Addressing impact of co-morbid conditions needful in renal patients

Feb 27, 2013 News

– Dr. Doobay

Renal failure is often compounded by other co-morbidity factors the likes of hypertension and diabetes, conditions which are very prevalent among patients here in Guyana.
At least this is according to Dr. Budhendranauth Doobay, who related during an interview with this publication that renal failure patients on dialysis are not doomed to an untimely death.
In fact he related that patients on dialysis can live a relatively healthy life, some even surpassing 15 years, once they adhere to the recommended diet and needful exercises. However, he noted that the co-morbidity challenges can in fact reduce the expected life span of a renal failure patient.
“It all depends on how bad the diabetes or hypertension is; besides the dialysis, the process of these other diseases can shorten the lifespan, so we want to establish a centre to help people manage their conditions,” said Dr. Doobay who is the founder of the East Coast Demerara, Renal Care Centre.
The two prevailing co-morbid conditions are mostly prevalent among the two predominant races in Guyana – East Indian and African, according to Dr. Doobay.
Diabetes is a group of metabolic diseases in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced. This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger). This condition, according to Dr. Doobay, is mostly prevalent in East Indian while hypertension is known to mostly afflict Negros.
Hypertension is a chronic medical condition in which the blood pressure in the arteries is elevated. This requires the heart to work harder than normal to circulate blood through the blood vessels.
According to Dr. Doobay “it is our duty to help our Guyanese,” even as he pointed to the fact that renal failure patients in Guyana are in fact under-dialysed. He disclosed that in a country of some 700, 000 there should be at least 700 people on dialysis since there should be 100 dialysed patients per every one thousand.
It was against this background, he noted that efforts are being directed towards introducing a centre that directs focus on more people with various co-morbid conditions. Hence persons from the Pomeroon, Bartica, Essequibo and even Skeldon could gain the necessary medical attention to reduce the potential impact of renal failure. Our thoughts were that with Government’s help we would put a branch in Berbice, Essequibo and so that everybody can get a shot at it…everybody should be allowed to live because life is precious.”
“I am hoping that it would be possible for us to get this facility that will be opened to everybody across the country…Even if they don’t have money they must have proper medical care,” said Dr. Doobay.
Financing for the proposed facility, according to him, will be exclusively through fundraising activities and donations from benefactors – some from right here in Guyana and overseas too. In fact it is on this basis that the operation of the clinic has been premised since it opened its doors during the latter part of 2011.
“We get quite a bit from people; we have our own set of benefactors right here and many others who are helping us out,” Dr. Doobay disclosed.
It is however his hope that the efforts to make available an expanded facility to the Guyanese populace that Government will make available subsidies.

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Addressing impact of co-morbid conditions needful in renal patients

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