KidneyCare helps keep a smile on Ayanda's face


Ayanda Nxasana was born with one regular kidney and one small one, a condition that led to renal failure as a teenager. She also suffers from lupus and is dyslexic - but none of this keeps her from managing her health and staying positive.

Ayanda Nxasana now 27 years old, was 16 when she was diagnosed with Chronic Kidney Disease (CKD), a condition that is estimated to affect as much as 15% of the South African population.

The disease, also known as chronic renal failure, describes the gradual loss of kidney function, resulting in a dangerous build-up of fluid and waste in the body. Treatment for CKD focuses on slowing the progression of the kidney damage, as end-stage kidney failure is fatal without artificial filtering (dialysis) or a kidney transplant.

"When I started dialysis, I was the only kid there," says Ayanda, a Discovery Health Medical Scheme (DHMS) member. "I was confused and scared. I used to cry myself to sleep every night back then. I couldn't explain what dialysis was to my high school friends and they couldn't understand what I was going through. I didn't want to go to school, and it took me quite a while to look at life in a different way."

Learning to focus on the positive

What helped change her perspective was the support she received through Discovery Health's KidneyCare programme. The programme is based on international best practice guidelines and aims to ensure patients with CKD get the best quality of care and quality of life.  

"I was going through a hard time in high school," recalls Ayanda. "My mom passed away when I was 13, so I was living with my gran and extended family at the time. My specialist was worried about me becoming depressed, so she wrote me a referral letter."

"A case manager at Discovery called me to see how I was coping. She was so supportive, and I shared so much with her. She always made me smile, and she reminded me to be grateful for my family and friends. I don't even think it was part of her job, but during that rough time, she called me every day."

Education is key to managing a chronic condition

Ayanda also learnt a lot from the information she was sent to help her better understand and manage her condition. "I remember receiving my first kidney booklet when I was in grade 11," she says. "It explained what was happening - I learnt so much! I still get emails that teach me about my kidney problem and how to deal with it. I've changed the way I eat, the way I exercise... having my condition has changed me, but it's made me into a better person."

Professor Errol Gottlich, Clinical Manager of KidneyCare at Discovery Health says, "We understand that living with chronic kidney disease is a lifelong journey, often made difficult because of the need for regular care, complex medicine, restrictive diets, and many tests and investigations. The KidneyCare Programme was designed to make it a bit easier for our members, on chronic dialysis, to manage their condition."

According to the National Kidney Foundation of South Africa, CKD is a growing healthcare problem, with some 20 000 new patients requiring dialysis and treatment every year in South Africa. Kidney transplantation is much needed, although it is not a quick fix: "A new kidney requires a lifetime of care, including taking daily anti-rejection medication," according to the National Kidney Foundation. "However, it gives people with kidney failure a chance to get their old lives back, free from dialysis."

'They call me the smile keeper'

"I would like to get a transplant as soon as I can, but I am waiting patiently for it," Ayanda says. "For now, I am stuck with dialysis, but I stay as positive as I about it. I fight every day with a smile on my face. That's why they call me the smile keeper!"

Ayanda is committed to healthy living, as well as spreading awareness about her condition. "Many people are not educated about this disease. They don't know how to prevent or manage kidney failure at stage, so I'm very vocal about my chronic condition. I speak about it and I post about it on Instagram and on Facebook. I make people listen so they're aware this disease is out there, and I'm living with it, but it's not keeping me from anything."

She adds: "I want to make more people aware that having a chronic condition doesn't have to stop you from traveling the world or accomplishing your goals in life. That's what I tell the little ones that I now see at dialysis. Keep your head up and stay strong, because better days are yet to come!"

She continues to have dialysis three times a week. Ayanda works as a beauty therapist and runs her own small business in this industry.


The Discovery Health Medical Scheme is an independent non-profit entity governed by the Medical Schemes Act, and regulated by the Council for Medical Schemes. It is administered by a separate company, Discovery Health (Pty) Ltd, an authorised financial services provider.

Get quality care with the DHMS KidneyCare programme

The KidneyCare Programme is designed to ensure that Discovery Health Medical Scheme members living with chronic kidney disease are managed according to international best practice guidelines, to ensure the best quality of care and quality of life. Find out more about the KidneyCare programme.

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