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Table of contents 04 Welcome 21 Nutritional advice 39 Brazil 56 Albania for your journey 40 Guarulhos and Aracaju 57 Vlorë 05 What positive impacts has 57 Korçë travelling brought to your life 23 Portugal 41 Argentina as a kidney patient? 24 Lisbon 42 Buenos Aires 58 Romania 25 Aveiro 43 Bariloche 59 Constanța 06 Spain 25 Porto 44 Iguazú 60 Bucharest 07 Costa del Sol 08 Balearic Islands 26 Filipe’s story 45 United Kingdom 61 Kazakhstan 09 Costa Blanca 46 London 62 Nūr-Sūltan 12 Maresme and Barcelona 28 France 47 Nottingham 62 Almaty 29 Paris 14 COVID-19: helping 30 Draguignan and Marseille 48 Poland 63 North Macedonia you to travel safely 49 Giżycko and Iława 64 Kočani 31 Morocco 50 Kraków 65 Skopje 15 Italy 32 Agadir 16 Bari 33 Marrakesh 51 Germany 66 Clinic list 17 Copertino 52 Stralsund 18 Rome 34 Joanna’s story 53 Potsdam 19 Catania 53 Hamburg 20 Marsala 36 Hungary 37 Budapest 54 Sweden 38 Keszthely 55 Stockholm — 03 —
Welcome You are probably reading this guide because you, or someone you care for, is a dialysis patient. As the world cautiously emerges from the COVID-19 pandemic, perhaps your thoughts have turned to travel, to holidays? If so, you are in the right place, because at Diaverum we believe travelling for pleasure is an enriching experience, increasing wellbeing for our patients and their families alike, and helping you to live the fulfilling life that you deserve. Our clinic staff can help at all steps of your holiday planning, from ideas of where to go, to ensuring that you receive the best quality care at your destination. Through our d.HOLIDAY programme, you will be able to access care at our 450 clinics worldwide. This guide is designed to whet your appetite for some of the most popular holiday destinations, as far afield as Europe and South America, where Diaverum can offer you world-class care. Working with us to tailor a holiday to suit your needs, you can rest assured that your dialysis care as you travel will take place in a Diaverum clinic that feels like a home-from-home. And you can access this care regardless of whether you are normally looked after by Diaverum: we want all dialysis patients, wherever they are and wherever they normally receive care, to feel comfortable using our services and so enjoy a travelling life to the full. Present in 24 countries, with 14,000 staff worldwide treating 40,000 patients to 6.2 million treatments every year, we can assure you that you will be in the best possible hands while you let your dreams of adventure run free. The Diaverum d.HOLIDAY Team — 04 —
What positive impacts has travelling brought to your life as a kidney patient? For many people, there is no better feeling than to travel and to get in touch It’s true that people like me depend with the world. Not only do you discover other ways of understanding life, facing on a machine to survive, but this daily challenges, engaging and living, you also learn a lot about yourself. From machine is available all over the world my travels, I have been able to get to know other cultures and enjoy unique, authentic experiences. Through travel, More than anything, I value my The goal is to reach the horizon, which I have met many different people, many independence and being able to realise is full of new experiences. of whom are still very important to me; all my dreams, like travel, and discovering Personally, I believe experience, such of this while discovering other cuisines, other cultures. as travel, to be much more important forms of art, architecture and It’s true that people like me depend on than possessions. interesting places. a machine to survive, but this machine is Travelling has taught me to enjoy Over the years, I have learned that my available all over the world. every moment and to always search for Daniel Gallego, disease does not define me. The only At EKPF (European Kidney Patients’ new goals. Despite living with kidney President, EKPF, and dialysis time I feel like a kidney patient is during Federation), we promote and encourage failure, I always try to find the best new patient since 1995 haemodialysis sessions. When I finish my the mobility of people with kidney destinations at every possible occasion: treatment, I am just like everyone else… disease across the globe, even those whether it be a few days of rest, an someone with dreams, hobbies and who are dependent on haemodialysis. adventure or a big city tour. All such aspirations. I aim to live a fulfilling life, as Holiday dialysis programmes should moments allow you to disconnect and any healthy person would. I try to be allow kidney patients free movement to take a break from an exhausting routine, active, both physically and mentally, to travel, and as EKPF President, I hope this and to remind you that life can offer be on the move and go places. guide will show you how this is possible. many wonderful opportunities. — 05 —
Spain 07 Costa del Sol 08 Balearic Islands 09 Costa Blanca 12 Maresme and Barcelona Spain has been made the rich and varied country it is today by the contribution of several cultures and civilisations. With almost 8,000 km of coastline, it has beaches for all tastes, some of them award-winning. Get to know its customs, its gastronomy and its endless sandy beaches. All of this will keep you coming back, to enjoy the country again and again. Find out more about all of our clinics and locations at www.diaverum.com — 06 —
Country Spain Destination Costa del Sol Area Málaga Costa del Sol The Costa del Sol is one of the most popular tourist destinations in the world. Don’t miss: • Larios Street; With such a wide range of facilities and • Plaza de la Merced; attractions, there is something for • Roman Circus; everyone, of all tastes, ages and • Cathedral of Málaga; nationalities, to enjoy. • Chinitas Passage; Miles of sandy beaches, fantastic all • Seaport; year-round warmth and modern facilities • Picasso and Thyssen Museums; keep tourists flocking back year after year • Castillo de Gibralfaro, built to house to Torremolinos, Benalmadena, troops and protect the Alcazaba, Fuengirola, Marbella and Estepona and, is today one of the most visited on the east side of Málaga, to Rincon de monuments in Málaga; la Victoria, Torre del Mar and Velez • Take the number 35 bus from the Malaga. This area combines beautiful Paseo del Parque and, from the castle, coastline, with white-washed villages and enjoy breathtaking views of the city some of the most spectacular inland and Málaga’s bay. scenery of the region. The cuisine of the Costa del Sol is something that you will not forget, due to Name of clinic: Diaverum its diversity and character. Being by the Name of clinic: Diaverum Axarquía Torremolinos Mediterranean sea, you can expect to Date opened: 1998 Date opened: 1999 savour fish freshly caught that day, Number of dialysis stations: 30 Number of dialysis stations: 30 combined with fresh ingredients from the Free TV: yes Free TV: yes ‘campo’ (countryside). Free wifi: yes Free wifi: yes Free transfer (to and from clinic): no Free transfer (to and from clinic): no Food and drink provided: yes Food and drink provided: yes —07 —
Country Spain Destination Balearic Islands Area Palma de Mallorca Name of clinic: Diaverum Palma Date opened: 2017 Number of dialysis stations: 22 Free TV: yes Free wifi: yes Free transfer (to and from clinic): no Food and drink provided: yes Name of clinic: Diaverum Inca Date opened: 2017 Number of dialysis stations: 15 Balearic Islands Free TV: yes Free wifi: yes Free transfer (to and from clinic): no Food and drink provided: yes The Balearic Islands are an popular shopping streets where you archipelago set like jewels in the can taste typical local food Mediterranean sea with a mild and buy souvenirs; Mediterranean climate. The landscape • Juan March Foundation Museum, is varied and beautiful; from stunning installed in a beautiful building with mountains to sandy beaches lapped a traditional Mallorcan courtyard; by calm crystalline waters. With many • Bellver Castle, where you can enjoy sites of great historical and cultural the best sunsets in Spain, overlooking interest, alongside delightful people, the Bay of Palma; interesting customs and gastronomy, • Illetas – small quiet area to the west several of the islands, including the of Palma; largest, Mallorca, offer • Portal Nous – a pretty resort with world-class-tourism. a yacht marina, good choice of restaurants, bars and a marvellous Don’t miss: sandy beach; The capital Palma is a must for a visit: • Paquera – a small town with • Royal Palace of l’Almudaina and the a magnificent beach, sheltered bay Cathedral of Mallorca; and very good selection of shops, • walk around the Plaza Mayor and its bars and restaurants. — 08 —
Country Spain Destination Costa Blanca Area Alicante and Valencia Costa Blanca The Costa Blanca, or White Coast, is one of Spain’s most popular tourist destinations, extending 200 km along the Mediterranean coast. From Benidorm, reputedly the most famous holiday resort in the world, to the bustling, cosmopolitan city of Alicante, there is a resort to suit every taste. Step not far from the tourist hotspots, and you will find yourself among elegant villas, orchards and almond groves. This area is sometimes called the California of Europe, reflecting the large number of people who have moved here from other countries to enjoy the Costa Blanca’s fantastic climate and holiday feel, all year round. Name of clinic: Diaverum Alicante Name of clinic: Diaverum Gandía Date opened: 2019 Date opened: 2018 Number of dialysis stations: 30 Number of dialysis stations: 30 Free TV: yes Free TV: yes Free wifi: yes Free wifi: yes Free transfer (to and from clinic): no Free transfer (to and from clinic): no Food and drink provided: yes Food and drink provided: yes — 09 —
Country Spain Destination Costa Blanca Area Alicante and Valencia Don’t miss: Alicante Gandía • Island of Tabarca – home to a picturesque little town of whitewashed houses and historical church, this is a must-visit destination; • Castillo de Santa Barbara – built sometime around the 9th century and immaculately preserved; • El Barrio – or the old town, the historical heart of Alicante, with its winding cobbled streets and Spanish apartments adorned with flowers; • La Explanada de España – Alicante’s main and most beautiful promenade, • The Collegiate Basilica of Santa Maria of Gandía, also known as La Seu, made of 6.6 million red, cream and black tiles – you will probably spend a lot is the principal church of the city, built in the 14th century; of time here; • The Ducal Palace of Gandía – from the 14th century, this is the residence of the • Marina – being a coastal city, Alicante is home to some spectacular yachts; Royal Dukes of Gandía, and from 1485, the Borja family. It was the birthplace • Parque el Palmeral – overflowing with botanical life, waterfalls and lots of Saint Francis Borja; of palm trees, Parque el Palmeral is a little slice of Eden just outside Alicante • Convent of Santa Clara; city centre; • The Monastery of Sant Jeroni de Cotalba; • Being one of the largest cities around, Gandía, about 100 km from Alicante, • Beaches of Gandía – are high quality, and several have been awarded attracts many tourists for shopping, but it is also an interesting place certificates including the famous Blue Flag: Playa Norte, Playa de l’Ahuir, for sightseeing. Playa de Venecia, Playa Rafalcaid. — 10 —
Country Spain Destination Costa Blanca Area Alicante and Valencia Don’t miss: • The City of Arts and Sciences; • L’Oceanogràfic – the star of the City of the Arts and Sciences is this oceanarium that opened in 2003. With 45,000 individual animals from 500 different species, you won’t find another attraction on this scale in Europe; • La Lonja de la Seda – majestic late 15th century building; a UNESCO World Heritage site and held as the masterpiece of Valencian gothic architecture; • Valencia Cathedral – gothic Valencia cathedral dating to the 13th and 14th centuries, see especially the fascinating and controversial Chapel of the Holy Chalice; • Historic centre – all of the must-see sights in this part of the city are just a couple of minutes away from each other; Valencia faces the Balearic Islands and is typical local dish, and the most famous • Barrio del Carmen – the north east equidistant from the country’s two major dish from Spain. side of the old town is the youngest epicentres of Madrid and Barcelona. The region’s wine production is and most bohemian part of the city; The beaches in Valencia, situated to the notable and the Valencian landscape • Turia garden – this park brings you north of the port, are of very high-quality. has over 75,000 hectares of vineyards. fresh air and relaxation right in the They provide excellent facilities and The province of Valencia has an middle of the city; water sports equipment is available enviably mild climate, which makes it an • Central market; to hire. ideal all year- round destination. Come • Malvarrosa Beach – awarded the Valencian paella, made with rice, and enjoy Valencia’s beautiful scenery, Blue Flag for all the amenities it chicken, rabbit and vegetables, is the delicious cuisine and sunny weather. provides. — 11 —
Country Spain Destination Maresme and Barcelona Area Costa del Maresme and Barcelona Costa del Maresme and Barcelona The Costa del Maresme in Catalonia, origins; its rich cultural and artistic runs all the way from Barcelona to heritage easily combines with its Blanes, almost 50 km in total. Along the avant-garde side. coast, you will find a large number of Around the province of Barcelona resorts as well as many different sights there are many towns which are worth and attractions. Costa Maresme is also a visit, including the city of Vic, and a famous wine-growing region with plenty Villafranca del Penedes and Sant of vineyards dotted around the area. Sadurni d’Anoia, both wine producers. Catalonia is known for its fine beaches The cuisine of Barcelona is a dynamic and old, cobbled villages. Some locations mix of traditional and modern like Barcelona, the capital of Catalonia experimental dishes, with influences and Spain’s second largest and definitely from many different cultures that have most cosmopolitan city, are very busy lived in the city over the centuries: and hectic with a great city vibe. In the Italian, French, Greek, Provençal, Arab area, you can also find many beautiful, and Jewish. Gastronomy has become historic fishing towns. one of the key influences on the Barcelona, Spain’s second largest and Catalonian economy over the past few most cosmopolitan city, is one of the years, with some of the world’s best Mediterranean’s most visited ports. It restaurants and top chefs, such as offers the best of both worlds, perfect for Ferràn Adrià, Santi Santamaría, Fermí those wishing to combine a city break Puig, Carles Gaig, Carme Ruscalleda with time by the beach. and Sergi Arola. Name of clinic: Diaverum IHB Name of clinic: Diaverum Maresme It is famous for ground-breaking art, In keeping with its geographical Date opened: 2000 Date opened: 2012 architecture and avant-garde chefs. diversity, the province of Barcelona has Number of dialysis stations: 44 Number of dialysis stations: 30 Think Picasso, think Gaudi, think Ferran numerous climates and microclimates. Free TV: yes Free TV: yes Adrià, each pushing the boundaries in In general, the area enjoys a mild, Free wifi: yes Free wifi: yes their field. temperate and Mediterranean type Free transfer (to and from clinic): no Free transfer (to and from clinic): no Barcelona has an impressive and climate, characterised by hot, dry Food and drink provided: yes Food and drink provided: yes proud history, dating back to its Roman summers and mild winters. — 12 —
Country Spain Destination Maresme and Barcelona Area Costa del Maresme and Barcelona Don’t miss: • From la Boquería, visit the El Raval • The Gothic Quarter (Barri Gotic) and quarter, a multicultural and lively its astonishing Cathedral; neighbourhood with numerous • From the Gothic Quarter you can go theatres, small shops and towards Catalonia Square through the restaurants from around the world. lively and commercial street, Portal After exploring El Raval, you can go de l’Angel; back to Las Ramblas down Carrer de • Another must see is Las Ramblas, Sant Pau; a lovely promenade where you can find • And finally, don’t miss visiting the market Mercat de la Boquería; Gaudi’s Sagrada Família Basilica. — 13 —
COVID-19: helping destinations, you need to be tested before you travel, especially if you are not vaccinated; they are dry, especially before eating or after coughing, sneezing or blowing your nose; you to travel safely • take into consideration that in certain destinations you will need to quarantine on arrival at your own • cover coughs and sneezes with a tissue where possible, or by bending your arm and using it to cover your nose and mouth; expense, and/or when you return; • avoid contact with anyone who has any • make sure your hotel or other symptoms of COVID-19. Even once vaccinated, you should accommodation complies with D r Fe rn a n d o continue taking precautions to reduce COVID-19 safety recommendations; Some special tips for air travel: M a c á ri o , your risk of contracting COVID-19. Older • remember to pack face masks, tissues, • wear a mask at all times, in the airport and Diaverum Chief people, and those of any age who have alcohol-based hand sanitiser, during the flight ; Medical Officer some medical conditions including disinfectant wipes for surfaces, • wash your hands before and after chronic kidney disease, cancer, chronic a thermometer and all the medicines screening; obstructive pulmonary disease, Down’s you may need. • where possible, place boarding passes The COVID-19 pandemic is not over, but syndrome, serious heart problems, (paper or electronic) directly on the scanner while it is still causing great suffering in a weakened immune system, type 2 And once on your journey, there are and then hold them up for inspection, many places, widespread vaccination is diabetes, and sickle cell disease, as well general ways to help keep yourself and instead of handing them over ; allowing hope in parts of the globe. It is of as those who are obese, who smoke or others safe: • place personal items such as keys, wallets course true that the virus does not who are pregnant, are at increased risk • stay 2 metres away from others; and phones in carry-on bags, so that they respect geographical boundaries, so from severe illness from COVID-19. • wear a face mask, and try not to touch do not have to be handled during screening. increased travel brings with it the risk of When deciding whether it is safe to your eyes, nose or mouth; contagion, but it is also fair to assume travel, we also advise that you think • don’t eat, drink or smoke on public Before deciding to travel, and when that vaccination will gradually help about increased risk to anyone you live transport, so that you do not need to choosing where to go, remember that towards the resumption of travel. with who may be affected by these remove your mask; travelling increases the risk of contracting Vaccination reduces the risk of conditions and who you may therefore • limit contact with surfaces, such as COVID-19. Vaccination can decrease this risk contracting COVID-19, and may make it endanger by your decision. But travel is handrails or lift buttons; and decreases the risk of contracting severe less severe if you do catch it. If you are an important part of many people’s lives, • wash your hands with warm soapy forms of COVID-19. Travelling will be safest in thinking of travelling, we strongly advise whether for work or for pleasure, and we water for at least 20 seconds, as often regions with high vaccination coverage. Check that you do so once fully vaccinated (two want to help you travel safely: as you can, or, if this is not possible, the local situation, find out the regulations at doses for most vaccines, and at least two • check the general COVID-19 situation use hand sanitiser with at least 60% your destination, both on arrival as well as on weeks after the second dose before and all requirements and restrictions alcohol: carry a small bottle with you your return home, and take advice from your protection is optimised), and travel will be where you plan to travel; at all times, cover all surfaces of your doctor about your planned trip. These are safest in areas of high vaccine coverage. • take into consideration that, for many hands and rub them together until challenging times. Stay safe, and enjoy. — 14 —
Italy 16 Bari 17 Copertino 18 Rome 19 Catania 20 Marsala The land of art, good food and sunshine, Italy has something to offer everyone, from the sea to the mountains, from cities full of incredible art to unspoilt countryside. The capital city of Rome is home to the Vatican, while other major cities include Florence, famous for Michelangelo’s “David”, and Venice, with its romantic network of canals. Whether you are seeking art galleries and excellent cuisine, or a tranquil, rural or coastal escape, you will not be disappointed. Find out more about all of our clinics and locations at www.diaverum.com — 15 —
Bari Country Italy Destination Bari Name of clinic: Diaverum Bari Date opened: 1998 Number of dialysis stations: 23 Free TV: yes Free wifi: yes Free transfer (to and from clinic): yes Food and drink provided: yes Bari, a typical maritime and market city, is the capital of the Apulia region and the second biggest city in the south of Italy. The port has a beautiful seafront and the wonderful ancient area of “Bari Vecchia”, where you can walk among narrow stone-lined streets of fading pastels and white, wrought-iron balconies and, of course, those beautiful shuttered windows. Don’t miss: • The Basilica of San Nicola, in the heart of the old city of Bari, is one of the most significant examples of Apulian Romanesque architecture; • The Petruzzelli Theatre is the largest theatre in Bari and the fourth largest in Italy, in the heart of the Apulian capital. The theatre is owned by the Municipality of Bari; • Polignano a Mare – medieval village, perched on the high and jagged coast, retains its original charm, with a succession of alleyways and typical white houses and loggias overlooking the sea. On the elegant promenade, the statue of “Mister Volare” embraces the old city. — 16 —
Country Italy Destination Copertino Copertino Rich in history and traditions, Copertino visitors. Its ancient Messapian origins enchants for its villages, parties, cuisine, and archaeological Roman remains beaches and entertainment. Former mix with the richness and exuberance fiefdom of various foreign families, of 17th century Baroque churches and including the Enghien, the town has one palaces in the city centre; of the best-preserved castles in Salento, • Gallipoli – this beautiful city has the built by the Castriota, of Albanian origin. scent of spirituality. Also known as The city is also home to the famous Città Bella, Gallipoli is a seaside city Madonna della Neve Basilica. lying like a mirage on the Ionian coast; Name of clinic: Diaverum Copertino Don’t miss: • The Grotta della Poesia in Roca, Date opened: 1996 • Lecce – capital of the province of the between San Foca and Torre Number of dialysis stations: 22 same name and cultural hub of dell’Orso, is an area characterised by Free TV: yes Salento, Lecce, in Puglia, is one of the cliffs and small, inviting inlets. Free wifi: yes most beautiful cities in Southern Italy. Considered one of the most beautiful Free transfer (to and from clinic): yes Known as “the Florence of the South,” natural pools in Italy, this cave is full Food and drink provided: yes Lecce will amaze and fascinate its of charm and mystery. — 17 —
Country Italy Destination Rome Rome Rome, the capital of Italy, is considered one of the most beautiful cities in the world. Its unparalleled history, the Holy archaeological heart of the city of Rome and welcomes a large number of visitors every day attracted by its See (the Vatican) and the Basilica of San history and complex architecture. It is Paolo Fuori le Mura are among the 55 perhaps the most symbolic structure Italian sites included by UNESCO in the of Italy; World Heritage List. Stroll through the city • Piazza di Spagna is in one of the most and discover ancient icons such as the interesting areas of Rome: Via dei Colosseum, Pantheon, St Peter’s Basilica, Condotti (a famous shopping street), medieval piazzas, Byzantine mosaics, Via Frattina and Via del Babuino created the large 240-metre-wide Name of clinic: Diaverum Rome a passion for good cuisine and a vibrant (a street with 17th and 18th century ellipse surrounded by the splendid Date opened: 2002 Roman experience. buildings) are just some of those four-row colonnade consisting of 284 Number of dialysis stations: 24 worth seeing surrounding the square; columns and 88 pillars; Free TV: yes Don’t miss: • St. Peter’s Square – the most • Trevi Fountain – one of the symbols of Free wifi: yes • Colosseo – the Flavian Amphitheatre, important square in Christianity. Rome, and the largest Baroque Free transfer (to and from clinic): yes more commonly known as the Much of its architectural charm is due fountain in the city. Anyone visiting Food and drink provided: yes Colosseum, rises in the to the intervention of Bernini who must see this beautiful monument. — 18 —
Catania Country Italy Destination Catania An ancient port on the island of Sicily, • Syracuse – a city on the Ionian coast Catania sits below Mount Etna, Europe’s of Sicily, known for its historic ruins. largest and most active volcano. The central Archaeological Park of Overlooking the Ionian Sea, Catania is Neapolis encloses the Roman a splendid city of art, a jewel of Sicilian amphitheatre, the Greek Theatre and Baroque, together with the other eight the Ear of Dionysus, a cave carved towns of the Val di Noto. into the limestone in the shape of a human ear; Don’t miss: • Taormina – with its medieval village • Via Etnea in Catania, the most appearance, its ancient Greek soul, important street in the historic city and colours and scents of centre, is so called because it faces Mediterranean vegetation, Taormina the direction of Mount Etna. It is one of the most beautiful places to stretches uphill for more than two and visit in the world. And the climate of a half kilometres, following a straight Sicily makes it an ideal destination at path from Piazza Duomo towards the any time of the year. volcano; • Acireale – in the province of Catania, Acireale is a picturesque and panoramic town at the foot of Mount Etna, nestled on lava soil, in the midst of extensive citrus groves. Rich in Name of clinic: Diaverum Catania Sud history, Acireale has wonderful Date opened: 1997 Baroque monuments, a lively Number of dialysis stations: 30 shopping centre and is also Free TV: yes a spa station; Free wifi: yes • Mount Etna – a 3,329 metres high Free transfer (to and from clinic): yes active volcano offering a scenic train Food and drink provided: yes ride, two ski areas and a cable car to the crater; — 19 —
Country Italy Destination Marsala Marsala On the extreme west of Sicily, Marsala a maze of cobbled streets that flow one of the oldest gymnasiums in Sicily, is famous for the landing of General between churches, squares and libraries and a large number Name of clinic: Diaverum Marsala Garibaldi and his “thousand” and is ancient courtyards, inviting you of interesting museums; Date opened: 1979 known as the city of wine. From near to explore; • Archaeological Park of Selinunte – Number of dialysis stations: 15 the town, you can also access the • Trapani and Egadi islands – Trapani, the largest archaeological area in Free TV: yes Phoenician island of Mozia. with its sickle shape, enjoys an Europe, the Selinunte Park has myth, Free wifi: yes enviable geographical position legend, history, culture and more. Free transfer (to and from clinic): yes Don’t miss: between two seas, at the foot of A treasure trove from thousands of Food and drink provided: yes • Erice – perched on top of the Mount Erice, near Selinunte, facing years ago, yet still so alive, its 270 mountain of the same name, the the splendid Egadi Islands and the hectares tell of one of the most medieval village of Erice, at 750 famous Saline. Over the years, the flourishing classical civilisations of the metres, enjoys an exceptional city has developed a thriving Mediterranean. Its rich yet still panoramic view over the Gulf of economy linked to the extraction and unfolding history attracts not only Trapani and the Egadi islands on one trade of salt, bluefin tuna fish and the tourists and the curious, but side and the Valderice valley on the export of marble. The cultural hub of researchers and scholars from other. Small and authentic, Erice is the entire province, Trapani houses across the world. — 20 —
Nutritional advice for your journey When we go on holiday, we relax our what you eat and you may thus make your safety, it is important not to daily routine, and we may well eat most food choices that are not right forget everything! of our meals in cafés or restaurants. And, for you; of course, an important part of travelling • do your homework before travelling: As a renal patient, you might need to is enjoying and tasting local cuisine and find out about local, typical dishes control thirst and avoid drinking too exploring new gastronomic traditions. and food traditions at your much and becoming overloaded with In most cases, as long as you are destination. You can then assess in fluid. You can make this easier by careful to remember your own nutritional advance which foods are best for controlling your salt intake and not recommendations, and make any your clinical situation, enabling you to eating too much spicy food. Controlling necessary adjustments to meals, you will make the right decisions about what your body temperature is also important be able to enjoy and share new food to eat. And before you go, you can for fluid balance – avoid hot places and Vít o r S á M a r t i n s , experiences with your fellow travellers. always ask for help and advice from excessive sun exposure, but remember Nutrition Manager, So, allow yourself to feel excited your home clinic team; too that very dry places and air Diaverum Portugal about eating new and different food • do not be afraid to ask questions in conditioning may make you thirsty. Keep when travelling, but remember too that restaurants: most restaurants will be your mouth clean, as good oral hygiene you will have to keep to some dietary delighted to advise you if you explain will make you less thirsty. And rules to ensure your kidney disease is your situation to them. Why not have remember which foods with high controlled and that you enjoy your a chat with the waiter about how the phosphate and potassium content are holiday to the full. dish is cooked, any detail you need not recommended by your clinical team, We have gathered some tips here to about ingredients and information and avoid these during your trip. In most cases, as long as help you plan ahead: about portion sizes, salt content etc. Go to local markets and shops: these you are careful to remember • keep to your normal eating schedule They will usually be very happy to can be very interesting places to learn your own nutritional and do not skip meals: eating regular adapt dishes to suit your needs, if about local culture and food choices, recommendations, and make meals will help you maintain your they understand what these are, such and also good places to choose and buy normal metabolism, make the best as not adding salt, omitting certain the right snacks for your journey. any necessary adjustments to food choices and choose the right ingredients or adjusting portion sizes; Stay active… even when on holiday, meals, you will be able to enjoy portion sizes. With a new routine on • remember your usual rules: in the a good walk or other exercise is an and share new food experiences holiday, it is easy to skip a meal, and thrill of travelling, it is easy to forget important part of feeling good and with your fellow travellers when hungry it can be hard to control things. That is part of the fun, but for staying healthy. — 21 —
Focaccia with slices of apple Tortilla wraps of fresh cream cheese and fruit jam and blueberries You can make these wraps “on the go” with ingredients that are easy to find A simple but tasty snack, perfect for hot days, that you anywhere – you only need plain wheat wraps, fresh cream cheese and jam. can prepare in advance and take on your journey. Preparation: For the focaccia: 1. Spread 1 tablespoon of fresh cream cheese (Philadelphia® type) Ingredients (for 18 servings): on one wheat tortilla. • 500 g all-purpose wheat flour; 2. Spread a red fruit, pumpkin, strawberry or apple jam. If you have diabetes, • 1 tablespoon dry yeast (about 10 g); please choose a no-sugar added jam, if you like, you can sprinkle with • 315 ml warm water; some cinnamon. • 1 tablespoon white or brown sugar; 3. Fold the wrap, and cut it into small pieces and store in a small • 3 tablespoons virgin olive oil; container for your travels. • a pinch of oregano, basil or rosemary (see below – this can also be added later) if essential, ½ teaspoon salt, but better to omit if possible. Approximate nutritional values per wrap: 205 kcal, 27 g carbohydrate, 3 g protein, 4 g fat, 92 mg potassium, Preparation: 116 mg phosphate. 1. Mix the warm water with the yeast and then add the sugar, olive oil and salt if using. 2. In another bowl, add the flour, making a hole in the middle, and then add the No-sugar jam version: 156 kcal, 15 g carbohydrate, 3 g protein, above wet mix slowly in the centre, moulding it until it forms a consistent dough. 4 g fat, 92 mg potassium, 116 mg phosphate. 3. Sprinkle a hard surface with flour and knead the dough for a further 10-15 min. 4. Let the dough rest and rise for an hour in a bowl greased with olive oil and covered with a wet cloth. 5. Once the dough has risen, grease a baking tray with olive oil and spread the dough on the tray, making some small holes in the surface. 6. To add flavour, use herbs such as oregano, basil or rosemary as above, before or after cooking – many flavours work well – use your imagination! 7. Cook in a pre-heated oven at 200ºC for 30 minutes. Approximate nutritional values per 50 g slice: 125 kcal, 22 g carbohydrate, 3 g fat, 1 g protein, 37 mg potassium, 40 mg phosphate. For your journey, why not make it simple but perfect: in a small container with 2 compartments, fill one side with the focaccia, cut into bite size pieces, and in the other half, an apple, sliced and sprinkled with a little lemon juice, and 2 tablespoons of blueberries. — 22 —
Por tugal 24 Lisbon 25 Aveiro 25 Porto A unique country with a powerful maritime heritage, Portugal’s location, beside the Atlantic Ocean, influences much of its culture. The beaches of the Algarve are very popular with holidaymakers, while its hilly, coastal, capital, Lisbon, is well known for its ornate architecture, traditional Fado music, fantastic cuisine and affectionate people who are always happy and willing to welcome you. Find out more about all of our clinics and locations at www.diaverum.com — 23 —
Country Portugal Destination Lisbon Lisbon Lisbon is the stunning capital city of Portugal and one of the most charismatic and vibrant cities of Europe. It is the city of seven hills, embracing the Tejo River. Full light streets to explore and monuments that honour the history of Portugal. Don’t miss: • Belém Tower – this tower was used to defend the city. Years later, it was transformed into a lighthouse and customs house and its five floors lead to a roof terrace, each storey connected by a small and narrow spiral staircase; • Jerónimos Monastery – listed as a National Monument, its elaborate carvings showcase the glorious wealth that the age of exploration brought to the Portuguese empire; • Bairro Alto and Chiado – Chiado is an Name of clinic: Diaverum Saldanha elegant and bohemian Date opened: 2017 neighbourhood full of famous cafés, Number of dialysis stations: 48 theatres and museums. The colourful Free TV: yes streets of Bairro Alto are full of graffiti Free wifi: yes and laundry hanging outside. The Free transfer (to and from clinic): no streets are full of graffiti and laundry Food and drink provided: yes hanging outside. — 24 —
Country Portugal Destination Aveiro Country Portugal Destination Porto Porto Known as the “Invicta” or unbeatable city, Porto lies on the Douro river estuary and is famous for its cellars where port wine is made. Centuries ago, British merchant ships would cluster in Porto’s medieval harbour to ferry the region’s eponymous port wines back home. Discover Porto from sky-high miradouros (lookouts) and roof terrace bars: a colourful Aveiro tumbledown dream with soaring bell towers, extravagant baroque churches and stately beaux arts buildings. Don’t miss: • Downtown Porto; Aveiro is one of Portugal’s most popular • Costa Nova Beach; • Lello Bookstore – very famous, and tourist destinations, famous for its • Vista Alegre Factory – Vista considered one of the most beautiful canals, nouveau architecture and Alegreis one of the most bookstores in the world; fishermen’s district. Considered the prestigious porcelain brands in • Clérigos Tower – the tallest campanile in Venice of Portugal, take the opportunity the world. Portugal, it stands 249 ft (76 metres) tall to discover the city by sailing through its and climbing its 200 steps will give you channels in the typical colourfully a wonderful view over the city and river. painted moliceiro boats. Name of clinic: Diaverum Aveiro Name of clinic: Diaverum CMDR Don’t miss: Date opened: 1982 Date opened: 1984 • Salinas de Aveiro – on this tour you Number of dialysis stations: 38 Number of dialysis stations: 15 will see the beauty of the salt flats, the Free TV: yes Free TV: yes birds that live next to them, and the Free wifi: yes Free wifi: yes salt workers or “Marnotos” who Free transfer (to and from clinic): no Free transfer (to and from clinic): no dedicate themselves to Food and drink provided: yes Food and drink provided: yes handcrafting sea salt; — 25 —
Filipe’s story Filipe Almeida, Diaverum ambassador, dialysis patient and world traveller, shares his thoughts on the importance and joy of his lifestyle Filipe Almeida, renal care patient at Diaverum, globetrotter, surfer and father of three I started dialysis on 19 April 2017, and in order to pursue something I really initially I didn’t talk about it much. I was enjoyed, but I was worried about whether in denial, while also hoping, unsuccess- I would be able to do it, alongside the fully, for a kidney donor. tiredness of each dialysis treatment. After However, ten days later, my son much soul-searching, I decided that the Guilherme was born, and I remember days when I had dialysis would be my thinking: now, I choose to live for you. days off, and that the days without And I became interested in the disease treatment would be my “best” days, when and the dialysis process, deciding that I would need to work twice as hard to the disease wouldn’t be stronger than me, compensate for the days when I had to and understanding that dialysis isn’t rest. I went to work with a sense of something bad. On the contrary, I am so purpose, approaching my potential fortunate that the treatment exists, customers with a reinvigorated spirit. allowing me to continue my life with Sales soared, I met the goals I set for my those I love, and doing what I enjoy. company, and realised the importance and value of adapting to reality. Working in tourism Shortly before I started dialysis, I had Travelling for pleasure opened a tourism company, and become At the start of dialysis, I worried that self-employed. I’d invested a lot of money I would never travel again, and thus loose — 26 —
an important pleasure which I shared Since that time, I have travelled with my family. And this is where to – and had dialysis in – places that Diaverum has been so inspirational. I would never have thought I could visit, With the help of my clinic, I learnt that it including Cuba, Taiwan, Indonesia, is easy to continue dialysis while travelling. Turkey and Israel. There are many clinics around the world, The logistics were challenging, but I also needed reassurance that I would ensuring that there were suitable clinics find the same level of professional care in our chosen destinations. And now we when away from my home clinic. plan our trips around those places. But My first step was to try treatment at I can travel, and that’s enough for me: a different clinic in Portugal. After that, knowing that I can be “on the road”, I decided to go abroad. Prague was the despite needing regular dialysis, makes first place I chose. And I remember it as if me feel good about myself. it were yesterday. On a practical level, when travelling in Europe, I don’t have to pay for my treatment, thanks to the European Health Card. And in Europe and beyond, Diaverum clinics in several countries enable us to have our holidays, recharge our batteries and create new family experiences and memories. But first, I slowly tried dialysis magnificent squares, houses and I feel that, today, I am very much the treatments in Diaverum clinics “out of churches make it such a charming place. same Filipe as I was before my treatment town” from my home city of Lisbon in The Bom Jesus do Monte Shrine is an started. Portugal. In these places, I found essential visiting viewpoint; it will take excellent professionals who always made your breath away. Its huge stairway gives Spotlight on Braga me feel welcome and at home. They you a perfect view over the town and We are an adventurous family, and love knew my medical background and gave allows you to enjoy an awesome sunset. each day to be different. Travelling, me a lot of confidence during my The Diaverum clinic is great, located just meeting new people and experiencing treatments. 10 minutes from the town centre, and new cultures fulfils us as individuals. And While in the north of Portugal, I had I met such nice people there, happily that is one reason why, in 2019, two years the opportunity to go to the Diaverum discussing new travel ideas with after I started dialysis, we travelled clinic in Braga and visit one of the most other patients. around the world with our two-year-old emblematic towns in the country. The Braga is definitely an incredible place son Guilherme. small and narrow pedestrian streets, to visit in my country. — 27 —
France 29 Paris 30 Draguignan and Marseille France, the world’s leading tourist destination, is a country of Mediterranean beaches, alpine villages, medieval cities and busy towns. The capital, Paris, is famous for art galleries such as the Louvre, monuments like the Eiffel Tower, high fashion, and wonderful nightlife, both alongside but also on the waters of the river Seine. French food and wine are world famous and all the French regions deserve to be explored, for the diversity of their cultural, architectural and culinary heritage. Find out more about all of our clinics and locations at www.diaverum.com — 28 —
Paris Country France Destination Paris Situated in the Île-de-France, Paris is the collections and the famous true heart of the country, of note equally Mona Lisa; for its history, economics, politics and • Paris is truly a city of art and culture, cultural heritage. and its influence stretches across Europe and the wider world. Its Don’t miss: galleries, museums, theatres, • Paris offers so many places to restaurants and cafes attract many discover. Of course, you can’t visit thousands of visitors every year. Paris without climbing the Eiffel Tower, from where a magnificent view Name of clinic: Diaverum of the whole city awaits; Paris Saint-Maur • To the north, you can see the Date opened: 2009 Montmartre district with the Basilica Number of dialysis stations: 16 of the Sacré-Cœur. This area has Free TV: yes become famous for hosting many Free wifi: yes painters and artists and is also known Free transfer (to and from clinic): no for its risqué nightlife, in part due to Food and drink provided: yes the location of the famous Other: nutritional consultations, Moulin Rouge; psychological and social • Near the Eiffel Tower, there is the assistance Louvre Museum with its many art — 29 —
Country France Destination Draguignan and Marseille Name of clinic: Diaverum Draguignan Provence-Alpes-Côte d’Azur is one of Date opened: 1994 the most popular holiday regions in the Number of dialysis stations: 30 south of France and covers a large area Free TV: yes from the Mediterranean Sea to the Free wifi: yes French Alps. Famous across the world for Free transfer (to and from clinic): no its coastline and for the Provençal Food and drink provided: yes hinterland, the Provence-Alpes-Côte Other: nutritional consultations, d’Azur region attracts new followers psychological and social assistance every season. Don’t miss: Draguignan • Draguignan, in the Var region of Provence-Alpes-Cote d-Azur, is a wonderful example of Provençal culture. With its bell tower, wide Name of clinic: Diaverum boulevards, pedestrian streets and Marseille Saint-Joseph museum of folk culture, Draguignan, Date opened: 2017 the “Dragon City”, looks very much Number of dialysis stations: 72 like a capital city; Free TV: yes • Located in southeastern France, Free wifi: yes Marseille is France’s second largest Free transfer (to and from clinic): no city. It dates back to around 600 BC Food and drink provided: yes when the city was founded by the Other: nutritional consultations, Greeks as a port. Since then the city psychological and social assistance has been a maritime hub and one of the most diverse cities in all of France: • The old port of Marseille Marseille • Notre Dame de la Garde – this Byzantine and Romanesque Revival basilica overlooks the city and has one of the best views of Marseille; • Vieille Charite; • Walk La Corniche. — 30 —
Morocco 32 Agadir 33 Marrakesh Morocco is in North Africa and borders both the Atlantic Ocean and Mediterranean Sea. Known as a gateway to Africa, it has rich and diverse cultural influences, which give it a wonderful mix of African, European and Arabian feel. You will find huge mountain ranges, vast deserts and epic cities, such as Marrakesh, home to mosques, palaces and stunning, lush gardens. A warm welcome, and fabulous cuisine, characterised by rich tastes and sumptuous spices, awaits you here. Find out more about all of our clinics and locations at www.diaverum.com — 31 —
Country Morocco Destination Agadir Agadir Discover the city of Agadir, one of the pearls of Morocco, with its pleasant climate, gardens and on the shore of the Atlantic Ocean. Don’t miss: • Atlantic beaches: Morocco’s prime resort, holidaymakers from across Europe flock here; • The Kasbah – built in 1540 to defend Agadir against attack from the sea, the ramparts are the sole survivor of what was once Agadir’s fortified town, housing a bustling population within its walls, and is now its main historic attraction; • City centre – the modern central core of Agadir has some interesting monuments that make a nice diversion from sunbathing. The Grand Mosque is in a modernist-style, unique among Morocco’s mosques. Name of clinic: Diaverum Agadir Date opened: 1992 Number of dialysis stations: 31 Free TV: yes Free wifi: yes Free transfer (to and from clinic): no Food and drink provided: yes Other: nutritional consultations — 32 —
Country Morocco Destination Marrakesh Discover the red city, a place full of magic, with its countless markets, gardens, palaces and mosques. Don’t miss: • The Marrakesh Medina has a traditional market square, among the biggest and busiest squares in Africa; • Gardens – perhaps the most iconic in Marrakesh, the Majorelle Gardens receive busloads of visitors each day who flock to the former home and current resting place of Yves Saint Laurent; • Palaces and mosques: Koutoubia Mosque, also known as Kutubiyya Mosque, Jami’ al-Kutubiyah, Kutubiyyin Mosque, and Mosque of the Booksellers, is the largest mosque in the city, located in the southwestern part of Jemaa el-Fnaasquare. Name of clinic: Diaverum Marrakech Marrakesh Date opened: 1991 Number of dialysis stations: 52 Free TV: yes Free wifi: yes Free transfer (to and from clinic): no Food and drink provided: yes Other: nutritional consultations — 33 —
Joanna’s story Joanna Bernet, from the Masurian Lake District in Poland, has been a dialysis patient for the last six years. Determined to continue with her passion for travelling despite her diagnosis, she set up a specialist agency to enable people like her to access high-quality care at their destination. This is her story. own challenges. I, for example, am partly of what I will need to take with me. If I am disabled, and need help at airports, when flying, and travelling alone, I only take boarding buses or trains or when having small hand luggage, which I check in so Joanna, to make payments in cash. that I don’t need to carry it onto the renal care patient at Diaverum, aeroplane. I never take clothes which passionate traveller and dialysis Addressing the challenges of travel I will need to iron, and I use laundry travel agency founder The most important thing for me was services at my destination. learning to ask for help. It wasn’t easy, but it was essential in enabling me to Favourite holiday destinations travel, often alone. During my trips I have I think my favourite place is Spain, realised that other people genuinely want because it has so many beautiful, and to help me, and I have found this makes varied, places to visit. Barcelona is For me, and for many others, seeing new Travelling when on haemodialysis me very happy, and it also moves me. breathtaking, and I also love Seville, the places and enjoying new experiences When I started my dialysis treatment My first step when planning any trip is capital of Andalusia. Malaga, with its has a huge power to refresh and relax, 6 years ago, I thought I would be unable to find a dialysis clinic at my destination charming surroundings, and islands like mind and body. From the moment I start to travel. My physical and mental health which can take me, and of course now Majorca and the Canary Islands, from to plan my trip, I am happy and excited. were very poor, and I couldn’t imagine I run a travel agency specialising in the largest, Tenerife, to the smallest, La And during the trip, I almost forget my how I could combine any trip with my arranging holiday dialysis for other Graciosa, are full of beauty and culture. disease, feel joy and freedom, and my essential treatment. However, when my people, I know many of the best places. It is also important for me that all these self-esteem grows. I am certain that for doctor told me this was not the case, And I always choose those with the places are easily accessible and not very people like me, who have chronic I was immediately determined to highest medical standards, which can be expensive. illnesses, travelling is truly therapeutic, travel again. the well-known brands, or lesser known, with a tangible healing power. I always The most challenging aspects of travel but tried and tested by me or other Advising other dialysis come back from my trips in good shape, for those of us on dialysis will vary, but, people who I trust. patients about travel with better blood test results and like me, many kidney patients have other One week before a trip, I make sure my The most important thing I would tell more energy. conditions as well which present their medicines are ready, and print out a list a fellow patient, is, simply, decide where — 34 —
you want to go! Once you know that (and e.g. at airports, and it can be sensible I love seeing how happy and grateful my agency can help, as explained below) to plan this help in advance; the planning can be fun. My top tips • don’t worry about not speaking the people are when they come back from would be: language of your destination – there • travel alone if you are comfortable are good online translators, body holiday. They almost never complain, with that, but if you can, choose a friend or relative who you will enjoy language… and we are there to help you even once you are away. but look back happily on their wonderful spending time with; surroundings, delicious food, and • take as little luggage as possible; Running a dialysis travel agency • keep in mind the temperature – avoid I would probably never have come into beautiful moments, often in the sun going south in the summer, as it can this business if I hadn’t become be very hot, and you will need to take a dialysis patient myself. When I visited care not to get too thirsty and drink Italy for the first time, the clinic where too much; I had my dialysis treatment was looking patients. I started to work with them, and Don’t worry about travel • if you have other disabilities that make for Polish representatives who could soon realised that people wanting to Very understandably, our clients’ main travel challenging, ask for assistance, promote their clinic among Polish travel to other places would welcome concern is that they can trust the clinic the same service. and the medical staff at their destination. Now, we often help patients decide They often worry about not speaking the where to go on holiday, choosing language, which is why we are on call for a destination which can best meet their them if they need any help. It’s also specific needs. We then take a big reassuring to remember that the medical burden from patients, by booking their procedures of dialysis are very similar dialysis treatments and helping with everywhere, and we only use clinics with completion of their medical the highest medical standards. documentation. Once they are on their People are often nervous before their way, we also offer constant support – first trip, but once it’s done, their fears patients we work with can always call us disappear. Indeed, they often choose to for advice. return regularly to the same place. Some I love seeing how happy and grateful people say that it was “the adventure of people are when they come back from their life,” bringing them back to life, and holiday. They almost never complain, but allowing them to dream again. And time look back happily on their wonderful and again, I see our clients deeply surroundings, delicious food, and touched by the kindness of the people beautiful moments, often in the sun. they meet in their holiday dialysis clinics. — 35 —
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