News

When our caregiver warrior, Virendra Singhal showed immense generosity in his moment of grief.

Mayank Singhal was diagnosed with CKD as a result of Alport Syndrome at a young age, when he was happy and carefree, and full of dreams for a bright future and a career. The diagnosis and treatment that followed put an end to his dreams and hopes. Mayank had to start peritoneal dialysis in July 2015, eight years after his diagnosis. This was the best option when facilities for hemodialysis were limited in the hilly region in Dehradun where he lived, and when initial attempts by doctors to create a fistula for him failed.

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KWF launches a series of videos focusing on Diet Management in CKD.

KWF felt the pressing need to disseminate the information in our book Nutritional Secrets among a wider audience, so that a larger number of patients and caregivers can benefit from the abundant information it contains. To achieve this goal, Nutritional Secrets is being shared in the form of a series of videos, where dieticians and experts speak about the different components of a diet suitable for kidney patients. The series begins with a video featuring an Introduction, followed by a Promotion showing the usability of the book, and goes on to present information about the various elements of a diet, namely, macronutrients and micronutrients such as Protein and Carbohydrates, Sodium, Phosphorus, Potassium, Fluid, Fiber and Fats.

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In 2013, at the World Congress of Nephrology, the International Society of Nephrology made the vision statement for the world to prevent deaths due to treatable acute kidney injury (AKI). Each year there were 13.3 million reported cases of AKI, with developing countries burdened with approx 11.3 million. Working towards this ambitious project, International Society of Nephrology launched the #0by25 campaign, to reduce preventable deaths from AKI across the world by the year 2025. The aim was to create global strategies for early diagnosis and treatment of AKI among patients with reversible diseases. 

This initiative focused on bringing in infrastructure, training and education through need based projects. These were particularly designed to meet the needs of developing countries and disadvantaged populations. 

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Women across India, living in rural areas face similar issues: Long working hours, poverty, financial constraints, illiteracy, lack of proper hygiene, unconcerned husbands, and medical complications. Poverty, illiteracy and lack of medical facilities inhibit women from reaching out to the nephrologist in time, thus delaying treatment. Their faith in local quacks proves to be a major hindrance. A vital issue is the marriage of young girls who have been afflicted by the disease. Questions of who will marry them, will they survive, will they concieve? – form an endless list. KWF has started campaigns towards creating awareness amongst these women. 

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The coronavirus raised its hood in advanced countries in Europe and the United States of America sometime in December 2019. In early March, when travel restrictions were being applied, foreseeing problems in supply of imported medicines and consumables, KWF took a preemptive step to warn patients to stock medicines. 

When the Government promoted social distancing, dialysis patients found few city autos on the streets. KWF’s Sejal Jobanputra’s tweets caught media’s attention with Hindustan Times carrying a story on 23rd March with interviews of affected patients. By 24th March, complaints came from other parts of India of patients unable to reach their dialysis centers. The police were strictly following orders, immobilizing patients who needed emergency treatments.

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Online Yoga classes conducted by our caregiver member Saurabh Agrawal

For people with CKD, physical activity is imperative in order to overcome the manifold side effects of dialysis and medications. Although walking is considered the best form of exercise, it can be supported by other forms for better outcomes. Yoga is one such form that can be practiced by people of all age groups for greater flexibility, better muscle strength, improved bone strength, increased blood flow, improved heart rate, and control of blood pressure and blood sugar. It also helps in relaxation which, in effect, improves sleep.  Responding to the need expressed by several members of KWF to include meditation and relaxation as part of a patient’s routine, Saurabh Agrawal, a certified yoga instructor, volunteered to conduct yoga sessions for the members.

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Women’s Health & Pregnancy in Chronic Kidney Disease

Health issues of women do not get as much attention or focus as that of men. Women themselves often ignore symptoms of disease and do not heed warning signs issued by the body. The disparity in access to health care by men and women is proved by statistics which show that the incidence of certain diseases is similar in both men and women, but the percentage of men actually availing treatment is far higher than that of women. Very often, this is the result of the deeply ingrained societal belief that men are superior and bread-winners of the family, and therefore deserve better health care, and even nutrition. With such a situation prevailing, even serious and life threatening conditions go undetected in women.

In the case of kidney disease also, the plight of women is no different. Women are also more likely than men to donate a kidney, while more men than women receive dialysis or undergo kidney transplantation. Even certain government health schemes for the benefit of patients, like free or subsidized treatment or medicines, are utilized more by men than by women. This indicates that expenditure is also not always a criterion for women being denied adequate health care.

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Post Transplant Care & Relevance of Tac levels

Patients have many doubts regarding post-transplant care, especially with regard to ‘tac level’, a concept encountered during post-transplant follow-up. KWF organized a session on 4th September, 2020, with Dr. Vijay Kher, Chairman, Nephrology, Medanta Kidney & Urology Institute, New Delhi, to address concerns and queries related to maintaining tac level. The session was moderated by Maryann Manasseh.

At the outset, Dr. Vijay establishes that kidney transplant is the best treatment for kidney failure, by providing statistics for the survival of transplant patients in comparison to patients on dialysis. A transplant provides the best long-term outcome in terms of improving the quality of life and being cost-effective.

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Potassium – The ‘King’ by Suneetha Rao, Chief Dietician, NU Hospitals, Bengaluru

Potassium is an important mineral, and a key component of diet, that has various functions. The most important function of potassium is regulating the heartbeat. Abnormal potassium level will require immediate management with medication, while long term management can be done by modification in diet.

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Sodium – the Key Trouble Maker by Uma Maheswari, Consultant Dietician

This video deals with the relationship between salt and kidney disease and how restricted salt intake can help maintain kidney function in patients with CKD.

Ms. Uma describes the problems caused by excess sodium and how to regulate sodium levels in the blood by controlling the intake of salt. She demonstrates how salt can be measured to restrict its intake, and shows how the right quantity of salt can be used to make food tasty. Ms. Uma cautions us to read the labels of packaged foods to understand the quantity of sodium they contain. She emphasizes the need to control sodium intake to ensure kidney health, which in turn will prevent damage to the heart and lungs.

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Phosphorus – An Important Mineral by Suneetha Rao, Chief Dietician, NU Hospitals, Bengaluru

Ms. Suneetha talks about the management of phosphorus that has many functions. She shows us how a higher consumption of phosphorus rich food affects the body, resulting in bone disease.  Watch the video to understand the correlation between calcium and phosphorus, and the role of the parathyroid hormone in maintaining their balance.

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CHANGE THEIR WORLD. LET US ALL JOIN HANDS AND HELP EACH OTHER.