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About SCKD

The Singapore Clinic for Kidney Diseases was started by Dr Pary Sivaraman in 2006.

Prior to starting this clinic, Dr Pary Sivaraman practised at the National University Hospital (NUH), Singapore.

He was the former Director of the Adult Kidney Transplant Program and managed several complex kidney transplants including cross match positive kidney transplants and combined bone marrow and kidney transplantation that resulted in transplant tolerance. He actively managed all types of Renal Medicine inpatients and outpatients and General Internal Medicine inpatients

At NUH, he was involved in several hospital committees that included the Pharmacy and Therapeutics Committee and Evidence Based Medicine.

He was a member of the Transplant Advisory Committee and the Renal Care Committee that provided advice to the Ministry of Health, Singapore on Transplantation and Renal Medicine, respectively. He provided expert advice on various renal related medications to the regulatory authority, Health Sciences Authority, Singapore

He was an active member in the Specialist Training Committee for Renal Medicine, Singapore that provided guidance in training of renal physicians (nephrologists).

He took part in various clinical research projects and presented at high level international meetings that included the American Society of Nephrology, American Society of Transplantation, European Society of Transplantation, etc.

After starting his clinic, he has continued to manage complex kidney transplants including second transplants, transplants in hepatitis B positive patients, ABO incompatible kidney transplant, etc. He continues to manage all type of Renal Medicine patients and General Internal Medicine patients.

He has also introduced double filtration plasma pheresis (DFPP) in kidney transplantation and in the management of immune mediated kidney diseases that didn't respond to standard therapy. He has used DFPP in other immune mediated diseases eg demyelinating polyneuropathy, etc. He was the first doctor locally to perform LDL pheresis to manage patient with severe dyslipidemia.

He was also a member of the Medical Advisory Board, Mt Elizabeth Hospital, Orchard. He has been Chairman of Medical Quality Assuarance Committee and represented the Nephrology Urology Specialty Interest Group. He is the current Chairman of the Transplant Specialty Interest Group of Parkway Group of Hospitals.

CKD encompasses many kidney and general diseases (eg hypertension or diabetes) that result in loss of kidney function over months to years.

In the early stages of CKD, most patients do not have any symptoms.

Symptoms may appear only when the kidney function is significantly impaired.

Unfortunately, most of these symptoms may not be specific enough to alert someone of the presence of CKD.

When CKD is moderately advanced or beyond, progresssion to end stage kidney failure is almost impossible to prevent.

The only treatment that is available for end stage kidney failure at the present moment is dialysis or kidney transplantation.

CKD at its early stage can be detected by doing a simple blood and urine test.

Patients at risk should do these tests and consult a Renal Physician for further advice.

With appropriate treatment, CKD progression can either be halted or slowed to prevent end stage kidney failure in a significant number of patients.

Do the necessary tests. Consult our Renal Physicians. Prevent end stage kidney failure.

Age: as one grows older the risk increases

Proteins in the urine

Blood in the urine

Elevated serum creatinine (or increase in serum creatinine with time)

Hypertension: as much as 1 in 5 to 10 adults with hypertension can have CKD

Diabetes mellitus (DM): as much as 1 in 3 to 4 adults with DM can have CKD

Ischemic heart disease (heart attack or angina) (history of)

Cerebrovascular accident (stroke) (history of)

Obesity (especially morbid obesity)

Immune mediated or rheumatological conditions like lupus (SLE), rheumatoid arthritis, etc

Recurrent or multiple kidney stones

Long term medications (eg pain-killers)

Family history of CKD