The WAiT For A Kidney - The Kidney Foundation of Canada
Transcription
The WAiT For A Kidney - The Kidney Foundation of Canada
FALL 2015 The Wait for a Kidney: A Story from our Volunteer Family of the Year By Melanie Ferris Part two in a series of two* Blair, Irene, Jack, and Leo are the Waldvogels. Blair has been on dialysis for five years. At age 44, he started this lifesaving treatment for kidney disease. Team “Walk”vogel were the top fundraising team at our annual Kidney Ride, Glide, Stride event in Winnipeg this year. They raised $7930 to support kidney health in Manitoba. In this issue ÎÎ Executive director’s message: Page 2 ÎÎ Upcoming events: Page 2 ÎÎ Volunteer with us: Page 2 ÎÎ Filipino Street Festival: Page 3 ÎÎ Bursaries awarded for kidney patients: Page 4 ÎÎ Chamois Car Wash: Page 5 ÎÎ New program for home dialysis patients: Page 6 ÎÎ The McLaren’s 20 years of support: Page 7 ÎÎ A test of Faith: Page 8 ÎÎ Kidney Ride, Glide, Stride: Page 10-11 Follow us! Kidney Foundation of Canada – Manitoba Branch “Although dialysis is difficult, I am very appreciative that there are dedicated and gifted medical professionals that give me the chance to carry on living a fairly normal life,” says Blair. “Without them, my story would have a much different ending. The work that the researchers do is valuable and is helping so many patients today. With the number of patients on dialysis, it’s important to continue with research that will prevent kidney disease and improve treatment.” A long road: The wait for a transplant Blair has been on the waiting list for a kidney transplant for 5 years, since October 2010. continued on page 4 @KidneyFdnMB www.kidney.ca/manitoba Updates from the Foundation’s Executive Director Bison Transport By Val Dunphy Welcome to our third newsletter of 2015! Autumn is a favourite season for many, as it is a time to reflect on life changes. It’s also a good time to get outside and be active, exploring the beautiful changing colours, the crunch of the leaves under your feet, and the bountiful harvest from Manitoba farmers. Personally, September is my favourite month for activities, especially with the Kidney Ride, Glide, Stride events. Staff are excited to see the many families and teams that come out to support their loved ones and friends. That “support” is invaluable! In this issue of the Kidney Care Connection, you’ll find updates about the types of things we’ve been doing, along with news from our supporters and kidney patients in Manitoba. I was thrilled to attend the McLaren’s Pig Roast in Roland this July, where they celebrated 20 years of hosting this very special event. It is heart-warming to see the three generations of McLarens working together to host this wonderful community feast. You can read more about the McLarens on page 7. We are happy to share the second part of The Waldvogel’s story— our Foundation’s Volunteer Family of The Year. While Blair Waldvogel continues to wait for a kidney transplant, we are thrilled that little Faith Konitz received her kidney on May 1, 2015. She is now doing well and back in Winnipeg. You can read her story on page 8. As the only charity dedicated to helping Manitobans (and their families) who are living with kidney disease, it is always a busy time for the Manitoba Branch. We would like to thank all who continue to support The Foundation through monetary donations, helping us to spread the word, and through volunteer efforts. In the spirit of kidney health, Val Dunphy “Support those who support us” Sign up for or contribute to our newsletter Upcoming Events Manitoba’s Finest Fashion Show ÎÎ Tues., December 1, 2015 ÎÎ Millennium Centre, 398 Main Street, Winnipeg Doors open at 6:30 pm Cost: $75/ticket (sponsorship opportunities also available) Tickets available from www.kidney.ca/ manitobasfinest. SeeKD Clinic ÎÎ Thurs., November 12, 2015 ÎÎ From 10:30am to 2:30pm ÎÎ Yellowquill College, Winnipeg 2 We encourage you to sign up for our email newsletters. We’ll continue to share provide paper copies for those who love the hard copy version of our Kidney Care Connection, but others might enjoy checking out our email newsletter for even more content. We welcome new stories. If you’d like to share yours for our Winter 2015 edition, please email the editor by November 2nd at mferris@kidney.mb.ca. Volunteer opportunities Do you want to volunteer some of your time? Contact our volunteer coordinator Maureen by email at mnichols@kidney.mb.ca or by phone at 204.989.0806. Our supporters FILKHI volunteers (from left to right): Troy Quinto, Frances Alhena Quinto, Mercy-Anne Guevarra, Loribel Tinay, and Bong Tinay Kidney Health at the Filipino Street Festival By Mercy-Anne Gueverra The Filipino Kidney Health Initiative (FILKHI) thanks everyone who visited our booth at the Manitoba Filipino Street Festival on August 22! The festival is an annual event to celebrate the vibrant Filipino culture. The day started with a parade in the morning, followed by performances, food, and booths. FILKHI officially launched at this event and we received great responses. We set up a booth indoors, handed out educational material, giveaways and organized two contests, including a social media video contest! Within two days, we tripled our Facebook “likes” and had multiple signups for kidney screening clinics. Despite the rain, everyone had a great time and we look forward to next year’s festival! FILKHI was created in October 2014 to increase kidney health awareness among Filipino Canadians, help them understand the risks and create diet, exercise, and educational programs. Most Filipino people are unaware that traditional Filipino foods are high in sodium, fat, cholesterol, and sugar. These diet trends can lead to health implications such as high blood pressure, diabetes, and kidney disease. We want to remind Filipino-Canadians that you can still eat the same, delicious food with healthy alternatives and fun exercise. Thank you to all our volunteers and The Kidney Foundation for their support! To keep up-to-date with FILKHI news and events, “like” us on Facebook (FILKHI) and follow us on Instagram (@FILKHI). 3 Many businesses hold third-party fundraisers for the Foundation throughout the year. At this time, we’d like to recognize many of these wonderful supporters who contribute greatly to our mission work. ÎÎ The Heritage Co-op Food Store in Brandon raised $1464 for the Foundation by selling our “beans.” ÎÎ M&M Meat Shop at Kenaston Commons held a BBQ in June and raised $1120 for our cause. ÎÎ Super Thrifty raised $743 by selling “beans” throughout June and July at their stores in The Pas, Ste Rose du Lac, Virden, and Brandon. “Beans” in the Westman Region Any business can take part in this fundraiser—simply make the fun and attractive paper kidney “beans” available to your customers for $1 each. We provide the beans to any business who wants to support us in this way. This promotion is visually appealing and demonstrates a business’ support for an important local charity. You can get involved in our fundraisers at any time. For more information on the “beans” program, contact our Westman Region Coordinator Lisa at ledwardson@kidney.mb.ca or by phone at 204.717.0432. continued from page 1 “The wait time for a transplant has been getting longer,” Blair says. “When I started dialysis, the average wait time could be anywhere from two to six years.” Improving the system The Foundation’s Executive Director Val Dunphy presents a bursary award to Winnie Yuen. Patient bursaries awarded By Maureen Nichols Congratulations to Winnie Yuen and Gursimranjit Kaur who received the Vahan Melikian Bursary Award and The Duve Little Memorial Bursary Awards. These young women both attend the University of Manitoba. They are grateful to the families of Vahan Melikian and Duve Little for making this possible. “Now there are patients that have been waiting for eight years. It may be time to try something new in Manitoba, which now has the longest wait time in the country,” suggests Blair. “Most people are in support of organ donation but many haven’t made that choice clear by signing up to donate their organs or discussing it with their family. To change the culture around organ donation, perhaps a move to a presumed consent (automatic opt-in) system may provide the boost we need here.” “Having more organs donated needs to be priority one,” says Irene. “It’s very hard waiting for ‘the call.’ Your life, your family’s life, is put on hold in a way. It’s always at the back of your mind … when will it happen, WILL The Foundation has two bursaries available for full or part-time students attending postsecondary programs who are a person living with kidney disease; or the spouse or dependent child of a person with kidney disease. We will make the bursaries available again in 2016, so let us know if you’d like to receive information when it becomes available. We wish Winnie and Gursimranjit much success in their academic endeavours. The Waldvogel family 4 it happen, will it go well? Not knowing where you are on the list is disheartening. We don’t want to wait anymore. It’s already been five years.” “Organ donation is so important,” states Irene. “If a life is taken, wouldn’t it be wonderful for that life to give someone else their life back? It’s a beautiful thing! Looking ahead Irene’s hopes for the future are simple: “That Blair gets his kidney transplant soon, that it goes well, and that we can make plans, even something as simple as going out for breakfast, without referring to a dialysis schedule first.” She encourages Manitobans to visit the online registry at www.signupforlife.ca. *Part one of the Waldvogel’s story appeared in the summer issue of the Kidney Care Connection. You can read the full story on our website (www.kidney.ca/manitoba). Click on “News and Events” to find the story. How dialysis affects family life By Blair Waldvogel Dialysis impacts family life in many ways: ÎÎ Financial: We’re fortunate that I have longterm disability coverage that provides an income. However, my income has been reduced significantly which requires a lot of adjusting. Even though we’re not in financial trouble, the things you’ve planned for and dreamt about are no longer possible. ÎÎ Diet: I have to follow a fairly restrictive diet. This makes it hard for others in the family to fully enjoy the foods that they like and that are healthy for them. Plus, with young children, it makes it more difficult to expose them to a wider range of foods. ÎÎ Scheduling: It’s difficult to schedule things. There’s not a lot of flexibility in my treatment schedules. When we have something coming up that I need to attend, Irene and I have to sit down with the calendar and mark “D”s on treatment dates weeks in advance to make sure that I’m meeting my treatment requirements. ÎÎ Vacations: These can be really difficult to coordinate. If you want to travel, you have to find a destination that’s close to a hospital that offers dialysis treatments with a workable schedule, and at an affordable price. Manitoba Health only reimburses a flat rate, which in our experience, is only a portion of what we’ve had to pay for dialysis sessions in other countries. There are vacations that we’d like to do with our boys while they are at the right age, for instance Disney, but the cost and the logistics of dialysis just makes it unworkable. Being on dialysis, you never get a long weekend and you never get to fully enjoy a vacation. ÎÎ Dialysis at home: While this gives some flexibility, it does require using a significant part of your home for equipment and supplies. ÎÎ When you’re on dialysis, your whole family is on dialysis. You can carry a sense of guilt as your condition often dictates what your entire family is able to do. Although they all understand the situation and are very supportive, I feel like all of this is very unfair to them. Chamois Car Wash supports kidney health in July By Melanie Ferris The Chamois Carwash in Winnipeg raised funds for research and kidney health programs in Manitoba by selling paper kidney “beans” for the 12th straight year! The Chamois has raised over $88,500 over the past 12 years. This year, 3 locations (85 Reenders Drive, 850 Waverley Street, and 1285 St. James Street) helped raise $18,509! For the entire month of July, The Chamois supported The Foundation through the Buy-a-Bean Campaign. Customers could buy a platinum or brightly coloured ‘kidney bean’ that they prominently displayed in their customer area. On July 15, the Chamois location at 850 Waverley Street opened early from 6am to 8am, donating all proceeds to the Foundation during this time. “The Chamois, its employees, and customers are dedicated to raising funds to support those affected by kidney disease,” says Val Dunphy, Executive Director of the Foundation. “Businesses like The Chamois are an integral part of the solution to helping support research, programs, and services for Manitobans with kidney disease.” Support those who support us! 5 New program helps home dialysis patients Patients who have their hemodialysis treatment done at home will now have additional costs for water and electricity bills covered by a first-of-itskind provincial program, Health Minister Sharon Blady announced in August. “Utility costs can add up for patients who undergo hemodialysis treatment at home, and we will be there to reimburse additional costs,” said Minister Blady. “We hope these new supports will encourage more patients to undergo hemodialysis treatment in the comfort of their own home and enjoy a better quality of life.” The minister added that additional hydro and water expenses can range from $704 to $2,116 a year in the City of Winnipeg. Reimbursement will be based on utility use associated with individual patient’s dialysis schedules and the type of home hemodialysis machine used. The operating costs for home dialysis treatments are nearly 50 per cent less than hospital dialysis, reducing the need for hospital space and requiring the support of fewer health-care workers. “With the support of this program, we hope to see even more people utilizing home hemodialysis and experiencing all the benefits it has to offer,” said Dr. Mauro Verrelli, medical director of the Manitoba Renal Program. In August, 60 patients were undergoing hemodialysis treatments at home, allowing Media gather at the home of a dialysis patient in Winnipeg, where the announcement about this new program was made in August “W e hope these new supports will encourage more patients to undergo hemodialysis treatment in the comfort of their own home and enjoy a better quality of life.” additional dialysis centres, which ensures funds can be further invested in front-line care,” said Minister Blady. “With this program, Manitoba has again found an innovative way to help patients get care that is better for them, enhance health service delivery and increase health capacity while reducing costs to the provincial health system.” patients to schedule their own treatment times. Home hemodialysis requires less travel for health-care patients and less exposure to infections. Manitoba is the only province in Canada to offer this type of reimbursement program. The Kidney Foundation of Canada is administering the program. “We commend the Province of Manitoba for launching this reimbursement program for home hemodialysis patients,” said Val Dunphy, Executive Director of the Foundation in Manitoba. “This will truly assist families affected by kidney disease.” “When people with less complex care needs can do their hemodialysis at home, it reduces the need to build and staff 6 Dialysis patients Mendel Schnitzer (left) and Mukhtiar Singh (right) of the Nocturnal Home Hemodialysis Patient Action Group were instrumental in making this program a reality. The McLaren’s Pig Roast: A Family Tradition to Support Kidney Health By Melanie Ferris and Val Dunphy July 3, 2015, marked the 20-year anniversary of an annual family tradition that benefits Manitobans suffering from kidney disease. The McLarens of Roland, Manitoba, hosted their 20th annual pig roast. The event is a family affair, started by Clarke McLaren in 1995. He was inspired to start the event in honour of his late wife Betty, whom he married in 1949. She had polycystic kidney disease and needed to go on dialysis. She started her treatment in Carman, Manitoba in 1977. She did dialysis for almost 15 years, until she passed away in February 1991 due to complications from hip surgery. When Betty started dialysis, she needed to teach doctors about kidney disease and dialysis because so little was known about the disease at that time. Betty had school classes come and visit her in the hospital while she was on the machine, and she always did a fundraiser every year. The McLarens supported The Kidney Foundation when selling peanuts and candies was one of the fundraisers—that was 20 years ago. Clarke quickly recognized that he was not good at selling these types of items, so he urged his children to host a pig roast. The first year, they raised $1585! Since those early days, the family has done a paramount job of educating their community, and surrounding towns about the chronic disease and its treatments. Kidney disease runs in the family— The McLaren family welcomes friends from neighbouring communities to their Roland farmyard for their annual pig roast. two of Clarke and Betty’s children suffer from kidney disease as well. Their son Don, now 64 years old, received a kidney transplant in 2002. Their younger daughter Linda, now 61 years old, also received a kidney transplant from a friend in 2010. For over a decade, Clarke, Don, and Shirley hosted the pig roast until Clarke’s grandchildren took over the tradition in 2012. Although “the kids” now run the event, Clarke continues to be involved, supervising the roasting and carving of the pig. Anyone can attend this event. Many attendees on Friday night had attended the event regularly over the years. People attend from Carman, Morden, Ninette, and other communities. Everyone in the community asks the family when the event will happen, and they usually feed 175 to 200 people at each event. The 2015 event had over 100 guests and raised $7265. With funds raised at the 20th annual pig roast, the McLarens hit the milestone of donations totalling $100,000 to the Manitoba Branch of the Foundation! 7 Interested in attending next year’s event? You can contact us to get more information about how you can support the 2016 event. Thanks to the McLarens, the Foundation is able to support research into treatment for kidney disease. It is through such research that complications during transplant and dialysis are greatly reduced and survival rates are improved. We also use funds to support important programs, such as the short-term financial assistance program that helps patients who are in an urgent financial need and who have nowhere else to turn for help. Left to right: Father Clarke, daughters Leanne and Linda, Shirley and Don (son). Missing from photo is daughter Tracy. A Test of Faith: An Interview with Sarah Konitz By Melanie Ferris Sitting quietly in her stroller, she is small for her age—you wouldn’t know that she is four years old. Meet Winnipeg resident Faith Konitz, a true fighter. Faith has been on dialysis since she was only two days old. Sarah and David Konitz are proud parents to Faith. At 28 weeks of pregnancy, they learned that Faith’s kidneys were not functioning. They received the option of terminating the pregnancy. “She’s my fourth child,” Sarah explains. “I knew she was really strong inside of me. We continued with the pregnancy.” When she was born, Faith was put onto a ventilator. She was in the hospital for about two months. “Her lungs were very sick,” Sarah recalls. “She was on peritoneal dialysis at home. She did fairly well.” Getting ready for a transplant Faith had problems with her catheter, so she ended up on hemodialysis. She had increased energy with this treatment. Sarah and David were taking Faith for dialysis six days a week. They decided to get her ready for a kidney transplant. Both parents got tested and were a match to donate a kidney to their daughter. They decided that David would be the donor. The Konitz family took part in our Kidney Ride, Glide, Stride event in Winnipeg. Change of plans In summer 2013, the transplant surgeon at the Health Sciences Centre did not feel comfortable doing the surgery. David and Sarah looked for another hospital where the transplant could be done, and they found the Lucile Packard Children’s Hospital in Palo Alto, California. “We went to California in January 2014,” Sarah explains. “She had an MRI, a cardiac cath, to make sure her heart was strong enough to handle the transplant. They agreed after a week that they could list her in California.” Waiting for “the call” “We went on their transplant list in February 2014. We thought we’d be on the list for a month or two, because they have a lot more donors than we have here,” Sarah states. “The only thing is that Faith needed a kidney from a child or a small adult. 8 “A year went by and we still didn’t get the call, we were just waiting, waiting, waiting for the call.” Relocating to California After a year went by, California health care providers reassessed Faith. She was now able to accommodate an 11-centimetre kidney—an adult-sized kidney. In March 2015, the Konitz’s relocated to California while they waited for the kidney. Sarah’s mom, Carolyn, relocated to Winnipeg to look after the three older children (Tanner, 14, Mackenzie, 12, and Grace, 12). The Konitz’s were able to afford the move thanks to fundraising they had been doing throughout the year, as well as help from their church. May 1: Receiving “The Call” On May 1, they received the call that there was a kidney for Faith. “She ended up getting an American kidney,” Sarah explains. “We waited 6 weeks.” “She was on the northern California region waiting list. Her kidney came from Modesto, California,” Sarah says. “We think the kidney came from a 17-yearold girl who died in a car accident. They got both the kidneys and a liver from the same donor, so they did three transplants that weekend.” Manitoba Health covered the transplant costs—the hospital stay and the medications while Faith was in the hospital. The Konitz’s had to pay for their accommodations and living expenses. California. Doctors didn’t feed Faith for at least two weeks after her transplant. While her lungs began to recover, she still wasn’t herself. An MRI was completed, which found that there had been no strokes or blood clots. Back in Winnipeg, doctors suggested that Faith had suffered a brain injury. “She was on large amounts of heavy drugs. We don’t know if it was that or the malnourishment that affected her brain,” Sarah says. “Basically we were left with our child who was not our four-yearold child.” Life after the transplant Faith is now in Winnipeg and re-learning everything, such as rolling, sitting, and communicating using sign language. Although Faith was born hearing, she now depends on sign and body language to communicate with others. Health care providers believe she lost her hearing from a drug called gentamicin. “It’s going to be months now before she walks,” Sarah says. Long road to recovery After the transplant, Faith had extra fluid in her body that affected her recovery. “We struggled with her lungs, they were not well, it was like she had pneumonia,” Sarah says. “The first three weeks were a struggle with balancing the fluid that her adult kidney needed with her lungs.” Faith remained in the Intensive Care Unit for two months in “We have to keep our eye on the fact that she has a kidney that’s working perfectly and she’s not having to have dialysis anymore, and focus on the positives. Every day she’s making progress. She will recover.” “Every day she’s doing a little bit more and she’s kind of settling into life here. She’s a pretty happy little girl,” reflects Sarah. “She’s always been that way, she has such a beautiful little smile. Little hints of her personality are coming back. She’s a bit of a joker, 9 Faith Konitz is recovering after her kidney transplant in May. she’ll just stare at you and raise her eyebrows at you.” Hopes for Faith’s future “Our hopes for her are that she’s going to make a full recovery, that she’ll be walking and running and signing again,” Sarah says. “We’d like her to go to school next year. Our main hope for her is just to live a normal a life as possible.” “All of this is God’s will. Our family has amazing faith, which is Faith’s name, but we just have such a strong faith and it’s the only thing we’ve clung to this whole time. Just knowing that God is in control of all of this and he’s just looking out for Faith. Even at the most dire times, that’s all we had.” Want to read more about Faith’s story? Check out the electronic version of our newsletter for Sarah’s advice to other parents raising children with a chronic disease. Annual Kidney Ride, Glide, Stride Winnipeg Our 13th annual Winnipeg Kidney Ride, Glide, Stride event happened at the St. Vital Park on Sunday, September 13. Our supporters raised more than $44,500 to support people living with kidney health issues in Manitoba. Top fundraisers for the event were Evelyn Smith, Stacey Linton, James Zacharias, Betsy Thomas, and John Kotowicz. Teams raising the most pledges were Team “Walk”vogel, Vickar Automotive Group, and Team Dawson. We thank our volunteer organizing committee, who were instrumental in planning the event and doing everything from set up to take down: You can find more photos from Steve Salnikowski (Chronic Creative) in our electronic newsletter ÎÎ Debbie Blair ÎÎ Mario Kostanjevic ÎÎ Janice Mullen ÎÎ Maureen Nichols ÎÎ Claudia Senkiw ÎÎ Janet Yuen Thank you to all of the supporters who earned pledges to support their participation. We especially want to recognize the top fundraisers for this event: Harvey Bartley and Judy Richardson and the top fundraising teams were Team Anderson, Wyatt’s Kidney Beans, and Keepin’ It Renal. Great job everyone! Thanks to the following for their generous donations and support for our event. Your actions are helping people in Manitoba who are living with kidney disease: We would also like to thank all of our sponsors as follows: ÎÎ Ace Burpee and Virgin 103.1FM ÎÎ Cora’s Breakfast & Lunch ÎÎ Corpell’s Water ÎÎ Costume Alliance ÎÎ Glenwood Community Centre ÎÎ Harvest Bakery ÎÎ Let’s Talk Science (University of Manitoba) ÎÎ McDonalds Canada ÎÎ On The Town Sounds - Derek LeNabat ÎÎ Re/Max ÎÎ Vickar Automotive Group ÎÎ Wendy’s ÎÎ The Winnipeg Free Press Food and beverage sponsors ÎÎ Kuiper’s Family Bakery ÎÎ Party Professionals ÎÎ Sobeys ÎÎ Superstore ÎÎ World of Water Media sponsors ÎÎ Westman Communications Group ÎÎ 94.7 StarFM ÎÎ CKLQ880 ÎÎ 96.1 BOBFM ÎÎ 101.1 The Farm Brandon Event sponsors ÎÎ Cando Rail Services ÎÎ Guild Insurance Brokers ÎÎ Murray Chevrolet ÎÎ Millco Steel ÎÎ Rolling Spokes On September 20, the Kidney Ride, Glide, Stride happened at the Westridge Community Centre. The event raised more than $9500 to support kidney health in Manitoba. 10 A group of supporters gather at the Winnipeg KRGS on September 13 A group of supporters gather at the Westman KRGS on September 20 11 "I 'm all about preventing illness and promoting health, so I thought this was a good opportunity for me to help others." It's a demanding program, but the 25-year-old Maples resident still makes time to volunteer at kidney screening clinics organized by the Kidney Foundation of Canada's Manitoba branch. The clinics provide simple tests and education that help people detect chronic health problems in the early stages, including issues such as kidney disease, heart disease, stroke and Type 2 diabetes. Almazan has helped at four clinics since she first got involved this past September. 'I'm all about preventing illness and promoting health, so I thought this was a good opportunity for me to help others' "I have a passion for nursing, and I like helping others," Almazan said. "I'm all about preventing illness and promoting health, so I thought this was a good opportunity for me to help others." Photo of Marlenne Almazan by Phil Hossack/Winnipeg Free Press Many of the people who visit the clinics are Aboriginal and thus at a higher risk of getting the diseases the clinics test for. Caring for others nurse's passion* "It's gratifying for myself to help others, and it's nice to think that I could be helping someone from getting these illnesses," Almazan said. She describes a screening clinic at Siloam Mission as being particularly meaningful. Volunteers at screening clinics A large group of people from a variety of backgrounds and cultures, most of them homeless, visited the clinic the day Almazan was there. By Aaron Epp Marlenne Almazan has always enjoyed caring for others, so when she graduated from high school, pursuing a career in nursing was a natural next step. "I noticed they were very appreciative of the clinic itself," Almazan said. "It was very interesting to work with the people and talk with them." After working as a surgical nurse at Health Sciences Centre for two years, Almazan is now studying to become an intensive-care unit nurse. Melanie Ferris, who works as the kidney health and communications manager at the Kidney Foundation's Manitoba branch, says these clinics are important because the symptoms of kidney disease only present themselves at the disease's later stage. Marlenne Almazan is studying to become an intensive-care unit nurse and volunteers at kidney screening clinics. 12 If people are screened, they can catch the disease early and take steps to slow its progression. Ferris adds Manitoba has the highest rate of endstage kidney disease in Canada, and Manitobans suffering from kidney disease withstand the secondlongest wait time for a kidney transplant -- an average of 5.5 years. The Kidney Foundation has partnered with the Heart and Stroke Foundation in Manitoba and the National Aboriginal Diabetes Association to create a new program that will send the mobile screening clinics to Aboriginal communities in all areas of the province. Faith Konitz and her family in Summer 2015. The aim is to help First Nations, Inuit and Métis people get better access to health services and to provide culturally appropriate health-education workshops to individuals. A Test of Faith: Supporting a child with a chronic disease “Try to give them as normal a life as possible,” advises Faith Konitz’s mom Sarah. “Yes, they have an illness but that’s not the deciding factor of who they are. Just try to help them live life to the fullest.” At the end of July, the RBC Foundation announced it will provide $225,000 over the next three years in funding support. This will allow the three charities involved to provide 30 clinics and education workshops to communities free of charge each year. “We’ve really just learned, enjoy every day. Every day is a gift and it could be gone just like that. Live life to the fullest,” Sarah says. “Take time for yourself and for your spouse and your other kids. It just falls into trying to have as normal a life as possible. I don’t know how people who don’t have a support system do it.” The Kidney Foundation is currently looking for volunteer nurses and pharmacists from across Manitoba to assist with the screening clinics. Ferris points out the foundation offers travel opportunities to remote locations throughout Manitoba, which is great if people are interested in seeing more of the province. “It’s been hard on David and I. It’s been hard on the other three kids. We have to keep doing special things with them and for them. It can’t be easy for them.” Anyone interested can contact her by email at mferris@kidney.mb.ca. David and Sarah’s families, as well as their church family, have all been a support to them. "A lot of times, people have just not learned about these diseases," Ferris said. "These clinics are an accessible way to reach people." Republished with permission from the Winnipeg Free Press print edition August 10, 2015 Faith Konitz in September 2013. 13 My Surprising Dialysis Journey By Allan Wildman This is a love story, sort of. Although it certainly didn’t start out that way. In 2010— five years ago— I was 62 and retired. I was told I had 8% kidney function and would need something called “dialysis”. I was told this was a result of taking the antirejection drug Cyclosporine for 8 years. This had been prescribed to me following a liver transplant (cancer) in 2002. This news was a mind-numbing shock to me. I had been seeing hepatologists regularly for 9 years, but had no idea I was heading toward kidney failure and this thing called “dialysis.” Dialysis— to me— meant going to a hospital 3-4 times a week, sitting in a chair for several hours hooked up to a machine. This was a prospect my mind could not somehow compute. The idea of travelling to some distant hospital at least three times a week and sitting in a chair for hours just didn’t seem doable to me. What about the time and expense (120 miles round trip to Winnipeg, 3 times a week)? The logistics of the whole business was too much for me. My mind began working overtime to find some kind of alternative to this inconvenient gamechanger. I was briefly relieved and comforted by the allure of denial and the thought that I didn’t have to really do anything I didn’t want to do. I didn’t have to travel anywhere or sit in some chair for hours if I didn’t want to. Nobody could make me. It was a matter of choice; it was that simple. Mind over matter. I had solved the problem… for now. Kidney failure, however, was an accurate diagnosis for me. The relief I felt from denying or trying to ignore the diagnosis soon gave way to other revelations. I got sicker. In a hurry, it seemed. It got harder to look away from the situation. Denial— while briefly comforting— had its limits. 14 Then the gradual emergence of the question I had no answer for: “What have I got to lose by trying dialysis?” Previously I had thought travelling hundreds of miles weekly and vegetating in a dialysis unit had no place in my production-driven life. Then it became clear to me dialysis wasn’t just a question of “yes” or “no.” It involved another question, basically, “Do I want to live… yes or no?” If I wasn’t “vegetating” in a dialysis unit— getting treatment— then I would be “vegetating” at home, getting sicker and sicker. So it was, that I had no answer for the question, “What have I got to lose by trying dialysis?” A kindly nurse at the nephrology intake department gave me a binder and several pamphlets explaining the rigors of dialysis. She also prophesized, “You are going to meet a lot of wonderful people on your dialysis journey.” I remember thinking “Yeah right! How wonderful…and it will get me out of the house too. Why didn’t I start this sooner!?” No. The idea of having a “wonderful” dialysis journey didn’t present as even a remote prospect to me. Getting my catheter The first dialysis event was getting a central line catheter inserted into my jugular vein. This was to allow access to my blood so it could be filtered. I felt more than a little trepidation and anxiety at the prospect of this procedure. Turned out it was more or less a non-event. It was very quick and painless. Fentanyl did its job. The resultant catheter protruding from my neck was more like a bowtie— neither painful nor uncomfortable. Not exactly a compelling fashion statement, but it provided life-saving access to my blood so it could be filtered. First treatments My first treatments were at the Health Sciences Center and the nearby Sherbrook facility in Winnipeg. The primary challenge from the beginning was transportation to and from Winnipeg 3 times a week (120 miles round trip). This was basically an all-day event when everything was factored in, including the 4-plus hours spent in the hospital. These were not easy times for me. Kidney failure and its rapid onset basically turned my life upside down and inside out. My time really wasn’t mine anymore. To begin with, I felt lousy and weak most of the time. Now I had this commitment three days of the week— like having a job. I was not a happy camper. At one point I proposed having just 2 treatments a week instead of 3. Seemed to be a reasonable compromise to me. This would also free up a spot for another patient. Needless to say the reaction to this proposal was less than enthusiastic. Apparently I would benefit from more (not less!) dialysis. My kidneys, after all, had been working 24/7, and now a machine was doing that work only a total of 12 hours a week. Enough to sustain life but hardly ideal. So, no. Having less dialysis was not a reasonable proposal. Nevertheless, I somehow expected these treatments to make me whole again… “cure” me or “fix” me. After all, that had been my experience for 60 plus years; you have an ailment of some kind, you get some kind of treatment, you get better. You get well. Life goes on. But not this time, apparently. It took me some time to digest the reality that I wasn’t going to get “well” again—at least not without a kidney transplant. That had been ruled out due to complications from my previous liver transplant. I was not at all pleased with the state of affairs. Regrettably, I have to admit to some misplaced anger, shouting, and stomping around. It was like I somehow expected the nurses to do their job and make me well and this just wasn’t happening. After several months, a bed became available at the Pine Falls Dialysis Unit and I was given this spot. This is a smaller unit with only six beds, but only a 25-minute drive from my home. A shorter commute and a smaller unit were huge improvements to my life. It was like joining a small “dialysis family” — familiar and supportive. However the rigors of creating a fistula, growing it, and breaking it in were still before me. Freezing is not used at Pine Falls so it was a matter of getting used to the needles— cold turkey. The needles looked like the biggest needles I had ever seen— more like knitting needles. First one needle was used, then both, then the central line catheter was removed from my neck (again, a painless procedure thanks to the properties of Fentanyl). 15 Dealing with depression and hopelessness For several months, still not accepting my circumstances or my “new normal”, I felt alternatively depressed and hopeless and sometimes just angry about everything. I couldn’t see how I had much of a future. I knew also that kidney disease is chronic and progressive (in the wrong direction). This state of mind persisted for several months. Occasionally I would go on some kind of shouting binge triggered by a perceived lapse in “the standard of care” I was receiving (i.e. getting my fluctuating dry weight wrong or “taking me off” a few minutes early). I also kept an eye on my daily progress chart and my final clearance numbers. If my clearance number was lower than previously, I knew it meant somebody wasn’t doing their job and I let them know it. Their mumbo-jumbo technical explanations didn’t persuade me (right away). The nurses, for their part, maintained a steady professional rudder in the face of Hurricane Allan—ever cheerful, positive, and patient— confident I would eventually “get it”. My new normal As the months (and years) went by I became habituated to the rigors of dialysis and my “new normal.” As I felt better and became stabilized, it seemed like everything around me got better too. The nurses were doing their jobs. The commute to the hospital even seemed shorter… Now I know that didn’t change, so I entertained the possibility that perhaps it was me and my perspective that had changed. I finally appreciated that the nurses were “there for me” and in fact, had always been “there for me” — even when I didn’t realize it. The one set of footprints behind me was because they had been carrying me. Generally I’ve come to look forward to my thrice-weekly dialysis days. If this is my “job,” then it has become a well-paying job. I’ve also come to anticipate my dialysis days in a positive way, because on the way to the hospital I stop at a local service center for some kind of decadent treat (hot dog, ice cream, chicken breast). I’ve learned that if I’m going to cheat on my strict renal diet, the time to do it is just before dialysis. Another positive on my dialysis days is that I anticipate stopping at a local restaurant for a delicious meal on the way home. So it is three times a week that I look forward to these “feel-better sessions.” Much like the little white mouse in the lab experiment pushing the lever to receive a “reward”, I’ve become conditioned to experiencing dialysis in a positive way because of the “rewards” I receive. Naturally I feel better when the toxins have been filtered from my blood. But it’s also the positive feelings that flow from interacting with positive, supportive, cheerful people on a regular basis. The heated blankets are welcome too— especially the one they put over me when I’m taking a nap (without asking). I often reflect on the words of the intake nurse, “You will meet a lot of wonderful people on your dialysis journey.” She was one of the “wonderful” people she was talking about. Five years down the road her crystal ball predictions for me were 100% accurate— I have indeed met some “wonderful people” on my surprising dialysis journey. Manitobans for Presumed Consent Increasing organ and tissue donation Manitobans for Presumed Consent This group of volunteers continues to meet and move forward with strategies to help raise awareness about improving organ and tissue donation in Manitoba. If you would like information about presumed consent, and what you can do to help in our province, visit the following: ÎÎ Facebook group: Manitobans for Presumed Consent ÎÎ Website: https://manitobansforpresumedconsent.wordpress.com/ 16 Update on the Healthier Together Program By Melanie Ferris On July 31, the three organizations involved in the Healthier Together Program held a media event at The Forks to announce the support of the RBC Foundation for our new program. The Kidney Foundation of Canada, the Heart and Stroke Foundation of Canada, and the National Aboriginal Diabetes Association are all thankful for the support. The RBC Foundation has committed $225,000 over the next 3 years to help us deliver the program. The event was opened in a traditional way with a prayer, a smudge, and a drum song. Speakers talked about how this program will make a positive impact in First Nation, Inuit, and Metis communities throughout the province. The event was also a great time for our major supporter, Mr. Larry Vickar, to unveil a gift to the program—a 2015 Chevrolet Suburban. This new vehicle will help ensure our staff get safely to clinics across the province. Communities and organizations were invited to be part of the program. Applications were due by September 18. The applications are currently being reviews, and an announcement will made by the end of the year about which communities will be receiving the program. To stay up to date with the Healthier Together Program, you can join our Facebook group (HealthierTogetherProgram), follow us on Twitter @HT_Manitoba, or check out our website at www. healthiertogethermb.ca. 17 Kidney Cars Stay in Touch Do you have an old vehicle or motorcycle that you are not using anymore? Are you tired of seeing it take up space in your yard or garage? Get our latest news through: ÎÎ Visiting our website at www.kidney.ca/mb ÎÎ “Liking” us on Facebook (KFOCMB) ÎÎ Following us on Twitter ÎÎ Following us on Instagram ÎÎ Signing up for the electronic version of our newsletter ÎÎ Email your request to get an email version of this newsletter to mferris@ kidney.mb.ca Did you know that Kidney Cars can provide you with a free tow AND a tax receipt? All you need to do is call or connect with us via our website, and we’ll get you started with your donation. In Manitoba, call: In Winnipeg: 204.257.2277 (CARS) Toll-free: 1.866.740.2277 (CARS) You can visit our Kidney Cars website for more information: www.257cars.ca The Kidney Foundation of Canada – Manitoba Branch DONATION FORM Donor Information Title: First name: Last name: Address: Town/city: Province: Telephone: (home) Postal code: (cell) (work) Email: Gift information Enclosed is my gift of: $25 $50 $75 $100 Other: $ Payment options Cheque (Payable to The Kidney Foundation of Canada or KFOC) Credit card Card number: Expiry date: Signature: Date: Thank you for your donation! We will send you a tax receipt in the near future. Please send your completed form and payment to the address below. 1-452 Dovercourt Drive, Winnipeg, Manitoba, R3Y 1G4 Phone: 204.989.0808 | Fax: 204.989.0815 | Email: info@kidney.mb.ca Charitable registration number: 10756 7398 RR0001