Choose between…

Your lifestyle will largely determine how you go forward with dialysis.

In Center

DAY

In Center

NIGHT

At Home

In a center during the day

Done by: Nurses and technicians

Ideal candidates: Retirees, people available during business hours

Pros: Four hours in a chair to do whatever you want, whoo hoo! Read, nap, use your laptop, listen to music, pretend to work…

Details: Bloodwork will be checked monthly to track your progress. Your doctor will visit you in the dialysis unit. Technicians and nurses will closely monitor you during your dialysis treatments. A nurse, social worker, and dietician will be dedicated to you.

Treatment Schedule:

Sessions are typically 3-4 hours long

3 times per week:

Mon/Wed/Fri – OR – Tu/Th/Sa

1st shift: 5:30 – 8:30 am

2nd shift 9- 12 pm

3rd shift 12- 3 pm

4th shift 4-7:00pm

(Timings may vary according to dialysis units)

In a center during the night

Done by: Nurses and technicians

Ideal candidates: People who are busy during the day

Pros: Go to sleep, wake up, and you’re done! Nighttime dialysis is more ideal because it gives the machine longer to clean out your blood.  This can help alleviate symptoms of CKD.

Home hemodialysis

Done by: You and a treatment partner

Pros: Greater treatment access, no need to travel, better survival outcomes

Details: This option may require modification to your home to accommodate the machine. You will need a ‘treatment partner’ to help you through the process; the actual schedule will be determined by your doctor, and nurses will keep in contact with you to monitor progress.

Not too much prodding, promise! Nurses will draw your blood monthly to measure progress, and you will weigh in before each treatment to track fluid retention. The goal is to achieve your dry weight, which is the weight at which you are comfortable breathing and don’t have excess water. Sometimes salt/fluids in your diet will need to be adjusted.

As far as stopping dialysis, this would depend on the reason you started. Each case is different, so talk to your nephrologist for the answer. In general, if you started dialysis because of an acute kidney injury, there is a chance of recovery after several weeks/months.

If you have advanced CKD and have progressed to End Stage Renal Disease, you will need dialysis until you get a transplant.

Your nephrologist uses this tool to measure progress once a month. It tells us if we are doing a good job cleaning your blood. If you’re not achieving the goal Kt/V, your nephrologist will address this. Keep in mind that often people switch dialysis options based on their needs. You are NEVER locked into one type.
There’s a difference between quantity and quality of urine. A dialysis patient can still make more than a liter of urine, but this doesn’t guarantee that they are excreting adequate amounts of toxin, potassium, and acid. Think of it like adding salt to water: saltwater and freshwater may look similar, but they are totally different (anyone who has swallowed seawater can attest to this).