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KIDN EY FOUNDATION MISSION

KIDN EY FOUNDATION MISSION. S t. Gregorios Dayabhavan Kunigal. Chronic Kidney Disease. Asymptomatic Irreversible Silent Killer. Chronic Kidney Disease. Can be prevented? Progression can be delayed? Life can be sustained?. Yes Yes Yes. What are Kidneys?.

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KIDN EY FOUNDATION MISSION

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  1. KIDNEY FOUNDATION MISSION St. Gregorios Dayabhavan Kunigal

  2. Chronic Kidney Disease • Asymptomatic • Irreversible • Silent Killer

  3. Chronic Kidney Disease • Can be prevented? • Progression can be delayed? • Life can be sustained? • Yes • Yes • Yes

  4. What are Kidneys? A vital organ to sustain life

  5. Functions of Kidney • Removing toxins from blood through Nephrons • Formation of blood • Strengthening Bones • Production of Vitamin D

  6. Chronic Kidney Disease (CKD) • Causes Scarring in the Kidney • Irreversible • A Silent Killer

  7. Heart Disease.. ..Risk Factor Ten fold higher in CKD Patients

  8. Causes of CKD • Hypertension • Diabetes

  9. Current status • 10- 11% - detected – 120milion • Every 5th Indian is diabetic • India, Diabetic Capital of the world • Increment by two fold in future

  10. Medical Treatment • 7 out of 100 reach hospital • Survivors - 2 out of 7 • Out of 120 million • Dialysis - Above 60,000 • Transplant - 10,000 Per Year

  11. Experience A Middle Class Family

  12. 35yr old bread winner of a middle • class family • Diabetic • No Regular follow up • Presents with swelling of legs • Seen by Nephrologist

  13. TreatmentDialysis Temporary Life Support Cost Rs 25000 to 30000 per month

  14. Treatment Transplantation Cost Rs 5 lakhs to 12 lakhs Plus Monthly Maintenance Rs 10000 per month

  15. Patients Problem

  16. The sole earner - income per month 15,000/- • Does not have enough money for treatment • Total Denial • Children - education at risk • Not enough money to sustain • family & life

  17. What are his options? • Bankruptcy • Opt to Die

  18. Can We save them from the Silent Killer?

  19. Key Issues to be addressed • Management of patients with kidney disease • Social issues surrounding with the families of CKD patients • Creating publicawareness of kidney disease and its prevention.

  20. Implementation Medical Screening & Categorization

  21. Screening Test

  22. Treatment For CKD Patients

  23. Group A • Patients with initial stage of CKD Proper medication - Diet - Exercise Delay the progression by 15 – 20 yrsCOST - Rs 6000 –10000 per yr Bread Winners Effective and critical

  24. Initial Stage of CKD - Progression Bread Winners Effective and critical

  25. Group A • Patients with • end stage CKD

  26. DialysisTemporary Life Support COST- Rs 25,000 – 30,000 per month FREQUENCY - 2 to 3 times a week DURATION – 4 hrsReduction in working efficiencyExpensive long term basisBread Winners - Not preferable

  27. Transplant • A Second lease of life COST - Rs 5 lakhs (2 yrs dialysis Cost) With Complications10 – 12 lakhs (4 yrs dialysis Cost )

  28. Donor Could lead normal healthy life with One Kidney

  29. Prevention

  30. Group B – Potential Candidates • Hypertension and Diabetic PatientsExercise - DietProper medication advised by a physicianCOST- Rs 200-300 per month

  31. Group B - Prevention • Strong family history of diabetic and hypertension • Prevent diabetic and Hypertension • by diet , exercise & annual medical • check up

  32. What is practical? Prevention or Treatment

  33. Pledge of the Mission “Prevent Kidney Disease Save them from the Silent Killer

  34. Thank You

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