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Fruits of summer’s harvest
Summertime is ice cream time
High blood pressure and chronic kidney disease
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Summer 2018
Welcome!
Dear Readers,
we would like to welcome you to the 2nd edition of the NephroCare Magazine. In this edition, we introduce you to the online world with our NephroCare website. Enjoy our inspirational patient stories. We then have some interesting reading on Blood pressure management.
How about a holiday in Morocco? Lets indulge in the rich culture of Morocco.
Summertime is a time for fruits and ice cream. Come enjoy our recipes, which will have you wanting more!
Your NephroCare for me Editorial Team
Fresenius Medical Care informs
Your go-to online resource: the NephroCare website 4Two night shifts at Fresenius Medical Care 8
Worth living
Fresenius Medical Care’s brave soldier 9My journey with my kidney 10Patient studying while dialysing 12Vocation & hobbies of our patients 14Fresenius Medical Care staff – transplanted 15
Worth knowing in renal
High blood pressure and chronic kidney disease 16How-to guide: needle removal and haemostasis 20
Different countries – different habits
Inspired by Morocco 22
Here’s to your health
Fruits of summer’s harvest 26Summertime is ice cream time 28
Recipes
Carrot ice cream with honey 30Fruit smoothie 32
Inspiring
Brain calisthenics 34
Information
National footprint 36NephroCare Medical Centres 38
Fresenius Medical Care informs
NephroCare.com – a brief historyOur online presence has been around for a while, albeit it in different forms. By regularly expanding and enhancing our website we not only make the experience better for you but also offer new content on relevant topics. Wherever you reside, when you visit NephroCare.com today you can be certain to find high-quality, reliable information, arti-cles, recipes and more, specially for people with chronic kidney disease and their fami-lies. We strive to always serve you better – at our centres and on the Internet!
Today and in the future, we continue to improve our online offer to better serve and inform you. Stop by regularly to see what’s new and what has changed.
Local content tailored to youAs mentioned above, in addition to our global NephroCare.com website most countries also run a country-specific site in the local language and with content relevant to people who live in the area.
This may include: Special features with patient stories Information and news from your local NephroCare organisation
Local habits, practices and events
You can access your local NephroCare website by selecting your country from the ‘Select Country’ tab in the main navigation (the black tabs at the very top of the page) on NephroCare.com. Alternatively, go directly to your country’s version by entering the web address www.NephroCare.co.za in your browser.
Your go-to online resource: the NephroCare website
Where do you go online when you want information about treatment, care and thriving on dialysis? The patient area of the NephroCare website, of course!
Whether you are already a daily visitor or are completely new to our site, there is always a wealth of information to discover.
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5
Fresenius Medical Care informs
www.NephroCare.com2012
www.NephroCare.com
Delve into more contentGot a question about kidney disease? Inter-ested in our services? Looking for a new recipe to try? Need a break from the daily grind? You’ll find patient-friendly answers to all these questions in the following sections on NephroCare.co.za. Here’s a closer look at four of the sections.
Kidney & Kidney Disease: At the heart of our patient section is key information about kidney disease, written and structured for patients. Here you can learn kidney basics (including what your kidneys do, what hap-pens when kidneys fail, who’s at risk of kidney disease and symptoms); find out about the five stages of kidney disease; explore treat-ment options; and learn about comorbidities, other conditions that commonly occur along with or due to kidney disease.
Services: This is the place to go online for information and inspiration. Get advice on topics related to living with chronic kidney disease, from fistula care, to exercise, to medication. Also read moving stories from other patients. Hear the situations they have faced and the challenges they have over-come to help them live well, despite having kidneys that don’t work as they should.
2012 – Re-launch of NephroCare.com.
Now more user-friendly and with
enriched content in the sections
Kidney & Kidney Disease, Treatment
Options, Help & Advice. Furthermore
we enhanced the nutrition section with
a wide range of kidney-friendly recipes.
until 2012 – Our website already
contains plenty of information about
Kidney & Kidney Disease, Treatment
Options and more.
Here are some NephroCare.com milestones at a glance.
www.NephroCare.comwww.NephroCare.com
www.NephroCare.com
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2015 2016
www.NephroCare.com
Find additional tips to help you make the most out of every day in the digital version of our popular patient magazine, NephroCare for me. Last but not least, the new Inspira-tion section is brimming with ideas to en-courage you to live everyday life to its fullest.
Nutrition: If you have questions about what a kidney-friendly diet looks like or are looking for new ideas to spice up your cooking, you should definitely visit our Nutrition section. In addition to the “Good food recipe library”, which is chock full of healthy and delicious recipes, you’ll also find specific information about good nutrition for your type of treat-ment, whether peritoneal dialysis or haemo-dialysis. Our tip: Watch the educational videos in the subsections on topics like ‘Energy’, ‘Liquids & salt’ and more. And remember that despite what appears online, always follow your doctor’s and dietician’s orders!
Holiday Dialysis: Now and again we all need a break from the routine of everyday life.The good news: being on dialysis does not mean you can’t get away from it all now and then. One benefit of being a patient at NephroCare is having access to our global network of cen-tres, all of which offer a high quality of care you can trust. In our Holiday Dialysis section on NephroCare.co.za, you can explore your options, find centres in a foreign country or city across the country, and get the ball rolling to request and coordinate dialysis during your holiday.
We hope we’ve piqued your interest for the wealth of interesting information and content we offer on NephroCare.co.za. But don’t take our word for it: go online now to discover it for yourself.
Happy surfing!www.NephroCare.co.za
2015 – The launch of the responsive
version of NephroCare.com let people
access great content on smartphones
and tablets, including new sections
like "My Disease Stage". The number
of country- speci fic websites grows.
2016 – A new year, a new look. We
updated the website to reflect our new
logo and brand design.
www.NephroCare.com
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Fresenius Medical Care informs
Wits Donald GordonIt was around two years ago that the need was identified by the doctors at our Wits Donald Gordon clinic, and the Wits Night Shift was born. Chairs were converted into beds, a night team appointed, and the patients informed of the shifts, running three times a week from 5.00pm until 5.00am. What appeared to be a challenge in the beginning soon grew into the preferred choice by some patients, and in 2017, some 20 patients were receiving their treatment on Sundays, Tuesdays and Thursdays for 6 – 8 hours.
Well done to the Wits clinic – true pioneers who have inspired the need for more night facilities.
WinelandsFresenius Medical Care wishes to con gratulate the Winelands Kidney & Dialysis Centre on the opening of its first night dialysis unit for Fresenius Medical Care in the Western Cape.
Last night saw the first shift, and the staff, patients and Dr Bihl are all very excited about the new venture.
Ten chairs were converted to night beds and the shift is already fully booked, with another five patients currently on the waiting list.
Two night shifts at Fresenius Medical Care
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Zama Thobeka Mthembu, a 31 year old woman, was born in Kwa-Zulu Natal and moved to eMalahleni in 2003. She became ill at a young age which is when her constant visits to the doctor first began. Her father (Mr. Johannes Thembu) relocated his daughter to eMalahleni, where he worked in one of the mines, so as to consult with specialist doctors. At that time her body had started to swell and she was told that she was suffering from end-stage kidney failure and required urgent dialysis treatment.
Zama started her dialysis on 13th September 2006 at Mpumalanga Kidney & Dialysis Centre which is now known as eMalahleni Kidney & Dialysis Centre. In 2007 she had a left hip replacement operation, which was followed by her right hip in 2008. Despite everything, she still managed to sit her matriculation exams. Zana was dedicated to her treatment, and never missed a dialysis session. After being placed on the transplant list, she continued to
attend her dialysis treatments diligently whilst waiting for her new kidney.
In 2012 her problems escalated and Zana became so ill that she was bedridden. At that time, it became clear that she not only needed a kidney transplant, but that she needed a heart transplant as well.
On 8th August 2016, Zama made history when she became the first South African patient to undergo a combined heart and kidney trans-plant, also a very rare operation worldwide. The procedure took place at Milpark Hospital in Johannesburg and lasted ten hours. The heart transplant was completed first, followed by the kidney transplant. The brave soldier Zana no longer requires dialysis and she is doing well on her medication. She went back to school to further her studies and is truly grate-ful to God for a second chance in life. Zana is now motivating other patients who didn’t want anything to do with a transplant to think again.
Fresenius Medical Care’s brave soldier
Emalahleni Kidney & Dialysis Centre
Worth living 9
Worth living
Gabriel Stephanus Taute (Steve)I was born on 4th November 1970 with two healthy kidneys. I enjoyed a normal and healthy childhood and schooling. After school, I trained to be a policeman, which I found very interesting, and I did very well.
Sadly, in 1995, I fell ill with double pneumonia. I was admitted to Morningside Clinic ICU under Dr Clifford Smith (Pulmonologist). Later, my kidneys started to fail and the Nephrologist, Dr Roger Phillips, was called in.
I then had acute dialysis in ICU. Eventually, my poor and ailing kidneys could not go on any longer and failed altogether, leaving me with chronic renal failure! This was a shock to both my family and myself. How to cope with chronic dialysis three times a week for four hours then became my new challenge.
I dialysed in various units before finding myself in the best unit at Morningside:
• Rand Clinic – 1 year• Garden City Clinic – 2 years• Norwood Dialysis Centre – 2 years• Sunninghill Dialysis Centre – 2 months• Morningside Kidney and Dialysis Centre –
2 years
At the time of my treatment, I hadn’t yet started a family but really wanted to. However, the doctors told me that my dream was virtually
impossible! Despite this, my wife gave birth to two beautiful baby boys whilst I was on dialysis in Morningside KDC. My first son was born in January 2000, and my second son was born in July 2001.
Dr Roger Phillips began preparing me for a transplant, but at the time, the medical team needed me to pay a certain amount, which seemed impossible. My wife and family decided to help me and began preparing a sponsored bike ride to Cape Town – some 1,300 km – to raise funds. They completed their journey in just five days on a tandem bicycle and two racing bicycles. I then had sufficient funds, and now it was time for the waiting game…
On 1st March 2002 I was lucky enough to get a transplant. The operation was carried out by Dr Russell Britz at Milpark Hospital. I have been in very good health ever since my transplant.
I now look after my health and take regular exercise. That includes ballroom dancing with my wife, Roelien, at the Arthur Murray Dance studio in Braamfontein. I have been dancing for 3 years, and have won the bronze medal in more than one competition.
I have now completed the 94.7 cycle challenge with my family three times, managing to finish the races before the cut-off time. Following my transplant, I also coached the under 11’s and
My journey with my kidney
Morningside Kidney & Dialysis Centre
10
under 12’s cricket team at the Barnard Stadium in Kempton Park.
I also started going to the gym, and I still go to the gym to keep fit.
Throughout my journey, my employer, the South African Police Service at Sandton Police Station, have provided me with con-sistent support, never denying me dialysis time or sick days.
During my journey, I climbed the ranks from Constable to my current position of Captain.
My journey with Fresenius Medical Care and with Roger Phillips and Shelley Cooper, who are both exceptionally knowledgeable and
helpful, and have been available to me 24 hours a day, exceeded every expectation, during both my haemodialysis and my transplant.
My ‘new’ kidney is now 15 years old and has given me an almost normal life.
Thank you to everyone involved!
I would also like to send a message to all dialysis patients out there… Never give up waiting, your turn may come sooner than you think!
Thank you for asking me about my history.
Kind regards,Steve Taute
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Worth living
Patricia Mogapi
BackgroundThis case has the goal of discussing how a student copes with her studies while dialys-ing, and how she divides her time insofar as her social engagements, life, academic work and her haemodialysis sessions are concerned. It also has the goal of discussing the impact of renal failure on her future as a young woman.
IntroductionPatricia Mogapi is 23 years old, and was born and grew up in Francistown City in the Northern part of Botswana. Patricia was raised by a single mother who runs a grocery shop as her source of income. She lives at home and has one sibling. Pat completed her primary edu-cation, progressing to senior secondary level in Francistown, and advanced to the Univer-sity of Botswana, where she is currently in her final year in Business Administration (Manage-ment). She is looking forward to graduating and finding a job.
Patricia was diagnosed with Renal Failure secondary to Hypertension in September 2016. She has since been fitted with a tem-porary catheter and is awaiting arterio-venous fistula creation, which will possibly be com-pleted next winter, during her end of semester school vacation.
After being diagnosed with chronic renal failure, her studies, her social life and her future have been negatively affected by her ill health and the time off that she has taken (missing school lessons & exams) … she has sometimes been forced to sit her exams later than everyone else because of her HD sessions.
Nonetheless, her family, her friends, her lec-turers and the Fresenius Medical Care’s staff have been of great support which has enabled her to cope well with studies while dialyzing. In this respect, Pat calls herself the “KIDNEY DISEASE WARRIOR”.
Despite all of her challenges, she never misses her HD sessions and puts time aside to make up for her lost study time (her missed lessons & exams) by getting notes from her friends, attending extra lessons, and meeting with her tutors. She also tries to squeeze in time for her social life, therefore keeping the fire burning in her life.
Clinical historyPatricia is popularly known as Pat in our unit, and has been complying well with her HD sessions & doctor’s appointments, therefore minimizing her hospital admissions and HD related complications.
As a result of her renal failure, there has been a variance in her monthly blood results, show-
Patient studying while dialysing
Riverside Kidney & Dialysis Centre
12
ing angulations on her blood results which is an indicator of renal dysfunction; for example, her low Hbs which improve as she takes Epo injections. On a few occa-sions, she has reported to the unit with slight dyspnoea and slight oedematous feet, which indicates fluid overload due to renal failure. Pat is on dialysis for 4 hours 3 times a week, and also takes anti-hypertensive drugs.
She has also received health-education regard-ing her renal diet, and fluid intake restrictions have been given.
ConclusionWith her effective dialysis, her health education (on fluid intake and dietary management), good support from her family, friends, lecturers at the university and Fresenius Medical Care’s staff, Pat has succeeded in coping well with her studies during her dialysis.
Pat has since been transferred to the Renal Care Institute in Gabo-rone to be near the University of Botswana. She is a positive fighter, and we are confident that she will do well in her studies.
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Worth living
My name is Dewald Ludick and I am 32 years old. I have been a diabetic my whole life. I was diag-nosed with type 1 diabetes when I was 5 years old and was diag-nosed with chronic kidney failure
about 3 years ago. I have also lost most of my eyesight due to my diabetes; right now, I only have limited eyesight in one eye.
After I matriculated, I went on to study infor-mation technology. The IT environment is very competitive and I initially struggled to find a job. I eventually found a job in an IT depart-ment, but more on the sales side of things. Starting from last year, things really didn’t go well for me and my wife financially. My family is helping me every month financially as I am simply unable to cope on my own. My family
suggested that in the long term that I should begin studying something else that will enable me to find a better job more easily, and be better off financially. I struggle to get to work due to my illness. After doing some research, I decided to move into the teaching profes-sion, as I feel that teaching is my vocation, and it is also an area in which work is available. When I have my teaching degree I will also have the opportunity to work in other coun-tries and I will be able to see the world. I regis-tered with UNISA and I’m now in my first year. There will be challenges as I’m working during the day and studying part-time, but as the saying goes, where there is a will there is a way. I’m currently taking things day by day and approaching it as a challenge that I want to overcome. I don’t know if I’m going to make it but I’m not losing hope.
Entrepreneur success stories – Isaac SkhetoMr. Isaac Skheto (59) is one of the patients at the Phalaborwa Kidney and Dialysis Centre.
His business collects wood and then sells it to the community. Mr Skheto’s wood collection busi-ness is doing very well.
Interesting Hobbies – Robert MakwalaMr. Robert Makwala is a 59 year old patient at our Phalaborwa Clinic in Limpopo. In his spare time, he is an assistant pastor at a church called Glory of God International Church. When the senior pastor is unavail-able, Mr. Makwala stands in for him and preaches at the church in his place.
Vocation & hobbies of our patients
Studying to follow my vocationMorningside Kidney & Dialysis Centre
Entrepreneur & hobbies in LimpopoPhalaborwa Kidney & Dialysis Centre
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My name is Johnny Douw. At the age of 25 I was diagnosed with diabetes and at the age of 35 I was diagnosed with hypertension. I started working for Fresenius Medical Care in February 2009. I was first diagnosed with total renal failure in March 2014. The doctor explained to me that this could be the result of prolonged uncontrolled hypertension and my glucose level. I had a catheter fitted at GSH on 3rd June 2014 for my dialysis.
I started my dialysis at the Athlone Kidney Unit on 3rd June 2014 for 4 hours, 3 times per week. At that point I was very sick and had lost a lot
of weight, and I was confined to a wheelchair. It took my system about 3 months to get used to the process of dialysis. After 6 months I realised that the procedure wasn’t going to end any time soon and got a little tired of dialysis, but with the encouragement from the nursing staff and seeing the health progress I had made, I felt encouraged to go on.
I was off sick from 3rd June 2014 and returned to work on 1st January 2015. I had dialysis for two and a half years from 30th June 2014 to 29th November 2016. With the support of the Fresenius Medical Care staff in both Cape Town and Jo-hannesburg and the professional medical team that looked af-ter me, I succeeded in having a kidney trans-plant on 29th November 2016.
At the time of my transplant, the kidney went into ATN but eventually recovered from it. I spent two weeks in hospital following my operation. The transplant proved to be the most joyful moment in my kidney history, and I have received it as a Christmas Present. My transplanted kidney is now 5 months old.
Fresenuis Medical Care staff – transplanted
Cape Town Kidney & Dialysis Centre
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Worth knowing in renal
After the diagnosis of chronic kidney disease, you may notice that your physician closely monitors your blood pressure. Why, you might have wondered? It’s because having high blood pressure, also known as hypertension, increases the chance that your kidney dis-ease will progress and could potentially lead to heart problems. By keeping your blood pressure controlled you can help reduce the risk of developing such complications.
Silent but seriousToo often, people who suffer from high blood pressure don’t know they have it: it typically causes no symptoms. The only way to know if your blood pressure is too high is to meas-ure it. That’s why your blood pressure should be checked at every visit to your doctor or dialysis centre. For people with chronic kid-ney disease, your doctor may also test your blood to check your kidney function and
Because of how our bodies are naturally engineered, blood pressure and kidney disease are closely intertwined. In fact, high blood pressure can be both
a cause and a complication of kidney disease. Here’s what you should know.
Common yet often unknown connection: High blood pressure
and chronic kidney disease
Worth knowing in renal16
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Worth knowing in renal
levels of other elements in your blood such as potassium. Since protein in the urine can signal a kidney problem, your physician may check that as well.
The kidney–blood pressure connectionOver time, high blood pressure can damage blood vessels throughout your body. This can reduce the blood supply to important organs like the kidneys. High blood pressure also damages the tiny filtering units in your kidneys and as a consequence the kidneys may stop removing waste products and extra fluid from your blood. This can cause extra fluid in your blood vessels to build up and raise your blood pressure even more. High blood pressure can also be a complication of chronic kidney disease since your kidneys play a key role in keeping your blood pres-sure in a healthy range. If you have kidney disease, your kidneys are less able to help regulate blood pressure and as a result, blood pressure can creep up.
Stick to the planYour doctor will develop a treatment plan for you if you are diagnosed with hypertension. It will likely include making lifestyle changes and taking medications. Remember to fol-low your physician’s instructions and to re-port any problems or symptoms you have to your doctor. Even after your blood pressure reaches the desired level, it’s essential to continue taking your medication as instruct-ed unless your doctor tells you to do other-wise.
Educate yourselfAt NephroCare, we encourage you to learn all you can about high blood pressure and chronic kidney disease. As a well-informed patient, you can be directly involved in your care and long-term health. Also, encourage family members to have their blood pressure checked.
Worth knowing in renal18
BE SMART ABOUT BLOOD PRESSURE• Keep all your scheduled
appointments with your doctor.
• Ask your doctor how to take your own blood pressure at home.
• Record your daily blood pressure levels and show them to your doctor at each visit.
• Take your blood pressure pills exactly as prescribed by your doctor, even if you are feeling fine.
• Report any side effects from your medicine to your doctor. Never stop taking any medications without speaking first to your doctor.
• To help you remember when to take your medications, try one of the special pill boxes with small compartments labelled with the days of the week and the times of day.
• Alternatively, set an alarm or ask family members to help remind you to take your medications.
• Follow your diet and exercise plan faithfully.
• Meet with a registered dietician if you need help adjusting your diet.
• Don’t be afraid to ask questions! Bring a list of them with you to your next appointment.
Family involvementRemember to involve the whole family in your care. It’s much easier to make lifestyle changes such as following a healthier diet, exercising more and stopping smoking if you take these steps together or if you have the support of your family. Because high blood pressure often runs in families, some of your family members may also be at increased risk of developing high blood pressure and chronic kidney disease. Encourage them to learn all they can about high blood pressure and to have their blood pressure checked at least once a year.
Should you have questions or concerns about your blood pressure or treatment, reach out to the NephroCare staff at your next dialysis session.
We always have an open ear for you!
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Worth knowing in renal
Whether you are new to dialysis or have being undergoing treatment for a while, removing a needle is an important part of each session. It must always be done carefully to prevent a blood vessel from tearing. Correct removal also minimises access trauma and helps achieve optimal haemostasis. While a skilled nurse always performs haemostasis of the very first cannulation, you can get involved in future treatments. Here’s an overview of how you can participate – if you would like to, of course.
Your step-by-step guide
STEP 1 – Prepare the materials. A nurse always prepares the materials required for nee-dle removal and stopping the blood flow. Patients who wish to participate must be able to apply pressure on the vascular access. If this isn’t the case for you, a nurse will always take over. Assuming you can and would like to assist, the nurse will ask you to put on gloves during this step.
STEP 2 – Remove the needle. The nurse stabilises the needle and carefully removes any tape. This prevents excessive manipulation, which may damage the access wall and enlarge the cannulation site. If your skin is dry, the nurse will take great care not to damage it. The needle should always be withdrawn slowly,
maintaining the same angle of insertion until the entire needle has exited. Wait until the needle has been completely removed before applying pressure to prevent damage to the vessel wall. Take great care not to move your arm while the nurse is removing the needle.
STEP 3 – Compress. To help prevent bruis-ing, compressing with two fingers is key. Place one finger over the external insertion site (your skin) and the second on the internal insertion site (the vessel entry), see Fig. 2. Apply pressure that is strong enough to stop the bleeding, but not so strong that it stops blood flow through the vascular access. Compression that re-stricts blood flow may cause the access to clot.
How-to guide: needle removal and haemostasis
Each time you visit a NephroCare centre for treatment, our caring staff welcomes your active participation. In this helpful how-to guide, we show you how you can –
if you want to – play an active role in needle removal and haemostasis.
For haemostasis it’s important to wear a glove and compress with two fingers.
Fig. 1
Fig. 2
Worth knowing in renal20
DO apply pressure by using two fingers, only after the needle has been completely removed.
DO hold for 8 –12 minutes without checking.
DO allow the nurse to hold for up to 20 minutes without checking, after the very first cannulation.
STEP 4 – Check for thrill. Thrill (a vibrating sensation) should be felt above and below the site of pressure. If thrill is absent, reduce pres-sure on the access until you can feel it. Why check for thrill above and below the pressure sites? To ensure compression is not restricting blood flow through the vascular access. The time required for haemostasis varies from patient to patient, but usually takes around 8 –12 minutes. The process is complete when there are no signs of bleeding after releasing pressure from the site.
STEP 5 – Apply a plaster. Once haemostasis is completed the nurse will apply a haemo-static plaster or tape sterile gauze over the site. The tape should not be wrapped completely around the arm. Doing so can create a tourni-quet effect, restricting blood flow. Thereafter, the nurse will check for your pulse above and below the dressing. When the plaster is in place, you can remove your glove. It’s impor-tant to keep the cannulation site protected until a scab has formed.
The right home careBleeding at a cannulation site while at home is rare, but should it happen you should first apply pressure to the site like in the dialysis centre. Wait for at least five minutes, then check to see if it has stopped. If it has, apply a new plaster. If it is still bleeding, reapply pressure. Contact your dialysis centre if bleeding continues after 30 minutes.
Thanks to all patients who participate in the haemostasis, though there is no pressure to do so. If you are interested in learning about haemostasis and your treat-ment, please reach out to your nurse.
Here are some essential Dos and Don’ts to remember when participating in haemostasis:
What is haemostasis?It is the medical term for the stoppage of bleeding. For haemo-dialysis patients, haemostasis must occur after needle removal.
DON’T forget to check for thrill above and below the site of pressure.
DON’T check too early: doing so breaks the forming clot and re-starts bleeding.
DON’T wrap tape around your arm.
DOs AND DON’Ts
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Different countries – different habits
From the deep blue waves of the Atlantic Ocean, to the calm, bath-water-like shores of the Mediterranean, from highest peaks of the High Atlas Mountains, to the hot des-serts of the north-western Sahara, Morocco bursts with spectacular diversity. Today, the country of 35.2 million is a melting pot of Arab, Berber, European and African influ-ences. Unsurprisingly, if you walk the streets or visit a local souk you will hear a colourful mix of Arabic and Berber, the country’s two official languages, as well as French and Spanish. Here, the people and the cities are as diverse as the landscapes.
From high peaks to the desertFar up in the High Atlas Mountains, hours away from the boisterous metropolises, lie some of North Africa’s most remote villages.
Since antiquity, the Berbers have lived on this terrain in the shadows of some of the continent’s highest peaks. Mount Toubkal, for example, stretches a whopping 4,167 metres into the sky. To reach this corner of Morocco, travellers and locals alike must cross an old, windy mountain road with heart-stopping views of the area. Should you find yourself here, hire a driver and cross the pass in the daylight, so you can take in the surroundings.
Starting in spring and stretching into autumn, trekkers flood the area seeking to cover this corner of Moroccan terrain by foot. After the first snow of the season (yes, there’s snow in Morocco), winter sport enthusiasts sweep in to enjoy the slopes. More than just catering for sport lovers’ wants, the mountain range also serves as a natural weather barrier between the milder Mediterranean climate to the north and the sweltering, rural Sahara to the south.
A visit to Morocco promises a rich bazaar of landscapes, scents and people. Come along on a discovery journey through
the northwest corner of the world’s largest continent.
Inspired by Morocco
Sahara
Atlas Mountains
Different countries – different habits22
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Different countries – different habits
Cross over into the desert landscape and you will find great Saharan ergs, the infa-mous shifting sand dunes. Two of the most talked-about in the area are Erg Chebbi and Erg Chigaga. The former is a spectacular ex-ample of breath-taking Moroccan desert landscapes. This part of the country is only accessible by car or bus, making it truly off the beaten path. Each year, thrill-seekers travel to the area in hopes of witnessing a famous desert sandstorm – from afar, of course.
Bedazzling MarrakeshMoroccan cities are as inspiring as the coun-try’s landscapes. Marrakesh is a beguiling, lively city that beckons travellers to explore and uncover its secrets. The inside of the medina – the ancient city walls – is home to a maze of streets dotted with souks and their rainbow of colours. Don’t bother looking for street signs or taking along a map should you wander through Marrakesh’s narrow, pastel-washed alleyways called derbs: they are notorious for being unmarked.
For an unforgettable show, head to Djemaa el-Fna, Marrakesh’s main square, which the UNESCO declared a ‘Masterpiece of World Heritage’ in 2001 for its ability to bring urban legends and oral history to life. Here, night after night storytellers, acrobats, buskers and comedy actors perform a dazzling street carnival for the general public to enjoy.
Car-free in FèsDid you know that the city of Fès is the world’s largest car-free urban area? Stroll along the streets without worrying about motorists zipping by while you take in the elaborate architecture of mosques and ma-drasas (schools). Get lost and find your way home in the old medina Fes el- bali, famous for its labyrinth of streets. High-quality leath-er goods look back on a long history in Fès and an afternoon at the iconic Chaouwara tanneries is worth a trip.
At the end of a long day, visit a hammam and enjoy a relaxing massage.
Captivating Casablanca Hollywood may have made Casablanca a household name, but the city’s beauty and modern slant has earned it a place in con-temporary Moroccan society. With examples of art deco, modern, and traditional Arab style, Casablanca is home to world-class architecture that expertly blends cultures and the old and new world. The Hassan II Mosque, one of the largest mosques in the world, which was built in the 1980s and early 1990s, enriches the city with a contemporary monument. The intricate masterpiece, which took over seven years and the manpower of up to 10,000 artisans to complete, demon-strates remarkable craftsmanship.
Djemaa el-Fna, Marrakesh
Different countries – different habits24
For those who simply want to take a stroll, absorb the sights and tuck into a delightful meal, Casablanca offers a booming art and culture scene and incredible restaurants along the beautiful waterfront boulevard, La Corniche. However, should you come to Casablanca looking for traces of the epony-mous movie, you will go home disappointed: it was all filmed in a Hollywood studio.
Beachside getawaysWith its long stretches of coastline along the Atlantic and Mediterranean coasts, Morocco also attracts throngs of tourists from abroad looking to enjoy sand and surf. Especially the ocean breezes can provide a refreshing relief in the sweltering summer months. Along the southern Atlantic coast, Agadir is one such popular coast getaway that is par-ticularly popular among European tourists. It boasts modest beaches, golf courses and resorts on or near the seaside. Further north on the ocean, Essaouira offers kilometre-
Did you know?
Morocco is a kingdom? A literal translation of its Arabic name means “The Western Kingdom”. This refers to Morocco’s location as the west-ernmost country in the Arab world.
At its closest point, in the Strait of Gibraltar, Morocco is just 13 kilome-tres away from Europe.
White is the colour of mourning in Morocco.
Traditionally, the liver, not the heart, is considered the symbol of love in Morocco.
long sand beaches alongside jaw-dropping fortifications. In the lovely old town, the medina is bursting with narrow alleys and picture book, blue and white houses.
Culture & culinary traditionsMoroccan hospitality is legendary and the people here are proud of it. Engage with the locals and you may find yourself invited to a lavish meal at someone’s home, possibly a beef or chicken tagine. And no trip to Morocco is complete without tasting traditional sweet breads and delectable mint tea.
Throughout the diverse country, magical argan oil is said to make everything better. It is used in spa treatments, cosmetics, hair-care and food. The precious oil, which is chocked full of vitamin E and fatty acids, is extracted from nuts of the argan trees that grow in southwestern Morocco.
Hassan II Mosque
25
Here’s to your health
For fresh fruit choose:
ApplePearStrawberryBlueberryLingonberryWatermelonSea buckthornSour cherryLemon Cactus fruit
Enjoy cooked, soaked or preserved:
PineappleBlackberryRaspberryNectarineMangoOrangePeachPlum Sweet cherryGrape
Avoid or limit to very small quantities:
ApricotAvocadoBananaHoneydew melonBlack currantKiwiPassion fruitJackfruitPomegranateDried fruit
Let’s start with the basics. Having chronic kidney disease means that your kidneys func-tion at a decreased level. In consequence, they are not as efficient at removing certain nutrients from your blood. Because fruit is rich in nutrients, it is highly recommendable to limit your fruit intake to two portions per day (around 150 grams in total). Ideally, you split this into one portion of fresh fruit and one por-tion of fruit compote, without added fruit juice.
Selecting the best kinds of fruitMany renal patients are told by their nephro-logist or dietician to closely monitor their potassium intake. That said, choosing the right type of fruit and/or optimum fruit prepa-ration method can make all the difference. Still, there are many fruits you can enjoy – especially in moderation and when prepared correctly. Discover them below!
Fruits of summer’s harvest
Soon the bright, warm sun of summer will coax out beautiful hues in berries, stone fruit and more. We want you to enjoy the delicious flavours of some
of nature’s most precious gems. But we also want you to be kind to your kidneys and your body, since many fruits contain high levels of potassium.
Here’s to your health26
Why potassium mattersYou could say the mineral potassium is a star player in your body. It takes on a leading role in muscle contractions and nerve impulses. It helps regulate fluids in your cells and aids in producing proteins and breaking down carbohydrates. Potassium is found in nearly all foods of plant and animal origin, though the concentrations differ greatly. Fruits, vegetables and potatoes are all especially rich in the mineral.
However, when you have renal failure, potas-sium is no longer flushed out of the body via the kidneys, like in people with normal kidney function. This can lead to a high concentra-tion of potassium in the blood, a potentially life-threatening condition. Keeping a close eye on your potassium intake and following your treatment plan can help prevent this from ever occurring. What you can do to stay healthyAs someone on dialysis, you play an active role in your personal health and well-being. To a certain extent, the decisions you make every day can influence how you feel and your energy levels. By making smart, kidney-friendly choices, you can help increase your overall quality of life.
The overall message to keep in mind: you can enjoy delicious fruit this summer. Just be sure to make good choices when doing so! Reach out to your nutritionist or nephrologist if you have questions on which fruits are good for your needs.
Here are three rules of thumb to follow when it comes to potassium and fruit consumption.
Consume less: Select low-potassium fruits. This is es-pecially important over the weekend or whenever you go longer between dialy-sis sessions. Always toss out the liquid from tinned fruit! Do the same with compote or preserved fruit. Treat frozen fruit like fresh and toss out the liquid from thawing.
Reduce content: Potassium is highly water soluble. The good news: by soaking, blanching or cooking fruit or by removing water from fruit, you can decrease its potassium content. An easy way to do so is by cutting fruit into small pieces and soak-ing them in a generous amount of (un -salted) water. Heat the water to 70°C if the fruit can withstand it. Change the water, remembering to pour the soak-ing water down the drain.
Be cautious with juice. Juice is a sneaky one. It’s known by different names – juice, fruit nectar, fruit juice drink, lemonade – all of which may contain high levels of potassium. The general rule: the higher the amount of fruit juice, the higher the potassium con-tent. If you do drink juice, dilute it with water.
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Here’s to your health
Cloudy beginningsCenturies ago, our predecessors discovered the delight we know today as ice cream. No one person can claim to have invented the popular treat. In ancient China and ancient Rome, people are said to have enjoyed con-fections made of flavoured ice or snow. Cen-turies later, Marco Polo is said to have brought a recipe for ice cream from China to Italy.
Historians estimate that ice cream as we know and love it today appeared across Europe sometime in the 16th century. How-ever, the delicacy was reserved for royalty and other privileged members of society. The general public was not treated to a taste of this treat until around 100 years later. Thank goodness!
Varieties galoreIce cream not only comes in countless fla-vours – from classic vanilla to rich chocolate to strawberry and more. It also comes in
different varieties, each with their own unique properties. Here’s a quick guide to the most common ones.
Ice cream: Typically made of cream or milk, sugar or other sweetener, eggs and flavouring.Gelato: Italian-style ice cream that is softer, denser and, arguably, more concentrated in flavour than tradi-tional ice cream.Frozen yoghurt: Tarter and tangier than ice cream or gelato, it contains milk, yoghurt cultures, a sweetener and flavourings.Sorbet: Made without dairy or eggs, it’s a sweetened, flavoured ice-based treat. Commonly contains fruit, though chocolate and champagne are also possible.Italian ice: Often dairy and egg free like sorbet, and comes in a range of fruit flavours.
Summertime is ice cream time
Nothing says summer like cool, refreshing ice cream. Classic vanilla, rich chocolate, fruity sorbet: the possibilities are
endless. Get the full scoop on the warm-weather favourite. And learn how you can enjoy it in a kidney-friendly way.
Here’s to your health28
A kidney-friendly summerThere are so many ways to enjoy the quintes-sential taste of summer. Just remember to count the ice cream, sorbet or frozen yoghurt you eat towards your daily liquid or dietary allowance. Ask your dietician for advice if you have any specific questions.
Here’s a great idea: why not make the frozen treat and invite grandchildren, friends or neighbours over to enjoy it with you? Turn to page 26 for kidney-friendly ice cream recipe idea and inspiration. Here’s to a happy, healthy and delicious summer!
Cool treatsWhen the mercury starts to climb this summer, there is no doubt you will want to indulge in this evergreen frozen treat. But for good health, it is essential to consciously make kidney- friendly choices. By following our ice cream recommendations, you can savour the cool, refreshing flavour:
Make homemade kidney-friendly ice cream (it’s easy!). Better yet, freeze small portions of it in an ice cube tray. This lets you track your liquid intake and enjoy small treats throughout the day.
Opt for nutrients. Choose ice cream varieties made with yoghurt, cream or kidney-friendly fruit over those just con-taining water and sugar. Sweeten with honey or syrup if needed, instead of using pure fruit juice.
Choose the right fruits as a garnish. Pear, apple, raspberries, blueberries, strawberries and sour cherries are suita-ble. Ideally from a tin or jar, or as compote.
Avoid fruits high in potassium. This includes bananas, passion fruit, guava and most other exotic fruit.
Satisfy your sweet tooth. Top your ice cream with a small amount of choc-olate sprinkles, caramel, crushed corn-flakes or other crunchy, kidney-friendly treat.
29
Recipes
Carrot ice cream with honey
This savoury-sweet frozen treat is both light and easy to make. The surprising blend of carrots and honey is blended with luscious cream.
Perfect this summer as an afternoon snack, appetizer or dessert. And loved by young and old alike.
Nutritional values per serving: Energy 142 kcalFat 8 g Carbohydrates 17 gProtein 874 mgLiquid 56 gSodium 29 mgPotassium 121 mgCalcium 31 mgPhosphorous 29 mg
Whip the cream with half of the sugar until it is nearly stiff. Stir together the remaining sugar with the honey, carrot juice and lemon juice until it has dissolved. Gradually fold the mix-ture into the cream. Freeze in an ice cream maker, if you have one. Alternatively, place the mixture in a sealed container in the freezer and stir at least once an hour for 5-7 hours to ensure that the mixture is smooth and has a consistent texture.
Garnish with orange slices or tinned mandarin oranges, and some basil or mint if you’d like. They will taste great together!
Ingredients400 ml carrot juice250 ml cream100 g sugar50 g honey2 tbsp lemon juice
Carrot ice creamServes 10
Recipes30
TIP: you can use any juice or liquid to make this kind of frozen treat. Just remember to check the nutritional information on the packaging, as the values can vary widely.
31
Recipes
Fruit smoothie
Summer’s most delicious fruits are just waiting for you to enjoy them – for instance in palate-pleasing smoothies. Why not make enough
to share and ask a friend, relative or neighbour to join you for a summertime treat and some good conversation!
Ingredients 75 g Greek yogurt1 plum1 peach1 nectarine75 g blueberries, fresh or frozen
Fruit smoothieServes 3
Remove the stones from the plum, peach and nectarine.
Cut the fruits into small pieces.
Combine all ingredients in a blender and blend until smooth.
Nutritional values per serving: Energy 85 kcalFat 3 g Carbohydrates 13 gProtein 2 gLiquid 127 mlSodium 16 mgPotassium 245 mgCalcium 32 mgPhosphorus 45 mg
Recipes32
TIP: Try other fruits! Why not swap those in the recipe for something else. Try some strawberries or a pear instead! Be creative and start with just a few ingredients, you can add others later. You know best what is available and which fruits you may eat.
33
Inspiring
Brain calisthenics
Stretch your mind with these challenging brain teasers. Whether you do them in a group or with others,
remember the most important part: having fun!
Number maze
Follow the right path through the cells to end with a total of 20.
1START
20
3 1 3
4 2 3 1
2 4 1 2
4 2 3 1
Matchstick puzzle
The figure below shows six squares. Take away five matches so that three squares will remain.
34
Can you spot the eight differences between these two pictures?
35
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
36
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
37
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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Brain calisthenics solutions
1 3 1 3
4 2 3 1
2 4 1 2
4 2 3 1
Head office: Fresenius Medical Care Deutschland GmbH · 61346 Bad Homburg · Germany Phone: +49 (0) 6172-609-0 · Fax: +49 (0) 6172-609-2191
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www.FreseniusMedicalCare.com · www.NephroCare.co.za © C
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