@celia16 So sorry to hear your aunt has been ill recently. It sounds like she is going to a dialysis center and doing hemodialysis. Typically, she would be meeting with the doctor at least once a month while she is there. Usually there is constant monitoring to ensure she is getting adequate dialysis.

There is a lot of criteria that need to be met and addressed to get a transplant. Has your aunt considered getting one; has she been evaluated yet for a transplant? I hope she is also being followed by a rheumatologist for her lupus. That specialist should be in contact with her kidney doctor to coordinate care for her given the health concerns she is facing.
Ginger