According to a new study, researchers developed a portable ultrasound can help nephrologists better detect fluid in the lungs of patients with end-stage kidney disease. Patients with the disease, characterized by the kidneys' inability to work well enough to meet your body's basic needs, can accumulate fluid all over their bodies, and commonly in the lungs says second-year nephrology.

The trick is knowing where the fluid is and how much needs to be removed, Saleem says, and accumulation in the lungs can lead to complications like heart failure and high blood pressure. When it comes to diagnosing "wet lungs," the standard has been listening for chest crackling sounds with a stethoscope and measuring blood pressure more fluid on the lungs prevents oxygen from being absorbed into the bloodstream.

If there was fluid, he would see B-lines, which are reflections of the water in the lungs that appear as long, vertical white lines on an ultrasound. The higher the number of B-lines and the more intense, or bright, they were, the more fluid was present. "Our kidneys take all the fluid that comes from normal intake through diet and drinking and they filter the waste products, which we excrete in urine," says "But these patients rarely urinate.

They count on dialysis to keep their fluid in balance." The kidneys also help the body reabsorb essential nutrients into the bloodstream. Hemodialysis uses a special filter called a dialyzer – or an artificial kidney – to filter waste, balance electrolytes and remove extra fluid. End-stage kidney disease (ESKD) patients are typically receiving dialysis three times each week.

When they were released, inmates were given copies of their dialysis run sheets, documenting their treatments, the address of the nearest Social Security Office with instructions to 'go sign up for Medicare' and instructions to go to the ER for their dialysis until they got Medicare."

With an average 12-week waiting period for Medicare, these former inmates were not eligible to enroll at private dialysis treatment centers, instead heading to their local emergency rooms for up to 36 treatments before they received insurance through Medicare.

To define the scope of the problem, Chu reviewed the records of all ESKD patients at Augusta State Medical Prison from 2014-16, looking for demographic information and anticipated re-entry years. She also made comparisons to a national cohort. Over the three-year study period, the prison had 180 dialysis patients.

This navigator would also contact dialysis centers, hospitals and parole officers in the area where the inmate intended to live, and could have post-release visits at least monthly for two years, to make sure patients were following through with treatment plans.