Bachelor of Medicine; Bachelor of Surgery, University of Khartoum |
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Doctor of Medicine, University of Liverpool |
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Fellow Royal College of Physicians of London |
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Fellow Royal College of Physicians of Glasgow |
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Fellow American Society of Nephrology |
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Chairman Sudan Medical Care Foundation |
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Consultant Nephrologist |
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Clinical Senior Lecturer |
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About Dr Ibrahim H Fahal
Dr Ibrahim H Fahal MB BS, MRCP (UK), MD, FRCP (London), FRCP (Glasgow), FASN (USA)
Dr Ibrahim Fahal MBBS (Khartoum) MRCP (UK) MD (Liverpool) FRCP (London) FRCP (Glasgow) FASN (USA) is a consultant nephrologist (kidney disease) offering private medical care in London and Brentwood. His NHS practice is based at Barking, Havering and Redbridge University Hospital where he has practised since 1997. He is also a clinical senior lecturer at Barts and the London School of Medicine and Dentistry, Queen Mary University of London. He graduated from Khartoum University Medical School in 1981. After completing his general medical training, he became a member of the Royal College of Physicians (UK) in 1990. He then undertook training in general medicine and nephrology at the University of Liverpool (lecturer/senior registrar to the Professor of Medicine) and the Royal Liverpool University Hospital (SHO, registrar and senior registrar grades). He was appointed as a consultant in 1997.
Dr Fahal practice includes treating patients with all types of glomerulonephritis, those with blood and/or protein in urine, diabetic kidney disease, hypertension (high blood pressure), kidney stones, chronic kidney disease and its complications, with the aim of preventing or retarding the rate of progression of the disease.
Dr Fahal research interest is centred on the muscles of patients with chronic kidney disease and has recently coined the term uraemic sarcopenia and published in the medical press.
Dr Fahal has published articles, editorials, reviews in peer-reviewed journals and chapters in textbooks. He is manuscript reviewer for several medical journals and he is in the editorial board of three medical journals.
Dr Fahal is the founding chairman of the academic charity Sudan Medical Care Foundation.
Dr Fahal is fully registered with the GMC and has been on the Specialist Register since 1997.
Selected Publications
Fahal IH, et al. Phlebotomy for erythropoietin-associated malignant hypertension. (letter) Lancet 1991; 337: 1227.
Fahal IH, Sallomi DS, Yaqoob M, Bell GM. Acute renal failure after ecstasy. Brit Med J 1992; 305: 29.
Yaqoob M, Ahmad R, McClelland P, Sallomi D.F, Fahal IH, Roberts N.B, Helliwell T. Resistance to recombinant human erythropoietin due to aluminium overload and its reversal by low dose desferrioxamine therapy. Postgrad Med J 1993; 69: 124-128.
Fahal IH, Ahmad R, Bell GM, Birchall JD, Robert NB. Profile of serum silicon in aluminium-overloaded patients on regular haemodialysis treatment. J of Analytical Atomic Spectrometry 1993; 8: 911-913.
Fahal IH, Yaqoob M, Ahmad R, Robert NB; Bell GM. Does silicon protect against aluminium toxicity in dialysis patients? Lancet 1994; 343: 122-123.
Fahal IH, McClelland P, Hay CRM, Bell GM. A Review “Arterial Thrombosis in the nephrotic syndrome”. Postgrad Med J 1994; 70: 905-909.
Ng HWK, Walley TJ, Fahal IH, Ahmad R, Breckenridge AM. Comparison of bioimpedance and doppler ultrasound cardiac output in CAPD patients. Meth Find Exp Clin Pharmacol 1995; 17 (1): 59-65.
Fahal IH, Ahmad R, Edwards RHT. Muscle weakness in continuous ambulatory peritoneal dialysis patients. Perit Dial Int. 1996; 16 (1): S419-S423.
McArdle A, Jackson MJ, McArdle F, Page SF, Fahal IH, Edwards RHT. Investigation by polymerase chain reaction of enteroviral infection in patients with chronic fatigue syndrome. Clin Science 1996; 90 (4): 295-300.
Fahal IH, Bell GM, Bone JM, Edwards RHT. Physiological abnormalities of skeletal muscle in dialysis patients. Nephrol Dial Transplant. 1997; 12: 119-127.
Parry R, Delves T, Roberts NB, Birchall JD, Bellia JP, Davenport A, Ahmad R, Fahal IH, Altmann P. Silicon and aluminium interactions in haemodialysis patients. Nephrol Dial Transplant 1998; 13 (7): 1759-1762.
Fahal IH. Continuous Ambulatory Peritoneal Dialysis; practical points. "Editorial" Saudi Kidney Diseases and Transplantation Bulletin. 1993; 4 (1): 1-8.
Fahal IH, Thompson N, Edwards RHT. Disorders of muscle. In: Maria Stokes, eds. Textbook of Neurological physiotherapy, 1st edition. London, Philadelphia, St Louis, Sydney, Tokyo: M, Mosby; 1998: 193-199.
Thompson N, Fahal IH, Edwards RHT. Muscle disorders of childhood. In: Maria Stokes, eds. Textbook of Neurological physiotherapy, 1st edition. London, Philadelphia, St Louis, Sydney, Tokyo: M, Mosby; 1998: 255-267
Fahal IH, Bell GM. Editorial: Uraemic myopathy; Fact or fiction. The International Journal of Artificial Organs. 1998; 21, 6: 657- 660.
Fahal IH: Recommended standards for treatment of adult patients with renal failure. Saudi Kidney Diseases and Transplantation Bulletin. 2001; 12(2): 191-212.
Fahal IH: Recommended standards for treatment of acute renal failure. Saudi Kidney Diseases and Transplantation Bulletin. 2001; 12(4): 538-54.
Fahal IH. The Diabetic Kidney - “A Systematic, Diabetes Renal Service, better for Patients and Clinicians”. SMJ 2009: 45 (3), 4-16.
Fahal IH. Managing the heart in the failing kidney; challenges and opportunities. Sudan Heart Journal 2013; 1 (1); 12-18.
Fahal IH. Obstetric nephrology: The effects of pregnancy on the kidney and the kidney on pregnancy. Khartoum Medical Journal 2013;2,2- 873-880.
Fahal IH. Full Review. Uraemic sarcopenia: aetiology and consequences. Nephrology Dialysis and Transplant 2014; 29 (9): 1655-1665. doi: 10.1093/ndt/gft070.
Selected Presentations
Is silicon protective in aluminium overloaded patients on regular haemodialysis treatment. UK Renal Association. London, Autumn 1992
Muscle weakness in dialysis patients. The XXXIInd Congress of the European Dialysis and Transplant – European Renal Association. Athens – Greece, June 1995.
Fatigue in dialysis patients: Is it central or peripheral. The XXXIInd Congress of the European Dialysis and Transplant – European Renal Association. Athens –Greece, June 1995.
Muscle weakness in CAPD. The 7thCongress of International Society for Peritoneal Dialysis. Stockholm – June, 1995.
Quadriceps muscle function and electrophysiology in dialysis patients. The XIII International Congress of Nephrology. Madrid – Spain, July 1995.
Muscle Mitochondrial enzymes abnormalities of dialysis patients are consequence of their reduced habitual activities and depression. European Renal Association. Amsterdam, June 1996.
Muscle histology does not explain the weakness and fatigue in dialysis patients. European Renal Association. Amsterdam – The Netherlands, June 1996.
Low frequency fatigue: a tool for assessing nutrition in dialysis patients. The 9th International Congress on Nutrition and Metabolism in Renal Disease. Vienna August 29th-September 1st 1998.
Chronic Kidney Disease, the silent epidemic. The 19th Scientific Conference of the Sudan Association of Physicians, 24-26 February 2004, Khartoum, Sudan.
The way to Prevention. Arab Society of Nephrology. Amman, Jordan, February 2006
Addressing subspecialty access problems through training system reforms. The First Sudan Medical Specialization Board conference. Khartoum, November, 2006.
Diabetic nephropathy. The First Arab Nephro-Pathological conference. 11-15 January 2007, Aswan, Egypt.
Hyperlipidaemia and the Kidney. The African Association of Nephrology (AFRAN) 9th Congress & the Sudanese Society of Kidney Diseases and Transplantation (SSKDT) 2nd Congress. 2-5 February 2007, Khartoum, Sudan.
Uraemic myopathy; Putting it all together. Grand round, Queen’s University Hospital. 13 June 2008, Romford.
A systematic Diabetes Renal service is better for patients and clinicians. Havering PCT Forum, Palm Hotel. February 2009, Romford.
Controlling diabetes mellitus by targeting the kidney. The 22 Scientific Conference of the Sudan Association of Physicians, Khartoum 3-7 February 2010.
Uraemic myopathy – fact or fiction. Department of Nephrology and Hypertension Grand Rounds. The Cleveland Clinic, Cleveland, Ohio, USA. 15 November 2010.
Uraemic sarcopenia. Barking Havering and Redbridge University Hospitals annual Research and Development conference. Romford, Essex 16 November 2011.
Continuous Professional Development. Acute Kidney Injury. InterHealth Canada Hospital, Providencials, Turks and Caicos Islands, the Caribbean, 22 December 2011.
Uraemic sarcopenia, causes and implications. The 25 Scientific Conference of the Sudan Association of Physicians, Khartoum 18-20 February 2012.
Managing diabetes in the failing kidneys. Grand Round, AlRayan Hospital, Suliman AlHabib Medical Group, Riyadh, Saudi Arabia 7 January 2013.
Uraemic sarcopenia; A new name in nephrology. Grand Round, AlRayan Hospital, Suliman AlHabib Medical Group, Riyadh, Saudi Arabia, 27 May 2013.
Knowledge transfer and brain gain – Sudan experience. Global Health Forum, Queen Mary University of London 21 January 2014.