Magkano ang nagagastos sa gamutan ng mga pasyenteng may sakit sa kidney? | Reporter’s Notebook
Kapansin-pansin ngayong taon ang patuloy na pagtaas ng chronic kidney disease o CKD sa ating bansa. Kaya naman itinaas ang bilang ng libreng hemodialysis session sa 156 mula sa dating 90 sessions kada taon. Ang ilan sa mga kababayan nating patuloy na nilalabanan ang kondisyon na ‘to, kinumusta ng ‘Reporter’s Notebook.’ Sundan ang buong ulat sa video.
Transcript
00:00 Kyle Terrence Abanto, who has been dreaming of becoming a director for 24 years,
00:07 in his videos, you can see how active and active he is.
00:17 But all of this changed last year when he was diagnosed with stage 5 chronic kidney disease.
00:27 I had symptoms like nausea and the worst experience I had was that I was vomiting and I couldn't eat.
00:37 That's why, from his dream of becoming a director's chair,
00:41 Kyle sat in the dialysis center three times a week.
00:51 I was 24 years old. Of course, when I entered, everything flashed back because before I got sick,
00:59 I was already there. I was a filmmaker, photographer, dancer.
01:03 I was slowly reaching my dream and suddenly, I had a snap.
01:10 I needed to go for dialysis.
01:12 Imagine that, there are 7 million dialysis patients in the Philippines.
01:19 Despite the hardships, Kyle continued to make videos.
01:23 Come on, join me for dialysis.
01:25 In fact, he made a vlog of some of his dialysis journeys.
01:31 In three days, every week of dialysis, I'm running out of strength.
01:38 So, those are my next contents.
01:42 Since I noticed that those who are also doing dialysis are also noticing me.
01:48 What I did is more on dialysis.
01:50 Like the first stage, I was already down and I lost hope.
01:56 They have hope and inspiration to continue their lives.
02:14 In October 2022, Kyle made a vlog of his emergency dialysis where he had to put a tube around his neck.
02:23 It was very hard.
02:25 After his dialysis, his seizures, he fought several times. I thought I would lose my child.
02:33 To make his life better, he needs a kidney donor.
02:42 Kyle has no siblings. His father doesn't match him, so he can't be a donor.
02:47 The only one who can donate a kidney is his mother, Beth.
02:53 Unfortunately, Beth has a heart disease, so she can't be a donor.
02:58 In my whole life, that's the most painful thing I've ever experienced.
03:02 Because I know that what we will face is hard.
03:05 When he put a tube around his neck, that's the beginning.
03:08 I know the struggle that is hard.
03:11 [Music]
03:14 Until there is no donor, Kyle will continue his dialysis.
03:19 Aside from the physical pain, he also has a stomachache due to the stones.
03:24 Even though he is free from several sessions of hemodialysis due to PhilHealth,
03:28 Kyle still spends more than Php 2,000 per session for medicines and other needs.
03:36 The dialyzer used in each dialysis costs Php 1,000 to Php 1,200.
03:42 Aside from that, he also goes for check-ups, medicines, and laboratories.
03:46 This is for his heart. He has a heart disease.
03:51 This is for his heart.
03:55 This is a phosphorus binder so that he won't have phosphorus in his body
04:03 because he can't filter his kidneys anymore.
04:06 This is Bipolol for his blood pressure.
04:10 This is vitamin B for his veins.
04:14 I heard that in dialysis, there is no poor and no rich.
04:21 You will be poor in dialysis.
04:24 It's very expensive.
04:27 I can't compute it. His maintenance in one month is around Php 35,000.
04:33 She said it's good enough and there are relatives who help her in her dialysis.
04:40 I can't work because I can't just leave him.
04:44 My family and friends are just helping.
04:47 Due to the increasing number of chronic kidney disease in the Philippines,
04:51 PhilHealth increased the benefit for patients with this kind of disease.
04:57 In the past year, the increase in chronic kidney disease or CKD in the country continued.
05:03 This year, the free hemodialysis session was increased to 156 from the previous 90 sessions per year.
05:12 But the problem is that the accredited dialysis centers, especially in Visayas and Mindanao, are lacking.
05:20 We have 581 accredited free standing dialysis centers or clinics nationwide.
05:29 Around 54% are in Luzon and 21% are in Metro Manila or NCR.
05:36 All over the country, it's not enough. There are areas that are still lacking.
05:42 Some of the provinces have to travel 6 hours to go to a dialysis center.
05:49 And you have to go back. And you do that three times a week. That's hard.
05:55 In the whole of Visayas, there are only 74 PhilHealth accredited dialysis clinics.
06:02 In Mindanao, there are only 65 PhilHealth accredited clinics.
06:07 That's why patients in other provinces still go to the National Kidney and Transplant Institute or NKTI to get treatment.
06:17 [music]
06:19 Like 26-year-old Shirley from the province of Biliran.
06:33 In 2017, Shirley was diagnosed with chronic kidney disease or CKD.
06:39 Where did you get the leg?
06:41 Here in Paalam.
06:44 Yes, and then...
06:46 It's your first time experiencing that?
06:48 Yes.
06:50 As in, it's very hot?
06:52 Yes, when you lie down, it's very hot.
06:55 It's very hot.
06:57 When you go for a test, the doctors there said that it's a chronic kidney disease.
07:07 From Biliran, Shirley has to travel from 3 to 4 hours to Ormoc.
07:14 And sometimes, to Tacloban City, whenever the doctor asks her to come.
07:18 Where else do you go to get treatment?
07:21 Ormoc or Tacloban. But in Ormoc, I go to Tenryu.
07:25 How far is that from Biliran?
07:27 It's a 3 to 4 hour trip.
07:29 So, if a person is sick there, and you need to travel, there are others who can't reach you.
07:36 In the hospital, in Ormoc or Tacloban?
07:39 Yes, because there are diseases that our hospital in Biliran cannot accommodate.
07:46 Because of her illness, Shirley stopped her studies.
07:50 She's a graduating college student now.
07:53 To focus on her treatment, Shirley decided to go to Manila to see the NKTI.
08:02 At that time, Shirley was with her sister who is in Malabon.
08:06 They are the ones who support us.
08:09 If they can't afford it, they ask for financial help from people who are close to us.
08:18 Shirley chose peritoneal dialysis as her type of dialysis.
08:23 Peritoneal dialysis is an option that is given to a patient with a chronic kidney disease
08:30 that uses PD solutions to filter the blood.
08:34 This solution is passed through the lining of our stomach, which is called peritoneum.
08:41 This can be done at home.
08:44 There is a person who helps me.
08:49 Before we came here, I needed to go to the emergency room.
08:54 She's also a dialysis patient.
08:57 She recommended this type of dialysis to us.
09:02 What does this solution do?
09:06 It cleanses the body.
09:09 This is the component.
09:15 It's like water, but it enters your system.
09:20 This solution.
09:23 Every 6 hours, Shirley needs to undergo peritoneal dialysis.
09:27 Shirley, this is where your life is at risk.
09:31 Yes.
09:33 Because if you miss this, what you do every day.
09:39 I'm intoxicated. I feel dizzy.
09:48 Twice a month, Shirley gets a lot of solutions from a PhilHealth-contracted clinic for her supply.
09:57 This is free under the Z-Benefit package of PhilHealth.
10:02 It's also a big amount that the government gets.
10:05 Yes.
10:06 But how much is it for you?
10:08 It's a lot. I think it's around 40 to 50,000 pesos if there's no free one.
10:16 If there's no free one?
10:17 Yes.
10:18 But if there's a free one, how much is it?
10:20 Less than 20 pesos per month.
10:23 Yes.
10:24 It's around 15 to 20,000 pesos including my check-ups and my laboratories.
10:32 Outside of Shirley's house, there are boxes of medicines that she needs for her daily medication.
10:41 But did you know that these four boxes are enough for her 7 to 8 days of medication?
10:48 According to PhilHealth, the benefits of patients with chronic kidney disease are also increasing compared to the past years.
10:57 Hemodialysis is one of the highest insurance claims from the budget of PhilHealth.
11:04 Under 2022, PhilHealth paid Php 17.3 billion for hemodialysis claims alone.
11:14 But for a lifetime of illness, access to medical benefits is still a problem.
11:20 In metropolitan areas, there are a lot.
11:24 We have a lot and I think it's enough in major metropolitan areas.
11:32 There are some areas that don't have dialysis.
11:34 Maybe it's just a few, that's why it's not profitable.
11:37 But for humanitarian reasons, it is still good.
11:41 Some people joke that you'll die because of the cost of medication, not because of illness.
11:46 In a long-term condition like chronic kidney disease,
11:50 aside from physical difficulties, you need to face a pain in the stomach
11:54 to continue to live.
12:00 I am Jun Velaración and this is our report.
12:03 [Music]
12:27 you
12:29 [BLANK_AUDIO]
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