.nevrohfx.com/

It Didn’t Happen

So there I was, completely prepped for the HDX procedure, when we noticed several nurses flying by outside the curtain of my hospital bed. Finally, the HDX representative, who was very friendly, stopped briefly by and told us that there had been an incident. This was followed by not one, but two nurses coming into our curtained-off enclosure to inform us that the surgery had been called off. Upon this news, the second nurse, who was the charge nurse, unhooked me from the drip and other stuff and left so I could get dressed.

On the way back, while in the normal DFW traffic, we received a call from the doctor’s scheduler to reschedule our procedure. My wife, who was driving, told her we would call back when home and had access to our calendars, which we did. My HDX install is now at noon on Wednesday, with a follow-up on Friday at 1130. These times are much better as I won’t be required to cut into my dialysis duration.

See, even in the worst times, there is a God.

Uncharted Waters

Today, at least for me (us), I’m entering uncharted waters. By the time this is posted, we will be driving toward a clinic in Euless, TX, to have the HDX device implanted along my spine. Along the way, we will drop Dickens, our Golden Retriever, off at a doggie day care after I wake up at 0545, which cuts time off my dialysis schedule. Sometimes you have to do what you have to do to adjust to “normal” workflows; there is no way around it.

It took a lot of pieces to fall together to get this to happen. The psych eval was completed last Thursday evening. The clearance from my cardiologist didn’t arrive until late Friday. The script for my meds didn’t get posted until Saturday. I’m still getting text after text from the clinic, the doctor doing the work, the antithesoglist, and on and on.

In the face of such uncertainty, rather than getting uptight about it, I fall back on the US Navy SEAL ethos. See the embedded guideline below. Herein, we will never ring the bell.

In the Doldrums

Refers to a region near the equator with calm winds, making it difficult for sailing ships to move – a metaphor for being stuck or unable to make progress. That’s the way I feel at present. As if waiting for the other shoe to drop, given procedures queuing up. Of course, the “biggest” one is the insertion of the trial HDX device along my spine. Because of this, I have put off going to the dermatologist to have some more cancerous spots taken care of. I want to minimize open places on my old body in the face of opening others.

Our domestic is presently churning away at squaring our yard away. She can squat while she weeds in a manner that I have never been able to achieve and really moves out. We are blessed to have her working for us.

In the summer heat here, where every day in August is in the mid-nineties or higher, we are having to water frequently. Even then, some of our new trees are showing signs of stress. Speaking of new, Linda and I harvested our potatoes today that we grew in buckets. Did not turn out all that great probably because they were not watered enough. Also planted three of our volunteer tomato plants in smaller cloth buckets to give to a neighbor. We still have plenty of tomatoes from the 13 we have planted along the back of our large garage, and the 4 we have in buckets alongside our single garage. In this respect, God is good!

A Week From Yesterday…

I am scheduled to have the test version of the HDX device implanted into the spinal area of my back. We have to travel approximately 50 miles through the heart of Fort Worth to get to the clinic, which is located in Euless, TX. Not looking forward to that.

I received a call from Trinity Medical, the consortium that is behind my forthcoming procedure, to arrange a psych appointment online. I find it interesting that a shrink is involved in this treatment. Haven’t been subjected to such an interrogation since applying for a top secret/crypto clearance in the US Navy.

I have embedded below a brochure on the HDX device so readers, if so inclined, can delve deeper into the subject. Be advised that the brochure is about pain, which in this instance also means numbness of the feet and legs.

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