Zoom Meeting/Workshop Materials

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Zoom Meeting/Workshop Matter

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NKF Zoom Meeting or Workshop (1)

 NKF Briefing Slides .pdf

Jo Gerry Essery - NKF Marsiling Dialysis Centre (DC) (1)

I was transferred from NKF Yishun DC1 to Marsling DC which is nearest to my residential area on 16th May 2018. So by now it had been roughly 3 years & 5 months.

This is a beautiful housing estate with excellent environment too. It is block 204 Marsiling Drive. & bus stops from my Wood-grove housing estate for which Marsiling & Wood-grove share a common National best up-to-date transportation MRT station as a border linkage for meeting place.

Here, we have totally 22 stations or slots of haemodialysis (HD) patients in each session from Monday to Saturday. Sunday is a rest day for all NKF dialysis centre Singapore National wide. In other words we have a maximum of 22 patients for each session. from Monday to Saturday. I am on 1-3-5 noon shift as from 12.00 pm to about 5.00 pm schedule. I have 3 sessions in each week basis & each session lasting for at least 4 hours at a minimum session.

This dialysis centre is in operation since May 2018 but officially launched & opened by our honorable Singapore President Mdm Halimh Yacob on 15th June 2019. We have around 22 NKF staffs all in all under an experienced nurse manager. Most of nurses are from foreign countries but luckily we too have a few Singaporean too. We have multiple communities in our dialysis centre. It is thus becoming my 2nd home since day 1 with NKF Singapore for which I joined on 20th March 2015.

I am updating this Marsiling DC stories from time to time or case to case basis as time goes by too. Cheers~~~  

When I first started haemodialysis (HD) treatment or therapy with NKF Yishun DC1

Leong Seng Chen

Extracted from ~ Back-to-School - Lesson 9 (Part II)

(Written on 23rd October 2016 & subjected to revision on 26th October 2016)

 I had been closely observing with brief records of note-book on my dialysis treatment during every 4 hours since months ago after I had settled down comfortably with the wonderful machine at NKF Yishun DC1. So it had been 2 years since then, while 5 months in private clinic, before attaching with NKF for 19 months as per today this week. Generally I am quite satisfied & happy enough with my over all progression. However, no pain no gain as the philosophical concept normal saying. Through pain & suffering that possibly make one to better knowing understanding & realizing the true of nature of life-journey. (知这是苦，才可能赵越苦现象而觉之呀！）。 

 Dialysis treatment at NKF Singapore clinic or centre is now can rightly be considered as my 2nd home & naturally I feel more home nowadays than I was a year ago for which I had been struggling. I had learned quite a bit of thing by managing to adapt unforeseen situation or circumstance nowadays as a dialysis patient in addition to my personal invisible illness! My mental together with the physical body is getting fitter & stronger with cool calm & steady of mind-game despite all the odds about my invisible illness happening earlier! I am able to enjoy my usual habitual diet too within my personal medical category value card issued every 2 months by NKF DC. I am glad & happy this is now a road map & guidance for me along my long winding & tough dialysis journey. No one is happy & enjoying the dialysis journey if given a chance. We kidney failure patients are lucky enough to have artificial machine to help us to prolong & extend our life-span on earth. 

 Within my own extended families’ member around I had come across kidney transplant siblings too & they are so near to my family as well as some far relatives who had gone through many years of dialysis experience yet have difficulty to express or voice out effectively probably due to poor knowledge in medical field in term of medical illustrative wordings for which I too fall into the same category right now & here as a fresh & or new kidney failure patient.

 As I am approaching 69 years old soon & in fact I am 69 already by actual birth date as according to my birth father’s note book record & I am happy enough that I am able to manage to knock down a few medicines since beginning of the dialysis treatment 2 years ago. I had no more gout flare or attack for many months already. No more swollen legs too as happening initially for the first few months during my early dialysis treatment. Today I visit SGH once a year for most of the specialists reviews. No more visiting heart-specialist unless necessary such as operation. Neither I experience frequent legs problem such as cramping both at home & dialysis session except with weak joints at both hips areas while walking a little further away for which I reported to our DC’s nurse manager. She advised to stop & have a little rest in between walking distance. It works well indeed! I also frequently approached our cool calm steady & mindful nurse manager for some medical advice etc ever since she had been settling well with us at our DC a year ago. She is truly an experienced nurse! So do some excellent nurses there who go extra miles as really & kind caregivers. 

 I hereby like to say that our NKF Yishun DC1 had been improving in many ways about the whole system recently too. And it is still in the process of improvement nowadays. It is so nice feeling & happy to see some improvement as a whole after 19 months as my 2nd home there. By the way this clinic or centre had been established or in operation since 21 years old ago & it is the first ever NKF clinic being established at Singapore Yishun area. Today we have another 2 DCs at Yishun which had been opening & in operating this year. 

 Basically I personally feel that NKF DC1 had done quite satisfactory in serving the basic Kidney Failure clients or patients. Of course there are rooms for further improvement or upgrading comparatively. The most important or essential is they had done their job satisfactory well enough! This is understandable as a client or patient after all NKF is the biggest public none profit charity of organization in Singapore. It truly provides the best & value for money & the cheapest means for Kidney Failure patients generally as well as encouraging & carry out implementation our Singapore National Kidney Transplant Projects. Now it is going even further & that’s beyond dialysis mission or goal too! I like & love the way the path NKF applying beautiful combination of formula for the overall successful growth & development of NKF in Singapore. Today they also connect well enough with Singapore public, government & private sectors such as:- MOH, Hospitals, Educational department, Family & Social Welfare Affairs department, various agencies, companies, enterprises, monastery etc as associated partnership etc etc running in parallel of co-existence in harmony. The bridge or link is so beautiful & wonderful indeed! The key & main mission is giving life & hope to all walks of life in Singapore for the sole benefit of humankind! Smile & Cheers for healthy & strong NKF Singapore!!!

 My shallow & humble expression in this back-to-school lessens from 1 to 9 so far as I had been writing in my personal face book pages, is, to share & contribute, as an individual capacity cum medical patient in Singapore & Malaysia too. It is basically still a process of learning/experiencing stages via Singapore MOH & NKF. In addition, I like to keep a tracing record for a reliable information to my children, my next next generation, my present siblings relatives & friends too. Please kindly forgive me if I have done unintentional mistakes & or somehow neglect some points or topics in my expression or writing manner. I believe & confident that what I think speak do so are in one phase timing though they are not 100% perfect yet. However I am sincere & honest enough through my heart-mind. I hope & wish by frequent & constant practice will somehow some days help me to improve the contents in due course!

 Lately I had discovered a little bit more about my personal body & mind game in respect to DIRECT hoping or ATTACHING onto the beautiful haemodialysis machine. I have been able to monitor a few things such as my blood flow rate on my AV Graft, blood pressure in variable stages or state of my body-mind conditions during the process of solid 4 hours dialysis treatment, ideal dry weight which may be variable too, additional weight, setting target weight to be drawn in each dialysis treatment despite my normal inclination of habitual lifestyle (meaning greedy for enjoying tasty food still) for which I like to remain as is where is condition & enjoy my life-journey to a maximum personal standard or level if possible provided of course my blood testing category value is within the normal range of trend plus I am fitter & stronger in most of my usual outdoor events or activities. 

 The only slightly out of control is on Monday as I am on 1-3-5 noon shift. Here I am talking before dialysis weight of 1-3-5! My average of additional weight for alternative day is averagely about 1 kg. So it works out an average of 2 kg on Wednesday & 2 kg on Friday but 3 kg+ on Monday. This is merely an average figure as a talking guideline! The blood pressure normally is low on Wednesday & Friday but slightly higher on Monday due to higher toxic & fluid contents building up in the body after the 2 days on weekend. Only on Monday my blood pressure can possibly slightly higher but unlikely over 140/80. If, with this slightly higher blood pressure on Monday, it is no much of a problem to draw more than 3 kg of additional weight then. As a result I was medically advised not to take any high blood pressure tablets then onward since many months ago. It is coming near to more than a year already. However the rest of most days in a week the blood pressure could possible drop as low as to below 100/60. Anyway so far so good! I just need to slow down my body-mind’s functional pace & be mindful every step I am moving along, be it in walking standing sitting or lying posture etc at home or outdoor. I was told/advised it is okay as long as I do not have dizzy feeling or fainting feeling. However sometime I do feel very light but I keep cool calm steady & mindful. To me mindfulness with sole awareness is the key to keep my overall body-mind system in its best stable state at all times or circumstances!

 During the dialysis process if the blood pressure is low then the target to draw my fluid will always be adjustable to a lower reading of target. My maximum target lately was about 3.5 kg only happening once in blue moon on Monday provided my blood pressure is higher level too. By the way my highest target was 3.8 kg last year. That had given me an incident or some problem. Nowadays it uses to be around 2 to 2.8 kg on Wednesday & Friday anyway. My minimum target is slightly below 2 kg but it is very rare occasion unless I burnt out more calorie such as for more daily activities for example regular exercise & or frequent outings etc. It is very good & comfortable feeling if I can maintain at below 2 kg additional weight but I need to control my diet & life-style & that’s a little bit of restriction there. That’s what how & why I feel at the moment. 

 Going through the pro & con of the additional weight at alternative day I begin to learn & aware the fluid taking is my main problem of ALL. I always fond of drinking more cups daily yet I feel stronger with fitness apart from the low blood pressure which is the side-effect may be. Off & on I am still having urine but not much though. Morning perhaps a little bit more! As long as I can manage the minimium stress & strain of my body-mind system within the standard category value range I am very happy-living already! I estimate I drink more than 1000 ml of fluid a day. I have to control to drink lesser if possible as the NKF dietician advised me for about 600 to 800 ml fluid taking a day also depending upon my urine amount as well. I am still struggling about my balance of diet especially about nutrition but it shows sign of improving very slightly for last 3 reading from 0.93 to 1.05 to the latest 1.09 of my NPCR value. Another thing is my thyroid IPTH vitamin D injection had been increased by an extra injection weekly since about 2 months ago. I believe this thyroid IPTH is likely the side effect while patients subjective to while doing dialysis treatment.

 I once kept on asking & or making enquire about the efficiency & effectiveness of a natural kidney vs transplanted-kidney together with the dialysis system. But no one give me a direct or convincing answer yet! I guess it is not easy to measure & or answer directly as they are subjective for various conditional factors as per individual patient due to complicated of body-mind system. Therefore I am trying to make a rough calculation about my own urea & creatinine levels of reading instead which stated in my bi-monthly detail report! It is indicating before dialysis & post dialysis treatment readings. The machine can actually knocked down about 3 to 5 times the value of urea & creatinine reading while at same time can clear off my additional body fluid by appropriate 2 to 3 kg depending upon the target setting & the body-mind response & condition at each session of dialysis treatment. This perhaps can possibly give me a clue or hint or indication somehow somewhere how effective the machine had done for my own personal blood cleaning task or job. By knowing understanding & realizing them as my personal statistic data I am able to somehow controlling my own body-mind system along my existing journey after all this very body & mind it is belonging to no one but me. The rest I leave to the professional in Singapore medical field & clinic at NKF. 

 As for the machine operation it is not so important at the moment for me unless or until I have decided to have home-dialysis one day which I need to be solely independent to master operating the machine too. However, it will be very nice to ease off nurses’ job by means of independent at the clinic & that perhaps will cut off overall manpower costing & effort at the clinics too. After all it is solely direct ground relationship between us as patients’ own physical body-mind & the dialysis machines. At the moment I have to still soley rely on NKF clinic & the nurses & renal doctor. Therefore I feel the most difficulty tasks likely to be the needling schedule process & final gauze wrapping job. 

 As the medical science & data technology so advance today, I hope & I wish I am able to keep learning along my brief life-journey till my last breathe on earth in order to get satisfaction with happiness in term of overall education culture & value not only for myself but also for my children my next generation, my siblings relatives & friends as well. Also I am attaching with a long & winding 2nd home journey too - no choice lah! Perhaps one day when we have completed the overall national project in medical health matters or health-care business such as nursing home or community hospitals etc nearby our respective housing estates then that may further benefit to us & our younger & well educated generation of Singaporeans. They may have great leverage of advantages when one works hard & put effort by keeping on learning/training/practicing along one’s journey as well as self-independent too. It is like self-services auto-machines everywhere in Singapore today. You only need/require minimum of technical manpower & maintenance skills to keep moving on...

 I also manage to negotiate with nurses about the position or location for actual needling schedule & same time to describe the penetration feeling so that the nurse & I are able to mutually synchronize both feeling in term skill & overall mannerism. My feeling of description will add confidence about my AV Graft condition at that particular right spot too. Coming on this 1st November 2016 on Thursday next week, I will be visiting my renal surgeon & specialist at SGH for checking & reviewing my AV graft condition after 2 years of dialysis treatment. This is solely arranged by NKF DC’s nurses as I have some clotting around or at some part of the AV Graft because the blood rate flow at AV graft spot sometime is rather high too with some clotting blood appearance while needling schedule on few incidents. 

 For months I have brought along my own blood pressure device for convenient easy & frequent checking my own blood pressure as I need from time to time or case to case basis. This one way to read my body response to the dialysis treatment that is going on. The nurses only take on hourly basis on manual basis. I need it badly because my blood pressure quite often drop to low after 2 & half or 3 hours of each dialysis session. It is always happening that way! If it drops below 110/60 I will soon surely begin to feel a little bit of my body’s stress & strain symptom arising such as cramp or pain around the legs then travelling toward my abdomen portion! They are initially very subtle & if not mindful you hardly will notice or aware of it! The nurses normally will adjust the machine in due course to ease off any bodily or mental stress & strain. I have alerted them quite earlier lately instead of pending the machine giving alarm or signal. It is so nice to know your own body-mind system & you can have smooth sailing of dialysis life-journey comfortably too. That is one way of building self-confidence with awareness!

 Today I am glad & happy enough that I will not waiting till the machine giving alarm or signal. Unless I am in resting or sleeping or not mindful or aware of it. As such if I do pending for the machine to give alarm I may end up sudden attack of cramp or pain (similar like those young days when I was a sporting boy or adult in the outdoor field) upon merely slight a turn or twisting movement of my body or legs. It is so sensitive indeed! This is my personal experiences on my own body-mind system at the moment during the process of 4 solid hours sit still posture at or on dialysis treatment station. 

 The other day my initial blood pressure before dialysis began was 139/78-67 on standing position while blood pressure was 126/72-67 on sitting posture (on 24th Oct 2016 last Monday, so the target was set at 3.5 kg). When I purposely checked my blood pressure, it dropped to 109/66-65 at the last 10 to 15 minutes toward the end session of dialysis treatment, I felt something happening on my stomach already. This is one of few areas that I am quite happy to gradually learn understand & realize with awareness on my own body & mind game during the 4 hours of dialysis treatment. Once I am able to understand better with awareness about my own personal body & mind game I feel much more comfortable & confident to keep on moving along the journey ahead. It is like driving a car you are the master at steering wheel & everything is within your control what you want to do & what you do not want to do along the road map right in front of you. For 2 years I have been managing to learn & pick up a thing or two about dialysis treatment knowledge though I am still far behind as far as its medical theories or knowledge are concerned. My family is quite satisfied & happy enough with my present progress in the clinic as I try to be independent in most of outgoing events or activities. 

 Comparatively I am still far behind than those experienced patients who are old timers with discipline about their well control & balance in diet plus regular exercise with proper medication in their respective well lifestyle mannerism. I truly admire those who have kidney failure & still keep on working either partially or fully. Some patients I met have more than 20 to 30 years experiences of dialysis treatment. They move around so lightly like dancing on the floor! I have yet many things to learn & pick up along my personal dialysis experiences & it is a broad topic to talk about. It is truly a lifelong learning topic with so advance of skillful hi-tech & data technology! The key here I am trying to stress is to try to be SELF-INDEPENDENT whether partially or fully in or on DIALYSIS TREATMENT whether at home or at clinic! Learn your own body-mind system in respect to the beautiful baby machine being invented you are relying on till you find an alternative solution for the best-bet in your own living lifestyle.

 Thank you!

Home BPs on 23nd Oct Saturday & 24th Oct Sunday 21

Dear Marsiling DC,

Happy Sunday & thanks for issuing a memo as a standby reference of document together with the details of HD sessions on my last two occasions HD ( Wednesday & Friday) post HD on Friday to me before leaving for home. I hereby like to update my BPs at home during this weekend accordingly for your kind perusal as well as my state of boy-mind feeling. 

1) Friday post HD BPs ~~~
Sitting 157/68 ~ 80 ; first time I noticed that I had been added with an extra or 2nd bag of saline solution upon winding up the HD session.
Standing 129/57 ~ 80 ; feeling okay & fine.

6.15 pm evening at home sitting posture:-
116/81 ; 113/67 ~ 80 with new type BP device.
following Sitting posture:- 121/65 ~ 80 ; 111/64 ~ 80 with old home BP device.
Feeling comfortable & good! 

7.15 pm 111/52 ~ 94 pulse slightly high but okay feeling.
2nd checked 118/66 ~ 90 pulse high too but okay
(using old type of BP device)

Using new type BP device
96/60 ~ 71 ; 102/60 ~ 86 ; before taking heart fast beating medicine (1.25 mg bisoprolol).
Feeling comfortable & okay as normal.

2) Saturday BPs on 23rd Oct 21, morning
8.40 am 129/78 ~ 75 ; 120/63 ~ 63 ~ 66

12.15 pm 107/53 ~ 83 ; 126/75 ~ 76 old & new type of BP device respectively

5.55 pm 125/72 ~ 79 new BP device ; 123/63 ~ 80 old type of BP device
Feeling comfortable & okay!
Skipped the BP medicine because normal range of BPs today..

3) Sunday BPs on 24th Oct 21 
Morning 7.50 am 124/66 ~ 77 : 123/68 ~ 76 (new type of BP device)
Using old type of BP device 114/55 ~ 73 ; 96/53 ~ 76.

10.30 am 112/64 ~ 77 ; (new BP device)
116/64 ~72 (old BP device)

5.20 pm 126//68 ~ 76 ; 127/77 ~ 63 ; 143/68 ~ 78 ( using new BP device)
141/61 ~ 65 ; 127/68 ~ 70 ; (using old BP device) 

6.10 pm 127/65 ~ 74 ; 143/68 ~ 78 with old BP device.
141/66 ~ 66 ; 133/76 ~ 76 to take BP medicine this evening...& see how it goes...

Today ART tested negative at evening. Generally feeling comfortable & normal throughout the weekend.

Leong Seng Chen

HD sessions on Wednesday 20/10/21 & Friday 22/10/21

 Dear Marsiling DC,

I had twice, cannot be forgotten, haemodialysis (HD) sessions treatment or therapy this week. Down below is just my brief summary being extracted from daily rough note-book.

1) On Wednesday, 20th October 2021
Temp 36.2 C
My Pre weight 65.7 kg
Dry weight surprisingly set at 63.6 kg without my knowledge
Diff 65.7 - 63.6 = 1.9 kg
Setting target goal 2.2

Stopped water supply for 10 minutes; pump speed reduced to 230 due to uncomfortable feeling...  
2.2 downed to 2.0, then again down to 1.8 & finally only managed to remove about 1.6 kg of fluid as I requested to finish earlier as I couldn't tolerate anymore!!!
Post BP sitting 138/72
Standing BP 142/54  
Post weight 64.3 kg ???
At/V (?)
Had a small cup of warm drink
Being advised earlier to have someone accompanied me going home. 

Remark/comment:- I was feeling uncomfortable & this is very unusual case indeed! It was adjusted or reduced to 2.0 kg. Again later on, I felt difficult to breath & need oxygen to support in addition my body so stressful with shivering too. Very tired! Had a cup of warm plain drink & my 2nd son fetched me home. Luckily we managed to timely taking appropriate remedy action as a team to avoid any unforeseen circumstances arising. Thanks! Apart from very tired I was okay & fine. FYI, I had stopped taking BP tablet (Telmisartan ~ 20 mg a week ago except Sunday during none dialysis days when BP slightly on high side as per my BPs records list shown ~ as instructed earlier too whenever my BP is low at home). 

Home BPs:- 
a) 5.55 pm 116/67 ~ 85 ; 112/65 ~ 80 with old BP device
with new BP device 109/67 ~ 82 ; 105/72 ~ 89 before dinner.

b) 7.15 pm 97/51 ~ 96 ; 105/55 ~ 89 ; old type of BP device
New BP device 102/62 ~ 76 ; 103/66 ~ 66 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

2) On Friday, 22nd October 2021
Temp 36.2 C
Pre weight 66.1 kg
Dry weight 63.9 kg as I was told today
Diff 66.1 - 63.9 = 2.2 kg
Setting target goal 2.5 kg

Remark/comment:- This time I felt uncomfortable much more earlier than the Wednesday HD session. It was within the first one & half hour only. Pump speed reduced to 280. Target reduced to 2.2 kg, then again 2.0 kg due to very uncomfortable & intolerable state. It was similar like Wednesday symptom too. Difficult to breath + shivering too. Because of the machine pulse indicating so low, the senior nurse kindly & timely checked my heart-beat or pulse manually & it was okay with 54. Finally I finished earlier too with achieved target only at 1.811 kg.
Post BP sitting 157/68 ~ 80
Post BP standing 129/57 ~ 80 ; feeling good & fine.
Post weight 64.4 kg & At/V 1.55.

At home,
I felt okay & fine as normal state despite what had been happening today. So I decided to go back home myself through public transportation with mindfulness movement throughout my journey home.  A bit tired though! Had a hot drink & a bite of snack upon arrival home. Again it is good & nice we work as a team at centre to timely make remedy or correction whenever or wherever necessary from time to time or case to case basis. Cheers!

6.15 pm 116/62 ~ 81 ; 113/67 ~ 67 ; using new type of BP device.
Using old type of BP device 121/63 ~ 80 ; 111/64 ~ 80

7.15 pm 96/60 ~ 71 ; 102/60 ~ 86 using new type of BP device
Using old type BP device 111/52 ~ 94 ; 118/66 ~ 90 ; noticing my pulse on high side & taking my medication.

Personal conclusion or summary as a dialysis patient:- Perhaps it is right timing to study & make a fresh re-evaluation on my personal individual HD session treatment in respect to the formula or program. Also, I like to raise up the body-composite-measurement once again. It had been a year plus since my last dry weight being increased from 63.3 kg to 66.5 kg sometime in September 2020. That was a sudden big jump indeed! Can we possibly arrange a body-composite-measurement checking or testing somewhere in NKF DC? I am willing to travel to make the checking or testing if recommended! 

Thank you with best regards always!

Yours sincerely,
Leong Seng Chen
Station 2 at Marsiling DC. 

Quarantine Order for CoVid-19 Pandemic

 Dear Tricia Tan Yee Ling,

Within our dialysis community I like to care & share my first personal genuine experience or exposure through you as an individual patient-volunteer topic about my first experience/exposure of QO by MOH as an individual person as well as as a dialysis patient for social awareness. Simply hereby you have none NKF email attached or engagement too. It is purely as an individual friendly human right freedom of expression. I am not sure whether I should go ahead to care & share within our diailysis community FB? Home Quarantine Order:-

Well, I had been quite busy & preoccupied since last Sunday 19th September 2021.

This is my first personal experience/exposure under Quarantine Order by MOH & the National Law as a haemodialysis (HD) patient in Singapore. I & another patient were suspected making contact a dialysis patient possibly & probably during 13rd (Monday) & 15th (Wednesday) of September 2021 as we were both sitting next to each other during our haemodialysis (HD) period.

Friday on 17th September 2021, the suspected dialysis patient was having 38.3 C high fever upon arrival at centre & he was immediately separated by our fast taking action nurses as caregivers right in front of us & hence immediately admitted to hospital under A & E case.

On 19th September around 3.00 pm while at home I was informed & received order by MOH to follow Home Quarantine Order (HQO) immediately under Singapore's LAW. At same night on 19th September at around 9.30 pm MOH sent a tester to check & investigate my case with Antigen Rapid Test (ART) & Polymerase Chain Reaction (PCR). ART is a test for positive or negative virus & PCR is a test to detect genetic material from a specific organism such as a a virus. The test detects the presence of a virus if you have the virus at the time of the test. So I was under the control MOH on then onward till further notice from time to time or case to case basis.

Monday on 20th September I did my ART & submitted through online connection to MOH by my children. We had received acknowledgement too. But I have not take any test for my PCR which is to be arranged by MOH if necessary from time to time or case to case basis.

Yesterday 21st September I was arranged by MOH in Singapore to do my haemodialysis (HD) treatment or therapy at Jurong West, 500 Corporation Road Singapore 649808. About 15 minutes walking distance from Lakeside MRT. It is happening same address of our NKF Integrated Renal Centre (IRC) Health-Hub where I use to go for my Gym Tonic exercise on every Tuesday on weekly basis since beginning of this year 2021 too.

I use to have my normal haemodialysis (HD) treatment or therapy at Jo Gerry Essery - NKF Marsiling Dialysis Centre on 1-3-5 noon shift between 12.00 to 5.00 pm. But this week I had been arranged by MOH on 2-4-6 ( 21st, 23rd & 25th Sept ) morning session between around 9.00 am till 2.00 pm. A taxi transport is provided for convenience too.

If all go well & smoothly I should be back to my normal dialysis centre on this coming Monday which is 27th September then.

My family & I are very satisfied & very happy for the quick action being taken by our Singapore Ministry of Health (MOH) in Singapore! Thank you Singapore! Singapore Boleh lah! Majulah Singapura!

CoVid-19 Pandemic 2021

 Yes, we just need to take extra preventive measures or precautions individually during this unpredictable & unforeseen CoVid-19 Pandemic period. It is worldwide phenomena! No choice we have to live with it nowadays. There is no need to cause fear or panic because we have effective MOH & discipline government in Singapore as far as HealthCare industries services or business.

Like any other vaccinations it is none permanent actually. Particularly for vulnerable ageing patients such like dialysis patients within our dialysis community, we care & we share.

I took first jab in February then following May for 2nd jab & finally the 3rd jab in September of 2021. We too have daily temperature scan & regular ART checked & PCR whenever necessary upon the individual conditional factors from time to time or case to case basis. Within our dialysis community strictly we must adhere to as per MOH's instructions by laws & the dialysis centre policymakers as a rule. We dialysis patients must be disciplined ourselves too!

Quick response & action usually speak louder than anything else in earth-journey. And through my own personal genuine experience or exposure I trust & believe we have excellent teams of dialysis centre combination formula with MOH in Singapore!

Because in September I made direct contact with a dialysis patient who was tested positive with high fever. I was immediately under Home Quarantine Order for 5 to 6 days. The positive patient who is my dialysis centre buddy recovered within 2 weeks under Quarantine Order with proper treatment. He is about 57 years old visually impaired while I am about 74, a deaf patient.

May all sentient beings well healthy happy with peace of mind-heart! Take care brothers & sisters! Stay safe be safe keep active & take care friends!

Our Marsiling DC first batch of exercise group!

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