Stage 4: GFR 15-29 ml/min
By stage four, you will be considered to have severe kidney loss. At this time, you may visit your nephrologist every three months for testing. During this stage your nephrologist will explain the treatment options for kidney failure, including dialysis, transplantation, and palliative care. If you choose dialysis, your doctor will explain the different types of dialysis treatments available such as hemodialysis and peritoneal dialysis. At this point, it is helpful to schedule surgery to have your dialysis access placed, which is the technique that allows your blood to be cleansed. Talk to your nephrologist about the “gold standard” AV Fistula or the best one for you. You may want to attend a pre-ESRD class to learn about the treatment options and which one will fit best with your lifestyle.