Clinical corner – haemodialysis catheter

Entrepreneur success story of a chronic renal failure patient

Holiday time on dialysis

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September 2017

Welcome!

Dear Readers,

It gives me great pleasure to introduce you to the NephroCare for me magazine.

In this edition, we bring you some exciting and inspiring patient news from across South Africa.

We then discuss holidays on dialysis, explaining how you can have dialysis anywhere in South Africa. We are happy to accommodate you in any of our NephroCare centres.

We then take you through our clinical corner with some handy information on how to make your treatment more comfortable.

Lastly, let's get cooking with our lovely winter recipes.

So sit back...relax and enjoy this NephroCare journey with us!!!

Your NephroCare editorial team (patient.support@fmc-ag.com)

Fresenius Medical Care informs

Fresenius Medical Care – about us 4

Worth knowing in renal

Clinical corner – haemodialysis catheter 6

Different countries – different habits

Failure & pregnancy – it’s twins 8 Experiences with Fresenius Medical Care 10Entrepreneur success story of achronic renal failure patient 12

Recipes

Potato bread 14Creamed chicken with mushrooms 16Snow cupcakes 18

Worth living

Holiday time on dialysis 20

Information

National footprint 22Contact information 24

Inspiring

Message of appreciation 26Brain calisthenics 27

Fresenius Medical Care provides dialysis (peritoneal and haemodialysis) to over 300,000 patients worldwide. We boast vast experience in the speciality of renal care, working with expert nephrologists and dialysis nurses. Experience and data are shared around the world, including with South Africa, to ensure progress in the technology and care provided in our centres. Our care, known as NephroCare, is subject to strict guidelines to ensure your health and safety in our centres.

This care benefits patients, staff and the com-munity. We are a ‘green’ eco-friendly company, ensuring safe disposal of all disposable compo-nents of haemo dialysis and peritoneal dialysis.

Our devices, such as the 5008S CorDiax, ensure minimal use of water in the drought-stricken areas of our country.

Staff training plays an integral role at Fresenius Medical Care to ensure you experience only

the best treatment from nurses, clinical tech-nologists and doctors. They are kept up to date with all the latest technology and techniques.

A mentorship programme allows for senior staff to mentor, guide and support all our new staff in a practical setting.

At Fresenius Medical Care, we have a quality management system (QMS), which provides practical guidance to staff about protocols in order to perform the best dialysis. An example of  this is the hygiene policy, which gives in-structions on manoeuvres to be performed during dialysis to prevent infections.

Under the NephroCare approach, all our patients are in the good hands of our nurses in all Fresenius Medical Care centres worldwide

Charles SwanepoelCountry Medical Representative: Fresenius Medical Care

As a patient in a Fresenius Medical Care centre – the largest dialysis care giver in the world – you may be curious to find out more about us!

Fresenius Medical Care – about us

Fresenius Medical Care informs4

5

Welcome to clinical corner!

In each edition, this corner gives you information essential to your dialysis treatment. This information will be useful to you to understand and be more involved in your treatment. In this edition we kick off with a short introduction into the prevention of clotting of your catheters, explaining the medication we use in this procedure. In the next edition we will describe how these medications must be administered.

Enjoy your reading!

What you need to know about the haemodialysis catheterIn order to preserve your catheter and pre-vent it from clotting, two anti-clotting agents are available (anticoagulants), for the nurse to ‘lock’ your catheter.

This is what these terms mean:Anticoagulants prevent the blood from back-tracking up the catheter and forming clots, thus allowing the catheter to work with each dialysis for the life of the catheter, if instilled correctly by the nurse.

Anticoagulants only thin the blood, they do not ‘dissolve’ blood.

Locking the catheter means the nurse must correctly instil the anticoagulant into the cath-eter once the blood has been returned to your body, and the catheter has been flushed with normal saline.

Flushing with normal saline is important to ensure the catheter is clear of blood cells, to help prevent blockages.

What are these anticoagulants?

Intralock®

Is made by pharmacists without using animal products. Its active ingredient is a chemical known as citrate in a percentage of 4% (very low dose). It prevents clotting and the forma-tion of biofilm (a resistant film that forms on the end of your catheter inside your body, preventing the catheter from working). It assists with reducing episodes of infection with its antimicrobial properties. Intralock® works by interfering with calcium, which is used in the body for blood clotting. Clots will then not be formed at the end of the catheter. Intralock® does not enter your body; it stays in your catheter provided the nurse instils it correctly. There are minimal side effects.

Clinical corner – haemodialysis catheter

6 Worth knowing in renal

Heparin – well known to all of you!This product is of animal origin, and interferes with platelet production (special little blood cells that are active in clot formation), thus preventing blood from clotting. Unlike In-tralock®, heparin tends to encourage the for-mation of biofilm which causes difficulties with your catheter function. Heparin also tends to encourage infection in catheters if proper care is not adhered to. Due to heparin

overusage, we are starting to see resistance to heparin, as well as serious allergies. Hepa-rin does not enter your body; it stays in your catheter provided the nurse instils it correctly.

In the next edition, we will describe the method the nurse must use to instil these products into your catheter.

Knowledge is power.

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Lungisile Mbali ManqeleThe Durban Kidney & Dialysis Centre is proud to announce its very first successful preg-nancy. On 14 June 2017, Fresenius Medical Care dialysis patient of 3 years, business-woman Mrs Lungisile Mbali Manqele, wel-comed two bouncing bundles of joy named Nknyezi and Kwezi. This brother and sister duo have defied all odds and have been one of the very first set of twins to be born to a mother who is currently on dialysis treatment.

Staff at the Durban Kidney & Dialysis Centre said that this truly was a miracle, as from a science perspective, the elevated levels of urea, creatine accompanied by a minimal to nil urine output would make a successful pregnancy, let alone twins, near impossible. Women who are on dialysis treatment are made aware early on that renal failure severely decreases the chances of a successful preg-nancy and that is why Mrs Manqele only discovered that she was expecting 17 weeks into her pregnancy. She attributed her symp-

toms of pregnancy to the common cold, changes in her dry weight and even food poi-soning. It was only through a blood test that pregnancy was confirmed, and when Mrs Manqele had her first ultrasound she did discver that she was carrying not one but two babies.

Mrs Manqele had her babies delivered at Netcare St Augustine hospital via a C section 7 months into her pregnancy. During her sec-ond trimester her dialysis prescription changed to daily dialysis and two weeks before her set delivery date she was admitted and the daily dialysis continued in hospital with the aid of Fresenius Medical Care acute staff. She was also a given steroid treatment in order to allow the babies' lungs to develop fully.

The now mother of four said that her babies were doing well and had added a new ray of light in the life of her family. She went on to say that, while the babies were unexpected, she and her husband could not wait to bring them home in a few weeks.. Mrs Manqele also said that the support, love and advice she received from the staff of Durban Kidney & Dialysis Centre and Fresenius Medical Care as a whole had been overwhelming.

The Durban Kidney and Dialysis Centre would like to wish

Mrs Manqele everything of the best in the future for her

and her family.

Renal failure & pregnancy – it’s twins Durban Kidney & Dialysis Centre

Different countries – different habits8

9

Niresh ArroonFresenius Medical Care gave me and many others the opportunity to return to work full time. In my case I returned to work as an ed-ucator in a senior position. I was delighted that Dr AA Khan had upgraded all his units from standards that were already high to the world-class standard of Fresenius Medical Care.

This has been a long time coming for me - ever since I joined Fresenius Medical Care. The dial-ysis has given me an opportunity to engage with some high-profile personalities. I don’t think this would ever been possible if not for the management and staff – and not to forget the staff that ensures our facility is always fresh. I only want to mention a few: Borrie, Zora, Shame, Craig and all of the staff both past and current have been so amazing that any issues, be it administration, treatment or other issues, have always been addressed in a timely manner.

Fresenius Medical Care maintain a balance of senior personnel and a contingent of young personnel, who are confident, eager and world class, even though they are recent join-ers. Most of the young staff have redoubled their efforts so that the patients receive the best of dialysis treatments.

Fresenius Medical Care leads the way in dial-ysis treatment in the renal care fraternity. New procedures are being researched all year round, and the treatments are bettering the lives of many of the patients most of whom

get back to work and engage in hobbies and new activities. in hobbies and new activities.

Information on each patient is transferred to Germany and a full session of dialysis is encouraged in most cases. Many lives have been saved with instances of patients rushed to hospital. Compliance with the recommended fluid intake and diets is readily encouraged. Resources and visits by dieticians, pro-grammes of optimal renal health are often encouraged by head office.

Due to the popularity of world class dialysis, many new dialysis centres by Fresenius Med-ical Care have been opened by head office. The amazing thing is that Fresenius Medical Care has has provided dialysis to many patients while on holiday at venues through-out South Africa. International trips are made easy. The only requirement is that patients need to book early with their resident unit. When they arrive at their international destina-tion. they don't have to worry as their time slots have been booked for them.

Dialysis care doesn’t stop here, and after-care at home is often encouraged. There are many doctors, such as Dr S Maharaj, Dr Afzal,

Experiences with Fresenius Medical CareDurban Kidney & Dialysis Centre

10 Different countries – different habits

About the writer – Niresh Arroon

I joined Fresenius Medical Care in June 2013, where they gave me the chance to return to teaching, at Montarena Secondary (acting acting Head of Department), where I taught grade eleven business studies. I signed up with South Africa Tourism for a guest panel questionnaire at the Tourism Indaba 2014 to 2016. In 2016 I had the oppor-tunity to be part of the panel and to interview TV personality Steve Harvey.

There are several other engagements that I was able to meet due to the world class dialysis I was able to receive. Last but not least, I have an incredible following among the patients at Fresenius Medical Care. I take time, maybe 5 minutes before a session and immediately after a session in the reception areas. I try to make them laugh, but, hey, I'm not doing a good job at it. (I am the one laughing!)

Further, I am trying new research in catering. Often I try my new layout with the staff. In most cases the Fresenius staff come back satisfied. It’s the least I can do for them for keeping me alive and flamboyant and charismatic. Hey, Borrie, you've got to wait for your buffet. And thanks, Borrie!

Niresh Arroon is shooting for the stars, but if he doesn’t reach them, at least he will fall on the moon.

Current status – breathing and hoping for a transplant. Currently business partner of “5th Lock”. Just signed on as a free agent for South Africa Tourism , African Renaissance and International Marine Time Convention.

I’m encouraged to rest by both management at all levels as well as staff. I laugh, have a lot of fun but remember to control my hypertension, which landed me here in the first place! (Laugh again.) Never crying. What an awesome journey! I must behave, watch my fluid intake and watch my diet.

Dr AA Khan, Dr Mody. Dr Rambaly has been instrumental in monitoring patients. It is often the case that doctors pick up on shortcom-ings of patients and notice that they don't fol-low their diet and their fluid intake does not comply with a renal condition. Doctors interact regularly with both management and ground

staff, who work tirelessly to give information on the well-being of patients. The staff are awesome, vibrant and efficient, responding to situations, always willing to lend a hand to their co-staff and serving the needs of patients.

So go Fresenius Medical Care, go!

11

12 Different countries – different habits

Thalefang Paakane

BackgroundThe purpose of this article is to provide a sum-mary and evaluation of a chronic renal failure patient on haemodialysis treatment, which is administered for four hours three times a week. At the same time, the patient is able to manage and direct his network of businesses spread across different districts of Botswana.

IntroductionThalefang Paakane, a 62-year-old gentleman from Maunatlala, almost 300 km south-west of Francistown, is a retired school teacher who ventured into business in 2013. Soon af-ter his retirement, he was diagnosed with chronic renal failure.

Mr Paakane narrates his story as a painful and challenging time of his life. He had planned for a nice retirement with his family, but then suddenly something changed his life. He was living in Francistown with his fam-ily at the time. He was diagnosed in Boka-moso Private Hospital and later transferred to the Riverside Kidney Dialysis Unit on the 25 October 2013.

Mr Paakane had severe weakness in his low-er  extremities and was aided with a wheel-chair  for a time. Through determination and physiotherapy, he slowly regained his power. Mr Paakane was also diagnosed with Type 2 diabetes Mellitus, Anaemia, and End Stage Renal Failure at the same time. During that time, Mr Paakane had a farm that is 360 km from Francistowm and a supermarket that is 30 km from Francistown. He also owns a welding workshop in Francistown, where he resides. Mr Paakane had to adjust his life to meet all the business expectations and man-agement tasks in order to sustain his family during his retirement. At first after being diag-nosed, it was difficult to concentrate and decide which business to keep and which to sell in order to focus on his health. Ultimately, he and his family decided to keep.

In 2014, Mr Paakane was referred by Bot-swana's Ministry of Health to the Arwyp Med-ical Centre in South Africa for the surgical creation of an arteriovenous fistula (AVF). The

Entrepreneur success story of achronic renal failure patient

Riverside Kidney & Dialysis Centre

13

distance also affected his businesses, but as he was managing them by phone, they have since recovered.

Today, Mr Paakane has improved so much that he has adjusted his business manage-ment to his dialysis times, so he never misses any sessions. All his businesses are running well with the support of the rest of his family. He is the director of his businesses.

Clinical historyMr Paakane is currently only treated for end-stage renal failure, as the other conditions are being managed appropriately and he is no longer taking any treatment for diabetes. He has switched to a diabetic diet, which is a healthier choice, but is still currently on hypertensive treatment.

In all the years this patient has never devel-oped any chronic haemodialysis complica-tions other than occasional post-dialysis cramping and headaches. Good compliance has led to some improvement in the blood results, indicating better kidney function. For some time now, he has not complained of any illness, he has adhered very compliantly

to his haemodialysis sessions and medica-tion prescribed to him.

ConclusionWith the dialysis treatment given three times a week, the patient has managed to improve tremendously; he is more energetic and plans his business activities well so that they do not interfere with his dialysis schedule.

Mr Paakane hopes that in future, the com-pany will be able to introduce mobile dialysis for their customers who are entrepreneurs. He is also an active member of the Kidney Society of Botswana.

Mr Paakane encourages and motivates other patients at times when they want to give up. He gets solid support from his family. His wife is a retired pharmacy technician who advises him on the importance of compliance.

He is enjoying his retirement with his wife and children. When asked about kidney trans-plant, he responded that the procedure scared him because of stories that he had read in newspapers. He has been reassured about it.

Nutritional values (per serving)Calories 377 kcalProtein 13 gCarbohydrates 76 gFat 2 gSodium 83.0 mgLiquid content 63 mlPhosphorus 152 mgPotassium 252 mg

Ingredients (10 servings)Sponge:1 packet of yeast100 ml lukewarm water50 g flour

Dough:200 g potatoes (starchy)2 tsp salt2 tsp sugar550 ml water1 kg flour

Potato bread(serves 10)

MethodStir the yeast into the water and mix with the flour. Let the mixture prove at room tempera-ture until it has doubled in volume.

Boil the potatoes in unsalted water, leave to cool slightly, peel warm and purée.

Mix the salt and sugar with the water and knead a bread dough with the potatoes, the sponge and the flour.

Let the dough prove in a bowl in a warm place for approximately 60 min.

Preheat the oven to 230°C (220°C if fan- assisted) (put a bowl of water into the oven as well; this will make the dough more fluffy).

Shape the dough into a round loaf and bake it in the preheated oven for approximately 60 min. until the dough is baked (wooden pick test).

Recipes14

Starter: Potato bread Main course: Creamed chicken with mushroomsDessert: Snow cupcakes

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Nutrition tips: Reduce the potassium content of the potatoes by soaking them beforehand.

Ingredients (4 servings)4 chicken breasts 1 white onion 1 glass of white wine 250 g fresh mushrooms1 tablespoon whole-grain mustard 250 g fresh creamParsleyPepper 250 g rice

Creamed chicken with mushrooms(serves 4)

MethodFinely chop the onion and sauté with a little oil in a large saucepan.

Cut the chicken breasts into small pieces and add them to the caramelised onion.

Add pepper. Add the mushrooms, peeled and cut into strips. Add mustard and white wine to the mixture. When the alcohol goes flat, add fresh cream, parsley and lower the heat.

Simmer for 30 minutes over low heat.

Serve with white rice.

Recipes

Nutritional value: Calories 546 kcalProtein 44 gCarbohydrates 52 gFat 15 gSodium 150.0 mgLiquid content 256 mlPhosphorus 512 mgPotassium 836 mg

Starter: Potato bread Main course: Creamed chicken with mushroomsDessert: Snow cupcakes

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Nutrition tips: For fans of gourmet cuisine: this recipe for creamed chicken will seduce you! Quick and easy to make, this dish says “everyday”, meeting your requirements for salt and potassium. Rich in protein, necessary to maintain your muscle mass, it will thus be a source of phosphorus. Remember to take your phosphate binder! To reduce the potassium level of this dish, you can exchange the fresh mushrooms for canned ones (discarding the water in the can).

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Ingredients (16 servings)120 g wheat flour125 g icing sugar125 g soft butter2 eggs1 packet yeastFor the icing150 g icing sugar20 ml lemon juicePearls of white sugar for decoration

Snow cupcakes(serves 16)

MethodPreheat the oven to 180°C. Prepare the muffin moulds by placing paper liners on the inside.

Melt the butter.

Using an electric whisk, beat the eggs and sugar until light and smooth. Gradually add the butter while whisking, then add the flour with the yeast by mixing gently.

When the dough is smooth and uniform, fill the moulds halfway and bake them for 15 minutes.

Allow to cool on a rack.

Prepare the icing. Mix the icing sugar and lemon juice gradually for a shiny and soft paste. Using a spoon or spatula, ice the cup-cakes and sprinkle with sugar snowflakes. Let harden for a few minutes and then enjoy. The cupcakes can be kept for a few days in an airtight container.

Recipes

Nutritional values (per serving)Calories 4058 kcalProtein 5 gCarbohydrates 64 gFat 20 gSodium 31.7 mgLiquid content 51 mlPhosphorus 79 mgPotassium 139 mg

Starter: Potato bread Main course: Creamed chicken with mushroomsDessert: Snow cupcakes

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Your dialysis nurse will assist you with this, to ensure the staff at your holiday destination know your history and fit your dialysis in, ac-cording to your agenda for your holiday and available space.

When popular destinations are required, please book well ahead to avoid disappoint-ment.

If you are on peritoneal dialysis, your solu-tions and disinfection caps will be waiting for you at your destination.

If you are on haemodialysis, all your impor-tant information and prescription will be ready for you.

If you are planning a holiday in the sun, please take care to wear a high factor sun block to prevent burning and blisters. Your skin tends to become more fragile on dialysis.

Watch for dehydration from perspiring in hot climates.

If you are entering a malaria area, please speak to your doctor about prophylaxis in good time. Please pack your mosquito repellent, long socks and long trousers and long sleeves.

Try and stay above floor height, since mos-quitoes find ankles quite tasty!

We all need a holiday – so do not let your kid-ney disease and dialysis stop you having a great holiday, locally or elsewhere in the world!!

Perhaps these photographs will inspire you to plan a holiday…

Holiday time on dialysis

Whether you are on peritoneal dialysis or haemo dialysis, you are still free to go on holiday in one of our dialysis unit’s around the world. You (and your spouse

and any children) can plan your holiday, around your dialysis.

Worth living

Durban Beach

Cape Peninsula

Kruger National Park

Blyde River Canyon

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National footprintNephroCare & Clinix Renal Care (Pty) Ltd

Information

NORTH WEST PROVINCE• Rustenburg Kidney & Dialysis Centre • Mafikeng Kidney & Dialysis Centre• Potchefstroom Kidney & Dialysis Centre• Carletonville Kidney & Dialysis Centre

NORTH WEST PROVINCE

LIMPOPO

GAUTENGMPUMALANGA

KWAZULU NATAL

FREE STATE

LESOTHONORTHERN CAPE

EASTERN CAPE

WESTERN CAPE

• • Mossel BayCape Town • Worcester • Port Elizabeth

East London •

• Mthatha

• Durban

• Pietermaritzburg

• Bloemfontein

• Polokwane

• Upingtion

Kimberley •

Klerksdorp •

• Mahikeng

• Pretoria• Johannesburg

• Mbombela

LIMPOPO• Polokwane Kidney & Dialysis Centre

(PPP Project)• Thohoyandou Kidney & Dialysis Centre• Phalaborwa Kidney & Dialysis Centre

FREE STATE• Bloemfontein Kidney & Dialysis Centre• Sasolburg Kidney & Dialysis Centre

MPUMALANGA• Middelburg Kidney & Dialysis Centre• Emalahleni Kidney & Dialysis Centre

EASTERN CAPE• Jeffreys Bay Kidney & Dialysis Centre• Port Elizabeth Kidney & Dialysis Centre• George Kidney & Dialysis Centre

22

KWAZULU NATAL• Victoria Kidney & Dialysis Centre• Hibiscus Kidney & Dialysis Centre• Empangeni Kidney & Dialysis Centre• Durban Kidney & Dialysis Centre• Richards Bay Kidney & Dialysis Centre• Pinetown Kidney & Dialysis Centre• Kokstad Kidney & Dialysis Centre• Stanger Kidney & Dialysis Centre• Ethekwini Kidney & Dialysis Centre• Mount Edgecombe Kidney &

Dialysis Centre• Newcastle Kidney & Dialysis Centre• Chatsworth Kidney & Dialysis Centre• Vryheid Kidney & Dialysis Centre• Umhlanga Kidney & Dialysis Centre• Port Shepstone Kidney & Dialysis Centre

GAUTENG• Clinix - Vosloorus Kidney &

Dialysis Centre• Kempton Kidney & Dialysis Centre• Morningside Kidney & Dialysis Centre• Lesedi Kidney & Dialysis Centre• Tshepo Themba Kidney & Dialysis Centre• Vaal Kidney & Dialysis Centre• Clinix - Naledi Kidney & Dialysis Centre• Wits Kidney & Dialysis Centre (DGMC)• Morningside Children’s Kidney Treatment Centre• Lenasia Kidney & Dialysis Centre• West Rand Kidney & Dialysis Centre• Pretoria Kidney & Dialysis Centre• Tshwane Kidney & Dialysis Centre• Morula Kidney & Dialysis Centre• Arcadia Kidney & Dialysis Centre• Brits Kidney & Dialysis Centre• Randfontein Kidney & Dialysis Centre• Waverley Kidney & Dialysis Centre• Groenkloof Kidney & Dialysis Centre• Atteridgeville Kidney & Dialysis Centre• Midstream Kidney & Dialysis Centre

WESTERN CAPE• Cape Town Kidney & Dialysis Centre• Panorama Kidney & Dialysis Centre• Winelands Kidney & Dialysis Centre• UCT Kidney & Dialysis Centre• Hermanus Kidney & Dialysis Centre• Athlone Kidney & Dialysis Centre• Stellenbosch Kidney & Dialysis Centre• Paardevlei Kidney & Dialysis Centre• Khayelitsha Kidney & Dialysis Centre• Worcester Kidney & Dialysis Centre

SWAZILAND• Mbabane Kidney & Dialysis Centre

NAMIBIA• Windhoek Kidney & Dialysis Centre• Ongwediva Medipark Dialysis Centre• Swakopmund Kidney & Dialysis Centre

BOTSWANA• Riverside Kidney & Dialysis Centre

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NephroCare Medical Centres

Information

Western Cape

Athlone Kidney & Dialysis Centre

Rawoot Square, Cnr Klipfontein &

Carnie Roads, Athlone

Tel: 021 637 3867

Cape Town Kidney & Dialysis Centre

14 Wilderness Road, Claremont

Tel: 021 683 7119

Hermanus Kidney & Dialysis Centre

Hermanus Medical Centre, First Floor,

Suite 13, Ravenscroft Street, Hermanus

Tel: 028 312 4085

Khayelitsha Kidney & Dialysis Centre

Shop 19A Thembokwezi Square,

Swartklip Road, Khayelitsha

Tel: 087 997 1567

Panorama Kidney & Dialysis Centre

1st Floor, Panorama Healthcare Centre,

Cnr Rothchild & Hennie Winterbach

Streets, Panorama

Tel: 021 612 0239

UCT Kidney & Dialysis Centre

UCT Private Academic Hospital, D Floor,

Room 51, Anzio Road, Observatory

Tel: 021 442 1844

Paardevlei Kidney & Dialysis Centre

16 & 18 Gardner Williams Avenue,

De Beers Grounds, Somerset West

Tel: 021 824 1273

Stellenbosch Kidney & Dialysis Centre

Office A.W. 202, Andringa Walk, Andringa

Street, Stellenbosch

Tel: 021 886 5205

Worcester Kidney & Dialysis Centre

25 Riebeeck Street, Worcester

Tel: 087 997 1656

Winelands Kidney & Dialysis Centre

Unit 3E, Arun Place, Sir Lowry’s Pass

Road, Sommerset West

Tel: 021 851 0941

Eastern Cape

George Kidney & Dialysis Centre

3 Cross Street, Dormehlsdrift, George

Tel: 087 997 0854

Jeffreys Bay Kidney & Dialysis Centre

PoliClinic, 15 Hanekam Street, Fountains

Estate, Jeffreys Bay

Tel: 042 293 2000

Port Elizabeth Kidney & Dialysis Centre

GVI Oncology Building, 1 Mangold Street,

Newton Park, Port Elizabeth

Tel: 041 363 0807

Free State

Bloemfontein Kidney & Dialysis Centre

141a Zastron Street, Westdene,

Bloemfontein

Tel: 051 430 4580

Sasolburg Kidney & Dialysis Centre

33 N G van der Merwe Street, Sasolburg

Tel: 016 976 8859

Limpopo

Thohoyandou Kidney & Dialysis Centre

Shop No 17 Phangami Mall, Sibasa Road,

Thohoyandou

Tel: 087 997 1420

Phalaborwa Kidney & Dialysis Centre

86 Grosvenor St, Phalaborwa

Tel: 015 101 3039

Polokwane Kidney & Dialysis Centre

Cnr Dorp & Hospital Streets, Polokwane

Tel: 015 287 5219

Gauteng

Kempton Kidney & Dialysis Centre

2nd floor, Arwyp Medical Suites,

22 Pine Avenue, Kempton Park

Tel: 011 922 1284

Vosloorus Kidney & Dialysis Centre (Clinix)

Sam Sekoati Avenue,

Extension 9, Vosloorus

Tel: 011 861 6289

Morningside Children‘s Kidney

Treatment Centre

Morningside MediClinic - Level 4

(New Block), Hill Street, Morningside

Tel: 011 883 2244

Morningside Kidney & Dialysis Centre

Unit G1, Suite 403, 4th Floor, Summit

Park, 495 Summit Road, Morningside

Tel: 011 884 4444

Waverley Kidney & Dialysis Centre

The Centre of Advanced Medicine, 13–15

Scott Street, Waverley

Tel: 011 484 6474

Wits Donald Gordon Kidney &

Dialysis Centre

17 Eaton Road, Parktown

Tel: 011 356 6555

Lesedi Kidney & Dialysis Centre (Clinix)

23967 Chris Hani Road, Diepkloof, Zone 6

Tel: 011 933 5100

Tshepo Themba Kidney &

Dialysis Centre (Clinix)

Cnr Braam Fisher Road & Dobsonville

Roads, Dobsonville

Tel: 011 983 0827

Lenasia Kidney & Dialysis Centre

Humming Bird & Guinea Fowl Road,

Block A, Signet Terrace Office Park,

Lenasia

Tel: 011 852 5765

Naledi Kidney & Dialysis Centre (Clinix)

Clinix Private Hospital, Moshoeshoe

Street, Sebokeng

Tel: 016 988 0514

Vaal Kidney & Dialysis Centre

7 Edward Street, Medoc Centre,

Vereeniging

Tel: 087 997 1552

Randfontein Kidney & Dialysis Centre

37 Homestead Avenue, Greenhills,

Randfontein

Tel: 087 997 0986

Westrand Kidney & Dialysis Centre

No 8, Ground Floor, Mayo Clinic, William

Nichol & 14th Avenue, Floracliff,

Roodepoort

Tel: 011 475 2630

Arcadia Kidney & Dialysis Centre

MediClinic Heart Hospital, 551 Park

Street, Arcadia

Tel: 012 341 6395

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Atteridgeville Kidney & Dialysis Centre

Atlyn Centre, Cnr Khoza & Phudufudu

Streets, Atteridgeville

Tel: 010 612 0713

Groenkloof Kidney & Dialysis Centre

102 George Storrar Drive, Groenkloof

Tel: 010 612 0244

Midstream Kidney & Dialysis Centre

Midstream Hill Medical Park, Cnr

Midstream Hill Boulevard & Godley Drive,

Midstream Hill, Centurion

Tel: 010 612 0726

Morula Kidney & Dialysis Centre

Shop CU6, Morula Complex,

Lucas Mangope Highway, Mabopane

Tel: 012 701 5187

Pretoria Kidney & Dialysis Centre

359 Fred Nicolson Street, Les Marais,

Pretoria

Tel: 012 335 3977

Tshwane Kidney & Dialysis Centre

Medical Suite 1140, Louis Pasteur Medical

Centre, 374 Schoeman Street, Pretoria

Tel: 012 320 7826

Kwa-Zulu Natal

Newcastle Kidney & Dialysis Centre

77 Bird Street, Newcastle

Tel: 034 312 8036

Vryheid Kidney & Dialysis Centre

184 Hlobane Street, Vryheid

Tel: 010 612 0246

Chatsworth Kidney & Dialysis Centre

65 Gemini Crescent, Woodhurst,

Chatsworth

Tel: 031 402 0564

Durban Kidney & Dialysis Centre

Clark Square, 260-262 Clark Road,

Berea

Tel: 031 261 1244

Kokstad Kidney & Dialysis Centre

No 94 Hope Street, Kokstad,

Tel: 039 727 2555

Mount Edgecombe Kidney & Dialysis

Centre

No. 5/8 Flanders Road, Charoc House,

Mount Edgecombe

Tel: 031 502 2828

Ethekwini Kidney & Dialysis Centre

Ethekwini Hospital & Heart Centre, Lower

Ground, Suite 6, Queen Nandi Drive,

Riverhorse Valley Business Estate,

Newlands East

Tel: 031 581 2369

Pinetown Kidney & Dialysis Centre

Ground Floor Suite, 4 Simpson Place,

Pinetown

Tel: 031 701 8116

Umhlanga Kidney & Dialysis Centre

Unit 15, Quadrant 1 The Centenary,

30 Meridian Drive, Umhlanga New Town

Centre

Tel: 010 612 0245

Empangeni Kidney & Dialysis Centre

Hamlin House, Cnr Ukhula & Biyela

Streets, Empangeni

Tel: 035 772 4104

Richards Bay Kidney & Dialysis Centre

Suite 1, The Bay Hospital, Krugerrand

Road, CBD Area, Richards Bay

Tel: 035 789 3731

Hibiscus Kidney & Dialysis Centre

Dr K & S Pillay Medical Centre, 28 Bazley

Street, Port Shepstone

Tel: 039 682 7685

Victoria Kidney & Dialysis Centre

83 Brake Drive, Brake Village, The Haven

of Rest, Tongaat

Tel: 032 944 6135

Port Shepstone Kidney & Dialysis Centre

Hibiscus Medical Centre, 33 Aiken Street,

Port Shepstone

Tel: 081 468 1478

Stanger Kidney & Dialysis Centre

Shop 1A, Narainsinghs Centre,

181 Mahathma Ghandi Street,

KwaDukuza Tel: 032 551 6796

Mpumalanga

eMalahleni Kidney & Dialysis Centre

2nd Floor, Room 202, eMalahleni Private

Hospital, 39 Mandela Street, Witbank

Tel: 013 656 2676

Middelburg Kidney & Dialysis Centre

4 Beyers Naude Street, Middelburg

Tel: 013 243 1181

North West

Brits Kidney & Dialysis Centre

Shop No 3, Cnr Pienaar & De Wit Streets,

Brits

Tel: 012 252 7580

Carletonville Kidney & Dialysis Centre

88 Agnew Road, Carletonville

Tel: 018 786 1931

Mafikeng Kidney & Dialysis Centre (Clinix)

Victoria Road, Clinix Private Hospital,

Mahikeng

Tel: 018 381 7835

Potchefstroom Kidney & Dialysis Centre

Mooimed Hospital, 1 Albert Luthuli Road,

Potchefstroom

Tel: 018 293 0912

Rustenburg Kidney & Dialysis Centre

259 Beyers Naude Street, Rustenburg

Tel: 014 592 6603

Namibia

Ongwediva Medipark Dialysis Centre

Auguste Taayanda Street, Ongwediva

Tel: ++264 65 231 637

Swakopmund Kidney & Dialysis Centre

Fransiska Van Neel Street, Pathcare

Premises, Block D, Erf 669, Tamariskia,

Swakopmund

Tel: ++264 64 406 335

Windhoek Kidney & Dialysis Centre

Maerua Lifestyle Shopping Centre, Shop

No 17 & 18, Centaurus Street, Windhoek

Tel: ++264 61 304 088

Swaziland

Mbabane Kidney & Dialysis Centre

Hospital Hill, Mbabane

Tel: ++268 2404 5557

Botswana

Riverside Kidney Dialysis Centre

Plot 412/413, Baines Avenue, Francistown

Tel: ++267 241 7414

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Message of appreciation

Inspiring

Potchefstroom Kidney & Dialysis Centre

Dear management, sisters and support staff, I trust that you have watched and listened to Dr Maya Angelou’s video. I want to take this opportunity to thank you for being a rainbow in the lives of us dialysis patients' lives. We have to spend five hours “in the chair” three times a week, and you certainly make it so much better by the genuine care you show, your friendliness. I for one enjoy the bantering and lots of laughter. Each of you has his/her own characteristic that makes you special.

As dialyses patients we have a limited life expectancy, and one day in heaven (I hope you make it) you will find all of us (who made it to heaven) waiting at heaven’s gate to welcome and thank you for your sacrificial service.

In my view, all healthcare people that really care (as you do) need to have a stamp on your forehead: “Made in heaven”.

God bless you allAlbert

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Brain calisthenics

8 5 4 3 2 1

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1 9 7 8 6 2

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Sudoku is a logic puzzle consisting of a grid containing nine squares, each subdivided into a further nine squares which contain some of the

numbers from 1 to 9. The goal is to fill the grid so that each square, vertical column, and horizontal row in the grid contain the numbers from 1 to 9.

Easy

Medium

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Fresenius Medical Care South Africa (PTY) Ltd. · 31A Lake Road · Longmeadow Business Estate · Edenvale-Johannesburg, 1609, South Africa

www.FreseniusMedicalCare.com · www.NephroCare.co.za

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