Dialysis - Stories and Questions

Posted by Ginger, Volunteer Mentor @gingerw, Feb 16, 2023

At some point, almost all chronic kidney disease patients will hear "dialysis". Sometimes it is a welcomed treatment, often it strikes fear into our very core. So many questions, so many things to consider. For many of us, it is another treatment option, and a step towards transplant. For others, dialysis is the endgame.

Let's share our experiences, let's ask those hard questions. There are generalities, but we each have our own story. Let's learn and support each other!
Ginger

Interested in more discussions like this? Go to the Kidney & Bladder Support Group.

@gingerw

Yes, nighttime dialysis using a machine is how many people do PD. However, there is a trick to that. It is because you need a lot of dialysis, as the bags of fluids are 2.5 times the size of the manual ones. The machine is programmed to dwell a certain amount of fluid into you at a time. Right now I do not have a prescription that requires that much fluid. To go onto a machine I would be wasting fluid everyday. But I appreciate you bringing it up to the group!
Ginger

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My husband’s peritoneal prescription was for 2000 when he used the machine overnight. Does that help?

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@rickkaplowitz

@celia16 As your aunt is 78, transplants are probably not an option. I was told (when diagnosed for dialysis at age 82) that they just don't do transplants beyond age 70. That may (or may not) change when they have an artificial kidney perfected, but I think that is perhaps 10 or more years away.

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Look elsewhere. I am closing in on 1 year post transplant and now 77 years old. It can be done at your age

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@m1rmiller

Look elsewhere. I am closing in on 1 year post transplant and now 77 years old. It can be done at your age

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@m1rmiller ,
It’s my aunt who is sick, but thank you for the info. Glad you are doing well.

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@celia16

@gingerw ,
Yes, my aunt seems to always be seeing doctors and I know that is expected, but she always seems to be ill. I was just wondering if that is normal. I just discovered that she saw her primary and ER again this week. I’m not sure what the trouble was, but she was released.

Maybe, the next time we visit I’ll ask a little more from her. She’s never mentioned a transplant. She’s 78 years old.

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@celia16 I have found from my own experience, that making sure my different specialists are in communication with each other, as having multiple health conditions going on can be quite a challenge! It is a balancing act, as I like to say. Making sure my diet is following different conditions/situations, medications take into account the different health concerns. For example, my treatment for multiple myeloma is tailored based on my kidney disease status, and those two doctors talk to each other frequently.

Being considered for a transplant, a transplant center will evaluate based on a patient's overall health, comorbidities [in your aunt's case, the lupus, plus anything else she has going on], the ability of the patient to take care of themselves after transplant, mental status, plus a lot more!
Age may or may not be a factor, as the posts above show, from @rickkaplowitz and @m1rmiller
Ginger

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@rollimag

My husband’s peritoneal prescription was for 2000 when he used the machine overnight. Does that help?

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@rollimag Welcome to Mayo Clinic Connect! Wow, your husband was doing only one manual bag a night, but using the cycler bag of 5000 cc? That was a lot of dialysis fluid going to waste each day. Is there a reason he was not doing manual exchanges?

You mention "was". Did he get a transplant? When, and where, please!
Ginger

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@rickkaplowitz

@celia16 As your aunt is 78, transplants are probably not an option. I was told (when diagnosed for dialysis at age 82) that they just don't do transplants beyond age 70. That may (or may not) change when they have an artificial kidney perfected, but I think that is perhaps 10 or more years away.

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@rickkaplowitz Welcome to Mayo Clinic Connect. I see you have been a member here since mid-2022, and this is your first post. We welcome your dialysis journey story when you are ready to share it. We all have the chance to learn different things from each other, here on Connect!

If I have the opportunity to be evaluated for transplant, it would be at Legacy Health in Portland [OR]. Their basic criteria list does not indicate a limiting age.
Ginger

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@m1rmiller

Look elsewhere. I am closing in on 1 year post transplant and now 77 years old. It can be done at your age

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In a post I just wrote to Ginger, I noted that I'm not a believer in absolute rules, and am delighted to learn that you did get a transplant in your mid 70's. I do understand that there are wider ways and places to look ... but for me personally I simply don't wish get a transplant unless/until we can get them without needing to medically suppress autoimmune-type responses.

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@gingerw

@rollimag Welcome to Mayo Clinic Connect! Wow, your husband was doing only one manual bag a night, but using the cycler bag of 5000 cc? That was a lot of dialysis fluid going to waste each day. Is there a reason he was not doing manual exchanges?

You mention "was". Did he get a transplant? When, and where, please!
Ginger

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Sorry, I meant 2000 not 5000 cc overnight using the machine. He now does everything manually. One overnight for 10-12 hours of 2500 cc exotoneal (purple low glucose because he’s type 2 diabetic) and then 2 cycles of 4 hours each if the green 2000 cc.

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Good day to all here!

It is a day to sort out updates and see how everyone is doing, okay? I'll start!

I recently looked into getting a kidney transplant. My request for evaluation was turned down at six transplant center, due to my multiple myeloma condition. Long story short, they want to see me go through a stem cell transplant and recovery, showing no evidence of disease, before considering me for kidney transplant. That could take up to two years, if successful, then comes try for solid organ transplant evaluation.

I am going to stay on peritoneal dialysis, but am changing to [hopefully successful] icodextrin solution. This is an overnight dwell of a maltose-based solution, rather than the glucose-based solution we are familiar with. Dwell will be about 12 hours. Then drain. There is evidence that it may help my albumin numbers. It will certainly help my quality of life, not doing two manual exchanges a day. The training will be this coming week, and I understand it will be similar to what I already do.

Is anyone else doing this type of extended dialysis? Some diabetics are able to tolerate this modality better than the typical solutions., since the manulose is gentler on the system, and doesn't reabsorb like glucose can. Your thoughts?
Ginger

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hi look up kidney coach very solid program well research good supplements also new out renal awakening drops fdr approve take care god bless

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