Inside Singapore’s Fight Against Kidney Failure: A Looming Dialysis Crisis?
Вставка
- Опубліковано 21 тра 2024
- Six people are diagnosed with kidney failure every day in Singapore and the National Kidney Foundation (NKF) warns that if nothing changes, there might not be enough dialysis spots for new patients.
According to the Singapore Renal Registry’s 2021 report, there are roughly 9,000 patients in Singapore who have kidney failure but that’s only “the tip of the iceberg”. What’s more troubling is more than 300,000 people who have chronic kidney disease (CKD) - the precursor to kidney failure - and another 200,000 who could be going undetected.
CNA Insider speaks to frontliners from Tan Tock Seng Hospital (TTSH), Singapore General Hospital (SGH), the NKF Integrated Renal Centre and a family physician to find out why CKD is a silent killer and what can be done to tackle this overlooked health crisis.
(Video produced in partnership with The National Kidney Foundation.)
00:00 How urgent is ‘kidney failure tsunami’?
01:29 Inside the renal ward with a nephrologist
04:08 What causes kidney failure?
05:20 Challenges that dialysis nurses face
06:51 Dietary restrictions for dialysis patients
08:44 Why diabetes-induced kidney failure is a big problem
10:05 Kidney screening includes blood and urine test
11:18 Benefits of early detection
16:16 Why are people afraid to go for health screening?
18:35 How often should people with risk factors go for renal screening?
Have feedback or an idea for a story? Email cnainsider@mediacorp.com.sg
---
The National Kidney Foundation runs a CKD intervention clinic, which provides free renal screening for those who meet the eligibility criteria.
For more information, visit: nkfs.org/kidney-failure/ckd-c...
For more, SUBSCRIBE to CNA INSIDER!
cna.asia/insideryoutubesub
Follow CNA INSIDER on:
Instagram: / cnainsider
Facebook: / cnainsider
Website: cna.asia/cnainsider
I had kidney failure , please I beg all of you to eat as little sodium and sugar as possible , walk at least 5000 steps a day and work hard . When yo iWork hard, you sleep at least 8 hours with a clean conscience….I did not take good care my body, grew overweight and could never control my BP with even drugs …I also took milk whey protein supplements to build muscle ….the disease is silent and does not show symptoms till very advanced . I let down my family and my mother who gave me a healthy pair of kidneys that should have lasted a lifetime. Please do no repeat my mistakes 🙏🏾🙏🏾🙏🏾🙏🏾
by helping others you are doing god's work ... there will be a miracle in your life
How to know what contains sodium and sugar and if go hawker how to avoid ?
Thank you. I agree
@@KCECC-ActiveHealthyAgeing Why agreed ?
@@bobafett5757most food contain these two seasoning, especially eating out. Need to select your food thoughtfully, dont add extra sauces or salt, avoid any sugarly stuff especially soda, opt for low salt, sugar and oil food and snack. May taste bland initially but once get used to it, you will be ok. Eat homecooked food is better as you can control your food choices and preparation.
I love Singapore, I went there twice when I was working in Indonesia. In both of those countries, I noticed that the street food culture was quite strong with a lot of carbohydrates and fried food. People also consummed a lot of soft drinks, or added sugar in their tea, coffee, hot chocolate etc. Added sugar and heated seed oils everywhere. Although those were delicious to eat, I could notice their effects on my physical and mental well-being. I'm French, so we do have our fair share of sweet pastries in my country, but the frequency of eating them was so much higher in Singapore and Indonesia. I didn't meet a single person who liked to drink coffee or tea without sugar. They looked at me like an alien when I told them I enjoyed black coffee and unsweetened tea. And so many people didn't like to walk in Indonesia. They take a motorcycle even if they need to go somewhere 200 meters away.
Probably soft drinks are the main culprit, since they are effectively empty calories. A culture of alot of fried food could also be a factor.
Also, Singapore is a hot country and that contributes to kidney disease as well.
Alcohol is the main culprit
@@Magnulus76agree
Soft drink consumption is very high in Singapore. And also beer and alcohol. I was shocked to see everyone having a soft drink almost with every other meal in my recent trip.
I agree. When I go shopping I always see people with boxes of fizzy drinks. No vegies, no greens in their cart. Its really sad. Even small children drink it.
Softdrinks plus they consume rice.. Rice is already sugar plus the softdrinks.. We all know excessive consumption of sugar leads to diabetes or CKD..
For those who are diagnosed from CKD stage 1 to stage 3, let me share with you my experience with CKD. Currently, I have end stage renal failure and I’m on dialysis at the moment.
When I was told about my ailing kidneys some years ago, I was already in Stage 3a, a point of no return. I was told to limit my salt, protein and potassium intake to reduce work for my kidneys and prolong their life. Speak to your doctor because each individual case is different. Fortunately, in my case I didn’t have diabetes, so my dietitian told me to increase my carbohydrate intake to make up for the loss of protein, and thus energy. Be careful of hidden salt and protein in food like bone broth, bubble tea (milk) and processed food (e.g. instant noodles). The protein aspect of a CKD diet usually focuses on quality protein like meat and omits beans and milk. But please speak to your doctor. Potassium is a bad thing too. Some fruits and vegetables contain high amount of potassium. Examples include seasonal fruits (durian, rambutan, jackfruit), kale, spinach and beetroot. Processed food such as chocolate and instant noodles is also high in potassium. Some people may be tempted to pursue an alternative way of healing such as using Chinese herbs. However, I would not agree with this. Chinese herbs are a big no no for CKD because they are very high in potassium.
I hovered at Stage 3 for about 4 years. Sadly, my kidneys deteriorated to the point of no return. In hindsight, I wished I had paid more attention to my diet during stage 3, so I could have a better chance of prolonging the life of my kidneys.
Stage 4 was the shortest, lasting only 5 months. As time went on, I grew sicker and became more exhausted. During this time, I became depressed as I felt like I was stuck in limbo. A healthier version of myself was some distant time ago and I was still not on dialysis yet. The unknown part of my future life on dialysis scared me, and I didn’t know if I was fully ready to accept everything that comes with it. I made plans to arrange my future dialysis with my hospital (I should say I live in Malaysia btw). I also travelled to Thailand in what would be my last overseas trip.
Now I’ve been on dialysis (peritoneal) for almost four years and I’m 34 years this year. So exhausted all the time. Need to take many types of medicine. A weekly injection to boost my blood production. When kidneys fail, our body can no longer produce adequate blood. My heart muscles have thickened because it has to work super hard to do simple things like cooking and climbing up the stairs. Have to avoid crowded areas because any mishap I may fall on the ground and break my brittle bones.
I still can go jogging (though it’s not very encouraged) but there are many things I can’t do now. Travelling is one of them. I’m essentially homebound because I need to my dialysis every 5-6 hours. I can no longer eat all my favourite food such as beef noodles, instant noodles, ice cream, chocolates, bak kut teh and so on. No more contact sports or lifting moderate to heavy objects. No more swimming or soaking in bathtub. No more body massage because I can’t sleep on my stomach. I can still get body massage if I lie on my side but it’s not very comfortable. It’s all the little I used to take more granted in life -sad face-
So people, please take care of your kidneys. They are silent organs which means they won’t tell you if they are hurt. If you have not reached stage 4 yet, there is still time to change things. Speak to a nephrologist and make necessary changes to your diet and lifestyle. If you’re Chinese like me, please limit your soy sauce intake and try to avoid food like salted egg, fermented bean curd and kon lou mee. Noodle soup is ok as long as you are very strict with not drinking the broth. Stage 1, 2 and 3 may not progress any further and you can avoid a future like mine. Wishing everyone the best of health.
Whats the final symptoms you felt before decided to go for kidney screening and why it took you so long to get diagnosed ?
What was your diet before you got diagnosed? Were you eating a lot of meat or drinking little water?
Did u use to drink alot?
Hope u stay strong too 🙆🏻♂️
You are a hero and no matter what the situation is we can always choose to look at the bright side of things. Many of my relatives including my dad have ckd and my dad is on dialysis now. Since young I have understood this and have been vigilant. Watching diet, exercising, not taking medicine unnecessarily, and doing screening. Pls dun take it lightly.
I believe if all the person eats in a day is a small portion of fermented bean curd OR a small 1/2 portion salted egg, with rice, and nothing else, it should be ok. And then it's only for a day, the next day they probably eat something else, probably in small amounts, or probably also fast intermittently. I think it's more the portions, and avoid highly processed foods and gluten. Also how often eaten than the food itself that hurts the kidney day in day out.
Well, if the government allows Medisave to be used for preventive measures such as a full body medical check-up incl kidney, the numbers could be arrested. Using the medisave to pay is easier for people than out-of-pocket cash.
Medisave for hospitalisation and chronic disease cannot deplete the savings
And Medisave will fast run out of funds.
@@bobafett5757 exactly my thought.
Travel, I wonder whose kidney is it? The Govt or the person's? I guess some prioritise living it up Until? Have Smart phones but Not Smart enough to check Dr Google? No pain so must be okay. Got pain then not okay? 😅
After dialysis for 20 years. Yes, my Medisave has long depleted years ago but I'm fortunate to have 2 brothers to help cover with they are Medisave instead. My case was I had SLE Lupus since teen and the medication causes hurt to my kidneys but I wouldn't end up dialysis as early as 29. If I had took care of my already weak health. I was a workaholic.......
Same here in the Philippines, my mom started dialysis treatment last year and while accompanying her to the hospital, I see people my age and even younger being treated for terminal CKD. To see them frustrated, in denial and showing aggression during the first sessions is hard. Removing their financial worries in their thoughts helps a lot. I cried hard when my mom said she was ready to go without going through dialysis so convincing her took all my strength, patience and love for her. So glad she is feeling better now.
Could it be due to heatwave ?
@@bobafett5757she has been a diabetic for a long time.
We are told in the US that your diet is far superior, why such health problems if you eat so much better than we do?
@@eckankar7756 Then why SG is number 1 in the world for this diabetes induced kidney disease ?
Has your mom take covid shot? It can be it’s side affect
The real annoying part here is nowhere did it say how to prevent this disease, but rather how to manage an already pathetic situation.
Food is the medicine. Research Weston A Price
No, the answer is in here. Sugary/starchy foods leading to diabetes, processed foods full of phosphorus salts (cola drinks and also it's used in a ton of processed foods like ramen noodles) and hypertension which is very co-incident with being overweight, getting no exercise, etc.
To prevent all disease:
- keep stress to a minimum
- Healthy balanced diet
Mostly vegetables, fish
meat and organ meats
- Exercise regularly
As little as 30 minutes a
day can be broken down
few minutes walk
throughout the day
Biggest cause of kidney disease are diabetes and hypertension
@@alexcarter8807 you got a timestamp? I agree with you - it's just that most people don't know how to draw the links.
Everyone got covid shot without questioning its side affects. This is a known side affect
Thank you CNA for spreading the awareness.
My late grandfather and father-in-law died during dialysis process. Both are caused by genetic factors and soft drink consumptions. Also, I saw many horrible moments inside the dialysis room with the most notable is child patients. They were doing the dialysis treatment using their school uniform and the image is still stuck in my head for more than a decade.
The main cause of the dialysis in my hometown is primarily because of diabetes, and also excessive consumption of energy drinks, which combines awful level of both sugar and caffeine. And guess what? They drink it for fun because they felt that water is not tasty and "boring". Please drink more water and take care of your kidney health more seriously, because your world will never be the same once your kidney refuse to work.
Be aware that several medications taken for a long time can cause kidney failure so consult your Dr if unsure so dont blame soft drinks
@@tommyliangwei3724 Jurrasic kidney
@@bobafett5757yes soft drinks alone is not the cause, but one of the main contributing factor. Sugar is addictive, and the more you use the more you craved.
@@bobafett5757why are they taking medications for what? Medications are unnecessary, but we are made to believe that we need them. All they do is shortened our life span and give side effects and slow down our healing process just because they stop our symptoms, but doesn't heal us, it is the body alone that heals itself
@@anamaganda9352 So before pandemic nobody eat sugar is it ?
Thank you for this video!!! As a kidney patient myself diagnosed at 2 years old, this makes me really emotional. Take care of yourselves!
The big question would be "How to prevent Kidney Failure", yes?
It’s the sweets and starch from white rice.
Almost 10 years ago, I was diagnosed with stage 3B CKD due to an autoimmune condition. I consider myself fortunate to have known about the condition early on because I had a routine blood test at the local clinic. Upon receiving the test results, I was referred to a doctor who informed me that my kidney functions were not good and required further examination at the hospital. Initially, I believed the condition could be cured with medications. However, upon consulting a nephrologist, I learned that autoimmune conditions have no cure. As a result, I was prescribed numerous medications, which I had to take daily (approximately 30 pills per day). During the first three months following the diagnosis, I had to undergo weekly blood tests. Despite taking many medications, my kidney functions did not improve significantly, with my eGFR remaining at around 35-45% in stages 3B and 3A.
However, in 2019, my eGFR declined to almost stage 4, which greatly concerned my nephrologist and caused me to panic. Determined to find a solution, I conducted research online and came across the Modified Whole Food Plant-Based Diet, specifically designed to address kidney problems. I decided to adopt this diet, eliminating animal protein, processed food in any form, oil, sugar, and salt entirely. Instead, my diet primarily consists of vegetables, fruits, grains, and legumes, and I make sure to stay well-hydrated with plenty of water. Due to my autoimmune condition, I also avoid certain foods such as gluten and nightshade vegetables. Remarkably, within six months of following this protocol, my eGFR improved from almost stage 4 (eGFR 32) to stage 2 (eGFR nearly 70), and it has remained stable ever since. Adhering to the diet requires effort as I cannot eat outside and must prepare my meals daily. Nevertheless, it's undoubtedly worth it, as it has helped me avoid dialysis and save a significant amount of money. Since my kidneys reversed to stage 2, I now only need to see the doctor once a year, and all medications have been discontinued. This goes to show that there is hope for those with CKD.
Thank you for sharing. I feel what we eat and drink plays a big role in our health.
@@iashakezula you're welcome!!
Malaysia 🎉. Fantastic sharing of what Conscious Personal Responsibility is ALL about. Congratulations 👍👏
You have Clearly showed from your self Discipline and Lived experience over the years that you have determined your own health outcome by taking Responsibility.
A Good or Bad diet, excess consumption leading to obesity, diabetes and kidney failure are ALL lifestyle choices.
These lifestyle choices need at least 10 years of "continuous effort" before the Health Decline Surfaces.
In my opinion, those making these UNwise lifestyle choices might not have Considered that their subsequent Suffering might be longer than their earlier enjoyment!!
Raw vegetable meals for autoimmune
@@iashakezula Yes, when I first came to Singapore, I was shocked at the food. Too salty, too much sugar, too fatty.
Forever grateful that once I was a part of NKF Singapore’s nursing workforce. ❤
*Well done CNA Insider this is an insightful and excellent documentary so hopefully next please do a documentary on Heart and Lungs disease even on Parkinson and Autoimunne disease*
The looming dialysis crisis presents a significant challenge for Singapore and other countries facing similar situations. The demand for dialysis treatment is increasing, and it's essential to address the underlying factors contributing to the rise in kidney failure cases.
Covid shots. Kidney failure is known as its side affect. Dr. Maloney always warned about that before the shots were in the market
What do you believe are the underlying factors?
I have a picture of a ghost on a tv.
@@asideofaioli4630Hugh blood pressure and diabetes are common causes. So diet and exercise (and the free time, culture, and money needed to get those) are underlying factors
Thank you very much for raising the awareness, CNA 🙏🏽🙇🏻♀️❤❤❤
this is scary. Looks like i need to book an appointment for diabetes and kidney disease blood tests ASAP.
thanks you CNA for addressing CKD.. Very insightful.
This is a very good and very informative documentary. I’m sure this is happening in the other countries too. 😢
Kidney failure is already an advanced state. That’s why yearly exam with blood test is key in early detection.When I was in HS , my father diabetes killed him with kidney failure. I took nursing and learned pathophysiology . It could have been prevented in his case. I understand it could be genetic, anatomical and even caused by an infection but education and regular physical exam and diet plays a huge role in prevention .
One of the most informative videos I have seen on UA-cam regarding the explanation and the seriousness of Kidney Failure and the stages of failure. I didn't know that Singapore is dealing with this epidemic disease. Here in the United States the problem is rising among young individuals. Why? Is it because people are not paying attention to their bodies and health?
Yes, many kids when they reach teenage year will be prediabetic. All these are signs of insulin resistance, and metabolic syndrome. Dr. Robert Lustig has some good UA-cam videos on this subject.
One thing, the video did not address is why the prevalence of kidney disease is so much higher in Singapore, than elsewhere around the world
@@AlphaGeekgirl gd point. they have consumed this food forever and why now.
Great video to bring more awareness to this illness. I am 28 this year and have been on dialysis for 5 years. It is definitely tough dealing with it physically, mentally and emotionally.
I have a question, if let's say you missed 1 week dialysis - what will happen?
@miguelofthedark In 3 days not going to dialysis, your body will bloat because there's no kidney to filter the water, you will act like a child because the brain already full of toxic fluid(not harmful if you remove it immediately through dialysis. A week or more then its already time to migrate to the other side.
@@miguelofthedark Have u heard of A&E ?
Gosh !! You are only 28 yet have to go through this so tell us what have you done to your health that have caused all this ?
What was your diet before you got diagnosed? Were you eating a lot of meat or drinking little water?
This is heartbreaking! My family had a friend who was on dialysis before she was 50.
What about transplant ?
@@bobafett5757 Transplants are relatively rare in Singapore and there are a lot of hoops that the family has to jump through. Plus, I don't know how receptive the population is to donating kidneys.
@@waisinglee1509 What about Vaccine to prevent one from getting kidney disease cos the world can create one so fast for Covvid then what about this ?
@@bobafett5757 I suggest you look up what a vaccine does and what kidney disease is.
I worked in a dialysis clinic for 13 years. About half the patients were under 50 years old. The majority of kidney failure was from poorly controlled diabetes or high blood pressure.
Most people were on the transplant list and it took an average of 7 years to get a kidney (unless they had family or friend donating). Even after getting a donated kidney, they might only last 6 months to a few years before being rejected by the body.
People, note that dialysis will leach minerals from the bones. After a long period of time such as a decade the bones will become very brittle. Dialysis may no longer be an option if the bones are too brittle. NKF has the option to withhold dialysis from such patients. A family friend's mother experienced this and the family fought hard to resume her sessions. They lost and she died shortly thereafter.
Because dialysis machine is quite inferior and inefficient compared to our kidneys
sounds like "die one way or another"... thats really depressing :(
My dad died from this. Keep safe people. Drink a lot of water and do some sport even just little bit. Don't let obesity control us. 😥😥
*Hats off and salute the Renal Nurses but hoping they can hang on to this tight rope for a long time cos this job is no Lepak ok but challenging with times*
In Canada, my doctor don't even want to sent me to be tested and doctor shortage is also a problem.
There's nothing stopping you from going doctor shopping across the border if you are worried. You can also check first if there is a private clinic in your city that will do a renal panel for you.
Me too. They refuse to do the blood tests and urinalysis that would be automatically done by any doc in the US. We must do the best to keep healthy and treat ourselves, no one is going to help. I have brain cancer, and my doctors are pushing me to allow them to suicide me, instead of treating me with chemo and radiation. Its cheaper to suicide me, so thats what they want to do. I am 38 years old.
Even in NY for mental health, there were no doctors, I was told severe shortage. She didn't get a dr until she tried to hang herself in the closet. And only then, she gets a monthly 1/2 hour tele-med (on phone) appt only.
Just letting people know, that sodium alone doesn't give you high blood pressure. All my life my blood pressure is low. I always cook food in salty side because salt is readly available growing up near sea salt farm. My doctor even told me to eat food high in sodium, but i told her that i already eat 2-4pcs of fried chicken almost everyday, she was shocked and told me that is enough. I keep on wondering why is that when almost everyone i know have a difficulty on keeping their blood pressure low, because it is to high. This what i noticed, i drink water almost every hour even just a small sip. Drinking through out the day in not so big of quantity is better than drinking a lot at once. I don't drink juice or eat anything sweet except i puy a little bit of sugar and a good amount of cream/milk in my coffee. I don't eat anything sweet, because i find everything super sweet except for fruits which i also seldom eat, but i eat plenty of vegetables and fish and seafood
The main cause of kidney disease is diabetes and high blood pressure/hypertension.
- You will not absorb that must sugar is it not accompanied with salt and vice versa. So dont take them together and you will be fine.
- learn to eat healthy, it some time getting used to, but once your used to not eating sweet things, you will not have the desire or the cravings
Under EU law, there is strict regulation of declaring a full ingredients list in food and products you use. Be aware, these days with scientists experimenting with food, there are more and more lab-synthesized chemicals added to food and other products. Sometimes it is further up the food chain unbeknownst to general public, such as drugs given to farm animals to promote growth of leaner meat, which present in the slaughtered animal are harmful for humans when ingested. EU bans some of these but there are other developed countries who don't. Notably products from such countries which are bound for export, also may not need to follow the same regulation as those they set for their own consumers. So it is really up to each country's responsibility to safeguard their own population's health.
Thank you for your wonderful video
200k is almost 4% of population
Looking at people in SG diet it probably will increase every year, youngsters are eating fast food and sweet drink quiet often
I notice that there is a lot of mention about things like health care cost and insufficient awareness, they are important but then we also have to look into another very important aspect, which is the food that people are taking on a daily basis. We have been talking about diabetic problem for years, but it only get worse over the years.
Sometimes I think that it is really time to treat sugar, salt and oil as similar to cigarettes and alcohol, whereby they are social ills when consumed in large quantity. It is time to tax all these food products, before the healthcare cost becomes overwhelming. There are simply too many food sellers, and too many people who cook at home, who treat these condiments like free and use them in large quantity. If they are expensive, people will have to think twice about adding. Some countries already starting to tax unhealthy food products, and there is no reason why we cannot explore this step.
Thank you for saving lives
Good information.
Fasting is not common in Chinese community but I believe it can help, along with eating less meat and sugar, and aerobic exercise
Yes!
One can eat all the vegs in the world but if they're all deep fried then it's pointless.
Protein is not the enemy, that is a pure myth. The enemy is sugar.
Intermittent fasting and avoiding highly-processed foods are the key. We'd better follow Jack LaLanne's and Clint Eastwood's diets
Meat is ok but too much rice or sugar should be bad..
Thank you for spreading good news
Love the screening initiative for kidney disease ❤
If Singapore banned chewing gum, it can strictly regulate sugar in foods, as well.
In SG due to high work stress. The rat race from our school days is ingrained into us. We must always be better at everything, be #1, be the best. Our lives are “sold” to the company. Another factor is the foods we consume in SG. Richer foods, better tastes and flavours, higher quality, premium cuisines… it never ends.
Eating rich foods and doing exercise doesn’t equal to a balanced lifestyle. We should eat healthier + exercise + mentally be well. Many factors can make us healthy or make us sick. We have to choose wisely.
good awareness video, I probably need to do check up as well
There are certain conditions still unknown of their cause, such as igm nephropathy, Can occur at an early age, difficult to detect early due to the slow progress of the condition with minimal or even minor symptoms. True, renal units are heavily 'burdened' with increased number of patients of all ages, suffering at different stages. Moreover it's chronicity, morbidity and psychosocial impact taking it's toll on the sufferer, family and communities.
3:49 seriously ？ wow that’s incredible
ACTUALLY it’s incredible
I am 59 yrs old. I can still swim 20 laps, cycle and walk. I can also do 108 - 130 ab crunches at one go. I mediate twice a day. I started taking care of my body since I was in my 20s. I don't take my health for granted. But when I look around me, people aren’t so careful when it comes to their health. Most Singaporeans dun take the trouble to learn about health care or do exercises. They simply eat what they want as if there is no tomorrow. Too lazy to exercise. The swimming pools I go to are always not too crowded. I guess you need to take the trouble to learn how to swim first.
More need to be done. Have more posters on what to eat in public places. How to eat to prevent diseases. Schools can do more to educate their students on healthcare, start young, cannot wait. Our affluent life isn’t helping too. We have easy access to all kinds of junk food.
I am still constantly looking out for health videos. I learnt so much for free. Every morning 30 mins before breakfast I will take either lemon juice in warm water with baking soda and vinegar, or lemon juice in warm water with himalayan salt and apple cider vinegar or lemon juice with extra virgin cold pressed olive oil.
I dun eat white bread or white rice or white sugar. I eat fruits of all kinds and sometimes have only boiled sweet potatoes for my meals with coconut oil and cinnamon powder.
I eat mainly vegetables with brown rice with a table spoon of chopped garlic and finish off with omega 3 capsules..
If you want your body to take care of you for life, you MUST learn to take good care of your body with the right education and attitude. Good health is a discipline. It does not come automatically. Yes, we only live once, so live it well. No need to enjoy everything you eat. But you can still enjoy everyday of your life.
Some of my food taste like medicine. For example, I eat raw aloe vera, raw beet root, raw green/red pepper and raw cloves. As Steve Jobs, who died of cancer, once said: If you don’t eat food as your medicine, someday you will have to eat medicine as your food. Good healthy food need not cost a lot. The above I mentioned are so cheap.
So ask yourself what you want, good tasty food or good healthy life? Make your choice. You cannot run away with it. Your body will tell you the truth. Recently I asked someone how old he thinks I am, he said I looked like 50 years old. I am going for my swim now. It’s 6:20am.
this is the most underrated comment on here - thanks for the insight
You don't just sound kiasu but also kiasi. Ever suffered from kiasars?
@@live_long_and_prosper , it’s not about kiasi or kiasu, it’s about knowing how to enjoy life. Remember, health is wealth. You dun need to have a million dollars to be happy, if you are as wise as me.
But were you one of the 95% Singaporeans who got the clot shot?
@@xraylife . Yes. Nothing wrong for getting the vaccine. No matter how healthy you are, the virus, once entered inside, it’s can be destructive. When I was positive, I only have very mere symthoms of sored throat and running nose. No fever. Totally cleared up within 3 days, and never return again.
A national information and awareness would help.very informative.
The grandma that I take care of just passed away some weeks ago due to end stage renal disease, she just done dialysis treatment for a year with some months then her body can’t fight anymore 😢
Same situation in the Philippines 😭
Cause everyone got the covid shot. Kidney failure is a known side affect just like myocarditis
it’s not easy to be a renal nurse… many quit unfortunately… the lifestyle today and our food intake plus sedentary & genetics all play a part .. sadly 😢the figure will only increase
Sedentary could be the caused of it
Renal nurse ??
I guess there must also be Cardio nurse, Liver nurse, Cerebral nurse etc etc.
The cause of it is the increased amount of sugar consumed. Stop the sugar, your kidneys will recover.
as a renal nurse, im thinking about quiting my specialty too...😣😥
@@user-pr3fo6gq2c Is there any such Rectal nurse ?
Is is because of lack of water or sedentary lifestyles? If we drink at least 8 glasses of pure water (soda, tea, coffee not water) I guess kidney failure can be avoided. Prayers for Singapore. Only 3 million population and 200K have kidney problems alarming.
So often, the focus is always on treatment but not on the causes. We really need to deal with the real underlying causes that leads to kidney failure. If the kidney is responsible for filtering toxins, isn’t it obvious that we should stop the toxins from entering the body in the first place?
???
lol the toxins in this case aren’t legit toxins that enter your body… they are the by-products of the metabolic processes that occur in our body (basically the essentials of life)… 🙂
it doesn't matter how healthy you are, your kidney may fail due to other factors (genetic). like how people get sick even when they are not working.
So tell us what is that toxins we should prevent and by the way can we stop virus or bacteria floating in the air ?
I believed "toxins" could also mean chemical, which are presence in most processed food. I tend to read the label of all foods at the supermarket, often hard to find something decent with lower sugar or salt content. If one has to be extremely concerned about health, then almost a food cannot be consumed. As the saying goes, you get what you eat and most tasty and delicious food are not healthy. Healthy foods are not tasty nor delicious, like raw vegetables. Instead of going extreme on diet, eating in moderation is key with plenty of exercise.
About three months ago I was diagnosed with stage 3 kidney disease. Through prayers and going plant based, I do have fish sometimes, I have gone back to normal. My efgr went to 90 and creatinine levels went to 57. It's a miracle thank God. I had been low carb before that and still am to a certain extent.
If plant based then will be deficient in Vitamin B12 and thats potential health risk
Is someone with CKD cant eat much carb ? Thank you
@@repubug1365 If dont eat carb then where to get energy ?
@@bobafett5757all the food we eat can be converted by our body to glucose which is the only source of energy by our body.
* Carbohydrates - glucose
* Protein - amino acids- glucose + by products(usually uric acid)
* Fat - fatty acids - glucose
It's very sad to see how many people are going thro difficult times today because of what we eat, wish if people can control the food and not thinking only money, Kidney sickness is not good news, since you suffer it all the rest of your life 😢😊
Maybe should have advised people how to prevent kidney problems and what to avoid.
Maybe Just Google instead of whining
To help with the need for staffing. The dialysis unit can train and hire dialysis technician.
As already mentioned hypertension or high blood pressure is a major risk factor, other than diabetes. I advise everyone to buy a blood pressure monitor and measure your blood pressure, once a year at least. If you have a high reading then you need to lose weight or eat less, or change your lifestyle if you drink or smoke a lot. I am afraid there’s no way other way of keeping yourself healthy.
Blood pressure always go up and down so fast so how to monitor like that cos we need to enjoy normal life right ?
@@bobafett5757
Boba, the Medical advice is to take your Blood pressure Consistently at the approx Same Time of day.
The easiest time for Consistency would be the First thing in the morning, before you do anything else.
Since there is No fluctuation in activity, then your BP should accurately reflect your actual health condition.
@@khtay8731 Then what about sudden cardiac arrest how to stop that ?
Once a year is useless. Medical/health screening first and foremost. Work on diet and exercise next.
@@waisinglee1509 So entire life on earth just exercise and diet is it ? No need to enjoy true meaning of life is it ?
My dad passed away after 2 years of hemodiálysis (water dialysis) treatment. It is a cruel disease. No one should go through this kind of torture. I’m praying that gov will pass euthanasia law to mercifully end the life of end stage patients.
same here in the philippines...
loads of patients here are soo exhausting already...
I'm a wheelchair-bound person. I live in East London Newham. I went to my doctor GP with a pain in my left kidney and she was shouting what for I came...
Then you should shout back at her asking for what she sat on that doctors chair
And that lasted 10 min after you been waiting for months right?
Can it be mineral deficiency due to anti nutrient molecules; especially Zn(gut health)?
I am a Chronic Kidney Disease patient educator and my job is to help patients with CKD understand the disease, talk about what they can do to slow down its progression, and talk about the treatment options available even before needing dialysis. Unfortunately this disease is a silent disease because the signs and symptoms do not show until the later stages. You can be at stage 1 or 3 without even knowing it. Get your blood work checked annually and ask for getting your renal panel checked too. A lot of us might be surprised because we can be at stage 1 already at age 30+.
Singaporean foods are typically high in carbohydrates. Rice, noodles, bread and the gravy / broth and condiments that come with them are typically high in salt and / or sugar.
The availability of foods that are good tasting but not necessarily nutritious or healthy for the body would be the no 1 root cause of this CKD prevalence.
How many Singaporeans practice a low carb, moderate protein diet that focus on more fibre from vegetables, limit salt and sugar and with healthy fats like avocado, butter and olive oil?
Instead of bee hoon or fried rice for breakfast one could have eggs and salad, avocado on toast or even just half boiled eggs with v minimal soy sauce. For lunch a tiny amount of brown or mixed rice with fish and veggies. For dinner another serving of vegetables and some protein.
It is not easy to eat like this every day yeah but we can all try
I married into a asian family they use large amounts of seasoning.. salt and soya sauce. I seldom eat any of the food they prepare.
@@Brian-yt8fu Couldn't you politely request your wife to reduce the salt or offer to help cook yourself. Salt and soya sauce never harm anyone. People have been eating it for thousands of years and using them to preserve foods. Rather it is the synthetic chemical additives that modern processed food possess and drugs given to farm animals that is causing health problems.
All forms of protein are inflated by 30% since 2019 now. Fried rice isn't the norm for breakfast. Asian food can be very healthy and non-fat if you want it to be such as steamed, boiled wantons/dumplings, rice porridge etc.
Rice bran oil or peanut oil are better than olive oil as both have a higher smoke point, a neutral taste and hence flavour profile more suitable for Asian cuisine. Asean countries have the climate suitable to produce good quality peanut oil or rice bran oil. Olive oil benefits are overly hyped because certain producing countries have been pushing it in order to expand into new markets.
@@s._3560 You are right about the oils. People should use the oils that are from their region and best suited for their style of cooking. Hence coconut oil is widely used in India and olive oil is more suited for Mediterranean style dishes
limit intake of (hidden) salt & sugar as we age
In the Phils, the Phil Health Insurance Corporation spent P17B in 2022 from P16B in 2021. But our MDs are not worried? Health Department officials are not concerned.
What situation have started in Singapore?
Solution to this problem is not spending more millions $$$, but to find the root cause of the disease. One aspect of Singaporean life is to look at their diet ....... that could give a good clue.
Its the palm oil
medical care in SG is crazy expensive. My late mum was diagnosed with kidney failure in the early 80s. Each dialysis is about 5k then. My father almost went bankrupt then. Even though it is much cheaper these days, the cost of life isn't. Kidney patients might not be able to work but all these costs are a burden to patients and their family, The saying goes "in SG you can die but you cant fall sick".
What is the reason for this spurt of kidney diseases in Singapore?
Awakening documentary
No sugar. Consume 0 sugar. Even some fruits are too sweet. These additional sugar in your blood is causing glucose swing big time, which causes insulin insensitivities, which then you will lose control of your metabolism. And when you do, you are losing your game. The purer the sugar, the more deadly they are. Soft drinks, cakes, even white rice are made of simple carbohydrates and will turn into sugar fast in your body. When that happens, your body is riding a yo-yo. People are getting too old for this gymnastic chemical/insulin bouncing, not good for you. Control what you eat, like our ancestor, they didnt have dialysis, and they didnt have this problem. Now why do you?
😂😂😂 Back in the day Natural selection solved the issue, meaning they simply died. Also the up and down of your sugar doesnt cause that. Stop These crappy lies
I’ve been a diabetic for about 15 years. Reading the comments below by other audience has made what I control my glucose level totally correct. Dialysis and some other grave complications are the last things that I have been wanting. Basic things: regular exercise, good food and drinks, and always have a good look at your skin and especially your feet. Once in a while you can have whatever you would like to have for your social functions. Move your body whenever you can. Enjoy your relaxing walks whenever you do shopping and use public transportation. Now I live alone and have no time to see other people enjoy their sweets, drinks, or sweets in my house. I can control myself but can’t control other people. 😊
How about Peritoneal dialysis, why is that never mentioned? You can do it at home and it's not such a shock to the body as hemodialysis. What is the level of transplants in Singapore?
This video is very weak on the root cause of ckd. Sure, it mentions diabetes and hypertension but what they are eating in such high rates should have been mentioned.
Not everyone can seek treatments from NKF. The middle income household is strapped to expensive treatments from private dialysis clinics. Medisave claims is fixed only at $450/- per month. Govt must raise the claim amount.
Bad food culture, stress and lack of exercise
Partially true, also individual lifestyle choice. Everyone have to be responsible for their now health being.
If these are the causes, then I bet US should be on number 1 position. I somehow feel there must be some genetic cause behind it. How can everyone gets the same disease? I'm not a Doctor, but just a laymen question.
@@bhai857 they have exercise culture there, Singaporean no
@@suiloongyong7563 exercise culture...? LOL 😂😂😂😂
@@bhai857 yup. Fitness is big in America, Singapore has a big foodie trend. No contest
What is A&E? I tried to find the definition, but online, it's just a cable company in the United States.
I was in Sgp years ago , as a visitor, perhaps its bec of their drinking water, maybe.
Maybe?! Their drinking water is coming from ocean and then get treated through salinization. Who knows how much sodium per ppm in the water. Just saying.
@@GraceDollesinThe drinking water comes from rainwater.
@@waisinglee1509Maybe its the treatment chemicals in the water
@@slipknot8441 Some of the water is treated with the same chemicals as used in other countries. And some of it is filtered to the point where there is nothing in it except water; in fact, they have to add in stuff to give it a taste.
@@waisinglee1509 This addon "stuff" must be bad for the kidneys..
@Pauline's problem, which she should highlight to MOH and the fatcats in heathcare administration, is that they are not making healthcare jobs in SG attractive. They lure them with 15k signing bonuses (new nurses) and tie them down to a bond. After these people are trained and see that all developed countries (or even HK for that matter) have much higher pay (up to double or more), less working hours with lower costs of living they will just move overseas to work on completion of their bond.
So SG is only getting the fresh grads and overseas healthcare professionals, training them up and then giving them up for free to other countries. We are like FC Arsenal, training up players and then letting them leave to their competitors who end up winning EPL and UCL, but in our case we don't even collect a transfer fee for them. So I think the topdogs and fatcats are just so stupid...
How interesting.
Agreed, It better now than regret...
I think bcoz of the Hawker foods???
So what should we do if we detect it early? How do we slow it down. What are the solutions? That is where SG doctors can help but from experience they don't. (I have been diagnosed as CKD 2-3 but there is no medication or advice offered on what should I do next by the poly doctors. They say all the other metrics are ok, so nothing to do for now. They just want the disease to progress before doing anything?) What is the government doing to help prevent or slow down the disease? Seems like minimal.
Hi... When you are in stage 2 or 3, cut down your salt intake. Stage 3 and stage 4 limit the amount of protein you consume everyday. 3 matchbox of meat each day and no other source of protein like beans or milk. Speak to your doctor + dietian if possible.
I should say that I’m on dialysis. When I was told about my ailing kidneys, I was already in Stage 3a. I was told to limit my salt and protein intake. Speak to your doctor because each individual case is different. Fortunately, I didn’t have diabetes so my dietitian told me to increase my carbohydrate intake to make up for the loss of protein. Be careful of hidden salt and protein in food like bone broth, bubble tea (milk) and processed food (e.g. instant noodles). A CKD diet usually focuses on quality protein like meat and omits beans and milk. But please speak to your doctor.
I hovered at Stage 3 for about 4 years. Sadly, my kidneys deteriorated to the point of no return. In hindsight, I wished I had taken care of my diet during stage 3 so I could have a better chance of prolonging the life of my kidneys.
Stage 4 was the shortest, lasting only 5 months. As time on, I grew sicker and more exhausted. During this time, I made plans to arrange my future dialysis with my hospital (I should say I live in Malaysia). I also travelled to Thailand in what would be my last overseas trip.
Now I’ve been on dialysis (peritoneal) for almost four years and I’m 34 years this year. I still can go jogging (though it’s not very encouraged) but there are many things I can’t do now. Travelling is one of them. I’m essentially homebound because I need to my dialysis every 5-6 hours. No more contact sports or lifting moderate to heavy objects. No more swimming or soaking in bathtub.
So please take care of yourself. Speak to a nephrologist and make necessary changes to your diet and lifestyle. If you’re Chinese like me, please limit your soy sauce intake and try to avoid food like salted egg and kon lou mee. Noodle soup are ok as long as you are very strict with not drinking the broth. Take care.
Oh I forgot. You need to limit the amount of potassium you consume during stage 3 and 4. Seasonal fruits, dark green vegetables e.g. kale are high in potassium.
@@crazygtown31 So many to limit so many to restrict then how to live life to the fullest can they be a vaccine to cure this kidney disease ?
Generally blood sugar and blood pressure control. If there is protein detected in the urine, ace-inhibitors are generally given to reduce protein in the urine. New drugs like sglt-2 inhibitors are also useful in retarding ckd in patients with diabetes.
Dr yeo is a good kind compassionate doctor
Used to work in places like this
When healthcare focus on the solution rather than the cause due to revenue ,we are screwed
I have ESRF stage 5 , im doing HD now, and the first advise i have is to buy insurance..early before any disease sets in especially Chronic kidney disease. Unless you keep a healthy lifestyle,, that being said tmr you will never know what going happen to you. Being on HD is not the end of you...its just beginning of a New You just move on , an enjoy what come. Cheers❤😂
Why the patients need to control the water intake? How much water is recommended?
Agreed also why must control water intake when it all passed out as urine ?
If there's too much water for these patients, it can cause swelling, increased blood pressure, and difficulty of breathing.
@@bobafett5757 because dialysis patient cannot produce urine. their kidney completely failed. they are basically "peeing" once every 2-3 days during dialysis. if they drink too much, fluid can accumulate in the body, in the lung, affect breathing, and cause swelling
@@bobafett5757Because it isnt. When your kidneys suck, the regular way doesnt Work properly anymore and it would stay behind in your body
Eat healthy fruit & vegetables, keep active and stay away from chemicals, smoking and alcohol. Good luck everyone 🙂
*Its sad and shocking that being the tiniest country in the world yet we are ranked number One for this kidney failure disease OMG !!!!*
Because they loved instant noodles so much.....
@@tesscarry Instant noodles quick to prepare and cheap also give energy
Would be useful to list the early signs and symptoms of kidney failure in this video. 👎
Just do blood and urine test
there is no early signs
Didn’t they mention leg swelling or something?
@@heythave Leg swelling can be due to so many reasons
Why are there so many cases in singapore? Didn't see an answer.
Lifestyle, a diet too high in sugar and fat and salt, along with a bit of genetics.
Why is it so widespread in singapore?
“How can we call ourselves a first-world nation when our citizens do not enjoy a first-world livelihood? Our country is rich but only for a minority privileged few.”
He then called for changes to be made in the form of “an improved and stronger social safety net, truly affordable housing, well-subsidised healthcare and a lower cost of living,” as well as more and better jobs to go to Singaporeans and for a CPF system than assures adequate retirement savings.
Dr Tan said, “When in Parliament, PSP will not only champion these changes but will also offer constructive ideas to bring about a better future for you and your children.”
Ownself called ownself first world ? Hmmmmm no shy is it ?
Is the Singaporean diet really that bad? I thought America was #1 in these health categories. Wow. Prosperity really takes a toll on health.
More, than likely the western Diet made it's way into Singapore, China, Japan basically all countries that have a macdonald's at this point have embraced it, along with the soda companies like Coca-Cola too.
There is a wide spread of environmental issues in Singapore that are causing kidney problems. Early screening is good, but prevention is more important.
Lots of love from India 🧡🤍💚
We eat much more salt and sugar than in previous decades. Perhaps a lot less potassium to balance out the sodium overload. That’s my take on what’s happening and at first I thought was happening only in the US. Stress and lack of quality sleep are also huge factors. I’m from California and struggle to stop my husband from bringing sugary and salty foods into the house.
So far, I don’t have kidney problems. I do things to be healthy but I also know that I’m not doing enough. My mother has end stage renal disease.
No mention of the root causes? Thats must be the first thing in this report. But its only about addressing the problem. Not the right approach. Surely its something to do with specific food sources that must be avoided.
Wrong. The Video IS about what the Titel says, Like it should be. Stop your whining and use Google.
Answer IS in short that your diet sucks. Too much sugar, too much sweet Drinks, too much Salt and Fried stuff and not enough water
Even here in the philippines. Dialysis patient getting younger and younger by each year. Very sad reality.
Did the documentary mention anything about why kidney disease is increasing in Singapore? Is the kind of food they eat or way they live contributing to the increase in cases? In Japan, we frequently hear from health professionals that Japanese food can have a lot of salt which can become a cause of heart related problems so we need to be careful. I’m wondering what is it in Singapore that’s contributing to this phenomena. Does anyone know why?
Soft drinks, alcohol, beer, smoking and too much stress in everyday life.
@@anewlife5846 And more and more processed food making its way in to our plates. My husband and I don't often eat out because I don't trust people to handle our food. So many people add sugar or bad quality fats to a plate just to make it "tastier", with no regards to health consequences.
Core problem seems dehydration hurting the kidneys, topped with high salt/sugar/chemical diet that depletes electrolytes and without electrolytes, the body can't hold onto the water you drink. Some also suspect the different pharmaceutical products may worsen all this, so many end up on a cocktail of drugs or over-the-counter supplements that are hard for the kidney to process over time as well. American people I know who ended up with kidney issues were big time soda or diet soda and/or energy drinks and/or protein powder drinkers. I'm in Japan too (half American-born Japanese), I see my stubborn Japanese hubby eats salty foods but doens't drink much water, but at least he drinks unsweetened drinks and is mindful of eating sweets/excess carbs AND he works out hard at the gym (but he will take his car just to go to the salon two doors down or to go to the pharmacy/grocery store across the street).
Japanese diet is really salty (soy sauce in many things), you got to get enough water and electrolytes (some fruist, lots of leafy greens for the magnesium, and lots of foods have potassium from meats to potatoes, etc). My late aunt in Tokyo was on dialysis (and had diabetes). She was a business woman and ate out a lot. She seemed only half alive. My mom didn't listen and took her out once to a restaurant in Japan and she ended up in the hospital (Japanese food is just too salty). She had a helper come over a couple times a week and cook low-salt dishes for her. My mom in the USA also has diabetes but she didn't eat a.lot of sweets like my father and I, BUT she ate quite a bit of white rice at night and white bread toast for breakfast AND she hardly moved, pretty sedentary. My Japanese hubby eats a lot of carbs for breakfast and some for other meals BUT he exercises hard and burns that excess sugar. His worry is getting enough water (and foods containing electrolytes so the water stays and hydrates vs just getting peed out) to protect the kidneys.
This is unusual. I think of Singaporeans as being well-educated, health conscious people. Has there been a recent change in life style, stress, diet? Is there something that makes the people genetically predisposed to kidney disease? If it’s diabetes, why?
Good questions. The video failed to mention why this population was a leader in CKD? It would help to tell us why
the Jab.
It's a sign of insulin resistance and metabolic symdrome. And the video can't tell people to stop eating and rest their body. This will disrupt the economy. I mean, let's walk down every mall in Singapore, every other food store is selling something sweet, whether it's beverage, dessert, bakery, cakes. There's food 24/7. If the government steps in and say the cause is too much sugar, processed food. These stores are going to close down.
@@haileycandeza-solanoSpot on
@@RaymondSoonwhy can’t they sell healthier food???
Mainly diabetes and high blood pressure causes kidney failure progression. So good control of sugar consumption is important
U forgot about genetic and herederity factors also some medications taken long time can caused CKD also what about stress and why this surge cases after pandemic ?
@bobafett5757 yes you are correct genetic and hereditary do contribute to CKD. Also so many genetically modified products consumed among people now so that is also a contributing factor.
@@chinthiperera4127 Also why suddenly cases surged after pandemic and is that uncanny ?
@@bobafett5757Its the covid shots
More efforts should be spent on research, prevention and tapping on TCM.
Thats not good for the establishment? There more money in fancy machines.
@@canhandletruthconspiracy crap
Excelent informative video...this " epidemic" is due to diet??
*What happen to stem cell treatment and kidney transplant which are way more effective than dialysis ?*
What happened to not being in denial of your health? So quick to mention stem cell treatment and kidney transplant when it probably goes against their religion. Unless, you are part of the black market🙄🙄🙄
@@HealingSavage999 Hope u aware cardiac issues also rising so coincidence so many reported after pandemic so hope more investigation can be done just to be ensured
I am a diabetic for over 30 years now. When i do a full blood check up and i have protein in the urine, the doctor will only tell you that the protein is a bit high. No specific instructions is given to the patient on how to protect the kidney. What foods that you have to refrain from etc. Your next check on the kidneys will be next year. This is the system in Singapore, wh6 is there no protective system in place. As long as the doctor doesn't give you medication for it everyone will not know how bad the kidneys are. Singapore is a so called 1st world country with a 3rd world system. When you are made aware of kidney failure, you are at 4th or 5th stage. Why was it not detected earlier and treated.
Go get a renal panel done. Then, look at the numbers, see how much protein is leaking. If the number is very low, then, no real worries. Here, you may want to cut down on your protein intake.
Then, you need to determine how impaired your kidneys are. Sometimes, steroids might help.
Then, wait and see. If the numbers are bad, you may be referred for a kidney biopsy.
@@waisinglee1509 I am currently on blood pressure medication to reduce the loss
@@SuperCobragold You are on BP meds to reduce the loss of what? Of protein? Sorry, I am a bit confused here.
About three years ago, I did a renal panel and they found a small amount of protein leakage. They weren't worried about it and said that they would look at the number a year later at the next renal panel. So, for months before that next renal panel I dropped my protein intake to five units a day.
It was tough going but I did it and on protein leakage that year. I went back to my normal eating habits and the leakage has not appeared again.
@@waisinglee1509 loss of proteins, the doctor increased the medication last year as the loss is higher. I am being treated at the polyclinic
@@SuperCobragold Interesting, the next time you see the doc, ask why you are not on an ace inhibitor drug and whether or not that would be a better choice for you? You may also want to get a renal panel done and maybe a second opinion.
I would also suggest less protein intake but this protein leakage seems to have been happening for years already.