Tag: dialysis (Page 42 of 50)

ChatGPT and Fresenius Liberty Cycler

The Fresenius Liberty Cycler is the machine I use to conduct Peritoneal Dialysis EVERY night. In general, although noisy in its operation, it gets the job done. EXCEPT the other 75% of the time when it wakes me out of a sound sleep to tend to drain alarms. By getting out of bed and standing upright, the alarms may mitigate to the point that eventually, I can go back to bed and sleep for another two hours until my sleep is interrupted again. And on and on.

This has been going on for months and months with no resolution on the horizon.

None of the common tactics to alleviate this situation work so according to Fresenius Tech Support, I’m stuck with it. No help there. No Cycler replacement. No love. Just live with it.

I’v gotten to the point where it’s almost laughable. I have been reading about ChatGPT’s ability to write stories, so I thought I would put it to the test to write a story based on my situation. I wrote the following Prompt and submitted it to my ChatGPT3.5 subscription with the following story. Concluding remarks are at the end.

Prompt: Write a 500-word or so fictitious story about a science fiction realm where a patient on dialysis battles with his Fresenius Liberty cycler over alarms.

ChatGPT

In the distant future, medical technology has advanced to the point where people suffering from chronic kidney disease are able to undergo dialysis from the comfort of their own homes. The Fresenius Liberty cycler is the latest in a line of cutting-edge dialysis machines that have made this possible. However, for one patient, the Liberty Cycler has become the source of constant frustration and anxiety. (That’s me for certain, and a host of others!)

Jared had been on dialysis for years, and the Liberty Cycler had been a lifesaver for him. But as time went on, he found himself becoming increasingly annoyed by the constant beeping and flashing lights that seemed to accompany every dialysis session. The cycler was designed to alert patients to any issues or abnormalities during treatment, but for Jared, it seemed like every session was plagued with false alarms.

At first, he tried to ignore it. He would grit his teeth and try to tune out the beeps and blips that filled the room as the cycler worked its magic. But over time, it became harder and harder to ignore. The beeping grew louder and more insistent, and the flashing lights seemed to pierce his eyes like lasers.

Jared became obsessed with the alarms. He would spend hours poring over the manual, trying to figure out what was causing them. He experimented with different dialysis settings, adjusted his position on the bed, and even tried to meditate his way through the beeps and blips. But nothing worked.

As time went on, Jared began to feel like he was battling the Liberty Cycler itself. He would glare at the machine as it beeped and blinked as if daring it to give him another false alarm. He became convinced that the cycler was out to get him, that it was deliberately trying to drive him crazy.

And then, one day, something snapped. Jared had just settled in for a dialysis session when the alarms began to sound. As usual, he tried to ignore them at first, but they only grew louder and more insistent. He leaped out of bed and rushed over to the cycler, determined to silence it once and for all.

But as he approached the machine, something strange happened. The beeping and blinking seemed to grow more intense, almost as if the cycler was angry at him for trying to shut it down. And then, without warning, the machine sprang to life.

Jared watched in horror as the cycler’s various arms and hoses began to flail wildly, almost as if they had a mind of their own. The beeping and blinking grew even more intense, and Jared felt like he was caught in the middle of a storm.

He tried to fight back, but the cycler was too powerful. Its arms and hoses wrapped around him like tentacles, squeezing the breath out of his body. The alarms blared in his ears, drowning out all other sounds.

And then, just as suddenly as it had started, it was over. The cycler went still, its arms and hoses dropping away from Jared’s body. The alarms fell silent, and Jared was left gasping for breath on the floor.

For a long moment, he lay there, staring up at the ceiling in shock. And then he started to laugh. He laughed and laughed until tears streamed down his face. He knew it was crazy, but he couldn’t help feeling like he had just fought a battle with the Liberty Cycler and come out victorious.

From that day on, things were different. The alarms still sounded, but Jared was no longer afraid of them. He had faced his fear head-on and emerged stronger for it. And although he would never forget that fateful dialysis session, he knew he would always be able to face whatever challenges came his way.

Closing Remarks: Back from the realm of fiction to the here and now. My Liberty Cycler and I are NOT on speaking terms; at least 75% of the time, I am awakened from a sound sleep to tend to the needs of the Cycler. It has a life of its own and, as such, takes precedence over mine. It requires me to tend to it while I hope and pray it will tend to me. And the world is worried and concerned about Artificial Intelligence and their livelihood. I wish beyond wishing that the Liberty Cycler and the people concerned with its deployment had some modicum of AI themselves. Any “Intelligence” in this area would be a breath of fresh air, which is totally lacking at this point!

The lead picture was created by Microsoft’s Bing using the prompt: Using the Fresenius Liberty Cycler as a basis, create a creature with hoses and pipes and sounds coming out of it

Test of WiseCut AI Video Editor

I am constantly on the lookout for new tools to use in editing this blog’s content. The use of AI is very much in the news now, and AI tools to provide video content are at the head of the pack. I use Pictory.ai to make many of the videos for the blog. I use Grammarly to assist in my editing. I use ChatGPT for ideas and content. I use text to pictures, and illustrations for some of the graphics. AI makes life much easier for bloggers such as myself.

Recently I tried out a newcomer – to me at least – named WiseCut. You provide an mp4 video, and it does all kinds of wonderful things to the provided video, like take out pauses, provide audio-to-text overlays, background music, and other purported magic. It does not work for me. It is sluggish, slow, and does not faithfully transcribe audio to text. Granted, you can go through and clean up the text, but Pictory.ai does a much better job. Rendering is slow. It’s just slow. I was running the free version, which might have something to do with this but…. The video output from WiseCut is embedded below — you can see for yourself what AI video editing can do. I’ve included a screenshot of what WiseCut purported to have done to my source video.

Dialysis and Orthostatic Hypotension

The hypotension event depicted in the video below took place on Wednesday, 5/3/2023. I was the victim of this event, and know that others in my situation will profit from its content. Watch and learn from my experience. Hank

Orthostatic Hypotension Video made with Pictory.AI

The Glass Story and Reducing Stress for Dialysis Patients

There is a widely circulated story about “putting down the glass.” The story goes like this:

Put down the glass video

A psychologist was giving a lecture on stress management to a group of students. As she raised a glass of water, the students expected her to ask the typical “half full or half empty” question. Instead, she asked, “How heavy is this glass of water?”

The students shouted out answers ranging from a few ounces to a couple of pounds. The psychologist replied, “The absolute weight doesn’t matter. It depends on how long I hold it. If I hold it for a minute, it’s not a problem. If I hold it for an hour, I’ll have an ache in my arm. If I hold it for a day, my arm will feel numb and paralyzed. In each case, the weight of the glass doesn’t change, but the longer I hold it, the heavier it becomes.”

The lesson of the story is that we must put down the glass of water to give our arms a break. This applies to stress management as well. We all have stress in our lives, but it’s important to put it down for a while and give ourselves a break.

This lesson is particularly relevant for those on dialysis. Dialysis patients have to deal with numerous physical and emotional stressors, such as the time commitment of dialysis treatments, dietary restrictions, and potential complications. These stressors can take a toll on a patient’s mental and physical health.

To reduce stress, dialysis patients should practice self-care and engage in activities that bring them joy and relaxation. This could include exercise, meditation, spending time with loved ones, or pursuing a hobby. I do this by writing this blog, making what I think are cool videos, and taking care of our 1/2 acre part of heaven. It’s also important for patients to communicate with their healthcare team about any concerns or stressors they may be experiencing. I have found mine to be always open, caring, and interested in my well-being.

In conclusion, the “glass story” teaches us an important lesson about stress management. By putting down the glass and taking a break from stress, we can improve our mental and physical well-being. This lesson is particularly relevant for those on dialysis, who face numerous stressors in their daily lives. By practicing self-care and communicating with their healthcare team, dialysis patients can reduce stress and improve their quality of life.

Speaking of self-care, I’m off to take my evening shower.

Dialysis-related News

Today’s blog will look into recent medical developments for those interested in Dialysis regardless of viewpoint.

This past Sunday’s The Wall Street Journal, in a front-page article titled “ChatGPT Doctors Will See You Now” by Nidhi Subbaraman, reported that already, in California and Wisconsin, Open AI’s GPT is being used to scan patient messages and draft responses from their doctors. Such use is being rolled out as we “speak.” Here’s the kicker: ChatGPT scored better than real doctors at responding to patient queries, according to a study posted in the JAMA Internal Medicine Journal, a peer-reviewed source. The use of Artificial Intelligence is coming like a freight train. Be prepared to get onboard or get run over.

Recently, Garmin, the GPS/navigation people, rolled out the Dexcom Connect IQ app for Garmin devices. This app supports tracking glucose levels on a Garmin Smartwatch or bike computer. Remember that you need the watch and a Dexcom G6 or G7. Using the app, users should be able to glance at their watch while bike riding to ascertain their current glucose level.

In an article by Robert Hart on April 28, 2023, titled “One-Hour Diabetes Procedure Offers Fresh Hope For Ditching Insulin,” in Forbes, it was reported that a single outpatient endoscopic procedure provides glucose control, a potential improvement over drug treatment. They don’t know why it works at this time, but blind tests are encouraging. The procedure is nonsurgical and involves flexible tubes, lights, and cameras that aid doctors in seeing inside the body, and patients are discharged on the same day as the procedure. Sounds almost too good to be true. Standby.

Lastly, Fierce Healhcare in an article published in Digital Health on April 26, 2023, by Annie Burky titled “DocGo aims to bring kidney care the final mile by partnering with Fresenius Medical Care” to include remote patient monitoring, chronic care management, and urgent care services. Since 2019 DocGo has been FMC’s preferred medical transportation partner. The new service aims to “offer a solution for nephrologists to help patients truly manage their chronic conditions.” Centering around the analysis of “Big Data,” DocGo suggests it will catch trends before they become life-threatening and greatly aid patients toward the “really needing help” end of the spectrum. We’ll see. I already feel that I have more than enough of “Big Brother watching me.”

The Pursuit of Happiness: How Emulating America’s Happiest People Can Improve the Quality of Life for Dialysis Patients

On Monday, April 24, 2023, on page A12, The Wall Street Journal ran an article by Aaron Zitner titled “‘Very Happy’ Americans Are Pleased to Say Why.” The article concluded America’s happiest people have a few traits in common: They value community, close personal relationships, tend to believe in God, and generally are older and often in their retirement years. As I tend to do, I pondered how this set of concepts or behaviors might apply to those on Dialysis, the target market of this blog. With this in mind, I cranked up my subscription to ChatGPT and entered the following Prompt into ChatGPT’s GPT-4 Model. The results are given below.

Model: GPT-4

Prompt: America’s happiest people have a few traits in common: They value community, close personal relationships, tend to believe in God, and generally are older and often in their retirement years. Write a 2000-page or more word essay expanding on this with emphasis on how this might help dialysis patients with citations and references at the end. Write at least at the college level.

Introduction

Happiness is a universal human pursuit. It is the emotional state that everyone yearns to experience, and it is often considered the ultimate goal in life. Various factors contribute to the happiness of an individual, and studying these factors can help us understand the foundations of happiness better. In the United States, research has shown that the happiest people tend to have certain common traits: they value community, have close personal relationships, believe in God, and are usually older individuals, often in their retirement years (Westerhof & Keyes, 2010). This essay will explore these traits in-depth, focusing on their potential to improve the quality of life for dialysis patients.

I. The Importance of Community

A sense of community has been identified as a key contributor to happiness. Studies have shown that people who feel a strong connection to a social group are more likely to report higher levels of happiness and life satisfaction (McMillan & Chavis, 1986). This sense of belonging can be even more crucial for dialysis patients undergoing a physically and emotionally demanding treatment process. Inclusion in a community can provide these individuals with emotional support, practical assistance, and a sense of identity and purpose (Davidson, 2017).

Dialysis patients can benefit from being part of a patient support group, where they can share experiences, advice, and encouragement with others going through the same treatment (Cohen & Wills, 1985). Additionally, healthcare providers can help facilitate the creation of these communities and involve patients’ families and friends to create a more inclusive and supportive environment (Davidson, 2017).

II. The Role of Close Personal Relationships

Strong personal relationships, including friendships and familial bonds, are fundamental to happiness (Diener & Seligman, 2002). These relationships provide emotional support, companionship, and a sense of security that contribute to overall well-being. For dialysis patients, nurturing close personal relationships is essential for maintaining mental health and coping with the challenges of treatment.

Studies have shown that patients with strong social support have better adherence to treatment, lower levels of depression, and improved overall quality of life (Gallant, 2003). Healthcare providers can encourage the involvement of family members and friends in patients’ care by educating them about the treatment process and providing them with resources for support (Davidson, 2017).

III. The Impact of Spiritual Beliefs

Belief in God or a higher power has been linked to higher levels of happiness and life satisfaction (Diener, Tay, & Myers, 2011). For dialysis patients, faith can provide comfort, hope, and a sense of meaning during difficult times. Spiritual beliefs can also help individuals cope with the uncertainty and challenges associated with their treatment, providing a sense of purpose and direction (Park, 2010).

Healthcare providers can support the spiritual well-being of dialysis patients by acknowledging and respecting their beliefs and by facilitating access to spiritual care resources, such as chaplains or support groups (Davidson, 2017).

IV. The Wisdom of Age

Older adults, particularly those in their retirement years, tend to report higher levels of happiness compared to their younger counterparts (Stone, Schwartz, Broderick, & Deaton, 2010). This increased happiness can be attributed to factors such as accumulated wisdom, greater emotional regulation, and a focus on meaningful activities and relationships (Carstensen, 2006).

Dialysis patients, regardless of age, can learn from the happiness of older adults by prioritizing meaningful relationships, practicing emotional regulation, and seeking out activities that provide a sense of purpose and accomplishment. Healthcare providers can help facilitate this process by offering resources and support for patients to engage in activities that promote well-being and personal growth (Davidson, 2017).

V. Applying the Traits of America’s Happiest People to Dialysis Patients

By understanding the traits that contribute to the happiness of America’s happiest people, healthcare providers, and caregivers can develop targeted interventions and support systems to improve the quality of life for dialysis patients. Emphasizing the importance of community, close personal relationships, spiritual beliefs, and the wisdom of age can help these patients cope with the challenges of their treatment, foster resilience, and enhance their overall well-being.

Conclusion

In conclusion, the pursuit of happiness is a universal endeavor, and understanding the factors that contribute to happiness can provide valuable insights for improving the quality of life for dialysis patients. By focusing on the traits shared by America’s happiest people, such as valuing community, nurturing close personal relationships, maintaining spiritual beliefs, and emulating the wisdom of age, dialysis patients can enhance their well-being, cope more effectively with the challenges of treatment, and ultimately, experience greater happiness and life satisfaction.

References

Carstensen, L. L. (2006). The influence of a sense of time on human development. Science, 312(5782), 1913-1915.

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.

Davidson, K. W. (2017). Creating a supportive environment for dialysis patients. In C. R. Thomas & S. M. Smith (Eds.), Comprehensive Clinical Nephrology (6th ed., pp. 171-180). Elsevier.

Diener, E., & Seligman, M. E. (2002). Very happy people. Psychological Science, 13(1), 81-84.

Diener, E., Tay, L., & Myers, D. G. (2011). The religion paradox: If religion makes people happy, why are so many dropping out? Journal of Personality and Social Psychology, 101(6), 1278-1290.

Gallant, M. P. (2003). The influence of social support on chronic illness self-management: A review and directions for research. Health Education & Behavior, 30(2), 170-195.

McMillan, D. W., & Chavis, D. M. (1986). Sense of community: A definition and theory. Journal of Community Psychology, 14(1), 6-23.

Park, C. L. (2010). Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin, 136(2), 257-301.

Stone, A. A., Schwartz, J. E., Broderick, J. E., & Deaton, A. (2010). A snapshot of the age distribution of psychological well-being in the United States. Proceedings of the National Academy of Sciences, 107(22), 9985-9990.

Westerhof, G. J., & Keyes, C. L. (2010). Mental illness and mental health: The two continua model across the lifespan. Journal of Adult Development, 17(2), 110-119.

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