Nephrology in Philippines

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 Philippines?

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 Philippines 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 Philippines. 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 Philippines

About the Philippines

The Philippines is an island nation in the heart of Southeast Asia. It extends from the south of China to the northern tip of Borneo. It is also known as the ‘Pearl of the Orient Seas’, the Philippines is an archipelago of 7,107 islands. It comprises three main island groups, Luzon, Visayas, and Mindanao. Manila, the capital city, lies in the southwestern part of Luzon. Quezon City is the largest and most populous city in the country.

It is a prominent English-speaking country and was once a colony of Spain and the United States. It’s the most Westernised country in Asia. However, its culture is a mix of indigenous Malay culture and Spanish and American heritage.

Besides being one of the top tourist destinations, the Philippines is also an emerging medical tourism destination. It ranks in 8th position among popular medical tourism countries and more than 10,000 medical tourists visit the Philippines every year for various treatments. The following factors all contribute to the progress of medical tourism within the Philippines.

• Expert and board-certified medical professionals with international qualifications and training.
• Internationally-accredited hospitals with state-of-the-art medical equipment and modern facilities.
• Affordable costs compared to advanced nations
• Inexpensive accommodation
• The English language is widely-spoken making communication with the Medical team and patients easy.
• Tropical climate helps in the recovery and recuperation

The most common and popular procedures and treatments in the Philippines are cosmetic surgery, weight-loss surgery, dermatology, ophthalmology, and dentistry. As of late, people come here even for liver and kidney transplant surgeries, and cardiac surgeries due to the cost advantage it provides.

For example, a Breast Augmentation surgery that costs between $7,500-$8,500 in the US costs only between $3,000-$3,500 in the Philippines which would be a saving of about 58% to 60%. Also, a coronary artery bypass surgery costing $70,000-$133,000 in the US, will only cost between $11,500-$17,500 and would result in a saving of almost 83% to 86%. Even after adding travel and living expenses, it still makes it a, very good value for the patient to get medical care in the Philippines and several of the more popular Hospital and Clinics are located in Manila, and are St. Luke's Medical Center, Makati Medical Center, The Medical City and Asian Hospital and Medical Center

Popular Parts of the Philippines

The Philippines has a total land area of 116,000 square miles, with a large population of 107,791,044 million people. It has many pristine beaches, mountains, rainforests, islands, heritage towns, and monuments, With hotels, food, and transportation very affordable, it’s also a good budget tourism destination.

The following are some of the most beautiful places to visit in the Philippines:

• El Nido –is known for its white-sand beaches, clear turquoise waters, and coral reefs and is the gateway to the Bacuit archipelago which is a group of islands. The laid-back town of El Nido is a base for island-hopping tours, and kayaking trips to mountainous Cadlao Island, El Nido is situated on the northern edge of mainland Palawan.
• Coron – Is also situated in Palawan and is known for its warm waters, ideal for snorkeling, kayaking, and deep diving. The breathtaking Kayangan Lake, surrounded by karst walls is a visual treat. It is the cleanest lake in the Philippines.
• Tubbataha Reefs Natural Park –is also part of Palawan and is situated to the southeast, in the Sulu Sea. It’s home to countless coral reefs, and expansive breeds of fish, dolphins, sharks, and whales and It is a great water destination for divers.
• Banaue Rice Terraces – They lie within the mountainous region of the Cordilleras. The rice terraces are about 2,000 years old, a result of the labor of the predecessors of the region and They provide efficient space for people to farm on.
• Intramuros – The walled historical area of Manila contains the remains of a bygone era with its cobblestone streets and preserved remnants. Walking tours and carromata rides (two-wheeled box-like vehicles drawn by a single native pony) are popular here.
• Mount Mayon –is a 2,500-meter-tall active volcano. It’s famed for its perfect symmetry and accurate conical shape. You can enjoy the view from some distance or experience it at close quarters, by hiking for a couple of days.
• Hinatuan Enchanted River – Locals believe the river has mystical qualities. They feel fairies and Engkanto (other nature spirits) guard the enchanting blue-green river. The unknown source of clear saltwater is another mystery surrounding the river.

Boracay and Siargao are other popular tourist spots with their powdery white sand and water activities.

Weather and Climate in the Philippines

The Philippines has a tropical maritime climate. The general weather is hot and very humid. It experiences only three seasons:

1. Summer Season – A very hot and dry summer season is between March and May.
2. Wet Season – Rainy Season is between June and November when the southwest monsoon is most active. In this period, typhoons are common, especially during September and October.
3. Dry Season – There is a cool and dry season between December and February, due to the cold winds brought in by the northeastern monsoon.

The average temperature of the Philippines ranges between 25°C and 32°C (78-90°F) with humidity of about 77%. High-altitude areas are much cooler, with night temperatures dropping to 20°C (68°F). The average annual temperature is around 26.6°C (79.9°F)

Getting Around in the Philippines

The Philippines is an island nation, most international travelers reach the country by air. The country has many international airports in various cities including Cebu, Davao, Manila, Kalibo, and Angeles.

Many airlines operate flights in and out of Manila to several destinations. Philippine Airlines, Cebu Pacific, and Air Asia are the national carriers of the Philippines. Singapore Airlines, Cathay Pacific, and many Middle Eastern airlines operate direct flights to Manila. The Southeast Asian cities of Bangkok and Ho Chi Minh City have wide connectivity to Manila and Cebu. You can reach Manila directly from London by flying Philippine Airlines. US travelers can fly via Japan to the Philippines.

Cebu Pacific, Tigerair Philippines, and PAL Express are some low-cost carriers that service domestic destinations in the country.

For transport within the Philippines, you have Jeepneys which are WWII- army jeeps converted into transport jeeps. They are cheap, open, and usually fully loaded with passengers which are normally cramped with 14 to 20 people sitting shoulder to shoulder depending on the length of the vehicle They operate as collective taxis, picking up and dropping passengers within cities.

Tourist Visas in the Philippines

Travelers from more than 150 countries that have diplomatic relations with the Philippines can enter the country without a tourist visa. EU, Australia, Japan, and the US are a few visa-exempt countries. In general, you can stay for up to 30 days, provided your passport is valid for at least six months after your arrival. Showing proof of onward and return journeys is compulsory.

Citizens of India, China, and Egypt are some of the countries that will need to get a visa in advance to enter the Philippines.

Additional Information

• Philippine Peso or Piso (PHP) is the official currency of the Philippines. Its subdivision is 100 centavos or centimos for a Peso. The current exchange rate for one US dollar is 51.99 PHP. You will be able to use US Dollars in Metro Manila and possibly in Cebu City. In other areas, it’s better to have pesos for exchange.
• You will find all major banks and plenty of ATMs everywhere. Master and Visa cards are accepted in most businesses.
• Tagalog or Filipino language is the main spoken language. English is also spoken and understood in the Philippines, due to the US influence during its colonization.
• Roman Catholicism is the major religion of the Philippines. 91% of the population are Christians and about 5.5% comprises of Islam religion.
• New Year’s Day, Araw ng Kagitingan, Independence Day, National Hero’s Day, Bonifacio Day, and Christmas are some of the important holidays in the Philippines.