CHRONIC KIDNEY DISEASE A SILENT KILLER..

BEWARE! CHRONIC KIDNEY DISEASE , A SILENT KILLER ON THE LOOSE
BY: TED CHO AND RHEALYN GARCIA

In a media forum hosted by Philippine College of Physician (PCP), Drs. Susan De La Rama and Dr. Noel Castillo explain the following facts about chronic kidney disease. About ten percent of the adult population worldwide have some form of kidney disease.  Every year millions of people worldwide die prematurely because of the complications related to Chronic Kidney Disease (CKD), mainly due to cardiovascular diseases.

Worldwide, CKD is an important public health problem that is closely linked to other major non-communicable diseases such as diabetes, hypertension, and cardiovascular disease and increase the likelihood of adverse outcome and high cost of of health care.

In the Philippnes, kidney diseases rank number 10 among the leading causes of death based on the Department of health statistics for the past several years.

CKD is progressive loss in kidney function over a period of months to years. Each of our two kidneys has about a million tiny filters, called nephrons. If nephrons are damaged, it stops working. Meantime, the healthy nephrons can take on the extra work but if the damage continues, more and more nephrons shuts down. After a certain point, the nephrons that are left can not filter your blood sufficiently to keep you healthy.

Based on Phil. Renal Registry of the DOH REDCOP and PSN. There are 18,868 patients on dialysis treatment in 2012. There are 12,122 new patients nationwide who started on dialysis in 2012. This number of new patients starting on Dialysis has been increasing by more than ten percent every year for the past ten years! There are 342 patients who had kidney transplantation in 2012. Among the top 3 leading causes of End Stage Renal Disease (ESRD) in the Philippines are: Diabetes Mellitus, Hypertension and CKD.  

Practical Suggestions in Preventing Kidney Disease:
1. Keeping fit and active.
2. Control and manage blood sugar level.
3. Control and manage blood pressure level.
4. Eat balance and healthy diet and keep your in check and manageable.
5. Adequate fluid intake.
6. Do not smoke.
7. Check your kidney function if you any of the high risk factors.
      a. Diabetes mellitus
      b. Hypertension
      c. Obesity
      d. Family members with kidney disease.
8. Consult experts when taking drugs and supplements.
9. If all the above fails and you can't sleep stop counting the sheep and talk to the SHEPHERD and pray.

Program of Activities:

Lecture on Nutrition for Dialysis patients Lecture on CKD for Family Medicine Doctors *WKD banners in clinics and hospitals	March 8, 2014 March 10, 2014 General Santos Doctors Hospital, General Santos City
Theme: KIDNEYS AGE, JUST LIKE YOU 7-8:30am Zumba for the Elderly emphasizing the importance of exercise in keeping the kidneys healthy across all age group 8-8:30am Snacks Intermission number by Vice Versa Ala Vice Ganda Opening Remarks: Dr. Noel Villanueva Past President, PSN Mindanao 8:30-10:15am Talk on the WKD theme by Nephrologist Dr. Karen Querenquencia Message of inspiration by Davao City Ex Vice Mayor Luis Bonguyan How he keeps his kidneys healthy despite his age and prostate disease Open Forum to be participated by all Nephrologists 10:15-10:45am Intermission number by Vice Versa Closing remarks: Dr. Clarissa Equipado-Arsolon, Over-all Chair, WKD 10:45am Preparation for the city motorcade to promote WKD to the general public 11am City motorcade proper	People’s Park Davao City March 13, 2014
Postgraduate Course: Kidney in Focus Joint postgraduate course of PSN Mindanao and SPMC IM Dept. Topics are well selected to cater the management of common kidney diseases for the nephrologists, internists, family medicine practitioner, general practitioner and nurses	March 14-15, 2014 APO View Hotel Davao City
Title of program: World Kidney Day 2014: Kidneys Age, Just Like you Objectives: Raise awareness about our amazing Kidneys Highlight that Diabetes and High Blood Pressure are key risk factors for CKD Encourage systematic screening of all patients with diabetes and hypertension for CKD Encourage preventive actions Educate all medical professionals about their key role in detecting and reducing the risk of kidney disease, particularly in high risk populations. Encourage Kidney Transplantation as a best-outcome option for kidney failure, and the act of organ donation as a life-saving initiative Stress the important role of health authorities in controlling the CKD epidemic Health authorities worldwide will have to deal with high and escalating costs if no action is taken to treat the growing number of people with CKD. Everybody is encouraged to take action and invest in further kidney screening PROGRAM: 8:00-10:00am Diagnostic Screening and Interpretation FBS, Creatinine and Urinalysis 10:00-11:00am Lecture / Workshop for Primary Care Physicians and Healthcare Professionals Marichel Pile-Coronel, MD 1:00-2:00pm Lay Forum: Understanding Chronic Kidney Disease 2:00-2:30pm Question and Answer	March 12, 2014 Bulacan Medical Center
March 13, 2014 - 8 am to 12 noon - Patient Benefits’ Forum	6/F Auditorium CGH, Blumentritt, Manila
March 20, 2014 – 8am – 12 nn – Free Clinic and Lay Forum on Chronic Kidney Disease	Chinese General Hospital, Outpatient Clinic
Theme: Urine Screening Program: Free Urine Dipstick Blood Pressure determination Free medical consult/advice (Nephrologists)	March 13, 2014 TMC Satellite Clinics: Sta. Lucia (Marikina) Trinoma (Q.C.) 10am-5pm
March 13, 2014 8-11am Patient Benefits’ Forum (Chinese General Hospital) Chinese General Hospital 1-2pm Lay Forum (Lay Education in CKD – Bakit Mahalaga ang aking Kidneys) Mini Plaza, Brgy Kalusugan, Q.C. 2-3pm Free Screening (Serum creatinine determination and Urinalysis) SLMC, Q.C
Lay Forum at the Outpatient service (Patients and other Non-renal Patients)
Whole day video on kidney quiz and lay lecture at the general IM clinics Whole day video on hemodialysis patient care at the hemodialysis unit 8am Parade 10am Lecture on Kidney Disease for Layperson 12nn Lunch 1pm Lecture on Renal Nutrition 3pm Lecture on Erythropoietin	March 13, 2014 UP-PGH, Taft Avenue, Manila
Mixed Media Art Contest Lay Fora Free Vaccination (Flu, Pneumonia, and Hepa)	March 13, 2014 NKTI, East Avenue, Q.C.
Lecture in Public School Urine screening, BP measurement	March 13, 2014
Zumba activity Motorcade Lecture (Nephrologists and dialysis nurses)	March 13, 2014 Bacolod City
Lay Forum	March 13, 2014 Outpatient Department, Makati Medical Center