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When do you know if it is time to start dialysis with CKD?

Caregivers | Last Active: Jul 8 11:24am | Replies (45)

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@gingerw

@jprust Typically, a vascular surgeon will evaluate the person to see if they can do peritoneal dialysis. Reasons that might go against it include previous abdominal surgeries, scar tissue, digestive issues, body type. If everything checks out, usually a peritoneal catheter is placed about 2 months before starting dialysis. I had my catheter placed 8/1/22, and then went through the healing process. In-center training for a week, to learn the details of what to do, and started home dialysis on my own 9/12/22. Yes, they sent a PD nurse to our house to evaluate the situation, including where I would be doing the work, how things would be stored, etc. She offered helpful comments and pointed out things that I might have missed. For me, because of my prescription, I do manual exchanges versus using a machine at night.

I started my dialysis at a eGFR of 14%.

If you want to consider a transplant, do not let his age rule that out. If you don't inquire, the answer will be "no". While there may be other reasons to not be eligible, age shouldn't be a factor so much. Remind me again of where you live, and if there is a transplant center near you? I am turning 71, and am now being considered for evaluation for transplant. What may not allow me to go further is the fact I am a blood cancer patient, not my age!

Thanks for coming back and checking in. Any other questions?
Ginger

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Replies to "@jprust Typically, a vascular surgeon will evaluate the person to see if they can do peritoneal..."

Thank you, That was a very good summary. Hubby is already on a transplant list. He went through all the evaluations a year ago and does the monthly blood draws for that.