Pacific Advance Renal Care Pte Ltd (“PARC”) was formed as a joint venture between Pacific Activity Centres Pte Ltd (“PAC”) and Advance Renal Care Asia Pte Ltd (“ARCA”) to cater to the large number of renal patients in the community. PAC is a wholly owned subsidiary of Pacific Eldercare and Nursing Pte Ltd while ARCA is a collaboration between leading nephrologists in South-East Asia. Our aim is to provide quality and affordable specialist care right within residential estates, as part of our shared vision of allowing our seniors with kidney disease to receive treatment closer to home.
We operate 6 centres in the heartlands of Singapore. They are located in Woodlands , Punggol, Sengkang, Tampines, Bukit Panjang and Choa Chu Kang.
Advance Renal Care Asia (“ARCA”) was established by a team of leading and like-minded Physicians and Nephrologists to focus on providing the best medical care possible for Renal Patients.
ARCA operates its clinics in partnership with Nephrologists and/or healthcare institutions. It has a long and successful track record and has managed leading dialysis facilities in Asia, including the centres at Mt. Elizabeth Novena Hospital, Farrer Park Hospital and Mt. Alvernia Hospital in Singapore, as well as centres in Kuala Lumpur, Manila and Bangkok. It also operates a dialysis clinic in Sri Petaling, Malaysia in partnership with the International Medical University (IMU) and 5 renal dialysis centres in Singapore with Pacific Activity Centre. ARCA has also signed a Management Services Contract with China Medical Investment Co. (CMIC) to manage a Kidney Hospital in Qingdao China due to be operational by end of 2016.
Singapore has the fourth highest incidence of kidney failure in the world with almost 5 new such patients diagnosed every day. The main causes of end-stage kidney failure are diabetes and hypertension and one in 9 adult Singaporeans have diabetes while 1 out of every 4 adult Singaporeans has high blood pressure.
1 in 3 adults are at risk of kidney disease. The main risk factors are diabetes and high blood pressure. Patients with a family history of kidney failure are also at risk. Although kidney disease often has no symptoms, it can easily be detected with a simple urine or blood test. Early detection and treatment can slow or prevent the progression of kidney disease.
A simple urine test called the Albumin Creatinine Ratio (ACR) can be carried out to determine the amount of a type of protein, albumin, that is in your urine.
Another simple test, the Glomerular Filtration Rate (GFR) effectively tests your kidney function, that is, how well your kidneys are working in removing wastes from your blood.
Our kidneys are important in removing waste from our body. In addition, it is important in regulation of the balance of water and electrolytes in our body. It is also involved in the production of various hormones for blood production, healthy bones and blood pressure control.
Almost one in 10 adults have chronic kidney disease. If not managed early, it often leads to kidney failyre and our body is thus unable to eliminate waste products. It is important to know that the symptoms are not obvious. However, listed below are some common things we should look out for. These include:
• Feeling more tired or having trouble concentrating or having less energy
• Decrease in appetite and lost of weight
• Not sleeping well, and often with muscle cramps at night
• Persistent generalized dry and itchy skin
• Puffiness of eyes, especially in the morning, or swelling of the feet and ankles
• Urine which has blood or is cloudy, tea-coloured urine or with excessive foaming
• Need to urinate more often, especially at night
• Change in urine output or difficulty in passing urine
• High blood pressure (hypertension)
The main cause of kidney failure in Singapore is diabetes mellitus which accounts for more than 50% of the cases. Other common causes that may affect the kidneys high blood pressurewhich may show up as headaches,visual disturbances or nausea. In addition, recurring urinary tract infection or obstruction caused by kidney stones may also lead to kidney disease. An enlarged prostate in elderly males may also be a causativ efactor.
Living with Dialysis
Kidney disease tend to progress and though there is no cure for chronic kidney disease, the disease can be managed. Treatment aims to prevent and slow down damage to your kidneys, as well as treating the underlying causes such as diabetes and high blood pressure. It involves taking medication and making lifestyle changes to prevent further damage to your kidneys.
Sometimes, we are unable to prevent the progression of the disease and the kidneys fail to function properly or sufficiently. This leads to an accumulation of waste and toxic products, which can irreversibly damage organs and body cells. It is important to manage this well as it is a potentially life threatening condition. Kidney failure may be treated with hemodialysis, peritoneal dialysis or kidney transplantation.
A kidney transplants involves surgically placing a healthy kidney from a living or deceased donor into your own body. Kidney transplants have high success rates and is the best means of treatment as the transplanted kidney can almost totally replace the function of the failed kidney. It allows to patient to lead a normal life. Unfortunately, the waiting list of kidney transplant is long. The average waiting time is 9 years and patients would need to remain on dialysis.
Dialysis keeps the body in balance by removing build up of waste, salt and extra water. It also helps to control blood pressure and ensure safe levels of chemicals in the bloods like potassium, sodium and bicarbonate. There are two types of dialysis available – hemodialysis and peritoneal dialysis
In Peritoneal Dialysis, a thin tube is placed into the abdomen through a surgery. It makes use of the lining of the abdomen (peritoneal membrane) to help clean the blood as it has many of the kidneys' filtering characteristics. During treatment, dialysis solution fills the abdominal cavity. The dialysis fluid picks up waste products and is then drained out from the body after several hours. Peritoneal Dialysis minimizes the disruption of daily activities and gives patients more control as it can be done at home, at work or while travelling. However, close supervision and cooperation with the healthcare team is essential.
Haemodialysis filters waste and excess fluids from the blood using a machine called “artificial kidney”. Minor surgery is done to create an access into the blood vessels. During dialysis, one needle will be inserted in the access to remove blood. The blood will be pumped from the body to a special filter called the dialyser. Cleansed blood, free of waste products and excess water, is then returned to the body by another larger tube. Haemodialysis treatments are performed three times a week and each session lasts about 4 hours. The access need to be cleaned and taken care of daily to avoid infection
Most patients need an initial adjustment period when they first start dialysis. However, patients are still able to have a good quality of life with dialysis treatment. Dialysis sessions can be scheduled to fit into their routine and patients are able to continue with their education, work and recreational activities Both methods of dialysis have possible complications and risks, including infection. The stress of repeatedly having to do dialysis can also take its toll on emotional well-being.
Will I need to change my diet if I have kidney disease?
Your kidneys help to keep the correct balance of nutrients and minerals in your body. If you have kidney disease, your kidneys may not be able to do this job very well. You may need to control the amount of protein, sodium, potassium, phosphorus, and calcium in your diet. Eating a reduced amount of the above may help control the buildup of waste and fluid in your blood. This means your kidneys do not have to work as hard to remove the extra waste and fluid. Note that if you have diabetes or high blood pressure, you will also need to continue to follow a special diet for these conditions.
Phone: (+65) 6384 9711
Address: Blk 279C, Sengkang East Avenue, #01-541, Singapore 543279
Phone: (+65) 6497 6703
Address: Blk 454, Fajar Road, #01-582, Singapore 670454
Phone: (+65) 6443 5363
Address: Blk 264A #01-306 Punggol Way. Singapore 821264
Phone: (+65) 6384 5110
Address: Blk 868C, Tampines Avenue 8, #01-560, Singapore 523868
Phone: (+65) 6684 5386
Address: Blk 887, Woodlands Drive 50, #01-01, Singapore 730887
Phone: (+65) 6893 0617
Address: Blk 488B, Choa Chu Kang Ave 5, #01-145, Singapore 682488