Monday, August 24, 2020

The Power of Curiosity

 

There is great power in being curious. Curiosity differs from que
stioning. Whereas questioning something can sometimes imply doubt and trigger the need to defend oneself; being curious implies an openness, a desire to unfold and discover - without judgment.

Now that you have identified your top 1-3 (no more than 3) areas you want to improve or build, you can employ the power of curiosity to help you uncover the best strategies for success in your quest!

A few questions to help you get started - by no means is this exhaustive:

  • “I wonder how I could use my talents and resources to add this extra income each month?”

  • “How do people in my situation find the time to exercise and eat healthily?

  • “If I was to quit smoking - how would I do it?”

Interestingly, you don’t have to know the answers! But in asking the RIGHT questions, you will bring into play the power of your subconscious mind….that eternally wise part of yourself that never sleeps; it will go to work to find the answers, to explore the options, make the right connections and help you uncover all the possibilities that will make your success inevitable.

Notice how the above questions, birthed in a state of curiosity, differ from these questions:

  • “Why is there never enough money at the end of the month?”

  • “How will I ever get ahead?”

  • “Why can’t I lose weight?”

  • “Why can’t I quit smoking?”

Are the above really questions at all? With their judgmental undertones, they are sure to put a girdle on your potential for success and actually push your success away.

So, now that you know WHAT you want to tackle, sit down and craft 3 power questions for each area - remember to be curious!

We’ll talk about planning — next time!

I believe in you - a squillion percent!

-Kimberlee

Power of Curiosity


Friday, August 21, 2020

There Are No Shortcuts...

 Whether it’s your health, your relationships, your career, your finances - even your emotional well-being - there are not tricks, hacks or shortcuts to getting them to their peak state. If there were, that diet pill would have worked - forever. The Jackpot winner would still be independently wealthy, and on and on.

Anything worth having or holding onto takes work — and that work it takes to obtain is the same ‘stuff’ that will help you hold onto that success. It’s the very stuff that creates hardiness and character. Think of people who you admire and look up to; chances are they didn’t ‘luck out’ or have all the breaks. Chances are those folks who we really admire are also the folks with the callouses of the laborer…whether they be physical or other callouses.

Is there something in life that you feel is ‘missing?’ Something out there that you want - but can’t quite put your finger on it? A great exercise to get your started on your own path to success is to take a personal inventory on your level of satisfaction in each area of your life. On a scale of 1 - 10, where 1 is the least satisfied/happy and 10 is completely satisfied/happy, rate your level:

Physical:

Emotional;

Financial:

Career:

Relationships:

Spiritual:

This can help you identify where you are right now. The next step is to ask yourself: if you could change/improve just one of these areas — one area that would make the biggest difference … the biggest improvement… what one area would that be?

It’s critical that in this first phase of discovery, that you don’t get caught up in the ‘how.' Worrying about what to do or how to affect a change will thwart your success here. This first phase - there are no limits. Just identify one area that if you were to have a change or improvement - it would make the biggest impact on your happiness and satisfaction.

We’ll talk about the “How” - next time.

Until then, I believe in YOU!

Wednesday, August 5, 2020

August Newsletter ~ Inflammation & Kidney Health

Inflammation and Kidney Health

 

Inflammation is very prevalent in our society today.  Hectic schedules, multiple and often burdensome demands on our time and energy, poor diets, more sedentary lifestyles, increased pollution, economic factors, relationship issues, smoking, poor sleep or lack of sleep, and the list goes on….   

 

These are just some of the factors that set up a prime environment for inflammation; add to that conditions like Diabetes, Hypertension (high blood pressure), High Cholesterol, Heart Disease and it’s just a matter of time before something is going to happen. 

 

Inflammation has been linked to a host of ailments including cancer, heart disease, autoimmune disorders, allergies, digestion and stomach problems, skin issues, neurological disorders and even Alzheimer’s Disease. In fact, some studies show inflammation, persistent inflammation, to be a main factor in Renal (kidney) Disease (Afsar, B., Turkmen, K., Covic, A., & Kanbay, M. (2014). An Update on Coronary Artery Disease and Chronic Kidney Disease. International Journal of Nephrology, 2014, 767424. http://doi.org/10.1155/2014/767424)    and https://www.intechopen.com/books/chronic-kidney-disease-from-pathophysiology-to-clinical-improvements/inflammation-and-chronic-kidney-disease-current-approaches-and-recent-advances

 

So let’s talk about how you can put out the inflammation fire and reduce your risk for health issues and improve your well-being. 


Reduce Stress

It is important to note, that if you are tempted to say that you are not stressed, consider that you may have just become so accustomed to a steady high-stress state, that you don’t notice it!   

 

The good news is that you can make it better, right now!  Here are some great tips:

 

BREATHE! – Deep-Breathing actually helps you make more of a natural chemical in your body that induces relaxation, dilates blood vessels and can lower blood pressure. 

 

MEDITATION!  - taking a time out can help you to relax, improve circulation, and re-charge.

 

TAKE A NAP!  - even a quick 10-15 minute power nap can give you a great boost, and can sometimes even help you sleep better.  

 

TAKE A WALK!  – outside when/where possible! – Exercise helps your whole body!  Gives stress hormones a good exit, improves circulation, and can help improve sleep.  Exposing yourself to some natural light is a great mood booster too!

 

LEARN TO SAY NO! – if you find yourself saying that you don’t have time to take care of yourself, then it’s time to cut back on some things – even good things – so that you have more room to do the BEST things

 

EAT HEALTY!  If you find yourself reaching for quick junk or fast food, energy drinks or sodas, your body is trying to tell you that it needs.

 

ENERGY!   You wouldn’t put cheap gas in a Ferrari – why put cheap food in your body?!  You’ll feel better, have more energy, and decrease your risk for a host of health problems when you drink plenty of WATER and learn to eat right. – say NO to junk! 

 


Manage Health Conditions

 

 

Text Box: At Specialty Care Management, we seek to arm you with the strategies and solutions to maximize the value you bring to your groups and members.
COVID-19 Return to Work Program
Air Ambulance
Dialysis
Underwriting and Clinical Bill Review
HealthReach 360 – Specialty Case Management
Cancer ManagementIf you have a diagnosis, learn how to care for yourself properly! – Work with your doctor to ensure you understand your treatment, medications, keep your follow-up appointments.  Talk to your Nurse Coach and learn what you can do to maintain or improve your well-being. 

Keeping blood sugars, blood pressures, cholesterol, and other markers in a normal range is an important part of reducing inflammation. 

 

Now is the perfect time ~

 

More than ever, your groups and members are looking for savings and security.  Health and access to the care to mitigate risk is more important than ever.  People are looking for employers with robust benefits – and we are honored to partner with you to offer real savings and real benefits – that really make a difference for all involved. 

 

Specialty Care Management’s focus is to seek out and mitigate risk wherever it lies – with unique strategies that maintain or enhance the value proposition as it currently stands for your groups and members.  Our unique offerings aim to maintain the persistency in the relationships and value for all involved. 

 

We are here to serve you by providing the services you need to be able to offer those you serve.  Let’s talk soon!

 

Warm Regards,

 

Kimberlee Langford, BSN RN CCM CRMT CPC

Director of Business Development

208-918-3715

klangford@specialtycm.com

www.specialtycm.com

 


At Specialty Care Management, we seek to arm you with the strategies and solutions to maximize the value you bring to your groups and members:

COVID-19 Return to Work Program

Air Ambulance

Dialysis

Underwriting and Clinical Bill Review

HealthReach 360 – Specialty Case Management

Cancer Management

 

Copyright © 2020 Specialty Care Management -All Rights Reserved


July Newsletter


Members are unique ~

 

- Everyone’s situation can be a little different.   Most of your members know what they need to do to optimize their health but figuring out how to put these things into play is the real challenge. 

 

That’s where Specialty Care Management’s HealthReach 360 program can be a real game-changer for your members.  It also sets you apart with your groups and prospects.  Being able to offer a robust and specialty case management program (by itself, or alongside a general wellness program) can help you close more often and save your groups in terms of avoiding diagnoses of big-ticket issues in the first place.

 

Did you know:

·       34.2M (1 in 10) Americans have diabetes and 90% have DMII (type 2 diabetes)

·       88M (1 in 3) have prediabetes

·       Diabetes is the #1 cause of CKD – Chronic Kidney Disease

·       37% of people with diabetes have CKD – stage 1-4

·       Only 25% of people with mod-severe CKD (stage 3-4) are aware of their diagnosis

·       Improving A1C levels by 1percent can not only help to reverse diabetes and can save our healthcare system in excess of $10B annually – as well as help reduce the risk for CKD and its progression to dialysis

 

https://www.cdc.gov/diabetes/library/features/diabetes-stat-report

 

https://www.healthcarefinancenews.com/news/how-reversing-diabetes-cost-drive-savings-impact-viable

 

Here’s the kicker ~

 

For the most part, Diabetes and CKD can be prevented!  AND, for many with DMII (type 2 diabetes) – it can be reversed!

 

Now is the perfect time ~

 

More than ever, your groups and members are looking for savings and security.  Health and access to the care to mitigate risk is more important than ever.  People are looking for employers with robust benefits – and we are honored to partner with you to offer real savings and real benefits – that really make a difference for all involved. 

 

Specialty Care Management’s focus is to seek out and mitigate risk wherever it lies – with unique strategies that maintain or enhance the value proposition as it currently stands for your groups and members.  Our unique offerings help you to maintain the persistency in the relationships and value for all involved. 

 

We are here to serve you by providing the services you need to be able to offer those you serve.  Let’s talk soon!

 

Warm Regards,

 

Kimberlee Langford, BSN RN CCM CRMT CPC

Director of Business Development

208-918-3715

klangford@specialtycm.com

Copyright © 2020 Specialty Care Management -All Rights Reserved

 
www.specialtycm.com

Copyright © 2020 Specialty Care Management -All Rights Reserved


Wednesday, December 13, 2017

Holidays, Traditions and the Value of Fun!

Holidays are for some, the most favored times of the year....and for some, they are painful memories of what once was - that is no more - or of wishes not yet fulfilled....  In either case, they are POWERFUL mainly because of special memories they trigger. 

Do you always put up your Christmas tree on the day after Thanksgiving? - or wait til a December child's birthday? - Do you make an outing in the forest to find the PERFECT tree with excited children in tow? -Sip hot chocolate and watch 'It's a Wonderful Life?'   

Traditions, time for fun and being with people we love is certainly not time wasted, squandered - or just frivolous and of no real value.  It is the fun memories, traditions and time spent with each other that hold us together, long after the people that helped us create them are gone. 

It's been 27 years now since my brother was killed.  Christmas is still precious to me.  We always put up our tree the day after Thanksgiving.  Many a thrilling ride being towed behind the family vehicle with snow-spray burning our faces fill my cloudy memories at this time of year, and I love sharing the thrill with my own children. 

Of course, as an adult with children of my own, we have added our own traditions - caroling to neighbors, making home-crafted gifts and treats - and delivering them to  people we love, people we don't know but who we want to know better, and my daughter and I delight in driving around looking for random people to surprise with a little Christmas cheer and something special -- or ringing the doorbell and hiding after delivering a Christmas basket! 

These traditions, and unstructured FUN times shared will outlive ourselves, and can wrap those left behind like a fluffy blanket on a cold day.  

Take a little time this year, away from the bustle, the crowds and the retail warfare..... and just BE.  Make some memories, and from our house to yours:  Have a most wonderful Holiday Season!  

Warmly,

Kimberlee

Wednesday, April 26, 2017

It's all part of a great whole body of knowlege - NKF Spring Clinicals


NKF Spring Clinicals in Orlando, FL:  4/17-4/22/2017

~ Kimberlee Langford, RN, BSN, CCM, CPC                                                                    

A North, Idaho girl, I was thrilled to go to see the sun in Orlando for the National Kidney Foundation’s Spring Clinicals – a smorgasbord of learning!

Pre-Conference, I was hungry to learn more about several topics: mineral bone disorders, hypothyroid and CKD, hormonal factors, IgA nephropathy, chronic pain, depression and how this relates to members’ poor participation in self-care.  I wanted to learn more about how to better inspire and teach our members to build their belief that they do have control over their health and that they can feel and live better lives – for those with CKD and for those on their way to CKD who don’t know it yet.

As Nurse Coaches, Renalogic Nurses can see, via knowledge and experience, where people with poorly managed diabetes, hypertension, hyperlipidemia, gout, kidney injury and autoimmune disorders are going.  We have cared for those on dialysis, we have dressed the amputated feet and legs, we have held the hands of folks who died as their kidneys failed.  We have a vision that our members don’t have.  We have knowledge and education that they don’t have.  Distilling that into a palatable and meaningful way that stimulates a desire to change requires us to be well-educated on diverse topics.  It requires us to have a network of community and ancillary healthcare team members to help them access for ongoing support.  This conference was so wonderful because of the diverse professionals to network with, of topics for us to choose from, and to share nuggets and takeaways with each other.  Also, extremely valuable were those moments out-of-workshop as we conversed, shared stories, ideas and built relationships with each other.



Personally and professionally, I am so proud to be a Renalogic Nurse.  I am, as the rest of us are, stirred by the passion for excellence and to really create a change in how kidney care is managed in our country that our Executive team shares in such a palpable manner. 


I believe that as we learn the whys – the pathophysiology,  the current research findings, and the questions and ideas on the horizons of renal care – we are so much more powerfully equipped to break down that complex information and make it more palatable and more easily digestible for members, and we use that understanding to help empower people with the information, tools and vision they need to really effect a change in their lives – to live differently and hopefully to not just manage – but to PREVENT a CKD diagnosis or to prevent it’s progression in those who already have it.

This is a BIG deal!  People today live such busy, hurried, hectic, stressed out – out, overfed and undernourished (in the belly and the spirit) lives.  I mean, who has time to cook, to exercise, to slow down and meditate or laugh?

BUT – that lifestyle comes with a price tag, as everything does:  obesity, cardiovascular issues, kidney disease, hypertension, stiff aortas, hormone imbalances, diabetes, cholesterol, addictions and depression, autoimmune disorders, gastrointestinal issues, cancers – and ALL of these affect our kidneys!

NOTHING is FREE!!! – We pay up front -  by finding the time to get adequate and quality sleep, exercising, nutritious foods, satisfying relationships, learning how to navigate the healthcare system ---

OR – we pay at the end:  disease, decreased longevity and quality of life – our very independence.

I found that my focus on helping members to put their energy into the factors they control was validated --  diet, exercise, communicating with the health care team, taking medications properly – and I was again struck by how while we learn about topics individually – we dissect the pieces out to really delve deep to facilitate our understanding and grow in knowledge…. The really power comes afterwards when we take those pieces and integrate them into one, great whole thru lenses colored by individual member/patient significance.

So, in a series of articles, I plan to share what I took away from this conference  - I’ll talk about topics individually, keeping in mind that people aren’t individual puzzle pieces that we can manipulate individually.  We have to understand and learn by dissecting into pieces…but we consider, teach and treat with power and increased effectiveness – as we consider the WHOLE person.  We have to be able to look at everything at the same time, paying attention to what is really important to the individual.  By keeping our focus patient-centered and member specific, we not only build trust and rapport, but we have greater power to secure individual goal achievement, improve overall health outcomes and reduce risks and global health costs. 

Friday, March 17, 2017

Cholesterol and the cardiorenal (heart-kidney) connection


Cholesterol and the cardiorenal (heart-kidney) connection

Kimberlee Langford, RN BSN CCM CPC

Let’s talk about plumbing today!  In particular – the plumbing that makes up your cardiovascular system.

What would happen if I came over to your house every day and poured bacon grease down your kitchen sink  - besides your not liking me very much!

Much like bacon grease sticks to the lining of your pipes, so too does cholesterol stick to the inner walls of your blood vessels and narrows the diameter…..until the water – or blood, as the case may be cannot pass through due to the blockage.


As in the case of the kitchen sink – sometimes you have to call on the RotoRooter Man – to snake out that blockage so that water can flow through again.    In the case of your blood vessels, let’s talk about the non-surgical kinds of things you can do to ‘knock the plaque off’ – so to speak.

1)     Eat more FIBER! – There are two types of fiber:  Soluble and Non-soluble fiber.  As example non-soluble fiber does not break down…think of the ribs on a stalk of celery…you can’t digest it.  This kind of fiber acts a little bit like the RotoRooter – in the colon; it helps clean out the colon.     Soluble fiber breaks down enough to act in a similar way, but in the bloodstream.  Think of the fiber in your whole vegetables, fruit, wholegrain bread, oats and grains.  Keep in mind the LEAST refined – the better!!!  The more we refine a food, the more of the truly good stuff is stripped away…including fiber.

2)     Exercise! – Okay, tell the truth….. have you ever run a volume of hot water down the drain after pouring something greasy?  You’re hoping if you flush enough hot water, you’ll move that fat through, right?  Exercise keeps thing moving through.  Movement creates health in our economy, in our rivers and streams, and in our bodies.  When movement slows too much or stagnates it diminishes health and gives cholesterol more of a chance to settle in.

Why do we talk about cholesterol in terms of kidney health?  Isn’t that just related to heart health? Well, the plumbing in the heart is the same plumbing that goes to the liver, to the brain, to your toe, AND your kidneys. 

If you have high cholesterol, then chances are high that you can have some plaque buildup on the inner walls of your blood vessels – EVERYWHERE; and when circulation is impeded, the organs served suffer.  This includes not just your heart – but your kidneys as well as those other organs we talked about!  And this plaque can be tenfold worse if you smoke.  If you smoke, remember that smoking reduces your body’s ability to utilize vitamin C – which makes the collagen that keeps your blood vessels (and other parts) nice and pliable – elastic.  When blood vessels lose their elasticity, they are more prone to damage – which cholesterol tries to repair – which further shrinks the diameter of the blood vessels.

So,          3) – If you smoke – QUIT!  Sounds easy, but we know it’s not always easy to stop.  We’ll talk about that later.  But for now, just be open to the idea of not smoking if you do.  Be open to thinking about quitting, and you may want to talk to your doctor about taking extra vitamin C while you are working on quitting smoking. 



Our bodies aren’t made of separate systems – they truly are integrated to function as one whole.  Taking care of ALL of you will help you enjoy a greater level of well-being and health.  Cardio-renal-hepatic:  Heart – Kidneys – Liver – these systems are all benefitted by your healthy lifestyle: eating a high fiber, low fat, low salt  - balanced diet;  exercising regularly; and NOT smoking all work together to protect yourself from kidney, heart and liver disease!