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Setting up Your Home Dialysis Unit without Feeling like You’re Living in an ICU: Tackling the Storage Problem

2024-03-28T21:06:29-04:00May 28th, 2014|Categories: Home Hemodialysis|

By Linda Gromko, MD and Jane C. McClure, Interior Designer When Linda and her husband, Steve Williams, brought Steve’s dialysis machine home, they felt reasonably confident about the mechanics of home dialysis. But the next day – when sixteen cubic feet of dialysis supplies arrived, they felt overwhelmed! After all, who has even one extra storage closet just waiting to be used? How could they incorporate all this “stuff” into their already busy household? Sound familiar? (Now, it’s true that the newer procedure of preparing dialysate from tap water and storing a couple of batches under the machine will minimize the sheer quantity [...]

Setting up Your Home Dialysis Unit without Feeling like You’re Living in an ICU: Designing Your Home Dialysis Unit

2024-03-28T21:06:31-04:00April 10th, 2014|Categories: eNews, Home Hemodialysis|

By Linda Gromko, MD and Jane C. McClure, Interior Designer This is the third of a four-part series on “Setting Up Your Home Dialysis Unit Without Feeling like You’re Living in an ICU!” We’ve already covered “Top Ten Considerations,” and “Setting Up with Safety First.” In this entry, we discuss the very basics of setting up your unit. Next time, we’ll address storage! The whole process of dialyzing at home can be daunting at first, but the benefits are well worth the effort. Dialyzing at home can provide the ultimate in personal flexibility – plus, more dialysis and more frequent dialysis [...]

“Fistula First” Keeps Life-saving Options Open!

2024-06-07T11:46:42-04:00July 2nd, 2013|Categories: Blog, Hemodialysis|

Linda Gromko By Linda G., M.D. — Guest Blogger Check Out Recent CDC Recommendations on Reducing Infections The Centers for Disease Control and Prevention (CDC) announced in May 2013 results from a multi-center study on prevention of bloodstream infections in dialysis patients. The problem is enormous: during the study, 37,000 infections occurred in dialysis patients with central lines, at a cost of over $23,000 per admission. Dialysis patients also have a greater risk of contracting infections with resistant bacteria such as MRSA – and developing accompanying complications such as endocarditis (heart valve infection) and osteomyelitis (bone infection). Not [...]

Are You Cut Out to Do Home Dialysis?

2024-03-28T21:06:48-04:00April 8th, 2013|Categories: Blog, Home Hemodialysis|

By Dr. Linda Gromko, MD, Guest Blogger Hi my name is Dr. Linda Gromko and I am a Seattle family practice physician who assisted my husband Steve Williams with both hemodialysis and peritoneal dialysis for three-and-a-half years before his death in April 2011. In coordination with interior designer Jane C. McClure, I wrote Arranging Your Life When Dialysis Comes Home: “The Underwear Factor’ and two other books about my family’s experience with ESRD. Last month, I discussed the advantages of doing dialysis at home. There’s no doubt that home dialysis – both hemodialysis and peritoneal dialysis – offer the opportunity for [...]

Arranging Your Life When Dialysis Comes Home

2024-03-28T21:06:51-04:00February 26th, 2013|Categories: Blog, Home Hemodialysis|

By Linda G, Guest Blogger Hi my name is Linda Gromko and I am a a Seattle family practice physician who served as my husband’s Care Partner in both home hemodialysis and home peritoneal dialysis for several years before his death in 2011. I am a strong advocate of home dialysis, and I have co-authored “Arranging Your Life When Dialysis Comes Home: The Underwear Factor” with Interior Designer Jane C. McClure. I also wrote “Complications: A Doctor’s Love Story,” and “Let Me Go When the Banter Stops: A Doctor’s Fight for the Love of Her Life.” I wanted to share my [...]

Treatment Options for Pediatric Kidney Disease

2024-03-28T21:06:57-04:00January 4th, 2013|Categories: eNews, Hemodialysis, Kidney Transplant, Pediatric Kidney Disease, Peritoneal Dialysis|

Children with kidney failure have a few options to choose from, depending on the severity of their disease.  The primary goal is to have a successful transplant, however viable kidneys are not always available and some children are not strong candidates for transplants. In some cases a nephrectomy is a solution that can make childhood disease easier to manage. In most cases parents choose home dialysis options either home hemodialysis or peritoneal dialysis. Transplants In adults, most transplanted kidneys come from donors who have just perished. However, about half of the kidney transplants in children come from a living donor, usually a [...]

What Are My Options If I Have Kidney Failure?

2024-03-28T21:07:03-04:00January 4th, 2013|Categories: eNews, Home Hemodialysis, In-Center Hemodialysis, Kidney Transplant, Peritoneal Dialysis|

While many people learn suddenly that they have kidney failure, or end stage renal disease (ESRD), chronic kidney disease (CKD) happens over time. For those who know they will be facing kidney failure, they have time to learn about the treatment choices, or modalities, available and prepare. Whether a person has months to prepare or needs to make a sudden decision about which modality is right, his or her doctor or nephrologist (doctor specializing in kidney care) will help educate and guide. Dialysis and Kidney Transplantation There are two treatments for kidney failure: dialysis and transplantation. Dialysis is a treatment that [...]

Low Blood Pressure – Intradialytic Hypotension

2024-03-28T21:07:05-04:00January 4th, 2013|Categories: eNews, Fact Sheet, Home Hemodialysis, Peritoneal Dialysis, What Causes Kidney Disease|Tags: |

By Dori Schatell, Medical Education Institute One of the main jobs of dialysis is to remove excess water from your body. Seems pretty simple, right? Like wringing out a wet towel? Of course, your body is more complex than a towel—and taking over a task that healthy kidneys did isn’t really so easy. Removing water can lower your blood pressure at dialysis, which can make you feel wretched during and even after a treatment. We’ll tell you why—and how you can stop it. Fluid in Your Body Maybe you’ve heard that the human body is made mostly of water. It’s [...]

Things to Think About When Evaluating Dialysis Treatment Options

2024-03-28T21:07:34-04:00November 29th, 2012|Categories: eNews, Home Hemodialysis, In-Center Hemodialysis, Peritoneal Dialysis|

There are pros and cons with each dialysis option. Each person is different and they need to work with their family and healthcare team to decide which will work best for them. For many, dialysis at home is more flexible than at a center, but there are also more responsibilities. This chart compares each of the choices: In Center Home Conventional or Nocturnal Conventional, Short Daily, or Nocturnal* CAPD/CCPD (peritoneal dialysis) Portable No Depends on machine Yes Travel possible With advance planning With portable machine Yes Needles used Yes Yes No Training time None 4-6 weeks (depending on system) 1-2 weeks [...]

History and Overview of Home Hemodialysis

2024-03-28T21:07:35-04:00November 29th, 2012|Categories: eNews, Home Hemodialysis, News & Events|Tags: |

History In the 1960's during the early days of home hemodialysis, most treatments were done in the home, primarily because of the lack of hospital or clinic-based facilities. By 1973, 40% of dialysis patients were doing their treatments at home. Decline of Home Hemodialysis The percentage of home hemodialysis patients began to drop after 1973. Today the situation has almost reversed and most people on dialysis (90%) get their treatments at a dialysis center. The drop in home hemodialysis was caused by the following: In 1972, Congress passed legislation that created a Medicare program to pay for dialysis treatment. This program [...]

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