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Nephrology Profile Image

Nephrology

Nephrology is the study of normal kidney function and kidney disease, the preservation of kidney health, and the treatment of kidney disease, from diet and medication to dialysis. Nephrology also studies systemic conditions that affect the kidneys, such as diabetes and autoimmune disease.

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Overview

History and physical examination are central to the diagnostic workup in nephrology.

The history typically includes the present illness, family history, general medical history, diet, medication use, drug use and occupation.

The physical examination typically includes an assessment of volume state, blood pressure, heart, lungs, peripheral arteries, joints, abdomen and flank.

Treatment

Kidney problems can have significant impact on quality and length of life, and so psychological support, health education and advanced care planning play key roles in nephrology.

When the kidneys are no longer able to sustain the demands of the body, end-stage kidney failure is said to have occurred.

Without dialysis, death from kidney failure will eventually result. Dialysis is an artificial method of replacing some kidney function to prolong life.

At present, renal transplantation is the most effective treatment for end-stage kidney failure although its worldwide availability is limited by lack of availability of donor organs. 


23 Oct 2018

A friendly face with a great smile. Dr. Francisco is such a wonderful doctor. He takes such great care of me. He is very polite and makes me feel that I am in a very capable hands. He is very patient oriented. A peoples man. He goes beyond miles to help and make sure I am well at all times and that I get the best treatment. What else can a patient ask for. He is a very dedicated doctor. Compliments for Dr. Francisco. He is an excellent doctor. I will definitely want to recommend as many people as possible for treatment and patient care.

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31 Aug 2018

I have been there for emergency service as i’ve had a hard time to pee and almost undergo dialysis. I’ve received excellent, professional care delivered with kindness.

My kidney functions improves after the treatment - thankfully!

I highly recommend Dr Francisco.

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Meet The Expert - Dr Francisco Salcido-Ochoa

Meet Dr Francisco, an experienced nephrologist and transplant immunologist. He specialises in the treatment of any kidney related problems and how our immune system contributes to diseases. He was trained in the largest hospital in Singapore and has more than 10 years of experience in this field. 

To him, nephrology focuses on a very unique part of the body. He likens it to an army that protects our bodies against infection and cancers. Many diseases don't just affect the kidneys, but the whole immune system of the body.

Watch the video to get to know more about him, and find out what's his motto in life. 

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Ask Dr Francisco: Kidney Dialysis

When your kidneys fail, your body is unable to naturally eliminate waste and unwanted water from your blood. Dialysis is an artificial way of removing these substances from the body. There are two different technologies (haemodialysis and peritoneal dialysis) used to achieve this. 

However, dialysis does not cure your kidney disease. You will need to have dialysis treatments for your whole life unless you are able to get a kidney transplant. 

To learn more about kidney dialysis, join Dr Francisco, an experienced nephrologist as he hosts a QnA session where he answers all your questions on kidney issues. 

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Hi, Kidney transplantation can prolong and improve the lives of patients with kidney failure, in comparison to their outlook if remaining on dialysis forever. Kidney transplantation can also give patients a better quality of life by allowing them to regain their freedom to do ma...
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Hi, Choosing between peritoneal dialysis and haemodialysis can be a difficult decision because there are many factors to consider and it is a significant event in patient’s life. There are patients who have medical contraindications for one therapy or for the other and ...
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Hi, Peritoneal dialysis is regarded as a self-care therapy, that is, you do it by yourself, after being trained, contrary to haemodialysis, in which typically the nurses do all the procedures and steps for you. The fact that you do peritoneal dialysis by yourself gives you ce...
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Hi, Thank you for your question. Chronic kidney disease includes different types of diseases of the kidneys, like diabetes, high blood pressure, different types of inflammation of the kidneys, allergies, urine flow problems, rare diseases, recurrent infections, etc. So, the tr...
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Hi, Thank you for your question. Age is one of the factors determining the type of dialysis, but more important than age, in my experience, it is the fitness, fragility, frailty, nutrition and mobility of the patient what matters the most; either due to age or the impact that ...
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Hi, Thank you for your question. The fees charged will depend whether you are doing it privately or obtaining government subsidies. For example, the fees for haemodialysis in the private sector can range from 200-500 dollars per session, depending if it is a satellite basic...
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Hi, Thank you for your question. Indeed, reaching total kidney failure and needing dialysis is a big event with a significant impact in your life, requiring in occasions huge modifications in your lifestyle. It can get in the middle of your work life (especially if you have a ...
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Hi, Progressive and severe injury to the kidneys can cause permanent and irreparable damage to the kidneys, leading to total kidney failure. If total kidney failure is confirmed by your doctor, dialysis will be needed for life. Alternatively, a kidney transplant is another option...
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Hi, Pain is the main concern of patients opting for or considering haemodialysis. Indeed, the needle insertion can be painful. We can use creams with a painkiller to be applied on the area for needling beforehand to reduce the pain. Once the needle is in place, typically is no...
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Hi, Not all patients with chronic kidney disease eventually need to undergo dialysis. Chronic kidney disease encompasses different disorders of the kidney. To mention some: diabetes, high blood pressure, different types of inflammation of the kidneys, allergies, urine flow pro...
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