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Stories from the dialysis comunity across the globe.



Dialysis patients affected by contaminated water at Edmonton hospital - Globalnews.ca PDF Print

WATCH ABOVE: Four patients who received dialysis treatments at the Royal Alexandra Hospital are now being closely monitored by health officials after it was discovered that disinfectant accidentally made it into the water supply that’s used in the machines. Shallima Maharaj reports. 

EDMONTON – Four dialysis patients are being closely monitored at the Royal Alexandra Hospital after a chemical was released into the water supply that’s used in the machines during treatment.

Global News

The incident happened at the hospital around 11 a.m. Friday when a valve was “accidentally turned during regular system cleaning,” according to Alberta Health Services.

“Inadvertently, some disinfectant got into that water supply,” said Curtis Johnston, facility medical director at the Royal Alexandra Hospital. “We need very pure water to use for dialysis treatments so there’s a system in place to purify the water. Periodically those systems need to be cleaned with this disinfectant.”

AHS would not say exactly what the chemical was, but Johnston said patients who may be exposed to the chemical could develop breathing problems.

“It’s expected that any adverse consequences from this exposure would happen in the first few hours. We don’t think there will be any long-term affects from this,” he said.

Once the chemical release was discovered, AHS said the water supply was immediately shut off and the patients were taken in for assessment.

“We recognize that an error occurred and our apologies have gone out to the patients and their families,” said Johnston. “Our first priority is always to look after the patients and to make sure that they’re safe and that they’re getting the type of care that they need to.”

Rose Laboucan’s close friend and colleague was one of the four affected patients. She said her friend, who is currently going through dialysis and chemo therapy, was on her way home to Sucker Creek—a four-hour drive—when she received a phone call to come back to the hospital.

“It’s very worrisome,” Laboucan said from outside the hospital Friday night. “We don’t know what the outcomes are going to be. We hope it doesn’t impact anything that’s going on with her treatment right now.

“She’s feeling some anger and she also has to keep faith and say, ‘We’ll get over this one too.’ She’s been through so much.”

Laboucan said she understands errors occur, but she hopes the hospital takes responsibility for the error to ensure it never happens again.

“There is no need for such an incident to happen at a hospital, in my opinion,” she said. “When it comes to lives of people that are being already in stressful situations, undergoing dialysis for kidney failure and then they have to go through that stress again…it’s just adding to the pressure. It’s ridiculous.”

Johnston said a full internal review will be conducted. AHS said the water supply would be cleaned and portable dialysis units would be used until the cleaning was complete.

© Shaw Media, 2015

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Quiet comfort: Hospital's dialysis unit completes move to new location - Dickinson Press PDF Print

“Well it’s quieter,” said dialysis patient David Paasch of the new space. “And there’s natural light through the skylights that we didn’t have in the old place.”

Medical staff administered the last dialysis treatment in the old hospital building on the evening of May 6 and were fully moved into the new facility and treating patients early May 7.

Paasch has been receiving dialysis treatment for 22 years and is the clinic’s longest continuous patient.

He and 27 others receive treatment at the unit on a rotating schedule with each patient receiving the blood-cleansing regime three times a week.

Because patients receive dialysis on a regular basis, the move between the two facilities had to be seamless and performed quickly.

“We had to have all hands on deck,” said Ardel Engelhard, director of renal services at CHI St. Alexius Hospital in Bismarck.

Engelhard said the move was hectic, but with a large team was completed with few flaws.

Everything from dialysis machines to Band-Aids were transferred from one space to the other.

She said while the new building is “very aesthetically pleasing” and the operation is run similarly to how it did in the old space.

“We are using the same equipment and staff,” Engelhard said. “And there is a lot of good in that continuity.”

Registered Nurse LuAnn Berger said the new space was an adjustment for the staff because they had to relearn where everything was located. But now that they have had time to organize, it’s an improvement.

She said the space accommodates the same amount of patients, but it’s newer, brighter and slightly bigger.

Berger said the unit is in the process of obtaining an eighth station so they are able to provide services to four extra patients.

“Population growth in the area has increased demand,” Berger said.

As it stands, the unit is currently operating at full capacity treating seven patients at a time, 14 per day and 28 total.

Paasch is one of those patients, arriving three times a week for treatment. On Friday morning, he sat with a long needle poking into his arm that pumps blood out of his body, cleanses it from toxins and waste, and pushes it back in. It’s a process that mimics what a healthy kidney constantly performs.

“What we are doing in four hours, a normal kidney does in 24 hours,” Berger said. “Normal kidneys are constantly working all day long. But this machine can do that in four hours.”

After more than two decades, Paasch said he still hasn’t become fully accustomed to the regularity of the process, though he has learned to cope with the side effects of the treatment.

“You never get used to dialysis. It disrupts your life so much that I don’t know how anyone could get used to it,” he said. “My wife and I haven’t been on a vacation in 22 years.”

But he said that isn’t true for all patients, as treatment has become more widespread and therefore easier to access. He has even heard of patients going on cruises and receiving treatment while aboard.

The process is common and hasn’t changed much during Paasch’s two-decade stretch of treatment.

Berger said there are less complications now than there once was due to advancements in technology. But the overall process is largely the same.

Treatment is still four hours, three days a week.

Paasch tries to continue working on his farm north of Dickinson to keep an overall sense of self worth, but medical issues and side effects have affected his ability to do so.

He said he tries to keep a positive perspective on the situation, though he admits it’s not ideal.

On Friday, Berger stood near the machine where Paasch was receiving treatment, the two speaking in low voices, giving each other a hard time and laughing about it.

They know each other well, Berger said.

Seeing each other three times a week will do that.

Kessler is a reporter at The Press. Contact her at 701-456-1208.

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A National Renal Disease Fund to be established - The Official Government News Portal of Sri Lanka PDF Print

Already a committee has been appointed to monitor the prevailing renal disease activities to deal with the widely spreading renal disease and under which sub committees have also been appointed. These activities are being coordinated by the renal disease coordinating committee that has been established under the Presidential Secretariat.

 

Local and International organizations that are keen to prevent the spread and cure of this disease have up to now contributed Rs. 7 Million for this purpose.

 

The Cabinet has approved the proposal made by President Maithripala Sirisena to establish the National Renal Disease Fund proposed under the 2015 budget under the Presidential Secretariat.

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21st century trends in management of small renal cancers - News-Medical.net PDF Print

By Shreeya Nanda, Senior medwireNews Reporter

A US population-based cohort study reveals a change in the management of small renal masses in the 21st century with rates of nephron-sparing surgery on the rise and a corresponding decrease in the use of radical nephrectomy.

Analysis of the Surveillance, Epidemiology, and End Results (SEER) database showed that between 2001 and 2009, 6664 US patients aged 66 years or older were diagnosed with a primary renal tumour smaller than 4 cm – of these 90.0% were treated surgically.

During the study period, the proportion of patients receiving nephron-sparing surgery, comprising partial nephrectomy and ablation, increased from 21.5% to 49.0%.

By contrast, rates of radical nephrectomy in the same period decreased from 69.0% to 42.5%, with nephron-sparing surgery eclipsing radical nephrectomy in 2009 as the most common treatment for small renal cancers.

The proportion of patients receiving nonsurgical care remained stable between 2001 and 2009, at 9.5% and 8.5%, respectively.

After a median follow-up of 63 months, the 3-year and 5-year overall survival rates were 90% and 81%, respectively, for patients who received nephron-sparing surgery and 83% and 72% for those treated with radical nephrectomy. The corresponding rates in the nonsurgical management group were 73% and 61%.

Multivariate analysis, adjusting for patient and disease characteristics, showed that both nephron-sparing surgery and radical nephrectomy significantly reduced the likelihood of mortality from any cause compared with nonsurgical management, with adjusted hazard ratios (HR) of 0.55 and 0.76, respectively.

However, only nephron-sparing surgery was also significantly associated with a decreased risk of renal cancer-related mortality, with an adjusted HR of 0.47.

Highlighting the low number of cancer-related deaths (4.4 vs 31.8% from any cause), the team notes that the overall survival benefit associated with surgery may “reflect patient selection rather than a direct benefit of surgery.”

Researcher William Huang, from New York University Langone Medical Center in the USA, and colleagues observe in JAMA Surgery: “Although our findings support nonsurgical management as an acceptable treatment option for small kidney tumors in elderly patients or those with limited life expectancy, it appears that nonsurgical management of small kidney cancers remains uncommon and stable over time.”

“It is possible, however, that with heightened awareness of outcomes from studies such as ours, the use of nonsurgical management may increase.”

medwireNews is an independent medical news service provided by Springer Healthcare Limited. © Springer Healthcare Ltd; 2015

Licensed from medwireNews with permission from Springer Healthcare Ltd. ©Springer Healthcare Ltd. All rights reserved. Neither of these parties endorse or recommend any commercial products, services, or equipment.

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'She understands what it is to have a loved one of dialysis' Raquel to run for ... - WalesOnline PDF Print

A hotel worker whose father was diagnosed with kidney failure when she was a child has decided to raise funds for the charity that supported him.

Raquel Riesgo Franco, from Cardiff, was nine when her father was taken into hospital with high blood pressure and subsequently diagnosed with chronic kidney failure.

He was referred for treatment and required to receive dialysis filtering in hospital three times a week.

Finally, a positive match was found

While waiting for a transplant, he remained on dialysis for five years and was given a home dialysis machine.

Finally, in 2003, he was told a positive donor match had been found and was able to go for the operation that saved his life.

Now Raquel has decided to raise money for the Kidney Wales Foundation by completing an obstacle course called the Gauntlet Games.

RELATED: Brave Summer to take part in third charity fun run

She said: “It will be such a great opportunity to not only raise money for the great work that Kidney Wales do, but also to raise awareness that people can save lives when they donate their organs to people in need – like my father was.”

Raquel, who works for the Cardiff Marriott Hotel, will be joined by her colleagues to complete the race. The team have also chosen Kidney Wales as their charity of the year.

'This is my first time doing anything like this'

She added: “I’m really grateful that the team at the Marriott want to get involved with these games and support Kidney Wales, who make a huge difference to families like mine.

“These fundraising activities give families the opportunity to meet with other people in similar situations and all share the same great experience.

“I recommend anyone of any fitness ability to sign up – this is my first time doing anything like this.”

Kidney Wales chief executive Roy Thomas said: “Raquel understands what it is to have a loved one on dialysis.

RELATED: Dialysis machine for young patients unveiled

“The team at the Marriott are not only taking on the challenge of the Gauntlet Games and raising money for our charity, but the Marriott has adopted Kidney Wales as their charity of the year.”

The event on Saturday, June 6 is aimed at people who are new to obstacle racing and will take place in woodland in the Vale of Glamorgan.

The 5km or 10km routes have a Gladiator theme. For more information and to sign up, visit www.thegauntletgames.co.uk

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