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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