Internal Medicine · Nephrology · Clinical Nutrition

Expert Health Guides & Clinical Resources.
Real answers. Plain language. Evidence you can trust.

Evidence-based guides by a practising nephrologist — for patients and their families.

141Guides
9Specialties
4Languages
184Calculators
KDIGOEvidence basis
850,274,891
People with CKD — worldwide
10,823,047
In the Philippines
82,000
On dialysis — Philippines
Est. · ISN/KDIGO 2023 · NKTI/PRDR 2024 · Updates in real time
How the counter ticks. No registry feed exists for live CKD or dialysis numbers. Each row uses the latest published baseline (ISN/KDIGO 2023 for prevalence; NKTI/Philippine Renal Disease Registry 2024 for dialysis census) and extrapolates forward at the observed annual growth rate, ticking once per second. So the climb you see is the projected pace — the underlying counts are real, the second-by-second motion is arithmetic.
For educational purposes only. These guides do not substitute for individualized advice from your physician. Always consult your nephrologist or primary-care doctor before changing medications, diet, dialysis, or treatment. By proceeding, you acknowledge that this content is informational and not personalized medical advice.

This library contains over 100 evidence-based guides — and growing — on kidney disease, dialysis, diabetes, hypertension, nutrition, and related conditions — written in plain language by a practising Filipino nephrologist. Every guide is built around the medicines, foods, and healthcare system you actually use. They are designed to be read alongside your doctor, not instead of one.

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Most guides include a downloadable PDF companion and built-in interactive tools — calculators, trackers, and log sheets you can print.
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A note from the author: This is a personal project by W Rivero, MD, built and maintained with the guidance of colleagues and friends in medicine and technology. New guides are added regularly. If you spot an error, have a suggestion, or simply want to reach out — I'd genuinely love to hear from you. Scan the QR code or email me at admin@williamriveromd.com.

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Nephrology & Kidney Disease 46
Signs It's Time to See a Kidney Doctor — Sooner Than You Think
New
Eight quiet signals, six louder ones, who should be checked even without symptoms, and why timing changes everything.
Nephrology Visual Atlas — Anatomy, Conditions, Procedures & Embryology
New Physician
67 illustrated cards across 4 tabs — kidney gross anatomy, nephron ultrastructure, imaging modalities, medical conditions, procedural techniques, and developmental embryology.
Epilepsy & Seizures in Kidney Disease
NewPhysicianCalculator
AED dose adjustments by eGFR, free phenytoin correction, levetiracetam dosing calculator, and status epilepticus protocol for CKD patients.
Red Alert — Blood in Your Urine: When to Worry, When to Wait
New Physician Glomerular Dse
Gross vs. microscopic hematuria, three-tube test, IgAN pattern, when cystoscopy is needed.
Lab Results Interpreter — What Do Your Numbers Mean?
New Calculator
Instant colour-coded interpretation against KDIGO 2024, ACC/AHA 2026, ADA 2025. 7 panels, 19 derived calculations.
Symptom Checker — When Should You Worry?
New Decision Tool
4-band triage for kidney, heart & diabetes patients. ER / same-day / urgent / routine recommendations.
CKM Syndrome — Heart, Kidney & Metabolic Disease, Connected
NewPhysicianDiabetes
The AHA-ASN CKM framework — the 5 stages, why these diseases travel together, and triple therapy.
Obesity, Overweight & CKD — Why BMI Alone Misleads
CalculatorDiabetesNutrition
Asian-Pacific BMI cutoffs, hyperfiltration, MASH proteinuria, GLP-1 evidence, dialysis paradox.
Metabolic Acidosis in CKD — The Silent Bicarbonate Drop
Pre-Dialysis
Bicarb <22 accelerates CKD, weakens bones, worsens hyperkalemia. Inexpensive fix: sodium bicarbonate.
Your Amazing Kidneys — Normal Physiology
Pre-Dialysis
Immersive guide to what healthy kidneys do — filtration, reabsorption, endocrine signaling.
Your Kidneys: The Master Regulators of Your Body
Pre-Dialysis
The 20 vital jobs healthy kidneys do — from fluid, salt, and blood pressure to hormones, bone, and heart protection.
The Silent Scarring: Hypertensive Kidney Disease
HypertensionPre-Dialysis
How decades of uncontrolled BP silently scars kidneys — #2 cause of ESKD in the Philippines.
Taking Charge of CKD: Understanding Your Kidney Disease
Pre-Dialysis
Stages 1–5, classification, progression, and strategies to keep kidneys working longer.
Preparing for Your First Nephrologist Visit
PhilippinesPre-DialysisSystem Nav
What to bring, what to ask, and what to expect — an interactive question builder and pre-visit checklist.
CKD Statistics: Philippines, Asia & World
PhilippinesSystem Nav
12.94 million Filipinos with CKD, 64,845 on dialysis in 2024, NKTI & DOH data.
Top 5 Mistakes CKD Patients Make
Pre-Dialysis
Most common and preventable mistakes causing avoidable progression and dialysis complications.
Slowing CKD Progression
CalculatorPre-Dialysis
Drug classes, lifestyle targets, illustrated glomerulus-protection mechanisms.
Proteins & Proteinuria
CalculatorPre-Dialysis
Why protein leaks into urine, correct measurement, RAAS and SGLT2i treatment.
Glomerulonephritis: When Kidney Filters Become Inflamed
Glomerular Dse
IgAN, lupus nephritis, FSGS, ANCA vasculitis — biopsy, types, treatment illustrated.
IgA Nephropathy — The Kidney Disease You Didn't Know You Had
New Physician Glomerular Dse
KDIGO 2025 algorithm, full drug table, referral criteria, SAR access pathway.
CKD in Children & Young Adults
New Calculator Pre-Dialysis
Pediatric eGFR (Schwartz & CKiD U25), transitional care, school accommodations, PNSP data.
CKD & Pregnancy: A Guide for Women with Kidney Disease
New Pre-Dialysis
Pre-conception counselling, safe medications, fetal monitoring, and postpartum care for women with CKD — including dialysis and transplant.
Staying Well on Dialysis — What Every HD Patient Must Know
Updated
Per-session expectations, diet & fluid, KDIGO 2024 targets, access protection.
Beyond Dialysis: Understanding Kidney Transplant
Transplant
Why transplant is best for ESKD — surgery, immunosuppression, Philippines context.
Kidney Transplant Failure — Understanding Rejection & What Comes Next
Updated Physician Transplant
Banff 2022 criteria, desensitisation, re-transplant checklists, second-chance pathways.
When the Access Gets Infected
NewPhysician
AV fistula, graft, tunneled catheter, and PD exit-site infections — signs, antibiotics, catheter removal decisions, and prevention.
Hemodialysis Machine Assignment by Serology
NewPhysicianDecision Tool
Which machine for which patient — HBV/HCV/HIV allocation logic, window-period pitfalls, seroconversion protocol, and interactive decision tools per PSN 2024 and DOH AO 2012-0001.
Understanding Your Fistula After Years on Dialysis
New
Why AVFs grow gigantic, why some parts are soft and some hard — Da Silva grading, surveillance, surgery, and high-output heart effects.
Dialysis Access Care: Your Lifeline — Protect It Every Day
Updated
Fistulas, grafts, catheters, PD catheter — daily care routines and early complication recognition.
Thyroid Disease and Kidney Health
CalculatorPhysicianNew
How CKD affects thyroid function, TSH interpretation pitfalls, when to treat subclinical hypothyroidism, and 6 clinical tools.
Anemia in Kidney Disease: Iron, EPO & Energy
Calculator
EPO deficiency cascade, iron-first principle, ESA targets, dialysis-specific approach.
More EPO Isn't Better: ESA Dose & Cancer Risk
New Calculator Physician
Reaching the KDIGO hemoglobin target is the goal; pushing past it (even on covered EPO) carries real, dose-related risk — including a 2026 cancer signal in older dialysis patients. Embeds ESA initiation, dose-adjustment & iron calculators.
EPO-Resistant Renal Anemia: ESA Hyporesponsiveness in CKD
New Physician
Why hemoglobin stalls on escalating EPO doses — the hepcidin–iron axis, KDIGO 2026 targets, a cause-directed workup, and an integrative therapy ladder (iron, HIF-PHI, vitamin D, L-carnitine).
Thalassemia and Kidney Disease
New Physician
Genetics, iron overload cascade, lab pitfalls, chelation dosing in CKD, KDIGO 2024 targets — Filipino context.
CKD-MBD: Silent Sabotage of Bone & Blood Vessels
Calculator
Calcium, phosphorus, PTH, vitamin D disruption — bone loss and arterial calcification.
CKD-Associated Osteoporosis: One Umbrella for Bone & Vessel
New Physician
Turnover-stratified diagnostics, evidence-honest drug selection, KDIGO 2017/2025 framing — closing the fracture-treatment gap in CKD.
Stone Smart: Managing Kidney Stones
CalculatorCalculus
Pass it, prevent it — stone types, MET, procedures, precision dietary strategies.
Kidney Cancers: Early Detection. Accurate Staging. Life-Changing Outcomes.
RCC, urothelial carcinoma, Wilms tumor — why incidental imaging discovery changes survival.
Fluid Management & Interdialytic Weight Gain
Calculator
Hidden sodium in Filipino foods, weekend gap danger, personalized UF rate estimates.
Finding Your True Dry Weight
NewCalculatorPhilippines
Why dry weight keeps changing, why bioimpedance is a trend not a verdict, and how the team triangulates the signals — believe the patient.
Potassium & Hyperkalemia in CKD
Philippines
Why CKD raises potassium, EKG changes, Filipino foods to avoid, full medication guide.
The Itch That Should Not Be Scratched: Uremic Pruritus
60–70% of dialysis patients have chronic itch — full treatment ladder from creams to difelikefalin.
Why Is My Skin Getting Darker? Skin Changes in CKD & Dialysis
Philippines
50–100% of dialysis patients develop skin changes — three root causes, lower-leg darkening, four-tier management, six warning signs.
Dialysis in the Elderly: What Patients and Families Need to Know
Frailty, functional decline, Clinical Frailty Scale, when conservative management is more compassionate.
Peritoneal Dialysis: Your Complete Guide
Philippines
CAPD vs APD, catheter care, diet, PhilHealth 2025 coverage (PHP 389k–1.2M/year).
You Didn't Sign Up for This: The CKD Family Caregiver's Guide
System Nav
For spouses, children, siblings managing medications and dialysis — including caregiver burnout.
Internal Medicine & Metabolic Health 15
Eating Smart with Diabetes — A Filipino Food Guide
New Philippines Calculator Physician Diabetes
GI of Filipino rice varieties, sinangag hack, meal sequencing, 7-day plan, and drug-diet interactions for T2DM — built for the palengke, not a Western pantry.
Vinegar & Apple Cider Vinegar: What the Science Actually Says
NutritionDiabetes
Evidence on sukang paombong, sukang niyog, and ACV for diabetes, gout, metabolic syndrome, and MASLD — including an interactive decision tool and CKD safety guide.
Diabetes & Your Kidneys
CalculatorDiabetesPre-Dialysis
How diabetes damages kidneys through hyperfiltration and glycation, protective drugs.
GDM Nutrition & Meal Planning — A Nephrologist's Perspective
Calculator Philippines DiabetesNutrition
What standard GDM counseling misses — 20-year kidney trajectory, rice strategy, 7-day meal plan.
Managing High Blood Pressure
CalculatorHypertension
How BP damages heart, kidney, brain — monitoring technique, medication classes, lifestyle targets.
Cholesterol & the Filipino Diet
New Calculator Nutrition
Cholesterol biochemistry, why it rises, Filipino food choices that move your numbers.
Dyslipidemia: 2026 ACC/AHA Guidelines
CalculatorPrevention
New LDL targets (<55 very high risk), PREVENT equations, stepwise statin→ezetimibe→PCSK9i.
Heart & Kidney Connection — When Protecting One Saves Both
CalculatorPhysicianHypertension
Cardiorenal cycle — how each organ accelerates failure of the other, drugs protecting both.
Heart Failure & CKD — One Integrated Plan for Both Organs
NewPhysicianDiabetesHypertension
When heart and kidney fail together — the shared medicines (SGLT2i, finerenone, GLP-1), and why a small eGFR dip is no reason to stop. Based on the 2024 KDIGO conference.
Gout — The Crystal Disease You Can Actually Conquer
CalculatorCalculus
Uric acid buildup in Filipinos, crystal kidney damage, why febuxostat preferred over allopurinol in CKD.
Why UTIs Keep Coming Back — And How to Finally Stop Them
CalculusPrevention
Recurrence, correct antibiotic approach, hydration strategies, danger in CKD and diabetes.
Recurrent UTI as a CKD Peril
Pre-DialysisPrevention
2024–2025 evidence on UTI-driven kidney scarring, antibiotic dosing by eGFR, MV-140 vaccine.
When Your Prostate Blocks the Flow: A Guide to BPH
Calculus
BPH mechanisms, IPSS scoring, how obstruction damages kidneys, medications to restore flow.
Prostate Cancer and Kidney Disease
Oncology
How CKD affects PSA, treatment nephrotoxicity, and managing kidney health through prostate cancer care.
Understanding Your Lab Results
CalculatorSystem Nav
Plain-language decoder for common blood and urine tests — what each number means.
Hurt Without Harm: Safe Pain Relief in Kidney Disease
Why mefenamic acid and ibuprofen are dangerous — safe painkillers by CKD stage, Philippine brands.
Nutrition & Lifestyle 20
"Holiday Kidney Syndrome": Surviving Fiestas, Reunions & the Holidays
NewPhysicianPhilippinesNutrition
Why the day after a stretched dialysis gap is the deadliest of the year — party food traffic light, the fruit trap, schedule planning, host tips, and a printable wallet card.
30% Lower Risk of Dying — From One Dietary Change
NewPhilippinesNutrition
Fiber lowers LDL, controls blood sugar, protects kidneys, and cuts cancer risk — with a Filipino food reference table, CKD notes, and the prune/prune-juice/melon-milk verdict.
Nutrition for Kidney Patients
PhilippinesNutrition
Stage-specific limits with Filipino meal plan guidance using palengke-available ingredients.
Kain Pa Rin: CKD Nutrition Guide for Filipino Patients
NewPhilippinesNutrition
Protein, phosphorus, potassium, and sodium targets for CKD stages 3–5, with Filipino food tables, carinderia tips, and the critical nutrition pivot at dialysis initiation. Dual-mode (patient + clinician).
Ketoanalogues: When Misuse Leads to Harm
NewPhysicianNutrition
When ketoanalogues actually help — proper indications, dietary prerequisites, hypercalcemia monitoring, and why prescribing without protein restriction causes harm. KDIGO 2024-aligned.
Eating on Dialysis: What the Evidence Actually Says
NewPhilippinesNutrition
Protein targets, phosphorus binder timing, potassium individualization, intradialytic oral nutrition, and a practical Filipino food guide — based on KDOQI 2020 and ISRNM.
Nutrition Prescription Calculator
CalculatorNutrition
Personalized daily targets for protein, potassium, phosphorus, sodium, fluid, calories by CKD stage.
CKD Recipe Nutrition Analyzer (AI)
AI Tool Philippines Nutrition
Paste any recipe — instant Nutrition Facts label, CKD safety flags, AI-generated safer modifications.
Sodium & Salt Reduction — Your Most Powerful Daily Choice
Calculator Philippines HypertensionNutrition
Filipino diet runs 5–6g sodium/day — double the CKD target. Hidden sources, smart swaps.
CKD Nutrition Label Scanner
Scanner Tool Philippines Nutrition
Snap or upload any Nutrition Facts label — OCR reads it, flags CKD limits, suggests safer alternatives.
CKD-Friendly Filipino Recipes
PhilippinesNutrition
11 full recipes — Tinola, Sinigang, Paksiw and more — tagged pre-dialysis or HD with macros.
Iron — Fueling Every Red Cell in Your Blood
CalculatorNutrition
Iron cycle plate to red cell, three deficiency stages, ferritin paradox in inflammation, CKD IV iron.
Reading Nutrition Labels with CKD
PhilippinesNutrition
Philippine supermarket survival guide — spot hidden phosphate additives (E338–E452) and potassium chloride.
Meal Prep & Fast Food for CKD Patients on the Go
Updated Philippines Nutrition
Leaching guide, traffic-light ratings for Jollibee/McDonald's/KFC/Chowking, 7-day meal prep plan.
CKD-Friendly Regional Philippine Recipes
PhilippinesNutrition
12 recipes across 6 cuisines — Kapampangan, Ilocano, Ilonggo, Cebuano, Fil-Spanish, Fil-Chinese.
Ketogenic Diets & Chrononutrition in CKD
Nutrition
VLPD-ketoanalogue alternative, safety by CKD stage, circadian biology and kidney outcomes.
Phosphorus: The Silent Threat in CKD
Nutrition
Why phosphorus is dangerous in CKD, hidden phosphate additives, which binders to take and when.
Food & Kidney Toxins: What You Should Know
NutritionPrevention
Phosphate additives, purines, oxalate, AGEs — how Filipino foods generate kidney toxins.
Uremic Toxin Precursors in Diet
Nutrition
Indoxyl sulfate, TMAO — gut-derived toxins dialysis cannot remove and biotic strategies to reduce them.
Cooking Oils & Fats: What the Evidence Actually Says
NewPhilippinesNutrition
Rice bran oil, EVOO, coconut oil — ranked by evidence for CKD, diabetes, and dyslipidemia, with Filipino kitchen context.
Lifestyle & Rehabilitation 10
Sexual Health & Intimacy in CKD / ESRD
New Physician Calculator
Affects 80% of dialysis patients. 5 mechanisms, IIEF-5 calculator, 4-tier treatment ladder, and the conversation starters your patients need.
Physical Exercise Guide for CKD Patients
CalculatorPrevention
Safe progressive program — aerobic, resistance, balance training with monthly progression plan.
CKD, Mental Health & Sleep
Kidney–brain axis — depression, anxiety, RLS, sleep apnea, medication effects on sleep.
Muscle Building & Supplements in CKD
Nutrition
CKD wasting mechanisms, evidence-graded supplements, dangerous gym supplements, 4-week plan.
Travel Guide for Dialysis & CKD Patients
System Nav
Safe travel with kidney disease — arranging dialysis abroad, PD travel, pre-travel checklist.
Contrast-Induced Nephropathy
CalculatorPre-DialysisPrevention
How iodinated contrast damages kidneys, who is at highest risk, prevention protocol.
Natural Supplements & Kidney Disease
NewPhilippinesNutritionPrevention
MX3, paragis, and spirulina — what the evidence actually shows for CKD patients.
Herbal Nephropathy
PhilippinesPrevention
Star fruit, aristolochic acid plants, tawatawa, high-dose Vitamin C — kidney-damaging herbs.
Kidney Injury from NSAIDs
Pre-DialysisPrevention
Why ibuprofen and mefenamic acid are dangerous — the triple whammy, safer alternatives by CKD stage.
Multiple Medicines and Your Kidneys
Pre-DialysisPrevention
How combinations, doses, and timing quietly cause kidney failure — and the brown-bag habit that prevents it.
CKD and Alternative Medicine: Fact vs. Fiction
PhilippinesPrevention
Safe vs. nephrotoxic herbs, drug interactions, traffic-light supplement guide, myths busted.
Advanced & Emerging Topics 16
Green Nephrology 2026: Sustainable Kidney Care
New Physician Philippines
Why the greenest dialysis is the one that never becomes necessary — preventing kidney failure, preserving residual function, incremental dialysis, smarter dialysate flow, plant-based nutrition, and practical Philippine priorities, for patients and clinicians.
Dialyzer Reuse in Modern Times: Is It Making a Comeback?
New Physician Philippines
A deep-dive companion to Green Nephrology 2026 — what dialyzer reprocessing actually is, why Japan/Australia/EU banned it, why KDIGO 2026 cautiously revived the conversation, the germicides, the QA metrics (TCV ≥ 80%, integrity, residual), and the six questions to ask your unit.
The CKD Prescriber's Playbook
New Physician System Nav
Exactly how to use the drugs — SGLT2i start protocols, ACEi/ARB creatinine rise interpretation, RAASi hyperkalemia mitigation, GLP-1 titration, diuretic sequencing, binder timing, ESA adjustment logic.
Practical Outpatient Algorithms
New Physician Decision Tool System Nav
9 rapid clinical decision algorithms for GPs and IM residents — edema, electrolytes, AKI, hypertension, CKD workup. KDIGO 2024 aligned.
New Therapeutic Agents for CKD
Pre-Dialysis
SGLT2i, finerenone, GLP-1, sparsentan, HIF-PHI — landmark trials, Philippines availability.
GLP-1 Drugs & Your Kidneys: What Ozempic Means for CKD
PhilippinesDiabetesPre-Dialysis
FDA 2025 semaglutide approval — FLOW trial, who qualifies, muscle loss warning, Philippines cost.
Innovative Technologies in Kidney Care
Novel biomarkers, wearable/implantable kidneys, AI in nephrology, gene therapy — what's coming.
Hemodialysis Modalities Explained
Conventional HD, HDF, home HD, PD, CRRT, SLED — mechanisms, clearance, patient selection.
Hemodiafiltration Deep Dive: What the Evidence Has Taught Us
New Physician
From CONTRAST to CONVINCE — landmark RCTs, dose-response, 23% mortality reduction, and 2025 EuDial consensus on high-volume HDF.
Maximizing Your High-Flux Hemodialysis Benefits
New Physician
Why QB ≥300 mL/min is non-negotiable — middle-molecule clearance, β2M accumulation, back-filtration risk, and the hidden cost of under-used high-flux membranes.
Stem Cells and Kidney Disease: Reality vs. Myth
What science actually says — promising vs. what commercial clinics sell, how to protect yourself.
Is My Dialysis Working? Understanding Dialysis Adequacy
Calculator
Kt/V and URR explained, KDIGO 2024 targets, interactive spKt/V Daugirdas calculator.
Understanding Your Dialysis Prescription
New Physician
Every number on your dialysis order explained — Kt/V, UFR limits, parameters, dose adjustment triggers.
Lupus Nephritis — When Your Immune System Attacks Your Kidneys
Glomerular Dse
ISN/RPS classes I–VI, biopsy, induction therapy, belimumab, voclosporin, Philippines context.
Polycystic Kidney Disease (PKD)
CalculatorPre-Dialysis
ADPKD/ARPKD, two-hit model, PKD1/PKD2, tolvaptan therapy, aneurysm screening, family guidance.
Your Microbiome & the Role of Biotics in Health
38 trillion gut microorganisms — immunity, kidney toxin production, CKD biotic protocol with Renadyl.
Dialysis & Critical Nephrology 17
Continuous Renal Replacement Therapy (CRRT) — Basics to Advanced
New Physician Calculator
A bedside CRRT reference for the ICU team — patient selection and timing evidence, effluent-dose prescription, regional citrate anticoagulation, setup and priming, documentation, alarm troubleshooting, drug dosing, weaning, and quality metrics.
Hemodialysis Water Treatment Systems — Clinical & Engineering Reference
New Physician
RO and ultrafiltration design, source-water-specific builds (municipal, deep well, brackish, hard water), capacity sizing, isolation-bay/HDF/dual-pass RO specs, AAMI/ISO 23500 limits, and troubleshooting — for dialysis nurses, technicians, and nephrologists.
Point-of-Care Ultrasound in Nephrology — Bedside Field Guide
New Physician
A hypothesis-driven bedside ultrasound curriculum for nephrology fellows, IM residents, and practicing nephrologists — renal & bladder, IVC & VEXUS, lung B-lines, focused cardiac, AV access, and integrated five-point hemodynamic phenotyping.
Iso-UF, Sodium & UF Ramping — Clinician\'s Prescription Guide
New Physician
Mechanism-driven selection and prescription framework for hemodynamically vulnerable HD patients — iso-UF, dialysate Na profiling, UF ramping, with copy-ready order-sheet worksheets and KDIGO-aligned harm framing.
Cardiovascular Disease & Sudden Death in Dialysis
New Physician Calculator
The #1 killer of dialysis patients — the Monday effect, myocardial stunning, arrhythmia mechanisms, cardiac risk checker, and evidence-based cardioprotection.
Efficient Handling of Code Blues & ACLS in a Dialysis Unit
New Physician
A clinical playbook for cardiac arrest on the dialysis floor — circuit management, defibrillation around the machine, empiric hyperkalemia treatment, team roles, and a downloadable recording flowsheet.
Post-Dialysis Fatigue: Why You're Exhausted After HD (And What to Do About It)
New Physician
5 mechanisms, 4-tier treatment, 7 recovery strategies — and the clinical pearls your team needs.
When Your Legs Cramp and Darken: Oxygen, Fluid & the Dialysis Patient's Lower Limb
New Physician
Cramps and brown gaiter pigmentation share an upstream lower-limb hypoxia that diabetes pushes toward foot ulceration — 5-hit cramp model, 6-stage Hypoxic-Lower-Limb Spectrum, ABI→TBI safety gate, staged management.
Preparing for Dialysis — The 12-Month Window That Changes Your Outcome
5 Tools Philippines Physician Pre-DialysisSystem Nav
5 interactive decision tools: dialysis-or-CKM, AVF/AVG/catheter, HD/PD, transplant, PhilHealth estimator.
Advance Care Planning: Making Your Voice Heard Before the Crisis
PhilippinesSystem Nav
Understanding choices, documenting wishes, dialysis withdrawal, Philippine legal context.
El Niño & Extreme Heat: Survival Guide for Dialysis Patients
Calculator Philippines
Heat paradox, brownout HD/PD protocols, medication storage, live heat-risk calculator.
Typhoon & Disaster Preparedness for Dialysis Patients
Updated Philippines
PAGASA signal-level action plans, go-bag essentials, missed session diet, PD storm protocols.
Managing Complications of Hemodialysis
IDH, cramps, arrhythmias, vascular access emergencies, infections — prevention protocols and checklists.
How to Transfer Dialysis Centers or Change Nephrologists Safely
New Philippines System Nav
Patient rights, PSN HPEF form, step-by-step transfer, templates, red flags, readiness checklist.
Cardiac Rehabilitation for CKD Patients After Acute MI
Hypertension
Four-phase cardiac rehab for CKD/dialysis — hospital mobilization, ECG telemetry, medications post-MI.
Acute Kidney Injury on Top of CKD (AKI-on-CKD)
Pre-Dialysis
KDIGO staging, pre-renal vs intrinsic vs post-renal, rhabdomyolysis, sick day rules.
Cleaning More Than Blood: Hemoperfusion in Critical Care
Philippines
What hemoperfusion removes, HA130 vs HA330, HPHD combined protocol, Philippines cost, DSWD assistance.
Philippine-Specific / Safety / Access 15
Hantavirus and the Kidneys — HFRS, AKI & CKD
New Philippines Calculator Physician Pre-DialysisPrevention
Seoul virus in Philippine rats, the 2026 MV Hondius outbreak with Filipino crew, HFRS 5-phase timeline, global spread heatmap, and why CKD raises the stakes — the guide hantavirus finally deserves.
Dengue & Your Kidneys — When Fever Becomes a Kidney Emergency
New Philippines Calculator Physician Pre-DialysisPrevention
Dengue-AKI mechanisms, three-phase danger window, fluid paradox, CKD risk, red flags, and why mefenamic acid is dangerous.
Leptospirosis & Weil's Disease — The Flood Fever That Destroys Kidneys
PhilippinesPrevention
Barefoot wading → acute kidney failure — biphasic illness, Weil's triad, doxycycline prophylaxis.
Organ & Kidney Donation in the Philippines: A Complete Guide
PhilippinesTransplantSystem Nav
Why the Philippines has the world's lowest donation rate, living kidney donation, how to register — and why a kidney is never for sale.
PhilHealth Z-Package: PD & Kidney Transplant Benefits
PhilippinesTransplantSystem Nav
PHP 120k/year PD, PHP 660k transplant — qualifications, documentary requirements, step-by-step application.
CKD & Financial Stress
PhilippinesSystem Nav
Real cost of kidney disease — PhilHealth Z-benefits, PCSO-IMAP, DSWD-MAP, Malasakit Centers, 20+ resources.
PWD Card for CKD Patients
NewPhilippines
How Filipino CKD Stage 5 and dialysis patients can get a PWD ID — 20% discount on dialysis, medicines, and labs under RA 10754. Who qualifies, what documents to prepare, and step-by-step application guide.
Viral Infections & Vaccinations in CKD
PhilippinesPrevention
Uremic immunoparalysis, 6 key viral threats, complete Philippine vaccination schedule with CKD doses.
Tuberculosis and Kidney Disease
PhilippinesPrevention
CKD patients have 6–25× higher TB risk — renal TB, drug doses by CKD stage, rifampicin–tacrolimus interaction.
HIVAN: The Kidney Disease You Can Fight Back Against
NewPhysicianGlomerular Dse
HIV-associated nephropathy — collapsing FSGS, ART-first treatment, drug interactions, ESKD management, and screening protocols.
Buko Juice & Alkaline Water in CKD
PhilippinesNutritionPrevention
Why buko juice can cause fatal hyperkalemia in dialysis patients — two most common Filipino myths busted.
Caffeine, Coffee & Kidney Disease — What's Safe to Drink?
New Philippines Prevention
Barako, 3-in-1, salabat, energy drinks — clear rules by CKD stage, PKD status, and dialysis. Includes caffeine-free alternatives.
Alcohol & CKD — How Much Is Too Much?
New Calculator Philippines Prevention
Harm-reduction guide — lambanog and SMB conversions, drug interactions, dialysis-specific risks.
Substance Use & Your Kidneys — Protecting What You Have
New Philippines Physician Prevention
How tobacco, shabu, opioids, inhalants & misused painkillers harm the kidneys — warning signs, dialysis risks, and where to get help. Patient + clinician views.
"Zero Balance" Doesn't Mean Zero Worries
PhilippinesSystem Nav
5 biggest ZBB myths, what PhilHealth actually covers, gaps, questions before any admission.
Downloads & Companion Guides 16
Low-Sodium Food Guide — Filipino Kitchen Edition
PDF DownloadPhilippines
Printable handout — sodium content of common Filipino foods, safe swaps, and daily targets for CKD and hypertension.
Potassium Food Guide — Safe Choices for Kidney Patients
PDF DownloadPhilippines
Printable handout — high vs. low potassium foods, leaching technique, and portion limits by CKD stage.
Phosphorus Food Guide — Protecting Your Bones & Heart
PDF DownloadPhilippines
Printable handout — phosphorus content of Filipino staples, binder timing rules, and hidden phosphate additives to avoid.
Cholesterol & Heart-Healthy Diet Guide
PDF Download
Printable handout — LDL-lowering foods, saturated fat limits, and practical Filipino meal swaps for dyslipidemia.
Code Blue Recording Flowsheet
PDF Download
Printable clinician form — timed recording grid for CPR, shocks, and ACLS drugs, plus quick-reference ACLS algorithms (cardiac arrest, brady/tachycardia, hyperkalemic arrest).
ACLS Cardiac Rhythm Recognition & Management Cheat Sheet
PDF Download
Printable 3-page clinician reference — labelled ECG strips for the full rhythm spectrum (sinus, atrial, blocks, ventricular, arrest, paced, hyperkalemia) with recognition cues, first-line management, and shockable tags.
Gout & Uric Acid Food Guide
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Printable handout — high-purine foods to avoid, safe proteins, hydration targets, and alcohol rules for gout.
Meal Prep & Fast Food Guide for CKD Patients
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Printable handout — safer choices at Jollibee, McDonald's, and Chowking, plus simple kidney-friendly meal prep ideas.
CKD Vaccination Guide & Personal Log
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Printable 7-page handout — hepatitis B double-dose protocol, Philippine CKD vaccine schedule, live vaccine rules, and a personal vaccination log.
Typhoon & Disaster Preparedness for Dialysis Patients
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Printable emergency card — what to do when a session is missed, fluid and food limits during flooding, and when to go to the ER.
PSN Hemodialysis Endorsement Form
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Official Philippine Society of Nephrology HD endorsement form for PhilHealth dialysis coverage applications.
My Filipino Diabetic Food Guide — Quick Reference Card
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Printable 4-page handout — GI & GL heatmap of 90+ Filipino foods, plate method, rice strategies, and a 7-day diabetic meal plan.
14-Day Blood Pressure Monitoring Log — Blank Printable Form
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Print-and-fill blank BP log — AM & PM readings for 14 days (2 weeks), with step-by-step measurement instructions, BP target reference, and notes section. Bring to every consultation.
LPD & VLPD Diet Plan — Ketoanalogue Companion Guide
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Complete Filipino meal plans for low-protein and very-low-protein diets at 40–80 kg, food protein reference table, calorie booster guide, and 10 practical adherence tips. For CKD patients on ketoanalogues.
Fiber-Rich Filipino Food Guide
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Printable handout — Filipino foods ranked by fiber content, CKD/dialysis notes, supplement guide, and the salad myth debunked.
Holiday Kidney Syndrome — Patient Companion Guide
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Printable companion to the fiesta & holiday guide — high-potassium holiday foods, noche buena swaps, missed-session rules, fluid & alcohol limits, and ER warning signs.