The 50 Plus Cafe, Pub, All-Nite Greasy Spoon and Dive Bar

[likes2watchU]

There are new studies saying that the gfr is not as accurate for diagnosing renal failure as previously thought.... I haven't looked in to it but I will

I have not had time to fact check all of this, but the references for the listed information are included.

Here are the current recommendations when eGFR (using serum creatinine alone) isn’t reliable for diagnosing or staging renal impairment:

Recommended Tests for Accurate Kidney Function Assessment (Beyond Traditional eGFR)

1. Measured GFR (mGFR) using exogenous markers

• Inulin clearance is the gold standard for measuring GFR but is expensive and rarely used in routine practice.
  Approximate cost: $600 per test.
• Iohexol or iothalamate clearance are reliable alternatives and less invasive.
  Approximate cost: $40–$600 depending on the method and region.

1. Serum cystatin C-based eGFR (eGFRcys)

• Cystatin C is a protein filtered by the kidneys and is less influenced by age, muscle mass, sex, race, and diet compared to creatinine.
  Approximate cost: $5–$10 for the reagent; commercial lab prices range from $99 to $205.

1. Combined creatinine + cystatin C-based eGFR (eGFRcr-cys)

• This method combines both creatinine and cystatin C to improve accuracy.
  Recommended when eGFR from creatinine alone is borderline or unclear.
  Approximate cost: $200–$210.

1. Urine albumin-to-creatinine ratio (uACR)

• While not a GFR test, uACR is essential to assess kidney damage and is used in combination with GFR to stage chronic kidney disease.
  Approximate cost: $30–$80.

1. Additional evaluations (based on clinical need)

• May include urinalysis, renal ultrasound, nuclear medicine scans (e.g., DTPA), or kidney biopsy.
  Approximate cost varies widely: $50 for urinalysis to several thousand dollars for imaging or biopsy.

---

References:

• National Kidney Foundation & American Society of Nephrology Joint Statement on eGFR:
  https://www.kidney.org/recommendati...ace-free-egfr-calculation-guidelines-clinical
• NIH NIDDK article on alternatives to race-based kidney function calculations:
  https://www.niddk.nih.gov/news/archive/2024/alternatives-race-based-kidney-function-calculations
• Nature Reviews Nephrology article on limitations of eGFR:
  https://www.nature.com/articles/s41581-019-0213-9
• Lab test pricing examples:
  https://www.findlabtest.com/lab-test/kidney-function-test/cystatin-c-labcorp-121251
  https://www.grassrootslabs.com/product/Cystatin_C_with_Glomerular_Filtration_Rate_Estimated_eGFR
• Wikipedia overview of GFR and testing methods:
  https://en.wikipedia.org/wiki/Glomerular_filtration_rate
  https://en.wikipedia.org/wiki/Assessment_of_kidney_function
  

 

[ImpishSeraph]

Cuteness

 

[Rj_1954]

This is not something I want to read about...
It's bad enough that I'm getting drilled about it from my Primary Doctor who wants to change my diabetes medication to something more effective, even though my A1c is within range.

 

[Wonderer67]

I actually got a fair mount of wood split today. It quit raining at 3 and I got a few hours of solid work in.

I was wondering why my chainsaw kept on cutting to the right. YouTube to the rescue. The guide rails on the bar was worn unevenly. Belt sander to the rescue. Evened it out and new chain = brand new chainsaw.

So not a bad day.

Now watching the nets lose.

 

[Missk_2022]

What does it smell like?

Musty sweaty ballsack

 

[Wat_Tyler]

Pretty much nothing got done today.


Okay, I exaggerated. Nothing got done today.


Well, I did buy a rifle and a silver half-dollar for that collection, but that was online.


Not like some kind of shopping excursion or the like.

 

[Wonderer67]

Musty sweaty ballsack

For a change…

 

[Missk_2022]

Pretty much nothing got done today.


Okay, I exaggerated. Nothing got done today.


Well, I did buy a rifle and a silver half-dollar for that collection, but that was online.


Not like some kind of shopping excursion or the like.

I made deviled eggs cut up watermelon and ballsack melon.... entertained my mom and dad while the asshole girl that they took in to help out MOVED!!!!! Bye bye bye.....bitch and take your snotty daughter with you

 

[Wat_Tyler]

I made deviled eggs cut up watermelon and ballsack melon.... entertained my mom and dad while the asshole girl that they took in to help out MOVED!!!!! Bye bye bye.....bitch and take your snotty daughter with you

Yeah, but . . . Kitteh!!!

 

[Missk_2022]

Yeah, but . . . Kitteh!!!

I know.. he said he was gonna miss her

 

[likes2watchU]

Ah, Saturday - how I've missed you
anybody else? Let's see...

And I like all the melons. Watermelon with salt and lime is my go to in hot and humid summers here.

All yours... I'll be ---> over there with @Missk_2022 in the Melon Free Zone

I've read about glass huts one can stay in. Imagine laying in bed looking at the light show above you!

And the people looking at you laying on your bed

We have a skylight in our bedroom, beautiful view of the stars and moon at night. '

I love the idea of a skylight... but once the glasses come off... well, there's really not much to see

I was near Edinburgh the year that album released.
Think I could sing "I would be" in my sleep

I loved it when we got those shampoo bonnets. It made hair washing so much easier!

Gamechanger!

Maybe to view your drips and make sure you weren't pulling on anything.

Winner: Out of Context Post

Sometimes medications can cause disorientation and even psychosis. I never really minded taking care of them.

Sometimes, people are just assholes. If we thought they were likely to hurt staff, no one went in their room alone. Also, they were more likely to be assigned to one of the guys.

My imaginings of Black Friday Sales will never be quite the same...

Yes
Yes
Yes

you are correct as bologna is a perversion of food

We need more data.

Glad you're continuing to investigate so you have valid data for informed decisions
One should not take the lessening or removal of bacon from one's diet lightly

It is mortadella cheap cousin

Bologna on steroids

No melon

Yes! Come sit here by me... we'll start the Melon Free Zone at the café

It's all good.... I understand

same - even if I have to issue a few beatings to tame down the Latent (Book) Slut that lurks within me

I went to bed at 8 o clock...now I am up sooooo early

Good morning MissK. I was asleep also at 8 pm. Is this the new normal when getting older?

2nd Childhood Sleep Schedule?

View attachment 2554044

same, girl!

View attachment 2554047

Always late to the party

View attachment 2554048

With all the talk of lab work, this is what I saw at first glance

We have a skylight in our bedroom, beautiful view of the stars and moon at night. '

I love the idea of a skylight... but once these glasses come off... there's not much to see, including the skylight

As the saying goes, the people you meet along the way.

Don't forget about "planting" vertically. Saves space!

Of course.
Large farm implements.
Large and effective.
Versatile . . . .

Organic Land Cultivation?
*Cue musical *
You down with OLC? yeah, you know me...

I enjoy watching TDK and Panther play rough...They are really funny.

Cats are awesome.
Multiple cats are awesummer.

I like dogs too.

Atmosphere TV: Paws TV

Have a great weekend all.

You, too!!

I lived three hrs away…and never made it . I keep telling myself when we go back for SWMBO’s family visits we need to plan it around the festival.

I really really want to go see that.

Yes definitely on the bucket list

Vacation Planning Dates:
The Albuquerque International Balloon Fiesta is held annually during the first full week of October.
Here are the dates for the next five years:

• 2025: October 4-12
  *New Mexico Day, with free general admission for residents, is on Monday, October 6, 2025.
• 2026: October 3-11
• 2027: October 2-10
• 2028: October 7-15
• 2029: October 6-14

Note that the event typically runs for nine days, starting on the first Saturday in October and ending on the second Sunday of the month.

If it helps, please know that I too am trying to float more and fight less. And when that fails, I sometimes pound my now arthritic fists on the table.

~ The Priestess

For after...

I bought my dad a canteloupe
I am gonna cut it up for him.... that is devotion

What does it smell like?

meanie You know what she's gonna say...

Musty sweaty ballsack

I’ve been caught in the most annoying rainstorm ever for about three or four hours now. It will drizzle and I’ll go outside on my farm to work, then it’ll start pouring five minutes later, and I’ll go inside the shed for cover..
Rinse and repeat (pun intended) for about the 12th or 15th time now.

The Universe may be sending you a message

I actually got a fair mount of wood split today. It quit raining at 3 and I got a few hours of solid work in.
So not a bad day.
Now watching the nets lose.

Pretty much nothing got done today.
Okay, I exaggerated. Nothing got done today.

Tell me you're having a good Saturday without telling me...

 

[likes2watchU]

I made deviled eggs cut up watermelon and ballsack melon.... entertained my mom and dad while the asshole girl that they took in to help out MOVED!!!!! Bye bye bye.....bitch and take your snotty daughter with you

Yeah, but . . . Kitteh!!!

I know.. he said he was gonna miss her

Never a shortage of kittehs for adoption...
Celebrate with a visit to local shelter??

So very happy the move out is happening

 

[Wat_Tyler]

I know.. he said he was gonna miss her

I know "professional" catnappers.

 

[Missk_2022]

Never a shortage of kittehs for adoption...
Celebrate with a visit to local shelter??

So very happy the move out is happening

Me too.... AND I TOLD THEM NEVER AGAIN

 

[Missk_2022]

Well my dad called thundercunt and asked if she wanted the food she left and she told my dad that my mom has been throwing away her food for weeks .

The moldy raspberries x1
The rotten milk x1
And a few things when she left the freezer open and it defrosted.... a couple weeks ago

Like a normal fucking person would. She left some shit for my mom to clean up....

Fucking bitch...
She didnt even shut the front door when they left....

 

[Missk_2022]

I know "professional" catnappers.

Poor cat has to live with that trashy thundercunt

 

[Missk_2022]

My brother in law gave her daughter a fishing pole and some gear and she left it on the front porch in the rain....

"She doesn't want that junk"

Ungrateful trashy thundercunt with a snotty manipulative little smart ass for a daughter that needs to learn the adage to speak when you are spoken too...

I am so glad they are GONE.

Apparently her ex boyfriend the ine with 2 babies from 2 different women is back I the picture... he helped her move

 

[Wat_Tyler]

Well my dad called thundercunt and asked if she wanted the food she left and she told my dad that my mom has been throwing away her food for weeks .

The moldy raspberries x1
The rotten milk x1
And a few things when she left the freezer open and it defrosted.... a couple weeks ago

Like a normal fucking person would. She left some shit for my mom to clean up....

Fucking bitch...
She didnt even shut the front door when they left....

Thundercunts never do.



They also leave the gate(s) open so your livestock can escape.

 

[Wat_Tyler]

Poor cat has to live with that trashy thundercunt

This consumes me with catnapping hate . . . .

 

[likes2watchU]

For a mere $30 USD, this little gem can be yours...

Make it a combo for $11 more...

 

[Wat_Tyler]

My brother in law gave her daughter a fishing pole and some gear and she left it on the front porch in the rain....

"She doesn't want that junk"

Ungrateful trashy thundercunt with a snotty manipulative little smart ass for a daughter that needs to learn the adage to speak when you are spoken too...

I am so glad they are GONE.

Apparently her ex boyfriend the ine with 2 babies from 2 different women is back I the picture... he helped her move

Helped????



It's where she moved . . . .

 

[likes2watchU]

Well my dad called thundercunt and asked if she wanted the food she left and she told my dad that my mom has been throwing away her food for weeks..
She didnt even shut the front door when they left....

Definition: Cheap Divorce

Apparently her ex boyfriend the ine with 2 babies from 2 different women is back I the picture... he helped her move

They sound simply perfect for each other!!!

 

[Missk_2022]

Thundercunts never do.



They also leave the gate(s) open so your livestock can escape.

I am as close to hate for a person I can be. I am considering holding on to the shit she left and when I find out where she lives dumping it on her front yard

 

[Missk_2022]

We ride at dawn

 

[Missk_2022]

She threatened to stop taking care of my sister if she couldn't live with my parents. I told her to tell pat and he said ..... so what.... that's her choice.... I hate hate hate manipulative people