I’m a busy and important person with a job/family/life. How do you expect me to fit dialysis in there too?
Home hemodialysis or peritoneal dialysis are good options for busy schedules. If you prefer in center dialysis, 1st or 4th shifts are good options. Peritoneal dialysis will provide the best quality of life.
Since dialysis removes fluid from your body, it often improves blood pressure. Your doctor can measure this progress and adjust BP medication as needed.
The annual mortality rate for ESRD patients is around 1 in 4. The most common causes of death are: abnormal cardiac rhytms, heart failure, sepsis (infection) and stroke.
Only your nephrologist can say for sure. Most patients do not need to start dialysis until they have one or more of these symptoms:
- Fluid retention
- Poorly controlled blood pressure
- High Potassium
- Acid buildup
- Symptoms of uremia: i.e. Nausea, Vomiting, Poor appetite, Headache, weight loss, Lethargy, Fatigue, Weakness
Yes—this is easier for home hemo and peritoneal dialysis patients because you can take your machine along for the ride. For in center patients, you’ll have to find a dialysis unit where you’re going. It’s best to plan these trips 6-8 weeks ahead of time to allow for the center to gather your medical information.
Before trying to conceive, please discuss the risks of pregnancy with your nephrologist and your obstetrician. Women with ESRD on dialysis are at risk for severe hypertension, preeclampsia, miscarriage and premature delivery. A kidney transplant lowers the likelihood of these complications.
I’m about done with all of this. I’ll let you tell me one last thing…
- Be watchful that you wash your access DAILY. It may not seem important now, but infections usually make people change their tune. Sepsis is bad news.
- Speaking of daily things, weigh yourself! Keep a log of your weight every day.
- Avoid foods high in sodium, potassium and phosphorus, and limit fluid intake.