But the anxiety would peak again at my next appointment. ItвЂ™s how we are as humans, right? We become accepting of our situation and go back to our lives. вЂњBut after a while, my life would reset to normal. And the anxiety would last a few days after each appointment,вЂќ he said. вЂњIвЂ™d get panic attacks and feel nauseous from the fear of hearing more bad news. There were frequent hospital visits to make and urine samples to submit. The avid runner enlisted nonetheless but life was an emotional yoyo from then on. вЂњI was naive and didnвЂ™t realise that it was a serious condition. вЂњIt was one of the most unforgettable experiences in my life,вЂќ said Loei of the results he received from his medical check-up for national service. It came as a shock to him as he was a school athlete then and didnвЂ™t have a family history of kidney disease вЂ“ or any prior medical history for that matter. At an unusually young age of 18, he was diagnosed with chronic glomerulonephritis in both kidneys, which refers to the inflammation of the organs' tiny filters. LoeiвЂ™s fit appearance isnвЂ™t the only thing that surprises most people.

In the online interview with CNA Lifestyle, it was evident that his deep tan and trim figure could pass him off as an active 40-something. вЂњAn experience I had on the MRT was with two youths who reacted visibly shocked when they saw my arm, like, why does it look like that?вЂќ he said of the thick, keloid-like protrusion running down the length of his left forearm.Д«ut lest you think the 57-year-old, who works as a manager at a non-profit organisation, is a pale, frail recluse, youвЂ™d be in for a surprise. вЂњKidney patients can be very conscious of our fistulas,вЂќ Loei shared when asked about his. Those are the experiences that Job Loei, a CKD patient of 39 years, is all too familiar with.

This reinforcement is crucial because, unlike a one-off blood withdrawal during a health check or blood donation drive, the vein has to be sturdy enough for repeated use. It involves stitching an artery and vein in the forearm together to create a reinforced access point for the two dialysis needles. This means that fluid build-up in the body can lead to issues such as heart problems or fluids in the lungs if they donвЂ™t control their fluid intake.ДЄnd while you may have heard of dialysis, you may not be aware that some of these patients have to have an arteriovenous or AV fistula surgically created beforehand.

Such is the constant struggle for chronic kidney disease (CKD) patients who are on dialysis.В And for good reason: They pass very little or no urine at all as a result of their reduced kidney function. That quota includes not only plain water but any food or drink such as coffee, tea, juice, soup, gravy, porridge and even ice cream that contributes to your fluid intake at room temperature. But you canвЂ™t вЂ“ not because it is impossible to do so, but because youвЂ™ve already hit your fluid quota, which can be as little as 500ml a day. Imagine being so thirsty, you wish you could drink the moisture right off the humidity in Singapore.

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