Nephrology in Cape Town

Nephrology is a branch of medicine that deals with the kidneys, specifically normal kidney function, the preservation of kidney health, kidney disease, and the treatment of kidney disease. A physician who specializes in the care and treatment of kidney disease is called a nephrologist. 

Some of the most common conditions nephrologist treat are as follows:

• Advanced or chronic kidney disease
• Tubulointerstitial kidney diseases
• Tubular defects
• Glomerular conditions, such as nephrotic syndrome and glomerulonephritis
• Kidney infections
• Kidney vascular conditions
• Kidney neoplasms
• High blood pressure
• Structural or functional abnormalities of the kidney, urine collection system, or bladder
• Vasculitis
• Electrolyte, fluid, and acid-base imbalances or disturbances
• Autoimmune conditions that involve the kidneys

Nephrologists can perform a wide range of tests, procedures, and treatments. These include:

• Blood tests, including serum creatinine, glomerular filtration rate, and blood urea nitrogen.
• Urine tests, including urinalysis, 24-hour urine test, creatinine clearance, and microalbuminuria.
• Imaging tests of the kidneys, such as CT scans, ultrasounds, or X-rays.
• Dialysis, including placement of the dialysis catheter.
• Kidney biopsy.
• Kidney transplants.

How Long Should I Stay in Cape Town?

After laboratory tests (blood and urine tests) and imaging tests, you should be able to leave the hospital right away, while with biopsy, you may need to stay overnight. However, you may need to stay in Cape Town for a few more days to wait for the results. Once the results are ready, your nephrologist will explain them during a follow-up appointment. After kidney transplants, you usually need to stay in the hospital for 5 to 10 days and stay for 7 to 14 more days in Cape Town. During your stay, ensure to attend all of the scheduled follow-up checkups with your nephrologist. 

What's the Expected Recovery Time?

Recovery time depends on the type of procedure you underwent. For laboratory and imaging tests, you should be able to resume your normal daily activities immediately, though your nephrologist may advise you to rest for the remainder of the day. After a biopsy, avoid strenuous activity for 2 to 3 days. Since a kidney transplant is a major surgery, the recovery time until you can return to work and other normal activities may take around 8 weeks.

What Aftercare is Required?

Your nephrologist will give you aftercare instructions that you will need to follow and you will also need to make healthy lifestyle changes to maintain the health of your kidney after treatment. You will need to attend regular checkups to check how well your new kidney is working and also will be taking medication for the rest of your life, including drugs called immunosuppressant’s to help keep your immune system from rejecting and attacking your new kidney.

What's the Success Rate?

As the field of nephrology continues to advance, the outcomes of tests and treatments are constantly improving. This means that patients now have more chances to be diagnosed early and receive successful treatments. The success rate for nephrology procedures is proven to be generally high. For example, 93% of kidney transplants are working at the end of the 1st year. However, every procedure always comes with risks, such as infection, excessive bleeding, and damage to other organs.  

Are there Alternatives?

There is no alternative to seeing a nephrologist if you have kidney problems. If your condition is found to be caused by problems in other organs, your nephrologist may work with or refer you to the relevant specialist.

Nephrology in and around Cape Town

About Cape Town

Cape Town is the legislative capital of South Africa and is also known as the Mother City. It is the oldest city in the country and home to the Parliament of South Africa and is a major destination for immigrants and expatriates, making it one of the most multicultural cities in the world. Located on the shore of Table Bay, the city is known for its harbor, natural setting, as well as famous attractions and many tourists,  visit to enjoy Table Mountain and Cape Point. 

Recently, tourists also come to the city for its medical tourism. Many groundbreaking procedures and medical research in South Africa, such as the world’s first penile transplant, have put Cape Town under the radar of medical tourists from all around the globe. Thanks to its world-class healthcare and world-renowned medical practitioners, more and more people now prefer Cape Town as their medical destination. The healthcare in the city is among the best on the African continent. Other reasons such as shorter waiting times for surgeries, state-of-the-art equipment, and affordable healthcare compared to Europe and the United States, and English-speaking doctors. 

Popular Areas in Cape Town

Cape Town is a natural beauty that offers a wide range of things to do and see. From culture, food, art, to nature. Listed below are some of the more popular places in the city: 

• Table Mountain is one of the New 7 Wonders of Nature and it is easy to see why. The iconic mountain makes an amazing backdrop to Cape Town. The level plateau is about 3 kilometers from side to side with remarkable cliffs on the edges. The peak offers an amazing view of the city. Tourists can choose to board the cable car or discover its beautiful nature by hiking.
• Cape of Good Hope is situated within the Table Mountain National Park. The area has a mix of bio-diversity and wonderful beauty that attracts thousands of tourists to visit. There are around 250 species of birds spotted in the area. Hiking and cycling through it is the best way to discover its true majesty. Tourists can picnic and birdwatch in isolated beaches. 
• Kirstenbosch National Botanical Garden is one of the most incredible botanic gardens in the world. Nestled at the eastern foot of Table Mountain, it features a natural forest and fynbos flora and sprawls around 528 hectares. The garden displays a collection of diverse South African plants with seasonal festivals such as musical sunset concerts during summer and craft markets on the last Sunday of every month. 
• Groot Constantia is the oldest wine-producing estate in South Africa, located in the suburb of Constantia. The estate consists of a museum, restaurants, tasting room, and cellars. The museum was built in Cape Dutch architecture style, further into the estate; tourists will find the free orientation center which provides an overview of Groot Constantia history. Tourists can also tour the original wine cellar, have a wine tasting, or a wine and chocolate pairing.
• Boulders Penguin Colony is located in Boulder Beach on the outskirts of Simon’s Town. The beach boasts fine white sand with pristine waters and endangered African penguin colonies. Tourists can set up camp, see the penguins up close, and even swim along with the magnificent aquatic birds. Observing the penguins socializing and playing in the waves is a perfect way to enjoy your travel in Cape Town. 

Weather and Climate in Cape Town

Cape Town enjoys a warm Mediterranean climate. The summer is dry and warm, lasting from early December to March. The average maximum temperature during this season is around 26 °C, and the minimum is 16 °C. The Berg Wind that arrives from February to early March can make the city uncomfortably hot for a couple of weeks. 

The winter starts in June and ends in August and the season is characterized by mild and wet weather. The city also experiences strong north-westerly winds during this season. The average temperature ranges between 8.5 °C at the lowest and 18 °C at the highest. 

Getting Around in Cape Town

The primary airport that serves Cape Town is the Cape Town International Airport and it is the second busiest airport in South Africa and the fifth busiest in Africa. The airport serves direct domestic flights to major cities and several small centers in the country. It also connects the country with major cities in Africa, Europe, the Middle East, and Asia. It is the hub for South African Express as well as budget airlines such as Mango and FlySafair.

There are several types of taxis: the metered taxis, Rikkis Taxis, and minibus taxis. The metered taxis can be a little expensive but are usually comfortable. Tourists can order one via a phone call or from one of the city’s official taxi stands. Tourists should always choose reputable taxi companies such as Marine Taxi, Unicab, Excite, and SA Cab. 

Rikkis Taxis are painted yellow and very popular and these taxis run on a fixed fare rather than metered, so they are a little more affordable than metered taxis and a good option if you are traveling on longer journeys. Other than the Rikkis Taxis, tourists can choose the minibus taxis which are perfect for adventurous foreign travelers. The minibus taxis can be found practically everywhere and are very cheap, however, you will need to know exactly where your destination is and tell the driver when to stop. Another travel option is the MyCiTi bus, a modernized and effective bus system.

Tourist Visas in Cape Town

There are more than 60 countries listed in the visa exemption agreements, which means the citizens of these countries can stay in South Africa for up to 90 days. Other countries not listed must obtain a valid visa to enter the country. A Medical Treatment Visa is available for medical tourists. Note that all visitors must hold a passport valid for at least 30 days after the expiration of their intended visit.

Additional Information

1. Local Currency: South African Rand (ZAR) is the official currency and 1 USD converts to 14 ZAR.
2. Money & Payments: Tourists can find ATMs almost everywhere around the city, but you should avoid ATMs in secluded places, especially at night. Credit cards are accepted in established restaurants, hotels, and shops. It is always better to carry some cash because smaller food places are cash-only. Tipping is expected here.
3. Local Language: The most common languages in the city are English, Afrikaans, and Xhosa with Afrikaans as the most widely spoken home language.
4. Local Culture and Religion: The population follows Christianity, Islam, Judaism, and several other religions.
5. Public Holidays: There are 12 official public holidays in Cape Town, including New Year’s Day, Freedom Day, and Christmas.