Chairman - Mediheal Group of Hospitals in Bioinformatics from Indian Institute ... Team Leader at MTRH. ... Eldoret Mr. Bijualias. P is a nursing

Africa is the youngest continent in the world

today which is developing very fast, hosting

about 1 billion people which is 14% of the world

population and very compatible with the modern

smart electronic age.

Today the increasing burden of kidney diseases and

end stage renal disease is a challenge to Africa with

following major risk factors such as Hypertension,

Glomerulonephritis, HIV, Malaria TB, Diabetes

Mellitus etc.

Renal replacement therapies include different

modalities like haemodialysis, peritoneal dialysis,

and renal transplantation. These are options, but

today the most practiced renal replacement therapy

in Africa is still haemodialysis.

Mediheal group of hospitals is establishing

haemodialysis units in every major towns of East

and Central Africa and very soon Mediheal is going

to bring Kidney Transplantation Units in Kenya and

other countries of sub-saharan Africa.

Quality and cost effective health care in super

specialty faculties of medical fraternity is the goal of

Mediheal and that shall lead to technology transfer

from the developed world, high end equipment

installation and ultimately establishment of

destination for medical tourism and travels.

We thank NHIF Kenya and government of Rwanda

for partnering with Mediheal in this noble cause.

Mediheal is already providing haemodialysis

services at Eldoret, Nakuru, Nairobi, Kigali, Addis

Ababa and very soon is going to other towns.

Kidney being one of the vital organs apart from

the heart, lungs, liver, and brain should be taken

seriously for preventive, diagnostic, curative and

prognostic measures of health care.

Dr. S. R. MishraM.S (Obstetrics & Gynaecology), India Dip. Gynec Endoscopy (Germany)

Message from

Chairman

Dr. Frank Kamunde Mwongera is a well-known Physician and Kidney

specialist with over 35 years of experience. He got educated in Kenya,

United Kingdom and United States.

He served as a Chairman, Dept. of Medicine and Kidney Unit at KNH up to 1994.

He is heavily involved in care of kidney patients including transplantation and novel

therapies in the I.C.U. He is recognized as a Distinguished Fellow of European Dialysis and

Transplantation Society. He is a member of International Society of Nephrology and American

Society of Nephrology.

The expected rise in numbers of patients requiring

dialysis will also require easier access to kidney

transplantation; otherwise the dialysis facilities

will be overwhelmed by the sheer numbers

requiring dialysis.

Private dialysis units will also play an important

role in providing care for those patients who wish

to have this service privately. There are several

dialysis centers scattered all over the country which

have provided the backbone of renal replacement

therapy while these services have been insufficient

if not available.

Mediheal Dialysis Ltd. has recently embarked

on a countrywide expansion program so as to

supplement the dialysis capacity available in

the country. I am proud to announce that I am

specifically associated with this venture. Mediheal

Dialysis Ltd. ultimately aim to provide affordable

and quality dialysis to our citizens and those

referred for this service from the region.

Dr. Frank Kamunde Mwongera

Message

• To provide international standard medical care within reach of every individual

• To achieve and maintain excellence in health education, research and provision for the benefit of humanity

• To transcend the realm of curative care with a new focus on preventive care

• To build an infrastructure that will create an environment that protects and nurtures our future generations

To be the most responsive

and innovative healthcare

provider, thus positively

impacting communities in

Africa and beyond.

OUR VISION

• Discipline

• Excellence

• Sense of Urgency

• Innovation

• Respect for People

• Execution

OUR VALUES

OUR MISSION

Nairobi Unit

Kigali Unit

Nakuru Unit

Eldoret Unit

Dr. G B Mahapatra is working as a consultant physician and in-charge of executive health check-ups at Mediheal Diagnostic and Fertility Centre, Nairobi. Before Mediheal, he was working as the Assistant Professor in the Institute of Medical

Sciences and SUM Hospital, Bhubaneswar, India. He has 35 years of experience in clinical practice. He has attended quite a number of national and international conferences. He is very dedicated and sincere as far as his profession is concerned.

Dr. G B Mahapatra

Doctors' Profile

Consulting Physician,Mediheal Diagnostic Centre,

Nairobi

Dr. Dillip Kumar Mishra is a consultant in Internal Medicine in Mediheal Hospital, Eldoret since 5 years. He has worked extensively in prestigious institutions of India such as AIIMS, Dr. Ram Manohar Lohia Hospital, PGIMER and Apollo hospital, New Delhi. He also has been awarded with fellowship in Diabetes

management by the esteemed institute of CMC, Vellore, INDIA. He is a Life Member of Associations of Physicians of India; Research society of study of Diabetes in India & Indian Society of Cardiology. He is also a member of Association of Physicians of Kenya & Diabetes Kenya Association.

Dr. Dillip Kumar Mishra

Consulting Physician,Mediheal Hospital & Fertility Centre,

Eldoret

Dr. Parag Patil is a Consulting Physician at Mediheal Hospital and Town Clinic, Eldoret since December 2014. He has gained popularity amongst people in Kenya in a very short period of time by his hard work, dedication and care for the patients. He graduated (MBBS) from Govt. Medical College, Aurangabad (India), acquired Postgraduate Diploma in Bioinformatics from Indian Institute of Bioinformatics, Noida (India) and MD General Medicine from a renowned institute-TNMC & BYL

Nair Ch Hospital, Mumbai (India). He served as an Assistant Professor at a Government Medical College in India. He is a Life member of Indian Medical Association & an International associate member as a cardiovascular professional (certified by American College of Cardiology). He has an expertise in many procedures like haemodialysis catheter insertion, central venous catheter insertion, lumbar puncture, pleural tapping, endotracheal intubation, etc.

Dr. Parag Patil

Consulting Physician,Mediheal Town Clinic & Hospital,

Eldoret

DR. B. K. O. GANDA, MB ChB, MMED (Paed) is a Nephrologist and Chief Specialist / Kidney Transplant Team Leader at MTRH. He graduated from University of Nairobi MB ChB (1977), and post-graduated: MMED (1983). He is a Chairman Department of Pediatrics (MTRH) for over 20 years. He is a Founder

Chairman and HOD of Department of Nephrology MTRH since 2002 till now (2015). He has pioneered Kidney Transplant in MTRH in 2006 and Kidney Transplant Team leader since then (14 patients have been successfully transplanted since 2006 to date). He is a member of many professional societies.

DR. B. K. O. Ganda, MB ChB, MMED (Paed)

Visiting Nephrologst, Mediheal Hospital & Fertility Centre, Eldoret

Dr. Dhiren Parikh is a senior physician with 24 years experience. He passed his MD degree in internal medicine in 1991. He has vast experience in all the branches of medicine like cardiology, neurology,

kidney problems, respiratory problems and all. He has experience of working in India, gulf countries and Kenya. He is serving people in Kenya since 2007 as a consulting physician.

Dr. Dhiren Parikh

Consulting Physician,Mediheal Hospital & Town Clinic,

Nakuru

Doctors' Profile

Senior Laboratory Technologist, Mediheal Hospital &

Fertility Centre, Eldoret

Mr. Prasanth C Nair is a senior laboratory technologist at Mediheal Hospital and Fertility center having more than 10 years of experience.He did DMLT in Govt. Medical College, Kottayam; also done BSc MLT. He is working with Mediheal group of Hospitals since 2012 as a Lab Manager.

Mr. Prasanth C Nair

Nursing Officer In-Charge, ICU, Mediheal Hospital &

Fertility Centre, Eldoret

Mr. Bijualias. P is a nursing officer in-charge for ICU at Mediheal Hospital and Fertility Centre, Eldoret. He is working efficiently in Mediheal Group of Hospitals since 2012.

Mr. Bijualias. P

Mr. Lawrence Munene is a registered nephrology nurse with vast experience in management of renal units. He is nursing officer in charge at Mediheal Renal Unit, Nairobi.

Mr. Lawrence Munene

Nephrology Nurse, Mediheal Hospital, Nakuru

Mrs. Philomena Kiama is a Nephrology Nurse. She is working in nephrology unit since 2010 at Mediheal Hospital, Nakuru.

Mrs. Philomena Kiama

Nephrology Nurse, Mediheal Hospital, Eldoret

Mr. Anthony Chesire is a haemodialysis specialist. He is a nephrology nurse by training, and is a co-ordinating & visiting dialysis technician at Mediheal Hospital, Eldoret since 2006.

Mr. Anthony Chesire

Consulting Physician,Mediheal Hospital & Town Clinic,

Nakuru

Dr. Pravin N Pol is a Consultant Physician & Non-interventional cardiologist, skillful in 2D echo, color-doppler; has an expertise in Critical Care Medicine & Emergency Medicine and a vast experience over 14 years. He has acquired his M.D Medicine from Seth G S Medical College, Mumbai University, India. He is a Leading Physician serving at Mediheal Hospital at Nakuru, Kenya.

Dr. Pravin N Pol

Pathologist, Mediheal Diagnostic Centre, Nairobi.

Dr. Ramkumar K R is a pathologist having more than 20 years of experience. He has completed his MD Pathology from Mysore University in 1995. His areas of expertise are Histopathology, FNAC, Cytology & Hematology. He was the professor and head of the department of pathology in DM WIMS medical college, Kerala, India and also a post-graduate faculty. Dr Ram has several publications in indexed journals to his credit.

Dr. Ramkumar K R

Nephrology Nurse, Mediheal Hospital, Nairobi

The kidneys are two vital organs in your body that perform important functions.

1. They remove waste products and excessfluidfromyourbloodasurine, retaining back important nutrients.

2. Regulate hormones which help to control blood pressure.

3. Secret erythropoietin that is an important stimulus to produce red blood cells.

4. Help form healthy bones by converting vitamin D to its active form which assists in calcium absorption.

5. Acid base homeostasis.

6. Regulate electrolytes.

Functions of kidneys

What are Kidneys?

• Blood in urine may appear as tea-colored urine

• Protein in urine: appear as frothy urine

• Increased frequency of passing urine, especially at night

• Swelling of legs

If you have 1 or more of the above signs or risk factors, ask your doctor to test for kidney disease

during medical check -ups.

Earlier we detect, the higher is the chance of preventing more serious loss of kidney function.

• Pyelonephritis: infection of kidneys

• Glomerulonephritis: immunological damage to the kidneys

• Nephrolithiasis: Kidney stones

• Nephrotic syndrome: excessive loss of proteins in the urine

If kidney disease is not treated, the damage caused can be irreversible.

• Diabetes

• High blood pressure

• Heart disease

• Smoking

• Obesity

• High cholesterol

• Being African-American, Native American or Asian-American

• Family history of kidney disease

• Age 60 or older

• Receiving multiple medications that are nephrotoxic

Types of kidney disease:

Risk factors for kidney disease:

Warning signs of kidney disease:

When your kidneys fail, you need treatment to replace the work normally performed by your kidneys.

When both the kidneys are irreversibly and totally damaged, the only option of survival is by Renal

Replacement Therapy (RRT).

Treatment Options for Renal Replacement Therapy (RRT):

A) Kidney Transplant

B) Dialysis

Kidney Failure

A) KIDNEY TRANSPLANT A kidney from a living donor (related or unrelated) or from a deceased donor (a person who has recently died) is removed and surgically placed into your body. The wait for a deceased donor kidney can be several years as there is a long waiting list. Living related donor kidneys have a better survival. Various factors need to be considered in matching kidneys with potential recipients.

You will need an assessment for fitnesstoundergokidneytransplantation.

• A transplanted kidney works like a normal kidney

• Helps to return you to a state of good health

• You do not need dialysis

• If you do not have a living donor, you may have to wait a considerable time for a deceased donor• It requires a major surgery• Your body may reject the new kidney, so the treatment may not last a lifetime• You will need to take anti-rejection medicine to maintain the transplanted kidney• Very high cost of kidney transplant

B) DIALYSIS

Dialysisremovesyourbody’swasteandexcessfluidfromtheblood.Itreplacessome

of the functions of the kidney.

There are two forms of dialysis:

• Peritoneal Dialysis

• Haemodialysis

Advantages of Kidney Transplant

Disadvantages of Kidney Transplant

It uses the peritoneal membrane as the filter

for dialysis. The peritoneal membrane lines

the wall of the inner abdomen and covers the

abdominal organs. The dialysis solution, which

isaspeciallypreparedfluid,isdrainedintothe

abdominal cavity through a special tube called

the peritoneal catheter.

Wasteproductsandextrafluidisremovedfrom

the blood into the dialysis solution. When the

dwell is completed, the ‘used’ dialysis solution

can then be drained out of the abdomen and

fresh dialysis solution is instilled.

Peritoneal Dialysis

There are two forms of peritoneal dialysis:

• CAPD (Continuous Ambulatory Peritoneal

Dialysis) is done manually

• APD (Automated Peritoneal Dialysis) is done

using a machine

Disadvantages of Peritoneal Dialysis

• Fourtofiveexchangesperdayareneededfor

CAPD

• A catheter leading from the abdominal cavity

to the outside is permanently present

• High chances of infection due to indwelling

catheter

In view of these disadvantages and high chances of infection, this form of dialysis is no

longer practiced routinely.

Haemodialysis

How is haemodialysis performed?

Duringhaemodialysisbloodisdrawnoutfromthebodyintotheartificialkidneywherewasteand

excessfluidareremovedandthecleansedbloodisthenreturnedtothebody.

B) HD Catheter:

Ifyouraccess(A_Vfistula)isnotready,youmay require a temporary form of access using a catheter placed into veins in the neck.

A) A_Vfistula:

A_Vfistula:In order to perform haemodialysis,

a surgically created opening between an

arteryandaveinknowasa‘fistula’isneeded.

This allows veins on the surface near the skin

to enlarge and blood can be drawn out and

returned through needles inserted into these

enlarged veins. If your veins are too small, a

graftusingartificialmaterialisneeded.

Blood Access

Advantages

• It is performed 3 times a week for usually 3 to 4 hours each time

• It is performed by nurses and dialysis care technicians in hospitals

• Doing haemodialysis in a dialysis centre or hospital allows for a social contact

• Chances of infection are minimal as compared to peritoneal dialysis

Disadvantages

• Youhaveafixedscheduleforyour treatment

• Youwillbeconfinedtoyourdialysischair for 4 hours

• Medications,fluidrestrictionanddietary control are necessary

• Availability of well equipped and standardized

machines for haemodialysis

• Sequential dialysis with different modes can be

done here, in which we remove only excess body

fluidswithoutalteringthesolutesinbloodfor

patientswhohavefluidoverload(pulmonaryedema)

with normal kidney function parameters

• Dedicated team of doctors and technicians

available all the time

• Cleanliness with pleasant ambience and patient-

friendly atmosphere

• Doctors readily available in case of emergency

during haemodialysis

• Availability of well equipped ICU in case of

emergency

• Facility for insertion of haemodialysis catheter

• FacilityforA_Vfistulacreationbyurologistsinour

well equipped operation theatre

• Food specially planned for kidney failure patients

by nutritionist is provided free of cost for the

patients coming for dialysis

• State of the art pathology laboratory for monitoring

patients’ kidney function periodically

MEDIHEAL HOSPITAL FOR DIALYSIS?

WHY TO CHOOSE

A WELL EQUIPPED, STATE OF THE ART KIDNEY TRANSPLANT UNIT WITH TRANSPLANT SURGEON AND NEPHROLOGISTS (coming soon...)

FUTURE PROSPETS:

MEDIHEAL DIAGNOSTIC AND FERTILITY CENTRE, NAIROBI

P.O. Box 39698 - 00623, Parklands Mediplaza, 3rd Parklands Avenue,

Opposite Aga-Khan Hospital, Nairobi, Kenya.

Tel : +254 722 218 416, +254 736 638 073

Email: [email protected], [email protected]

Web: www.medihealgroup.com

MEDIHEAL HOSPITAL, NAKURU

P.O. Box 172266 - 20100, Nakuru-Nairobi Highway, Nakuru, Kenya.

Tel : +254 735 000 735, +254 717 877 865

Email: [email protected], [email protected]

Web: www.medihealgroup.com

MEDIHEAL HOSPITAL AND FERTILITY CENTRE, ELDORET

P.O. Box 7905 - 30100, Nandi Road, Eldoret, Kenya.

Tel : +254 723 578 895, +254 735 864 169

Email: [email protected], [email protected]

Web: www.medihealgroup.com

MEDIHEAL DIAGNOSTIC AND FERTILITY CENTRE, KIGALI

Plot No. 252, Kimihurura, Main Road,

Near "Cadilac" Club, P.O. Box 958, Kigali, Rwanda.

Tel : +250 789 184 444, +250 727 602 020

Email: [email protected], [email protected]

Web: www.medihealgroup.com

MEDIHEAL GROUP OF HEALTH CENTRES

www.PhiCreativity

.com