renal patients
Image Source: yourcnyhomeblog.com

[box type=”default” size=”large”] Appeal for humanitarian treatment from NKTI, PCSO and LGUs [/box]

MANILA — Patients who have to undergo hemodialysis thrice weekly are organizing themselves in an effort to seek relief from the high costs of solutions and the procedures they have to undergo to prolong their lives.

Marivi Toledo, external coordinator of the less than 100 members of Hemodialysis Patients Organization (HDPO), who has been a dialysis patient herself for the past three years, said that while the Philippine Health Insurance Corp. (PhilHealth) has doubled the dialysis sessions for its members from 45 to 90 each year, the package rate, however, has been reduced from P4,500 to only P2,600 per session, with P2,250 being paid to the health care institution (HCI), mainly the National Kidney and Transplant Institute (NKTI), and P350 for the professional fee.

This, Toledo said, meant that from P4,000 for 45 sessions or P180,000 annually, PhilHealth members now will have to pay for the higher professional dialysis fee that rose to P550 in October 2015 and will rise to P700 by January 2016.

“Sad to say,” Toledo said,”the number of dialysis patients has not been reduced. From only 4,000 patients in 2004 recorded by the Department of Health (DOH), the number rose to 23,000 by yearend 2013. The number is steadily growing.”

“Hindi pa kasama rito ang mga pasyenteng may ‘kidney failure’ ngunit hindi na nakapagpapagamot o nagpapadialysis dahil sa kawalan, or kakulangan, ng salapi,” she disclosed.

Flerida “Gigi” Sabawil, HDPO president, said that the number of those fortunate enough to undertake kidney transplant is limited on account of the very expensive procedure and the difficulty of finding a perfect matching donor.

Toledo and Sabawil said that contrary to popular belief that dialysis patients can afford treatment and transplants, they said a study conducted by the Philippine Society of Nephrology (PSN) showed that 60 percent of patients with chronic kidney disease (CKD) are service patients.

Research conducted by Dr. Romina Danguilan and published in 2013 noted that the average monthly income of CKD patients is $114 or P4,838.16, rendering them incapable of getting` treatment.

In fact, CKD patients are already in Stage 5 when they seek treatment in tertiary hospitals.

Even for PhilHealth members undergoing dialysis, the increase in the number of sessions did not include an increase in the amount reserved for the professional fee, Toledo and Sabawil said.

“Bukod sa sariling gastos, ang mga pasyenteng may CKF at ang kanilang mga kamag-anak at kaibigan ay lumalapit sa iba’t ibang pulitiko, nono-government organizations (NGOs) at foundations, ahensya ng gobyerno, Philippine Charity Sweepstakes Office (PCSO) at iba pa upang matugunan ang pagpapagamot nila,” they added.

The HDPO officers said that what compounds the problems of dialysis patients is that the NKTI can serve only 150 patients a day and at any one time, only four slots are available for service patients and 26 are reserved for paying patients.

“You cannot quicken the procedure,” Toledo said, “since full drainage is required otherwise mamanasin ang pasyente. It means lying on the bed for three to four hours per session.”

The HDPO officers are asking NKTI to allow more service patients to avail themselves of slots for dialysis, noting that at present, dialysis patients have to go through a raffle to determine who would be served first.

“For this reason, nagbabasakali ang mga pasyente, pati na iyong mga galing sa malalayong lugar na kailangang makitulog kung saan-saan upang hindi mahuli sa pagbubukas ng NKTI,” Toledo also said.

“Ang aming hinihiling ay kung maaari ay magkaroon ng mapagkawang-gawang kamalayan ang ating mga namumuno sa pamahalaan at makapaglagay na rin ng pondo na nakatakda upang mabawasan ang gastusin ng mga kagaya namin. Napakalaking tulong na rin kung magkakaroon sana ng ‘lodging’ o pansamantalang tirahan ang mga pasyente upang sa gayon ay mabawasan na rin ang kanilang gugulin,” Toledo added.

1 COMMENT

  1. papaanong hindi tataas ang kaso ng dialysis sa Pinas. Doctors failed to identify symptoms of kidney disease. kahit na ba internist ung doctor kung nkikita n nyang merong pamamanas yung pasyente at umaangal ng sakit sa tagiliran ng katawan at mayroong kahirapan sa paglalakad, madaling mapagod ang mga paa, pamumulikat ng madalas, ang sasabihing lng uminom ng diuretics tabs at mag exercise. 2 inutil n mga doctor ang napagcheck up ng mama ko yung isa internist-pulmonary dse. ung isa gen. prac ata. Sa pulmonary dr may sipon at ubo mama q kya sa kanya kme pumunta, aba ang gaga na Rx ng gmot sa ubo at sipon, wapakels sa pmamanas, sbi mag exercise lng, nkikita nmn nya n hirap umupo at tumayo at maglakad (bobo amp) Bumalik kme after 1 month ndi n kya ni mama tumayo or umupo at grabe ang ubo at plema. Check up uli, usap-usap, tpos magp lab test daw bukas at blik after 3 days(muntik q nang msabihan ng “PI kang bobo ka!!!’) manas mula batok hanggang talampakan c mama, nkita nyan glit n aq kya tumayo sa upuan nya tinignan ang tyan, ang laki at maputla na. Sbi nya pp admit na daw pra mlman pmamaga, inuna muna meds for high blood, pulmunya at manas.
    Totoo ngang mababa ang kalidad ng edukasyon sa pinas!
    ang mas masama yung pabaya ung mga doktor tignan lhat ng sintomas!
    nxt time kung hindi buntis ang pasyente pro manas alamin nio kung bakit huwag tamad at pabaya.

LEAVE A REPLY

Please enter your comment!
Please enter your name here