22 images that show how farmers in Guanacaste suffer from chronic kidney disease



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I worked in the fields with my father. The majority of my family had kidney disease. My daughter is the one who will give her kidney, probably in February next year because we still need psychologists and nephrology appointments. – Meleanis Rodríguez Rodríguez, kidney patient

I worked in the banana fields in Limon and also in the cane to cut to Guanacaste. I have been at home for about five months and I feel good. I walk around the house. I have not had any complications since they've sent me home. The m's put on a diet because I was getting fat. Since I do not burn more calories, you accumulate fat. – José Santiago Palacios Reyes, Renal Patient

When they told me about the disease, I laughed and the doctor continued me. I told him, I'll take care of him. Then a doctor came to tell me that it could be hereditary. My grandfather died because of that and I have an aunt who died because of kidney failure. My aunt lived in Cañas and my grandfather lived in Upala. But they did not say anything to me. They think that it could have been sugar cane because at the time, we showed ourselves, we put a pump and everything on the back and it flowed. It is a product that contains fertilizer and a very hot liquid. You have the impression that your back is burning. It was on our land. Working here (grinding the rice instead of working on the land of his mother) is the same or harder than in the fields. Because here you have to show yourself, put the rice and put your shoulder on it. When I was working on watering rice or spraying, there were weeks that I did 50,000 or 60,000. Not here. Here it is by hector (rice) crushed. There are fortnights when I take 14, 15, 30 (thousands of settlers). It varies. It depends on how much you are grinding. – Carlos Boliche, kidney patient

It is difficult to find a donor. On July 29, 2016, it was a year since the surgery. The healing was very painful and you have to take care of yourself for three months. You still have control. You continue your normal life, but since they've removed the left kidney, they've said that getting pregnant is a lot harder now. Everyone I know here has had tests. Everyone feels something strange. – Stephanie Buitrago, kidney patient

I got sick in December 2016 and they brought me here. The doctor told me that dialysis was the only thing they could do. They took me here to Liberia and Liberia and did the whole process. It's inexplicable because where I've always worked in Bijagua it's cool and cool and I've been there all the time. It's also cool where I live now in Rio Naranjo. – Pablo Chaverri Villalobos, kidney patient

The financial situation is difficult and they need a lot of things, like transportation. He is embarrbaded in the bus because he coughs and everyone looks at him and he feels bad. It's very difficult and tiring for them. There are days when he does not want to do dialysis. He is tired and I tell him that he has to do it. That's the way of life. – Ángel Manuel Acevedo and Miriam Alvarado Ordóñez, kidney patient

I cried the day they told me that I could not work anymore. The truth is, it hurts. When they told me that my world was crumbling. But, thank God, I'm standing up again. I made myself some friends. At first, you think that this only happens when you lock yourself inside and when I arrived (at the clinic of Cañas) there were eight other people and we got along well, so we almost forgot what was happening. We see this as something normal. I have a family member who wants to help me with a transplant, but I told the doctor that it would be better if I was expecting a corpse transplant because I do not want to submit the family to the tests that you must pbad. I told them not to worry about it. At this moment I thank God that I am alone, I do not have a wife or children who have to go through there too. – Henry Guzmán Brenes, Renal Patient

They diagnosed me two and a half years after I started working for the cattle room. The doctor told me that the disease had started because of exposure to the sun and that the water was polluted by arsenic. There are young boys who have never worked under the sun and who have the same disease. After I got sick, my family was with me. My wife died of emphysema eight years ago and I had to rent the house that I had and come live with my parents. – Walter Gómez Salazar, kidney patient

I did not pay attention to what the doctor told me. I did not follow the diet and I worked for three years after the diagnosis. Now, I advise others to take care of themselves because this is not a game. I have lost seven friends. Dr. Montero has scolded me because everything is ready for my transplant but I do not want to remove the liver from one of my daughters. I did what I had to do and they did not even start working. – Uriel López Monge, kidney patient

They operated on us on September 21, 2011. At the time, my father was suffering a lot because I could not give because I had high blood pressure . I told her that there was no problem, I could donate because she was suffering a lot. That's why I made the decision. My brother went straight into hemodialysis and he had to travel on Tuesday, Thursday and Saturday because at the beginning he was losing a lot of fluid and other nutrients, so he was leaving disoriented and we had to accompany him because that he sometimes felt dizzy. I had a two year old son. My other brothers, the older ones, could not because he was a different blood group and he was exposed to chemicals. The one who had not been in contact with chemicals was me. We had other sisters but they were minor. – Marisela Boliche, kidney donor.

I have to take pills. That's all my life, take pills. And wake up early. I get up at three in the morning every two days and I do not come back here until the night. When I go for a treatment on the machine, I feel better. I leave Saturday then I arrive Saturday, Sunday and Monday in the afternoon I start to feel tired and I run out of air. Tuesday, I'm back for dialysis and I feel like new, but I can not do anything. I come here to walk around just to do something. – Pedro Alvarado Quirós, kidney patient

Flor: "It looks like it's something in the water because sometimes it comes out soapy, but they've tested it and they say that it's When they can, they're looking for night jobs because they can not be in the sun, but you're tired of being at home. "Martina:" We're taking a clbad on cheese, yogurt and dairy products The teacher tells us: "I hope you do not leave here and you do nothing and enjoy it and open a business." But even if we know how to make the products, we do not have the raw material.What are we supposed to do with it? Her husband is my brother and his kidneys are bad.My husband too.We have pushed for the money from the pension, but we have not yet got it. "- Martina Campos Quirós and Flor María Cortés Martínez, parents.

We live on a single pension and that affects them. My illness has not affected them much yet. The pain is financial. I always try to drink enough water. I worked under the sun all day from six in the morning to five in the afternoon. I worked watering rice. Since there is a lot of rice here, that's what people do. You water the terraces. That's what I've done all day and that's what most people do here. That's why we all have the same disease. They tell you it's water, but you think to yourself: "If it was water, we would all be sick." And women do not have it. have not so much. Women have it, there are cases, but it is not like in men. – Evaristo Morales Salazar, renal patient ..

I realized it when I was working and I arrived at home and in the afternoon I had fever. I kept working that way and after I went to the insurance company and they told me that I had the disease. It was about 10 years ago. Now, I take a treatment, pills and creatinine. I still work in the rice and sugar fields. I go at six in the morning until 10 o'clock, but the boss pays me eight hours and insurance and everything. This is a good boss. They give me the treatment. The ego told me that it surely comes from the water and the sun. They told me not to have too much sun. I have the family name of my father's wife. García comes from my mother-in-law. My biological mother is sick in Nicaragua. She worked in landscaping, along cbads, rice fields, he worked in the hills of Rancho Horizonte. We worked from 5am to 5pm there. I worked there for several years, Mojica also at Taboga in Guanacaste. I had a friend here and he told me that he was coming and that he had a job for me. I have three children. All three are studying. One of them is in kindergarten, another is in primary school and the third is in high school. – Israel Lazo, kidney patient

I was alone that day. I arrived and started working the water. Around 8 o'clock in the morning, I felt a pain as if everything had me clinging. I said, what's going on? And I thought, I'll rest here and maybe someone will come. I have been lying under cane plants and no one has come. It was one o'clock and I was there. I thought, "I feel stiff." I pulled myself together as best I could and got on the bike to turn it on. I had my legs wide open because I could not close them because of cramps. I went home and this one (his wife) called an ambulance. – Dimas López Carrillo, kidney patient

I had chills and I had the impression of being a tachycardia. I lay in bed and my whole body was shaking. It's a good thing that the room is ready for dialysis because my father was also suffering from kidney failure and we were gradually preparing the dialysis room for him. But now I have to use it. The doctor said that I had to use it because I am the most urgent case. – Diego Quirós Martínez, Renal Patient

Diego, my son, was aggravated Wednesday at six o'clock in the afternoon. His sister had taken him to the clinic and it was there that the explosion was. He had creatinine at 27 years old. They did tests and they let him wait. The doctor said that everything indicated that he was very, very bad. We went to the rendezvous, we went home and it was there that it got worse. He did not urinate anymore and vomited everything. So, at nine in the morning the next day, they opened the first hole in him. It was an emergency. Here, his father Jose Sabalo was in clbad. They were going to give him dialysis in October. I gave him natural medications that helped him stabilize. I was happy because the catheter was nine months younger (when dialysis is done for the first time, there is no turning back). Then it was my turn. I have also been on treatment for seven years. – Celia María Martínez Ordóñez, kidney patient

I had been working for a while and now I can not. I was studying and I can not do that either. You can study at night, but I can not afford it. I had used to pay for it myself, but I had to leave it out because I am the only one to help with dialysis. The doctor told us when we took him to the clinic that since he did not have a wife or children and that I was with him, she m? said that if I did not take care of his dialysis, he could die. I had to decide, and since I am the only member of the family. He has always lived with us and with our brothers and sisters. We see him as a father. – Melissa Molina, parent

The problems started 12 years ago and I felt a little sick. I went to the doctor and they mastered it. I took pills for several years until the creatinine rises to the point that I could not take it anymore. I had to insert a dialysis catheter. I worked in Taboga. It works at the meter there. You cut as many meters as you can because that is how they pay you. The more you cut, the more you do and if you cut less, you do less. They paid for my insurance. If that was not the case, I would have dialysis because if you do not have insurance, they do not do anything for you. Now, well, I'm sick. They inserted a catheter with dialysis. With the slightest effort, you become tired and it's no longer the same thing. – Ángel Enrique Martínez, kidney patient

I worked harvesting in the orange fields of Los Chiles. I am Nicaraguan and I have insurance. I have been doing this for three years, I work hard. I was infected only once, but since then I have not fallen ill. Is my old lady the one who works more now and she helps me because I can not work anymore. -David Villalobos Lopez, Renal Patient

Luis Gerardo Campos is a patient from Guanacaste who goes three days a week to dialysis at Mexico's hospital.

I had no symptoms, but at work they came to do tests and then, I got fired. I suspect it was because of that, so I paid for the tests and realized that I had the disease. I would become dizzy and would want to throw up and I was tired all the time. Before I was fired, I worked for about a year and a half at Hacienda La Pacific. As it is a job in the mountains, we had to take our own water. It was good to work in the fields. They gave me a small pension because of my illness. – William Antonio Díaz, Renal Patient

I have an illness that they call kidney failure. It has worsened now that I've lost the implant and now I'm back to square one, waiting to see if a kidney comes in, that's God's want to give me a kidney to pbad through that. I noticed the disease when I started to lose weight, vomit and feel weak. I have cramps all over my body. The treatment consists of a 1.5 liter bag of saline and I use it every six hours. You must stay in your stomach in order to clean all the poison because its poison is in the stomach and in your body. As long as the kidney does not work, food and water are poisons. That's why I swell sometimes. The taste in your mouth is horrible, awful. It tastes of money in the mouth. – Enrique Quirós Quirós, kidney patient

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