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Dialysis industry news

Stories from the dialysis comunity across the globe.



Indian Firm Set to Build Renal Centre in Nandi - The Star PDF Print

A state-of-the-art private hospital is set to be built in Kapsabet town, Nandi county, at a cost of Sh1.2 billion.

The 250-bed hospital will have 10 foreign doctors specialised in renal and heart transplanting.

The Mediheal Group executive chairman SR Mishra said his firm has carried out a feasibility study on the establishment of the facility and given it a node.

He was speaking during the ongoing Nandi county investment and trade fare forum at the Kapsabet showground yesterday

Dr Mishra said the hospital will support patients with renal failure.

"As a health facility, we want to partner with the county government in getting work permits for the 10 specialised doctors from India to treat patients and train Kenya doctors on transplanting," he said.

Mishra said the cost of kidney, lungs and heart transplants will be brought down to Sh500,000 from the current Sh1.5 million in India.

The first ever investment conference has attracted more than 200 foreign and local investors eyeing Nandi as a new investment destination.

Governor Cleophas Lagat said the his administration will provide the necessary infrastructure and the goodwill required by the investors.

"We intend to acquire about 200 acres of land for real estate and industrial site. The population is growing so fast and need housing, whch is a real challenge to us," he said.

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It's a match -- Michael Anderson getting a kidney - Cookeville Herald Citizen PDF Print

 

 

COOKEVILLE — Michael Anderson is only 27, but in the last 10 years, he has been through more than a person twice his age has experienced.

At the age of 17, Michael, the son of Avery Trace Middle School principal and former city council member Alma Anderson, was diagnosed with Focal Segmental Glomerulosclerosis (FSGS), a rare disease characterized by scarring in the part of the kidney that filters blood.

“He did not have any signs or symptoms that indicated anything was wrong,” Alma said. “That summer, he had a normal physical.”

That fall, the school system implemented a health program and it was found that Michael had high blood pressure.

“Of course they contacted me and I took him to the doctor to get it checked out,” Alma recalled.

It was narrowed to the kidneys, which then took him to Vanderbilt to get tested further.

“In February of 2005, he was diagnosed with FSGS,” Alma said. “There’s no cure and treatment differs since it’s so rare.”

According to Nephcure, FSGS occurs more frequently in adults than in children and is most prevalent in adults 45 years or older. Two to four out of every 100,000 children are diagnosed with nephrotic syndrome every year, with FSGS associated with 15-20 percent of those cases.

It is the most common cause of steroid resistant nephrotic syndrome in children and the second leading cause of kidney failure in children, and males affected with FSGS are 1.5 to 2 times more likely to progress to end stage renal disease (ESRD) than FSGS-affected females.

Michael is currently in end stage renal disease — his kidneys failed in 2012 — and is on dialysis for 12 hours a day.

Shortly after Michael’s diagnosis, Melissa Blaylock came to work with Alma at Avery Trace as an aide in Alma’s room.

“I saw the pain she was going through, but she stayed strong,” Melissa, who is also a mother, said. “She was taking Michael to Vandy for treatments and dealing with a lot of other things, too.”

From that day, Melissa and Alma formed a bond.

“I told her from day one that I would give Michael a kidney,” Melissa said. “And Alma would just thank me and go on.”

But Melissa was serious.

“I knew she was serious, but I didn’t know she was that serious,” Alma said.

Despite his disease, Michael attended college and earned a degree in psychology.

Michael has been on the transplant list for two years now, a few months following his kidney failure.

Then, last September, Melissa once again told Alma she’d give Michael a kidney.

“I am serious about giving him a kidney,” Melissa told Alma. “So Alma gave me the packet of information.”

Melissa went home to talk about it with her children and husband, who fully supported her decision.

“Michael kept saying, ‘Mom, I don’t want her to do this...she has children,’” Alma said. “And I said, ‘Michael, she’s volunteering and her children are grown.’”

Melissa said she never felt like she was forced into it.

“I am doing it freely,” she said. “I love Michael...he’s like family to me.”

Not long after being tested, Melissa got the email, saying she’s a 100 percent match.

“I remember so well the day I told him,” Melissa said. “I had everything written out on note cards because I knew I’d forget something.”

She ended the conversation with a joke — what does the good kidney say to the bad kidney? I have something for you. Just set the date.

“Michael is a type O kidney,” Alma explained. “Even though it’s the universal blood type, a type O kidney has to be a type O kidney. I don’t have it, my husband doesn’t have it...nobody in my family has it.”

It’s fitting that Melissa was the match — she shares a birthday with Alma’s mother, who died shortly after Michael was diagnosed.

Over spring break, they spent some time at UT Medical Center — where the transplant will take place — and went through a number of tests.

June 10, the date of the surgery, can’t come soon enough.

With this new lease on life, Michael hopes to put his psych degree to work.

“He will no longer be on dialysis, and if all goes well, he’ll have a normal life,” Alma said with tears in her eyes. “Of course he’ll have to watch his diet, but he won’t be on machines and he’ll feel 100 percent better.”

Insurance will pay for both surgeries, but travel and medications will take a financial toll.

Visit Michael’s page at National Foundation for Transplants by visiting http://patients.transplants.org and clicking “Find a patient.” Enter “Michael Anderson, Johnson City, TN.”

 

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'World first' premature baby dialysis in Poland - The Daily Star PDF Print

An extremely premature Polish infant weighing just 820 grammes (1.8 pounds) has become the world's smallest and youngest patient to escape death thanks to an artificial kidney, according to the doctor who oversaw the treatment.

Born 15 weeks early, Kamil nearly died from organ failure a few days later and conventional methods used to keep preterm babies alive proved ineffective.

"He suffered grave edema" or water-retention causing swelling as his kidneys were unable to cope, doctor Wojciech Kowalik, head of the intensive care department of newborns at Legnica hospital in southwest Poland, told AFP Thursday.

Being hooked up to an artificial kidney was his only hope, but the procedure had never been succesful in such an extreme preterm case.

Similar treatment is usually applied to newborns weighing at least three kilogrammes. The treatment only worked for half of the 10 newborns who needed it at the Legnica hospital, according to Kowalik.

In Kamil's case, there was no alternative but to give it a go.

"For a baby weighing just 820 grammes, it's exceptional. We later learnt that he was the smallest in the world to survive thanks to this method. It has already been tried with children as small, but none survived," Kowalik added.

Kowalik said he had found no precedents in medical journals dealing with dialysis used on extremely premature babies.

"It's a miracle," Kamil's father Adam Wawruch told AFP as the five-month-old baby weighed in at four kilogrammes before being released from hospital.

With public spending on healthcare in Poland still low by Western standards, not all Polish hospitals have dialysis machines. Kamil had the good fortune to be born in one that did, thanks to funds raised by a popular annual telethon.

Founded in 1993, the Great Orchestra for Christmas Charity (WOSP) has raised $160 million (150 million euros) for medical equipment to treat children. It paid for the dialysis machine used to save Kamil.

Known for his colourful outfits and outgoing personality, former TV journalist Jurek Owsiak is the force behind the telethon's success.

He visited the Legnica hospital to congratulate the doctors responsible for saving Kamil.

"Even if he were in New York, London or Paris instead of Legnica, Kamil would still be a patient at risk. Everyone would wonder whether they would have the courage to embark on this kind of therapy," Owsiak told AFP.

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Changes to dialysis waste disposal 'bargain bin medicine,' NDP says - Globalnews.ca PDF Print

WATCH ABOVE: The NDP released documents Saturday that claim budget cuts have compromised health care in Alberta. But as Eric Szeto reports, health officials say the changes that were made are safe, cost effective measures.

EDMONTON – The Alberta NDP says funding cuts to health care are having a serious impact on patient safety.

Edmonton-Calder NDP candidate David Eggen released a leaked AHS PowerPoint presentation Saturday which outlines changes to the Northern Alberta Renal Program, which provides hemodialysis treatments to patients.

Global News

The presentation, which Eggen said was given to him by a concerned AHS employee, outlines changes to the classification of dialysis waste from biomedical waste to regular waste. According to AHS, it costs about $15 to discard dialysis waste such as dialyzers and tubes in approved biomedical waste containers, compared to just a couple dollars in garbage bags.

“We know from workers, the people who leaked this information, this is compromising the level of safety of both patients and workers, and it’s a result of this choice by the PCs to deliver bargain bin medicine. Rather than looking for safety first, they’re looking for cuts first,” Eggen said Saturday.

Dialysis waste is considered general waste as long as there are no sharps attached or dripping blood, the AHS presentation states. A spokesperson with AHS says the procedure complies with CSA standards.

“Items that have come in contact with blood, but do not contain blood, can be disposed of in general waste. Any items containing blood continue to be disposed of in biomedical waste,” Shelly Willsey said in an email to Global News.

Willsey said the disposal of the dialysis system as biomedical waste costs more than four times as much as general waste disposal. She added that AHS continuously looks for ways to reduce spending while maintaining safe environments for patients.

Health Minister Stephen Mandel says Albertans expect the government to save money where possible and the health care system should make every effort to be as efficient as possible.

“If it’s proven to be clear and not any danger then we should do it the most effective and expeditious way,” said Mandel.

“Historically, I think that we’ve followed a process of being very cautious,” he added “We will never ever give direction on something that is not within the mandate of safety and security, nor will we give a mandate that would have any kind of implications to the environment.”

The president of the HSAA, the union that represents 25,000 paramedical technical, paramedical professional and general support employees, is extremely concerned with the system.

“In my experience, blood is considered a bio-hazard and should be disposed as such,” said Elisabeth Ballermann. “I showed this document and this waste to a member that I was with who is a lab technologist and her response was, ‘Oh my God.’ Her immediate concern was for the safety of anybody and everybody who might be handling this thing.”

Ballermann is worried that removing the sharps from the tubes may result in injury for staff members. She’s also concerned about the process of flushing the blood out of the tubes.

“They’re saying red is bad, pink is good,” she said. “Any normal saline that I’ve seen that they would flush the tube with has always been clear. That suggests that there’s still visible blood left in the lines… Viruses and bacteria aren’t usually visible to the naked eye.”

Eggen is calling for a review on the entire practice.

“This bargain bin medicine is the lowest possible safety standard. Front line workers are doing the best they can but they have no choice but to be getting rid of human biomedical waste in ‘robust’ garbage bags,” said Eggen.

With files from Eric Szeto, Global News. 

© Shaw Media, 2015

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New nephrology centre bright, beautiful: dialysis... - www.insideottawavalley.com/ PDF Print

No one is more pleased to see the doors of the expanded Regional Nephrology Centre at Renfrew Victoria Hospital open than Ken McQuade.

McQuade was one of several patients who joined dignitaries and hospital officials to cut the ribbon on the new $12 million facility at a special event on Thursday, April 9 that drew a large crowd.

McQuade has been coming to RVH for the past five years for dialysis treatments.

He is thrilled with the new facility and was pleased to be at the official opening.

“This is great, it’s a beautiful spot. You couldn’t ask for better,” said McQuade, a retired auto shop owner who lives in Admaston-Bromley Township.

His dialysis consists of three trips to the centre each week for treatment that lasts four hours and 15 minutes each time. He’s there each morning at 7 a.m. and on dialysis days he goes home, has lunch and is tired out and usually naps. The days after each treatment are the good days when he feels stronger and has more energy to spend time with his family and on hobbies that include woodworking and boating.

“The next day I’m 100 per cent,” said McQuade.

The lifesaving dialysis that he gets so close to home means all the difference when it comes to enjoying his time with his wife Sharon and his children and grandchildren.

His kidney disease diagnosis meant big changes. “It’s quite a life change. Especially in your food and your diet,” he said.

McQuade is impressed with the expansion, which includes big windows and large rooms.

“I love the brightness and the space and the new chairs,” he said.

Plenty of parking right at the entrance of the centre is another feature he appreciates.

RVH is the only small hospital in Ontario that operates a regional dialysis program.

At the grand opening, medical director of the nephrology program Dr. Nicole Delbrouck said RVH was considering a regional program years before the rest of the province began to focus on regionalization.

Completion of the project brought to mind the Burl Ives song The Little Engine that Could, said Delbrouck.

“The Renfrew hospital is the little engine that could in this scenario,” she said.

“The other feature that is very important to emphasize is the will of this particular hospital to be hospitable to the needs of Renfrew county patients and in particular the renal population,” she said.

“The hospital undertook this program because the need was absolutely clear, we have the biggest county in Ontario, people were travelling huge distances,” said Delbrouck. “I did have people in their 80s who were doing this.”

At one time and for some patients, chronic kidney disease was a death sentence for patients unwilling to put their families and themselves through the ordeal of waking up in the middle of the night to drive hours several times each week for needed dialysis.

“Those people who were given the choice often declined,” said Delbrouck, because they couldn’t drive to Ottawa, couldn’t afford the frequent travel and weren’t prepared to bankrupt themselves or family members.

“The last person I knew that made that choice was someone who had been referred to us from the Ottawa program,” she said. The man was on a waiting list for the limited number of local beds that were available at the time. “He died in the process of waiting for a bed to become available. And I swore that would never happen again, that was absolutely unacceptable.”

Three local family doctors trained to be able to facilitate the local program, the only ones in Ontario and possibly the country to do that, she said. “We still enjoy tremendous support from our family physicians,” she said.

And from then on the engine has gathered steam, culminating in Thursday’s opening.

RVH works closely with and officials thanked the Champlain LHIN and Champlain LHIN Regional Renal Steering Committee, the Renal Administrative Leaders Network of Ontario (RALNO) and Ontario Renal Network (ORN) working groups and initiatives, and has links with The Ottawa Hospital Renal Program.

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